Trans-Allegheny Lunatic Asylum, Weston, West Virginia

Trans-Allegheny Lunatic Asylum, Weston, West Virginia

Trans-Allegheny Lunatic Asylum, Weston, West Virginia

Once known as the Weston State Hospital, the Trans-Allegheny Lunatic Asylum in Weston, West Virginia, opened its doors to patients in 1864. Once, it was a house of horrors with severe overcrowding, inhumane conditions, and rampant violence. Today, it is unsurprising that it is said to be extremely haunted.

The Virginia General Assembly authorized the hospital in the early 1850s as the Trans-Allegheny Lunatic Asylum. Following consultations with Thomas Kirkbride, then-superintendent of the Pennsylvania Hospital for the Insane, a building was designed in the Gothic and Tudor Revival styles. The building followed the Kirkbride plan, which called for long rambling wings arranged in a staggered formation, assuring that each connecting structure received abundant therapeutic sunlight and fresh air and patients were allowed privacy.

Unlike those places constructed more for security and safety, this establishment was to foster the best-known concepts of curing the patient. Following the “Kirkbride Plan,” the asylum was located in a rural area where patients would be housed among strangers only, discouraged from seeing anyone they knew. Patients were not even allowed to receive gifts or mail.

Construction began in late 1858, initially conducted by prison and slave laborers. Skilled stonemasons were later brought in from Europe.

Construction was interrupted by the outbreak of the Civil War in 1861, and the partially built hospital and surrounding grounds became Camp Tyler for the Union. The completed southern wing of the asylum was used as barracks, and the main foundation served as a stable. Confederate raids in 1862 and 1863 temporarily dislodged the Union troops. Following the admission of West Virginia as a U.S. state in 1863, the hospital was renamed the West Virginia Hospital for the Insane. In 1864, Confederate raiders stripped the Asylum of all food and clothing intended for its first group of patients.

Hysterical Woman

Hysterical Woman

The first patients were admitted in October 1864. The very first patient was a housewife who had “domestic trouble.” The first logbook used at the hospital lists reasons for patient admission and includes causes like grief, brain congestion, the feebleness of intellect, seduction, and novel reading.

In the early days, asylums were seen as repositories for more than just the insane. In many cases, people were committed for ridiculous reasons such as laziness, religious enthusiasm, menopause, superstition, domestic trouble, masturbation, and tuberculosis. Asylums were often the dumping ground for society’s unwanted. Interestingly, the asylum offered money to anyone who dropped off a patient … many of whom showed no signs of mental illness when they were first committed.

Its original construction was planned for 250 people. From the beginning, the hospital was largely self-sufficient. They raised their own vegetables, maintained a dairy herd, and operated an ice plant. A nearby coal mine supplied fuel for heat, and there was a reservoir for water. All of the patients’ clothing, curtains, and fabrics were made at Weston, as well as fine quality mattresses and most of the institutional furniture, thus fulfilling the 19th-century ideal that institutions be self-sustaining and that people with a mental health condition learn a trade.

Lying on more than 600 acres, the land also included a cemetery for the many that passed away at the asylum over the years.

The 200-foot central clock tower was completed in 1871. The center unit is four stories high with a great cupola and a clock tower. This section was initially designed to house offices and personnel and, at one time, even had such features as a large ballroom.

Separate rooms for black people were completed in 1873.

Trans-Allegheny Lunatic Asylum, Weston, West Virginia

Trans-Allegheny Lunatic Asylum, Weston, West Virginia

Construction would continue into 1881 when the original plan was complete. The total cost was $725,000 — more than $300,000 over the original budget. At that point, more than 700 patients were housed in the building, which was 1,295 feet long, and contained two-and-a-half miles of hallways. The walls were two-and-a-half feet thick, dense enough to muffle the screams of even the most tormented soul.

Nineteenth-century healing tactics were barbaric, some of which included bloodletting and insulin coma therapy. Seclusion cells and confinement cribs were utilized to control violent patients. Unfortunately, there were innocent victims of the asylum due to misdiagnosed conditions and unfortunate situations. Many spent their entire lifetime at the asylum, only to end up in an unmarked grave on a lonely hillside.

Changes were constantly being made. A Women’s Auxiliary was built in 1890, and two years later, the 20-acre front lawn was enclosed by a Victorian wrought iron fence. A gas well was drilled on the grounds in 1902, making the facility even more self-sufficient.

The hospital’s name was again changed to the Weston State Hospital in 1913.

In the early 20th century, overcrowding, a developing attitude that treatment should be directed more to maintenance than the attempt to rehabilitate, and a continual lack of funds plagued the hospital for many years. New buildings were filled as soon as they were completed.

Over the years, several auxiliary buildings have come and gone. A tuberculosis building was established in 1930. A large 3.5-story brick unit was constructed around 1935.

Patients set several fires over the years, including a large fire in October 1935 which ravaged the hospital’s fourth floor. Remarkably, no one was killed in the blaze, and the wing was rebuilt for $155,000 by the Works Progress Administration.

In 1938 the asylum was called home to 1,661 patients. That year a survey reported that the hospital housed people with epilepsy, alcoholics, drug addicts, and non-educable mental defectives among its population.

In 1949, the hospital had some 1,800 residents. That year the Charleston Gazette reported that the facility had poor sanitation and insufficient furniture, lighting, and heating in much of the complex.

At its peak in the 1950s, the hospital’s population reached 2,400 patients, more than ten times the number it had been built to accommodate. In the rear of the central unit are several brick structures that housed service units such as kitchen and dining facilities, laundry, shops, a forensics building, and storage. Many of these were built during this time. This was likely one of the worst times for patients at the hospital with the overcrowded and understaffed conditions. Undoubtedly, it could make even the most sane of souls lose their minds. Anyone who complained or acted out was subjected to solitary confinement, chained to the walls of an empty room for months.

Icepick Lobotomy

Icepick Lobotomy

During these many years, several medical practices, such as ice water baths, seclusion cells, electroshock therapy, and lobotomies, were commonly used on patients. At one point, one of the “favored” procedures that were used extensively was the “ice-pick” (transorbital) lobotomy. This crude procedure utilized a one- or two-pronged device, which was driven through the orbital socket of the eye and into the brain with a sharp blow. The permanent damage caused was thought to relieve some of the patient’s more severe symptoms. In 1952, one doctor alone performed 228 such lobotomies in West Virginia for two weeks. They aptly named it “Operation Ice Pick.”

But the real problem was overcrowding. The inability to handle the large population led to an increase in violence. There were several cases of patients killing other patients. In one instance, two patients hanged one of their fellow patients using a set of bed sheets. When he did not die, the pair cut him down and used a metal bed frame to crush his head.

Even the staff were not immune to the violence, and several female employees were raped. Many former employees reported being attacked while on duty. One evening a nurse went missing; her rotting body was found two months later at the bottom of an unused staircase.

To deal with some of the more violent, uncontrollable, and severely mentally ill, it is said that many of them were kept in cages.

In 1960 a Medical Center, which included a morgue, was built.

Restraint Chair

Restraint Chair

In 1985, the Charleston Gazette again exposed the asylum, reporting that court-appointed inspectors found the asylum to be “dirty and unkempt,” with many patients left naked and “confined to dirty wards with bathrooms smeared with feces.”

Seven years later, in 1992, more bad news rocked the asylum when the Charleston Gazette again decried the horrendous conditions inside the asylum. That same year a patient named George Edward Bodie died after a fight with another patient. Another patient, Brian Scott Bee, committed suicide, and his badly decomposing body was not found for eight days.

The hospital was forcibly closed in 1994 due to changes in patients’ treatments and the facility’s physical deterioration.

Afterward, the building stood vacant for years.

The hospital was auctioned off in August 2007, and Joe Jordon bought the 242,000-square-foot building for $1.5 million. Today, it is open for guided historical and paranormal tours and evening ghost hunts.

The central section, directly under the 200 ft high clock tower, contains a museum and several faithfully restored rooms from the 1870s to the 1960s. One of the patient wards has been restored, but the remaining 23 are mainly untouched. The endless decayed hallways and vacant patient rooms, including isolation cells with rusted rings once used to chain the most violent, create an incredibly eerie atmosphere.

Trans-Allegheny Lunatic Asylum has been featured in several paranormal television shows. The building was listed on the National Register of Historic Places in 1990. It is the largest hand-cut stone masonry building in North America and is purportedly the second largest in the world, next to the Kremlin.

Weston, West Virginia Asylum

Weston, West Virginia Asylum


The tales of hauntings and unearthly spirits lurking within the building and on the grounds started long before it ceased to be a hospital. After a few decades, the reports of hauntings and the sounds of restless souls became commonplace. Some workers were said to have stayed only a few days, quitting after hearing inexplicable noises, such as the squeaky wheels of gurneys rolling along a tiled hallway.

Thousands were committed to the asylum, and many died there. Over 2,000 people are buried in the cemetery.

Soldier Ghost

Soldier Ghost

The spirits are numerous and range from Civil War-era ghosts to children to ex-patients and staff.

Murders, rapists, and other violent offenders are said to continue to dwell in the building along with others whose only crime was depression or substance abuse.

Sightings include staff and visitors seeing ghostly figures walking through the hallways at night and glimpsing shadowy figures at all hours. One doctor even reported that a spirit followed her home and continues to trouble her to this day. Others have reported seeing a ball of light moving in a hallway and spying apparitions dressed in white.

On the first floor of the building, which is called the Civil War Wing, and is the oldest part of the hospital, is said to lurk a former patient named Ruth. However, it is unknown the reasons why Ruth apparently hated men and had a practice of throwing things at them. Today, her spirit still wanders in the hallways, where people have been pushed up against walls and have heard whistling sounds emanating from the hallways.

A couple of violent events occurred in Ward 2 on the second floor. In one room, a man was stabbed 17 times by another patient. In another room, two patients committed suicide by hanging themselves from curtain rods. Here, shadowing figures have often been seen, and on at least one occasion, an EVP captured someone saying, “Get out.”

Mental patient.

Mental patient.

On the third floor, two patients tried to hang another patient, and when he didn’t die, they bludgeoned him to death. The ghost of the murdered man is said to continue to haunt the room in which he was killed. Another ghost named Big Jim is also said to maintain a presence on this floor, and a nurse called Elizabeth. Other occurrences on this floor include doors that close by themselves, fleeting glimpses of apparitions, shadowy figures, and a number of strange noises that have been caught on EVPs.

Another well-known spirit is located on the fourth floor – a child named Lily, who sits patiently in a toy room, waiting for someone to play with her. Wearing a white dress and said to be about nine years old, Lily likes to play games with visitors and staff, as toys move around of their own accord and a Music box turns on by itself.

Legend has it that Lily was a little girl who spent all or most of her short, sad life inside the asylum’s walls. One story says she was dropped off at the hospital by her parents, while a second tale states that she was born there to a committed mother. She died of pneumonia at the age of nine and has never left the only home she had ever known.

Asylum Hallway

Asylum Hallway

Though Lily appears pleasant enough, other more sinister spirits linger on the fourth floor, including a black mass-like object and a strange apparition called the “creeper” that crawls along the floor. The sounds of something or someone banging on pipes are often heard here.

Another ghost on the fourth floor, which many have seen, is a soldier who they call Jacob, who is said to stroll the hallways.

Numerous unearthly sounds have also been heard, including screams inside the electroshock room, banging, mysterious slamming doors, throaty moans, ominous breathing, and hysterical laughter from empty rooms.

Other paranormal activity includes objects that seemingly move of their own accord and visitors’ reporting the feeling of being watched.

More Information:

Trans-Allegheny Asylum
71 Asylum drive
Weston, West Virginia 26452

© Kathy Alexander/Legends of America, updated March 2023.

Trans-Allegheny Lunatic Asylum in Weston, West Virginia

Trans-Allegheny Lunatic Asylum in Weston, West Virginia

Also See:

Glore Psychiatric Museum – St. Joseph, MO

Haunted Athens Asylum for the Insane, Ohio

Legends, Ghosts, Myths & Mysteries

West Virginia Main Page


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Trans-Allegheny Asylum