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What is bringing you here today?

Please share what kind of support you're looking for and what you're hoping will change

Limited to 600 characters

Are any of the following a concern or having an impact?

These help me understand the themes you want to work on — many clients select more than one.

Anxiety or chronic stress Depression or low motivation Neurodivergence (ADHD, autism, giftedness — diagnosed or suspected) Burnout or executive functioning challenges Trauma or overwhelming experiences Family or parent–child conflict Relationship or communication issues Identity exploration (gender, sexuality, life transitions) Something else

How long has this been going on?

If seeking services for a child/teen, please select anything they have experienced.

A few weeks A few months A few years Hard to tell Hospitalized for mental health reasons now or recently Hospitalized for mental health reasons in the past Attempted suicide in the past None of these apply

Are you seeking therapy for any of the following?

Select any that apply:

Suicidal ideation with current intent or plan Self-harm behavior that feels unsafe or escalating Court-ordered therapy Active custody/legal conflicts Active domestic violence situation None of the above

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