Request appointment | Linda Bronzan

What is the reason for seeking care?

Select all that apply

Anxiety Depression Grief Relationship issues Substance use Trauma/ PTSD Recent traumatic event Several reasons, I need to talk to someone Questioning if therapy is right for me Switching to a new therapist This was recommended to me Reason not listed

Who is seeking therapy

Self Relative This is a Referral for Someone Else

Select if any of these statements apply to you.

If you are experiencing a mental health emergency or having thoughts of harming yourself or someone else, please dial 911 or go to the nearest hospital.

I'm currently seeing a psychiatrist I am taking Prescribed medication now/ or I have in the past I am ending a residential treatment, or IOP program. I have been hospitalized for mental health reasons in the past I have attempted suicide in the past I am or have been in an abusive relationship I have a history of self harm, thoughts of harming myself or someone else. I am interested in a referral for medication or other treatment.

Have you had therapy before?

No, I've never had a therapist before. Yes, But I've only had couples therapy. Yes, I went to therapy once. Yes, I have seen several different therapists recently. Yes, It feels like I've spent my life in therapy.

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