Step 1 of 5 - We're Here to Support Your Journey. Please Provide Your Contact Info So We Can Get in Touch. 20% FacebookThis field is for validation purposes and should be left unchanged.We're Here to Support Your Journey. Please Provide Your Contact Info So We Can Get in Touch.Name(Required) First Last Email(Required) Phone(Required) Tell Us a Bit About Why You Are Here.Which Type of Therapy or Coaching are You Seeking?(Required) Individual Couples (Private Pay Only) Both Individual and Couples What is Your Reason for Seeking Our Help?(Required) Anxiety/Stress Communication/Connection Issues Dating Coaching Depression Family Issues Divorce Prevention Gender Issues Infidelity Porn Addiction Sex/Desire/Intimacy Issues Trauma Other How Can We Help You?(Required) Tell Us Your Session Preferences.How Would You Like to Work with Your Therapist?(Required) Video Session On-Site Session Phone Session Texting (Private Pay Only) What are Your Ideal Days for a Session?(Required) Monday Tuesday Wednesday Thursday Friday Saturday Sunday Just a Few More Preferences - We Want to Match You with the Right TherapistWhat are Your Ideal Times for a Session?(Required) Early Morning Late Morning Lunch Time Afternoon Early Evening Late Evening What is Your Payment Method? (COUPLES THERAPY is PRIVATE PAY Only)(Required) Private Pay (With Dr. Amanda, $500 Per Session) Private Pay (COUPLES THERAPY, Text Therapy, Dating Coaching and Clients Outside of CT) Private Pay (Low Cost Sessions with Interns/LMFT-A's) Anthem BCBS of CT Cigna/Evernorth Husky Medicaid United Optum or Aetna (Out of Network) VACCN1 for Veterans Almost Done!How Did You Find Us?(Required) AASECT Google / Search Engine I'm a Former Client Insurance Website Psychology Today Referral/Word of Mouth Social Media Would You Like to Receive Texts About Appointments? (Message and data rates may apply. Frequency varies based on appointments.)(Required) Yes, Send Me Texts No Thanks Please Verify Your Request Δ
