First and last name

Best contact E-mail

Best contact phone number

Initial general concern

Are any of the following possible initial goals for your therapy (optional)?
To increase my ability to be in the moment without judgement of it.
To increase my ability to tolerate distress.
To increase my ability to regulate my emotions.
To increase my ability to address my needs and wants in relationships without damaging my self-esteem or damaging the relationship.

Please tell us about any other goals or concerns you may have for therapy (optional).

Would you be interested in any of the following limited availability programs (optional)?
RO DBT or Standard DBT Program
Adolescent Outpatient DBT Program
Dungeons & Dragons Therapy Program