Signup For Therapy

Are you ready to make lasting changes in your life? If so, you need to complete the paperwork to become a Client. Completing the paperwork is easy, as you can complete it all online without printing out forms. To do so, follow the instructions below. 

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Online Forms

To complete the forms, please visit the link below and create a free account. This account is a part of my content management system and is secured by the latest security standards. This allows you to complete all forms before the session without having to print them out and complete them by hand.

You will first need to create an account. To do so, input your First Name, Last Name, E-Mail Address, and Password. Your password needs to be at least six characters. Once inputted, you can begin to complete the paperwork. Make sure to complete all the forms, sign, and submit them.

Note: Signed Divorce Decree or Signed Adjudicating Parentage Decree (Required if the patient is a minor under 18 with divorced parents. Send to me well before the first session so I can determine if both parents need consent.) 

Online Forms Signup Page

Printable Forms

The following is a list of important client forms. The forms marked as required will need to be completed before I can begin providing psychotherapy services. If you have any questions about the forms, you can Contact me.

Note: Signed Divorce Decree or Signed Adjudicating Parentage Decree (Required if the patient is a minor under 18 with divorced parents. Send to me well before the first session so I can determine if both parents need consent.) 

Consent for Services (Required)
New Patient Questionnaire (Required)
New Patient Forms (Required)
Notice of Privacy Practices (Required)
Emergency Information (Required)
Email Consent (Required)
Teletherapy Consent (Required)
Authorization to Release Information Form
Sliding Scale Form

*Note* All forms are in PDF Format. Click Here to view PDF files using Adobe Reader.

Resources

When Video Games Can Kill

Excessive gaming can have serious consequences, including hospitalization or death. This article explores real cases, explains why games can become addictive, and offers strategies to prevent harm, highlighting the importance of balance, health, and professional support for those struggling with gaming addiction.

Porn, Screens, and Self-Control in ADHD and Autism

Emerging research shows that pornography and compulsive masturbation can intensify attention, impulse control, and emotional regulation challenges in those with ADHD or Autism. This article explores how dopamine-driven reward loops interact with neurodivergent brains—and outlines practical, evidence-informed strategies to reduce reliance on sexual behaviors while restoring focus, motivation, and emotional balance.

When Pleasure Turns to Addiction: The Porn Trap

Pornography and masturbation can reshape the brain’s reward system, reinforcing compulsive habits and reducing natural satisfaction. Neuroscience shows how repeated stimulation alters dopamine pathways and weakens self-control. Understanding these mechanisms helps men reclaim focus, rebuild healthy rewards, and restore balance in an increasingly digital world.

Diet and Autism: What Recent Research Shows

Recent research highlights how certain foods may influence autism symptoms. Gluten, casein, artificial dyes, ultra-processed foods, and heavy-metal-contaminated items have been linked to behavioral and gastrointestinal changes in some children with ASD. While effects vary, dietary modifications under professional guidance may help manage symptoms and improve overall well-being.

Chatbots and Tragedy: What Every Parent Must Know

Recent cases link teen chatbot use to tragic suicides. While AI can feel like a safe listener, it cannot intervene in crises. Parents need to understand the risks, recognize warning signs, and set limits. This article explores high-profile cases, what went wrong, and practical steps to protect vulnerable adolescents from emotional harm online.

Vengeance vs. Justice: Choosing the Better Path

After Charlie Kirk’s assassination, emotions run high. Vengeance may feel righteous, but it fuels hate and radicalization. Justice, not revenge, is the path forward—seeking lawful accountability rather than emotional retaliation. Breaking the cycle of hate is essential if we want to prevent more violence and keep society from collapsing into chaos.

Gamer Energy Drinks: Risks You Need to Know

Energy drinks for gamers are marketed for focus and endurance, but their stimulants and additives carry health risks. High caffeine, artificial sweeteners, and erythritol can cause heart palpitations, digestive issues, and, in extreme cases, fatalities. Moderation, hydration, and awareness are essential to reduce potential long-term health impacts from these popular gaming supplements.

What Internet Addiction Does to the Teenage Brain

This article explores how internet addiction impacts the teenage brain, disrupting networks responsible for self-control, attention, and emotional regulation. Based on recent research, it breaks down key brain structures, how they’re affected, and why early intervention matters for healthy development.

What Every Parent Should Know About Virtual Autism

Virtual Autism refers to autism-like symptoms in young children caused by excessive screen exposure. Unlike classic autism, it may be reversible with early intervention, including screen removal and increased social interaction.

How to Stop Hating Yourself and Start Living

Do you feel trapped by your past mistakes and overwhelmed by guilt? This article explores the destructive cycle of excessive guilt, its impact on your life, and how to break free through self-awareness, forgiveness, and action. It’s time to stop running, face your emotions, and reclaim the life you were meant to live.

I Will Contact You Soon

Thank you for your interest. I will do what I can to help you and your family. Once I receive the paperwork, I usually respond within 24 hours. If you have any questions, please Contact Me!

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