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. 

Woman smiling wearing a white blouse.

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

The Mental Health Benefits Of A Smartphone Break

Experts reveal that taking a three-week break from smartphones can significantly enhance mental health, surpassing the benefits of a two-week vacation. This finding was shared at a symposium addressing the growing issue of mobile addiction, especially among adolescents, exacerbated by the pandemic.

Did A Boy Kill His Adoptive Father Over Nintendo Switch?

A tragic incident involving an 11-year-old boy who shot his father raises critical questions about youth impulse control, mental health, family dynamics, and firearm safety. While motives remain unclear, the case underscores the importance of understanding risk factors and strengthening early intervention and prevention efforts for families.

Brain Changes Linked to Mindfulness in Gaming Disorder

A recent study shows that mindfulness meditation can effectively reduce symptoms of Internet Gaming Disorder and depression. Conducted with 70 patients, those who practiced mindfulness reported significant improvements compared to those who used progressive muscle relaxation. fMRI scans revealed positive neural changes linked to enhanced emotional control and reduced cravings.

A New Type Of Internet Addiction: “Reel Addiction”

A recent study reveals that 15.9% of youth in India struggle with internet addiction, exacerbated by the pandemic. In addition, “Reel Addiction” is a new addiction among adolescents. This addiction poses serious mental health risks, including heightened anxiety and depression, impacting daily life and social interactions.

Why Profound Autism Deserves It’s Own Diagnosis

Experts advocate for recognizing ‘profound autism’ as a distinct diagnosis to ensure better support and resources for individuals with severe cognitive impairments. Judith Ursitti highlights the shortcomings of current healthcare systems that focus primarily on milder cases, leaving profound autism patients without adequate treatment options.

Autism: New Research Explores Gut-Brain Connection

Carrie Friedman, NP, sheds light on the often-overlooked comorbidities associated with autism, including POTS and GI issues. She advocates for a systems-based approach to better understand these interconnected health challenges faced by autistic individuals.

Early Sensory Differences May Predict Autism Risk

A new study reveals that children with a family history of autism or ADHD show distinct sensory processing patterns. Sensory hyper-responsivity may indicate an increased risk for autism, highlighting the importance of early intervention strategies.

Biological Clues To Hidden Stress In Autistic Children

A recent study highlights the potential of measuring hair cortisol levels as a method to assess long-term stress in autistic children, who often struggle to communicate their emotions. This innovative approach could enhance understanding of their emotional states and improve behavioral assessments.

Maternal Distress and Autism Links: New Research Insights

New research reveals a link between maternal psychological distress during pregnancy and the risk of autism spectrum disorder in children, highlighting sex-specific associations. The study, part of the Japan Environment and Children’s Study, analyzed data from over 63,000 children, emphasizing the importance of maternal mental health.

Autism and Facial Cues: A New Perspective on Emotion

A new study reveals that autistic individuals express emotions differently than non-autistic adults, suggesting emotion recognition issues may stem from these variations. Conducted using advanced motion capture technology, the research highlights the unique emotional communication styles of autistic individuals.

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!

Smiling man wearing a gray shirt.
Woman wearing glasses smiling.

Like What You See? Subscribe To My Newsletter!

Join my mailing list to receive the latest information covering Internet Addiction, Autism, and Mental Health Treatments!

You have Successfully Subscribed! Check your E-mail to learn more about your Subscription.