Help us match you to the right online therapist. Individual CounselingPlease enable JavaScript in your browser to complete this form. - Step 1 of 20What is your gender? *MaleFemaleLGBTQNextWhat is your age? *NextWhat is your Orientation? *StraightLGBTQNextWhat is your relationship status? *SingleIn a relationshipMarriedDivorcedWidowOtherNextDo you consider yourself to be religious? *YesNoNextHave you ever been in counseling or therapy before? *YesNoNextDo you feel that your mental health is being impacted by corona virus outbreak? *YesNoMaybeNextHow would you rate your current physical health? *GoodFairPoorNextHow would you rate your current eating habit? *GoodFairPoorNextAre you currently experiencing overwhelming sadness, grief or depression? *YesNoNextAre you facing any trouble falling asleep, staying asleep or sleeping too much? *YesNoNextAre you facing any trouble concentrating on things such as reading the newspaper or watching television? *YesNoNextDo you have thoughts that you would be better off dead or of hurting yourself in some way? *YesNoNextAre you currently employed? *YesNoNextHow often do you drink alcohol? *NeverInfrequentlyMonthlyWeeklyDailyNextAre you currently experiencing anxiety, panic attacks or have any phobias? *YesNoNextAre you currently taking any medication? *YesNoNextAre you currently experiencing any chronic pain? *YesNoNextName *FirstLastEmail *Contact Number *City *State / Province *Zip / Post Code *NextThanks for telling us your preferences! As we search for your therapist, please read the following guide and begin your membership. What happens next?• We will contact you immediately via text message and will discuss possible timeslots for your first session. • You will be matched with the best available therapist according to the requirements you have mentioned. • You will receive the Zoom invite link and passcode in your email atleast 24 hours before your scheduled session. • You and your therapist start communicating online over zoom video conferencing on the scheduled date and time - the therapy process begins! What if I don't like the therapist that was matched to me?• You can ask to be matched to a different therapist. Mind Engage has many therapists with different sets of skills, qualifications and areas of expertise. Select Plan: *$55 per session (Pay As You Go) includes a live video/audio therapy session.$165 per month (25% OFF) (charged every 4 weeks) includes 4 live video/audio therapy sessions.Credit/Debit Card *CardName on CardSubmit Mind Engage Reviews More Reviews
