Request appointment | Dialogue with Diseph

What brings you to therapy at this time?

(Select all that apply)

Relationship/Couple Concerns Relationship Issues Life/Identity Transitions Anxiety/Stress Mood/Depression Grief & Loss Trauma affecting relationships, stress, or emotional wellbeing My concern is not listed and will be discussed during the consultation

What type of services are you seeking?

Chose one of the following:

Individual Therapy Couples Therapy Not Sure

Have you participated in therapy or mental health treatment before?

(Select all that apply)

In therapy now In therapy in the past Taking psychiatric medication now Active substance use History of domestic violence perpetration or victimization (recent/unsafe) Attempted suicide in the past None of these apply

Request an appointment