Currently in individual therapy Participated in individual therapy in the past Currently in couples therapy Participated in couples therapy in the past Prescribed and taking psychiatric medication - now Prescribed and taken psychiatric medication - in the past History of psychiatric hospitalization - current or recent History of psychiatric hospitalization - in the past History of suicidal thoughts History of suicidal planning, behavior, or attempts History of self-harm behavior Diagnosis or treatment of substance or alcohol use Diagnosis or treatment of eating disorders Diagnosis or treatment of PTSD or trauma Diagnosis or treatment of bipolar disorder Diagnosis or treatment of schizophrenia or psychosis Diagnosis or treatment of anger management issues Diagnosis or treatment of depression History of experiencing domestic violence or intimate partner violence (IPV) History of engaging in domestic violence or intimate partner violence (IPV)

Relationship Issues or Concerns Personal growth Perfectionism or inner-critic Executive functioning skills Support for neurodivergence, autism, or ADHD Emotion regulation skills Communication skills Sleep Issues Coping with Stressors (e.g. Relocation, Work, School, Parenting, Relationships, Finances,, Etc) Generalized Anxiety Disorder Phobia (s) Social Anxiety Disorder Panic Disorder and/or Agoraphobia Health Anxiety Obsessive-Compulsive Disorder (OCD) PTSD or trauma symptoms Coping with chronic illness or chronic pain Grief or loss Depression, low mood, or loss of interest Self-Worth or Self-Esteem Issues Suicidal Ideation (If you are in crisis, feeling unsafe, or experiencing an emergency, please call 911 or 988 Suicide & Crisis Lifeline right now for immediate help) Self-Harm or Suicidal Behavior (If you are in crisis, feeling unsafe, or experiencing an emergency, please call 911 or 988 Suicide & Crisis Lifeline right now for immediate help) Anger Management Issues Substance Use Alcohol Use Bipolar Disorder Eating disorder(s) Schizophrenia or Psychosis Physical violence or intimate partner violence in current relationship Emotional or psychological abuse in current relationship Physical violence or intimate partner violence in past relationship Emotional or psychological abuse in past relationship Family conflict Childhood trauma Other (please describe in goals for therapy section)

Cognitive Behavioral Therapy (CBT) Acceptance and Commitment Therapy (ACT) Exposure and Response Prevention (ERP) Mindful Self-Compassion or Mindfulness-Based Therapy Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (UP CBT) Emotionally Focused Therapy (EFT) Gottman Method Therapy Integrative Behavioral Couples Therapy (IBCT) Other No preference