top of page
Home
Services
About
Contact
More
Use tab to navigate through the menu items.
First name
Last name
Email
Phone
What are you currently dealing with? (check all that apply)
Fatigue or burnout
Anxiety / feeling on edge
Mood swings or irritability
Low motivation / feeling stuck
Sleep issues
Hormonal or cycle-related changes
Brain fog / focus issues
Relationship, intimacy, or sexual health concerns
Chronic pain or physical symptoms
How long has this been going on?
How much is this impacting your life?
Mild
Moderate
Significant
Severe
Have you tried treatment before?
No prior treatment
Therapy Only
Medication Only
Both Therapy and Medication
Multiple Treatment with little Improvement
Have any of the following been part of your experience? (check all that apply)
High stress
Trauma History
Hormonal changes
Sleep problems
Chronic fatigue
Substance Use or Coping Behaviors
Major Life Transition
None
Do your symptoms follow a pattern?
Related to stress
Related to hormones/cycle
Comes and goes
No Pattern
Not Sure
What are you hoping to get from this visit?
Medication Only
Clarity
Deeper long-term solution
Not Sure
Are you open to a more comprehensive approach if needed?
Yes
Maybe
No
Anything else you want me to know before we meet?
Get Started
bottom of page
.png)