Request appointment | Peace On You Counseling

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What concerns or challenges would you like to address in therapy?

e.g. Anxiety, relationship or family issues, trauma history, parenting

Limited to 600 characters

What mental health treatment have you had in the past? How was your previous therapy experience?

In therapy now, but seeking a new counselor In therapy in the past Taking psychiatric medication now (e.g. antidepressant, ADHD medication) Taken psychiatric medication in the past Hospitalized for mental health reasons now or recently Hospitalized for mental health reasons in the past Known and/or previously diagnosed mental health or neurological conditions (e.g. depression, anxiety, OCD, ASD) Attempted suicide in the past Any current thoughts or actions of suicide or self-harm?

If you or others are in immediate danger or experiencing a medical emergency, call 911 immediately.