Name *

First Name

Last Name

Phone Number *

(###)

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My practice is 100% virtual, which means that I do not offer in-person sessions. We will meet on a HIPAA compliant video chat platform similar to Zoom. *

I'm okay with virtual therapy!

I might be okay with virtual therapy, but have some questions about how it works.

My primary residence is located in Tennessee. *

Despite being a virtual therapist, licensing restrictions mean that I can only work with you if you're also located in Tennessee.

Yes

I'm interested in counseling for... *

Complex PTSD

Ethical Non-Monogamy/Polyamory

Religious Trauma/ Purity Culture

Self-Esteem/Perfectionism

Creative Blocks

Anxiety

General Stress/Life Transition

Depression

Other