Match With a Therapist

What kind of therapy are you interested in?* This field is required.

Individual Therapy

Couples and Relationship Therapy

Family Therapy for Children (Adolescents and Teens)

Counseling for Entrepreneurs

Group Therapy

College Counseling

Co-Founders Therapy

Are you interested in learning more about any of the following groups?Select as many as you like

Dialectical Behavior Therapy (DBT) Skills Group

Trauma Processing Group

Trauma Skills Group

What areas would you like to work on in therapy?* This field is required.

Anxiety & Significant Life Changes

Depression and/or Negative Feelings

Trauma or Traumatic Experiences

Relationships with Friends, Family, and Partners

Concerns About Health

Academic/Career Stress or School/Work Transitions

Concerns About Race or Social Injustice

Concerns About Gender or Sexuality

Cultural Identity/Exploration

COVID-19/Pandemic-Related Stress

Life in General

Please tell us about you and what you're hoping to work on in therapy.* This field is required.The more details you share, the more personalized recommendations we're able to provide.

Are there any specific qualities or characteristics you're looking for in a therapist?(I.e. "I prefer a therapist with lots of life experience who is more directive" , "I have a lot to share most of the time, I want someone who listens deeply.")

Is this your first time seeking therapy?* This field is required.

Yes, I'm new to therapy

No, I've been in therapy before

Are you interested in a specific type of therapy?(I.e. "I'd like to learn about treatment for anxiety," "I want something more structured that provides homework like CBT")

Would you like your therapist to have expertise in certain areas?Select all that may apply

Anxiety

Depression

Family Issues

Grief and Loss

Counseling for Entrepreneurs and Creatives

BIPOC and/or Race-Related Concerns

Trauma or Traumatic Experiences

LGBTQIA+

Sex Therapy and/or Sex and Intimacy Concerns

Young Adult Concerns

Women's Issues

Men's Issues

Mindfulness/Meditation

Religion/Spirituality or Existential Concerns

Yoga and/or Mind-Body Approaches

Acculturation/Immigration

Are you interested in any of the following therapy approaches?

Eye Movement Desensitization and Reprocessing (EMDR) Therapy

Cognitive Behavioral Therapy (CBT)

Psychodynamic Therapy (Insight-Oriented Therapy)

Dialectical Behavior Therapy (DBT)

Emotion-Focused Therapy (EFT)

Internal Family Systems (IFS)

LGBTQIA+ Affirmative Therapy

Sex Therapy

Somatic Therapy (Including Yoga & Meditation)

Therapists at our practice not in-network with any insurance panels. However, if you have out-of-network benefits, your insurance may reimburse you. We'll be happy to check on this for you.Your insurance company typically will reimburse you directly after you've met your deductible. We provide courtesy billing and can submit claims on your behalf.

I'd like to learn more about using my out-of-network benefitsI'd like to pay out of pocket

Therapists at our practice are not in-network with any insurance panels. However, if you have out-of-network benefits, your insurance may reimburse you. We'll be happy to check on this for you.Your insurance company typically will reimburse you directly after you've met your deductible. We provide courtesy billing and can submit claims on your behalf.

I'd like to pay out of pocket

I know that my out-of-network benefits will cover therapy

I'd like to learn more about using my out-of-network benefits

Our therapists charge market rate for therapy sessions, with some offering a limited amount of sliding scale. Fees range from $125-$400, depending on the therapist. Please select all of the fee ranges that you're comfortable with.* This field is required.Most PPO insurance plans provide reimbursement for out-of-network services once you meet your deductible. We typically see reimbursements ranging from $50-$250 per session. The actual amount you receive will depend on your plan.

$125-$175

$175-$225

$225-$275

$275-$325

$325-$350+

-Many insurance plans provide reimbursement for out-of-network services once you meet your deductible. We’re happy to try to help you find out what that reimbursement might look like.

$125-$175

$175-$225

$225-$275

$275-$325

$325+

I prefer to meet my therapist:* This field is required.

No preference

In person

Virtual/Telehealth

Hybrid

How important is it to you to find a therapist who meets this criteria?* This field is required.

What times work best for therapy sessions?* This field is required.

Anytime between 9am-5pm on weekdays

Before 9am on weekdays

Only after 5pm on weekdays

Weekends work best for me

I’m flexible

I prefer a therapist who identifies as:* This field is required.Although we don’t currently have therapists who identify as Non-Binary or Transgender, we can gladly refer you to a therapist who does identify as such. All of our therapists are Non-Binary and Transgender-affirmative.

No preference

Male

Female

Non-Binary

Transgender

Is it important to you that your therapist identifies as BIPOC?* This field is required.

YesNo preference

Is it important to you that your therapist identifies as LGBTQIA+?* This field is required.

YesNo preference

I'd like to connect with a therapist who speaks:* This field is required.

English

العربية

广东话

Español

Italiano

Ελληνικά

Polskim

Português

ਪੰਜਾਬੀ

How would you rank the importance of these therapist qualities in your match?Drag and drop to order.

What's your preferred email?* This field is required.Your personalized therapist matches will be sent via email.

example@example.com

When are you looking to start therapy?* This field is required.

As soon as possible

In the coming weeks or in a month or so

I’m not sure yet and I'm just exploring my options

How would you first like to connect with your therapist matches?* This field is required.Therapists will only contact you via your preferred communication method.

I would like my therapist matches to contact me via email only

I would like my therapist matches to contact me via phone call only

My therapist matches can contact me via email or phone

I want to reach out to my therapist matches on my own terms

What's your preferred phone number?* This field is required.Your therapist matches will call you at the number you provide.

Area Code

Phone Number

Please let us know if there are any additional precautions we should take when calling you:* This field is required.Calls will always be discreet, but please let us know if there are any additional precautions we should take when contacting you in case we aren't connected with you immediately.

Ok to leave a voicemail or identify self to the person who answers

Do not leave a voicemail

Do not identify as provider to person answering

How should we address you? Please feel free to provide your name, an alias, or just your initials.* This field is required.

What are your preferred pronouns?* This field is required.

She/Her

They/Them

He/Him

I prefer being referred to by name

What is your age?If you're filling out this survey on behalf of someone else, please select their age.

Under 18

18-24

25-34

35-44

45-54

55-64

65 or over

How did you hear about us?

Google

PsychToday

My Physician or Psychiatrist

Friend, Family, or Colleague

Instagram

Facebook

Who referred you to Clarity Therapy?If you feel comfortable, please share the name of the person who told you about us.

Care to share your feedback with us?* This field is required.Select click "Yes" if you're willing to provide feedback in the coming weeks once you've connected with a therapist.

YesNo