Match With a Therapist

1
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
2
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
3
Is this your first time seeking therapy?* This field is required.
Yes, I'm new to therapy.
No, I've been in therapy before.
4
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)
LGBTQIA+ Affirmative Therapy
Sex Therapy
Somatic Therapy (Including Yoga & Meditation)
5
Are you willing to use your Out-of-Network insurance benefits to pay for therapy?* This field is required.Therapists at our practice are all Out-of-Network providers. This means that 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.
Yes, I'd like to learn moreNo/I'm not sure
6
What times work best for therapy sessions?* This field is required.
I like a routine during the day: 9am-5pm on weekdays.
I'm an early bird during the week: Before 9am on weekdays.
I'm a night owl or work late: Only after 5pm on weekdays.
Weekends work best for me.
I’m flexible.
7
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
8
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
9
Is it important to you that your therapist identifies as BIPOC?* This field is required.
YesNo
10
Are you interested in connecting with a therapist who's a native speaker in one of the following languages:* This field is required.
Cantonese
English
Polish
Portugese
Spanish
11
How would you rank the importance of these therapist qualities in your match?Drag and drop to order.
12
At Clarity Therapy, we welcome everyone and offer a safe space for personal expression. Is there anything else you’d like to share with us before we connect?
13
How would you like to receive your therapist matches?* This field is required.We will only contact you via your preferred communication method.
I prefer email
I prefer a phone call
Both are fine with me
14
What's your preferred email?* This field is required.Therapist matches will be sent via email unless you indicate you'd like to be contacted by phone.
example@example.com
15
What's your preferred phone number?* This field is required.Your therapist matches will call you directly.
Area Code
Phone Number
16
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
17
How should we address you? Please feel free to provide your name, an alias, or just your initials.* This field is required.
18
How did you hear about us?
Google
PsychToday
My Physician or Psychiatrist
Friend, Family, or Colleague
Instagram
LinkedIn
Facebook
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