• Image field 58
  • Image field 57

  • Treatment Center Inquiry Form

    Treatment Center therapists specialize in psychodynamic psychotherapy. This consists of 45 or 60 minute sessions once or twice a week to help understand meaning behind emotional experiences, thoughts, and behaviors. Psychoanalysis is a more intensive treatment which consists of 45 or 60 minute sessions that occur three to four times a week with at least a two year commitment. The Treatment Center does not offer psychoanalysis, but can help connect you with an analyst.
  • Are you currently in crisis or feeling unsafe right now? (e.g., thoughts of harming yourself or others, immediate danger, or needing urgent help)*

  • If you are in immediate danger or having thoughts of harming yourself or others, please call 911 or 988 right now.

    This form is not monitored in real time.

  • Demographic Information

  •  - -
  • Pronouns*
  • Race*
  • Language*

  • Contact Information

  • Format: (000) 000-0000.
  • What is the best way to reach you?*

  • Services

  • How did you hear about the Treatment Center?*
  • Which services are you interested in learning more about?*
  • Reason for visit*
  • Have you received therapy before?*
  • Have you had any recent crises (in the last 6 months) related to psychosis, substance use, suicidal ideation, etc.?*
  • We are conveniently located in downtown Chicago at 8 S. Michigan Avenue. How would you like to receive services?*
  • The Treatment Center is a competitive training clinic, offering care from graduate and post-graduate clinicians in advanced training under licensed supervision. Would you be open to being seen by a trainee?*

  • Payment Information

  • Should be Empty: