Therapist Profile Information

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Name* This field is required.
First Name
Last Name
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Nickname or Preferred NameName you would like on the website, business cards, etc.
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Preferred Pronouns* This field is required.
4
Email
example@example.com
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Select all of the location(s) where you see clients:* This field is required.
Teletherapy ONLY (no office location)
Teletherapy (and in person at one or more offices)
Andover Office
Blaine Office
Plymouth Office
St. Paul Office
Elk River Office
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Check all that apply to you regarding clients you want to see:* This field is required.
Addiction
ADHD
Adoption
Alcohol Use
Alzheimer's
Anger Management
Antisocial Personality
Anxiety
Asperger's Syndrome
Autism
Behavioral Issues
Bipolar Disorder
Borderline Personality
Career Counseling
Child
Chronic Illness
Chronic Impulsivity
Chronic Pain
Chronic Relapse
Codependency
Coping Skills
Depression
Developmental Disorders
Dissociative Disorders
Divorce
Domestic Abuse
Domestic Violence
Drug Abuse
Dual Diagnosis
Eating Disorders
Elderly Persons Disorders
Emotional Disturbance
Family Conflict
Gambling
Grief
Hoarding
Impulse Control Disorders
Infertility
Infidelity
Intellectual Disability
Internet Addiction
Learning Disabilities
LGBTQ+
Life Coaching
Life Transitions
Marital and Premarital
Medical Detox
Medication Management
Men's Issues
Mood Disorders
Narcissistic Personality
Obesity
Obsessive-Compulsive (OCD)
Oppositional Defiance
Parenting
Peer Relationships
Personality Disorders
Pregnancy, Prenatal, Postpartum
Psychosis
Racial Identity
Relationship Issues
School Issues
Self-Harming
Self Esteem
Sex Therapy
Sexual Abuse
Sexual Addiction
Sleep or Insomnia
Spirituality
Sports Performance
Stress
Substance Use
Suicidal Ideation
Teen Violence
Testing and Evaluation
Thinking Disorders
Transgender
Trauma and PTSD
Traumatic Brain Injury
Video Game Addiction
Weight Loss
Women's Issues
Other
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Other specialty areas not listed:
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Please indicate your top 3 areas of interest or expertise:* This field is required.
Addiction
ADHD
Adoption
Alcohol Use
Alzheimer's
Anger Management
Antisocial Personality
Anxiety
Asperger's Syndrome
Autism
Behavioral Issues
Bipolar Disorder
Borderline Personality
Career Counseling
Child
Chronic Illness
Chronic Impulsivity
Chronic Pain
Chronic Relapse
Codependency
Coping Skills
Depression
Developmental Disorders
Dissociative Disorders
Divorce
Domestic Abuse
Domestic Violence
Drug Abuse
Dual Diagnosis
Eating Disorders
Elderly Persons Disorders
Emotional Disturbance
Family Conflict
Gambling
Grief
Hoarding
Impulse Control Disorders
Infertility
Infidelity
Intellectual Disability
Internet Addiction
Learning Disabilities
LGBTQ+
Life Coaching
Life Transitions
Marital and Premarital
Medical Detox
Medication Management
Men's Issues
Mood Disorders
Narcissistic Personality
Obesity
Obsessive-Compulsive (OCD)
Oppositional Defiance
Parenting
Peer Relationships
Personality Disorders
Pregnancy, Prenatal, Postpartum
Psychosis
Racial Identity
Relationship Issues
School Issues
Self-Harming
Self Esteem
Sex Therapy
Sexual Abuse
Sexual Addiction
Sleep or Insomnia
Spirituality
Sports Performance
Stress
Substance Use
Suicidal Ideation
Teen Violence
Testing and Evaluation
Thinking Disorders
Transgender
Trauma and PTSD
Traumatic Brain Injury
Video Game Addiction
Weight Loss
Women's Issues
Other
1st Area
Addiction
ADHD
Adoption
Alcohol Use
Alzheimer's
Anger Management
Antisocial Personality
Anxiety
Asperger's Syndrome
Autism
Behavioral Issues
Bipolar Disorder
Borderline Personality
Career Counseling
Child
Chronic Illness
Chronic Impulsivity
Chronic Pain
Chronic Relapse
Codependency
Coping Skills
Depression
Developmental Disorders
Dissociative Disorders
Divorce
Domestic Abuse
Domestic Violence
Drug Abuse
Dual Diagnosis
Eating Disorders
Elderly Persons Disorders
Emotional Disturbance
Family Conflict
Gambling
Grief
Hoarding
Impulse Control Disorders
Infertility
Infidelity
Intellectual Disability
Internet Addiction
Learning Disabilities
LGBTQ+
Life Coaching
Life Transitions
Marital and Premarital
Medical Detox
Medication Management
Men's Issues
Mood Disorders
Narcissistic Personality
Obesity
Obsessive-Compulsive (OCD)
Oppositional Defiance
Parenting
Peer Relationships
Personality Disorders
Pregnancy, Prenatal, Postpartum
Psychosis
Racial Identity
Relationship Issues
School Issues
Self-Harming
Self Esteem
Sex Therapy
Sexual Abuse
Sexual Addiction
Sleep or Insomnia
Spirituality
Sports Performance
Stress
Substance Use
Suicidal Ideation
Teen Violence
Testing and Evaluation
Thinking Disorders
Transgender
Trauma and PTSD
Traumatic Brain Injury
Video Game Addiction
Weight Loss
Women's Issues
Other
2nd Area
Addiction
ADHD
Adoption
Alcohol Use
Alzheimer's
Anger Management
Antisocial Personality
Anxiety
Asperger's Syndrome
Autism
Behavioral Issues
Bipolar Disorder
Borderline Personality
Career Counseling
Child
Chronic Illness
Chronic Impulsivity
Chronic Pain
Chronic Relapse
Codependency
Coping Skills
Depression
Developmental Disorders
Dissociative Disorders
Divorce
Domestic Abuse
Domestic Violence
Drug Abuse
Dual Diagnosis
Eating Disorders
Elderly Persons Disorders
Emotional Disturbance
Family Conflict
Gambling
Grief
Hoarding
Impulse Control Disorders
Infertility
Infidelity
Intellectual Disability
Internet Addiction
Learning Disabilities
LGBTQ+
Life Coaching
Life Transitions
Marital and Premarital
Medical Detox
Medication Management
Men's Issues
Mood Disorders
Narcissistic Personality
Obesity
Obsessive-Compulsive (OCD)
Oppositional Defiance
Parenting
Peer Relationships
Personality Disorders
Pregnancy, Prenatal, Postpartum
Psychosis
Racial Identity
Relationship Issues
School Issues
Self-Harming
Self Esteem
Sex Therapy
Sexual Abuse
Sexual Addiction
Sleep or Insomnia
Spirituality
Sports Performance
Stress
Substance Use
Suicidal Ideation
Teen Violence
Testing and Evaluation
Thinking Disorders
Transgender
Trauma and PTSD
Traumatic Brain Injury
Video Game Addiction
Weight Loss
Women's Issues
Other
3rd Area
If you indicated "other" please list here along with the order of your top 3 areas.
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Please check treatment preferences that apply.* This field is required.
Accelerated Resolution Therapy (ART)
Acceptance and Commitment (ACT)
Adlerian
AEDP
AIR Network
Applied Behavioral Analysis
Art Therapy
Attachment-based
Biofeedback
Brainspotting
Christian Counseling
Cognitive Behavioral (CBT)
Cognitive Processing (CPT)
Comprehensive Resource Model (CRM)
Culturally Sensitive
Dance Movement Therapy
Dialectical Behavioral Therapy (DBT)
Dual Diagnosis Chemical Dependency
Eclectic
EMDR
Emotionally Focused Therapy (EFT)
Energy Psychology
Existential
Experiential Therapy
Exposure Response Prevention
Expressive Arts
Family / Marital
Family Systems
Feminist
Forensic Psychology
Gestalt
Gottman Method
Humanistic
Hypnotherapy
Imago
Integrative
Internal Family Systems (IFS)
Interpersonal
Intervention
Jungian
Mindfulness-Based (MBCT)
Motivational Interviewing
Multicultural
Music Therapy
Narrative
Neuro-Linguistic
Neurofeedback
Parent-Child Interaction (PCIT)
Person-Centered
Play Therapy
Positive Psychology
Prolonged Exposure Therapy
Psychoanalytic
Psychobiological Approach Couple Therapy
Psychodynamic
Psychological Testing and Evaluation
Rational Emotive Behavior (REBT)
Reality Therapy
Relational
Sand Tray Therapy
Schema Therapy
Solution Focused Brief (SFBT)
Somatic
Strength-Based
Structural Family Therapy
Transpersonal
Trauma-Focused CBT Model (TFCBT)
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Other treatment preferences not listed:
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Please list any advanced training or certification(s) you hold:Indicate of you are working toward certification or if fully certified.
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Preferred Treatment Modalities* This field is required.Check all that apply to the work that you do.
Individual Therapy
Couples Therapy
Family Therapy
Group Therapy
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Age Specialty* This field is required.Check as many as you like.
Elders (65+)
Adults
Young Adult (18 to 25)
Teen (14 to 18)
Preteen (10 to 13)
Children (6 to 10)
Children (birth to 5)
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Please indicate age of the youngest client you are comfortable working with. If you have any other age limitations, please note it here also.* This field is required.
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GroupsAre you allied with or do you have experience supporting clients in these groups?
Athletes
Aviation Professionals
Blind Allied
Body Positivity
Cancer
Deaf Allied
First Responders
Gay Allied
HIV / AIDS Allied
Immuno-disorders
Intersex Allied
Law Enforcement
Lesbian Allied
Little Person Allied
Non-Binary Allied
Open Relationships Non-Monogamy
Queer Allied
Racial Justice Allied
Sex-Positive, Kink Allied
Sex Worker Allied
Single Parent
Transgender Allied
Vegan Allied
Veterans
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Other group(s) not listed above:
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Faith OrientationDo you offer special insight for clients of a specific faith?
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Do you offer any special insights for clients of the following ethnicity?
Asian
Black and African American
Hispanic and Latino
Native American
Other Racial or Ethnic Background
Pacific Islander
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Other languages spoken (besides English):
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Imagine your ideal client. What are their issues, their needs, their goals? What do they want and why?* This field is required.
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How can you help? Talk about your specialty and what you offer.* This field is required.
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Tell clients how you're handling sessions during COVID-19 social distancing (i.e. with video visits or special office arrangements).
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