Parenting Autism Contact Page

1
What type of parenting-related support are you interested in?* This field is required.
Couples Counseling
Individual Counseling
Family Counseling
An Assessment and Diagnosis (only available for residents of California)
Group
2
Autism symptoms are presenting for:* This field is required.
One or more children
Me
My partner
Both of us
Neither of us
3
ADHD symptoms are presenting for:* This field is required.
One or more children
Me
My partner
Both of us
Neither of us
4
Check PARENTING topics that may be of interest:
Understanding the diagnosis
Reframing Expectations
Attachment & bonding
Emotional regulation
Behavioral challenges
Co-parenting issues
Discipline & boundaries
Other (please specify in background section)
5
Check COUPLES topics of interest
Different parenting styles
Discipline & boundaries
Communication
Emotional intimacy
Sexual intimacy
Time together & apart
Financial stressors
Co-parenting issues
Stress & burnout
Emotional regulation
Other (please specify in background section)
6
Check GROUPS of interest:
Parenting Support Group
Book Group (for Neurodiverse Women)
Cassandra Support Group
Neurodiverse Couples Support Group
Friendship Group (for Neurodiverse Women)
7
Check ASSESSMENTS that may be of interest:For Adults in California only
Autism Assessment - $1,500
ADHD Assessment - $900
Dual Assessment (ASD and ADHD) - $1,800
Alexithymia Assessment - $300 (as an add on to the Autism or ADHD assessment)
Sensory Assessment - $300 (as an add on to the Autism or ADHD assessment)
PDA Assessment (Pathological Demand Avoidance) - $300 (as an add on to the Autism or ADHD assessment)
Dyslexia Support
8
Check SPECIALTY topics of interest:
Alexithymia
Eating & Autism
Art Therapy & Autism
Cancer & Autism
Seniors & Autism
9
Where do you live? (This helps match you with a therapist or coach).* This field is required.
California
Not in California
10
Therapist Preferences:Sorry, we don't have any non-binary therapists available at this time.
Female
Male
No gender preference
Incorporates spirituality/religion
11
I prefer a therapist with a background that is:
Christian
Agnostic or Atheist
Spiritual
Jewish
Muslim
Buddist
12
Session fees vary by experience and qualifications. Share what you can pay, and we’ll match you with the right professional.* This field is required.
$300 and up
$250 to $300
$200 to $250
$150 to $200
$100 to $150 - considered "Sliding Scale". Appointments at this price are limited and may not be available.
13
Your Name* This field is required.
First Name
Last Name
14
Your Email* This field is required.
example@example.com
15
Your Phone Number
Please enter a valid phone number.
16
Your Age
17
Partner's NameOptional
First Name
Last Name
18
Partner's EmailOptional
example@example.com
19
Partner's Phone NumberOptional
Please enter a valid phone number.
20
Partner's AgeOptional
21
Please share any additional background:Optional
Huge
Large
Normal
Small
Ok
Ok
22
Thank you for sharing your information!

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