TheraPsych™ Institute — Phase III Advanced Clinical Interest List
Phase III — Advanced Clinical Modules: Psychotherapy Integration & Lifespan Specialization. Join the interest list to get 72-hour early access and first-cohort pricing when enrollment opens. We will email you when we have a confirmed cohort start date — no spam, no upsell, just one email when the cohort opens.
Who you are
Full Legal Name
*
Preferred Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
State of Residence
*
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Your clinical seat
Current Role
*
Please Select
PMHNP (1-3 years)
PMHNP (3+ years)
PMHNP student
Masters-level counseling student
LPC / LMHC
LCSW / LMSW
Psychologist
Physician (MD/DO)
Other
If Other, please specify
Primary clinical setting
*
Please Select
Solo private practice
Group private practice
Community mental health
Hospital / inpatient
Telehealth-only practice
Training / not yet practicing
Other
Which psychotherapy modalities have you been trained in?
*
CBT
DBT
IFS
EMDR
MI
None yet
Other
Which lifespan population are you most interested in for Phase III?
*
Pediatric
Perinatal
Geriatric
Addictions / complex trauma
All four equally
Where you are in the TheraPsych arc
Have you taken or are you enrolled in PMHNP Foundations I or II?
*
Yes - Foundations I
Yes - Foundations II
Yes - both
No - new to TheraPsych
Currently on the Foundations II waitlist
What is the single biggest gap you are hoping Phase III will close for you?
*
How did you hear about TheraPsych Institute?
Anything else you would like us to know?
Add me to the Phase III interest list.
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