Online Therapy Client Intake Form

Online Therapy for Individuals and Couples

IMPORTANT: To book an appointment, click HERE.
The form below is only for clients who have been specifically asked to fill it out.

Online, English-speaking Psychotherapist | Berlin | Montreal | Malaga:
Addictions
Anxiety, Panic, GAD (General Anxiety Disorder)
Trauma, cPTSD. PTSD
Depersonalization | Derealization (DDD)
Depression
Career Counselling