Request appointment | Breakwater Psychotherapy, LLC

What is the reason for seeking care?

Please check all that apply, as well as anything you don't see here.

Anxiety Attentional difficulties Behavioral issues Depression Grief Relationship issues Trauma Other

What mental health concerns or treatment have occurred in the past?

In therapy now In therapy in the past Taking psychiatric medication now Taken psychiatric medication in the past Hospitalized for mental health reasons now or recently Hospitalized for mental health reasons in the past Known neurologic or genetic disorder Attempted suicide in the past None of these apply

What kind of goals (if any) do you have for therapy?

Let us know what change you are most looking forward to.

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