Name
*
Email
*
Phone
*
Are you hoping to use insurance?
Yes
No
If yes, what is your insurance?
What can we help with?
*
Anxiety
Depression
Eating Disorders
Mindfulness
Phobias
Grief
ADHD
Substance Addictions
Anger Management
Life transitions
Career Counseling
Family Issues
Marriage Counseling
Getting Organized
Self Esteem
Sleep or Insomnia
Life Coaching
Spirituality
Parenting
Coping Skills
Trauma
PTSD
Biofeedback
Social Anxiety
Porn Addiction
Gambling Addiction
Crypto Addiction
Bipolar Disorder
Sexual Abuse
Domestic Abuse
Teenager Issues
Young Adults
Work Stress
Burnout Issues
Women Psychological Issues including post-natal depression
LGBTQ/gender spectrum concerns and sexuality
Message
How did you hear about Manhattan Mental Health Counseling?
Online Search
Client Referral
Curated Mental Health
Therapist Referral
From my insurance
Theravive
Therapyden
Psychology Today
Instagram
Facebook
Twitter
Referral from a Friend or Family Member
Referral from a Healthcare Professional
Google Ads
Email Newsletter
Other
Disclaimer: By completing this form you agree to receive email and SMS communications from us.
Please verify your request.
*
Submit