Request appointment | Jupiter Pines Counseling

What brings you here today?

(You may select more than one. If you're not sure, that's okay! Just pick what feels closest.)

Anxiety & Worry: processing feelings vs. managing triggers, overthinking, panic Focus, Organization, or Attention-Related Challenges: neurodivergence support and ADHD strategies Exhaustion, Burnout, Workplace Challenges: boundaries, performance, building resilience Depression, Low Mood, Decreased Motivation: symptom management vs. behavioral activation Grief, Loss, or Life Transitions: healing the past while navigating the present + future plans Relationships & Communication: conflict resolution, dynamics Substance Use, Harm Reduction, or Recovery Support: please indicate if you are seeking recovery support or harm reduction strategies. Past Trauma(s) or PTSD symptoms: processing trauma history, managing present symptoms of past experiences Coping with Health Issues or Chronic Illness: medical adjustment, emotional resilience, support navigating healthcare system Other / Something else on my mind

Are you seeking services for yourself or someone else?

Do you have any current safety concerns? (e.g., thoughts of harming yourself or others)

If yes, please call or text 988 or go to your nearest ER immediately before booking.

No Not sure Yes

Please identify your primary goal(s) for working together:

(Select all that apply.)

Clinical Processing & Healing, via Counseling/Therapy (e.g., "I am looking to deeply process past trauma, heal from grief/loss, manage symptoms of anxiety/depression, work through a diagnosed mental health condition, or explore deep emotional/identity issues in a clinical setting.") Note: This work requires clients to be in a state where I hold a license. Strategic Resilience & Performance, via Coaching (e.g., "I want practical strategies to manage triggers, improve communication/conflict resolution, navigate workplace challenges (including neurodivergence or burnout), or build a plan for my "best version" self while managing chronic illness or life transitions.") Note: Available to clients in all states; future-oriented, non-clinical focus. Navigating Complex/Interpersonal Dynamics, via Hybrid Support (e.g., "I am seeking support for specific relationship dynamics, sexual health topics, identity exploration, or interpersonal conflicts. I may need either clinical processing OR strategic coaching depending on our initial assessment.") Note: We will discuss the best track during your consult I am not sure what I need / Undecided

Are you currently seeing a therapist or counselor for your ongoing personal support?

Please indicate if this includes you, your partner(s), co-parent(s), family member(s), or business partner(s). We ask this to ensure effective care coordination and avoid conflicting treatment plans.

Limited to 600 characters

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