Request appointment | Dr. Melinda Perales, PsyD, LMFT#138151 with Axis Mundi Center for Mental Health

What is the reason for seeking care?

(Select all that apply)

Anxiety & Depression // Anxiety // Depression Relationship Issues Trauma (e.g. PTSD, Partner Betrayal Trauma, Childhood Trauma, Attachment Trauma) Couples Therapy (Both Partners Present) Treatment for Compulsive Sexual Behavior Preparation for The Formal Therapeutic Disclosure Processing Grief Other I'm not sure yet

What type of therapy services are you interested in?

(Select all that apply)

Individual Psychotherapy Couples Psychotherapy (Both Partners Present) Group Psychotherapy Coaching Workshop I'm not sure yet

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

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In therapy now I have been 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

Please provide some basic information about what challenges you might be facing?

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Is there anything else that the therapist needs to know?

(Please provide any additional basic information that might be helpful for your consultation)

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How ready are you to begin therapy at this time?

(Please select the option that best fits right now.)

I am gathering information and exploring whether therapy feels like a good fit for me. I am looking for the right therapist and would like to begin therapy soon (within the next 2–3 weeks). I am actively meeting with therapists and deciding on the best fit, without an urgent start date. I am planning to start therapy in the future and have a general timeframe in mind. I am considering therapy but am not sure yet when or if I will start. Other

Have you visited Sol Y Luna Therapy's Website yet? https://www.solylunatherapy.org/

(You can get more information about Dr. Melinda Perales, PsyD, LMFT, and about the practice's policies and session rates and much more.)

Yes No Not Yet! But I plan to before my consultation with Dr. Melinda! (Recommended)

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