Free Booking Consultations

What brings you to BetterCare™ today?

Are you seeking support for yourself or on behalf of someone else?
MyselfSomeone Else (please specify)

Primary reason for seeking support
AnxietyDepressionTraumaStressRelationshipsGriefOther

How long have you been experiencing these concerns?
DaysWeeksMonthsYears

Have you received any previous diagnosis?
NoYes (please specify)

Are you currently receiving any mental health support?
NoYes (please specify)

Are you currently taking any prescribed medication for mental health?
NoYes (please specify)

Support Preferences

Have you been referred to BetterCare™ for psychotherapy, psychological assessment or psychiatry?
NoYes (please specify)

Do you prefer sessions to be online / in person / no preference?
OnlineIn PersonNo Preference

Do you have a preference for the practitioner's gender?
MaleFemaleNo Preference

Preferred session times
MorningAfternoonEveningWeekends

Are you looking to claim service fees from an insurance policy?
NoYes (please specify)

Please outline the symptoms you are experiencing based on the area of support you are seeking

Addictions
Alcohol / DrugsGamblingSex / PornSmoking / Other

Anxiety & Stress
General Anxiety / GADPanic / PhobiasSocial AnxietyStress / Work StressHealth Anxiety

Mood & Personality
DepressionBipolarBorderline Personality (BPD)OCD / ObsessionsOther Personality Issues

Trauma & Safety
PTSD / TraumaDomestic ViolenceSexual Abuse / RapeSelf-Harm / Suicidal Thoughts

Relationships & Sexual Health
Relationship Issues / Break-upInfidelity / JealousySexual Health (e.g. Libido, Erectile dysfunction)

Eating & Body Image
Anorexia / BulimiaBinge EatingBody DysmorphiaWeight Concerns

Neurodevelopmental & Severe Conditions
ADHD / Autism / NeurodivergentDyslexia / Dysgraphia / Dyscalculia / Learning DifficultiesPsychosis / SchizophreniaDementia / Severe Conditions

Life & Personal Issues
Bereavement / Grief / LossWork / Redundancy / StressIdentity / LGBTQ+Women’s / Men’s Issues (incl. Menopause, Fertility, Infertility)General Counselling / Personal Development / Spirituality

Occupational Therapy & Daily Living
Sensory Processing DifficultiesFine / Gross Motor SkillsHandwriting / Coordination IssuesActivities of Daily Living (self-care, independence)Work / School Functioning Support

Speech & Language Therapy
Speech Delays / Articulation DifficultiesLanguage Development / Comprehension IssuesStammering / Fluency DisordersVoice DisordersSocial Communication Difficulties (incl. Autism-related)

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