Request appointment | Phoenix Center for Experiential Trauma Therapy, LLC

What services are you interested in?

Outpatient Therapy (Individual, Couples, or Family) Group Therapy (requires weekly commitment) Trauma Recovery Coaching (available nationwide) Intensive Therapy Sessions (Longer Sessions) Holistic Services (Reiki, Reflexology, Yoga, Acupressure, etc.) Free Family Education Session for a Loved One Personal Growth Workshops Support Groups (free)

We are an out-of-network, outpatient therapy practice. Sessions must be paid by the client at the time of service. Our rates are $95-$200, (sliding scale options with our clinical interns). Do you wish to continue?

Our practice is located in Media, Pennsylvania and we can see clients virtually who reside in PA, NJ, and DE. We can provide coaching nationwide.

Yes No (We are happy to provide referrals for in-network providers. You can call us at 484-440-9416 or email: support@phoenixtraumacenter.com)

Mental Health Services History

I am in therapy now I have been in therapy in the past In the last 2 months I have been hospitalized for mental health or substance use In the last 2 months I have attended an Intensive Outpatient or Partial Hospitalization Program I have a past history of hospitalizations (over 2 months ago) I have attended an Intensive Outpatient or Partial Hospitalization Program in the past (over 2 months ago) I am currently seeing a psychiatrist I was previously seeing a psychiatrist Other or None of These Apply

Any current self-harm behaviors, thoughts of self-harm or suicide, or thoughts of harming someone else?

Yes - currently having thoughts of self-harm, suicide, or harming someone else At times I feel hopeless and/or have fleeting thoughts about harming myself or others No current or past thoughts or behaviors Previous thoughts/behaviors, but no current thoughts/behaviors Past suicide attempt

In the past week, have you been able to engage in activities of daily living: work, school, relationships, household responsibilities, etc.

Yes Most of the time Sometimes Infrequently Not at all

What other outside supports do you engage in?

Family/Friends Activities or Hobbies Church or Community Groups Recovery Groups (AA/NA/ACOA/etc) Other None of these apply

Do you find yourself struggling with any of the below issues:

I engage in occasional substance misuse I engage in daily substance misuse or have substance use withdrawal symptoms I struggle with following through with important medical or mental health treatments I struggle with taking medications as prescribed None/Not Applicable

How much are your home, work, and school environments contributing towards your stress levels?

Low stress (no active trauma or major causes of stress) Mild Stress (some conflict/difficulties, life transition, work/school pressure, recent injury/illness) Moderate stress (significant discord in relationships, major life transition or loss, decline in health, danger in environment) High stress (severe conflict, loss, or abuse, inability to meet basic needs, violence in environment) Extreme stress (active trauma occurring, chaotic environment, inability to meet basic needs, threat of serious injury/loss of life)

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