(410) 387 - 8968

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First, please tell us a little about yourself.

This information will be kept confidential and helps us ensure we're able to provide you with care.

First Name(Required)

Zip Code(Required)

Thrive is a fully remote service, but US law requires providers to be certified in the patient's state of residence.

What is your age?(Required)

Less than 13 years old

Between 13 and 17 years old

18 years or older

What can we help you with today?(Required)

Generalized Anxiety Disorder

Major Depressive Disorder

Bipolar Disorder

Post-Traumatic Stress Disorder (PTSD)

Feeding and Eating Disorders

Disruptive Behavior Disorders

Attention Deficit Hyperactivity Disorder (ADHD)

Obsessive Compulsive Disorder (OCD)

Feeling down, depressed, or hopeless.(Required)

Nearly every day

More than half of days

Several days

Not at all

Poor appetite or overeating.(Required)

Nearly every day

More than half of days

Several days

Not at all

Trouble concentrating on things, such as reading the news or watching television.(Required)

Nearly every day

More than half of days

Several days

Not at all

Thought that you would be better off dead, or of hurting yourself in some way.(Required)

Nearly every day

More than half of days

Several days

Not at all

Feeling nervous, anxious, or on edge.(Required)

Nearly every day

More than half of days

Several days

Not at all

Have you tried anxiety or depression treatment before?(Required)

Yes

No

What type of treatment have you tried(Required)

Antidepressants

Seeing An In-Person Therapist

Seeing An Online Therapist

Other Prescriptions

Have you ever attempted suicide before?(Required)

Yes

No

When did your last suicide attempt occur?(Required)

Within the last 12 months

1-5 years ago

6-10 years ago

More than 10 years ago

Please provide your phone number(Required)

Email(Required)

Our goal is to help people in the best way possible. This is a basic principle in every case and cause for success. Contact us today for a free consultation.

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4709 Harford Rd Suite A-#38, Baltimore, MD 21214
areed@thrivetelepsych.com
(410) 387 - 8968

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Thrive’s providers are at the heart of everything we do, so we make it as as easy as possible for them to deliver personal and impactful care—with more data and more flexibility.

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