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Now Serving Orange County and the San Francisco Bay Area

Now Serving Orange County and the San Francisco Bay Area

CONTACT

Fill out the therapy services contact form
to schedule a consultation call.

Phone

Northern California: (415) 358-6700

Southern California: (714) 696-8840

E-mail

contact@rileymorgantherapy.com

Addresses

2211 Post Street, Suite 300

San Francisco, CA 94115

1918 Bonita Avenue, Suite 200

Berkeley, CA 94704

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THERAPY SERVICES CONTACT FORM
TO SCHEDULE A CONSULTATION CALL

First Name

Last Name

Email

Phone

Are you looking for adult or teen therapy?

Adult

Teen

Age of person in therapy?

Under 14 years old (Note: I don't see clients under 14)

14 to 17 years old

18 to 40 years old

41 to 65 years old

Above 65 years old

Please check off which of the following concerns you would like to address in your therapy. (Check as many as apply.)

Abandonment concerns

Abuse - emotional

Abuse - physical

Abuse - sexual

Academic concerns - high school

Academic concerns - college undergraduate

Academic concerns - graduate school

Addiction or substance use

Adoption

Adult children of alcoholics/addicts

ADD/ADHD - Attention Deficit/Hyperactivity Disorder

ADD/ADHD - assessment desired

ADD/ADHD - executive functioning/task paralysis

Aging concerns

Alexithymia (difficulty identifying/expressing emotions)

Alzheimer's/dementia

Anger management

Anxiety - Generalized

Anxiety - Panic attacks

Anxiety - Phobias

Anxiety - Social

ARFID - Avoidant/Restrictive Food Intake Disorder

Auditory processing

Autism

Autism - assessment desired

Autism - executive functioning/task paralysis

Autism - living authentically

Autistic burnout

Autistic masking/camouflaging

Autistic meltdowns or shutdowns

Body image concerns

Bipolar - Type I

Bipolar - Type II

Breakup of relationship

Career concerns

Child/parenting concerns

Chronic pain

Codependence

Communication problems/situational mutism

Coping skills

Delusions

Depression

Developmental delay

DID - Dissociative Identity Disorder/plural community membership

Digital (High screen time use)

Disability concerns

Dissociation

Divorce/separation

Domestic/intimate partner violence - perpetrator

Domestic/intimate partner violence - survivor

Eating disorder

Epilepsy/seizures

Family conflict

Family of origin issues

Financial concerns

Friend group concerns

Gambling concerns

Gender identity concerns

Geriatric concerns

Grief/loss

Hallucinations

Hoarding

Immigration concerns

Infertility

Infidelity in relationships

Insomnia/sleep problems

Intersex concerns

Isolation/loneliness

Kink/BDSM community concerns

Learning disabilities

LGBTQIA+ community concerns

Life purpose

Life transitions

Medical concerns

Motivation concerns

Motor movement - fine motor skills

Motor movement - gross motor skills

Moving/relocation concerns

Multicultural concerns

Neurodiversity/neurodivergent concerns

Neurological/cognitive processing

Neuroqueer concerns

Nonbinary/gender expansive concerns

OCD - Obsessive Compulsive Disorder

ODD - Oppositional Defiant Disorder

PANDAS - Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections

PDA - Persistent Drive for Autonomy/Pathological Demand Avoidance

Perfectionism

Personality disorder - self

Personality disorder - partner(s), family member(s), and/or friend(s)

Personality disorder - Antisocial type

Personality disorder - Avoidant type

Personality disorder - Borderline type

Personality disorder - Dependent type

Personality disorder - Narcissistic type

Personality disorder - Paranoid type

Polyamory/open relationship community concerns

Pregnancy concerns

Prosopagnosia (Difficulty recognizing faces/facial expressions)

PTSD - Post-Traumatic Stress Disorder/Complex PTSD

Rejection

Relationship concerns

Schizophrenia

Self-esteem/self-worth concerns

Self-injury (non-suicidal) - cutting, hitting, burning

Sensory processing/sensory sensitivities

Sexual dysfunction

Sexual orientation

Shame

Spiritual/religious concerns

Stress

Suicidal intentions or plans

Suicidal thoughts - frequent

Suicidal thoughts - occasional

Synaesthesia (One type of sensory stimulus triggers a different type)

Teen concerns

Thoughts of harming someone

Thoughts of killing someone

Tourette’s/tics

Transgender concerns

Trust concerns

Workplace issues

Young adult issues

Other (please elaborate below)

Other: If your concerns have not been addressed above, please describe the main concerns you wish to explore in therapy. A few short sentences is fine.

How did you hear about Riley Morgan?

Please use this space to ask any questions. Thank you, I will be in touch soon!

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Contact

San Francisco
2211 Post Street, Suite 300
San Francisco, CA 94115
(415) 358-6700

Berkeley
1918 Bonita Avenue, Suite 200
Berkeley, CA 94704
(415) 358-6700

Email
contact@rileymorgantherapy.com

© 2023 by Riley Jana Morgan, MS, LMFT

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