Contact MasterMind Brain Optimization Centres Get Matched with a Counsellor Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Your Name *FirstLastPreferred PronounsNone SelectedShe/HerHe/HimThey/ThemOtherPreferred Pronouns - OtherEmail *Phone Number *Please share your age with us *Less than 18 (requires parental consent)18-2425-3435-4445-5455+For Clients Under 18What issues would you like help with? (check all that apply) *Anxiety & Panic AttacksDepressionChronic StressTrauma & PTSDGrief & LossAddictionRelationshipNeurodiversity - Autism/ADD/ADHDGender IdentitySex / SexualityEating DisorderPersonality Disorder (Bipolar, OCD, etc.)Sleep Disorder & InsomniaAnger ManagementInterpersonal CommunicationCross Cultural Values ConflictMenopauseIn your own words, can you share what you would like help with most right now?Previous Counselling ExperienceTreatment Specialization Areas of InterestI don't know or have no preferenceCognitive Behavioural Therapy (CBT)Eye-movement Desensitization and Reprocessing (EMDR)MindfulnessHypnotherapySensorimotor / Play / Sand TherapyNeurofeedbackCounsellor Gender PreferenceNo PreferenceFemaleMaleOtherIndividual or Couples Counselling *IndividualCouplesSession Type PreferenceNo PreferenceIn-PersonSecure Remote VideoWhat is your Scheduling Availability (check all that apply) *MondayTuesdayWednesdayThursdayFridaySaturdaySunday What Type apply) Special notes about time of day you are availableSubmit Ready to Book an Appointment or Free Consultation now? Book Appointment or Free 15-min Consultation Now Address: 220-1940 Lonsdale Ave, North Vancouver BC V7M 2K2 Phone: +1 (604) 362-3240 Email: [email protected]
