Which of these feels most true for you right now?

I don’t feel clear about where my life is going.

My mind won’t slow down, and I’m always on edge.

I get irritated or angry faster than I want to.

Things feel tense, distant, or broken in my relationship.

I don’t feel like myself. My drive or focus is gone.

I’m struggling with faith, purpose, or meaning.

My job or responsibilities are weighing heavily on me.

None of these fit exactly.

How long has this been affecting you?

What best describes why you're seeking support now? *

This is my decision — I’m choosing to seek support for myself.

I’m open to therapy, but this was encouraged by someone else.

I’m attending mainly because someone else wants me to.

I am filling this out on behalf of someone else.

Are you currently feeling unsafe or in emotional crisis? *

Yes

No

Do you currently reside in Kansas?

Yes

No

Best email to reach you. *

Phone

Is there anything you want us to know before the next step?

By submitting this form, I understand it is for review purposes only and does not establish a therapeutic or coaching relationship.

This process is not for emergencies. I agree to seek immediate help if needed.

I agree to the Privacy Policy and consent to the use of my information as described.

A Steady Step Toward Your Most Resilient Self

The form below helps Invictus Health guide you towards services that fit your needs.