Registration Form ( Expert ) Your name Name of Clinic/ Organization* Your email Address Line 1 - House/Plot No City Phone Number website Qualification Specialized Training (If Any) RCI Registration MCI Registration Awards or Publications Short Bio (min 250 words) Short Bio (min 250 words) Years of Practice Populations you work with* ChildrenAdolescentsAdultsOlder AdultsOther: Type of Expert Counselling PsychologistClinical PsychologistPsychiatrist Psychiatric Issues ADHD/ADDAddictionAnorexia NervosaAnxiety DisordersAsperger's SyndromeAutism/ ASDBipolar DisorderBulimia NervosaBody dysmorphic disorder (BDD)Borderline personality disorder (BPD)Child DevelopmentChronic PainDementiaDepressionDissociation and dissociative disordersDrug AbuseDysthymiaEating DisordersHypomania and maniaLearning DisabilitiesNeurological DisordersNeurodevelopmental Disorders (ADHD, Cerebral Palsy, Learning Disabilites, etc)Neurodegenerative Disorders (Alzheimer's Disease, Parkinson's Disease, etc)Mood DisordersObsessive Compulsive Disorder (OCD)Panic AttacksPersonality disordersPhobiasPostpartum DepressionPerinatal Mental HealthPremenstrual dysphoric disorder (PMDD)PsychosisSchizoaffective disorderSchizophreniaSexual DisordersSleep DisordersStressSuicidal IdeationTardive dyskinesiaTraumaOther: Psychological Issues AbandonmentAbortion or Post Abortion IssuesAbuse or Abuse Survivor IssuesAcademic ConcernsAdjusting to Change or Life TransitionsAdoption or Reunion IssuesAging and Geriatric IssuesAngerAttachment IssuesBody ImageBreakupBullyingCareer ChoiceCaregiver Issues or StressChild and/or Adolescent IssuesChronic Illness or DisabilityCodependency or DependencyCommunication ProblemsDivorce or Divorce AdjustmentDomestic ViolenceEmotional AbuseEmotional IntelligenceEmptinessFamily ProblemsFearFertility IssuesForgivenessGamblingGrief, Loss, and BereavementHabitsHIV or AIDSHoardingIdentity IssuesInfidelity or Affair RecoveryJealousyLGBTQAI (Lesbian, Gay, Bisexual, and Transgender) IssuesLonelinessMidlife Crisis or Midlife TransitionOppositional and Defiant Behavior in Children and TeenParentingPeer PressurePerfectionismPre-Marital IssuesRelationships and MarriageSelf ActualizationSelf CareSelf CompassionSelf ConfidenceSelf DoubtSelf EsteemSelf HarmSexual AbuseWomen's IssuesWorkplace IssuesWorryWorthlessnessYoung Adult IssuesOther: Psychological/ Therapy services you provide Acceptance and Commitment Therapy (ACT)Anger ManagementAnimal-Assisted TherapyApplied Behavior Analysis (ABA)Art TherapyAttachment-Based TherapyBibliotherapyBiofeedbackBrain Stimulation TherapyCognitive TherapyCognitive Behavioral Therapy (CBT)CounselingDance & Movement TherapyDialectical Behavior Therapy (DBT)Eclectic TherapyExposure and Response Prevention (ERP)Forensic TherapyGestalt TherapyHumanistic TherapyHypnotherapyInterpersonal PsychotherapyMarriage and Family Therapy (MFT)MindfulnessMusic TherapyNarrative TherapyNeuro-Linguistic Programming (NLP)NeurofeedbackOnline TherapyParent-Child Interaction Therapy (PCIT)Person-Centered TherapyPlay TherapyPositive PsychologyPsycho-OncologyPsychotherapyRational Emotive Behavioral Therapy (REBT)Sex TherapySomatic TherapyStress ManagementSupport GroupOther: Timings 8am - 9am9am - 10am10am - 11am11am - 12 noon12 noon - 1pm1 pm - 2pm2pm - 3pm3pm - 4pm4pm - 5pm5pm - 6pm6pm - 7pm7pm - 8pm8pm - 9pm9pm - 10pm Fees per Session LinkedIn Twitter Instagram Youtube Facebook Anything else you will like us to know? I hereby declare that all information provided above is legitimate to the best of my abilities and I give permission to Mental Health Today to broadcast and promote the same via their website and social media handles. I agreeI disagree Subscribe to MHT I agreeI disagree Upload Photo Δ
