Interested in booking a session? Open Form New Client Screening Name * First Name Last Name Email * Phone Number * With all potential new clients, we like to do a short screening to find out a bit about you and your needs. It's totally free, and you have the option to complete the below form, or request to do it in person with one of our screening therapists. Budget * Please note, cost per session generally reflects the therapist's training and experience. As a guide: £25-£40 (LOW-COST SERVICE = student trainee therapists); £50-£55 (training therapists); £60-£70 (newly qualified therapists); £70+ (experienced therapists); £120+ (psychologist) I would like to be referred to your low-cost service, OR I would like to be referred to you general service Date of Birth MM DD YYYY Reason for seeking therapy Aims/Goals for Therapy Your weekly Availability Please note, if you've selected our Low-Cost therapy budget range, availability will be more limited. We will reach out to let you know what we have. Monday Morning Monday Afternoon Monday Evening Tuesday Morning Tuesday Afternoon Tuesday Evening Wednesday Morning Wednesday Afternoon Wednesday Evening Thursday Morning Thursday Afternoon Thursday Evening Friday Morning Friday Afternoon Friday Evening Saturday Morning Saturday Afternoon Saturday Evening Sunday Morning Sunday Afternoon Sunday Evening Any preferences regarding your potential therapist Type of Therapy What is recommended Cognitive Behavioural Therapy (CBT) Clinical Psychology Eye Movement Desensitization & Reprocessing (EMDR) Existential Integrative Humanistic Mentalisation-Based Therapy (MBT) Person-Centred Psychoanalytic Psychodynamic Transactional Analysis (TA) Transpersonal Frequency of sessions Weekly Fortnightly Twice Weekly Preference Online Face to Face By Phone Medications Psychotropic only (for mental health conditions) Have you received a formal mental health diagnosis or have a suspected diagnosis? If yes to either, what diagnosis – indicating if formal or suspected. Any additional comments Thank you for your enquiry. We will be in touch shortly to arrange connecting you with a therapist. If you selected a budget range of between £25-£40, we will need you to partake in a further short assessment with a senior therapist, to ensure we refer you to a student therapist at an appropriate level. You can read more about this process, and our low-cost service in general, on our Services page.Best wishes,The Brixton Practice Team Interested in working with us? Open Form Submission of Interest Name * First Name Last Name Email * Phone * (###) ### #### I am * An experienced therapist A newly qualified therapist A training therapist (signed off for private practice) A student/trainee therapist (interested in placement) A complementary practitioner Please list which governing bodies your hold a membership with (BACP, UKCP etc) * Experience * Please tell us why you are interested in joining the practice * What does Relationality mean to you? * Anything else you would like to share Thank you for your email!We have variable office hours, but we will get back to you as soon as possible.Best wishes,Nathan, Trelawny & Gee Find out about opportunities at The Brixton Practice Ltd. Leave us Feedback Open Form Feedback, concerns or complaints I am submitting * Feedback A concern A complaint Client name * First Name Last Name Contact email * I'm submitting feedback, concerns or complaints regarding: * My therapist/therapy session TBP Management Please outline your feedback, concern or complaint in as much detail as possible, in the space below. * Thank you for taking the time to get in touch with us.For details on how we process & respond to all feedback, complaints or concerns submitted, please see our FAQ’s page.Kind regards,TBP team.