Patient Screening | Bro Therapy & Psychiatry

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Is Bro Therapy
Right For You?

Real talk — we're not for everyone, and that's okay. We keep it straight up, use some colorful language, and focus on people who actually want to level up. Fill this out and we'll let you know if we're a good match. No cap.

Your Name *

Email *

Phone

Age Range

Are you easily offended by curse words? * Be honest — we keep it real around here

Nah, I can handle it 💪

Depends on the context

Yeah, not my thing

Have you tried therapy before? *

Yes, and I'm open to it

No, but I'm open to trying

No, and I'm not sure

Yes, but it didn't work

Have you tried medication or are you open to it? *

Currently on meds

Tried before, open again

Never tried, but open

Not interested in meds

What type of medications are you currently taking? Check all that apply — helps us understand your treatment history

SSRI / SNRI (antidepressant)

Mood Stabilizer

Antipsychotic

Benzodiazepine (Xanax, Klonopin, etc.)

Stimulant (Adderall, Vyvanse, etc.)

Sleep Medication

Other / Not sure

How many providers have you seen in the last 2 years? Therapists, psychiatrists, NPs — all count

This would be my first

2–3

If you've been on medication before, how did that go?

Took them as prescribed, they helped

Took them for a while but stopped

Kept forgetting / skipping doses

N/A — never been on meds

What are you hoping to get out of treatment? * Pick the one that fits best

I want to feel better and put in the work 💪

I want to explore my options

I mainly just need med management

I need a refill / specific prescription

What are you dealing with? * Check all that apply — no judgment zone

Anxiety / Worry

Depression / Low mood

Focus / ADHD

Sleep / Insomnia

Trauma / PTSD

Anger / Irritability

Mood swings

Seeing / hearing things

Substance use

Something else

Why are you considering therapy or medication? * This is the most important part — be as real as you want. What's going on?

Anything else we should know?

🛡️ Your info stays between us. Always.

Is Bro TherapyRight For You?

Is Bro Therapy
Right For You?