FearLess: Virtual Anxiety Management

A virtual Anxiety Management skills group using Cognitive Behavioral Therapy (CBT) to address excessive worrying (Registration Open)

This class will begin the week of March 30th. By exploring how our thought patterns work, we will learn new techniques and gain insights that will allow us to spend more of our time on actions that bring value and meaning into our lives. (Information on how to access the online platform will be provided via email following registration).

Please contact us if the offered times do not work for you.

$400 | (8) 60min group sessions via Zoom

Luke Smith, LMSW | Peachtree Cognitive Center

Patient Information

Participant's Name *

Date of Birth *

Month

Day

Year

Parent/Guardian

If participant is under 18, name of parent or guardian.

Participant's Current Clinician or Therapist *

Optional. The best contact email for participant

Phone

Optional. If the participant's phone is different than the payer's.

How did you hear about us?

School

If participant is a student, please enter the school or university where he/she is currently enrolled.

Grade

Please note participant's grade level if applicable.

Class Type and Preferences

Select Class or Group Type *

The Adult Group (18+) - Tuesday and Thursday from 1:00 to 2:00pm

The Adolescent Group (13+) - Tuesday and Thursday from 5:00 to 6:00 pm

Payment Details

Person who will be submitting payment

First Name *

Last Name *

Address *

Address 2

City *

State *

Postal Code *

Contact Phone Number *

Contact Email *

Payment Amount $

For the 8 week DBT Skills Class: If the patient's therapist is not a part of Peachtree DBT, there is an additional fee ($80) due to weekly correspondence and case management between the DBT class instructor and primary therapist.

Agreement *

I agree and consent

I agree and consent to participation and the terms and conditions. I understand my registration will not be complete until payment is received. I also understand and agree that if I miss any or drop out of class for any reason, I will not be reimbursed.

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