New Enquiry · Individual, Couples & Family Therapy
Beginning the Conversation
A short, confidential form to help us understand what brings you here, and how we might help
Everything you write here is confidential and will only be read by the clinical team at Online Therapy Clinic. Your answers are saved as a draft in your own browser as you go, so you won't lose your progress — but nothing reaches us until you press "Send my enquiry."
This form is the start of a conversation, not the start of therapy itself.
This form should take about ten minutes. Its purpose is simply to help us understand a little about you and what has brought you to reach out now, so that we can tell you whether we are likely to be the right fit before your first session, and prepare properly for it if so.
There are no wrong answers, and you do not need to explain anything fully. A sentence or two is enough anywhere you see a longer question. Anything marked with an asterisk (*) is required — everything else is optional.
- You'll receive a short reply, usually within one to two working days.
- If it looks like a good fit, we'll offer a free 15-minute introductory call to answer questions before you commit to anything.
- A fuller assessment takes place in — or just before — the first session itself.
We'll only use this if we can't reach you by email, or to let you know we've replied to your enquiry.
This also helps us work out your time zone — no need to look up a GMT offset.
I am seeking… *
Did you read one of our blog articles before contacting us?
Are you able to commit to attending a weekly 50-minute session?
Have you had therapy before?
Tick any that feel relevant — past or present. This simply helps us prepare; it does not need to be precise.
Have you ever received a mental health diagnosis? (optional)
Is alcohol or drug use currently part of the difficulty that brings you here?
Are you currently under the care of any of the following?
Are you currently taking medication for your mental health?
We'll ask about dosage, how long you've been taking it, and your prescriber at the assessment stage.
We ask everyone these same questions, regardless of what has brought them to us. They help us make sure online therapy is a safe and appropriate setting for you.
Are you currently experiencing thoughts of harming yourself?
Have you attempted suicide in the past?
Do you currently feel safe?
Is anyone currently at risk because of your situation?
Since you've indicated couples therapy, it helps to have a little information about each partner.
Has either partner already decided the relationship is over?
Online therapy suits most people well, but it does depend on a few practical things. These questions simply help us check the fit.
Can you usually find a private place where you won't be interrupted for 50 minutes?
Have you previously used video calls comfortably?
Are you currently living in a country where online psychotherapy is legally permitted, to your knowledge?
Is there anything that might make online therapy difficult for you that you'd like us to know about?
Fields marked * are required. Your reply will come from enquiries@online-therapy-clinic.com — please check your spam folder if you don't hear back within a couple of days.
Once we've received your enquiry, we'll reply to let you know whether we're likely to be a good fit, and offer a free introductory call if so. There's no obligation at this stage — it's simply a chance for both of us to ask questions before deciding whether to go ahead.
If you'd rather speak to someone before writing all of this down, you're welcome to book that introductory call directly: book a free 15-minute call.
Ari Sotiriou provides Psychodynamic Individual and Couples therapy via secure Live Video.
Dr Ruxandra Ion provides psychiatric expertise and BABCP-accredited CBT.
Online Therapy Clinic · enquiries@online-therapy-clinic.com · online-therapy-clinic.com
© Ari Sotiriou MA PGDip | UKCP Accredited
This form is confidential and is used solely to assess suitability for therapy and prepare for your first session.