Interest Form: Maternal Mental Health Therapy Group
Thank you for your interest in attending this therapy group! Enrollment for the group is ongoing and the start date will be scheduled based on the number of people interested. To be notified when the minimum group size is reached, please fill in the information below.
Email *
About This Group
COST: $50/week or $240 for the 6-week session (a $60 discount)

1. Learn evidence-based clinical strategies for addressing negative thoughts and feelings,
2. Develop coping skills.
3. Increase healthy self-care practices that support your mental health, and
4. Connect with other mothers to share experiences and gain social support.

SIZE: 5-7 individuals

CHILDCARE: Babies & children in the background are welcome!


COMMITMENT: 90 minutes each week for 6 weeks

DATES & TIME: Tuesday AM or Thursday PM - Indicate your preference below
When would you prefer to meet? *
First & Last Name *
Mobile phone number: *
Which topics interest you most? *
If not listed above, please share what topics you would like to discuss in this safe space with other mothers.
Please choose your preferred payment option. Payment will be collected upon confirmation of the group dates and enrollment. *
Next Steps:
Once I have at least 5 people interested for the same day/time, I will send an email letting you know and telling you how to proceed. If you have any questions, please reach out and let me know.
Thank you!
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy