Volunteers interested in serving a mentoring role with OCD Texas should submit the following information. Mentoring opportunities may be available at varying formats, frequencies, and inquiry types. Your responses will be used to support your interests, match your experience with the needs of mentor-seekers, and enhance the potential for a fulfilling experience for all.
Primary phone (xxx-xxx-xxxx)
Emergency Contact Full Name
Emergency Contact Phone number
Are you over 18?
If under 18, parent/guardian full name and phone number:
Please list any medical conditions:
How often are you interested in participating in mentorship activities?
One time only
What format of communication do you prefer for providing your experience and general information about OCD treatment?
Video conference (e.g. Skype)
What level of therapy experience do you have?
<3 months outpatient
>3 months outpatient
Intensive treatment, e.g. residential or IOP
Please indicate any concerns with the following:
Major life change in < 6 months
Endorsing any of the above concerns does not qualify an applicant from mentorship, but we would like to know more. Please describe:
What sparked your interest in becoming a peer mentor with OCD Texas?
Please indicate areas of experience you are willing to share with a mentee.
(Check all that apply.)
Identifying a cognitive behavioral therapist who specializes in Exposure and Response Prevention (E/RP)
Identifying a psychiatrist who treats OCD
Identifying providers who conduct habit reversal for problems such as tic disorders, trichotillomania, and skin picking
Locating reading resources
Overcoming transportation barriers
Seeking help for co-occurring mental health problems
Local support groups
Joining an OCD community
Navigating IOCDF website
Talking to friends and/or family about OCD
Managing OCD successfully over several years
Insurance and financial resource concerns
Parenting a child with OCD
Being a parent with OCD
School + OCD
Work + OCD
Transitioning out of intensive treatment
Trying again after a treatment "failure"
Select treatment components or terms with which you are familiar:
Exposure and Response Prevention (E/RP)
Habit Reversal Training
Addressing thoughts and beliefs
Acceptance and Commitment Therapy (ACT)
Please note any questions for the team.
A recommendation from a provider or support figure is required. How will this recommendation be submitted?
Mailed letter to 708 E 19th St, Houston, TX 77008
Send me a copy of my responses.
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