Step 1 of 16

This field is for validation purposes and should be left unchanged.

Let’s find the right support for you.

We’ll connect you with a licensed therapist in your state — someone you can continue working with, without starting over.

All information you share is used to match you with the therapist who best fits your needs.

No pressure. Takes about 3–5 minutes. Your responses are private and only used to guide your care.

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What’s bringing you here today?

Anxiety / stress

Grief

Depression

Relationships

Life transitions

Just need someone to talk to

Anything you want us to know?

What state are you located in?

State(Required)

We’re not available in your state just yet.

We’re actively expanding and would love to notify you as soon as we’re available in your area.

Join the Waitlist

Age Check

What is your date of birth?(Required)

Month

Day

Year

We use this to confirm eligibility and make sure you’re routed to the right care option.

If you’re under 18, a parent or legal guardian will need to complete the teen therapy intake before care can begin.

Need support now? Resources for teens under 18

We hear you wanting support, and that matters. Before we can complete enrollment and begin teen therapy sessions, we’ll need written consent from a parent or legal guardian.

If you need support right now, you don’t have to wait. You can explore additional resources here:
View our full crisis resource page →

988 Suicide & Crisis Lifeline
Call or Text: 988
Crisis Text Line
Text HOME to 741741
Teen Line
Call: 1-800-852-8336 (evenings)
Text: TEEN to 839863
NAMI Teen & Young Adult HelpLine
Boys Town National Hotline
Call: 800-448-3000
Text: VOICE to 20121
The Trevor Project
Call: 1-866-488-7386
211 United Way
Dial 211
Emergency Services
If you are in immediate danger, call 911.

Ethnicity

How would you describe your race and/or ethnicity?

Please select all that apply, or feel free to describe in your own words. This helps us match you with a provider you feel comfortable with.

White

Black / African American

Hispanic / Latino/a/x

Asian (e.g., Chinese, Indian, Filipino, Vietnamese, Korean, Japanese)

Middle Eastern or North African

Indigenous / Native

Multiracial

Other

Prefer not to say

Is your racial, ethnic, or cultural background something you would like your provider to know more about as part of your care?

Yes

I’m not sure yet

Gender Identity

How do you identify your gender? (optional)

Woman

Man

Non-binary

Transgender woman

Transgender man

Prefer not to say

Self-describe

I describe my gender as:

You should feel assured that your therapist sees and supports you for who you are. These questions help us match you thoughtfully.

Sexual Orientation

How do you identify your sexual orientation?

Straight

LGBTQIA+

Questioning

Prefer not to say

Other

Remember: these questions are only used to help us match you thoughtfully.

Select which LGBTQIA+ orientation you identify as:

I describe my sexual orientation as:

Spiritual or Religious Alignment

Do you identify with a religious or spiritual practice?

Yes

Prefer not to say

Which religious or spiritual practice do you identify with?

What brings you here?

What brings you here today?

Select any and all that feel true for you — there’s no wrong answer.

I’ve been feeling low or depressed

My emotions are getting in the way of work, school, or relationships

I’m working through a loss or major life change

I feel anxious, worried, or constantly on edge

My relationships could use some attention

I want to grow as a person and understand myself better

Something not listed above

Want to share more about what’s going on? (optional)

Are you currently experiencing any of the following?

Sleep difficulties

Unbalanced or irregular eating habits

Challenges with physical health

Taking any medication

Alcohol overuse or abuse

Worries about intimacy

Chronic pain

Anxiety, panic attacks, or phobias

Unemployment

Something not listed above

Whatever brought you here is valid. Many people come to therapy for these same reasons — you’re not alone.

Describe what you are experiencing:

Therapy Preferences

What would you like your provider to focus on?

Listening and support

Exploring my past experiences

Teaching me new skills or coping strategies

Giving me “homework” so I can grow between sessions

Not sure

Something else

Describe what you would like your provider to focus on:

Which style feels most comfortable for you?

Gentle vs. Direct

Flexible vs. Structured

Casual vs. Formal

Finding your right fit

Would it feel meaningful to work with someone who shares any of these aspects of identity or experience?

Check any or all that apply.

Female

Male

LGBTQIA+

Provider or color

Age 45+

Religious or spiritual alignment

Non-religious

No preference

Something not listed above

What aspect(s) of identity or experience would feel meaningful for your provider to share?

Have you ever been diagnosed with a mental health condition? (optional)

Yes

Prefer not to say

If you’d like to share, what have you been diagnosed with?

Specialized support

We believe everyone deserves great care. Do any of these apply to you?

Check any or all that apply:

I’m a veteran

I’m experiencing PTSD

I’m struggling with post-partum depression

I’m going through menopause/perimenopause

None of these apply to me

How did you hear about us?

How did you hear about us, or how did you find us?

One last question before we match you with your therapist.

Before we continue: Crisis support or other immediate care is not available through this questionnaire or the Breathable website.

If you’re thinking about hurting yourself or someone else, please reach out for immediate support by calling 911 or 988 (Suicide & Crisis Lifeline) right now.

When was the last time you thought about suicide?

Within the past 24 hours

Within the past week

Within the past month

Over a month ago

Never

Do you have an active plan?

Yes

Not sure

If you’re in crisis or thinking about hurting yourself or someone else, please seek immediate support.

Emergency: 911
Call or text 988

View additional resources here: Crisis Resources

Untitled(Required)

I understand

Final step — you’re almost done

Care is provided securely via telehealth, and your information is protected under HIPAA.

I agree to the Terms of Service and consent to receive care via telehealth.(Required)

I agree to the Terms of Service and consent to receive care via telehealth. I have reviewed the Privacy Policy.

First & Last Name:(Required)

First Last

Email Address:(Required)

Enter Email Confirm Email

This is how we’ll get back in touch with you once we’ve matched you with a therapist.

Phone Number:(Required)

Pricing & Provider Disclaimer

Breathable does not provide clinical or therapeutic services. Licensed therapists deliver all therapy services independently. The platform charges through the Breathable platform. The total price you pay includes the professional fees for the therapy services, which are collected on behalf of the therapist and paid to the therapist, and separate administrative and technology fees for the non-clinical services, which are included in the total retail price paid by the customer. Administrative fees are not paid to your therapist but are included in the total retail price that the Breathable platform makes possible and that enables you, as the customer, to have seamless access to therapy services.

We’ll review your info and reach out shortly with your match.

Need help right now? You don’t have to wait — Call or text 988