Request appointment | Mood Room

Mood Room

Request an appointment

Existing client? Sign In

Reason for care

Select date & time

1 Appointment info

2 Prescreener

Reason for care

3 Contact information

What kind of care is being sought?

Individual Psychotherapy Relationship / Couples Therapy Family Therapy Not sure

What types of treatment / care have you received?

In therapy now Attended therapy in the past Currently taking psychiatric medications Used to take psychiatric medications Recently hospitalized for mental health reasons Participated in a higher level of care (e.g., PHP, IOP, inpatient)? None of these apply

Do you currently (or regularly) experience thoughts of self-harm or suicide?

Yes No Not currently but in the past

What goals or concerns are you hoping to focus on in treatment?

Are you currently seeking therapy for any of the following?

These areas may fall outside the scope of care we offer at Mood Room, and may require different or more specialized support.

Child or adolescent therapy OCD, phobias, or behavior-focused exposure therapy Medication management Active eating disorder concerns Court-mandated or legal-related therapy Active substance use or addiction Recent hospitalization or inpatient care Recent IOP / PHP care Current psychosis, mania, or delusions Frequent or recent suicidal ideation Psychological testing None of the above

If you or others are in immediate danger or experiencing a medical emergency, call 911 immediately.

Mood Room

312.764.1244 |

Chicago

Main Location

Chicago, IL 60640-5201

Privacy

Terms

License Agreement

Help Center

THE CLIENT PORTAL IS NOT TO BE USED FOR EMERGENCY SITUATIONS. IF YOU OR OTHERS ARE IN IMMEDIATE DANGER OR EXPERIENCING A MEDICAL EMERGENCY, CALL 911 IMMEDIATELY.