VIVA Therapy

Welcome to VIVA Therapy

Please tell us a little about yourself, this will help us match you with your therapist

All our sessions take place via secure video or phone - all the research shows it’s just as effective as face-to-face support - it's safe and it's flexible.

If you want to find out more about our therapists you can see our therapist profiles here and then come back and complete the form below.

First name*

Last name

Email*

Confirm email*

What is your gender identity?*

How do you identify?*

What age are you?*

Have you had therapy before?*

What's troubling you most at the moment? Tick all that apply*

I have/think I have ADHD and/or autism and would like to understand myself better

I'm feeling anxious or overwhelmed

My mood is low

I would like to explore my sexuality

I'm struggling with grief

I'd like to be more accepting of myself

I have experienced trauma

I just feel something isn't right

I'd like some individual counselling to work on how I feel in relationships

Something else

What times in the week would suit you best for therapy? Please select all that apply.*

Weekdays daytime 9-5pm

Weekday evenings 5-8pm

Saturdays 1pm-4pm

I don't mind, I'm flexible

Let us know if there are particular days that works for you

Dependent on their availability, do you have a preference for which therapist you'd like to work with? Tick all that apply. *

Alex Weir

Holly Ibbs

Kelly Lloyd

I don't mind

To help us in marketing our practice, please tell us how you found VIVA Therapy?*

Counselling Directory

Facebook

Instagram

YouTube

Google Search

Psychology Today

GP referral

Friend or Family recommendation

Podcast

TikTok

Other

I'm aware that VIVA only offers virtual therapy

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Welcome to VIVA Therapy

Please tell us a little about yourself, this will help us match you with your therapist​

Please tell us a little about yourself, this will help us match you with your therapist