Contact - DrMichaelBarta.com

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Have you read Dr. Barta's book TINSA (Trauma-Induced Sexual Addiction)?*

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Readiness to change*

Describe in detail your need for treatment (Ex. Type of addiction, how long, consequences from behaviors, current treatment for behaviors)*

How long have these behaviors been an issue*

Have you recently been discovered or are you in crisis because of your behaviors?*

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Name of your current therapist*

Is your therapist a Certified Sex Addiction Therapist*

Describe how many alcoholic drinks do you have per day?*

What recreational drugs do you use daily?*

What are your current medications?*

Is your need for treatment related to a sexual crime? - Please Describe*

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