Embracing Your Unique Group - Counseling Associates

Self-compassionate Living for Teens 14-18

In this 10 week, Support and Psychoeducational Group, participants will explore topics chosen by the group members and facilitators in a group effort to:

• Learn self compassion skills & how to implement them in their daily life

• Explore ways of accepting parts of what make them who they are

Wednesdays 6-7pm

Rolling Admission

Sessions will be conducted via Zoom

Facilitator(s):

Adriana Reed, LICSW

Amanda Fortin, LCMHC

How to Join:

To inquire further about groups, please contact our Groups Coordinator at 603-865-1321 option 3.

Notify me when start date of next group is available.

Register for this Group

Who is completing this request? *
Your name
Agency name
Agency Phone Number
	(do not include 1- prefix)
Agency E-Mail
Is the individual aware you are referring them to this group?	Yes No Please choose yes or no
May we contact you regarding this referral if needed?	Yes No Please choose yes or no
Why are you interested in this group?
Participant First Name *
Participant Last Name *
Date of Birth * (mm-dd-yyyy)
Address*
Parents Name (if Client under 18)
Communication Preference	Phone Email Please choose yes or no
Phone *
	(do not include 1- prefix)
OK to Leave Message *	Yes No Please choose yes or no
E-Mail
Do you have Health Insurance ? *
Insurance Carrier *
Insurance ID# *
Secondary Insurance
ID Number
How did you hear about this Group? *
If you were referred to this Group, who referred you? *
(* required info)