This Therapist Has Problems Podcast- Guest Application

Pronouns Do scheduling

Name *

First

Last

Pronouns (optional)

Occupation/Title *

Professional Credentials (if applicable)

City & State of Residence *

Email *

Phone (for scheduling only- not shared publicly) *

What mental health topics are you passionate about discussing on the show? *

(Personal or professional angles are both welcome.)

Why is this topic important to you or your community right now?

Do you have any personal mental health experiences you’d be open to sharing?

(Optional – vulnerability is welcomed, not required.)

Are you currently promoting anything you'd like to highlight on the episode?

(e.g., book, business, event, course, nonprofit, etc.)

Please share any website links or social media handles you'd like us to include or tag. *

Is there anything else we should know about you, your story, or your message?