New Reflections Counseling, Inc.
Professional Christian Counseling
937-396-7077 or 877-404-4707
If you have any questions you may call one of the numbers or use our
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. All correspondence is held in strict confidence.
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Dayton - Montgomery County - Centerville
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When you contact NRC we will attempt to respond within 4 business hours. However, we might need until the next business day. Filling out this contact form will speed up the process of us contacting you and scheduling an appointment.
All correspondence is held in strict confidence for internal use only (not sold, traded, or given away).
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Appointment Preferences
Reason for Scheduling (primary reason):
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Addiction > Sexual
Addiction > Alcohol
Addiction > Drugs
Addiction > Fantasy
Addiction > Internet
Addiction > Computer Games
Addiction > Food
Addiction > Gambling
Addiction > Money
Addiction > General or Other
Grief or Adjusting to Loss > Abortion
Grief or Adjusting to Loss > Infertility
Grief or Adjusting to Loss > Miscarriage
Grief or Adjusting to Loss > Cancer
Grief or Adjusting to Loss > Death
Grief or Adjusting to Loss > Divorce
Grief or Adjusting to Loss > Job Loss
Grief or Adjusting to Loss > Declining Health
Grief or Adjusting to Loss > Aging
Grief or Adjusting to Loss > General or Other
Trauma or Abuse > Physical Abuse
Trauma or Abuse > Verbal Abuse
Trauma or Abuse > Emotional Abuse
Trauma or Abuse > Spiritual Abuse
Trauma or Abuse > Sexual Abuse
Trauma or Abuse > Rape
Trauma or Abuse > Neglect
Trauma or Abuse > Shame
Trauma or Abuse > General or Other
Spiritual or Faith > Feeling Guilt or Condemnation
Spiritual or Faith > Feeling Unloveable
Spiritual or Faith > Lack of Connection with God
Spiritual or Faith > Poor Financial Stewardship
Spiritual or Faith > Lack of Purpose or Significance
Spiritual or Faith > General or Other
Single Issues > Dating
Single Issues > Loneliness
Single Issues > Finding the Right Mate
Single Issues > Parenting
Single Issues > Getting Marriage Ready
Single Issues > Sexual Maturity
Single Issues > General or Other
Individual Concerns > Forgiveness and Reconciliation
Individual Concerns > Cannot Reach Contentment
Individual Concerns > Low Self-esteem
Individual Concerns > Depression
Individual Concerns > Depression - Suicide
Individual Concerns > Anxiety - Fears
Individual Concerns > Anxiety - Worrying
Individual Concerns > Self-mutilitation
Individual Concerns > Lacking Confidence
Individual Concerns > Vocational Choices
Individual Concerns > Codependency
Individual Concerns > Setting Limits and Boundaries
Individual Concerns > Stress
Individual Concerns > Feeling Insignificant
Individual Concerns > Too Dependent
Individual Concerns > Too Independent
Individual Concerns > Emotional Pain
Individual Concerns > Need to Grow up Emotionally
Individual Concerns > Homosexual Thoughts or Behaviors
Individual Concerns > Anger - Domestic Violence
Individual Concerns > Anger - Lack of Self-control
Individual Concerns > Anger - Temper or Rage
Individual Concerns > Anger - Feeling Guilt
Individual Concerns > Impulsive Self-destructive Behavior
Individual Concerns > General or Other
Marriage or Relational > Emotional Intimacy
Marriage or Relational > Sexual Intimacy
Marriage or Relational > Leaving or Separating
Marriage or Relational > Cleaving or Joining or Bonding
Marriage or Relational > Setting Limits or Boundaries
Marriage or Relational > Separation
Marriage or Relational > Divorce
Marriage or Relational > Infidelity
Marriage or Relational > Cannot Trust
Marriage or Relational > Unresolved Conflict
Marriage or Relational > Lack of Committment
Marriage or Relational > Loneliness
Marriage or Relational > Forgiveness or Reconciliation
Marriage or Relational > Communication
Marriage or Relational > Financial
Marriage or Relational > Adjusting to Empty Nest
Marriage or Relational > General or Other
Family or Teen > Step-family Adjustments
Family or Teen > Child Behavioral Concerns
Family or Teen > Parenting
Family or Teen > Transitioning Teen to Adult
Family or Teen > Teen Self-abuse
Family or Teen > Teen Disobediance or Rebellion
Family or Teen > Teen Low Self-esteem
Family or Teen > Teen Eating Disorder
Family or Teen > Teen Depression Suicide
Family or Teen > General or Other
Reason for Scheduling (second reason):
<- Select One ->
Addiction > Sexual
Addiction > Alcohol
Addiction > Drugs
Addiction > Fantasy
Addiction > Internet
Addiction > Computer Games
Addiction > Food
Addiction > Gambling
Addiction > Money
Addiction > General or Other
Grief or Adjusting to Loss > Abortion
Grief or Adjusting to Loss > Infertility
Grief or Adjusting to Loss > Miscarriage
Grief or Adjusting to Loss > Cancer
Grief or Adjusting to Loss > Death
Grief or Adjusting to Loss > Divorce
Grief or Adjusting to Loss > Job Loss
Grief or Adjusting to Loss > Declining Health
Grief or Adjusting to Loss > Aging
Grief or Adjusting to Loss > General or Other
Trauma or Abuse > Physical Abuse
Trauma or Abuse > Verbal Abuse
Trauma or Abuse > Emotional Abuse
Trauma or Abuse > Spiritual Abuse
Trauma or Abuse > Sexual Abuse
Trauma or Abuse > Rape
Trauma or Abuse > Neglect
Trauma or Abuse > Shame
Trauma or Abuse > General or Other
Spiritual or Faith > Feeling Guilt or Condemnation
Spiritual or Faith > Feeling Unloveable
Spiritual or Faith > Lack of Connection with God
Spiritual or Faith > Poor Financial Stewardship
Spiritual or Faith > Lack of Purpose or Significance
Spiritual or Faith > General or Other
Single Issues > Dating
Single Issues > Loneliness
Single Issues > Finding the Right Mate
Single Issues > Parenting
Single Issues > Getting Marriage Ready
Single Issues > Sexual Maturity
Single Issues > General or Other
Individual Concerns > Forgiveness and Reconciliation
Individual Concerns > Cannot Reach Contentment
Individual Concerns > Low Self-esteem
Individual Concerns > Depression
Individual Concerns > Depression - Suicide
Individual Concerns > Anxiety - Fears
Individual Concerns > Anxiety - Worrying
Individual Concerns > Self-mutilitation
Individual Concerns > Lacking Confidence
Individual Concerns > Vocational Choices
Individual Concerns > Codependency
Individual Concerns > Setting Limits and Boundaries
Individual Concerns > Stress
Individual Concerns > Feeling Insignificant
Individual Concerns > Too Dependent
Individual Concerns > Too Independent
Individual Concerns > Emotional Pain
Individual Concerns > Need to Grow up Emotionally
Individual Concerns > Homosexual Thoughts or Behaviors
Individual Concerns > Anger - Domestic Violence
Individual Concerns > Anger - Lack of Self-control
Individual Concerns > Anger - Temper or Rage
Individual Concerns > Anger - Feeling Guilt
Individual Concerns > Impulsive Self-destructive Behavior
Individual Concerns > General or Other
Marriage or Relational > Emotional Intimacy
Marriage or Relational > Sexual Intimacy
Marriage or Relational > Leaving or Separating
Marriage or Relational > Cleaving or Joining or Bonding
Marriage or Relational > Setting Limits or Boundaries
Marriage or Relational > Separation
Marriage or Relational > Divorce
Marriage or Relational > Infidelity
Marriage or Relational > Cannot Trust
Marriage or Relational > Unresolved Conflict
Marriage or Relational > Lack of Committment
Marriage or Relational > Loneliness
Marriage or Relational > Forgiveness or Reconciliation
Marriage or Relational > Communication
Marriage or Relational > Financial
Marriage or Relational > Adjusting to Empty Nest
Marriage or Relational > General or Other
Family or Teen > Step-family Adjustments
Family or Teen > Child Behavioral Concerns
Family or Teen > Parenting
Family or Teen > Transitioning Teen to Adult
Family or Teen > Teen Self-abuse
Family or Teen > Teen Disobediance or Rebellion
Family or Teen > Teen Low Self-esteem
Family or Teen > Teen Eating Disorder
Family or Teen > Teen Depression Suicide
Family or Teen > General or Other
Reason for Scheduling (third reason):
<- Select One ->
Addiction > Sexual
Addiction > Alcohol
Addiction > Drugs
Addiction > Fantasy
Addiction > Internet
Addiction > Computer Games
Addiction > Food
Addiction > Gambling
Addiction > Money
Addiction > General or Other
Grief or Adjusting to Loss > Abortion
Grief or Adjusting to Loss > Infertility
Grief or Adjusting to Loss > Miscarriage
Grief or Adjusting to Loss > Cancer
Grief or Adjusting to Loss > Death
Grief or Adjusting to Loss > Divorce
Grief or Adjusting to Loss > Job Loss
Grief or Adjusting to Loss > Declining Health
Grief or Adjusting to Loss > Aging
Grief or Adjusting to Loss > General or Other
Trauma or Abuse > Physical Abuse
Trauma or Abuse > Verbal Abuse
Trauma or Abuse > Emotional Abuse
Trauma or Abuse > Spiritual Abuse
Trauma or Abuse > Sexual Abuse
Trauma or Abuse > Rape
Trauma or Abuse > Neglect
Trauma or Abuse > Shame
Trauma or Abuse > General or Other
Spiritual or Faith > Feeling Guilt or Condemnation
Spiritual or Faith > Feeling Unloveable
Spiritual or Faith > Lack of Connection with God
Spiritual or Faith > Poor Financial Stewardship
Spiritual or Faith > Lack of Purpose or Significance
Spiritual or Faith > General or Other
Single Issues > Dating
Single Issues > Loneliness
Single Issues > Finding the Right Mate
Single Issues > Parenting
Single Issues > Getting Marriage Ready
Single Issues > Sexual Maturity
Single Issues > General or Other
Individual Concerns > Forgiveness and Reconciliation
Individual Concerns > Cannot Reach Contentment
Individual Concerns > Low Self-esteem
Individual Concerns > Depression
Individual Concerns > Depression - Suicide
Individual Concerns > Anxiety - Fears
Individual Concerns > Anxiety - Worrying
Individual Concerns > Self-mutilitation
Individual Concerns > Lacking Confidence
Individual Concerns > Vocational Choices
Individual Concerns > Codependency
Individual Concerns > Setting Limits and Boundaries
Individual Concerns > Stress
Individual Concerns > Feeling Insignificant
Individual Concerns > Too Dependent
Individual Concerns > Too Independent
Individual Concerns > Emotional Pain
Individual Concerns > Need to Grow up Emotionally
Individual Concerns > Homosexual Thoughts or Behaviors
Individual Concerns > Anger - Domestic Violence
Individual Concerns > Anger - Lack of Self-control
Individual Concerns > Anger - Temper or Rage
Individual Concerns > Anger - Feeling Guilt
Individual Concerns > Impulsive Self-destructive Behavior
Individual Concerns > General or Other
Marriage or Relational > Emotional Intimacy
Marriage or Relational > Sexual Intimacy
Marriage or Relational > Leaving or Separating
Marriage or Relational > Cleaving or Joining or Bonding
Marriage or Relational > Setting Limits or Boundaries
Marriage or Relational > Separation
Marriage or Relational > Divorce
Marriage or Relational > Infidelity
Marriage or Relational > Cannot Trust
Marriage or Relational > Unresolved Conflict
Marriage or Relational > Lack of Committment
Marriage or Relational > Loneliness
Marriage or Relational > Forgiveness or Reconciliation
Marriage or Relational > Communication
Marriage or Relational > Financial
Marriage or Relational > Adjusting to Empty Nest
Marriage or Relational > General or Other
Family or Teen > Step-family Adjustments
Family or Teen > Child Behavioral Concerns
Family or Teen > Parenting
Family or Teen > Transitioning Teen to Adult
Family or Teen > Teen Self-abuse
Family or Teen > Teen Disobediance or Rebellion
Family or Teen > Teen Low Self-esteem
Family or Teen > Teen Eating Disorder
Family or Teen > Teen Depression Suicide
Family or Teen > General or Other
Reason for Scheduling (not listed above):
Counseling Format:
Individual?
Relationship?
Pre-Engagement?
Pre-Marital?
Marriage?
Family?
Group?
Counseling Location/Method:
Face-to-Face Dayton (Centerville)?
Video?
Phone?
Chat?
Email?
No Preference?
Day of Week Availability:
Monday?
Tuesday?
Wednesday?
Thurday?
Friday?
Saturday?
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Time of Day Availability:
Morning (8am-12pm)?
Afternoon (12pm-5pm)?
Evening (5pm-9pm)?
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Counselor's Gender:
Male?
Female?
No Preference?
Counselor(s) You Prefer To See:
Appointment Date/Time First Choice:
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After you click Submit Contact, we will send you a confirmation email from our Contact email. We don't regularly monitor this email, so please use this form to contact us. Or, you can use your counselor's direct email.
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New Reflections Counseling, Inc.
All Rights Reserved.