Metro Detroit Men's Therapy – Confidential Counseling for Men

Thank you for your interest in Metro-Detroit Men’s Therapy.

Completing this form will offer us brief insight into your needs, preferences, and previous experience with therapy.

Once submitted, you will have the opportunity to schedule a complimentary 15-minute phone consultation with Mike Lamerato, founder of MDMT, who will get you started with services.

Please note that submitting this form does not establish a therapist-client relationship or guarantee future availability.

We also encourage you to check out upcoming Group Opportunities that are open to all men - no participation in individual therapy required:

Men's Group (weekly) - Next group opens Spring 2027
Restore: Winter Men's Retreat - January 2027, Baldwin MI. Learn more and apply here!

First Name *

Last Name *

Phone *

Email *

Date of birth *

What brings you to therapy at this time? *

What type(s) of appointment are you looking for? *

In-person

Telehealth

Intensive (3 hour session)

Not sure

When are you preferred meeting times? *

Mornings

Afternoons

Evenings

Saturdays

Have you been to therapy in the past 12 months? *

Yes

If yes, what was your past experience like? What was helpful and not helpful?

If you have a preferred therapist, please list their name:

If your preferred therapist is not currently available, would you like us to consider you for another MDMT therapist if an opening becomes available?

Yes

Please contact me to discuss

How do you plan to pay for services? *

Insurance

Self-pay

Not sure

Wait times vary based on clinician availability, scheduling needs, insurance coverage, and clinical fit. We are unable to guarantee a specific timeframe for an opening.

Other Ways to Work With Us

If you're interested in a group or retreat: You do not need to be an individual therapy client to participate. Our team may contact you with information about upcoming Men's Groups, Adventure Retreats, or our Annual Men's Retreat based on the interests you selected.

Are you interested in learning more about any of the following? *

May we add you to our quarterly newsletter? *

Yes

No thanks

How did you find us or who referred you? *

To help expedite the onboarding process, you may securely upload a photo of your insurance card using our encrypted form. While you can provide your insurance information later, uploading it now helps us complete your registration and get you scheduled faster.

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Messaging Consent *

By providing your phone number, you agree to receive text messages from MDMT. Message and data rates may apply. Message frequency varies. Reply STOP to opt out.