Therapist Registration

Complete the form below to apply for a profile on the Black Mental Health Directory.
Your application will be reviewed by our team before appearing in search results.

1 — Personal Information

First name *

Last name *

Professional title / credentials

Gender identity

Email address *

Phone number

Website / booking link

Short bio (shown on your profile)

2 — Specialties & Areas of Focus

I work with clients on… *

Select all that apply — these are matched against client needs.

Anxiety Depression Trauma and PTSD Stress Grief Anger Management Family Relations Family Counselling Conflict Resolution Self Esteem Racial Identity Life Coaching Domestic Abuse Sexual Abuse ADHD Autism Bipolar Borderline Personality Disorder (BPD) Obsessive Compulsive Disorder(OCD) Eating Disorders Addictions LGBT Plus Parenting Premarital Counselling School Issues Spirituality Chronic Pain Suicidal Ideation Men's Issues Women's Issues

3 — Province / Region

Where do you practice? *

Select every province you serve (including virtual).

Ontario British Columbia Alberta Quebec Nova Scotia Manitoba Saskatchewan New Brunswick Newfoundland and Labrador Prince Edward Island Canada-wide / Virtual only

4 — Session Format

How do you offer sessions? *

Video (online) In-person Phone

5 — Age Groups Served

Which age groups do you work with? *

Children (6–10) Pre-teen (10–12) Teens (13–18) Adults (18–64) Seniors (65+)

6 — Session Languages

What language(s) do you offer sessions in?

English French Other

Your information is stored securely and only shared with the BMHD admin team.