Family Support Group Questionnaire

Some addictions are easier to identify than others--the devastation of drug addictioncompared to, say, a less visible cell phone or food addiction. But there is one seldom-recognized behavioral addiction that is tearing families apart and causing serious harm to society: addiction to political extremism. 

Addiction can be assessed on a continuum. Its seriousness can be judged by the harm it causes. If you have lost touch with a family member or valued friend because they have become overly extreme in their political beliefs--and if their behavior is causing harm to themselves or others--there is hope.

We are offering a family/friend support group. Come share your story in a confidential and safe environment, hear the stories of others, and develop tools for dealing with your loved one. This is a pilot project--so you will be in on the ground floor of what we hope will become a national fellowship/movement to support people just like you. You are not alone; there are many of us. 

Join us online for six successive Monday evenings at 6PM. The support group will be co-facilitated by Jocelyn Lewiskin-Zaccardi, PhD, LCSW and Suzanne Brennan Firstenberg, a social practice artist. There will be no charge--we thank you in advance for helping to launch this program.

Share a little about yourself here.


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Email *
What is your level of education? Highest grade/degree and type of degree *
Describe your current living situation.  *
Is there a history of mental illness in your family?
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Do you have any previous experience with any kind of mental health treatment?  If so, please describe.
Please check any of the following you have experienced in the past six months. *
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Please briefly describe your experience with a loved one who has become politically extreme. *
What are your goals for group counseling? *
What else would you like me to know? *
Name *
What is your zip code? *
Phone *
Date of birth *
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What is your gender identity? *
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