{"id":102,"date":"2026-08-01T02:22:37","date_gmt":"2026-08-01T02:22:37","guid":{"rendered":"https:\/\/prji.org\/?page_id=102"},"modified":"2026-08-01T02:45:19","modified_gmt":"2026-08-01T02:45:19","slug":"apply-for-psychological-support","status":"publish","type":"page","link":"https:\/\/prji.org\/index.php\/apply-for-psychological-support\/","title":{"rendered":"Apply for Psychological Support"},"content":{"rendered":"<section class=\"prji-page-hero prji-apply-hero\"><div class=\"prji-container prji-page-hero-inner\"><div><span class=\"prji-kicker\">Secure intake, account and checkout<\/span><h1>Secure Video Consultation<\/h1><p>We collect your preferences before payment. Once payment is verified, the client workspace opens and the information supports matching with suitable verified professionals.<\/p><\/div><\/div><\/section>\n\n<section class=\"prji-section prji-section-light\"><div class=\"prji-container prji-apply-grid prji-apply-grid-wide\">\n<div class=\"prji-form-card\">\n\t\t\n\t<form method=\"post\" class=\"prji-form prji-intake-form\">\n\t\t<input type=\"hidden\" name=\"prji_action\" value=\"start_service_checkout\">\n\t\t<input type=\"hidden\" name=\"service\" value=\"video\">\n\t\t<input type=\"hidden\" id=\"prji_nonce\" name=\"prji_nonce\" value=\"fe1deb1a4f\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php\/wp-json\/wp\/v2\/pages\/102\" \/>\n\t\t<div class=\"prji-form-section\"><div class=\"prji-form-section-heading\"><span>1<\/span><div><h2>Account details<\/h2><p>Used to activate the correct private client workspace after payment.<\/p><\/div><\/div>\n\t\t\t\t\t<div class=\"prji-form-grid\"><label>Full name<input required type=\"text\" name=\"full_name\" autocomplete=\"name\"><\/label><label>Email<input required type=\"email\" name=\"email\" autocomplete=\"email\"><\/label><label>Password<input required minlength=\"8\" type=\"password\" name=\"password\" autocomplete=\"new-password\"><\/label><\/div>\n\t\t\t\t<\/div>\n\n\t\t<div class=\"prji-form-section\"><div class=\"prji-form-section-heading\"><span>2<\/span><div><h2>What would you like support with?<\/h2><p>You do not need to know the name of a condition. These details support orientation and matching, not diagnosis.<\/p><\/div><\/div>\n\t\t<label><span>Closest concern area<\/span><select name=\"concern_topic\" required><option value=\"other\">Not sure \/ other<\/option><option value=\"worry-tension\">Persistent worry and tension<\/option><option value=\"panic-body\">Sudden fear, racing heart or breathlessness<\/option><option value=\"low-mood\">Low mood and loss of interest<\/option><option value=\"intrusive-compulsions\">Intrusive thoughts and repeated rituals<\/option><option value=\"trauma\">Flashbacks, nightmares and feeling unsafe<\/option><option value=\"social-fear\">Fear of judgment and social avoidance<\/option><option value=\"sleep\">Insomnia, oversleeping or exhausting sleep<\/option><option value=\"anger\">Anger, irritability and loss of control<\/option><option value=\"focus\">Concentration, forgetfulness and unfinished tasks<\/option><option value=\"mood-energy\">Marked mood, energy or sleep changes<\/option><option value=\"detachment\">Feeling unreal, detached or outside yourself<\/option><option value=\"perception\">Hearing or seeing things, strong suspiciousness<\/option><option value=\"grief\">Grief, loss and difficulty continuing life<\/option><option value=\"relationships\">Repeated relationship conflict or attachment fear<\/option><option value=\"eating-body\">Eating, weight or body-image distress<\/option><option value=\"health-body\">Health worry and unexplained physical symptoms<\/option><option value=\"substance-habits\">Alcohol, substances or compulsive habits<\/option><option value=\"postpartum\">Emotional changes during pregnancy or after birth<\/option><option value=\"child-adolescent\">Child or adolescent emotional and behaviour changes<\/option><option value=\"body-focused\">Hair pulling, skin picking or repetitive body habits<\/option><option value=\"phobias\">Intense fear of a specific object or situation<\/option><option value=\"agoraphobia\">Fear of leaving home, crowds or places that feel hard to escape<\/option><option value=\"loneliness\">Loneliness, isolation or feeling disconnected<\/option><option value=\"burnout\">Burnout, exhaustion or loss of capacity<\/option><option value=\"perfectionism\">Perfectionism, harsh self-criticism or fear of mistakes<\/option><option value=\"self-worth\">Low self-worth, shame or feeling never good enough<\/option><option value=\"procrastination\">Procrastination, avoidance or difficulty starting<\/option><option value=\"hoarding\">Difficulty discarding possessions or unsafe clutter<\/option><option value=\"chronic-pain\">Chronic pain, illness adjustment or medical uncertainty<\/option><option value=\"skin-stress\">Skin symptoms, appearance distress or stress-related flare-ups<\/option><option value=\"migration-culture\">Migration, culture shock or living far from home<\/option><option value=\"caregiving\">Caregiver strain, compassion fatigue or responsibility overload<\/option><option value=\"bullying-harassment\">Bullying, harassment, coercion or feeling unsafe with others<\/option><option value=\"parenting\">Parenting stress, conflict or uncertainty about a child<\/option><option value=\"study-exams\">Study pressure, examination anxiety or academic decline<\/option><option value=\"workplace\">Workplace conflict, job insecurity or career distress<\/option><option value=\"older-adult\">Later-life change, memory worry or loss of independence<\/option><option value=\"intimacy\">Intimacy, sexual wellbeing or communication difficulties<\/option><option value=\"midlife-change\">Midlife transition, menopause or major identity change<\/option><option value=\"identity-discrimination\">Identity conflict, discrimination or not feeling accepted<\/option><\/select><\/label>\n\t\t<label><span>Briefly describe what you are experiencing<\/span><textarea name=\"concern_summary\" rows=\"7\" minlength=\"20\" maxlength=\"3000\" required placeholder=\"How long has this been happening, how does it affect daily life, and what would you like help with?\"><\/textarea><small>This text is encrypted in the private request record and is not included in email.<\/small><\/label>\n\t\t<div class=\"prji-form-grid\"><label><span>Who the request is for<\/span><select name=\"age_group\"><option value=\"adult\">Adult<\/option><option value=\"older_adult\">Older adult<\/option><option value=\"adolescent\">Adolescent<\/option><option value=\"child\">Child<\/option><option value=\"couple_family\">Couple \/ family<\/option><option value=\"other\">Other<\/option><\/select><\/label><label><span>When is support needed?<\/span><select name=\"support_timing\"><option value=\"routine\">Routine \/ next suitable time<\/option><option value=\"soon\">As soon as reasonably possible<\/option><\/select><\/label><\/div>\n\t\t<\/div>\n\n\t\t<div class=\"prji-form-section\"><div class=\"prji-form-section-heading\"><span>3<\/span><div><h2>Language and matching preferences<\/h2><p>Helps rank suitable verified professionals for administrator review.<\/p><\/div><\/div>\n\t\t<div class=\"prji-form-grid\"><label><span>Consultation language<\/span><select name=\"preferred_language\"><option value=\"en\"  selected='selected'>English<\/option><option value=\"tr\" >T\u00fcrk\u00e7e<\/option><option value=\"ka\" >\u10e5\u10d0\u10e0\u10d7\u10e3\u10da\u10d8<\/option><option value=\"ru\" >\u0420\u0443\u0441\u0441\u043a\u0438\u0439<\/option><option value=\"es\" >Espa\u00f1ol<\/option><\/select><\/label><label><span>Country where you are located<\/span><input type=\"text\" name=\"client_country\" maxlength=\"80\" placeholder=\"Georgia\"><\/label><label><span>Time zone<\/span><input id=\"prji-client-timezone\" type=\"text\" name=\"client_timezone\" value=\"+00:00\" placeholder=\"Asia\/Tbilisi\"><\/label><label><span>Professional gender preference<\/span><select name=\"professional_gender_preference\"><option value=\"no_preference\">No preference<\/option><option value=\"woman\">Woman psychologist<\/option><option value=\"man\">Man psychologist<\/option><\/select><\/label><label><span>Preferred time<\/span><select name=\"preferred_time\"><option value=\"flexible\">Flexible<\/option><option value=\"morning\">Morning<\/option><option value=\"afternoon\">Afternoon<\/option><option value=\"evening\">Evening<\/option><\/select><\/label><\/div>\n\t\t<fieldset class=\"prji-fieldset\"><legend>Days that may work<\/legend><div class=\"prji-check-grid\"><label class=\"prji-check-label\"><input type=\"checkbox\" name=\"preferred_days[]\" value=\"monday\"> Monday<\/label><label class=\"prji-check-label\"><input type=\"checkbox\" name=\"preferred_days[]\" value=\"tuesday\"> Tuesday<\/label><label class=\"prji-check-label\"><input type=\"checkbox\" name=\"preferred_days[]\" value=\"wednesday\"> Wednesday<\/label><label class=\"prji-check-label\"><input type=\"checkbox\" name=\"preferred_days[]\" value=\"thursday\"> Thursday<\/label><label class=\"prji-check-label\"><input type=\"checkbox\" name=\"preferred_days[]\" value=\"friday\"> Friday<\/label><label class=\"prji-check-label\"><input type=\"checkbox\" name=\"preferred_days[]\" value=\"saturday\"> Saturday<\/label><label class=\"prji-check-label\"><input type=\"checkbox\" name=\"preferred_days[]\" value=\"sunday\"> Sunday<\/label><\/div><\/fieldset>\n\t\t<\/div>\n\n\t\t<div class=\"prji-form-section\"><div class=\"prji-form-section-heading\"><span>4<\/span><div><h2>Safety and payment confirmation<\/h2><\/div><\/div>\n\t\t<div class=\"prji-alert prji-alert-warning\"><strong>This is not an emergency service<\/strong><p>Do not wait for online matching when there is immediate danger, risk of harm, severe confusion, loss of contact with reality, or a medical emergency. Contact local emergency and health services.<\/p><a class=\"prji-inline-link\" href=\"https:\/\/prji.org\/?prji_portal=emergency&#038;prji_lang=en\">Read the emergency support notice \u2192<\/a><\/div>\n\t\t<label class=\"prji-checkbox\"><input required type=\"checkbox\" name=\"consent\" value=\"1\"><span>I understand that this is not an emergency service, suitability is professionally assessed, and urgent or medical needs may be redirected to local care.<\/span><\/label>\n\t\t<button class=\"prji-button prji-button-primary prji-button-full\" type=\"submit\" >Continue to secure Stripe payment<\/button>\n\t\t<\/div>\n\t<\/form>\n<\/div>\n\n<aside class=\"prji-panel-card prji-sticky-summary\"><span class=\"prji-service-icon\">\u25a3<\/span><h2>Secure Video Consultation<\/h2><p>The closest remote option to an in-person conversation, combining live dialogue with visual communication.<\/p><div class=\"prji-price-display\"><small>Configured checkout amount<\/small><strong>USD 139.00<\/strong><\/div><h3>After payment<\/h3><ul class=\"prji-detailed-list\"><li>Your client workspace activates automatically.<\/li><li>A paid request and matching record are created.<\/li><li>PRJI ranks suitable verified professionals and an administrator confirms the match.<\/li><li>Appointments, messages and service status are managed privately.<\/li><\/ul><p class=\"prji-muted\">Card details are not stored in the PRJI WordPress database.<\/p><a class=\"prji-text-link\" href=\"https:\/\/prji.org\/?prji_portal=service_video&#038;prji_lang=en\">\u2190 Return to service details<\/a><\/aside>\n<\/div><\/section>\n<script>(function(){var field=document.getElementById('prji-client-timezone');if(field&&window.Intl&&Intl.DateTimeFormat){try{var zone=Intl.DateTimeFormat().resolvedOptions().timeZone;if(zone){field.value=zone;}}catch(e){}}})();<\/script>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_pg_hidden_news":"","_pg_seo_title":"","_pg_seo_description":"","_pg_tags":"","footnotes":""},"class_list":["post-102","page","type-page","status-publish","hentry"],"blocksy_meta":[],"_links":{"self":[{"href":"https:\/\/prji.org\/index.php\/wp-json\/wp\/v2\/pages\/102","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/prji.org\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/prji.org\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/prji.org\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/prji.org\/index.php\/wp-json\/wp\/v2\/comments?post=102"}],"version-history":[{"count":1,"href":"https:\/\/prji.org\/index.php\/wp-json\/wp\/v2\/pages\/102\/revisions"}],"predecessor-version":[{"id":110,"href":"https:\/\/prji.org\/index.php\/wp-json\/wp\/v2\/pages\/102\/revisions\/110"}],"wp:attachment":[{"href":"https:\/\/prji.org\/index.php\/wp-json\/wp\/v2\/media?parent=102"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}