CINXE.COM

<!DOCTYPE html><html lang="en-US"><head><title>Just a moment...</title><meta http-equiv="Content-Type" content="text/html; charset=UTF-8"><meta http-equiv="X-UA-Compatible" content="IE=Edge"><meta name="robots" content="noindex,nofollow"><meta name="viewport" content="width=device-width,initial-scale=1"><style>*{box-sizing:border-box;margin:0;padding:0}html{line-height:1.15;-webkit-text-size-adjust:100%;color:#313131;font-family:system-ui,-apple-system,BlinkMacSystemFont,Segoe UI,Roboto,Helvetica Neue,Arial,Noto Sans,sans-serif,Apple Color Emoji,Segoe UI Emoji,Segoe UI Symbol,Noto Color Emoji}body{display:flex;flex-direction:column;height:100vh;min-height:100vh}.main-content{margin:8rem auto;max-width:60rem;padding-left:1.5rem}@media (width <= 720px){.main-content{margin-top:4rem}}.h2{font-size:1.5rem;font-weight:500;line-height:2.25rem}@media (width <= 720px){.h2{font-size:1.25rem;line-height:1.5rem}}#challenge-error-text{background-image:url(data:image/svg+xml;base64,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);background-repeat:no-repeat;background-size:contain;padding-left:34px}@media (prefers-color-scheme:dark){body{background-color:#222;color:#d9d9d9}}</style><meta http-equiv="refresh" content="390"></head><body class="no-js"><div class="main-wrapper" role="main"><div class="main-content"><noscript><div class="h2"><span id="challenge-error-text">Enable JavaScript and cookies to continue</span></div></noscript></div></div><script>(function(){window._cf_chl_opt={cvId: '3',cZone: "health.columbia.edu",cType: 'managed',cRay: '91abc95feb42ce46',cH: 'HUlCDxu7CgYHvNvntzgbBcsb.ipUTUoM2b1aRUXZe4w-1741032724-1.2.1.1-l4CNM4mbYaLaXvPSqLwfF5gTHWkpQ7QxUuUlP9l.h6PTAxAAshzYkW2x7YLzFfyu',cUPMDTk: "\/content\/counseling-and-psychological-services?__cf_chl_tk=kd4PTnIh4t8QdhtmcSuxv9nVltghUs91yUHO80SQhVY-1741032724-1.0.1.1-QTwIDVAyeFc4mtPaskYx4EVtKw.aruOFKPtiH1QVrhk",cFPWv: 'b',cITimeS: '1741032724',cTTimeMs: '1000',cMTimeMs: '390000',cTplC: 0,cTplV: 5,cTplB: 'cf',cK: "",fa: "\/content\/counseling-and-psychological-services?__cf_chl_f_tk=kd4PTnIh4t8QdhtmcSuxv9nVltghUs91yUHO80SQhVY-1741032724-1.0.1.1-QTwIDVAyeFc4mtPaskYx4EVtKw.aruOFKPtiH1QVrhk",md: "RyvGQmmQsFWP0WvZs1pMP4bQdyCJ3GMJz9SQQzkdCjw-1741032724-1.2.1.1-Su7VQECDCsDgIIEvQYeFPUjgz_a.c3cdNaLfHTKsTmoWgz4M4Kieh830bkxyYox1tUmmqNRzf8TmF0xRKEi13HIUHM__cC.nx5JL5oy1Xt3wD6999lTeav1fI1iNWywXJtMWTsgl0svle7REOrAEf4b5DKz4uk2DkZceKodFMp8w5HAEn_uGahlbcy4A823kP5GiWAXE4vLvVhA.s3PGShrpCWbZFCb4q20jMNNu0DxFf.m6JVd49Fl8Vo1fg.zvXYfctreUELEixifXXoSYCQrqeFCnoJ8q5s7EWuXYT0kOhq70yMJa8BqBokcb6QdtEKYcMwuTbo.imZldMF8b3Ah1rumk7egQR5lPZ0wtdeMMyxyTlpQCuxJgEnkUMc0JSvI84DhhbvgybZp5VY7JWIBNO0rDojJcINd9h2NS57yQyIzR2qhB0fy1ZB4k7MyMyS6LDS71BjVFELvrJ8ea5jKNXITt8UCUmuvfC7owcfBjlbDSDy4Tds4AhxT9JSkaGijDRfAwCZgjpogxmXXMdmk6U..Mau9AzHskO90Jvj8yx7KvRpGlS6TUyEsISX2KuuUAxM0B9gVn2eOU70hz51DLOSCprAuEsCfYkgdC1O8jjiS38uXevDSV5nBdQjc_Z6cWGoyGaTAmBBOUS7YmdLNRV27fE1_jMpoHpC3pdfUpdJD1BLJN9zynpinES2TId_MU30APph8SIgMCZk7ny7BQh5cIiBeV1D_DPJ4m6W_LpIlExuASDjLKslx0Wl3AoAYVHD22yfcpeucLWLj8YHX3oCCCREsxPHO3ton3dKG0H63rLQ6OtHKnYW8Tv7djd_7MRaetqobFZC9DDsleTWrSMgOoYeX9v3gj4APYLqGUH6l5w0VoSfFmu55wWuTIfv.x0jc9yCDeJCvbU4kqdx5EeVBvL_AvT4CZREJ8oeRp7jsYRmmLBObpVbmnpscQjx2WATFJKHiAUIk4wD031Mgz9RmILCsK1M3EwVDGXXsJqmiftIF2F.eBEQZXQLNTglVZSTswTb5a.o_JnwkjfcMV3GLwD4cqHVlVYJ4IiwqPtWDdgn7mYwG2andHoKXVE111Mf7O5fvb4g4b81ddVuyZH7wTO9ak2UjyOGEj9Cs91QddDn_UMRkPe.WgOAss6ANelUXj6mX2xkBO2VwOU2EeyrwUxlOHVguW4hhhxJbw3e6_5kEoy2Saga6ljxK8sRL2MY0uZujOw34_VsezdQa.iKzMHpdEeTrQDTGf2.EGBKucIwBnnU.isuGrr.Ct5h.nYMvBlVIgGQQ6Dke2KakPKO.n2AXCk22CsqsqUHc7kHx0yyHuOvRzpeoorOIH",mdrd: "mYTrXtZqYleVFMJwmDHjV9desDqscE6_zLXSE3kiuRk-1741032724-1.2.1.1-fkB0xVcKrZnj7FwghxIcH2fRSKo5lFvS3XuIp797ZgKTnL_KilZauz08zmnlA7z.3xPVHtOTZVJVsnajgVFN0zjTT1a.fHwDH8aDJwCB5gmhqQZRNNO49l3E79heomW.9xhVvMG2jWLBMsNUTgsrlNplqDpgrgPtAKCavufKZE2W57ksIXBselq6hRWAiKyCZJHlK0GXRVq_p.pQ3c2bp7QSO8ZjbNM6BePZrSl_8vbLucCHcgW3ujtOZWe_tZKNfntS.jwmj6y8dDtSQiZAx6YeYm7KOrhotrLOCjgRV_2PhJsSvIf13IvwPtaiqO2yIfMtkF81qLiADTIf5NfUmH9dMRjwXJ9pWy6ojeScX847nornS50.nSGS5VtPMQTE3zq0ugm.F8LSGS.7Clm1eOtM1rdmbjI7Lynb9ZET7IPck1bX0hwffvo7dGTUQxDvSupECg.l5x43E7A012lxtSqrXRjCkE7R7Tce2ePNeInkr7wKCkv.OmHRTq89ovOwCCIFPnt0_bcnmxiKqsyBoMSM9VR_tDR9BRfJ2tXcQ25V1.M7tpp3O13KMCr._XfFH4z4yKElzSt0AFxQkGJDi9BHVSMLnYtJNN6Bzr8S2HdiPQAfrwZHRO0IO0.t_LeP_EhlJAHD_h2F75LOrpOBH5yo_SjKQNea_qUetVZ6f8bv9qumBeQAXd3LthXbmQvlD7RwsG1ptS_yjQPJp.DrYeSJUiHys12vjrOR7v7lq.6NpRVyBjb6LrSwf6OkmaLDc3Wze8HGuXYyhwWxACS9b5Pid6gRmdXnFwYpYJTxXOnqo9VOFppW9rSvdI05PD1ss.QwU4oUXVg1oFf9V.Qkc3aact683TJCS_Lw78n4bUddH_R11YkPoVgiwy8oe4I4A2mVpuZe_g59HtUEtVpIlWFvX1AC4fN22.717EFvdNKVEJnoKyX7ikwjPeDZ.8xapqG2gZrmS1P.oXaqKoYCbU5uuI1s_Zk705VrxTvzu8jYFenazIdhKAcDigY2bWdxxHsoAHD18zdqwGyQMrxXTdH20dGMHRk9Uc8aDaUsX9dAn6gpnBaa80H2cy82NaiuGUHeyiPZaL5.tYzGBZtkYKzQkWVutwaHV_XBHsl4rlHM03MDCrkMjhIa0Gg.sjQVzcGhk5XPP8Yx1msTqZpNuY5qL1aIy3fSctHqhAmIF7.nCOhA36LM4DEjs5JevUsCzjRSRxvGQGZJl28lKvKk64g9JM2FPdKjxt0ujEHOtfqLn.MacIzSfzqT5NXilckEd63oW2ilSeDM0pTSC2GmgWeXttRnKw5.UePXDwpngyQTDwTVSjXHDvQfgw0aP6YzPfojb2.1kvl8b9x0xg1ruwv.vn5_jhTscWOquY4Umz.Tre0uOd9IGmGVriJ2xFebpYUXZTRyWDCX6hQjHDY4nuRPQwESuiyoK.96NLHrm3wImvIxlIRLtIvBcMgjaItrB3_O7MWJbNn_CeRFMPTU3MDiggIoYYkXphWtkYjCdzII6BQNsUfuQuSVZeGtrysznu0tSBWB_Swb8tcwqnUxoOWqsZR57GU4CfR32FHPUKx1hnj8Y3KCYHZlWNXpZ8M8FzOp9sO9j2iZKObVwOIS3TgchCUSbaBmJDSoVbFOqIVk56.3iS98o5n6DeWmp40tvQm1ldxzyh3hprwJaRDCW06noO0rSqaI6Lhe9e7tEeLe3szq27iIYFLfPSUI5z1Sal6U24fdsKxra3MDe1cSVDmy._OhBiibjcM61u_eUGB72_gzK6gczD6Zj5GPKIDav7H3NLg_up1t29E3XYxFPbM3vaf2N_30yuZQO4vLQf5ETpCMUIFZKs3uru9LwmnZYN6.tbIZq8psY1hzENH1GrPId73QjF3mfsP_x1VSazrtngJN1tTaebEAwxoTVMy4mQEshElFTb5g1Urk2WNqgwBpFIIKUEul8y3IkcWhETq2hTHz6LvIQJgp1NnTq5Hl"};var cpo = document.createElement('script');cpo.src = '/cdn-cgi/challenge-platform/h/b/orchestrate/chl_page/v1?ray=91abc95feb42ce46';window._cf_chl_opt.cOgUHash = location.hash === '' && location.href.indexOf('#') !== -1 ? '#' : location.hash;window._cf_chl_opt.cOgUQuery = location.search === '' && location.href.slice(0, location.href.length - window._cf_chl_opt.cOgUHash.length).indexOf('?') !== -1 ? '?' : location.search;if (window.history && window.history.replaceState) {var ogU = location.pathname + window._cf_chl_opt.cOgUQuery + window._cf_chl_opt.cOgUHash;history.replaceState(null, null, "\/content\/counseling-and-psychological-services?__cf_chl_rt_tk=kd4PTnIh4t8QdhtmcSuxv9nVltghUs91yUHO80SQhVY-1741032724-1.0.1.1-QTwIDVAyeFc4mtPaskYx4EVtKw.aruOFKPtiH1QVrhk" + window._cf_chl_opt.cOgUHash);cpo.onload = function() {history.replaceState(null, null, ogU);}}document.getElementsByTagName('head')[0].appendChild(cpo);}());</script></body></html>