☑ I have a medical condition that has persisted for 3+ months?*

 ☑ I have tried a first line treatment for this condition for more than 3 months? *

☑  I am over the age of 20 yo 

 ☑ I am NOT pregnant or breastfeeding?
 ☑ I have NOT had  a recent heart attack

 ☑ I do NOT have an abnormal heart rhythm

 ☑ I do NOT have history of psychosis

 ☑ I do NOT have a diagnosis of schizophrenia

☑ I am NOT prescribed an antipsychotic medication 

 ☑ I do NOT have a history of drug dependence 

 ☑ I am NOT enrolled in an opioid treatment program now or in the past 

 ☑ I am NOT prescribed an antipsychotic medication