Share Your Story

Are you a current or past patient

Of David W. Goodman, M.D or Valerie Goodman, L.C.S.W-C.? Do you have a personal story to share that inspires others to understand why help is so important? If so, we’d like to hear from you. How has their psychiatric expertise with Attention Deficit Disorder and associated conditions (anxiety, depression, etc.) helped you to achieve a more productive and satisfying life? Home? Work? Relationships? We want to offer your story to other people who have been hesitant to seek out help.

With your inspiring success story, you will share publicly the information on this form through this Web site so that others may understand the benefit of an accurate diagnosis and effective treatment. By submitting your story to, you give us the right to publish your submission on the Web site without payment and you certify that these are your own words. We do require an email address for the sole purpose of verifying the posted story with you. (We do not share your email)

For your story to resonate with a reader, it is helpful to have some idea of who wrote it. If you are comfortable with providing any of the following information, it will enhance your personal story: occupation, age, marital status, gender, city or state of residence. Also, we’d love you to create your own title for your story. Be creative.

Form Title
  • Name as you wish it to appear*
  • First Name*
  • Last Name*
  • Email*
  • Occupation*
  • Patient Age*
  • Gender*
  • Marital Status*
  • City*
  • State*
  • Story Title*
  • Your Story*(3000 characters max)
  • Upload a photo if you'd like one to appear with your Story.*Photos under 1 MB accepted in .jpg, .png or .gif format only. Upload
    • Yes, I give David W. Goodman, M.D. permission to use my story on this Web site.*
    • We will share some of the information you provide on this form publicly through this Web site. By submitting your story to, you give us the right to review, edit, distribute, reproduce, and publish your submission on the Web site without payment. We cannot guarantee all submissions will be posted. Your email address will remain private, confidential and will not be shared outside our practice. By submitting your story, you certify that these are your own words and that you have not violated any copyright laws.
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