Writing to Heal GROUP THERAPY TUESDAY Registration Form

Writing to Heal: Getting Out of The Rabbit Hole of Betrayal - For Partners

Group Therapy Registration Form

Participant Information
Betrayal is an unraveling of life as we believed it to be. Everything becomes undone. It is a descent into a bizarre world of absurdity where the way out is a time-consuming journey through uncharted territory. The first step out begins with knowing where you landed and holding on to who you are. Knowing which way to go is not easy when everything you have ever known, including who you are, is in question. This workshop group will explore the surreal experience of betrayal, its traumatizing components, and what can be done to prepare yourself in holding onto reality while navigating your way out of chaos and back to a place of hopefulness and resiliency.

We will cover:
- Losses resulting from betrayal: The fall down the rabbit hole
- Being forsaken and bewildered: Locked doors and wrong size options
- The pursuit of what went wrong: Chasing the white rabbit
- Gaslighting: Changing the rules while inventing new rules and other twisted logic
- Knowing self, a cornerstone of intimacy: Who are you?
- Setting your life compass: Where do I go from here?
- Relationship repair: Judging, being judged, and sentences before verdicts
- Creating a new relationship norm: Awakening to reality
$320 for the workshop series.

Some insurances may cover. HSA, FSA can be used. Must pay for full series at the time of registration. If you have insurance coverage, a credit card will be kept on file for co-pays and missed meetings. Call the office for details.

*For new clients, an intake session is required prior to the first session. The intake session may be covered under your insurance plan through individual mental health coverage.

Contact our office at 651-493-8150 and speak to Lydia or email our office manager Karen admin@aheartt.com for more information. Missed days cannot be billed to insurance.

Group for Betrayed Partners - 8 sessions

Tuesdays Nov. 3rd to Dec.22nd

Time: 5pm to 6:15pm
Participant Name *

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For doing the Group Telehealth session, where do you want your invite sent? *

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Consent to Telehealth Information
CONSENT FOR TELEHEALTH THERAPY | It is my expectation that you will benefit from online therapy as all or part of your psychotherapy, but there is no guarantee. Therapy is conducted using interactive audio and video. Online based services as care may not be appropriate for your need. If I assess that face to face is more appropriate, I will offer an appointment or provide referrals.

Signature & Payment
By signing and submitting this registraiton form, you understand and agree to all policies.

Once you click "Register" you will be redirected to pay the registration fee. You may use your credit/debit card to pay the fee.
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Registration Fee - $320 $ 320.00

payment for all 8 GROUP sessions

Insurance Verified Coverage (by Alliance for Healing)- INSERT CODE Free

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If you have chosen "Insurance Verified Coverage (by Alliance for Healing)" without verifying your insurance please contact our business office 651-493-8150 and ask for Karen or admin@aheartt.com for verification code to complete your registration.
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* If your insurance does cover with a co-payment or co-insurance payment, an invoice through SQUARE-UP will be sent to your email for payment.
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Writing to Heal: Getting Out of The Rabbit Hole of Betrayal - For Partners