Feeling Great App Group Sept-Nov 2024
Led by Brandon Vance MD and Heather Clague MD, meets online for 80 minutes for 8 weeks, offered Mondays 4-5:20pm Pacific Time, September 23rd - November 11th. Cost is $12 per session ($96 total) plus the cost of the app ($99 per year after 7 day free trial). Sliding scale for both the group and the app are available - see below. No one turned away for lack of funds.
Name
*
First Name
Middle Name
Last Name
Email address for communication and listserv. Please add brandonvance@gmail.com and hclague@gmail.com to your contacts so our emails will not go to spam.
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example@example.com
E-mail for Zoom (ALL MEETINGS REQUIRE A FREE ZOOM ACCOUNT - We need all the emails associated with any Zoom accounts you will use for the App Group). Make your free zoom account at https://zoom.us/signup.
*
example@example.com
ALTERNATE E-mail FOR ZOOM (IF YOU MIGHT BE USING MORE THAN ONE - If you may be using more than one Zoom account (e.g. if you might use a work email or borrow your partner's computer and will be using their zoom account, please give us the email associated with that account)
example@example.com
Do you need to be in an AUDIO-ONLY breakout group? (We require people in the regular breakout rooms to keep their video ON so everyone feels safe. But if you do not have access to video or for another reason want to have your camera off, you can be in an Audio-only breakout room.)
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Yes - please put me in a breakout room without video.
No - I will keep my video ON during breakout room sessions.
Are you a therapist? (If not, please skip to the next question.)
I am a therapist and want to be in a small group ONLY with other therapists.
I am a therapist but want to be in a general group.
If you feel comfortable, please let us know how you identify.
I am a person of color
I identify as queer
I identify as being on the neurodiversity spectrum
Other
If other, how else do you identify?
I identify my gender as (female, male, non-binary, etc.)
Some people prefer to be in a breakout group that has others who identify similarly to them. Please let us know, in order of preference, what aspects of your identity you'd like us to prioritizing when assigning you to a group. We will do our best to honor all requests. If there is anything else about your identity or group placement you'd like us to know, please let us know here (or email Heather at hclague@gmail.com.)
Phone Number
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
In this App Group we will be having small group discussions about the experience of using the app - hence it's important to use the app each week, both for yourself and for your fellow breakout room members.
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I commit to using the Feeling Great App for at least 15 minutes 4 times a week (1 hour total each week) in addition to the time spend during group meetings.
I acknowledge this group is ONLY for education and does NOT provide treatment. I am fully aware that the Feeling Great App Group offered by Brandon Vance, MD and colleagues is solely an educational group. This App Group is NOT intended to provide treatment for any illness and is NOT an emotional support group. There is absolutely NO treatment contract between myself and Dr. Vance, Dr. Clague and/or any of the other facilitators of the group or Integrative Psychiatry Solutions or the Feeling Great Therapy Center implied by this group. I agree that no physician-patient relationship, or therapist-patient relationship is created by any personal work conducted by Dr. Vance, Dr. Clague or any of their colleagues and the myself while participating in the Feeling Great App Group. I take full responsibility for my own health and indemnify, defend and hold harmless any of the above persons and/or entities if I experience any adverse feelings or health during or after this group whether or not they may relate to the group or app in any way. I agree that Brandon Vance, MD, Heather Clague, MD and any and all of their guest colleagues, cannot be sued in any court based on their actions, discussions, emails, or any communication with me. Finally, along with the above, I agree that my attendance in this group is ONLY for educational purposes and NOT for treatment.
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I have read, understood and agree to the above.
Brandon Vance MD and Heather Clague MD value acceptance, inclusion, and equity. We understand that the harm of oppression based on identity (e.g. race, ethnicity, gender identity, sexual orientation, ability status, physical attributes, country of origin, religion, etc) is real and hurtful. We understand that this kind of oppression pervades the daily life of some members of our community more so than it does others. We ask of anyone joining our group the same thing that we ask of ourselves: to be attentive to ways in which privilege you experience may lead to blind spots; to be thoughtful about the impact of your actions, even if well intended; and to receive feedback with curiosity and an open heart. By clicking below, I agree to these principles.
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I have read, understood and agree to the above.
Age Appropriate
*
I am 18 years of age or older. (if you are not, please contact brandonvance@gmail.com to discuss)
I am under 18 but have permission from Brandon or Heather to join
How did you hear about the App Group?
David Burns email
Feeling Great App Website
My therapist
My doctor
Email from Brandon Vance, Heather Clague or The Feeling Great Therapy Center
Friend or Colleague (word of mouth)
Meetup
Paper Flyer
Other: if other, please specify where in next question.
If none of the above, please let us know how you heard about the App Group...
App Group Registration: You can pay via paypal or credit or debit card. We want you to join us and no one will be turned away for lack of funds. There is a sliding scale available for the App Group and the Feeling Great App is available for free for those who need that. If the cost is barrier for you, please email Brandon at brandonvance@gmail.com or Heather at hclague@gmail.com and let us know what you can afford.
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Feeling Great App Group Sept-Nov 2024 Registration
$
96.00
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