How Can I Help You?
The best gift I can offer is to help YOU uncover & align with your own inner healing & guidance. After 20+ years as a clinical therapist, I have laser-sharp skills to help you unhook from people & ideas that disconnect you from your inner power. Working with me is a hybrid of clinical therapy + existential empowerment; let's align you with your highest self and remove anything in the way. Tell me about you & let's get started!
Name
First Name
Last Name
Email Address
example@example.com
What types of therapy/coaching interest you? (FYI, outside of Utah our work is legally "coaching" because of state licensure.)
Talk therapy support for self expansion & soul alignment
Accelerated Resolution Therapy (ART) - Unhook patterned reactions/triggers (similar to EMDR)
Plant Medicine Preparation/Integration
Other
✨ A quick note before we begin:I'm unable to work with insurance, and all sessions are billed at $195 per therapy hour. This helps me keep our work focused, flexible, and quick moving. If that works for you, please type “Yes” below. If you have any questions, feel free to ask here —I’m happy to clarify.
Date of Birth
-
Month
-
Day
Year
Date
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Relationship Status - explain if needed :)
Parenting Status - kids at home/ages/explain if needed?
Occupation? aka, how do you spend your days?
Spiritual or Religious Perspective. (I ask only so I can speak in your framework.)
What's not working in your life that leads you to seek help?
What would you LIKE in your life? If you had a magic wand what would you create?
What's kept you from becoming that person so far?
What support do you need from a therapist/coach to make that happen?
What kind of support are you looking for—and what’s your capacity to invest right now? For example: “I’m mainly here for focused ART to get unhooked & unstuck.” or “I’m looking for ongoing support to stay aligned and keep growing into the next version of me.”
Have you invested in yourself for therapy or coaching or personal retreats etc. before?
Describe how 'in touch' you are with your inner self? Any meditative/journaling/mindfulness practices?
List any breath work or plant medicine experiences you have had?
What would be the benefits to you, your health, your relationships, your family, or anything else if you were to become the sort of person you want to be?
What time frame are you looking for help in - is this immediate, in the next month, next 6 months, next year? Just curious on your time frame.
Is there anything else you'd like to let me know before we chat?
Thank you for sharing!
I'll review your needs and reach out with my thoughts within 1-2 business days! You can also book a free Inquiry Call if you'd like to chat to check our energetic match :) calendly.com/resolutiontherapy/inquirycall
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