• Central Nervous System Reset

    Application
  • Welcome!

  • This session combines psychoeducation with supportive bodywork and is offered selectively to ensure it is appropriate and beneficial. Please answer the questions below. Applications are reviewed personally. 

  • Contact Information
  • Format: (000) 000-0000.
  • How would you prefer I contact you? (I will use this to follow up personally after reviewing your application).*

  • What has prompted you to apply for the Central Nervous System Reset?

  • Select as many as necessary*

  • How does stress or anxiety currently show up in your body?

  • Select any that feel relevant.*

  • What have you already tried to manage this?

  • Select any that apply. This helps me understand what has been helpful or not so far.*

  • What are you hoping to gain from this session?

  • Choose the options that feel most relevant. We will clarify goals together during your session.*

  • Are you currently receiving psychological support?

  • You are not required to share details, however this helps ensure this session is appropriate and supportive for you.

  • Session Understanding

  • Should be Empty: