Recovering Type A Intensive

Recovering Type A Intensive — Application

Apply to be considered for the Recovering Type A Intensive. Your responses help us determine if this program is a good fit for you.
Full Name*

First NameLast Name
Email Address*
example@example.com
Location / Time Zone*
Preferred format*

VirtualIn-Person (Houston, TX area only and only certain times of the year)
1. What brought you to this page? What about the description of the Recovering Type A Intensive resonated with you?*
2. Current Life Context: Briefly describe your current professional role or life responsibilities.*
3. Which of the following patterns do you recognize in yourself? (Select all that apply)*

Difficulty relaxing or switching offFeeling most comfortable when things are urgentGuilt or discomfort when restingOver-functioning in relationshipsWork or achievement driving self-worthPushing through exhaustionSeeking control when things feel uncertainFeeling restless or flat when life is calm
4. What isn’t working anymore? What has made you consider addressing this pattern now?*
5. Have you previously worked with a therapist or coach on these patterns?*

NoYes — brieflyYes — extensively
If yes, please briefly describe the work you have done.
6. Are any of the following recent or currently present?

Active suicidal thoughtsInpatient psychiatric admissionCurrent substanceCurrently working with a therapist or psychiatrist
Please add more information about the above
7. Why are you interested in an intensive format rather than weekly therapy?*
8. Are you prepared for an investment in the range of $7000 - $12,000?*

YesPossibly, depending on detailsNo
9. Which statement fits you best?*

I function well but feel constantly activatedI am burned out but still pushingMy work is successful but my personal life is sufferingI’m not sure yet, but something isn’t working
10. What would be different in your life if this pattern no longer ran the show?*
Should be Empty:

Recovering Type A Intensive — Application