Name *

First Name

Last Name

Phone *

Country

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Text Preference *

Preference to receive text message response

A text is welcome

Please do not text me

Time structure you are considering or interested in: *

Weekly, bi-weekly, monthly, or intensive options

I'm looking for support to work with consistently

I'm looking for short term (one - three sessions)

I'm not sure

Interested in focus:

Choose any that apply to you

Cult or high-control group recovery

Rebuilding identity after deconstruction

Navigating relationships with religious family/loved ones

Coping with triggers (holidays, end times, spiritual language, etc.)

Processing fear, shame, or guilt from religious conditioning

Reconnecting with intuition and inner wisdom

Nervous system regulation and grounding practices

Boundary setting and relational healing

Exploring spirituality outside of organized religion

Support while retaining faith in a new way

Purity culture and sexuality healing

General life transition or clarity work (not faith-specific)

Other: please give context below