Individual Therapy & Coaching | Adolescent Neurobody

First name

Last name

Email

Phone

Age

Child (8-9 years old)

Adolescent (10-12)

Teen (13-19)

Adult (20+)

Where do you live?

Therapy is available to individuals in California.

Coaching is available to individuals outside of California.

Please tell me a bit about yourself, what you would like to focus on, and why now:

What do physicians say is the cause of your symptoms?

Please note: this type of work is for "medically unexplained" symptoms. If symptoms are due to known structural or pathological causes please seek appropriate medical care.

Can you describe a situation when your symptoms decrease?

Do you have a history of suicide ideation?

Yes

No

Do you currently self-harm?

Yes

No

Are you able to invest $275 per 50-minute session?

Yes

No