Architecture of Meaning
Cultivating Meaningful Engagement for the Highly Sensitive Person

Complimentary Consultation

You may be seeking an insightful consultation that will assist you in determining the next step on your journey. An initial half hour consultation can be hugely helpful in clarifying what your core issues are, how to address these issues and what help to pursue. The consultation offers you a sense of how I work and gives us both an idea of whether we have work to do together. Whether you are interested in a one time conversation, or are exploring whether we have work to do together, please fill out this initial intake form.

Sessions are conducted over the telephone. After the initial consultation, if we schedule an appointment, I ask that you send me a check for the first session in advance of the session. After that I bill clients monthly. I bill by the hour and quarter hour, at a rate of $150 an hour. (At any one time, I have several clients who I see on a sliding scale. If you can not afford my full fee, please speak to me about that option.)

Your name:

Your phone number:

Your email address:

Your date of birth:

Please let me know several possible dates and times when it would be convenient for us to speak. If you have a block of time that is open, please indicate that with a hyphen (for instance: 6-10), I understand I will only be scheduling a 1/2 hour of that available time. If there is a day of each week when you have regular availability, instead of noting a date, you can simply type the day of the week (for instance: Mondays). We can also schedule a consultation time over the telephone.

Date: Time:
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Your geographic location:
City:
State:

In order for us to evaluate whether I can be of help to you, please complete the following questionnaire:

Do you suffer, or have you suffered, from depression? Yes
No
Are you doing any healing work at this time? Yes
No
Do you suffer from chronic anxiety? Yes
No
Are you in therapy? Yes
No
Have you been in therapy in the past? Yes
No
If you do have a past therapist, could you rely on this person if you needed to? Yes
No
Do you suffer from any kind of addiction? Yes
No
If yes, or you have in the past, please describe:
Have you been abused? Yes
No
If yes, please describe the help you have received in healing.
Do you suffer from PTSD? Yes
No
Are you on any kind of medication? Yes
No
If yes, what medications and why?
What kind of healing work do you have access to if you need it?
Please specify:
Please let me know how you found me:

Please note that work with me is not a substitute for any healing work you may be doing or considering. The work I do is not counseling or therapy. I do not focus on mental dysfunction, nor do I work with people struggling with addictions, issues of abuse, or crippling anxiety.

Often, I will suggest other kinds of work that may be of value to you. I can often be a resource to you as you navigate your way through various healing modalities. I offer you the personal vocabulary you need to adequately represent yourself with different practitioners.

Information for International Clients