Burn Bright Intention Form (12 session package)
Hi!

Thanks for your interest in working together to support your nervous system. I’m excited for everything that will happen and be revealed to you as a result of choosing to fire up your power in this way.

This form will help me learn about you and set the tone for our time together.

It’s not necessary to come to this work with a specific intention or goal, however, reflecting on what’s up for healing for you right now and what kind of support you’re looking for can be a helpful part of our process.

If we haven’t yet handled payment or agreed upon a standing session schedule, I’ll reach out to you to address those details once I receive this completed form.

I’m so looking forward to connecting with you soon.

xo
Melissa
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Just so we’re on the same page, please indicate your understanding of the following:  Nothing offered in our sessions is intended to contradict any diagnosis, advice or treatment recommended by your medical and/or mental healthcare team. The techniques I utilize in my sessions (Somatic Experiencing, energy medicine, breathwork and nervous system education) are complimentary modalities which offer you additional support and clarity in navigating life’s challenges. While these practices can result in profound and life-changing shifts for many, no specific results are guaranteed. *
If there's a specific issue, pattern, transition or anything else you're hoping to get support with in our sessions together, tell me a little about it here:
If you have interest in building somatic practices to use on your own, let me know what you've tried so far, if anything. You can also share any self-care activities you find helpful here.
This might change from moment to moment, yet if you had to guess, how would you like to feel after our sessions?
My nervous system doesn’t need access to backstory or context to support your nervous system, however, if there’s anything you want me to know about you and/or what’s going on in your life, you can share those things here — messy notes are fine!
One last note about how I approach this work: We will work at the pace and direction of your nervous system to do things like resolve trauma where it's stored, unravel maladaptive patterns and activate the internal resources you need to live a big and brave life. I regard body intelligence as much more dynamic, nuanced and powerful than cognitive intelligence alone. Sometimes we may have (cognitive) ideas about what you need, yet I will always trust your body knows best — and I ask that you do the same. We may begin a session with an intention and discover, delightfully, that something altogether different is meant to unfold. *
Thank you!
I'm so looking forward to being on this journey with you.
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