Application to work with The Integrative Counselor, Shannon Myers, MS, CRC, CIMHP
Congratulations on taking the next step on your journey of embodying and being your Authentic Self! 

The information you provide in this application is confidential and will not be shared with anyone, ever. The purpose of these questions is to make sure I am the best fit for you.

 After you fill out this application, Shannon (she/her) will contact you at the email address listed and let you know if you are approved for services. If approved, you will be emailed a contract from Docusign to get started. If you are not approved, it is because what you are looking for does not fit into the scope of Shannon's practice and training.

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Email *
First Name and Last Name *
Today's Date *
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Shannon practices as a coach, mentor, educator, practitioner, and consultant and her approaches to Integrative Mental Health Coaching, Nervous System Retraining, Somatic Trauma Coaching, Spiritually Transformative Experiences Integration Coaching, Psychedelic Preparation/Integration Coaching, Mentoring for Healers, Coaching for Leaders, and Energy services are not appropriate for:

-those in an acute crisis

-those in an emergency

-those who are actively being abused or traumatized

-those who are actively abusing and/or harming others

-those who are in the midst of a spiritual emergency

-those who are suicidal

-those who have had a psychotic episode in the past year that was not due to Trauma, a difficult psychedelic experience, or a food allergy

-those who require intensive therapeutic or behavioral support

-those who have been in an inpatient treatment facility, hospitalized due to a mental health crisis, or who have worked with a local crisis team in the past year

-those who would not like to practice somatic body-based practices to resolve their chronic stress and Trauma

-those looking for Shannon to provide traditional mental health talk therapy

-those looking for Shannon to manage their medical or mental health care or provide mental health therapy

-those looking for Shannon to assess medication safety

-those looking for Shannon to provide psychedelic-assisted therapy or act as a psychedelic sitter or guide

-those who do not want to make lifestyle changes to address their root-causes

-those who are not willing to practice tools in between sessions

-those who are not curious and open to healing through alternative approaches

-those who require more support than coaching, mentorship, and consultation can provide

Do any of the above statements apply to you?
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Shannon is a root-cause mind-body-soul-energy expert who does have to stay in her lane of expertise and works as a coach, mentor, practitioner, educator, and consultant. Therefore, she:

-does not provide medication management of pharmaceutical medications

-does not provide traditional mental health therapy (her focus is root-cause modalities, nervous system retraining, and integrating stress & Trauma through the body-based somatic practices)

-cannot assess your medications for safety with the use of psychedelics

-cannot accept health insurance 

-does not diagnose folks with disorders or conditions

Are you looking for Shannon to provide you with any of the above services?
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Are you looking to receive mental health therapy from Shannon?
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Shannon cannot accept healthcare insurance as she is not a traditional mental health therapist and works as a coach, mentor, and educator. Coaching and mentoring fees are as follows: $225/1 session, $1,850/10 sessions package ($185/session), and $3,300/20 sessions ($165/session) and yes, you may pay session by session for packages. Would her service fees pose a financial barrier to you that would hold any aspect of your life back?
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Shannon has impeccable boundaries - so she may best serve you. Her days/hours of availability are as follows.

As of September 30th, 2024 - all sessions are virtual and online.

Sessions are 50-minutes long so that Shannon may have a break to reset in between sessions. Double sessions may be booked by booking one session right after the other and are 1 hour and 40 minutes in duration.

Shannon's online working hours are Monday to Friday:

5am PDT/6am MST/7am CST/8am EST/1am WEST
until
10am PDT/11am MST/12pm CST/1pm EST/6pm WEST


Would these days/hours fit with your schedule to work with Shannon?

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Which of Shannon's Services are you interested in? (You may select multiple if more than one apply.)
Please share a brief summary of what you would like Shannon to know about your nervous system, stress, Trauma, spiritual awakening, personal development, psychedelic preparation/integration, mentoring, and or executive coaching journey thus far: *
Are you experiencing increased stress, hardship, or currently being Traumatized?
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If you are seeking services for Trauma - Do you have paid and/or unpaid support people in your life?
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If you are seeking services for Trauma - Is this the right time to begin to uncover root causes? Timing is so important. Please describe how you will create 10 minutes to one hour per day to commit to your Trauma Recovery. 
Are you curious about practicing somatic body-based skills in order to begin to resolve stress, Trauma, and begin to balance your nervous system?
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Are you ready to actively partner with Shannon in sessions AND are you prepared to spend time practicing what you are learning in your sessions in real life in between sessions?  *
How long have you been actively on your healing journey?
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Why are you interested in working with Shannon? *
What are your goals for working with Shannon?
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How did you learn about Shannon?
Anything additional you would like to add? *
Your pronouns (she/her/hers) *
What part of the world do you live in?
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A copy of your responses will be emailed to the address you provided.
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