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Psycho Somatic / N.O.T Inner Child Session
Welcome! I am so happy you have found yourself here. 
Please take some time to fill out this intake form. I will reach out by text message to schedule a discovery call with you so we can go over details and any questions you might have and to be sure this next step is in alignment for your journey. 

Neural Organization Technique or Therapy (N.O.T.) is founded in 1979 in Applied Kinesiology and Chiropractic work. This energy healing and nervous system regulating technique is a holistic experience muscle testing to explore and understand why your body may be responding in certain ways to stress and your environment. I weave in trauma informed work and somatic dialogue to guide you into meeting all parts of yourself with a focus on discovering the trauma that is ready to move through and release in this chapter of your life. From here we can discuss what came through in your session and many modalities that can support next steps. 

These sessions are an average of 90 minutes, but may extend to two hours. 

I look forward to connecting.

In peace and health, 
Patricia
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Email *
Name *
Phone Number *
Instagram handle if applicable *
What attracted you to this work? *
Have you experienced any Capital T traumas in the last five years? Please share as much detail as possible. 
abuse, neglect, poverty, 
racism, oppression, violence, war/genocide, physical trauma, loss/death
*
What Capital T traumas have you experienced in your overall life? please share as much details as possible *
Have you experienced any Small T traumas in the last five years? emotional needs for attunement not met (good things NOT happening),
bullying,
repeated toxic language from parents/household,
lack of emotional connection and intelligence, not being seen, not being heard
*
Have you experienced any Small T traumas in your overall life? *
Have you experienced any of the following in childhood, relationships, etc....
abandonment
rejection
shame
neglect
medical trauma
father wounds
mother wounds
sister wounds (challenging relationships with women)
*
Do you live in fight, flight, and or freeze? Think worry, panic, paranoia, fear, anxiety, constant avoidance and doing .... please explain *
What age comes to mind when you think of childhood? Why? *
What trauma work have you done? Please share anything from therapy, to plant medicine, to mentorship, retreats, etc... *
What questions do you have? *
 The financial investment for a session is $333. When you book for a session in the month of May and June, you can save 50% with a $25 non-refundable deposit to hold your date. the balance of $142 is due by the day before your session. Are you prepared to take this step if you choose to move forward? *
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