Work With Me

Let’s Connect!
Thanks for reaching out. This form helps me get a sense of who you are and what you are looking for in therapy. Once you have completed it, I’get back to you to schedule a brief consultation or answer any questions you might have. ** Please note, I will not be taking clients until Jan 2026. By filling this form, you are put on my waitlist!

There are no right or wrong answers — just be yourself.


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Email *
Are you 18 or over? *
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Are you based in Ireland? If no, please tell me where you are based.
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Name *
Email *
Contact Number *
Have you been to Counselling/Therapy before?
What are you currently struggling with or hoping to work on in therapy?
You might include things like emotional concerns (anxiety, low mood, overwhelm), relationship patterns, life transitions, or any specific symptoms you’ve noticed.
*
What would you like to achieve through our work together?
This could include specific goals (like managing anxiety or improving communication) or broader intentions (like gaining clarity, confidence, or self-understanding).
Are you looking for online, in person or combination?
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I charge 70 euro per session, and would recommend a minimum of 6 sessions, are you feeling ready to invest financially , mentally, and emotionally? *
A copy of your responses will be emailed to the address you provided.
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