Group Therapy Interest Form

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Thank you for your interest in my group therapy programs at Empowerment Through Connection Therapy. I am dedicated to fostering personal growth and community through a compassionate, anti-oppressive, and social justice-oriented approach. My groups are designed to challenge societal norms, develop critical thinking skills, and empower individuals to reclaim their mental agency and autonomy. Your responses will help me tailor my offerings to best meet your needs. All information provided is confidential and will be used solely for the purpose of organizing therapy groups.

Groups having rolling start dates! Once the minimum number of participants (3) sign up and agree on a meeting day and time, we will begin!

Name: *

Email Address: *

I would prefer to be contacted by text or a phone call instead of by email regarding my interest in joining a therapy group.

Text

Phone call

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Phone Number (optional):

Preferred Group Topic(s): *

ADHD Support: Explore strategies for managing ADHD symptoms, improving focus, and fostering self-acceptance in a supportive, non-judgmental environment. This group covers ADHD neurobiology, executive function skills, and emotional regulation techniques. We challenge the stigmatization of neurodivergent individuals and promote inclusivity and empowerment, encouraging peer support and the sharing of effective strategies.

Non-Monogamy Exploration: Discuss communication, boundaries, and relationship dynamics in non-monogamous relationships. This group explores various types of non-monogamous relationships, ethical considerations, and conflict resolution techniques. We value diverse relationship structures and encourage a critical examination of traditional norms and societal expectations, promoting a supportive community.

Financial Empowerment for Women: Address the challenges women face with money, explore consumerism pressures, and build financial empowerment. This group covers the historical context of women's financial rights, financial literacy topics, and the psychological impact of financial stress. We focus on understanding systemic issues, such as gendered financial inequality, and promote anti-capitalist perspectives alongside practical financial strategies for empowerment and independence.

Bisexual Support: Share experiences, address challenges, and celebrate bisexuality in a space that affirms diverse sexual identities. This group explores the complexities of bisexual identity, intersectionality, and the importance of visibility. We address mental health challenges specific to bisexual individuals and promote advocacy and activism within and outside the LGBTQ+ community.

Parenting and Motherhood: Rediscover personal identity and navigate the challenges of parenting with a supportive community. This group examines motherhood at the intersection of gender, sexuality, societal expectations, race, class, and labor. We emphasize the inherent value of care work and explore how it can be a source of strength, motivation, and inspiration for self-care and setting a positive example. Strategies for self-care, boundary-setting, and advocacy will be discussed.

Creativity and Self-Expression: Explore and nurture your creative potential through a variety of approaches and resources, including "The Artist's Way" by Julia Cameron and "The Creative Act: A Way of Being" by Rick Rubin. This group focuses on overcoming creative blocks, developing artistic habits, and fostering self-expression. We emphasize the importance of creativity as a fundamental human quality and support each individual's right to their creative journey.

Required

Preferred Session Length: *

60 Minutes

90 Minutes

Required

Preferred Meeting Time(s): *

Morning (9 AM - 11 AM)

Lunch (11 AM - 2 PM)

Afternoon (2 PM - 4 PM)

Early Evening (4 PM - 6 PM)

Evening (6 PM - 9 PM)

Weekend Morning (10 AM - noon)

Weekend Afternoon (noon - 3 PM)

Required

Preferred Meeting Day(s): *

Monday

Tuesday (virtual only)

Wednesday

Thursday (virtual only)

Friday

Saturday

Sunday

Required

In-person or Virtual: *

In Person (217 E. 7th Ave - second floor, not handicapped accessible)

Virtual

Required

Preferred Start Date: *

As soon as possible (ASAP)

May

June

July

Fall 2025

Required

Preferred Frequency: *

Weekly

Bi-weekly (every other week)

Required

Intake Session Fee: *

I understand that an intake session is required before joining a group. The fee for this session is on a sliding scale of $36-136.

Required

Additional Comments or Preferences:

Indicate below if you would like to be added to the Empowerment Through Connection Therapy email list and newsletter.

Yes, I would like to receive emails updates and the newsletter from Empowerment Through Connection Therapy.

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