The Awakened Therapist Podcast: Client Application
The Awakened Therapist Podcast was created to give listeners an opportunity to explore and better understand transpersonal counseling, which is a holistic approach to therapy that integrates concepts of spirituality, consciousness, and modern psychology. The interventions used by a transpersonal counselor emphasizes the interconnectedness of a client's mind, body, and spirit, honoring a client's innate wisdom and spiritual nature as the guide for their healing.

If you would like to be considered as a demo client on the podcast with Harmony, please fill out this application. The recording process will take about 90 min. In order to protect your anonymity, your identity will be concealed and we will use audio recordings only. 
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Email *
What is your full name? *
Have you been to therapy before? *
Are you currently in therapy? *
How would you describe your experience with therapy?
Has your experiences been generally positive or negative? What kind of benefits have you experienced? 
What type of therapy have you experienced (if known)? *
For example, EMDR, IFS, Gestalt, CBT, DBT, psychoanalysis, etc.
What (if any) symptoms do you have? 
i.e. anxiety, depression, relationship difficulties, etc.
If you have any mental health diagnoses, please share them here. *
What would you like to work on in your session? *
For example, being self-critical, relationship struggles, resentment, grief, etc. 
What is your experience with a mindfulness practice? *
For example, meditation, yoga, breathwork, etc. 
Age *
Gender *
Ethnicity  *
Sexual Orientation *
Audio quality is important for the recording of this podcast. Please confirm that you have an external microphone of good quality connected to your computer (not your phone). *
e.g. external USB microphone, headset with microphone, ear pods. 
It's important to know that a demo session with a therapist is not the same thing as entering into a therapeutic relationship. If you are chosen for a recording, Harmony will be demonstrating skills as she supports you in reconnecting with your true nature. If she believes you would benefit from long-term counseling, referrals will be provided to you. 

Please confirm below that you understand that by agreeing to record a demo session for The Awakened Therapist Podcast, Harmony is not entering into a therapeutic relationship with you. 
 *
Please confirm below that you do not have a prior therapeutic relationship with Harmony.   *
Please confirm below that if selected, you are agreeing to record a live demo session of your own free will and that you are not being coerced into recording a session with Harmony.   *
By submitting this form and clicking below, you are consenting to recording a demo session Harmony Kwiker, MA, LPC, ACS, by your own will. You understand and are consenting to this recording being used for educational purposes on The Awakened Therapist Podcast, as well as other educational contexts and platforms.   *
A copy of your responses will be emailed to the address you provided.
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