Application for a Strategic Consultation.

This is the first step in our rigorous selection process.

Complete the application below with care and candor. This is a diagnostic tool to determine if you have the mindset and commitment required for this intensive program. If your application is a strong match, you will be invited to a no-obligation, 15-minute strategic consultation.

A Reminder of the Required Mindset.

This Protocol is Engineered For:

  • High-achievers who demand a structured, data-driven process.
  • Psychologically-minded individuals focused on solving the problem.
  • Those prepared for an intensive, high-accountability program.

This Protocol is NOT For:

  • Individuals in acute crisis or requiring psychiatric care.
  • Those seeking open-ended, passive emotional support.
  • Anyone not prepared to engage in consistent, independent practice.

The Selection Process

1

Submit Your Application:

Complete the diagnostic form below. This is our primary tool for assessing fit.

2

The Strategic Review:

Your application will be personally reviewed by our Clinical Strategist within 24-48 business hours.

3

The Final Consultation:

If your application is a strong match, you will be invited to a brief, no-obligation consultation to confirm alignment before a final decision is made.

The Application

This is not a contact form. Your answers will be used to evaluate your suitability for the 30-day protocol.

Confidential • Encrypted • Reviewed within 24–48h

Licensed psychotherapist (BACP Reg.)
HIPAA-grade platform • End-to-end encryption