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Private Empath Clarity Session — Intake Request

Please complete this form to request a one-on-one clarity session.

These private sessions are designed for people who are actively working to break trauma bonds and regain emotional stability after unsafe or manipulative relationships.

This is not therapy and not crisis support.

Sessions are intentionally limited and focused on clarity, grounding, and forward movement.

This form is not monitored for crisis support.

If you are in immediate danger or experiencing thoughts of self-harm, please contact local emergency services or a crisis hotline in your area before completing this form.

What are you currently navigating?

What are you hoping to gain from this session?