Deep Dive Intensive with Liana

Thanks for filling out this application to apply for a 3-hour, one-on-one intensive designed to help you get unstuck, move through what has been holding you back, and build a new relationship with your body.

WHAT IS THIS INTENSIVE?

If you have been doing mid-body work; reading the books, attending the programs, trying to regulate your nervous system and yet something still feels stuck, this intensive was built for you.

This is not another information session. It is a focused, deeply personalized 3-hour container designed to go beneath the surface of your symptoms and into the nervous system patterns, fear-based beliefs, and emotional material that are keeping you looping.

Using the Mind-Body Healing Method alongside EMDR (Eye Movement Desensitization and Reprocessing), Liana will help you move through the exact places where you feel most frozen, frustrated, or afraid and begin to experience real, felt-sense change in your body.

APPLICATION PROCESS

Once you complete this application, we will get back to you within 24 hours M-F to let you know if it's a good fit to move forward. If you have any further questions, you can email hello@healwithgrace.co

First Name

Last Name

Email*

Phone Number

Country

State

Preferred Name/Pronouns

What symptoms or concerns are you hoping to address in this intensive?

How long have you been experiencing these symptoms?

What feels most “stuck” right now?

What makes you interested in our retreat?

What felt helpful? What didn't?

Are you currently working with a therapist or mental health provider?

Do you feel you generally have tools or support to help you regulate when emotions come up?

Is there anything about your trauma history or emotional health you feel we should know to support pacing and safety during the intensive?

Please indicate if any of the following apply currently: If you check any of these , we may recommend additional support or a different format before scheduling an intensive.

Active suicidal thoughts

Active self-harm behaviors

Recent psychiatric hospitalization

Active psycosis or mania

Severe dissociation that interferes with daily functioning

Current substance dependence

What would feel like a meaningful outcome from this intensive?

I understand this is a coaching intensive, not psychotherapy or medical treatment.

I understand this work may involve emotional and physical sensations and will be paced collaboratively.

I understand results are individual and not guaranteed.

How did you hear about this offering?

Is there anything else you want us to know as we consider whether this intensive is the right fit for you?

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Deep Dive Intensive with Liana

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