Apply for an Upcoming Intensive

Because this intensive is not for everyone, and we only take 10 women at a time, we ask that everyone apply.
The cost is $3,000 per person. If your application is accepted, a 50% deposit will be required to reserve your space.

Apply for an Upcoming Intensive

Name:

Email:

Phone:

Which dates are you interested in attending?

What is your relationship status?

Currently in a relationship with betraying partner

Separated from betraying partner

Not in a relationship with betraying partner

Are you currently dealing with any of the following?

Trauma from Sexual Betrayal

Drug Addiction

Alcoholism

Sexually Based Addiction

Intimate partner violence

None of these

Please list all psychiatric diagnoses:

Please list all previous psychiatric hospitalizations: Date, Hospital, Reason

Please list any current psychotropic medications you are taking (and which diagnoses they are prescribed for):

Please indicate if you have any history of self-harm:

What is your history of therapeutic help?

Please indicate if you have any criminal history or pending criminal cases:

What goals do you hope to achieve by attending this intensive?

Please list anything else we should be aware of when considering your application:

Now accepting applications for 2025

Apply Now!

Apply for an Upcoming Intensive

Do you need help getting unstuck?