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Understanding Client Intake Forms

All clients must submit a Client In-Take form to become a nervous system regulation client. A client only has to fill out a Client In-Take form once. There are specific cases where this may change. Please read the logistical policies on client criteria for more information.

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What is the purpose of the Client In-Take Form?

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Clients must apply via a Client In-Take Form to ensure they fit the criteria of a nervous system regulation client (age, current mental health information, etc.). The Client In-Take will inform your coach of your important goals with your sessions. Your goals are subject to change throughout our session(s). The information you provide within a Client Intake will indicate a starting point.

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For safety reasons, a Client Intake will take information about your current mental and physical health that may impact the relationship to nervous system regulation. This information is never shared.

If at any point critical information about your mental health or physical health changes impact your coach’s ability to safely be a partner in your self-development process, a client is to report these changes to me immediately.

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Your coach will update the information in your intake to continue to best serve you or refer you to another practitioner better to serve your needs.

Client Acceptance

Who is a good match for this style of nervous system coaching?

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I currently work best with individuals who (1) can hear an audible internal monologue, (2) have active internal mental imagery, and (3) have a moderate ability to feel nervous system signals, emotions, and sensations. This criteria works best for the structure of The Subconscious Codex.

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Additionally, there are four main pillars to sessions: (1) metacognition strategy, (2) goal-centered nervous system regulation, (3) cognition programming detection, and (4) nervous system mapping. 

A person may use all four pillars or mainly just one during sessions. A person's compatibility with each of the pillars may vary, and this is why sessions are structured to the client - the client is not structured to the session.

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Who does not qualify for a session at this time?

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I am currently unable to take clients currently undergoing extreme mental health symptoms: extreme disassociation, frequent nightmares, substance abuse, addiction, compulsion, hyper-fixation, excessive mood swings, excessive rumination, psychosis, or any symptom that heavily impacts the nature of the mind.

My sessions are not a replacement for therapy or professional mental health services.

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Additionally, the following topics and conditions can not be services or discussed within your session: (1) mental health diagnosis, (2) information on mental health symptoms, (3) intrusive throughs, (4) hyper fixation, (5) excessive rumination, (5) compulsion, (6) excessive pathological disassociation, (7) addiction, (8) depersonalization & derealism, (9) providing therapeutic services, (10) behavioral changes due to brain damage, (11) abusive relationship dynamics, and (12) sexual dysfunction.

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Additionally, clients under the age of 18 are not being taken at this time.

Policies

Right To Refuse Service: Due to the sensitive nature of coaching, a coach remains the right to refuse service if a client is not a good fit for the experimental nature of the sessions.

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Due to the nature of coaching services, we remain the right to refuse clients that do not meet the client criteria due to mental or physical or reported medical symptoms that impact the ability to safely receive nervous system regulation coaching.

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Non-Discrimination Policy: Our organization is committed to a policy of equal opportunity and does not discriminate in terms, conditions, or privileges on account of race, age, color, sex, sexual orientation, national origin, or religion.

Mental Health Disorders In Nervous System Coaching

I am currently diagnosed with mental health disorder(s), however, I have been working with a therapist for quite a while. My symptoms are stable, and I feel regulated. I am in treatment, and that treatment is working well. Can I do a session with you?

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That is a discussion to be had with your therapist. Nervous system regulation coaches are generally green-lighted to work with individuals who feel relatively emotionally regulated and aren’t currently experiencing extreme symptoms. Additionally, we are often green-lit to work with clients who have knowledgeable practices around their disorder(s) and are currently able to live in a way where they can seek out additional pathways of healing and living while it is mentally and physically safe for them.

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It is up to the coach to ultimately then decide if they believe they are best fit to serve your needs. If not, a coach will indicate to you why and refer you to someone who may better your needs. 

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In case-by-case scenarios, you may reference a written note from your therapist saying that you are stable enough to participate in nervous system regulation coaching. You can email us at thesubcodex@gmail.com, and then the coach can decide if they are a good fit to continue with the coaching-to-client relationship. Ultimately, this is a decision made between three parties, you and your therapist first. If approved, you and your coach.

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The last time I applied for a session, I did not fit the criteria of a nervous system regulation client due to having active mental health symptoms. Since applying last time, I have been able to get a therapist and have since regulated those active mental health symptoms. Am I able to apply to be a nervous system regulation client again?

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Yes, you may apply again.

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Is it okay to do a somatic, metacognition, or nervous system regulation session with you if I am diagnosed with a mental health disorder?

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It depends on where you are with your mental health support. It would depend on whether you have access to a mental health professional and mediation you feel you benefit from.

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Secondly, it would be important to understand the current fragility of your mental health condition. If you are currently experiencing mood swings, extreme disassociation, depression, compulsion, hyperfixation, prone to addiction, or any more extreme mental health symptom, it would be best for you to continue your relationship with a professional mental health practitioner.

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What if I am currently unaware if I am displaying mental health symptoms that would be better off treated by a mental health therapist or professional?

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We understand that not all client comes in with a previous understanding of the nature of their mental health. Though your coach is not trained to diagnose, all mind-to-body coaches are trained to look for symptoms of mental health that fall outside of their scope of practice while in a session with you. If symptoms look at a level at which they need to be managed by a professional therapeutic council, your practitioner will let you know and will refer you to our database of therapists. 

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It is not the position of a session facilitator to diagnose a client, so we will not be able to indicate to you an anticipated diagnosis. We are trained instead to seek more extreme cases of dysregulated nervous systems, and we are then trained to reference you to other individuals who can better serve the current condition of your needs.​

Information On Client Acceptance

When can I expect to hear back if I have been approved for a session?

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You will be contacted within 10-15 business days if you are selected as a client. There may be a current wait time in our scheduling list. After we review your Client In-Take Form, we will send you a payment page, scheduling information, and a coaching agreement form to sign.

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If I have not been approved for a session can I apply again?

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Yes, please wait at least three months before applying again. â€‹

Updating Information On Past Client In-Take Forms

In which cases should I send information to update my Client In-Take Form?

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You only have to fill out a Client In-Take Form once. You may email thesubcodex@gmail.com to update your health information. Please inform us if any of the following apply to you, and we will update your Client In-Take for you:

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• You have significant mental health symptoms that arise.

• The mental health symptoms you previously noted within your Client In-Take form have deepened in severity or frequency.

• Something in your physical health changes that may impact your ability to participate in nervous system regulation exercises.

• You started seeing a therapist or another practitioner. Your coach should remain informed if you are in regular coaching with them, so they understand what other professional treatment you are receiving that may impact the nature of nervous system regulation. Your coach may pause sessions to not mix practices for safety.

• (1) Something in your mental or physical health has changed that you feel my nervous system regulation coach should know. (2) Something in your mental or physical health has changed that you feel may make me unfit for nervous system regulation coaching at this time.

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I need to update some of the information on my Client In-Take Form. Where do I send that information?

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You may email updated Client In-Take information to thesubcodex@gmail.com.

Explore commonly asked questions.

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SESSION PILLARS

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REGULATION

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COGNITION DETECTION

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SESSION GOALS

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SESSION RESTRICTIONS

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CLIENT CRITERIA

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LOGISTICS & POLICY

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RESOURCES

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