Private • One-on-One • Personally Reviewed by David Ryder

Private Emotional Transformation Session Inquiry & Intake

This form does two jobs at once: it helps us determine whether working together makes sense, and it gives me the complete intake information I need if we move forward. No second packet. No repeating the same story three different ways.

Comprehensive Initial Emotional Transformation Session: approximately 2 hours and $375. We begin with one session—no package required. If more work would help, follow-ups are $165 for 60 minutes, $250 for 90 minutes, $350 for 2 hours, and $525 for 3 hours. We decide that afterward based on what changed and what you want to work on next.

In-person sessions are available in Albany, Oregon. Private video sessions may be available nationally and internationally when the work and scope are appropriate. I still want a useful map before we start, so we can spend the session working instead of figuring out the basics.

Before You Begin

This is intentionally deeper than a typical application. Plan on roughly 30–40 minutes. If you need a break, use Save My Progress & Finish Later. Email yourself the private resume link or copy it somewhere safe. To continue later, use that link; reopening this page normally starts a new inquiry. Resume links expire after 30 days.

You do not need perfect answers. Short and specific beats polished and vague. If something feels too personal to put online, write “prefer to discuss live.”

One section asks for a Resolution List: short bullet-point names for memories or experiences that still carry stress, emotional charge, or a strong reaction. You will not be asked to write graphic details or relive the story in the form. The point is to give me a map of where the emotional weight may be concentrated before we begin.

You’ll also choose a positive reset memory—a real place, experience, or memory that reliably gives you access to a steadier, more life-giving state. During intense work, that gives us somewhere useful to return instead of spending two hours swimming laps in the problem.

This is not a crisis service. If you are in immediate danger or at risk of harming yourself or someone else, use emergency services or call/text 988 in the U.S.

Want to review how David approaches this work before filling this out? →

Your Private Inquiry & Intake

I read these personally. Give me the information that helps me understand the problem, not the version you think I want to hear.

Start Here - Step 1 of 6

This is both your inquiry and your complete intake. It goes deeper than a typical application because the work goes deeper too.

I want a useful map before we begin: what keeps happening, what sets it off, what your automatic response looks like, what it seems to protect you from, what meaning you attach to it, where it may have been learned, what has already helped, and what you genuinely want instead.

You will not need a second packet later. Short and specific is better than polished and vague. If something feels too personal to answer online, write “prefer to discuss live.” You can save your progress and finish later.

Name *

First

Last

Email *

Phone *

City, State / Country and Time Zone *

If we work by video, your location and time zone matter for scheduling.

Are you 18 or older? *

This inquiry is intended for adults.

How did you hear about David / Total Integrated Therapy?

Save My Progress & Finish Later

This section gives me the structure of the automatic response. Think of it as troubleshooting: what sets it off, what happens inside, what you do next, what the reaction accomplishes in the short term, what it means to you, what you fear, and where you may have learned a similar response.

TRIGGER — What tends to set the reaction off? *

A person, memory, thought, situation, sensation, conflict, performance, place, time of day, or anything else you notice.

AUTOMATIC RESPONSE — What happens first inside you? *

Include what you feel emotionally and physically, what your mind starts saying, images or memories that appear, and any immediate urge or impulse.

WHAT YOU DO NEXT — What do you usually do, avoid, or reach for? *

Examples: shut down, argue, withdraw, overthink, people-please, seek reassurance, procrastinate, work harder, distract, eat, drink, scroll, perform, avoid.

SHORT-TERM RELIEF / LONG-TERM COST — When you react this way, what does it help you avoid, reduce, or get through in the moment? What problem does it create later? *

For example: it may reduce conflict, create distance, numb a feeling, restore a sense of control, get reassurance, or help you escape something uncomfortable for a while. Then tell me what it costs afterward.

EARLIER ECHO — Think of an earlier situation when you remember feeling or reacting in a similar way. What was happening? *

It does not have to involve the same person or situation. Rejection, being shut down, not feeling good enough, fear, powerlessness, uncertainty, or another similar feeling may be the connection. If you remember roughly how old you were, include that too.

EXCEPTIONS — Think of a time when the same kind of situation could have triggered you, but the reaction was smaller—or did not happen. What was different?

What was different about you, the other person, the situation, your stress level, sleep, preparation, confidence, sense of safety, or anything else?

MEANING — In that moment, what conclusion do you start making about yourself, the other person, or what is going to happen? *

Use your own words. Examples: I do not matter; they do not want me; I am not safe; I am not enough; they will reject me; I will fail; I cannot trust them; this will never change.

WORST-STATE STORY — When this is at its worst, what does your mind say?

Optional. If there is a sentence that seems to take over when the reaction is strongest, write it as plainly as you can.

PROTECTION — Think back to the automatic response you described above. What pain, fear, rejection, loss, vulnerability, or uncertainty might that response be trying to protect you from?

You do not need to force an answer. Sometimes anger, shutdown, overthinking, reassurance-seeking, avoidance, or another reaction creates distance, control, certainty, numbness, or escape from something that feels harder underneath. If nothing comes to mind, leave this blank.

When you are in that state, how true does that darkest-day statement feel?

Selected Value: 5

0 = I know it is not true; 10 = it feels completely true in that state.

FEARED OUTCOME — What are you most afraid will happen? *

What feels dangerous, painful, humiliating, unacceptable, or impossible about the situation or where it could lead?

ADAPTED AROUND — What have you quietly adapted around or stopped trying to change?

Optional. This can reveal where the problem has become so familiar that you have started organizing life around it.

IF THIS WERE NO LONGER RUNNING THE SHOW — What would feel different? What would you be able to think, feel, say, or do differently? *

You do not need to describe a perfect life. Describe what would become easier, clearer, calmer, freer, or more available to you.

WHAT IS KEEPING THE OLD PATTERN IN PLACE? — What do you think is keeping you from experiencing or responding that way now?

If something about changing the old pattern feels risky, unfamiliar, vulnerable, or unsafe, include that too. Your best guess is enough.

YOUR SIDE OF THE EQUATION — If another person is part of this problem: regardless of what they do, what would you most like to understand or change in your own reactions, choices, communication, or boundaries?

This is not about taking all the blame. It helps separate what is within your influence from what belongs to someone else.

Save My Progress & Finish Later

Build a Resolution Map, not a perfect autobiography.

You do not have to begin with a neatly packaged memory. Sometimes what comes first is a feeling, conclusion, recurring experience, or theme: rejected, unwanted, blamed, unsafe, not good enough, ignored, controlled, abandoned, or something else.

Start with what is actually there. If a specific earlier experience comes to mind that carried the same feeling or meaning, add a short title for it. A few words is enough. You do not need graphic detail, and you do not need to force a memory that is not there.

The purpose is curiosity: to notice which experiences or meanings still seem linked with emotional charge, avoidance, beliefs, protective habits, or coping patterns.

Put the most important items first. If several answers turn out to be different versions of the same underlying pattern, that is useful information too.

RESOLUTION MAP — What feelings, meanings, recurring experiences, or specific memories still carry emotional charge? *

Start with whatever comes most easily: rejected, unwanted, not good enough, ignored, controlled, abandoned, blamed, unsafe, ashamed, angry, or another theme. For any theme, add a specific earlier experience that felt similar if one comes to mind. Short phrases are enough; no graphic detail.

Your Priority Experiences & Themes

Choose the experiences or themes that feel most relevant now. A priority item can be a specific memory or a repeating feeling / meaning. If several answers are really one consolidated pattern, do not invent five separate stories just to fill the boxes.

For each item you use, give me three things: the short title, what you feel when you think of it now, and what it seems to mean about you, other people, or life.

Repetition is okay when another pass reveals more detail. We are looking for the structure of the pattern, not grading your memory.

Priority Experience / Theme #1 — title / feeling / meaning *

This can be a specific memory or a repeating emotional theme. Give me the short title, what you feel now when you think of it, and what it seems to mean about you, other people, or life.

Priority Experience / Theme #2 — title / feeling / meaning

If there is a second distinct experience or theme, give me the short title, what you feel now, and what it seems to mean. If it is really part of #1, you do not need to force a separate answer.

Priority Experience / Theme #3 — title / feeling / meaning

If there is a third distinct experience or theme, give me the short title, what you feel now, and what it seems to mean. If not, leave this blank.

Priority Experience #4 — Optional

Use this only if there is another experience you strongly want on the early map.

Priority Experience #5 — Optional

Use this only if there is another experience you strongly want on the early map.

What themes seem to repeat across these experiences?

Examples: rejection, abandonment, criticism, not being safe, not being enough, loss of control, betrayal, failure, having to take care of everyone.

Now give me somewhere good to take you.

People do not always have a perfect positive memory ready on command—especially when life is difficult. So start somewhere concrete.

Think of a place you like to go when you want to relax or get away, or somewhere you would go if you could: the beach, mountains, a river, forest, desert, a cabin, a favorite room, a place from a trip, or somewhere else.

Then tell me what you like most about being there. The sights, sounds, space, warmth, quiet, freedom, movement, people, smells, or sensations give us a real state we can return to during emotionally intense work.

You do not have to feel wonderful while filling out the form. We are simply finding a doorway to a steadier or more life-giving state.

RESET PLACE — When you want to relax or get away, where do you like to go—or where would you go if you could? *

Beach, mountains, river, forest, desert, a cabin, a favorite room, a place from a trip, or somewhere else. It does not have to be profound; just choose somewhere that feels easier, freer, quieter, more alive, or more like you.

What do you like most about being there? *

What do you see, hear, smell, feel in your body, or enjoy most about that place or experience? These details make the state easier to access later.

When you imagine being there right now, how strongly can you access even a little of that better state?

Selected Value: 5

0 = I can describe the place but do not really feel anything yet; 10 = I can access the feeling very strongly. There is no right score.

What does that place or experience give you most strongly? *

Examples: calm, freedom, space, safety, joy, connection, aliveness, playfulness, confidence, peace, relief, curiosity, or simply a break from demands.

If you could have more of one emotional state in daily life, what would you choose?

Optional. Examples: freedom, calm, confidence, connection, joy, safety, courage, playfulness, love, energy, curiosity.

What strengths or capacities do you already have that we can build on?

Optional, but useful: what have you survived, learned, built, practiced, or become good at that we can draw on?

What matters most to you?

Optional: list the people, values, roles, goals, or parts of life that you most want this work to serve. If something like intimacy, acceptance, connection, success, freedom, or approval matters deeply, tell me what it represents or gives you.

Save My Progress & Finish Later

Phone

What Happens After You Submit?

I’ll review the pattern you described, what you really want, your biggest fears and frustrations, what you may have given up trying to resolve, what you have already tried, your Resolution List, your positive reset memory, readiness, practical fit, and whether the level of support you need matches what I responsibly provide.

If I think my approach may be useful, I’ll contact you with the next step. If I think another kind of professional support would be more appropriate, I’ll tell you that too.

There is nothing you need to sell me on—and nothing I need to convince you of. We’re finding out whether working together makes sense.

Private Emotional Transformation Session Inquiry & Intake

Before You Begin

Your Private Inquiry & Intake

Build a Resolution Map, not a perfect autobiography.

Your Priority Experiences & Themes

Now give me somewhere good to take you.

Know what you are signing up for.

Before You Submit

What Happens After You Submit?