Apply Now | Be A Better Man 1: The Illumination Course

Emergency Contact Name

Emergency Contact Phone

Emergency Contact's Relationship to You

Which BABM 1 session do you want to apply for?

The following questions will determine if you are an appropriate candidate.

IMPORTANT:

You are required to have an individual therapist to participate in the Be A Better Man 1: The Illumination Course.

This course is not treatment. It is highly specialized psychoeducation to supplement ongoing therapy with your individual therapist.

Participation in this course does not establish a therapist-patient relationship between you and Dr. Minwalla.

You must rely upon your individual therapist if any clinical symptoms arise during or after the course.

If you have a partner, it is recommended that a plan be established, as relevant, for how and when to interact during and after the course, ideally, that includes support from a licensed mental health professional.

I acknowledge that I have read, understood, and agreed.

1. Do you currently have an established relationship with a licensed therapist?

Yes No

2. Does your therapist support your participation in the Be A Better Man psychoeducation?

Yes No

3. Who is your primary therapist?

4. If you currently have a partner, and its relevant, do they support your participation in the Be A Better Man psychoeducation?

Yes No

5. Dr. Minwalla only admits applicants who are prepared and personally motivated to take this psychoeducational course.

Keeping this in mind, please describe your interest and motivation for wanting to take this course:

• IF YOU HAVE ANSWERED "NO" TO ANY OF THE ABOVE QUESTIONS, PLEASE DO NOT APPLY.

Be a Better Man 1: The Illumination Course Application

Be a Better Man 1:
The Illumination Course Application

One More Step!

Please use the link below to schedule your 20-minute phone consultation with Dr. Minwalla.

The Institute for Sexual Health (ISH) is approved by the American Psychological Association to sponsor continuing education for psychologists. The Institute for Sexual Health maintains responsibility for this program and its content.

Be a Better Man 1: The Illumination Course Form

Be a Better Man 1:
The Illumination Course Form

Be a Better Man 1: The Illumination Course Application

Be a Better Man 1:
The Illumination Course Application

One More Step!

The Institute for Sexual Health (ISH) is approved by the American Psychological Association to sponsor continuing education for psychologists. The Institute for Sexual Health maintains responsibility for this program and its content.

Resources

Resources

Inquiries

Inquiries

Newsletter

©️ Omar Minwalla, Psy.D. 2023-2024, All Rights Reserved.