Be a Better Man 1: The Illumination Course Form

Be a Better Man 1:
The Illumination Course Form

Thank you for your interest in the Be A Better Man 1: The Illumination Course.

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.

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