Apply Now | Be A Better Man 2: The Application Course

Emergency Contact Name*

Emergency Contact Phone*

Emergency Contact's Relationship to You*

Which Be a Better Man 2: The Application Course session do you want to apply for?*

May 25 - 28, 2023 July 27 - 30, 2023 September 28 - October 1, 2023

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 2: The Application 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.

You are not a suitable candidate for this course if you have been hospitalized for anything psychiatric, have attempted suicide or have experienced any serious psychological concerns, since you took the last course.

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. Have you taken Be a Better Man 1: The Illumination Course? (previously called Trauma Model Psychoeducation Course-TMEC) *

Yes No

When did you take Be a Better Man 1: The Illumination Course?*

6. 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:

Anyone is welcome to schedule a free 20-minute consultation to discuss this course with Dr. Minwalla.
In addition a consultation is required if you have indicated "No" to any of the above questions.

This is to verify that I meet all of the prerequisites/requirements mentioned for Be a Better Man 2: The Application Course and do not need the 20-min consultation. I would like to register without a consultation.

Be a Better Man 2: The Application Course

Be a Better Man 2:
The Application Course

Thank you for your interest in The Be a Better Man 2 Course. Your Application has been Submitted.

ISH is reviewing your application. Please look for an email from “[email protected]” for more information regarding your application.

Be a Better Man 2: The Application Course

Be a Better Man 2:
The Application Course

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 2: The Application Course Form

Be a Better Man 2:
The Application Course Form

Be a Better Man 2: The Application Course

Be a Better Man 2:
The Application Course

Thank you for your interest in The Be a Better Man 2 Course. Your Application has been Submitted.

Be a Better Man 2: The Application Course

Be a Better Man 2:
The Application Course

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.