Worried about your child’s future? Do they have trouble focusing in school? Are you worried that they will be left behind? Not being able to make friends, be able to hold a job or live on their own?

Is your child too tired to play with other children or get winded after playing a game with other children after a few minutes?

Is your child in pain most of the day and are you worried they will never recover?

It’s so challenging. It’s hard enough to be in pain or have medical or mental health issues, but when your own child is suffering, your heart just breaks every day and you can feel at a loss. 

I’ve helped many children like this, children who get stuck in their nervous system, whether it be attention/focus issues, pain, headaches, tactile issues, autism, OCD, mood disorders, anger, fatigue, etc. 

It’s frustrating and you feel like no one is helping and your child is just getting sicker and sicker. You’ve been to a million doctors and not one is helping. They just tell you to go to psych/behavioral help. But the medications are even worse and cause all kinds of side effects, even some scary ones like hallucinations or hearing loss. You may feel stuck and not know what to do. You may feel disconnected from your child and not even like them very much. It’s not your fault. You are not a bad parent.

Here is a story from one such child, who I have been seeing since age 2 with an autism diagnosis, about his healing journey: 

“My son regressed into Autism just after his first birthday. Instead of watching us and laughing with us he would just stare into space. Our attempts to get his attention with a loving gaze were distressing for him. Even when he was in my arms, he seemed so far away. I knew he was still in there, I just couldn’t reach him anymore. I also knew he was in distress and I knew he needed help.  In those early days I longed for just a flicker of eye contact or a glimmer of a grin. 

A few months later I reached out to Cedar Rose Naturopathic for our first consultation. 

Dr. Eisenheim’s combined methods of diet, homeopathy, and herbal medicine over the past few years have been a key factor helping our son not only become verbal and social, but also loving, confident and a good friend. He has crossed milestones that his conventional doctors weren’t sure he would. We often get compliments from family, friends, doctors and teachers about his wonderful personality, his happy nature and his incredible progress. I am so thankful for Dr. Eisenheim’s help and can’t recommend her enough.”

                    Mother of child now age 6, Amherst, MA 

Unfortunately our conventional pediatric medical system is not equipped to assess or treat children with complex neurological/immune/behavioral/cognitive issues. Quite a mouthful, I know. 

There can be multiple triggers and multiple causes of these issues. First, it is important that we find and treat the cause(s). Common triggers can be Tick borne illnesses or a virus that triggers an autoimmune response in the brain or nervous system, consistent social isolation with a heavy dose of fear for many years, as in the recent pandemic, gut dysbiosis( too many harmful bugs in the digestive system, often caused by overuse of antibiotics) causing disruption of neurotransmitters leading to inflammation in the brain, or environmental toxin exposure, such as mold or plastics. Many times it is more than one thing. It can be complicated. 

I am here to help. I’ve seen children diagnosed with autism, OCD, ADD/HD, depression, cyclical vomiting, as well as those with deep anger and social anxiety issues transform from children who are barely functional or not functional at all into thriving, healthy children who are full of energy, compassion, enthusiasm and life. They go from being disruptive in the classroom to leaders who can participate in a classroom and make friends. Or from only wearing 2-3 clothing items or only eating 3-5 foods to not fussing and not spending an hour getting dressed, and able to enjoy a wide range of foods. 

The family becomes more harmonious and there is less tension in the household in general. You don’t have to walk on eggshells around the child anymore. 

Here’s what one parent from Great Falls, MA says about her 8 year old child:

“I came to you to resolve the sensory stuff. MY KID IS WEARING UNDERWEAR!!!

It’s a total miracle. I’m not joking. She’s wearing so many different outfits I can’t count them…. when I came to you it was literally one pair of pants and one pair of socks. She’s still sensitive but it’s workable.” 

Once we’ve figured out the cause or causes( this takes time) with diagnostic testing for some of the potential causes listed above: bacteria and viruses, environmental toxins, gut dysbiosis, emotional triggers like grief, fear, isolation and trauma, then we take the following steps, not necessarily in this order:

• Heal the gut. When we heal the gut, we heal the immune system and get nutrients to vital organs. 
• Address inflammation and causes of inflammation( food sensitivities, leaky gut, EMF’s, sugar, toxins, etc) 
• Calm the nervous system, support and optimize brain and nervous system function
• Balance the immune system 
• Support damaged organs and structures 
• Emotional reset/address safety issues 
• Optimize depuration systems(the systems that help us get rid of waste-lungs, lymph, kidneys, liver, skin, etc). 
• Family healing/harmony 

I help children and their families with chronic illness who feel maxed out by conventional medicine recover from pain, fatigue, neurological diseases and mood disturbances to become healthy, vital children who are full of energy, through the use of age-old natural medicines combined with the latest research.

This all takes time. Children, especially young children can heal quickly and remarkably well, depending on the damage that has been done and how long it has been going on for. It takes 6-12 months to really turn the corner and feel like a new person and a new family, but you can start seeing results in one month. 

How do we do this? 

• We optimize nutrition-take out the yucky, inflammatory causing foods and replace them with healthy, nutritious, healing foods.  
• Replace deficient nutrients to support healthy removal of waste products(depuration), a healthy nervous system, balanced mood, functioning digestive system, balanced immune system as well as support damaged organs and structures. 
• Craniosacral therapy/visceral manipulation to help support damaged organs and structures, reset the nervous system and provide emotional support and release where a child may have gotten stuck developmentally or emotionally by a trauma or injury. 
• Botanical medicine and Nutraceuticals like antioxidants and B vitamins to heal the digestive system, calm the nervous system, support damaged organs and structures, and reset the nervous system. Tulsi, pictured above is one of the plants we use alot to calm the nervous system and balance the immune system. 
• Homeopathy to support the inherent healing nature within all children, reset the nervous system, immune system or any other system that is stuck. This often provides the most profound, deep healing of all the modalities. Children respond remarkably well to homeopathy. 

Here’s a testimonial from a mother of a child with ASD and focus issues from Amherst, MA that illustrates some of the points from above: 

“I consulted with Dr. Eisenheim at the suggestion of a therapist to see if we could help my son improve his focus.  He is living with ASD and has been doing well building social skills and developing emotional regulation, but was still struggling with his focus.  He was so easily distracted that it was hard for him to complete a task without forgetting what he was doing multiple times and becoming frustrated.  

Dr. Eisenheim made an herbal tincture special just for him and suggested adding a couple supplements.  Now, just over a month later, I am hearing about the wonderful progress he is making.  His teacher told me how he has begun to use his voice in a productive way to start class conversations.  His therapist is also impressed with how fast he is learning new social concepts and how well he is coping with frustration. 

I am impressed with the improvements I am seeing in his daily activities.  He is taking a much more active role in bathing, brushing his teeth, choosing his clothes, and dressing himself.  His independence is one of our goals and to see him so excited and motivated to take on more of his personal care is really encouraging.”

    She also discusses how he has been able to have less cycling vomiting episodes here: 

“We have also had good results managing his cyclical vomiting syndrome with Dr. Eisenheim’s help.  He was having episodes every 2 months for nearly 2 years.  After beginning to use an herbal tincture, a homeopathic remedy, and some supplements under Dr. Eisenheim’s care he went over 6 months between his last episodes.  I am so relieved for him.  It is a really helpless feeling when your child is sick and I am thankful we have been able to substantially reduce the frequency of these episodes and I’m hopeful they will end altogether.”

If you are interested in learning more about how Dr. Eisenheim can help, please schedule a free 15 minute consultation here: www.cedarroseheals.com/appointments. 

*This is not a medical consultation, no advice will be given, but a chance to ask questions and get to know each other. 

I’ve been getting alot of questions about dog tick bites and what to do about them. Parents are calling me saying they are finding 2-4 dog tick bites on their children a week. I am finding the same thing is true with my 2 year old daughter. Yikes!  It feels like an infestation. 

What do you do when you find so many embedded ticks and do dog ticks carry any disease? Do you need to worry about dog tick bites?

Read on to find out more. 

First of all, I want to bust a myth. Dog ticks CAN carry disease, it’s just less common than deer ticks. I have seen dog ticks positive for Boriella. According to the Tick Research Lab of Pennsylvania, dog ticks(Dermacentor variabilis) can carry Ehrlichia, Francisella, Anaplasma, Boriella and Rickesia. I called the Tick Report lab in Amherst. They receive samples from all over the country and they said that they have seen some positive test results for the above pathogens from dog ticks, but nothing from Massachusetts yet this year. 

So what do you do when you find so many dog tick bites on you or your children? You can’t send every tick in to get tested, right?

I suggest 1. save the ticks in the freezer in a ziplock bag, making sure to label the bag with the date, location of the bite and any other info you know at the time, such as how long the tick might have been on for, if it was engorged and easy or difficult to remove, and anything about the bite site. 

2. Follow the guidelines on what to do if you get a tick bite(see tick bite protocal below) to keep your immune system up with the tick pathogen nosode and Lyme herbs(both available in the tick kit). 

3. Hold on to the ticks and if there any symptoms that develop(fever, fatigue, pains, rash, sudden change of mood for example) send in the tick in to be tested for the full pathogen panel. 

4. Set up an acute consult here to get help right away and prevent chronic Lyme disease: https://cedarroseheals.com/appointments.

Protect yourself and your loved ones with a tick kit. Stock up on Lyme herbs and remedies to have on hand for when you get a tick bite. As many of you know, the sooner you get started with treatment, the better.  And you can use natural treatment alongside any antibiotics you might need to take. 

Order a tick kit today with all the products I recommend in my tick bite protocol. See my full tick bite protocol and prevention info below. If you need more help, have active symptoms, have a child under age 2 or this is your first tick bite and are unfamiliar with my products, please schedule an acute consult here: https://cedarroseheals.com/appointments.

To purchase a tick kit, email [email protected] or 413 676 9009 today. They will be ready for pick the following week.

Here’s what one patient has to say about getting help with a tick bite: 

“I feel assured to know that Dr. Eisenheim is available in our community to give expert advice and treatment for Lyme disease. Her Tick Kit is invaluable. I can’t access this expertise and treatment elsewhere, either from my primary care doctor, the ER, or other qualified specialists for whom there is a long wait time. Treatment for Lyme disease can’t wait.”
 
G K, Wendell, MA

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Dr. Eisenheim’s Tick Bite Protocol:                                 

1. Remove tick as soon as possible with tweezers or a tick spoon. Pull the tick slightly up and then in a direction along the skin. Pull gently and swiftly. Do not irritate the tick by applying Vaseline, lighting the tick on fire prior to removal or putting pressure on it. You may apply some antibacterial ointment or salve to the area after removal, or honey. Honey can help expel the bacteria from the skin, is antibacterial in nature and anti-inflammatory. 

2. Send the tick in for testing through UMass. The tick does not have to be alive. Testing a tick is far more accurate than testing human blood for Lyme disease and co-infections.

https://www.tickreport.com/

3. While waiting for the results, it is suggested to start on the herbal and homeopathic protocol.

The homeopathic protocol is to be followed this way: 

1. 1. Day 1: take 3 pellets (ONE TIME ONLY) of the Ledum 200ck under the tongue
   2. Day 2: take 3 pellets (ONE TIME ONLY) of the Hypericum 200ck under the tongue
   3. Day 3: take the tick pathogen nosode for one month. Take the nosode in the following way: 10-15 drops three times/day for adults and 5-7 drops for children three times/day. It is important to take the homeopathic remedies under the tongue 20-30 minutes away from any food, drink or supplements/medications. Keep the homeopathics (Ledum, Hypericum and Tick pathogen nosode) away from electronics and cell phones.

It is suggested to start the herbal protocol immediately after any tick bite has been found. For adults take the Lyme Away Tincture at 4 dropper-fulls 3 times/day for 3-6 months. For children ages 2-5, 1 dropper-full per day, ages 5- 8, 2 dropper-fulls/day, ages 8-12, 3- dropper-fulls/day and ages 12 and up take the adult dose.

4. If you do start having symptoms, such as a fever, rash (does not have to be a bull’s eye to count), joint pain, headaches, dizziness, confusion or brain fog, then go to your primary care doctor or urgent care for a Doxycycline prescription. The International Lyme and Associated Diseases Society (ILADS) suggest 6 weeks of antibiotics. There is evidence to suggest that the one-day “preventative” dose is not effective and actually causes more harm than good. If the tick comes back positive for Lyme or a co-infection, continue with the antibiotics and herbal protocol (4 droppers-full 3 times/day(for adults), likely for 6 months). Note: It is best to make an appointment for an acute consult with Dr. Eisenheim if the tick is positive for a co-infection. Treatment is different when co-infections are present. 

5. If you are taking antibiotics they will be most effective and tolerated by you if you completely avoid sugar and all sweeteners, eat a minimal amount of whole grains and dairy, and large amounts of cooked and fermented vegetables. Taking a probiotic (at least 50 billion with 14 strains) twice/day 2-3 hours AWAY from the antibiotic or a spore based one that you can take at the same time as the antibiotic will prevent any bacterial or fungal overgrowth and unpleasant symptoms such as gas, bloating, diarrhea or constipation. They are available for sale by Dr. Eisenheim. 

6. It is recommended to get tested with a Western blot test 4-6 weeks after a tick bite. If you have been on antibiotics previously the test could be falsely negative: meaning that you could still very well have Lyme disease even if the test says that you do not. Never rely on testing alone to determine if you have Lyme disease.

Prevention: 

• Wear long pants and socks as much as possible when outside in the woods, fields or the garden
• If not chemically sensitive, u se permethrin spray on clothes, shoes and outdoor gear only (we like Ben’s Clothing and Gear Insect Repellant 0.5% Permethrin spray, available at Sam’s Outdoor store), along with a cedar or other essential oil spray, such as geranium, lemongrass, or neem  on your skin. Permethrin is an insecticide derived from chrysanthemum flowers. Apply the Ben’s spray on your gardening/hiking clothes and allow to sit for 2 hours before use. The applied clothes can go through the wash many times before reapplication is necessary. If you live in the woods spray all of your clothes.
• If you have pets get them treated or use a tick prevention collar
• D o a tick check daily. Some people who live in rural areas and children need to do a check twice per day – in the evening and the morning. Be sure to check head, armpits, behind the ears and neck and in genital areas.
• Take either the tick pathogen nosode or Lyme tincture preventatively on a regular basis throughout the tick season. Take the nosode at 10-15 drops once weekly for adults and 5-7 drops for children ages 2-12. It is important to take this on a clean tongue, 20-30 minutes away from any food, drink, medication, or supplements. Keep the nosode away from electronics and cell phones. Take the Lyme Away tincture/ glycerite at 1 dropper-full/day for adults and ½ dropper-full for children ages 2-12.
• See Tick Bite Protocol if you find a tick bite.  
   

*DISCLAIMER: This does not replace medical advice or treatment. If you are having active symptoms, please schedule an acute consult here: https://cedarroseheals.com/appointments. There is no guarantee that you will not get a tick bite or contract Lyme disease/tick born diseases. There is no guarantee that every individual will achieve the same results. Results are dependent on other factors such as pre-existing conditions, co-morbidities, diet, lifestyle, and commitment and time to allow change to occur.

To purchase a tick kit, email [email protected] or 413 676 9009.  

At long last, after 20+ years, Naturopathic doctors can apply for licensure in the state of Massachusetts. I now hold in my hand Naturopathic license number 26.

What does this mean for you? I can now order imaging like X-rays and lab work so we don’t have to go through your primary care provider. Some labs like the GI map stool test might get covered by insurance if you have out of network benefits. There is no insurance coverage for visits. I cannot prescribe any medications.

Do you have an FSA or HSA account? Check your balance and your coverage. Now is the time to schedule end of the year visits to help plan for preventing any chronic illness flare ups, come up with a plan to deal with holiday food issues and digestive issues or how to (mostly) stay on healing diets and family dynamics. Also, get help for your children dealing with all the colds and viruses going around. Most accounts will cover supplements and labs not covered by insurance and some will pay for consultations, especially now that I am licensed.

You can schedule consults and craniosacral appointments here:  https://cedarroseheals.com/appointments

Lastly, Cedar Rose Signature tea is back for sale and 
for enjoying in the office when you come in. I used to make Cedar Rose tea pre-pandemic for patients coming into the office. It is very relaxing and refreshing and adds to the whole experience. You can pick some tea up for taking home when you come into the office or can order it by emailing [email protected] or sending a portal message on Charm. 

All the best, 

Dr. Nitya Eisenheim, Naturopathic doctor

Tick season is here. Stock up on herbs and remedies to have on hand in case you or a loved one gets a tick bite. Doesn’t it always happen on the weekend or when you’re on vacation and can’t get to the office to pick things up? As many of you know, the sooner you get started with treatment, the better.  And you can use natural treatment alongside any antibiotics you might need to take. 

There is Lyme away tincture or glycerin, tick pathogen nosode and other homeopathic remedies I can place on Wellevate for you. If you need more help, have active symptoms, have a child under age 2 or this is your first tick bite and are unfamiliar with my products, please schedule an acute consult here: https://cedarroseheals.com/appointments.

To purchase remedies and herbs , email [email protected] or 413 676 9009 today.

     Here’s what one patient has to say about getting help with a tick bite: 

“I feel assured to know that Dr. Eisenheim is available in our community to give expert advice and treatment for Lyme disease. Her Tick Kit is invaluable. I can’t access this expertise and treatment elsewhere, either from my primary care doctor, the ER, or other qualified specialists for whom there is a long wait time. Treatment for Lyme disease can’t wait.”
 
G K, Wendell, MA

Welcome Emily Luhrs, Licensed Massage Therapist to the space!

Emily’s goal is to work with clients who would like to participate in their process of healing, wellbeing, and reducing symptoms associated with pain or stress be it physical or mental. Each session aims to meet clients’ specific needs, whether it be relaxation or pain management. She aims to provide a relaxing experience while addressing areas of discomfort and bringing client’s awareness to their bodies.

Her massage blends myofascial techniques, assisted stretching, Swedish, shiatsu, and trigger point work when appropriate. She practices Cranial Sacral therapy as well, which can be booked separately or coupled with massage after an initial cranial sacral session. Emily believes in touch, now more than ever, as a way of reentering and grounding into our skin and being. She looks forward to building a continual therapeutic relationship with her clients. To inquire about booking: visit Emily’s website here.

New podcast and YouTube video added to the Lyme disease page! View and listen here: https://cedarroseheals.com/lyme-disease/

Listen to Dr. Nitya Eisenheim as she discusses Lyme disease from head to toe including her 9 step approach for treating Lyme Disease naturally(image below). Are you ready to learn how to support your body’s innate ability to live optimally with Lyme Disease? This podcast if for you!  https://podcasts.apple.com/us/podcast/lyme-disease-and-genetic-rehab-with-dr-nitya-eisenheim/id1516555572?i=1000487291475 If you prefer watching the YouTube video, click here: https://youtu.be/2oSa1TsIfFI

The clinic will be reopening for in-person visits on Monday June 29th, 2020 on a restricted schedule for consultations only. Virtual or phone consults are still encouraged. Craniosacral therapy will continue to remain by phone only. Herbs and supplements can be dropped off to your porch or mailed to you as needed, and we can continue using Wellevate. There may be limited curbside pick up available for herbs and supplements, depending on the availability of the schedule. For now, there will be no far infrared sauna or frequency machine service.

Please read through the new clinic policies and procedures below so you know how to prepare for an in-person appointment. You will receive a call one to two days before your appointment for a health screening and to make sure you understand the new procedures.

You might be wondering, why do we need to continue with all these safety protocols when viral rates are decreasing in Western Massachusetts? The simple answer is prevention. COVID-19 still remains in our communities and even with all of the new protocols it is impossible to guarantee a 100% safe space. If we don’t stick to basic safety protocols, then it’s very likely the virus will replicate and the numbers will increase again, as we’re seeing in states like Arizona, Florida and Texas, which opened their economies early and quickly. A slow transition with basic safety protocols is important so that we don’t have to shut down everything again in the near future.

You can book you appointment here: https://cedarroseheals.com/appointments or call 413 676 9009.
If you are having any financial difficulties, please speak with me directly and we can work something out.  

New clinic policies and procedures: 

1. You will receive a health screening questionnaire via Charm or email. Please fill this out BEFORE you arrive. You will also receive a phone call 1-2 days before your appointment.
2. Do not come into the office if you are actively sick, especially with a cough, fever, shortness of breath, muscle aches, vomiting, diarrhea or sore throat. We can still have a consult, but it will need to by video or phone.
3. When you arrive to the downstairs OUTSIDE entrance/vestibule, call or text 413 676 9009. I will come meet you downstairs OUTSIDE, do another short screening and a temperature check, then you will come upstairs and wash your hands before entering the office. If I am running late, you will have to wait outside or in your car.
4.  Masks are required. There will be 6 feet of physical distancing during the consult.
5. No visitors are allowed.
6. There will be no sheets used on the massage/exam table. Instead, table paper will be used, so it can be disposed of after each use. After the appointment, and any additional payment and scheduling has been taken care of, the room will be cleaned.
7. To minimize time spent in close contact, you will be asked to pay for your consult beforehand. You will be emailed a quickbooks invoice, which you can pay online before your consult.
8. There will be a restricted schedule to avoid more than one patient in the clinic at at time and to allow time for cleaning in between patients.

Thank you for your cooperation and flexibility!
Please let me know if you have any concerns or questions.

In health and solidarity,

Nitya Jess Eisenheim, Naturopathic doctor and herbalist
Cedar Rose Naturopathic
Greenfield, MA

I know it can be stressful and frustrating to be in pain, want a massage and not be sure if it’s safe to come into an office for in person treatment because you either have an underlying condition or are over age 65.

I wanted to start to talk to you about the magic and transformation of remote craniosacral therapy. I know, it sounds strange and like a stretch of the imagination to even think that you could feel better without any physical contact/touch of an in person session. But I am seeing some amazing results with patients who’ve I’ve been practicing on in the last few months as I’ve been learning how to do this therapy remotely with my amazing teacher, Liza Borodkin. Chronic pain has started to become resolved within one session, we’re finding the deeper causes of burning foot pain and headaches and resolving long term allergies within 3-4 sessions. I’ve been very impressed with the highly potent nature of the remote sessions.

As soon as Monday, June 8th, I will be offering this service to all existing patients first, and eventually to new patients as well. There will be a super offer with 50% savings until June 30th (more details below) to get everyone on board with this new, exciting and revolutionary service!

You might be wondering who this can this help. Here’s a few situations:

Someone in pain, could be headaches, back pain, knee pain, shoulder pain, burning pains with swelling, abdominal pain.
Someone who is having trouble focusing and concentrating.
Someone who is feeling depressed, low energy, emotionally stuck and wanting support to move forward with a life decision.
This is also especially helpful in times of chaos and uncertainty in the world, such as now, as our society is transitioning to something different, and hopefully more just, sane and harmonious with the earth!

Here’s an inspiring story of what can happen and what the experience is like of a remote session: 

“I was grateful to be able to access a remote/distance Craniosacral session with Dr. Eisenheim, during the time of CV19. At the moment I was struggling with lethargy, stagnation, depression; in addition to tending to a diagnosis of Cervical Dysplasia. These challenges were impacting me, mostly as symptoms in my body: stuck feelings in my muscles, low motivation, and shame. I was experiencing fear in regard to the possibility of my Cervical Dysplasia becoming cancerous, aware of a foreign element in my body. I wanted to activate myself so I would be able to go forward with courage to work with natural medicines in combination with a minor surgery, and not let fear freeze me from self-nurturing. During the session, which was performed remotely, I was able to sense Dr. Eisenheim working with the frequencies of my energetic field. This is an amazing experience, to feel connected to another individual 100’s of miles away. I felt immediate relief and encouraged to invite ease within my body. Dr. Eisenheim intuitively tuned into the womb area, and also received images of flower helpers, like calendula. With this a sense of hope, and unity with my body’s natural capacity to heal emerged. The currency of energies in my body began to circulate, my musculature and breathing (diaphragm) released, freeing up from stress that was creating blockages. Dr. Eisenheim consistently checked in with a dialogue, creating a dance between what my body was experiencing as well as my personal perceptions and emotions. I felt calm and so incredibly cared for. Several days later, my lethargy discharged, and I have been able to wake-up early and face my days with purpose. I am grateful to see that the session generated a shift!”

Miel Dragun, Minneapolis, MN

Read more here https://cedarroseheals.com/remote-craniosacral-therapy/ to learn about the benefits of remote craniosacral, how this actually works and what issues this can help with.

If you’re feeling inspired now, you can make an appointment here: https://cedarroseheals.com/appointments/

The special offer starting June 8th and ending June 30th is for a 50% savings. Typically, one individual craniosacral session would be $110 and a 4 pack would be $360, but you get to access this for 1/2 off. Wow! I don’t think I’ve ever offered that type of savings before. I really want you to try this and see for yourself how amazing it can be and I want to be generous right now, as we all experience a great shift on our planet. Once you sign up for a session, email me if you will purchasing an individual session or a 4 pack. I will email you an invoice via Quickbooks, which you can pay online before our session together.