Synergy Space™ — Contact & Inquiry

Response time: typically within 1–2 business days.

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Website

Contact Details

Parent / Guardian Name *

Email *

Phone (optional)

Used only if email fails or you request text follow-up.

Time Zone *

About Your Child

Child’s Name *

Age Range *

What are you seeing most often? *

Select all that apply.

MeltdownsEscalation, yelling, crying, throwing, panic.

ShutdownsFreezing, withdrawing, refusing, going silent.

TransitionsDifficulty leaving, switching activities, bedtime, school.

Impulse ControlHitting, grabbing, unsafe choices, blurting.

Executive FunctioningPlanning, follow-through, flexibility, memory.

Sensory OverwhelmNoise, clothing, crowds, touch, food textures.

How often does this happen? *

Where is it most disruptive? *

What outcome are you hoping for? *

Examples: smoother transitions, faster recovery, more flexibility, fewer escalations, more independence.

What have you already tried? (optional)

Routines, rewards, therapy/OT history, school supports — what helped or didn’t help.

Quick Message

Anything else you want us to know? (optional)

If you’re reaching out for something outside the checkboxes, add it here.

Safety Check *

If “Active safety concerns or crisis situation” is selected, the next step will be referral resources rather than coaching.

By submitting this form, you acknowledge that Synergy Space™ provides parent coaching and regulation skill-building, not therapy or crisis intervention.

This website is not for emergencies. If you are in immediate danger, call 911 (US) or your local emergency number. You can also call or text 988 for urgent mental health support.

This Program May Be Helpful If Your Child:

has frequent emotional meltdowns or escalation cycles
struggles to recover after frustration or disappointment
has difficulty shifting between activities or expectations
experiences executive functioning challenges (attention, planning, impulse control)
is bright and capable but becomes overwhelmed easily

What Happens Next

Your inquiry is reviewed personally.
We determine the best-fit next step.
If appropriate, you’ll be directed to schedule a Parent Consult.
If the needs described are crisis-level, referral resources will be provided.

This Is (and Isn’t)

This is: structured regulation skill-building
Executive functioning support
Parent coaching for carryover at home
This is not: crisis stabilization
therapy
Behavior charts as the primary solution

Let’s start with the basics, then get clarity.