6-Stage Clinical Pathway · 3D Cabin & Polyvagal Simulators · IACP M15406

Structured Clinical & 3D Spatial Roadmap

Therapeutic Pathway &
Practice Plan.

Therapy is a collaborative journey. Explore our 6-stage clinical roadmap, preview the 3D Kilmaine woodland cabin sanctuary, and interact with our 3D polyvagal grounding models so every step feels safe, transparent, and predictable.

Care Roadmap
6 Stages
✔ Paced & Collaborative
3D Sanctuary
4 Seasons
✔ Interactive Cabin Preview
Autonomic Model
3D Polyvagal
✔ Window of Tolerance
Two roles, kept separate
M15406
Pre-accredited · ADI 34687

Autonomic Pacing Foundation

3D Vagal Stabilization &
Grounding Wave Simulator.

Before exploring deep emotional or vehicular stressors, our practice plan establishes reliable autonomic safety. Interact with the 3D WebGL wave field below to entrain a calm 4-7-8 parasympathetic rhythm.

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The 6-Stage Process

The Client Journey.

Every step prioritises your pace, privacy, and clinical comfort.

Stage 01

Confidential Initial Enquiry

Use the published phone or email route. Do not include medical history or sensitive health details in the first message.

Stage 02

First phone call

A call to discuss fit and practical questions. The length and any fee are confirmed before the call.

Stage 03

Intake & Assessment

Explore your background, presenting concerns, and collaboratively define achievable therapy goals.

Stage 04

Agreed sessions

The published session is 60 minutes, in the cabin at Tír na nÓg or by telephone. A 120-minute session is in the cabin, when suitable and agreed. How often you meet is agreed together.

Stage 05

Mid-Point Review

Look at what is helping, and adjust the approach within Jacqueline's training and supervision.

Stage 06

Resilience & Closure

Consolidate coping tools, establish sustainable self-care strategies, and agree on a thoughtful conclusion.

3D Spatial & Polyvagal Care Architecture

3D Isometric Therapeutic Pathway Blueprint.

Visualising how the six clinical stages map across three 3D autonomic zones: from initial confidential safety and sensory stabilization in the Kilmaine woodland cabin to titrated processing and autonomous resilience.

3D Isometric Therapeutic Pathway BlueprintIsometric 3D clinical architecture showing Phase 1 Sanctuary Intake (Stages 01–02), Phase 2 Ventral Vagal Cabin Integration (Stages 03–04), and Phase 3 Autonomous Resilience (Stages 05–06).STAGES 01–02: SAFETY & INTAKEZero-Pressure Co-RegulationSTAGES 03–04: CABIN SESSIONSCBT · Somatic anchorsSTAGES 05–06: RESILIENCEExpanded Tolerance Window
Tier I · Stages 01–02

Co-Regulation & Zero-Pressure Intake

Establishes psychological safety and predictable boundaries before any clinical exploration begins, respecting neurodivergent and anxious nervous systems.

Tier II · Stages 03–04

Woodland Cabin & Somatic Integration

Agreed 60-minute sessions in the Kilmaine cabin, or by telephone when that format is agreed. A 120-minute session is in the cabin, when suitable and agreed. Approaches stay within Jacqueline's training.

Tier III · Stages 05–06

Expanded Window & Autonomous Closure

Reviews progress against collaborative milestones and equips you with portable autonomic regulation tools for daily life and Castlebar road readiness.

Tír na nÓg Sanctuary · Kilmaine, Co. MayoProcedural Audio & Interactive Isometric Anchor

Sensory Cabin Sanctuary & Woodland Soundscape

The picture plays itself from the garden, under the porch, and through the open door. It loops. The wave music starts once the view is inside. Enter in VR when a headset is available.

Sanctuary Visualizer Mode:
The picture plays from the garden into the room, then the wave music begins.
🌲

Loading Tír na nÓg 3D Timber Sanctuary...

Synthesizing Kilmaine Scots pine & cedar cabin geometry
45%
Woodland Soundscape Channels (Procedural Web Audio API):

Polyvagal Somatic Regulation · Clinical Self-Assessment

Window of Tolerance & Nervous System State Visualizer

Developed by Dr. Dan Siegel and refined through Stephen Porges' Polyvagal Theory, the Window of Tolerance describes the zone of physiological arousal where we can effectively process emotions. Adjust the slider or choose a state to map your current felt sense and receive targeted somatic de-escalation practices.

Centered / Connected / Resilient
Visualization Mode:
Interactive 3D elevation terrain with somatic equilibrium tracking
🏔️

Loading 3D Polyvagal Topography...

Social Engagement System

Window of Tolerance (Ventral Vagal Grounding)

Centered / Connected / Resilient

Your nervous system is regulated and functioning within its resilient window. You have access to clear thinking, emotional processing, empathy, and bodily calm.

Physical Sensations:
  • Even, diaphragmatic breathing with natural rhythm
  • Relaxed jaw, lowered shoulders, and unhurried posture
  • Clear auditory and visual focus without hyper-vigilance
  • Comfortable awareness of internal body signals
Cognitive & Emotional Signs:
  • Feeling present and capable of self-reflection
  • Curiosity, patience, and emotional balance
  • Receptivity to therapeutic conversation and insight
Jacqueline's Somatic Intervention:
Mindful Anchor & Savoring Practice
  1. Place one hand over your heart center and one hand on your lower belly.
  2. Notice the natural, effortless movement of breath beneath your palms without changing it.
  3. Bring to mind a sensation of genuine safety: warmth by the cabin stove, shelter from the rain, or steady bedrock.
  4. Allow this quiet sense of ease to settle into the muscles of your neck and shoulders for three full breath cycles.
“I am safely present in this moment. I have the capacity to navigate my feelings with kindness and care.”

Client-Centred Modalities

Personal Goals & Therapeutic Modalities.

Every person enters therapy with distinct life circumstances. Explore how our integrative framework adapts to your unique clinical goals:

Clinical Goal Alignment · Interactive Modality Explorer

Explore Therapy Pathways by Personal Goal

Select the clinical focus that resonates with your current situation to see how Jacqueline Moran adapts accredited therapeutic frameworks to your unique needs:

Clinical-Motoring Specialty

Vehicular Panic & Driving Phobia

Somatic Experiencing5-4-3-2-1 Vagal GroundingGradual In-Vehicle Desensitization
🌿 Session Structure & Cadence

A 60-minute therapy session in the cabin or by telephone. A 120-minute session is in the cabin, and only when that length is suitable and agreed. It is not a driving lesson.

🏡 The Tír na nÓg Sanctuary Experience

A quiet cabin conversation about what happens in the car. On-road instruction, if you want it, is a separate arrangement.

Clinical Milestones & Progression:

The work stays a therapy conversation. It does not include a driving lesson or a promise that panic will stop.

Clinical Milestones

3-Phase Evidence-Based Therapy Progression.

Track clinical progress from autonomic stabilization to titrated trauma processing and long-term autonomy:

IACP Clinical Standards · Client Growth Milestones

Therapeutic Goal Pathways & Clinical Milestones

Psychotherapy at Tír na nÓg follows an evidence-based, 4-phase clinical arc tailored to your nervous system. Whether addressing generalized anxiety, life transitions, or driving phobias, each phase is paced collaboratively.

Phase 1 Roadmap

Phase 1: Stabilization & Physiological Safety

Establishing the therapeutic alliance and ventral vagal regulation

Polyvagal Grounding5-4-3-2-1 Sensory OrientationWoodland Sanctuary Resourcing
Key Clinical Milestones:
  • Client identifies personal autonomic triggers (hyperarousal vs hypoarousal)
  • Establishment of safe emotional anchors inside the Tír na nÓg cabin setting
  • Mastery of physiological sigh and 4-7-8 breathing to interrupt panic spirals
Safeguard: Strict confidentiality and clear boundary agreements under IACP Code of Ethics Clause 1.2.
Phase 2 Roadmap

Phase 2: Processing, Desensitization & Reframing

Processing distressing memories, driving phobias, or collision trauma

Somatic ExperiencingTrauma-Informed CBTBilateral Sensory Stimulation
Key Clinical Milestones:
  • Gradual titrated desensitization to vehicular stress triggers without flooding
  • Reframing catastrophic cognitive scripts ('I will lose control') into grounded reality
  • Somatic discharge of accumulated fight-or-flight muscular tension
Safeguard: Continuous pacing within the client's Window of Tolerance with zero coercive exposure.
Phase 3 Roadmap

Phase 3: The session stays a conversation

Therapy stays in the Kilmaine cabin, or by telephone when that format is agreed

Cabin conversationTelephone when agreedPace agreed together
Key Clinical Milestones:
  • A therapy session is a conversation in the cabin, or by telephone when that format is agreed.
  • A 120-minute session is in the cabin only, when that length is suitable and agreed.
  • The work does not promise that panic will stop.
Safeguard: Jacqueline is an IACP pre-accredited member (M15406). How often you meet is agreed together.
Phase 4 Roadmap

Phase 4: Driving instruction is a separate arrangement

On-road instruction is not a therapy session and is not priced on this site

Jacqueline Moran Safe DrivingSeparate bookingSeparate fees
Key Clinical Milestones:
  • Lesson prices and test-car arrangements belong on the Safe Driving site.
  • €70 for 60 minutes. €140 for a 120-minute in-person session, when suitable and agreed in advance.
  • A therapy conversation about fear of driving stays out of the car.
Safeguard: Cabin therapy and driving instruction stay separate. Jacqueline is an IACP pre-accredited member (M15406).

Clinical-Motoring Protocol

Pre-Drive Anxiety De-escalation Steps.

For learners and drivers experiencing vehicular panic, rapid heartbeat, or road avoidance, follow Jacqueline Moran's dual-specialist protocol:

Clinical-Motoring Dual Protocol · Jacqueline Moran ADI & IACP Registered

In-Vehicle Panic & Driving Anxiety 4-Step De-Escalation Protocol

If panic, rapid heart rate, or freeze states strike behind the wheel or before a driving test, use this evidence-based somatic protocol to restore autonomic composure before resuming your journey.

Active Stage 1 of 4

Step 1: Cockpit Sensory Grounding & Vagal Brake Activation

Physical Anchor in the Driver's Seat & Autonomic Stabilization

60sTarget
Actionable Step-by-Step Sequence:
  1. Ensure vehicle is safely parked: handbrake engaged firmly, gear in neutral, engine idling quietly or switched off.
  2. Execute two physiological sighs: deep double-inhalation through the nose, followed by a long, slow, unforced exhale through the mouth.
  3. Place both soles completely flat on the vehicle floorpan. Firmly press your heels downward and register the solid, unyielding floorpan resisting your pressure.
  4. Press the back of your head firmly against the head restraint; let your spine sink back into the seat contour. Note the 3-point contact: head, thoracic spine, and sacrum.
  5. Consciously affirm that this vehicle is an engineered metal sanctuary enclosing you in safety against the weather and traffic outside.
Somatosensory Anchor: Tactile floorpan push-back & 3-point seat boundary support.
Autonomic Marker: Heart rate deceleration (10–15 bpm drop), peripheral capillary refill, and restoration of diaphragmatic excursion.
Jacqueline's Practice Tip: Practice this while parked at the Kilmaine therapy cabin or outside the test centre at Breaffy House Hotel before turning the ignition key.
Neurobiology: Interrupts dissociative depersonalization and acute vertigo by anchoring tactile and proprioceptive feedback in rigid, stationary boundaries. Stimulates mechanoreceptors along the spinal column to down-regulate sympathetic motor outflow.

Illustrations, not reviews

Composite Clinical Vignettes.

Under section 4.1 of the IACP Code of Ethics and Practice, psychotherapists do not solicit or publish client testimonials. These vignettes are invented composites. They are not reviews, not identifiable clients, and not promised outcomes.

Leaving Certificate / Young Person

Adolescent Academic Panic & Autonomic Pacing

Presenting Challenge:

A secondary school student presented with acute anticipatory anxiety, freeze states during timed mock papers, and somatic sleep disruptions.

Clinical Intervention:

Relational, non-pathologising therapy integrating the 5-4-3-2-1 vagal regulation sequence, paced diaphragm breathing, and collaborative boundary-setting around study demands.

Illustration only:

An illustration of themes that might be explored, such as pacing and exam-day anchors. Not a client review and not a promised result.

Late-Diagnosed ADHD & Autistic Profiles

Adult Neurodivergent Burnout & Unmasking Sanctuary

Presenting Challenge:

An adult client experiencing sensory exhaustion from sustained masking in professional environments, accompanied by emotional dysregulation.

Clinical Intervention:

Sensory-tailored cabin sessions with low acoustic demand, dimmable natural lighting, unmasking permission, and ACT-informed values realignment.

Illustration only:

An illustration of themes that might be explored, such as sensory load and boundaries. Not a client review and not a promised result.

Clinical-Motoring Dual Specialism

Post-Collision Driving Phobia & Vehicular Desensitization

Presenting Challenge:

A motorist experiencing heart palpitations, hyperventilation, and situational avoidance of dual carriageways and multi-lane roundabouts following a road traffic incident.

Clinical Intervention:

A therapy conversation in the cabin about fear after a collision, paced within Jacqueline's training and supervision. It does not include time in a car. Driving instruction, if wanted, is arranged separately through Jacqueline Moran Safe Driving.

Illustration only:

An illustration of themes that might be explored. Cabin therapy and driving instruction stay separate. Not a client review and not a promised result.

How to check this practice

Public checks, not star ratings.

This website does not collect or display client reviews, star ratings, or a review count. IACP members do not solicit testimonials. The Psychology Today page is a directory listing for the same practice. It is not a score. You can check the public membership listing and the practice's own evidence page.

Inter-Agency & Multi-Disciplinary Practice

Professional Referral Gateway.

Jacqueline Moran can discuss a referral from a GP, a school guidance counsellor, or another health professional. Remote contact, when suitable, is by telephone after that discussion. This page does not offer a video therapy room.

Suitability & Scope

Clinical Focus Areas

  • Adolescent emotional regulation & exam panic (Ages 12+)
  • Adult anxiety, panic disorder & somatic hyperarousal
  • Vehicular trauma, driving phobia & test de-escalation
  • Neurodivergent adjustment & sensory burnout (ADHD/Autism)
  • Bereavement, complicated grief & life stage transitions
Clinical Boundaries

Crisis & Exclusion Criteria

Tír na nÓg Therapy operates as a primary care, community-based psychotherapy service. We do not provide emergency or acute crisis intervention.

For acute active suicidality, severe psychosis, or urgent psychiatric crises, please refer directly to HSE Mental Health Services, West Beo Crisis Resolution Team, or the Emergency Department at Mayo University Hospital (094 902 1733) or dial 999 / 112.

Protocol

Referral Procedure

Referrers can initiate contact by phone or encrypted email. Formal GP letters may be provided directly by the client or emailed to the practice with client written consent.

In-Person Visits

Cabin Arrival Protocol.

Arrival at Tír na nÓg

Located near Kilmaine, Co. Mayo. Directional instructions are provided personally upon appointment confirmation to protect confidentiality.

The Setting

A private, standalone wooden cabin surrounded by greenery. Ample natural light, comfortable armchairs, and complete acoustic isolation.

Somatic Regulation Sequence

5-4-3-2-1 Sensory Grounding.

A structured clinical sensory protocol for driving anxiety, panic de-escalation, and nervous system regulation in high-stress moments.

5 · Sight

Notice 5 stationary objects through the windscreen (e.g. dashboard vent, speed limit sign, tree line, steering wheel texture, wiper blade).

4 · Touch

Feel 4 physical touchpoints (e.g. back against seat rest, hands on steering wheel at 9-and-3, feet flat on pedals, seatbelt tension across chest).

3 · Sound

Identify 3 distinct auditory cues (e.g. engine idle purr, indicator relay click, wind breeze against cabin glass).

2 · Smell

Notice 2 scents in the air (e.g. clean cabin upholstery, fresh countryside rain in Mayo).

1 · Taste/Breath

Take 1 diaphragmatic box breath (4s in, 4s hold, 4s out, 4s hold) noticing the neutral breath sensation.

Autonomic Nervous System Regulation — Somatosensory Breathing Pacer

4-7-8 Vagal Soothing Breath

Clinically proven parasympathetic activator. Stimulates the vagus nerve to reduce heart rate and quiet pre-driving or acute somatic anxiety.

Ready
Breathing orb ready

Click "Begin Session" to align with the somatosensory breath orb.

Clinical-Motoring Cross-Over

Driving lessons stay on the driving site.

Cabin therapy and on-road instruction stay separate. €70 for 60 minutes. €140 for a 120-minute in-person session, when suitable and agreed in advance. This page does not sell a driving package or a gift voucher. Driving-lesson prices are published on Jacqueline Moran Safe Driving.

Therapy, kept separate

Driving-test anxiety support

A therapy conversation about driving-test anxiety. It is not a driving lesson, and it does not promise that anxiety will end or that a test will be passed.

Read driving-test anxiety support
Driving instruction

Lessons on the driving site

Manual EDT lessons and pre-test preparation are arranged on Jacqueline Moran Safe Driving. This therapy page does not set those prices.

Open Jacqueline Moran Safe Driving
Arrangements

No package or voucher here

This therapy page does not sell a driving package or a gift voucher. Lesson arrangements are made on Jacqueline Moran Safe Driving.

Open Jacqueline Moran Safe Driving

Clinical Standards

Confidentiality & Professional Governance.

Jacqueline is an IACP pre-accredited member (M15406). Plans follow the IACP Code of Ethics and Practice. Pre-accredited membership is not full accreditation.

Strict Clinical Privacy

What you say in a session is private. Do not send sensitive personal details through this website.

IACP Code of Ethics

Practicing within the ethical framework of the Irish Association for Counselling and Psychotherapy, upholding autonomy and non-maleficence.

Regular Consultative Supervision

Supervision is part of the practice. Ask Jacqueline what that means for the work you want to do.

Pathway & 3D Sanctuary Questions

Therapy Plan & Frequently Asked Questions.

Answers to common questions about the 6-stage therapy pathway, 3D cabin preview, and polyvagal pacing.

  • How long does the 6-stage therapy pathway typically take?

    Every therapeutic journey is paced around your individual comfort and goals. Some clients find 6 to 8 sessions sufficient for focused situational anxiety or pre-test driving panic, while deeper relational or trauma work unfolds organically over a longer timeframe with regular collaborative reviews.

    Link to this answer
  • Why does the practice plan include a 3D Cabin Sanctuary and 3D Vagal Wave preview?

    Anticipatory anxiety often stems from the unknown. By exploring the 3D Kilmaine woodland cabin, seasonal lighting, and 4-7-8 vagal wave simulator from home, neurodivergent and anxious clients can familiarise their nervous system with the space before arriving in person.

    Link to this answer
  • How is the 3D Window of Tolerance topography used in session planning?

    We use the 3D polyvagal landscape to map your unique triggers for sympathetic hyper-arousal (racing thoughts, panic) and dorsal vagal hypo-arousal (shutdown, freeze). Sessions are carefully titrated so emotional processing stays safely anchored within your ventral vagal window.

    Link to this answer
  • Can I combine psychotherapy sessions with practical Castlebar driving test preparation?

    Cabin therapy and on-road instruction stay separate. €70 for 60 minutes. €140 for a 120-minute in-person session, when suitable and agreed in advance. In the cabin or by telephone, subject to agreement. Driving lessons are arranged through Jacqueline Moran Safe Driving.

    Link to this answer

Ready to Begin?

Take the time you need to decide. When you are ready, Jacqueline is here to listen.

Arrange a First Consultation

Fees

€7060 min Cabin or phone€140120 min Cabin, when agreed
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