She flagged energy and mental clarity as her top two priorities. Ask: "What does a genuinely good energy day look like for you, and how often does that happen right now?"
Sleep is a consistent struggle — trouble falling asleep most nights. Explore her wind-down routine and what's running through her mind at bedtime.
High stress with a freeze/fawn nervous system pattern — she may minimize how she's really doing. Approach with warmth; pause and give her space to answer.
Irregular cycles were flagged — this may have hormonal contributors to her fatigue. Don't lead with this; let it emerge naturally if she brings it up.
She's been working on her health for 6 months to 2 years without full resolution. Acknowledge that — and set a forward-looking, optimistic tone for today.