Sometimes having a panic attack can feel like you are drowning. Anxiety and panic attacks can be overwhelming and exhausting. Anxiety and panic attacks can profoundly affect you physical and emotional well-being. I am personally familiar with both, having experienced them myself throughout my life. I understand how intense they can be and how they can cause upheaval in ones life. During the years, I've found self-care techniques and practices that have been effective for me. As a trauma-informed massage therapist I share them with clients to help manage and retrain their autonomic nervous system . By offering what has worked for me, perhaps you might discover something beneficial for yourself as well. Acupressure and the Heart Center One most common technique I use involves acupressure point called REN17, also known as  Shānzhōng, or the "Sea of Tranquility." In Traditional Chinese Medicine (TCM) , REN17 is located in the middle of the sternum and is used to regulate energetic imbalance. Anxiety in this area can sometimes be related to stress, grief, or even physical issues like lymphatic fluid accumulation, injury, heartburn or gas. Activating this point can help ease chest tightness, encourage deeper breathing, and restore balance. REN17 is also associated with the heart chakra , making it a powerful point for emotional support and self-connection. To use this point, gently feel for the small divot in the center of your sternum. If the area feels tight or tender, you can rub it in small clockwise circles or apply steady, gentle pressure while breathing slowly. This can help reduce anxiety and support relaxation. A simple inhale from the bottle or diffuser can sometimes be enough to disrupt a anxiety or panic attack before it starts. Aromatherapy for Support Scents can be a gentle but powerful way to shift the autonomic nervous system out of panic mode by activating the parasympathetic nervous system. Smelling your favorite scent or applying it to pressure points on your temple, base of your skull or wrists can help refocus your mind. Some of my personal favorite calming essential oils include: Frankincense and Myrrh  – grounding and spiritually supportive Lavender  – calming and soothing for the nervous system Geranium  – uplifting and heart-balancing Rose  – nurturing and emotionally supportive *Avoid applying aromatherapy oils directly to the skin. Ensure you always dilute your chosen oil in a carrier oil. Practices like Yoga,   Qigong,  and Tai Chi  are wonderful ways to reconnect with the body and restore balance. Breathing, Movement, and Autonomic Regulation Breathing exercises are one of the simplest and most effective ways to calm a attack. Slow, steady inhales and exhales help the nervous system shift out of fight or flight and into a more balanced state. The autonomic nervous system , which governs fight or flight and rest and digest responses, often gets thrown off balance during anxiety or panic attack. A simple exercise I have used, which has gotten me out of panic attacks, is an eye movement technique . Sit comfortably and focus your gaze on a point on the wall. Without moving your head, slowly shift your eyes by doing these patterns: Up, down, then return to center Left up, left down, then center Right up, right down, then center Diagonal movements, always returning to center Do each direction three to four times Continue slowly until you feel a shift in your body or breath. Yawning or sensation of muscles relaxing indicates that it is working. This technique helps regulate and calms the autonomic system while activating the parasympathetic nervous system. Another simple but powerful exercise I have practiced since childhood is something I later learned is called hand skating . You place one hand flat, then gently move your other hand back and forth across the palm, almost like you are skating across it alternating between the two. Repeating this motion rhythmically helps calm and regulate the nervous system through gentle touch and sensory focus. Another variation is to quickly rub your hands together while taking deep breathes. When I am in extreme panic mode, I also find relief in tapping . I bring the tips of my fingers together and tap them vigorously, which stimulates energy flow and distracts my system from spiraling further. You can also tap your chest, stomach or any other area where you feel that energy is not flowing. "Tapping" or Emotional Freedom Release Technique (EFT) includes touching or tapping different acupressure points of your body while saying affirmations to release emotional and physical trauma. Stomping your feet and clapping loudly can achieve the same results, too. This can be combined with energy work or visualization to further restore peace. A simple carbonated drink  can also help during a panic or anxiety episode. Sipping a fizzy beverage may help slightly increase carbon dioxide levels in the blood, which can encourage deeper, more balanced breathing and help calm the nervous system. In addition to these techniques, practices like Yoga, Qigong,  and Tai Chi  are wonderful ways to reconnect with the body and restore balance. All combine mindful breathing, gentle movement, and focused awareness, which bring you back to center and encourage energy to flow smoothly. Even a few minutes a day of these practices can ground you, release tension, and calm the mind. Mastering simple exercises to stimulate the vagus nerve can be an effective way to soothe anxiety and alleviate stress. Vagus Nerve Regulation The vagus nerve serves as a key link to the parasympathetic nervous system , connecting the brain to the body and aiding in the regulation of the autonomic nervous system . When activated, it promotes relaxation and digestion. Mastering simple exercises to stimulate the vagus nerve can be an effective way to soothe anxiety and alleviate stress. Here is one simple exercise you can try: Sit or lie down in a comfortable position. Place one hand gently on your chest and the other on your belly. Inhale slowly through your nose, letting your belly expand. Exhale slowly through your mouth, making a gentle humming or “mmm” sound as you breathe out. Repeat for several breaths, focusing on the vibration in your chest and throat. The sound vibration stimulates the vagus nerve and encourages your body to shift into a calmer state. Grief and Emotional Triggers Acknowledging grief is also a necessary part of calming the nervous system. Speaking to a therapist, if necessary, or confiding in a close loved one can also provide support and relief. Simply sharing your feelings and being heard can help reduce the intensity of anxiety and help you feel less alone. Connecting with the earth through your hands or feet can bring you back into your body and calm scattered energy. Energy Work After a Panic Attack Once a panic attack has passed, it is important to reset and ground yourself. You can do this through: Sitting in a quiet, comfortable place Listening to soothing music with binaural beats or Solfeggio frequencies Lighting incense or a candle to create a sense of safety Breathing slowly and deeply Practicing autonomic regulation for gentle reset For energetic self-clearing, consider this chakra visualization technique: Ensure you are in a quiet space without distractions Visualize moving through each chakra, one by one Imagine using a vacuum hose to remove specks of dirt, stagnant energy, or discoloration After clearing, concentrate on the natural color of each chakra Visualize the chakra spinning clockwise, balanced and vibrant This practice aids in centering, grounding, and restoring flow after experiencing anxiety or panic attack. Another energy technique is called "Grounding." It is as simple as walking outside and physically touching the grass or soil. Connecting with the earth through your hands or feet can bring you back into your body and calm scattered energy. Try doing this for 10 minutes and see if you notice a difference. Hoʻoponopono Mantra/Prayer for Self-Healing Another technique that I have personally found deeply healing is the Hoʻoponopono mantra/prayer , a traditional Hawaiian practice focused on forgiveness, self-love, and emotional release . I used this method after undergoing several jaw surgeries for Osteomyelitis and navigating a challenging healing process. Repeating this mantra during moments of stress or after a panic episode has helped me reconnect with myself. The mantra is: “I am sorry. Please forgive me. Thank you. I love you.” This practice encourages self-compassion , self-forgiveness , and emotional release , which can make profound changes in both your mind and body. Even a few moments of repeating this mantra, either silently or aloud, can help restore balance and calm the nervous system. It is a gentle reminder to nurture yourself and honor your healing journey. You can practice Hoʻoponopono prayer daily, several times a day, or whenever you feel it's necessary. Here is a clip I listen to whenever I want to meditate with the Hoʻoponopono prayer. Many years ago my dear mentor and friend Cynthia R. Shaw shared with me the beauty of Hoʻoponopono prayer for my own self-healing. Till this day I still listen to this rendition from Riya Sokol of the Hoʻoponopono prayer. Spiritual and Social Support As part of your support system, prayer or connecting with your spiritual practice  can be a very powerful tool. After a panic attack, reaching out to whomever you believe in, whether that is the Divine Source, God, or your own higher power, can help you feel calm, grounded, and centered. Faith and spiritual connection can provide stability and reassurance, helping you regain balance and perspective during difficult moments. Equally important is having a support system . Friends, family, mentors, or a therapist can provide reassurance, understanding, and practical help. Knowing that you have people you can turn to during difficult moments can reduce the intensity of panic and help you feel less alone. Having someone to discuss your feelings with, assist you in practicing grounding techniques, or share your experiences with a trusted individual can greatly impact managing anxiety. Body Rhythms and the Chinese Medicine Clock Another supportive tip is to pay attention to the time of day or night  when panic attacks occur. In traditional Chinese medicine, this is sometimes linked to the body clock , which associates certain times of day with different organ systems. For example, waking up with panic at night may point to imbalances in the liver or lungs. Tracking these patterns can provide clues about underlying imbalances. If necessary, you can make a appointment with a acupuncturist or Traditional Medicine Doctor (TCM) for more information. Time (2-hour block) Organ 11 PM – 1 AM Gallbladder 1 AM – 3 AM Liver 3 AM – 5 AM Lung 5 AM – 7 AM Large Intestine 7 AM – 9 AM Stomach 9 AM – 11 AM Spleen 11 AM – 1 PM Heart 1 PM – 3 PM Small Intestine 3 PM – 5 PM Bladder 5 PM – 7 PM Kidney 7 PM – 9 PM Pericardium 9 PM – 11 PM Triple Burner (San Jiao) Alternative supplements and herbs may help with anxiety and panic attacks. Natural Supplements and Medical Considerations Some people find relief from anxiety and panic with natural supplements and herbs. Here are a few options that are commonly used: Magnesium  – Supports muscle relaxation and nervous system balance Valerian Root  – A calming herb often used for relaxation and sleep Ashwagandha  – An adaptogen that helps the body handle stress Chamomile  – Gentle support often taken as tea or extract Lavender  – Used in aromatherapy and supplements for calm Passionflower  – Traditionally used to support relaxation Omega-3 Fatty Acids  – Beneficial for mood and brain support Ginger  – Can ease nausea or digestive upset linked to panic Important Precautions Certain supplements may interact with medications or with one another, so it's important to research and check for potential side effects. Results vary widely from person to person Purity and sourcing matter greatly so make sure you are purchasing from a reputable supplier. *If necessary consult with your healthcare provider before beginning any new vitamins or supplements Genetics, Hormones, and Underlying Factors Sometimes, genetics, hormones, or other conditions can play a role in anxiety and panic attacks. Variants in the MTHFR gene  can affect how the body processes nutrients, which may influence mood regulation. Connective tissue disorders  can sometimes contribute to heightened anxiety or dysregulation. Hormonal imbalances  can also influence anxiety levels, so it is always a good idea to have your hormones checked, especially if panic or anxiety attacks are frequent or worsening. Hiatal Hernia can cause feelings of anxiety or panic attacks. It may feel as if you are having a heart attack or "air hunger" sensation. Recognizing these factors can help individuals seek more personalized care. When to Seek Help While natural techniques are valuable yet it is important to recognize that frequent or severe panic attacks may have medical causes. Sometimes they may be linked to low blood sugar, seizures, hormonal imbalances, or other underlying conditions . In my own case, I have experienced seizures due to low blood sugar, which at times presented as panic attacks. If you are experiencing abnormal amounts of panic or anxiety attacks, it is very important to consult with a doctor. If you have been prescribed anti-anxiety or panic medication , make sure to take it as directed by your healthcare provider. It is important to remember that self-care and healing are ongoing processes. Some days will be easier than others, and that is okay. Taking care of yourself should be your first priority. Final Thoughts Anxiety and panic attacks are complex experiences influenced by emotional, physical, energetic, and spiritual factors. There is no single approach that works for everyone, but combining techniques such as acupressure, aromatherapy, breathing practices, Qigong, Tai Chi, hand skating, tapping, grounding, chakra visualization, and spiritual support can help restore balance and provide relief. Tracking patterns in your body clock, understanding medical or genetic influences, and seeking guidance from healthcare professionals when needed can also support long-term management. It is important to remember that self-care and healing are ongoing processes. Some days will be easier than others, and that is okay. Taking care of yourself should be your first priority. My hope is that by sharing these tools, you may find ways to calm your nervous system, reconnect with your body, and support your overall well-being. You are not alone on this journey, and with patience, awareness, and the appropriate support, you can restore a sense of balance, grounding, and peace. Thank you for taking the time to read this. May these techniques bring you comfort and healing. With care, Susan Walker LMT Important Note:  Massage therapy is not a substitute for medical care. Your massage therapist cannot diagnose, treat, or prevent disease. Recommendations on products or techniques are for general wellness purposes only. Please consult your physician for medical concerns. Copyright © 2007-2027. Connective Integration Massage Therapy by Miss Susan Walker, LMT. All rights reserved. Susan Walker TX LIC#MT104431

No shows affect not only the massage therapist but others as well. For my business to run smoothly, I need to operate on a schedule. Please respect my time, and I will, in turn, respect yours. When you schedule an appointment in advance, make sure it is marked on your calendar. I send reminders 24 hours before your appointment via text and email, so please plan accordingly. I do understand that life happen can arise with unexpected events, illness, or emergencies. That is why I have a policy in place that is is designed to help manage those situations fairly. As a massage therapist, I also need to establish clear boundaries so that all parties involved understand the steps to take and respect one another’s time and energy. These boundaries ensure that everyone receives the full benefit of their session and that my business can operate smoothly. New Clients – Prepayment Required: All new client sessions must be prepaid online  at the time of booking. This secures your appointment and allows me to provide uninterrupted, focused care. If you no-show  or cancel on the same day , you forfeit your prepaid payment. No compensation or credit will be issued. Exceptions are made only  for verified illness, death in the family, or other family emergencies. Cancellation Policy for Returning Clients: You must provide at least 24 hours’ notice  to cancel an appointment. This means from the time your appointment is scheduled, you must give a full 24-hour window to cancel or reschedule. Same-day cancellations are no longer acceptable, except in cases of illness or family emergency. If you do not reschedule within a few days, you will be billed for the missed session. No-Show Policy: Clients who forget or fail to attend their scheduled appointment will be billed for the session. There are no exceptions. I reserve that time specifically for you, and last-minute substitutions are not possible. Late Arrivals: If you arrive more than 5 minutes late , your session time will be shortened accordingly. Arriving more than 15 minutes late  you may choose to take the remainder of your session or be billed for the full appointment. If I do not have another client scheduled immediately after you and your lateness is rare, I may adjust your session to give you full time. Please call if you are running late. New Clients: Please arrive 10 minutes early  to discuss your medical history and prepare you to decompress before your session. To save time, please fill out your forms electronically 24 hours before your massage appointment. If you forgo this you may come in and fill out your paperwork. Your scheduled appointment begins at the time you requested, not when paperwork is finished. Professional Boundaries: Chronic late arrivals, repeated last-minute cancellations, or no-shows indicate that you are not ready to work with me. Respecting your appointment is respecting yourself and others who wish to schedule. I am happy to work with clients who value their health and well-being, but if consistent boundary issues arise, I reserve the right to refer you to another provider. Cell Phone Policy: Kindly ensure your phone is on silent and that text alerts with flashing lights are turned off. Calls or messages interrupt the energy and flow of the session, which may impact its effectiveness. This is your time to focus on yourself. Please understand that I am a one-person business . I rely on scheduled appointments to support my family, cover rent, insurance, continuing education, and certifications. Your cooperation ensures uninterrupted, high-quality care for you and all clients. I value your understanding and your business. You deserve this time for your health and well-being, so consider it a valuable investment. Suzan (Susan) Walker LMT Copyright © 2007-2027. Connective Integration Massage Therapy by Miss Susan Walker, LMT. All rights reserved. Susan Walker TX LIC#MT104431

Your health and well-being deserve expert care. Choosing a qualified massage therapist ensures you receive safe, professional, and nurturing treatment that truly supports your body and mind. It’s important to be informed and cautious when selecting a massage provider to avoid unlicensed or illicit establishments. The Growing Problem of Illicit Massage Businesses In Dallas–Fort Worth, enforcement actions have revealed a troubling pattern. When illicit massage businesses (IMBs) are shut down, many quickly rebrand under new names, move into suburban office spaces, and attempt to mimic legitimate independent massage businesses. Some flood Google and other search engines with fake listings, sometimes creating profiles for each “staff member” to appear more established. In some cases, they illegally use the licenses of therapists or legitimate businesses to operate under false pretenses. Currently, there are over 70 known illicit massage businesses operating in Arlington alone. These tactics not only mislead the public but also bury legitimate massage businesses in search results, damage the reputation of the profession, and, most importantly, put vulnerable individuals at risk of exploitation. To ensure your safety it is recommended to check credentials of new businesses in the Arlington, Texas area How Clients Can Protect Themselves To ensure your safety and support licensed professionals, keep an eye out for these red flags: Verify credentials. Always ask to see the therapist’s license and confirm it through the Texas Department of Licensing and Regulation (TDLR). Massage establishments are required to display their license along with the massage therapist's picture license. Independent massage therapists often showcase their licenses in their therapy rooms, whereas those offering outcall services typically carry a paper ID with them. Questionable reviews. Hundreds of vague or repetitive reviews that appear overnight may indicate fake activity. Multiple listings or staff profiles. Several businesses or individual listings tied to one address or phone number can signal an IMB. Unprofessional practices. No intake forms, no health-history discussion, vague service menus, extremely low prices, suggestive advertising, or odd business hours such as late-night or 24/7. High turnover or unusual arrangements. Employees appearing to live on-site or rapid staff changes are concerning signs. This does not apply to independent and licensed massage therapists who have a home office. How to Report Suspicious Activity If you suspect an establishment may be operating illegally or unethically, take these steps: Verify licenses. Use TDLR’s online database to check both the therapist and the massage establishment. Report suspected trafficking or exploitation. Call the National Human Trafficking Hotline at 1-888-373-7888 , text 233733 , or use their confidential online chat. File a report with TDLR. They have dedicated channels for investigating unlicensed or illicit activity in massage businesses. Contact local law enforcement. If you feel unsafe or witness a crime, notify your local police department immediately. Staying Safe, Supporting Legitimate Care By staying informed, verifying credentials, and reporting suspicious activity, you can help protect your own health and well-being while also supporting legitimate massage therapists who are dedicated to ethical, professional care. Together, we can ensure massage therapy remains a safe, healing, and respected profession in our community. Copyright © 2007-2027. Connective Integration Massage Therapy by Miss Susan Walker, LMT. All rights reserved. Susan Walker TX LIC#MT104431

Massage therapy is appointment-based work that relies on mutual respect and clear boundaries. No walk-in's are permitted. Please call to schedule your session at 817-966-1020. I do not accept walk-ins. Here’s why: Time and quality of care My sessions are 90 minutes to 2 hours long. When I’m with a client I give my full attention to their care and I do not step away from a session to answer the door or phone. Accepting walk-ins would create time pressures and interruptions that reduce the quality of treatment for everyone. Boundaries and professional courtesy Massage therapy is appointment-based work that relies on mutual respect and clear boundaries. Walk-ins often come with last-minute expectations and boundary issues. To protect everyone’s time and experience, appointments are required. Safety and security: There are sometimes safety issues with walk-ins, and I want to know exactly who is coming into my private office. For this reason I keep my door locked at all times while in session. If you knock on the door, I will not answer. Even though I am a business, I work within an executive office suite, not a retail space. If I were located in retail it might be different, but here it is a private, professional environment. The space I hold is sacred and deeply healing, and I do not want anyone who is not supposed to be there interrupting it. This is a clear boundary, and I expect it to be honored. Without an appointment you are not welcome to enter. Vetting Process For security reasons I only schedule clients after a phone call or a referral. If I haven’t heard from you directly or through a trusted referral, I will not schedule you. You are welcome to call my phone number to see whether I have availability, but please understand I’m often in session. You are also welcome to schedule a prepaid appointment in advance online. Once you book, you’ll receive directions on how to complete your paperwork and what to expect during your massage. After I receive notice of your booking, I will always reach out to personally connect with you. All appointments are strictly non-sexual.  If you have any questions before or after scheduling, you can call or text me. This process helps ensure that new clients are fully informed and comfortable before we begin working together. Schedule online here: https://www.massageandhealingdfw.com/book-appointment Trauma-informed care I’m a trauma-informed therapist and regularly work with people who have C-PTSD, PTSD, and histories of other trauma. An unannounced person walking in during a session can be triggering for existing clients and for the therapeutic space I’ve created. Protecting their safety and mine is a top priority. Energetic boundaries Part of my work includes holding energetic and emotional space for people. Unexpected visitors can be draining or destabilizing. For that reason I remain firm about appointment only. If you’d like to schedule, please call my phone number at 817-966-1020. Thank you for respecting these policies. They allow me to provide the safest, most focused care possible. Copyright © 2007-2027. Connective Integration Massage Therapy by Miss Susan Walker, LMT. All rights reserved. Susan Walker TX LIC#MT104431

Traffic between 2:30 PM and 4 PM can be chaotic. This just just a example of what traffic looks like during those times. Due to sensitivity of the issue a stock picture is being used to not show parents that violate our policy their license plates. I often get asked why my office hours are from 8 AM to 3 PM, so I wanted to take a moment to explain. Over time, afternoon traffic from the nearby local Christian Academy school has created challenges for both my clients and my business. Many clients have shared frustrations about the lack of available parking around 2:30 to 3:45 pm, as parents often use our commercial lot despite management’s requests not to. Unfortunately, since the lot is public use under Texas law, parents are legally allowed to park there. The only exceptions are if someone is parked improperly or in a handicap space without a placard. In those cases, the Dalworthington Gardens Police Department can issue fines. Monday through Friday, parents have a tendency to take over the small parking lot with disregard for the businesses and tenants that lease there. During this time, they also use the lot as a shortcut to avoid the lines on Arkansas and Roosevelt. This not only blocks clients who are trying to leave but also disrupts other customers in the shopping center. There are consistent issues with available parking between 2:30 PM and 3:30 PM, and with the parking situation, it can be chaotic, and clients often complain about it. This year in particular, it has become a major issue that is not being resolved. I’ve been at this location for 13 years, and this situation not only impacts my business financially but also risks the loss of valued clients. If the situation continues without improvement, I may eventually have to move my business elsewhere. If you are a parent, please consider our situation. Some parents even park in the handicap spaces that are reserved for my geriatric clients. This is not only frustrating for them, but it also impacts my business through lost revenue when those clients are unable to attend their appointments. Another reason I no longer stay open after certain hours is due to safety concerns because of the increased number of illicit massage businesses that have been opening in the area. At one point, my business address was mixed up with an illicit massage business across the street. It seemed as though they were even using my address to avoid the police detection. My business listing was tied to theirs, and with little assistance from the state or the Dalworthington Gardens Police Department, these businesses have not been shut down as of yet. It took nearly eight months just to have one of those false listings removed. For my own protection and the safety of my business, I no longer offer massages after 5 PM. In the past, I stayed open until 7 PM, but evening appointments often came with another issue, traffic delays. Clients were frequently late, sometimes by 30 minutes or more, yet still expected their full session. This became unfair and unsustainable. Because of both the parking situation with the school and evening scheduling challenges, I made the decision to close the office around 3 PM. My last appointment is at 2 PM to give clients enough time to relax and avoid the stress of school traffic. That said, if you are an established client in good standing, I may be able to make occasional concessions depending on my schedule. Sometimes I am open on Saturdays and occasionally on Sundays for returning clients. Thank you for your understanding and for helping me maintain a calm and stress free environment for all of my clients. Copyright © 2007-2027. Connective Integration Massage Therapy by Miss Susan Walker, LMT. All rights reserved. Susan Walker TX LIC#MT104431

Self-Pay and why it's better for your bottom line. When it comes to your health and wellness , choosing the right massage therapy experience is just as important as choosing a qualified massage therapist . One question I often get is why I don’t accept insurance. While it might seem inconvenient at first, opting for self-pay actually provides significant benefits for both you and me. From personalized care to cost transparency, here’s why self-pay massage therapy in Texas is often the better choice. The Challenges of Insurance Reimbursement in Texas Insurance reimbursement for massage therapy in Texas is complex and often discouraging for independent practitioners. Unlike physicians or chiropractors, massage therapists face significant hurdles. Credentialing Complexity: Independent MTs must undergo a credentialing process with each insurer., which can be time-consuming creating unneeded red tape. In most cases independent massage therapists such as myself are denied due to not working under the scope of a doctor or chiropractor. Delayed Payments: Insurance companies often have lengthy processing times, leading to cash flow challenges for independent massage businesses. Coverage Limitations: Not all insurance plans cover massage therapy. For example, Medicare in most cases does not cover massage therapy. In some instances, if a patient is seeing a physical therapist or a pain management doctor, a small percentage of massage services might be covered as part of a larger treatment plan, but this is rare and inconsistent. In Texas, these issues are compounded by state-specific regulations and a lack of standardized billing codes for massage therapy, making reimbursement even more challenging. Why Self-Pay Is Better for Your Bottom Line: Opting for self-pay offers several financial advantages. Lower Overall Costs: Insurance premiums, deductibles, and co-pays can add up. With self-pay, you pay only for the services you receive, often at a lower rate than your insurance's out-of-pocket costs. No Surprise Bills: Without insurance involvement, there are no unexpected charges or balance billing. Transparent Pricing: You know exactly what you'll pay upfront, eliminating the confusion that often accompanies insurance claims. The Benefits of Self-Pay Therapy Choosing self-pay therapy offers numerous advantages: Flexibility: You can schedule sessions at your convenience without waiting for insurance approvals. Personalized Care: Without insurance constraints, I can tailor treatments to your specific needs. Privacy: Your health information remains confidential, as there's no need to share it with insurance companies. A Brief History of Massage Therapy Regulation in Texas Understanding the regulatory landscape provides context for the challenges faced by massage therapists: 1985: The Texas Department of Health established the Massage Therapy program and Advisory Council. 2015: Senate Bill 202 transferred responsibility for massage therapy regulation to the Texas Department of Licensing and Regulation (TDLR). 2017: TDLR assumed full responsibility for licensing and enforcement in the massage therapy field. Despite these developments, massage therapy remains underrepresented in insurance networks, partly due to the lack of standardized billing codes and the complexity of the credentialing process. Comparing Costs: Insurance vs. Self-Pa y Let's consider a hypothetical scenario: Insurance Plan: You pay a monthly premium of $300, a deductible of $1,000, and a 20% co-pay per session. After meeting your deductible, each session costs you $40, totaling $1,040 annually. Even then, certain massage services might not be covered at all. Self-Pay: Each session costs $80, totaling $960 annually, with full control over what services you receive. In this example, self-pay is often more cost-effective, and you have the added benefits of flexibility and personalized care. Protecting Your Health and Your Therapist While I don't accept insurance, I maintain professional liability insurance to protect both of us. This coverage ensures that in the rare event of an issue, you are safeguarded, and I am protected legally and financially. Insurance vs. Self-Pay: Quick Comparison Feature Insurance Self-Pay Cost Transparency Often unclear until claim is processed Full cost known upfront Coverage Not all plans cover massage therapy; Medicare generally does not; partial coverage possible under PT or pain management You pay directly for services, no restrictions Flexibility Limited by insurance approvals and visit limits Schedule sessions as needed, frequency controlled by you Personalized Care Sometimes limited by insurance requirements Fully tailored to your individual needs Billing & Paperwork Claims, co-pays, deductibles, and potential denied claims Simple payment at the time of service Privacy Health info shared with insurance company Full privacy; no external reporting needed Overall Cost Can be high due to premiums, deductibles, and co-pays Often lower annual cost when compared to total insurance expenses Final Thoughts Choosing self-pay for massage therapy in Texas not only simplifies the process but also enhances the quality of care you receive. It allows for personalized treatments, greater flexibility, and often lower costs. By understanding the challenges of insurance reimbursement, the limitations of coverage, and the benefits of self-pay, you can make an informed decision that aligns with your health and financial goals. Copyright © 2007-2027. Connective Integration Massage Therapy by Miss Susan Walker, LMT. All rights reserved. Susan Walker TX LIC#MT104431

Select the essential oil for your session. Aromatherapy has been cherished for thousands of years for its ability to soothe, heal, and rejuvenate. The ancient Egyptians used fragrant oils in their daily rituals, the Greeks turned to them for relaxation and healing, and the Romans infused their baths with essential oils to enhance wellness. Over centuries, these aromatic traditions naturally found their way into massage therapy, blending the power of touch with the therapeutic benefits of scent. ​ In my massage and energy work sessions, I use essential oils to create a calming atmosphere, ease tension, and support emotional balance. All oils are always blended with a carrier oil and are never applied “neat” or directly on the skin. Raindrop Therapy is not available for your session. Aromatherapy can complement relaxation, help restore your energy, and make your session even more restorative. ​ All the oils I use are natural, with a select few being organic. If you have allergies to certain essential oils or lotions, please let me know ahead of time and note it on your client intake form so I can ensure your safety and comfort. An array of essential oils to choose from for your session. Essential Oils I Use: Basil (Ocimum basilicum)  – Mental fatigue, migraines, respiratory issues (sinus congestion, bronchitis), digestive support (stomach cramps, nausea). Skin care for acne and insect bites. Actions:  antispasmodic, analgesic, antiviral, stimulant. Black Pepper (Piper nigrum)  – Circulation support, relief from muscle stiffness, joint pain, and arthritis. Aids digestion and boosts energy. Often used for respiratory support and detox. Actions:  stimulant, analgesic, antispasmodic, tonic. Clary Sage (Salvia sclarea)  – Hormonal support (PMS, menopause, menstrual cramps), stress relief, muscle relaxation, digestive aid. Useful for insomnia and tension headaches. Actions:  antispasmodic, sedative, antidepressant, nervine. Copaiba (Copaifera officinalis)  – Pain relief (arthritis, sore muscles, neuropathy), inflammation reduction, wound healing, respiratory conditions (bronchitis, congestion). Supports skin regeneration. Actions:  anti-inflammatory, analgesic, antimicrobial, expectorant. Eucalyptus (Eucalyptus globulus) – Respiratory support (asthma, bronchitis), heal burns/wounds, relieve sore muscles/joints, oily skin, herpes simplex. Actions: analgesic, expectorant, antiviral, stimulant. Geranium (Pelargonium graveolens) – Firms and tones skin, supports menstrual and hormonal balance, nervous system, hemorrhoids, breast tissue swelling, eczema. Actions: analgesic, antiseptic, astringent, tonic. Jasmine (Jasminum officinale) – Relaxes nervous system, supports mood and pain relief. Actions: antidepressant, antispasmodic, sedative. Lavender (Lavandula officinalis) – Universal oil: acne, inflamed or sensitive skin, headaches, PMS, insomnia, stress, cuts/burns, depression. Actions: analgesic, antiseptic, antiviral, antitoxic, sedative. Lemongrass (Cymbopogon citratus) – Skin infections, headaches, sore throat, respiratory distress. Actions: antiseptic, tonic, sedative. Palmarosa (Cymbopogon martinii)  – Skin hydration, acne, eczema, fungal infections. Balances sebum production. Emotionally uplifting, reduces nervous tension and fatigue. Actions:  antifungal, antibacterial, hydrating, antidepressant. Peppermint (Mentha piperita) – Respiratory support (colds, bronchitis, asthma, coughs), stress, mental fatigue, nausea, motion sickness. Actions: antispasmodic, analgesic, expectorant, vasoconstrictor. Rose oil diluted (Rosa damascena)  – Emotional balance (grief, depression, anxiety), hormone regulation, skin care (dry/mature skin, inflammation, broken capillaries). Supports heart and reproductive health. Actions:  antidepressant, antiseptic, aphrodisiac, tonic. Rosemary (Rosmarinus officinalis) – Clears nasal passages, supports circulation, arthritis, gout, varicose veins. Actions: circulatory stimulant, digestive, antispasmodic. Spearmint (Mentha spicata) – Similar uses as peppermint. Ylang Ylang (Cananga odorata) – Relieves pain and stress-related conditions. Actions: antispasmodic, sedative. I offer a small selection of essential oils and proprietary blends, White Flower, including favorites from Young Living such as Copaiba, Clarity, and Balance, which many clients particularly enjoy. Additional single oils, proprietary blends, and a small selection of organic options are also available and are included in your session price. At this time, I cannot purchase specialty essential oils for just your session. You may bring your own. Before bringing them to your session, please check with me to make sure they are safe and appropriate for use. Because I use aromatherapy throughout the day, if you are sensitive to scents it’s best to schedule your appointment at the start of the day rather than later. If you have allergies to any essential or carrier oils, lotions or creams please inform me both on your client intake form and with a gentle reminder before your session starts. Aromatherapy Diffuser or a Vaporizer can be used for your session. Additional Options: Aromatherapy Diffuser/Vaporizer - If you would rather not use essential oils on your body, I have an aromatherapy diffuser available. I can also add oils onto your head rest cover or on a tissue. Rescue Remedy – Can be applied to skin or added to water to drink. Made with 27% grain alcohol. Effects may occur immediately or within 20 minutes. Non-habit forming. Bach Flower Remedies - I have a limited supply of Bach Flower Remedies. Feel free to inquire about what I currently have in stock. ​​ Ready to Experience Aromatherapy in Your Massage? Enhance your next massage or energy session with the natural benefits of aromatherapy. Schedule your appointment today to enjoy a personalized, relaxing, and restorative experience tailored just for you. Copyright © 2007-2027. Connective Integration Massage Therapy by Miss Susan Walker, LMT. All rights reserved. Susan Walker TX LIC#MT104431

Every session is centered on your comfort, your boundaries, and your healing . If you’re part of the kink community , you know that some activities can be physically and emotionally intense. From muscle soreness after impact play to joint stiffness from extended positions, your body often needs some extra care. Massage therapy offers a safe, professional, and judgment-free space to help your body recover, release tension, and feel more balanced. This is about supporting your well-being, not sexual activity, so you can truly relax and recharge. Why Massage Helps Massage isn’t just about feeling good. It’s about recovery, balance, and grounding . Regular sessions can help you: Ease sore muscles  from impact play or repetitive movements Loosen stiff joints  from prolonged positions or restraints Boost circulation  and relieve nerve compression Support healing  for bruises or surface trauma Reset emotionally  after intense scenes How Massage Can Support You Muscles & Tension:  Deep connective tissue work, bamboo fusion, and gentle trigger point therapy break up tight spots and help you recover faster. Joints & Mobility:  Stretching, joint mobilization, and Swedish massage help keep you moving comfortably. Circulation & Nerves:  Lymphatic drainage and gliding strokes improve blood flow and reduce numbness or swelling. Bruises & Inflammation:  Gentle massage, cold stones, or lymphatic techniques help marks heal faster and ease discomfort. Aftercare & Emotional Reset:  Slow, rhythmic touch, craniosacral therapy, and optional breathwork help your nervous system settle and support emotional grounding. Regular massage appointments are important for members of the kink community because the physical demands of play can build up over time. Even if soreness or stiffness isn’t immediately noticeable, repetitive impact, extended positions, and restrictive activities can create tension, reduce mobility, and contribute to long-term discomfort. Scheduling massage consistently helps prevent these issues from becoming chronic, supports faster recovery between sessions, and ensures your body stays flexible, resilient, and ready for future scenes. Safe, Professional Space Every session is centered on your comfort, your boundaries, and your healing . Confidentiality, informed consent, and strictly non-sexual care are standard so you can fully relax and focus on your recovery. Massage therapy can be a powerful ally for your body and mind. Whether you’re easing sore muscles, improving flexibility, or grounding yourself after a high-intensity session, each session is tailored to your unique needs . Think of it as a supportive, professional space where your well-being comes first and your body gets the care it deserves. Copyright © 2007-2027. Connective Integration Massage Therapy by Miss Susan Walker, LMT. All rights reserved. Susan Walker TX LIC#MT104431

Woman with a migraine. Frankincense is a essential oil that may assist you with your migraine management One of my all-time favorite scents is frankincense . For years, I’ve primarily used it as incense to cleanse my spaces—whether at home or in the office. I often blend it with a touch of sandalwood  and myrrh  for an even richer aroma. Frankincense: From Ancient Healing to Modern Wellness Frankincense has been treasured for thousands of years for both its spiritual and medicinal properties. Ancient Egyptians used it in religious rituals, embalming, and skincare and healing practices , believing it could reduce inflammation, support wound healing, and promote overall wellness. Traditional Chinese and Ayurvedic medicine also valued frankincense for its ability to ease joint pain, improve circulation, calm the mind, and balance emotions . In the Middle East, it was a highly prized commodity, traded along the Incense Route, and considered a bridge between the physical and spiritual realms. Today, frankincense continues to be celebrated in aromatherapy and holistic wellness . Its benefits are wide-ranging: it supports emotional balance, encourages relaxation, and acts as a natural antibacterial agent. Modern studies even explore its potential in supporting cellular health and premenstrual wellness. Frankincense resin Tonight, I felt a migraine coming on. Guided by intuition, I reached for my apothecary and pulled out a vial of frankincense oil . I applied a single drop to the crown of my head , right on my crown chakra , and followed it with lavender oil  on my temples and the base of my skull. Within minutes, I felt a significant difference. Applying frankincense oil to the crown of your head may help stimulate the pineal gland, improve circulation, and support emotional balance . One drop can go a long way in providing relief. ⚠️ Safety tip:  Always dilute essential oils with a carrier oil to prevent skin irritation. Whether you’re seeking relief from migraines, emotional balance, or simply a moment of calm, frankincense has been a trusted ally for thousands of years—and it continues to be relevant in our modern wellness practices. Personally, I find that just a drop on my crown chakra, paired with lavender on my temples, can transform an overwhelming day into one of clarity and ease. I invite you to discover the soothing effects of frankincense in your daily routines, which can assist in reducing pain and enhancing your quality of life through relaxation. Book an appointment today to experience a unique blend of essential oils featuring frankincense oil. Copyright © 2007-2027. Connective Integration Massage Therapy by Miss Susan Walker, LMT. All rights reserved. Susan Walker TX LIC#MT104431

A shower before your session might be necessary. Should I Shower Before a Massage? Yes! Showering before your massage is highly recommended, especially if you exercise, work outdoors, or do physically demanding jobs. Clean, warm skin helps your massage be more effective by relaxing muscles, loosening fascia, and improving circulation. Exfoliating gently with a washcloth, loofah, or agate cloth can further enhance the benefits. Clean skin not only makes the experience more comfortable, but it also allows oils and lotions to work more effectively. It’s a simple step that helps create the best environment for your bodywork. Do I Need to Shave Before a Massage? Absolutely not! Hair stubble or unshaven legs will never affect the quality of your massage. Don’t let shaving or not shaving keep you from your regular self-care. My office does not have shower facilities, so please plan to shower beforehand. Thank you for respecting this policy. Your cooperation ensures the best possible massage experience for both you and your therapist. Suzan Walker, LMT Connective Integration Massage Therapy Copyright © 2007-2027. Connective Integration Massage Therapy by Miss Susan Walker, LMT. All rights reserved. Susan Walker TX LIC#MT104431

Relieving tension through trigger point therapy, a practitioner applies precise pressure to ease muscle discomfort. One of the most powerful acts of self-care you can give yourself is to plan and commit to regular massage therapy. Massage isn’t just a luxury—it’s an essential practice for anyone who exercises consistently, manages chronic pain, performs physically demanding work, competes in sports, or is recovering from injury. Maintaining healthy muscles supports peak performance, accelerates recovery, and promotes long-term physical wellness. Old injuries and tension often resurface during workouts or daily activities. Scar tissue, adhesions, and tight fascia can limit mobility, reduce comfort, and create compensations in other areas of the body, leading to additional pain or imbalance. Without proper bodywork, these patterns can persist and hinder your progress. This is why I recommend scheduling sessions of 90 minutes or longer whenever possible. While a 60-minute massage may provide temporary relief, longer sessions allow the body to release deep-seated tension, address chronic restrictions, and target the root causes of discomfort. Extended sessions enable me to focus not only on the area of concern but also on the surrounding structures and patterns that contribute to it, creating more lasting results, better alignment, and improved overall performance. I no longer offer 60-minute sessions except for follow-ups a few days after a full session or for established clients. For new clients, a 60-minute session rarely allows for meaningful progress. You deserve more than a quick fix—you deserve the time and care necessary for true healing and restoration. Investing in a 90-minute session—or longer—gives you the full benefits of massage therapy. It’s not just about easing pain in the moment; it’s about supporting your body’s ability to move, recover, and thrive over the long term. Give yourself the care your body deserves. Schedule a full session of restorative bodywork today. Copyright © 2007-2027. Connective Integration Massage Therapy by Miss Susan Walker, LMT. All rights reserved. Susan Walker TX LIC#MT104431

Hot Stone Massage As the crisp autumn air rolls in, it’s the perfect time to cozy up with flannel sheets, warm up the massage table, and indulge in the soothing heat of a Himalayan salt stone massage. Why not elevate your next massage session with this deeply relaxing, rejuvenating treatment? The Benefits Are Truly Transformative Even after just one session, the effects of Himalayan salt are remarkable—your body, mind, and skin will thank you. Here’s why: Deep Relaxation:  Heated salt stones release negative ions, promoting a sense of calm and deep relaxation. Muscle and Joint Relief:  The warmth melts restrictive fascia, loosening muscles and joints for a more effective massage. Soothes Inflammation:  The moist heat helps ease inflamed muscles and joints, offering gentle, restorative relief. Rejuvenates Skin:  Salt stones hydrate and plump the skin, leaving it feeling refreshed, nourished, and renewed. Supports Detoxification:  The stones may help detoxify and alkalize the body. Promotes Overall Wellness:  Regular sessions may aid in reducing stress, improving sleep, and supporting healthy blood pressure. A Spiritual Lift Himalayan salt stone massages don’t just benefit the body—they nurture your spirit: Balances Energy:  Can help ground and harmonize meridian levels, chakras, and your electromagnetic field. Clears Energy Flow:  May help clear your prana and restore energetic balance. A Truly Luxurious Experience Himalayan salt stones are used with your choice of organic coconut or proprietor massage oil and can be combined with other massage techniques, making them ideal for tight fascia or chronic muscle tension. Rich in 84 essential minerals and trace compounds, the stones can be used hot or cold, and unlike traditional river stones, they are naturally anti-microbial. Give yourself the gift of relaxation and renewal this fall. Schedule a Himalayan salt stone massage session today and experience the soothing power of heat, minerals, and mindful touch. Thank you, Suzan Walker, LMT Connective Integration Massage Therapy Copyright © 2007-2027. Connective Integration Massage Therapy by Miss Susan Walker, LMT. All rights reserved. Susan Walker TX LIC#MT104431