The follow-up Ayurvedic & Integrative Health session in Missoula is where your plan deepens, tracking progress, refining recommendations, and providing the ongoing support that makes lasting change possible.
60 Minutes · $90 USD · In-Person (Missoula, MT) · Virtual — Available across Montana, the Pacific Northwest & internationally
Root-cause healing takes time. Even the most thoughtful wellness plan eventually meets real life: busy schedules, changing stress levels, Montana’s long winters, wildfire smoke season, seasonal shifts in activity, and the unexpected ways the body responds to change.
The follow-up session exists to honor that reality. It is a dedicated 60-minute space to review what has been working, address what hasn’t, refine your recommendations, and continue building the kind of sustained, whole-person wellness that one session alone cannot fully deliver.
This is not a check-in box to tick. It is where the real depth of Ayurvedic care becomes visible, in the adjustments, the continued education, and the collaborative relationship between practitioner and client over time.
The follow-up session is a focused, 60-minute continuation of the care that began with your Intro Consultation. Each session is built around where you are now, not a generic template.
Research consistently supports what experienced clinicians observe: sustained behavior change and health improvement require ongoing support and accountability. Continuity of care is an ongoing relationship between the patient and practitioner, and it was one of the strongest predictors of positive health outcomes across chronic and complex conditions.
60 Minutes · $90 USD · In-Person (Missoula, MT) · Virtual — Available across Montana, the Pacific Northwest & internationally
During Your Follow-Up Session, We:
Many people experience real improvement after a single intro consultation, clarity, direction, and early changes they can feel. But the body does not transform overnight, and the patterns that created imbalance often took months or years to develop.
Ayurveda has always understood wellness as a practice, something that deepens with consistency and attention, not a one-time intervention. Modern research supports this view: building sustainable health behaviors takes an average of 66 days, with meaningful variation based on individual patterns, lifestyle complexity, and the degree of change required.
Regular follow-up sessions provide the structure and accountability that make those 66 days, and everything after them, more navigable. They also allow Serra to catch early signs of imbalance before they become more complex, and to adjust recommendations before patterns become entrenched.
The Follow-Up Session is designed for existing Sage & Silence clients who have completed their Intro Consultation and are ready to continue their care with intention.
Not yet an existing client? The Follow-Up Session is available only to clients who have completed the Intro Consultation. If you are new to Sage & Silence, your journey begins there.
Follow-up sessions are available in person at the Missoula, MT, clinic and virtually, with the same depth of care in both formats. Serra works with returning clients across a broad geographic range.
Missoula, Billings, Bozeman, Helena, Kalispell, Butte, Great Falls, and surrounding communities
Idaho, Washington, Oregon, Wyoming, and beyond
Including returning clients based in India — sessions are scheduled across time zones, with early morning and evening availability to accommodate international clients
Returning clients can book directly using the link below. Here is what to expect.
Select a follow-up appointment using the online scheduler. Choose in-person at 127 North Higgins Avenue, Suite 204, Missoula, MT, or virtual. International clients can select from time-zone-appropriate slots.
Before your session, take a few minutes to note what has shifted since your Intro Consultation: what you have tried, what has helped, what has been difficult, and any new questions or symptoms that have emerged. There is no formal form required — just your honest observations.
Serra begins by reviewing your progress and listening carefully to what has changed. From there, the session adapts to where you are, refining recommendations, deepening your understanding, and addressing what needs attention right now.
You leave with refined recommendations, updated herbal or lifestyle guidance where applicable, and a clear sense of your next steps, calibrated to your body’s response and what your life currently requires.
The frequency of follow-up sessions varies by client. Some benefit from monthly check-ins during an active phase of change; others transition to seasonal sessions once baseline balance is established. Serra will recommend what she feels serves you best — always with your goals and capacity in mind.
Most clients book their first follow-up four to six weeks after the Intro Consultation, enough time to implement initial recommendations and observe the body’s response. Serra may suggest a different timeline based on your specific situation.
No formal preparation is required. It is helpful to arrive with a general sense of what has shifted since your last session, what you have tried, what has felt better, and any new questions or concerns. Your observations are the most valuable thing you can bring.
This is more common than most people expect, and it is exactly what follow-up sessions are designed to address. Life happens. Serra’s approach is non-judgmental and adaptive. The follow-up is a space to honestly assess what was realistic, what wasn’t, and how to adjust the plan to better fit your actual life.
Yes. Follow-up sessions are available by secure video to clients across Montana, the Pacific Northwest, neighboring states, and internationally — including clients in India, where sessions are scheduled with time-zone flexibility to accommodate.
The Intro Consultation is your starting point, a full 90-minute assessment of your health history, patterns, and root causes, resulting in a comprehensive personalized plan. The Follow-Up Session is a 60-minute continuation, focused on progress, refinement, and the next layer of your care. Both are essential parts of the same journey.
Sage & Silence is currently a private-pay practice. Follow-Up Sessions are $90 USD for 60 minutes. Some clients use HSA or FSA accounts — please check with your provider.
Follow-Up Session · 60 minutes · $90 USD · In-Person or Virtual
In-Person: 127 N Higgins Ave, Suite 204, Missoula, MT · Virtual: Montana · Pacific Northwest · International
