Intake – Part VIII (Feelings) Go backYour message has been sent Name(required) Warning Email(required) Warning Phone Warning 1. Do you feel accepted? If so, how does this affect your lifestyle? By whom do you want to feel accepted? Warning 2. Are you always stressed out? If so, why? Warning 3. Do you feel hurt? If so, by whom/what and why? Warning 4. Do you feel good about yourself? If not, why? Warning 5. Do you feel depressed? If so, why? When did it start? Did your parents or grandparents struggle with depression? If so, then do you know when it started and why? Do you have siblings who are also struggling? Do you feel your depression is rational or irrational? Warning 6. Do you struggle with fears? If so, what is it that you fear? (Fear of heights, dying, being hopeless, failure, never marrying, etc.) Warning 7. Do you worry about things? What things do you worry about? Why? Warning 8. Do you struggle with anger? Do you have a short temper? Warning 9. Do you have any insecurities? If so, explain. Warning 10. Do you feel any self-pity or feel sorry for yourself? Have you ever felt this? If so, why? Warning 11. Do you find it easy to hate people? If so, over what kinds of things would a person have to to to make you hate them? Warning 12. Do you have any irrational feelings? If so, what are they? Warning 13. Do you feel like something is wrong with you? Warning 14. Do you feel excessively guilty over anything? Is this a continual problem? Warning 15. Are you very confused and forgetful? (Beyond the normal) Warning 16. Are you aware of any emotional wounds that have affected you? Warning 17. Have you ever been deeply embarrassed over something? What was it? Warning 18. Have you been in or are currently experiencing very difficult (depressing) circumstances which may cause you to feel hopeless or depressed? Warning Warning. Submit Δ Like Loading...
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