Intake – Part VIII (Feelings) Name(required) Email(required) Phone 1. Do you feel accepted? If so, how does this affect your lifestyle? By whom do you want to feel accepted? 2. Are you always stressed out? If so, why? 3. Do you feel hurt? If so, by whom/what and why? 4. Do you feel good about yourself? If not, why? 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? 6. Do you struggle with fears? If so, what is it that you fear? (Fear of heights, dying, being hopeless, failure, never marrying, etc.) 7. Do you worry about things? What things do you worry about? Why? 8. Do you struggle with anger? Do you have a short temper? 9. Do you have any insecurities? If so, explain. 10. Do you feel any self-pity or feel sorry for yourself? Have you ever felt this? If so, why? 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? 12. Do you have any irrational feelings? If so, what are they? 13. Do you feel like something is wrong with you? 14. Do you feel excessively guilty over anything? Is this a continual problem? 15. Are you very confused and forgetful? (Beyond the normal) 16. Are you aware of any emotional wounds that have affected you? 17. Have you ever been deeply embarrassed over something? What was it? 18. Have you been in or are currently experiencing very difficult (depressing) circumstances which may cause you to feel hopeless or depressed? Submit Δ Like this:Like Loading...
Bible Gateway’s Verse of the Day
Bible Gateway’s Verse of the Day
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