What is happening in your or your families life that has lead you to seek help.
What changes have happened?
How long has this been a concern?
Have you tried therapy, coaching, or other support for this before?
- If so what worked and what didn't
-Why did you stop or why are you interested in switching or adding more services.
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What do you hope to get from working with me?
What would be the most helpful?
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Are there factors that might make working together a bit more complicated?
Limited availability:
eg. I can only meet on the weekend or after 6pm.
Mixed levels of engagement or support from other significant people:
eg. My child's coparent is not against therapy but is not willing to participate in it or doesn't think it is worth it.
Life transitions:
eg. I just started a new job or I am going through a move.
Personal apprehension- I want support but I am not sure what would help. Or, I tried therapy before and it didn't work!
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(You do not need to answer all but it does help to know what type of support system you have so we can see if this is an area to strengthen and lean on or a need).
Who in your life supports you?
Who do you talk to when you are upset?
Who can make you laugh?
Who has the same goals as you, or at least wants to see you succeed and archive yours.
Do you have anyone you can call if you are sick or can't leave the house or need help getting to an appointment or with child care etc.
Is there someone you could pick up the phone and reach out to or see in person who would be equally happy to see you?
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What are some things that get you excited or that you like to do?
(-if this is for a child or family work please put what they like as well as something you like to do together.) (This helps me get to know you and helps me build connection faster on a human level).
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What is one simple or small thing you can do to feel even 1% better?
I like to get some sunshine and look for shadows, animals, flowers or just get outside when I can. I also enjoy listening to a favorite song, finding a new quote or listening to an audio book (among other things).
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Is anyone in your imediate family or extended family diagnosed with (or believed to have) a mental health condition or neurodivergence? (Eg. anxiety, depression, substance abuse... or Dyslexia, ADHD, Autism ect.)
IF so: who, at about what age and how is it talked about in your life and in the extended community you are in (friends/family).
AND
Do you or any other people who I would be working with have an official diagnosis or suspicion or a question about a specific diagnosis. If so please share more about what it is, when/how it was recognized and symptoms. (You can keep it brief and we can discuss more together. Though, all information helps me best support you and prepare for our first meeting or identify that we likely are not be a good match and help you find someone who is.
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For medical emergencies, contact your healthcare provider or call 911. For mental health crises, call or text 988.