|
SELF-TESTS:
Is therapy for you?
Use this form to evaluate yourself.
You May Need Therapy if:
- You are struggling with obsessive/addictive thoughts, feelings, behaviors
- You are unhappy with your self, life, work, family or relationships
- You allow others to direct your life and reactions
- You are chronically ill
- You came from a dysfunctional family
- You want to improve your communication and learn to resolve problems
- You want to resolve childhood or adult traumas
- You suffer from anxiety and/or depression
My major problems are:
1. ________________________________________________________________
2. ________________________________________________________________
3. ________________________________________________________________
4. ________________________________________________________________
5. ________________________________________________________________
Goals: I would like to change my life by behaving differently in the following specific ways:
1. ________________________________________________________________
2. ________________________________________________________________
3. ________________________________________________________________
4. ________________________________________________________________
5. ________________________________________________________________
Hope: I will accomplish my goals listed above:
A. Totally B. Mostly C. Partially D. Not at all
Needs:
A. I feel genuinely loved by someone other than my parents or children:
Not at all 0 1 2 3 4 5 6 7 8 9 10 Very Much
B. I feel in control of my life situation:
Not at all 0 1 2 3 4 5 6 7 8 9 10 Very Much
C. I feel worthwhile:
Not at all 0 1 2 3 4 5 6 7 8 9 10 Very Much
D. I have fun.
Not at all 0 1 2 3 4 5 6 7 8 9 10 Very Much
For more information, please contact:
GINGER LIPMAN WISHNER, MFT
6637 La Jolla Blvd.
La Jolla, CA 92037
tel: (858) 454-8993
email: ginger@howtoimproveyourlife.com
|