Art of Growth Counseling Services, PLLC
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Prescreener
Reason for care
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What is the reason for seeking care?
Developmental or Complex Trauma
Event Traumas/ PTSD
Nervous System Dysregulation (Somatic Reactions)
Limiting Beliefs that impact life/ goals
Stress/ Burnout
Anxiety/ Depression
Relationships/ Boundaries
Life Transitions
Other
What mental health concerns or treatment have occurred in the past?
Never been to therapy
Received therapy in the past
Taking psychiatric medication (current)
Taken psychiatric medication (past)
Hospitalized for mental health reasons (current or recent)
Hospitalized for mental health reasons (past)
Suicidal Ideation (current)
Suicidal Ideation (recent)
Suicidal Ideation (past)
Attempted Suicide (recent)
Attempted Suicide (past)
None of these apply
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