Issues a la carte

I had an appointment to see a counselor today and in the pile of paperwork was an “Issues Check List.” I just found it really Kiss the Girls movie House of Flying Daggers

Possession ipod

Surfs Up ipod

A Four Letter Word hd Killer Pad video

funny.

Please indicate which issues you are currently experiencing:
Sadness
Depression
A plan for suicide
Recurring thought of hurting someone else
Fatigue
Increased energy
Trouble sleeping
Early morning waking
Increase in sleeping
Increased or decreased appetite
Problems concentrating or thinking clearly
Increased irritability/agitation
Relationship Issues/Problems
Parenting Issues/Problems
Legal problem
Abuse (of self or other)
Financial issues
Medical issues
Forgetfulness
Shy, uneasy with others
Perfectionistic
Unassertive
Aggressive/Violent behavior

It reminds me of those livejournal “quizzes” people pass around. Highlight the ones that describe you and then post it up for your friends to do the same!

 

2 Comments

  1. Sounds like the check list my therapist goes off every week with me.

  2. Haha cool… I’ve been to a number of therapists and I’ve never seen a checklist like this. Seems useful enough.

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