CLIENT NOTES:
Your content has been submitted
CLIENT INFORMATION
PREFERRED NAME:
Abraham
DATE OF BIRTH:
June 16, 1981
PHONE NUMBER:
2029974958
ADDRESS:
EMERGENCY CONTACT NAME & NUMBER:
Bonny Kinney
9782514085
RELATIONSHIP STATUS:
Mother
OCCUPATION:
Chef
How did you hear about us?
Internet search
HEALTH INFORMATION
Are you being treated or have you ever been treated for any psychiatric illness? If yes, please explain briefly.
Yes , currently in talk therapy for depression and adult trauma . med management for ADD ( prescribed adderal and vyvanse , however I am not taking these meds)
Have you ever seen a counselor, psychotherapist, or psychologist for any issue? If yes, please explain.
Yes - for anxiety, ADD, depression
Are you currently taking any prescribed medication? If yes, please list.
See above plus
LDN (low dose naltrexone) for chronic pain
Have you experienced any traumatic life events that I should be aware of? If yes, please explain.
Childhood - parents divorced at age 3 or so, sexual abuse from baby sitter age 7-8 ? , hit by a car age 10?
ADDICTIONS:
Drinking, Smoking, Drugs
ANXIETY
Stress, Fears, Panic Attacks, Guilt, Trouble Relaxing, Lack of Confidence
EATING PROBLEMS
Food/Diet
DEPRESSION
Confidence, Self Esteem, Motivation, Acheiving Goals, Procrastination, Sleep Problems
CAREER ISSUES
Interview Skills, Public Speaking, Concentration, Memory
CONCEPTION PROBLEMS
PAIN CONTROL
Mobility, Inflammation, Chronic Pain
RELATIONSHIPS
Childhood Problems, Romantic Problems, Coworker Problems, Family Problems
DIABETES
Type 2
Have you ever had serious thoughts of harming yourself or others?
No
Do you or any member of your family have a history of epilepsy?
No
Have you ever been hypnotized before?
Yes for smoking
What areas of your life would you like to work on?
Overcome health issues, overcome childhood and adult traumas , get Career on track.
What is the biggest challenge that you wish to work on during your session?
Regulate nervous system to manage chronic pain as well as to have calm clear discussions about my career challenges and future
Have you tried to do anything about this before now? If so, what?
Breath work , cold and hot exposure, various counseling
EXPECTATIONS:
Identify issues and blockages to Find and a solid starting point that gives direction to treatment
Anything else I should know?
Google - Chef Abe Conlon Fat Rice to see the articles that have been written about me to understand- I have been accused of being racist , creating toxic work environment, cultural appropriation, being unjust, hostile and has potential to harm animals and people.
Are you willing to commit to listening to your personalized recording everyday for at least 21 days?
Yes
Are you 18 years of age or older?
Yes
AGREE TO TERMS:
I agree to all of the terms and conditions listed above.
WEIGHT CLIENTS
What is your ideal weight?
When was the last time you were at or near this weight?
What is the heaviest and lightest you have ever been?
If you could design a relationship with food, what would it be like?
Can you leave food or throw it away?
Do you eat when you are bored, stressed or tired, or experiencing another emotion?
Do you use food to comfort yourself?
Do you have good and bad days?
Are your eating resolutions harder to stick to when you are out with friends?
Were you given chocolate/cakes/trigger foods when you were growing up?
Were any foods forbidden to you growing up?
Do you prefer to cook or eat out?
24-Hour Recall
Is this a typical day for you?