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CLIENT NOTES:

Client Status

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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?

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