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Transformational Hypnosis Therapy
CLIENT NOTES:
Your content has been submitted
CLIENT INFORMATION
PREFERRED NAME:
Devin
DATE OF BIRTH:
February 25, 1997
PHONE NUMBER:
401-793-1072
ADDRESS:
105 W River Dr, Manchester, NH 03104, USA
EMERGENCY CONTACT NAME & NUMBER:
Chris Hamel
401-309-4095
RELATIONSHIP STATUS:
Boyfriend
OCCUPATION:
Student
How did you hear about us?
HEALTH INFORMATION
Are you being treated or have you ever been treated for any psychiatric illness? If yes, please explain briefly.
Anxiety and Depression for the last 10 years
Have you ever seen a counselor, psychotherapist, or psychologist for any issue? If yes, please explain.
I currently see a counselor once a week for my anxiety and depression. I also see an EMDR specialist once a week to work through trauma associated with my exam.
Are you currently taking any prescribed medication? If yes, please list.
Yes, lamotrigine daily for my anxiety and depression
Have you experienced any traumatic life events that I should be aware of? If yes, please explain.
When I was 11 I had to perform CPR to a child under two years old because he drown in our family fish pond when my mom was babysitting. When i was 16-17, I suffered a sports injury that ended my softball career. I played for 10+ years and was hopefully that I was going to play in college.
ADDICTIONS:
None or N/A
ANXIETY
Stress, Fears, Trouble Relaxing, Lack of Confidence
EATING PROBLEMS
Food/Diet
DEPRESSION
Confidence, Self Esteem, Motivation, Acheiving Goals, Self Sabotage, Sleep Problems
CAREER ISSUES
Concentration, Exams, Memory
CONCEPTION PROBLEMS
None or N/A
PAIN CONTROL
None or N/A
RELATIONSHIPS
Family Problems
DIABETES
None or N/A
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?
No
What areas of your life would you like to work on?
I want to overcome my fear and anxiety associated around this exam. I want to go into the exam strong and confident.
What is the biggest challenge that you wish to work on during your session?
Passing my licensing examination at the end of April so that I can start my career.
Have you tried to do anything about this before now? If so, what?
I have been going to counseling consistently for two years. She has recognized my struggle with this exam and suggested EMDR and now has suggested hypnotherapy. She has described my experiences during testing as "desensitization". I have been participating in EMDR sessions for 5 months. During those session, I feel as though there is a huge wall standing between me and something potentially better on the other side. I know the fear of the unknown is something that has surfaced in some sessions. I used to be someone who was excited by "new" now I just feel scared and unprepared.
EXPECTATIONS:
I want to work to feel the passion/ motivation I once had for this career prior to my failed attempts. I want to break down whatever negative thoughts continue to stand in my way of passing this exam and moving on with my life.
Anything else I should know?
Everyday I feel less and less confident in myself. My self doubt and negative self talk are so debilitating, I really wish i could rewire and not be so hard on myself. If I was to write stuff down that I have accomplished over my lifetime, small me would be proud, but for some reason it just never feels like enough, I never feel like i am winning.
As I was just writing that, all i could think about was my mom. My relationship with my mom is unique. We are very dependent on each other. I used to always say "she's my best friend", I recently have noticed that this dependency is not healthy for me during my prep for the exam. I find that whenever I talk to her about anything, i become very defensive and/or shut down, My interactions with her constantly feel negative. This dependency has become challenging for me these last few years. I "know" that she supports me and wants me to succeed and be happy but I dont feel like i can do that with her around. I have attempted to set boundaries and decreased my interactions to spare my emotional wellbeing but then I receive criticism that I think i am "better than her, i don't value her ect." I feel guilty when I don't want to talk to her, or be around her because she is my mom and I do love her and I know she wants me to be okay and she is trying to support me through this time in my life. This relationship has become very stressful.
Are you willing to commit to listening to your personalized recording everyday for at least 21 days?
Absolutely.
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?