CLIENT NOTES:
Your content has been submitted
CLIENT INFORMATION
PREFERRED NAME:
Stephen
DATE OF BIRTH:
June 9, 1997
PHONE NUMBER:
5185226500
ADDRESS:
EMERGENCY CONTACT NAME & NUMBER:
David Davenport
5182256503
RELATIONSHIP STATUS:
Dad
OCCUPATION:
Operations Manager (Project Manager)
How did you hear about us?
Google search
HEALTH INFORMATION
Are you being treated or have you ever been treated for any psychiatric illness? If yes, please explain briefly.
Yes, I have been diagnosed with ADHD, General Anxiety disorder and depression
Have you ever seen a counselor, psychotherapist, or psychologist for any issue? If yes, please explain.
Yes - I have tried talk therapy as well as medication management, with success but no total solution. This past year I was diagnosed with ADHD and started medication, which has been incredibly helpful in understanding the full picture of what I had been experiencing, though it has come with new and unexpected challenges as well.
Are you currently taking any prescribed medication? If yes, please list.
Yes - Bupropion (300mg), Sertraline (150 mg) and Lisdexamphetamine (30mg)
Have you experienced any traumatic life events that I should be aware of? If yes, please explain.
Loss of close relatives, but nothing significant outside of standard life traumatic events
ADDICTIONS:
Smoking, Drugs, Compulsive Behavior
ANXIETY
Stress, Panic Attacks, Compulsive Behavior, Guilt
EATING PROBLEMS
Food/Diet, Weight Problems, Exercise
DEPRESSION
Motivation, Acheiving Goals, Procrastination, Sleep Problems
CAREER ISSUES
Concentration
CONCEPTION PROBLEMS
None or N/A
PAIN CONTROL
RELATIONSHIPS
Romantic Problems, Family Problems
DIABETES
None or N/A
Have you ever had serious thoughts of harming yourself or others?
Previously yes (Self) though more as an escape mechanism than ever a planned action or serious risk
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?
Work on the compulsion to escape uncomfortable feelings in substances (nicotine, marijuana, sugar/food) and coping with anger (which is new to me)
What is the biggest challenge that you wish to work on during your session?
My compulsion to escape feelings opposed to accepting and living with them
Have you tried to do anything about this before now? If so, what?
Yes - I have been in talk therapy multiple times over the years, have abstained from marijuana, resumed physical activity to get some of the negative energy out and medication management
EXPECTATIONS:
Insight into some of the driving factors of my anxiety and anger. I believe that I have had a very fair, loving and supportive environment around me for my entire life, and have difficulty identifying where some of these extreme, unmanageable feelings come from beyond the surface level understanding of problems
Anything else I should know?
I had struggled with stomach issues for YEARS. I would wake up in a panic, and vomit first thing in the morning for months (with gaps in between) but went through a gauntlet of GI tests, and mental health approaches and have determined that it is most definitely a psychological trigger. Addressing my ADHD has significantly improved (and eradicated) the vomiting and physical illness, but the journey has been draining, unclear and difficult. Additionally, my girlfriend and I have recently adopted a puppy and while it has been an incredibly fulfilling and joyful experience, it also has brought out a lot of frustration and rage that I have never felt before.
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?
210
When was the last time you were at or near this weight?
High School (Senior Year)
What is the heaviest and lightest you have ever been?
Lightest, 185 and heaviest, 296
If you could design a relationship with food, what would it be like?
Compulsive and Binge related - particularly around sweets and sugar
Can you leave food or throw it away?
Previously, no. I would eat until I was sick (and quickly) even from a young age. In the past year (since starting ADHD treatment) I am able to leave things unfinished or get rid of extra food without issue.
Do you eat when you are bored, stressed or tired, or experiencing another emotion?
Yes, all of the above, it is certainly a crutch
Do you use food to comfort yourself?
Yes - and also when in the throws of marijuana use, would very frequently binge with munchies and rely on fast food delivery services
Do you have good and bad days?
Most days are the same level of difficulty with food choice. The willpower I have to abstain from food related vices can last for a few days but I often fall back into the same behaviors (soda drinking, fast food, etc.)
Are your eating resolutions harder to stick to when you are out with friends?
Yes - absolutley
Were you given chocolate/cakes/trigger foods when you were growing up?
Soda and dense, filling foods
Were any foods forbidden to you growing up?
No
Do you prefer to cook or eat out?
I really do love cooking, but also love the experience of going out. I find the shopping and planning (mostly planning) are the biggest barriers to my clean, at home cooking.
24-Hour Recall
I had no breakfast, went to McDonalds for lunch and made home made Chicken and rice with a bell pepper/onion/tomato sauce over rice (actually pretty healthy and no added sugars)
Is this a typical day for you?
I typically get lunch at work in the cafe (Sandwich, Salad or Healthy Hot option) but the dinner is pretty much on par.