In general, may feel irritable or on edge, nervous,
dizzy, scared, overwhelmed, have muscle tension,
racing thoughts, difficulty concentrating or making
decisions, diarrhea, trembling, sleep disturbances. Panic
Disorder/ Panic Attack: Intense fear that seems to
come out of the blue and is accompanied by 4 or
more symptoms: racing or pounding heart, light-headedness, nausea,
sweating, choking sensations or difficulty swallowing, shortness
of breath, feelings of unreality &/or being detached from
oneself, chest pain or tightness, numbness/tingling sensations,
trembling or shaking. May fear that you are dying, having a
heart attack, or going crazy; may avoid going places
because of fear of having a panic attack. Social Phobia/
Social Anxiety Disorder (SAD): Fear and/or avoidance
of being in places where there are people and/or in social situations:
Fear of saying or doing something embarrassing,
being scrutinized, judged, humiliated; may blush/pale,
have panic attacks. Generalized Anxiety Disorder (GAD):
Uncontrollable worry about anything & everything;
thinking. Post-Traumatic Stress
Disorder (PTSD): May have nervousness, fearfulness, flashbacks,
nightmares, exaggerated startle response, poor concentration,
sense of unreality, emotional numbness, tearful
episodes, anger outbursts, memory lapses. Obsessive-Compulsive
Disorder (OCD) Recurrent obsessions (intrusive thoughts)
and/or compulsions (mental acts or repetitive behaviors) that
are time-consuming, cause significant distress, interfere with
daily functioning and that you recognize as excessive or unreasonable.
Pervasive sad and/or apathetic mood; diminished interest
in work, social activities, friendships, and/or self-care; low
motivation & energy; feelings of hopelessness, helplessness,
worthlessness, and/or inappropriate guilt; low self-esteem;
decrease or increase in sleep and appetite; low or absent sex
drive, fatigue, irritability, tearful episodes, poor concentration.
May have suicidal thoughts (*Adolescents may also exhibit "unruliness"
/ acting-out behaviors).
"People Pleaser." Pattern of overextending
yourself to please, take care of or do for others, at your own
expense; Difficulty with expressing feelings, saying no to people,
standing up for yourself, getting your own needs met; Often
feel used, exhausted, angry, hurt, taken advantage of, defeated,
SURVIVORS OF CHILDHOOD &/or ADULTHOOD ABUSE/TRAUMA (Sexual,
Emotional-Verbal &/or Physical): May have depression,
anxiety, panic attacks, codependency issues, moodswings, intimate
relationship difficulties, shame, guilt, PTSD symptoms, difficulty
trusting people, addictions; May "cut" or otherwise
PAIN: Depression, anxiety, loss issues, isolation,
stigma, family difficulties; Interdisciplinary Treatment Approaches;
Pain education & management.
ISSUES: Depression, anxiety, anger, low self-esteem,
ADD/ADHD; School /Social/Family difficulties.
|LOW SELF-ESTEEM: Difficulty accepting compliments,
fear of rejection, lack of any goals in life or setting inappropriately
low goals for self, difficulty saying no to others, verbalizes
dislike for self, assumes not being liked by others, may have
lack of pride in grooming.
RELATIONSHIP CONFLICTS: Lack of or poor communication between
partners or among family members, frequent or continual arguing,
lack-of-trust issues, parent-child relationship conflicts; Effective-Parenting
training; Pre-Marital counseling.