New Patient Information

IN•TER•IM ASSOCIATES, PLLC

The Squash Blossom Building, Suite 1
601 E. Ludington Avenue • Ludington, Michigan 49431 • 231-843-8222
Counseling The Practice New Patients Newsletters FAQ

New Patients

Changing and growing is a demanding and dynamic process. Oftentimes in psycho-therapy one feels “worse” before one begins to feel “better” or experience change. It is important that during your course of psychotherapy, that you continue your work outside of the sessions and that you allow a period of time for self care.

There is no magic bullet. Change and growth occur because of incremental change and discovery. At times you may receive assignments to do outside of our sessions, and I may refer you to books, activities and exercises. A journal of your process may be helpful if you follow the basic guideline that if you describe a problem, you should also describe what you would like in the future.

I am honored to do this work, and thank you for your commitment to change and grow. If you have questions, it is important that you raise them. When one is uncomfortable or if you have any kind of feelings about psychotherapy, this can reveal patterns, perceptions, and feelings in yourself and your relationships which can be important to explore in therapy.  I encourage you to be brave and bold in sharing your internal process.

A Brief Questionnaire

There are many issues that bring people to therapy. Below you'll find a brief questionnaire meant to aid you in your decision to seek help resolving problems that you're struggling with.

Please use the 1 to 5 scale as described:

Not at all…

1

 Maybe a little…

2

 Sometimes…

3

 A lot…

4

 Always

5

During the past month:

1. Have you felt sad or disconnected most of the time? _____

2. Have you lost interest in things you usually enjoy? _____

3. Have you felt nervous, anxious, or on edge? _____

4. Have you had trouble sleeping or are you sleeping too much? _____

5. Have you been bothered by pains, heart palpitations, racing heartbeats, shortness of breath, weakness or dizziness? _____

6. Have you had more than five alcoholic drinks (4, if female) in a day?   Have you had increased use of medicine/drugs? _____

7. Have you or has someone close to you been physically or emotionally abused?  Might you have hurt someone else? _____

8. Do you have thoughts that weigh on you or bother you a lot? _____

9. Do you feel that you would like some help? _____

Download This Questionnaire

Download New Patient Information Forms (includes a Release of Information Form)

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