Symptoms List

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All sections are required. If nothing applies in a section, select the "none listed" check box.

Current Emotional Disturbances

Current Interpersonal Disturbances

Current Stressors / Anxiety

Current Self-esteem / Body Image

Current Physical Health Concerns

Current Thought Patterns

Current Habitual Behaviors

Abuse / Trauma Assessment

Grief and Loss Assessment

Suicide / Self-harm Assessment

Physical Harm Assessment

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