It can be difficult to determine when to go to therapy. This checklist is intended as a guideline for you to clarify what you are currently experiencing and may wish to work on.

SYMPTOMS CHECKLIST

Please check the items that indicate any of the areas that are currently problems for you.

  • Use/abuse of alcohol and/or drugs.
  • Difficulty with school or work.
  • Concerns about finances.
  • Having difficulty being honest/open.
  • Having difficulty communicating.
  • Having a hard time making friends.
  • Having a hard time keeping friends.
  • Wishing you were more social.
  • Feeling pressured by others.
  • Feeling controlled/manipulated.
  • Marital or couple problems.
  • Family difficulties.
  • Difficulties with children.
  • Break-up of a relationship.
  • Difficulties in sexual relationships.
  • Feeling guilty about sexual activities.
  • Feelings related to molestation or rape.
  • Concerns about childhood abuse.
  • Concerns about your weight.
  • Concerns about your weight.
  • Concerns about your physical health.
  • Concerns about your appearance.
  • Performing ritualistic behaviors.
  • Fear of losing control

 

  • Feeling nervous or anxious.
  • Feelings of panic.
  • Under pressure and feeling stressed.
  • Needing to learn to relax.
  • Afraid of being on your own.
  • Feeling angry much of the time.
  • Concerns about your violence.
  • Difficulty expressing emotions.
  • Feeling inferior to others.
  • Lacking in self-confidence.
  • Feeling down or unhappy.
  • Feeling lonely and/or isolated.
  • Guilty feelings.
  • Feeling down on yourself.
  • Thoughts of taking your own life.
  • Recent trauma or loss in your life.
  • Concerns about emotional stability.
  • Feeling cut off from your emotions.
  • Wondering “Who I am."
  • Difficulty making decisions.
  • Feeling confused much of the time.
  • Difficulty controlling your thoughts.
  • Difficulty controlling your actions.
  • Being suspicious of others