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LIFE HISTORY QUESTIONNAIRE Thank you for filling out this questionnaire. It will provide information from your history and about your present situation that will help in our work together. A. IDENTIFYING.

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Completing the Dr Rita Younan form is a crucial step in providing us with the necessary information to assist you effectively. This guide will walk you through each section of the form to ensure that you provide accurate and comprehensive details.

Follow the steps to successfully complete the Dr Rita Younan form.

  1. Click the ‘Get Form’ button to access the questionnaire and open it in the editor.
  2. In section A, provide your identifying information, including your name, birth date, and contact details. Be sure to include how you found out about the services. Indicate your gender and age by selecting the appropriate options.
  3. Move to section B to outline the problems that prompted you to seek help. Describe the symptoms you've experienced and when they started. Include your thoughts on the potential causes of these issues and your expectations for improvement.
  4. In section C, detail your previous treatment history, mentioning any past psychological or psychiatric assistance, along with the names and contact information of relevant professionals. Specify any medications you are currently taking.
  5. Section D focuses on your dating and marriage history. You will need to indicate your marital status and share details about your relationships, including significant past and present partners.
  6. In section E, provide family history by detailing your parents' and siblings' backgrounds. Describe your relationships and any relevant behaviors related to your upbringing.
  7. Section F will ask about your educational background. List schools attended, degrees earned, and any significant academic experiences.
  8. In section G, describe your work experience, including the jobs you've held, your reasons for leaving, and your relationships with coworkers.
  9. Section H covers your sexual history. Answer the questions regarding your learning about sex and any relevant experiences.
  10. Fill out section I, which pertains to your health history. Report any illnesses, operations, and family health issues that may be pertinent.
  11. In section J, reflect on your social life, including religious practices and leisure activities.
  12. Section K asks about military experience if applicable. Provide relevant details about your service.
  13. In section L, explain any legal history you may have.
  14. Section M is for listing significant fears, followed by section N, where you will indicate the frequency of various feelings or experiences.
  15. Finally, review the entire form for accuracy and completeness. Once satisfied, you can save changes, download, print, or share the completed form as needed.

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As an interactive therapeutic approach, Schema Therapy utilises a range of techniques to help people navigate relationships with ourselves and others. The therapist and client work together to build a supportive and trusting therapeutic relationship to create a safe environment for therapy to take place.

Anxiety disorders18. Eating disorders6. Substance use issues19. Post-traumatic stress disorder (PTSD) and obsessive-compulsive disorder (OCD): A review found people living with PTSD and OCD could benefit from schema-focused therapy.

Some behavioral techniques that may be used in schema therapy include assertiveness training to overcome the compliant surrenderer, empathy training for entitlement schemas and modes, and exposure tasks to overcome avoidance modes, among many others.

Schema Therapy aims to identify problematic schemas and replace them with more viable or adaptive in organising and understanding new information or situations we encounter in our personal and professional relationships.

The Schema Domains define 5 broad categories of emotional needs of a child (connection, mutuality, reciprocity, flow and autonomy). When these needs are not met, schemas develop that lead to unhealthy life patterns.

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