NOT JUST A NUMBER!

advertisement
NOT JUST A NUMBER!
Forms may use numbers for each
question and your counsellor can add
these to the information you have shared
in discussions to get the best picture of
your specific needs.
G
N
I
D
N
A
T
UNDERNSD YOUR
YOU A ULTIES:
DIFFIC
D
N
A
S
M
LP
R
E
H
N
A
C
HOW FO
S
E
R
I
A
N
N
QUESTIO
IN SITUATIONS WHEN:
there isn’t time to say everything
you might want to
you feel embarrassed or scared to
say things out loud to a therapist
or counsellor
the issue might not seem so
important - but actually is
you feel too ‘under the spotlight’ in
counselling, particularly early on
IF YOU NEED EXTRA HELP
WITH QUESTIONNAIRES
AND FORMS:
your therapist or counsellor
It is OK not to fill in a questionnaire or
form – you should never feel pressured
to complete something that you don’t
understand or want to do – this is
about you after all!
OR IF YOU WANT TO:
say things in a different way
remember things that you want to say
write things that might be more
difficult to say aloud.
Having a shared understanding with your
therapist is important, which is why forms
might be used at different times including:
the first time you go for counselling
or therapy
after each session
before you leave counselling
or therapy.
will be
able to help by reading questions
aloud and explaining them, but the
bottom line is that the questionnaire or
form should be helpful and you should
feel comfortable completing it.
ale
ing Sc
ell-be
tal W
h Men
burg
Edin
wick–
War
The WBS)
(WEM
eks
2 we
last
.
the
ghts
over
thou
each
and
e of
ings
rienc
feel
E
expe
out
OF TH
your
ts ab
ALL ME
ribes
emen
sc
TI
at
N
st de
me st
OFTE
at be
e so
x th
5
w ar
E OF
e bo
Belo
SOM ME
k th
E TI
o
4
TH
se tic
t
ea
LY
Pl
r
5
RARE
fe
3
re NE OF
ly.
h
4
ly NO TIME
'
Y
5
on
on THE
ER2
s)
3
Time:
Y
ns
EVDate:
ay
4
1
DA
tio
8d
5
7
2
es
-2
3 around the word that shows how often each of these things happen to you.
s (2 ATEMENTS qu
23 AYS Please put a circle
re
4
.
ek
ST
1
he t the futu
u
e
t
D
6
o
2
w
There2 are no right or wrong answers. 5
t
y
-2
3
haic abou
ur
tist
nk
16 YS
4
r
fo
a
tim
1
A
e
h
op
st
5
D
2
5
5
.T
eling b
pa
3
-1
nsbeen fe mem
ul
13 YS
4
he
1
6
I’ve
tio
e
usef
5
ht
2
DA
es
. R ng
4
2
3
hten feeli
wit e qu
-1
le
be
4
1
laxed 6 AYS
I’vreig
h
ed
5 2
peop
5
ng re
rn
ll t
D in other
he
3
feeli
ce
ra
nt
6 3
sted
been
4
1-5
on swe
1
teSre
I’ve
ro
c
in
Y
4
e
5
A
2
e
0
1
b
elingD
an
2
ar
3
en fe
um
5
se
e beNO S
4
are
ns
n
1
a
I’v
sp
ll
Y gy to
5
3
le
tio
te
2
s we
er
DA
.P
es
Never
Sometimes
1 I feel sad or empty36
1 problem
ria
d en
y
u
ha
p
ll
4
th
1 4
I’ve
ro
g q efu
5
ng wi
2
2
in
r
pp
de0ali
a
a
5
w
3
c
en
Never
Sometimes
e
be
2 1 Nothing is much fun anymore 4
.
arly
llo ion
3
I’voef
th .
g cle
6
S ..
fo
5
elf
t
kin
2
t
Y
ys
1
le
s
in
e
ly
m
A
n r
th
h
3
out
4
irc on
ue
ou e been
:T
8D
4
od ab
Never
Sometimes
e c s)
3 1 I have trouble sleeping
m ethI’ve
hq
ns
5
ople 2
T2
5
ng go
2
as ay
ac
e a (wh
r pe
tio
6
AS
3
r feeli 0
othe
Ple 8 d
3
de
beoen
uc
EP
it th ht
4
se to
1
I’veurs
2: (2
ea
1
str
5
TH
Never
Sometimes
lim weig
ng clo
4 I have problems
4 2 with my appetite
In
o 1 eks
er
ho enceen feeli
OF
5 3
as
1t e
ind 2
Y
g to or
dent
u e be
1
ing I’v
nm
64
in pe
ns ur w
Ple
confi
AN
ak infl
2
my ow
3 no energy
eling 0
M
try sha
tio t fo
w
Never
Sometimes
fe
5
I
have
for
things
up
s
3
to
e
en
4
W
ly
e
s
be
mak
1
te our
1
e (8 er
I’ve
HO
5
Qu e pa
le to
2
era y
tim in ord
ht ab
en
dse be
2
ON
th
oI’v
lib nce d)?
of
Never
Sometimes
6 I am tired
3 a lot
6
eigt things
d
de flue ede
1
wou
y fo rab
ds at all
love 0
n
4
n
o
e
ng
o
a
ri
elig
ings 1
ee in cc
w th
en fetin
pe ing
iet ape
2cannot think clearly
u b at to e su
5
d
e be r ea ape d in ne
g
th
Never
Sometimes
7
I
h
I’v
o
r
n
y
s
v
e
y
u
u sh tereste
3
6
r lo an
yo uen
yo our
ve ou ha
r in
0
fo ng
o
Ha od y you
rful
ingI’ve ybe
1
4
om ce y d)?
ne ati t?
chhee
Never
Sometimes
8 I feel worthless
fo not
ard nce
2
5
e fr uen ede
go ut e eigh
elingac
g
6
fe
d
e
r
e
u
)?
en
m
re
1 o
u d be
lu infl cc
yo itho r w
0
xc
3
u
sto
les infl deI’ve
)
ED
e(
air
g
tin
6.0
/
How are things?
/ 20
Session No
m
xa
re
e
rd
so
Di
Q
st
ue
nq
tio
ina
E-
n
ion
Ea
e to e s
ve w e o
y
ru to ee
r
Never
Sometimes
9 1 I feel like I don’t want to move 4
pt t?
5
Ha ore) hap
ite er cc
6
d to rde hav
em igh
fin rd su
rie o u
m rs
2
2006
de in o ave
t
an we
urgh,
u t in yo
2 you
0 10 I feel restless
3
r
fla
Edinb
4
ve
ow it) u h
yo like not
Never
Sometimes
y of 5
6
ry
lly
r
ha e o
iversit
ve u
foll e lim t yo
1
ve or
ta
d Un
to hap
o
Ha at yo er o
ick an
to
d to alori or n
2
ire ur s
e it in (f
a
Warw
3
s
ie
of
d
th heth
c
4
y
r
e
e o
a d g)?
5
v
er
iversit
ut ,a
3 (w
0
ed gy
ha
s m ste din
nd, Un
yo ple heth
nit in
to
1 alth Scotla 2
rie tere rea
ve am
efi enc
3
r
lo
r
ire
S He
4
Ha r ex ht (w
© NH
(fo
ca re in n, o
a d flu
es
ig
o
r
d
y
d
a o
in
(f we
r
a f in
e
0
ti
go u
1
ve ted ing)?
nit
4 or
2
uh o
in yo ersa
3
efi
e it res ad
yo aim
at gs
lin
?
ad te re
, e in onv
eg
ad
ve e
ng
m in or
0
hB
od th c
Ha h th
ad
1
ati
ht re n,
2
fo on g a
it
ara
uh
re
ig BSou a atio
dS
ut te in
eMW
5 w
ve
yo ?
WE
an
bo tra ow
lo
r w s y ers
ve ch
ht?
0
urn
g a ncen , foll
1
tro
Ha ma
e o ing onv
eig
in
irb
n
g
p
a
c
k
w
th
o
o
a
F
to
c
c rkin
in
h on g a
6 s
rG
ain
ts
ing
he
s th lt to o
0
tg
ou ate win
op
los
Ha cu le, w
igh
ab entr llo
rist
of
diffi mp
Ch
NHS ID:
ar
ing nc g, fo
um
08
7 exa
yo
ink co rkin
e fe
20
at
©
nit
s th lt to o
efi
r th
Service allocated
Ha cu le, w
ad
fea
t?
e
d
diffi amp
case
ID
h
a
nit
8 ex
eig
uh
efi
yo
ew
ad
ve
los
ad
Ha
uh
e to 1/1—Depression/ Low Mood — C h i l d / Y o u n g P e r s o n
Version 7
9
yo
sir
fat?
E
de
ve
AG
Ha
felt
ng
2
3
Often
Always
Often
Always
Often
Always
Often
Always
Often
Always
Often
Always
Often
Always
Often
Always
Often
Always
Often
Always
SUM:
London and SouthEast
CYP-IAPT
www.cypiapt.org
P
www.corc.uk.net
Questions © 2003 Bruce F. Chorpita, Ph.D
Visual Solution © Slavi Savic, EBPU
Download