Request appointment | Ashlyn Parks LPC

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What brings you to seek out therapy services and support?

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What are you looking to work on or gain through therapy?

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Have you been involved in any form of mental health treatment in the past or currently?

In therapy now In therapy in the past Taking psychiatric medication now Taken psychiatric medication in the past Hospitalized for mental health reasons now or recently Hospitalized for mental health reasons in the past None of these apply

Have you ever been diagnosed with a mental health disorder? If so, approximately when?

Do you believe that you have a mental health disorder, but have not been able to obtain diagnostic testing?

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If you have been in therapy before, what worked for you? What didn't? If you haven't been to therapy before, what are some things that you see as helpful/unhelpful?

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What do you consider some of your core strengths?

What areas in your life do you most struggle with?

Examples include: Relationships, Familial relationships, Work, Financial Pressure, Socioeconomic Stress, Executive functioning, focus levels.

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What does your support system look like?

Important relationships, group gatherings or clubs, familial support, etc.

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For medical emergencies, contact your healthcare provider or call 911. For mental health crises, call or text 988.