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Problem Experiences Checklist

Adult Version
by Leigh Silverton, Ph.D.


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This time-saving checklist gives the clinician a quick picture of the client's life situation, indicating what kind of difficulties he or she is experiencing. Given at the time of the initial intake interview, it helps pinpoint problems and identifies areas for subsequent discussion.

 

More than 200 problems and troubling life events are listed under the following headings: Marital-Relationship; Children-Parents; Financial-Legal; Bereavement; Personal Habits; Work Adjustment; Life Transition; Beliefs and Goals; Painful Memories; and Emotions. The client simply checks the problems that he or she is experiencing.

 

Requiring just 10 to 15 minutes to complete, this convenient checklist guides and simplifies the screening interview.

 

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