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Therapy by
Cedric D'souza
MA. Clinical Psychology
Operating From:
Hungary (Online Sessions Only)
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PRESENTING PROBLEM
Please state in your own words the problem you are experiencing:
What is your goal in seeking help?
Are you open to spiritual guidance for this issue?
Yes
No
Is the use/abuse of drugs and/or alcohol related to this problem in any way? If yes, please explain
Is there any other behavior that is related to this problem?
Have you experienced any significant loss / crisis / life change recently?
Do you have any thoughts of hurting yourself or others?
Yes
No
If yes explain
Have u ever attempted to commit suicide?
Yes
No
If yes explain
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