Intake Assessment Forms

One or all of these assessments may be used during the intake or during our therapy process, as needed. If you experience distress during any part of the assessment process do not hesitate to alert Dr. Adrianne. These assessments I prefer to be in attendance with you while you are filling them out and are available on my website for telehealth purposes.

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ACEs~ Adverse Childhood Experiences Questionnaire
Beck Anxiety Inventory
Dissociative Experiences Scale-II (DES-II)
Drug Abuse Screening Test (DAST)
PHQ-9 Depression Screening
PCL-5 For CPT use
PCL-C Post Traumatic Stress Disorder (PTSD) Screening

ACEs

Adverse Childhood Experiences Questionnaire
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Beck Anxiety Inventory

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DES-II

Dissociative Experiences Scale II
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DAST

The Drug Abuse Screening Test
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PHQ-9

Patient Health Questionnaire- Depression Screening
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PCL-C

Post Traumatic Stress Disorder (PTSD) Screening
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PCL-5

For CPT use weekly
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