Please sign release for Elisa Elkin-Cleary, LICSW to communicate with your psychiatrist for treatment considerations, and in an effort to provide consistency and quality care.
Do you have any serious or chronic medical conditions?
Have you had any serious accidents/head injuries/seizure activity?
I often feel like I am an outsider
Worry that something is wrong with my body
Frequent arguments with the people I live with
I hear voices that others do not
Difficulty falling asleep or staying asleep
Change in appetite, weight loss, or weight gain
Panic attacks or anxiety attacks
Thoughts/feelings of killing or hurting myself
Problems remembering things
Periods of daily sadness lasting more than two weeks
Can’t stop remembering upsetting past events
Difficulty controlling my temper
I physically hurt other people
I feel tired almost every day