PERSONAL CONCERNS

You may use the checklist below to identify your specific concerns

Click here for a printable version

  • Abuse—physical, sexual, emotional, neglect (of children or elderly), cruelty to animals
  • Aggression, violence
  • Alcohol use
  • Anger, hostility, arguing, irritability
  • Anxiety, nervousness
  • Attention, concentration, distractibility
  • Career concerns, goals, and choices
  • Childhood issues (your own childhood)
  • Children, child management, child care, parenting
  • Codependence
  • Confusion
  • Compulsions
  • Custody of children
  • Decision making, indecision, mixed feelings, putting off decisions
  • Delusions (false ideas)
  • Dependence
  • Depression, low mood, sadness, crying
  • Divorce, separation
  • Drug use—prescription medications, over-the-counter medications, street drugs
  • Eating problems – overeating, undereating, appetite, vomiting (see also “Weight and diet issues”)
  • Emptiness
  • Failure
  • Fatigue, tiredness, low energy
  • Fears, phobias
  • Financial or money troubles, debt, impulsive spending, low income
  • Friendships
  • Gambling
  • Grieving, mourning, deaths, losses, divorce
  • Guilt
  • Headaches, other kinds of pains
  • Health, illness, medical concerns, physical problems
  • Inferiority feelings
  • Interpersonal conflicts
  • Impulsiveness, loss of control, outbursts
  • Irresponsibility
  • Judgment problems, risk taking
  • Legal matters, charges, suits
  • Loneliness
  • Marital conflict, distance/coldness, infidelity/affairs, remarriage
  • Memory problems
  • Menstrual problems, PMS, menopause
  • Mood swings
  • Motivation, laziness
  • Nervousness, tension
  • Obsessions, compulsions (thoughts or actions that repeat themselves)
  • Over-sensitivity to rejection
  • Panic or anxiety attacks
  • Perfectionism
  • Pessimism
  • Procrastination, work inhibitions, laziness
  • Relationship problems
  • School problems (see also “Career concerns . . .”)
  • Self-centeredness
  • Self-esteem
  • Self-neglect, poor self-care
  • Sexual issues, dysfunctions, conflicts, desire differences, other (see also “Abuse”)
  • Shyness, over-sensitivity to criticism
  • Sleep problems—too much, too little, insomnia, nightmares
  • Smoking and tobacco use
  • Stress, relaxation, stress management, stress disorders, tension
  • Suspiciousness
  • Suicidal thoughts
  • Temper problems, self-control, low frustration tolerance
  • Thought disorganization and confusion
  • Threats, violence
  • Weight and diet issues
  • Withdrawal, isolating
  • Work problems, employment, workaholism/overworking, can’t keep a job

When you see Dr. Fogle, you may use this list to identify your primary concerns.