I wanted to update my counselor

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This form is intended to be a safe way to share information with me in between times that we see each other. Keep in mind that this information is CONFIDENTIAL aside from imminent harm. You are in charge of your information and I will notify you before sharing any information.

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Thanks for reaching out. Use this space to help me understand what's on your mind.
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Would you like me to follow up with you about this?

Yes, please do when you can.

No, I just wanted to let you know.

If it comes up when we talk next, that's cool.

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If I were to scale my hope about my life right now from 1-5 what would it be? 5 being the most hope and 1 being the least hope.

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Help me understand why you chose that number?

Can you think of a time when the number was higher or lower than that? Explain

Did you know you are amazing, and you can do this?
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Yes

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