MARGOT'S OFFICES - THE ELI SESSIONS
Apr 25, 2014 21:41:12 GMT -8
Post by Thy Dungyeon Maestyr on Apr 25, 2014 21:41:12 GMT -8
Eli came into Margot's office to see yet another human fireball, who gestured for him to have a seat while she finished reading his papers. At last, peeps spoke...
The office was cosy yet professional. Two comfortable chairs faced each other, each with a small wooden bench next to it. A box of tissues and a glass was placed next to the uninhabited chair. A water jug sat on a smooth glass coffee table between them. Vague abstract art sat on the walls in swirls and shapes of blues and greens. A Kastanian carpet sat on the floor. Margot's credentials were hung near the door.
Eli was greeted by a middle aged woman with a warm smile. She held his form in her hands.
(His form)
Name: _____Eli Rojo________
Gender: ____Male___ Ethnicity:___white (Kastanian) ____ Sexual Orientation:___Gay__
Are you sexually active? _____No___________ Marital Status:____Single_______
Do you have children?_____No______ What are your religious beliefs?____None______
What are your family’s religious beliefs?_______Goddite a bit____________________
What is you occupation?___________Art student____________________
Do you require language assistance with Glennish?____________No______________
Any general information about family members or your relationships with others
that may be relevant to mental or physical health issues? ______Not really___________
Does anyone in your immediate or extended family have a history of mental health
or substance/alcohol abuse issues?______________No_________
Substance Use History
Do you drink alcohol? YES/NO # drinks/week:________Maybe a couple_____________
If yes: Have you ever felt you should cut down on your drinking? YES/NO
Have people annoyed you by criticizing your drinking? YES/NO
Have you ever felt bad or guilty about your drinking? YES/NO
Have you ever had a drink in the morning to steady your nerves or get rid
of hangover symptoms (eye-opener?) YES/NO
Do you smoke cigarettes or use other tobacco products? YES/NO # per day___
Please check the following drugs that you have used in the past or currently use:
Cannabis_X_ Barbiturates__ Benzodiazepines (Vaylor, Amavar, Prosec)__
LSD (acid)__ Mescaline__ PCP__ Mushrooms_X_ Caffeine_X_
Amphetamines (Attentor, Focalvine, Paramol, etc.)__ Ecstasy__ Cocaine__
Guarana__ Khat__ Pseuodoephedrine__ DXM__ Codeine__
Heroin__ Hydrocodone__ Oxycodone__ Morphine__ Opium__
Inhalants__ Others________________________________________
Any other drugs, herbs, vitamins or supplements: ______No_______________________
Describe the frequency of use and the reason for use of the above drugs: ________
_______________________________________________________________
How many hours do you sleep during a 24 hour period?________Much as I can__________
Do you have any trouble falling asleep?________________No_____________
Do you have any trouble staying asleep?_________________No__________________
What are your normal bed and wake times? ____________Too late, too early___________
What do you do for fun?____________Internet, games, movies, etc etc_______________
Have you ever been in therapy, substance abuse counseling, or taken psychiatric
medication in the past? If so, please give details of medications tried, responses and
side effects, and reasons for counseling. ______________________________________
_______Family counseling when I was a kid b/c parents divorce_____________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Have you ever been hospitalized for mental health or substance abuse issues? If yes,
Why and for how long were you inpatient? ___________No____________________
________________________________________________________________
________________________________________________________________
Any past or present suicidal thoughts, plans or attempts? YES/NO
Explain__________________________________________________________
________________________________________________________________
Any past or present thoughts about harming someone else? YES/NO
Explain__________________________________________________________
Did any of the following events occur during your childhood or adolescence?
(Check all descriptions that apply)
Physical Abuse__ Verbal Abuse__ Witness to violence__
Teasing/Bullying_X_ Sexual abuse or rape__ Medical Problems__
Rigid religious way of life__ Trauma (fire, crime victim, natural disaster)__
Drug/alcohol abuse__ Extreme Parental Control/Pressure__
In the past and/or currently, have you ever experienced and problems with any of
the following symptoms or behaviors: (Check all that apply)
Self-harm (cutting, burning, overdosing)__ suicidal thoughts, plans or attempts__
Using illegal or prescription drugs__ Excessive use of alcohol__ blackouts__
Memory disturbances__ Self-induced vomiting__ Laxative Abuse__
Odd or irrational behavior__ Depression__ Nervous Tics__
Impulsiveness__ obsessions/compulsions/rituals__ restrictive eating__
Aggressive or violent behavior__ legal problems__ anxious avoidance__
Seriously risky behavior__ Promiscuity__ appetite/weight loss__
Inability to sleep for more than 48 hours straight__ Insomnia/sleep disturbance__
Loss of interest in sex (if sexual)__ Concerns about sexual identity__
Hallucinations (hearing voices, seeing or hearing things others do not see)__
Any additional symptoms of concern?:__________Vampire_________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
An almost excessively normal looking kid stepped inside. Upon closing the door, his hands were immediately
shoved into his hoodie pocket. His eyes fell straight upon the water jug and his expression tensed for
inscrutable reasons. He took a seat and smiled tightly.
The office was cosy yet professional. Two comfortable chairs faced each other, each with a small wooden bench next to it. A box of tissues and a glass was placed next to the uninhabited chair. A water jug sat on a smooth glass coffee table between them. Vague abstract art sat on the walls in swirls and shapes of blues and greens. A Kastanian carpet sat on the floor. Margot's credentials were hung near the door.
Eli was greeted by a middle aged woman with a warm smile. She held his form in her hands.
Margot-
"Welcome, Eli. Please sit down. My name is Margot Di Bianca, but just Margot will do."
(His form)
Name: _____Eli Rojo________
Gender: ____Male___ Ethnicity:___white (Kastanian) ____ Sexual Orientation:___Gay__
Are you sexually active? _____No___________ Marital Status:____Single_______
Do you have children?_____No______ What are your religious beliefs?____None______
What are your family’s religious beliefs?_______Goddite a bit____________________
What is you occupation?___________Art student____________________
Do you require language assistance with Glennish?____________No______________
Any general information about family members or your relationships with others
that may be relevant to mental or physical health issues? ______Not really___________
Does anyone in your immediate or extended family have a history of mental health
or substance/alcohol abuse issues?______________No_________
Substance Use History
Do you drink alcohol? YES/NO # drinks/week:________Maybe a couple_____________
If yes: Have you ever felt you should cut down on your drinking? YES/NO
Have people annoyed you by criticizing your drinking? YES/NO
Have you ever felt bad or guilty about your drinking? YES/NO
Have you ever had a drink in the morning to steady your nerves or get rid
of hangover symptoms (eye-opener?) YES/NO
Do you smoke cigarettes or use other tobacco products? YES/NO # per day___
Please check the following drugs that you have used in the past or currently use:
Cannabis_X_ Barbiturates__ Benzodiazepines (Vaylor, Amavar, Prosec)__
LSD (acid)__ Mescaline__ PCP__ Mushrooms_X_ Caffeine_X_
Amphetamines (Attentor, Focalvine, Paramol, etc.)__ Ecstasy__ Cocaine__
Guarana__ Khat__ Pseuodoephedrine__ DXM__ Codeine__
Heroin__ Hydrocodone__ Oxycodone__ Morphine__ Opium__
Inhalants__ Others________________________________________
Any other drugs, herbs, vitamins or supplements: ______No_______________________
Describe the frequency of use and the reason for use of the above drugs: ________
_______________________________________________________________
How many hours do you sleep during a 24 hour period?________Much as I can__________
Do you have any trouble falling asleep?________________No_____________
Do you have any trouble staying asleep?_________________No__________________
What are your normal bed and wake times? ____________Too late, too early___________
What do you do for fun?____________Internet, games, movies, etc etc_______________
Have you ever been in therapy, substance abuse counseling, or taken psychiatric
medication in the past? If so, please give details of medications tried, responses and
side effects, and reasons for counseling. ______________________________________
_______Family counseling when I was a kid b/c parents divorce_____________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Have you ever been hospitalized for mental health or substance abuse issues? If yes,
Why and for how long were you inpatient? ___________No____________________
________________________________________________________________
________________________________________________________________
Any past or present suicidal thoughts, plans or attempts? YES/NO
Explain__________________________________________________________
________________________________________________________________
Any past or present thoughts about harming someone else? YES/NO
Explain__________________________________________________________
Did any of the following events occur during your childhood or adolescence?
(Check all descriptions that apply)
Physical Abuse__ Verbal Abuse__ Witness to violence__
Teasing/Bullying_X_ Sexual abuse or rape__ Medical Problems__
Rigid religious way of life__ Trauma (fire, crime victim, natural disaster)__
Drug/alcohol abuse__ Extreme Parental Control/Pressure__
In the past and/or currently, have you ever experienced and problems with any of
the following symptoms or behaviors: (Check all that apply)
Self-harm (cutting, burning, overdosing)__ suicidal thoughts, plans or attempts__
Using illegal or prescription drugs__ Excessive use of alcohol__ blackouts__
Memory disturbances__ Self-induced vomiting__ Laxative Abuse__
Odd or irrational behavior__ Depression__ Nervous Tics__
Impulsiveness__ obsessions/compulsions/rituals__ restrictive eating__
Aggressive or violent behavior__ legal problems__ anxious avoidance__
Seriously risky behavior__ Promiscuity__ appetite/weight loss__
Inability to sleep for more than 48 hours straight__ Insomnia/sleep disturbance__
Loss of interest in sex (if sexual)__ Concerns about sexual identity__
Hallucinations (hearing voices, seeing or hearing things others do not see)__
Any additional symptoms of concern?:__________Vampire_________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
An almost excessively normal looking kid stepped inside. Upon closing the door, his hands were immediately
shoved into his hoodie pocket. His eyes fell straight upon the water jug and his expression tensed for
inscrutable reasons. He took a seat and smiled tightly.
Eli-
"Hi, I'm Eli-- well, you probably have that on the paper?"
Margot-
"Perhaps, but it's always nice to introduce ourselves the old fashioned way, isn't it? What can I do for you today, Eli?"