Worry and Rumination

• Do you worry that something bad will happen, even without clear reason?
• Do you think about the same problems repeatedly and feel unable to stop?
• Do you find yourself ruminating excessively about past or future events?

Physical Symptoms (Your Body's Stress Response)

• Do you experience restlessness, tiredness, or muscle tension?
• Are you unable to relax and feel constantly stressed?
• Do you have heart palpitations, dry mouth, throat tightness, or shortness of breath?
• Do you get nauseous or have digestive issues when anxious?
• Do you suffer from tension headaches along with other anxiety symptoms?

Hypervigilance - Always "On Guard"

• Do you feel constantly on edge with interrupted sleep and difficulty concentrating?
• Are you more irritable and impatient with others than usual?
• Do you feel like you're always "bracing" or expecting something bad to happen?

Emotional Changes

• Do you feel persistently sad or depressed?
• Have you lost interest in activities you once enjoyed?
• Do you feel hopeless or experience despair?
• Are you withdrawing from others and life's activities?

Physical and Sleep Changes

• Has your appetite changed significantly in recent weeks or months?
• Do you have periods where you can't sleep, or do you sleep excessively without wanting to get out of bed?
• Do you feel unable to relax or sit quietly?
• Do you lack energy and motivation for daily tasks?

Thought Patterns

• Do you engage in negative self-talk?
• Do you have many negative thoughts about yourself?
• Do you have a history of depression dating back to your teens?
• Is there a family history of depression?

Recent Life Changes

• Are you currently taking medication for depression, anxiety, ADHD, or substance abuse?
• Have you recently moved and are finding it difficult to adjust?
• Did you recently start or graduate from college and feel overwhelmed?
• Are you struggling after the end of a relationship?
• Have you experienced a significant life event that's hard to process?
• Do you simply need someone to talk through what's happening in your life?

Loss of Support Network

• Did you lose your support system due to a geographic move?
• Are you having difficulty finding new, meaningful connections?
• Do you feel isolated in your current environment?

Current Relationship Conflicts

• Are you involved in multiple relationships that cause emotional conflict?
• Do you and your partner argue frequently or lack communication?
• Has separation been discussed or threatened?
• Have you experienced verbal or physical abuse in your relationship?
• Do you and your partner live increasingly separate lives?

Pattern Recognition

• Do you have a history of broken relationships due to trust issues or poor partner choices?
• Do you frequently feel lonely and isolated?
• Do you struggle with being alone?
• Do you maintain emotional distance from family, coworkers, and neighbors?
• Are you desperately using dating apps for social connection or hookups?
• Do you have unwarranted mistrust that leads to loneliness?

Social and Emotional Withdrawal

• Are you withdrawing from important social relationships?
• Do you often feel hopeless and worthless?
• Do you experience persistent guilt?

Self-Perception Issues

• Do you have a negative view of yourself?
• Are you easily embarrassed or frequently feel humiliated?
• Do you often feel shame or like you're "not good enough"?
• Do you constantly compare yourself to others and feel you fall short?

Loss-Related Symptoms

• Have you experienced losses and been unable to resolve your grief?
• Do your thoughts constantly focus on the loss, affecting your concentration?
• Are you confused about your future after a significant loss?
• Are you having difficulty accepting the death of a loved one?
• Do you feel bitterness and anger related to relationship loss?
• Are you unable to feel grief even when you think you should?

Sexual Orientation Concerns

• Do you have uncertainty about your sexual orientation?
• Are you gay, bisexual, or questioning but not open about it?
• Do you worry about or try to suppress same-sex attractions?
• Has recent experimentation raised questions about your orientation?
• Would you like to learn more about LGBTQ+ communities?

Gender Identity Questions

• Do you worry about or feel anxious about your gender identity?
• Do you experience gender dysphoria?
• Are you unable to express your gender in the way you desire?

Shame and Secrecy

• Do you experience guilt and shame around sexual feelings and desires?
• Do you work hard to keep attractions hidden from others?
• Do these feelings make it difficult to feel okay about yourself?

Attention Difficulties

• Do you fail to pay close attention to details, especially with uninteresting tasks?
• Do you have difficulty sustaining attention to tasks or activities?
• Are you often accused of not listening when spoken to directly?
• Do you struggle to follow through on instructions and finish tasks?

Hyperactivity and Impulsivity

• Can't you sit still for any length of time, feeling restless and fidgety?
• Are you described as always "on the go" or "driven by a motor"?
• Do you have problems engaging in leisure activities quietly?
• Do you talk excessively or interrupt others frequently?
• Do you often lose items necessary for tasks?

Life Impact

• Did you have behavioral problems, impulsivity, or concentration issues in school?
• Were you diagnosed with ADHD in childhood?
• Have work relationships suffered due to your inability to function appropriately?
• Are you easily distracted with attention drawn away from tasks?

• Have you experienced a trauma-related event?
• Do you have nightmares and flashbacks about experiences in your life?
• Do you experience the anxiety and depression symptoms listed above following a traumatic event?

As a trauma specialist trained in somatic therapy, I understand how trauma affects both mind and body, and I use evidence-based approaches to help with healing.

• Have you had most of these issues for less than six months?
• Have you been experiencing these concerns for more than six months?
• Have these problems been present for more than two years?

Taking the First Step

• Contact us at contact@districtcp.com
• We accept most CareFirst BCBS plans and work with national care providers in the DMV area
• Many insurance plans cover mental health treatment under out of network benefits - check with your insurance plan
• Telehealth sessions available for your convenience
• Initial consultations help determine the best treatment approach for your specific needs

Professional Credentials

• Licensed Independent Clinical Social Worker (LICSW)
• Certified Trauma Specialist
• Somatic Therapy Training
• Psychedelic-Assisted Therapy Certification