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Questionnaire for Psycho Analysis

Rishimba has designed another questionnaire that aids in psycho analysis. i am creating a separate thread so that i can provide a link here whenever required. Once again i say thanks to Rishi.

1. Describe your main sufferings and other related or unrelated sufferings in your own words with exact sensations, locations, modalities and probable causes.


2. Write an essay on yourself as a person. Describe your nature, likes and dislikes, fears and dreams, your ambition in life, your inner-most desires, your place in society etc.


3. What is your profession? Do you enjoy yourself at work? Is it a profession you have willingly chosen? If not, what would it be as per your choice?


4. What would you like to change in your personality, if at all?


5. Please pick out the adjectives which best describe your personality;

Nervous, Anxious, Shy, Worrying, Paranoid, Proud, Asocial, Guilty, Depressed, Hypochondriac, Untidy, Weepy, Emotional, Impractical, Confused, Suspicious, Jealous, Timid, Aggressive, Headstrong, Forgetful, Follower, Insecure, Immature, Impulsive, Rigid, Restless, Feminine.

Anything else you would like to add?


6. Did you have any bereavement in life? If yes, how has it affected you?


7. Do you often suffer from depression? If so, do you prefer company or solitude during those times?


8. Do you get angry often? If not, do you feel the anger inside at least? What are the things / issues on which you get angry the most?


9. Did you have any issues regarding your parenting by your guardians?
 
  kadwa on 2009-11-12
This is just a forum. Assume posts are not from medical professionals.
although nothing can be better than an interactive conversation across the table, this is an attempt to get to the core of the personality.

wherever the modalities are important, i would use the following questionnaire.

Case Taking Sheet Part 1

GENERAL SYMPTOMS (Related to you in person)


Age: Sex: Built: Occupation:

1. Do you have any strange, rare, peculiar, unusual or personal symptom, feeling or a recurring thought?
2. Write down all your marked mental symptoms taking the guidelines as suggested below:

- Deliriums, Hallucinations, Fancies or Illusions.
- Dominant emotions in your temperament ( depressed, angry, shame, jealous, absent mindedness, fickle mindedness, hurry, agreeable, arguing, moody, suspicion, others.. etc )
- Your fears and recurring dreams.
- Loss in memory if at all (names, words, streets etc.)
- Propensities ( tendency to do/think about a certain act)

3. Your response to changes in environment

- Feel worse in the morning / afternoon / evening / night.
- Feel worse in cold or hot weather / climates.
- Feel worse in stormy or calm weather.
- Feel worse in dry or damp weather.
- Feel worse in motion / touch / jar / any particular position.
- Feel worse in bright light / loud sound / sharp smell etc.


4. What are your cravings and aversions in food?

- Cravings:
- Aversions:

5. Describe your menstrual affections ( if any )

- symptoms before / during / after
- early / late
- scanty / excessive

6. Write down the diseases running in your family.
7. Write down if you notice any abnormality with your sleep, hunger, thirst and bowel movements.
8. What are the various diseases which you have suffered from in your life and do you think your present illness is having a relation to the disease or after effects of the drugs taken during the time.



Case Taking Sheet Part - 2

PARTICULAR SYMPTOMS (Related to the parts affected in your body)

9. Do you have any strange, rare, peculiar, unusual or personal symptom, feeling or a recurring pain in the affected parts?
10. Describe your physical sufferings in the specific locations.
11. How does the suffering / pain get aggravated or ameliorated with the changing environment as suggested below:
- Time ( morning, afternoon, evening, night)
- Hot, cold, dry and wet environments.
- Touch, pressure, motion, jar, position, rubbing etc.

12. Do you think there is a specific pattern of occurance of the suffering with regard to time, period or any internal biological changes in the body?
 
rishimba last decade
Dear kadwa,
Here is the rest of the questions. Thank you again.
although nothing can be better than an interactive conversation across the table, this is an attempt to get to the core of the personality.

wherever the modalities are important, i would use the following questionnaire.

Case Taking Sheet Part 1

GENERAL SYMPTOMS (Related to you in person)


Age: Sex:M Built:Average/athletic Occupation: sales/unemployed

1. Do you have any strange, rare, peculiar, unusual or personal symptom, feeling or a recurring thought?No
2. Write down all your marked mental symptoms taking the guidelines as suggested below:

Fancies sex with attractive women.
- Dominant emotions in your temperament ( depressed(recently unemployed have a family), shame(unemployed), absent mindedness(forgetful memory loss on certain things like numbers or a grocery list, fickle mindedness, hurry, agreeable, arguing, others(sometimes untrusting of others).. etc )
- Your fears and recurring dreams.My fear of something bad happeneing to my daughter.
- Loss in memory if at all (names, words, streets etc.) Yes. all mostly, but at times not with conversations and stuff I do remember, but words, streets, numbers and etc. yes.
- Propensities ( tendency to do/think about a certain act) I need to do some things,but not getting them done.

3. Your response to changes in environment not really any of these examples are there for me. Just sometimes over the years this itchy feeling and scaley flakes occur and have to get them under control with shampoos and medication, but nothing really aggrivates it.

- Feel worse in the morning / afternoon / evening / night.
- Feel worse in cold or hot weather / climates.
- Feel worse in stormy or calm weather.
- Feel worse in dry or damp weather.
- Feel worse in motion / touch / jar / any particular position.
- Feel worse in bright light / loud sound / sharp smell etc.


4. What are your cravings and aversions in food? I like lots of different foods, but don't crave nothing in particular.

- Cravings:
- Aversions:

5. Describe your menstrual affections ( if any )None

- symptoms before / during / after
- early / late
- scanty / excessive

6. Write down the diseases running in your family.My grandfather was a heavy smoker, drinker and had a brain tumor, my father had a heart attack after being a heavy smoker for years, I am not a heavey smoker or remotely one, occasional if any.
7. Write down if you notice any abnormality with your sleep, hunger, thirst and bowel movements. I could drink more water, than soda.
8. What are the various diseases which you have suffered from in your life and do you think your present illness is having a relation to the disease or after effects of the drugs taken during the time. Not really, but have had allergies and had a medication back then called seldane, that I heard it could cause hairloss, but not confirmed.



Case Taking Sheet Part - 2

PARTICULAR SYMPTOMS (Related to the parts affected in your body)

9. Do you have any strange, rare, peculiar, unusual or personal symptom, feeling or a recurring pain in the affected parts?No just the oily residue on scalp and scales.
10. Describe your physical sufferings in the specific locations. oily on top, and some residue, and scales on sides, sideburn area, if I grow a mustache that too, and rear head bottom hairline area which is also thinning.
11. How does the suffering / pain get aggravated or ameliorated with the changing environment as suggested below:
- Time ( morning, afternoon, evening, night)
- Hot, cold, dry and wet environments.
- Touch, pressure, motion, jar, position, rubbing etc.
none just shampoos or coritzone stuff for dandruff/psoriasis.
12. Do you think there is a specific pattern of occurance of the suffering with regard to time, period or any internal biological changes in the body? I had the thinning first and then I had a time when I would urinate and then feel like it was not finished and a sperm like liquid would come out and I went to the doctor and he said it was normal and gave me medicine, it was a long time ago, but I know that hairloss and prostate are a little related in recent years.
 
jbo308 last decade
Dear Kadwa

I have a serious question which I would like to ask but I cant write it here on the board.

It would be really great if you can drop me an email and I will reply back.

jms.richard(at)ymail(dot)com

Thank you
 
James2007 9 years ago
Dear James2007

Any kind of serious problem may be discussed at the forum. The major advantages of having discussions at the forum are
1. Other people who have serious problems come to know about the options they have for resolving their problems.
2. Other members can intervene at any stage if they feel that their intervention can help.

Please keep in mind the following while participating in forum discussions
1. Don't reveal your real identity. This is very important if you are making any allegations against your relatives for their mis-behaviour.
2. Please provide full information so that selection of remedy becomes easier.

Please open a separate thread for putting your case. Please don't put your case here.

Thanks.
 
kadwa 9 years ago
Dear Kadwa,
I am confused, is this a new questionaire for me, or is it for someone else, I have a reply from a james2007, but nothing there, same message to you in this thread. I still have no results, should I take the pills again. Symtoms the same, I have read of some remedies, but don't have all of it. What do you think one says to clean scalp/disinfect with vinegar, then use or make a cream, but I don't know the ingredients. The other says to rub olive oil in scalp, for certain amount of days, then again make a cream or something with a few herbs, I don't know what they are, does anyone know this online they want 39 dollars, as it is I am unemployed so money is very tight. Please help me, I am tired of the hair loss.

Thank you
 
jbo308 9 years ago

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