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Susan Regan, MFT


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susanmreganmft@gmail.com

 

 

EMDR Questionnaire

EMDR can help lots of people get through trauma. Some of the trauma we experience in life is little trauma, and I call that “The Little Ts.” Some of the trauma we experience is big trauma, and I call that “Trauma with a Capital T.” In our first EMDR session, I typically ask people these questions, it might be a good for you to ponder for our session.

 

 

Please list the 10 best experiences you’ve had so far in your life. Please also note the approximate age range you were when you had these experiences.

       Experience                                    Age Range                    How you rate the memory now

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Please list the top 10 worst experiences you’ve had in your lifetime. Please also list the age or age range you were when you had this experience. Please also rate the level of disturbance that you have when you remember this experience now. How disturbing is this memory now?

       Experience                                    Age Range                    How you rate the memory now

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Susan Regan, MFT
999 Sutter Street
San Francisco, CA 94109
Directions to my San Francisco office

 

1400 Shattuck Street #7
Berkeley, Ca 94708
Directions to my Berkeley office

In Berkeley. Enter 1400 Shattuck on Rose Street (cross Street is Rose Street). My office is on the second floor suite #7. Bay Area Children First sign is on the door. There is a waiting area on the side of the suite. Please wait there. The building 1400 Shattuck is between Longs and Safeway.

 

Tel: (415) 563-4342
Fax: (510) 868-1026
SusanMReganMFT@gmail.com