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DMC Feeling Checklist
Developed By Terence T. Gorski
© Terence T. Gorski, 1999

<Return To DMC Description>

1.       When you think or talk about the problems that caused you to come into treatment, do you ever feel Pain or Hurt?   If you do, how intense is the feeling (1 = not intense; 10 = Very intense)?  Why did you rate it the way that you did?

2.      When you think or talk about the problems that caused you to come into treatment, do you ever feel Mad or Angry? If you do, how intense is the feeling (1 = not intense; 10 = Very intense)?  Why did you rate it the way that you did?

3.       When you think or talk about the problems that caused you to come into treatment, do you ever feel Afraid or Anxious? If you do, how intense is the feeling (1 = not intense; 10 = Very intense)?  Why did you rate it the way that you did?

4.  When you think or talk about the problems that caused you to come into treatment, do you ever feel Guilt or Shame? If you do, how intense is the feeling (1 = not intense; 10 = Very intense)?  Why did you rate it the way that you did?

5.      Did you ever try to get rid of these feelings by using denial to try and convince yourself you didnít have these problems? If you do, how intense is the feeling (1 = not intense; 10 = Very intense)?  Why did you rate it the way that you did?

 

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GORSKI-CENAPS Clinical Model --- Research-Based Best Practice Principles

Special Focus:  Mental Health, Substance Abuse, & Terrorism

Terry Gorski and Other Members of the GORSKI-CENAPS Team are Available To Train & Consult On Areas Related To Recovery, Relapse Prevention, & Relapse Early Intervention

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info@enaps.com; www.tgorski.com, www.cenaps.com, www.relapse.org