Intake:
Is It Time to Seek Help?
Please answer “yes” to all that apply:
Do you frequently have guilt, confusion, or shame about your romantic or sexual behaviors?
Do you feel like you are living two different lives, keeping secrets, or hiding your romantic or sexual behaviors?
Do you have poor sexual or relationship boundaries, such as engaging in multiple affairs while married or becoming romantically or sexually involved with an individual who is married, an authority figure (your boss), or a subordinate (your employee)?
Do you feel panic, anxiety, depression, or fear when you don’t have someone to be romantically or sexually involved with?
Do you continually fall for the wrong/unavailable/toxic person?
Have you had one or more unplanned pregnancies or abortions due to your romantic or sexual behaviors?
Do you use other substances or behavior to cope with difficult relationships/feelings/sexual behaviors?
Have you experienced consequences at work, with family, with friends, or financially due to your romantic or sexual behaviors/relationships?
Do you frequently have sex with someone sooner than you wanted to?
Time's up