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511 Northern Hills Dr NE, Suite #2 Rochester, MN 55906 (507) 9237321Intake Questionnaire Adult Dialectical Behavior Therapy Name: Today's Date: Below are several standard questions we ask in order
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Who needs adult dialectical behavior formrapy?

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- Struggle with emotional regulation and experience intense mood swings.
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Adult dialectical behavior therapy is a type of therapy that combines cognitive behavioral techniques with mindfulness practices to help individuals regulate their emotions and improve interpersonal relationships.
Adults who are seeking treatment for emotional dysregulation, self-harm behaviors, or other issues related to difficulties in managing emotions.
Adults can fill out adult dialectical behavior therapy forms with the assistance of a licensed therapist who specializes in this type of therapy.
The purpose of adult dialectical behavior therapy is to help individuals develop skills for managing emotions, improving relationships, and decreasing self-destructive behaviors.
Information reported on adult dialectical behavior therapy forms may include personal background, treatment goals, progress notes, and any relevant mental health history.
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