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What life events preceded your symptoms/diagnosis?
   
 
 
 
What emotions preceded your symptoms/diagnosis?
   
 
 
 
What medical treatments were recommended by your doctor?
   
 
 
 
Did these medical treatments alleviate your disorder?
   
 
 
 
Did your doctor discuss any psychological components to your disease (such as personality traits, stress, emotions, etc.)? If so, did he/she recommend any psychological interventions (i.e. stress relaxation, assertiveness training, anger management, professional counseling, etc.)?
   
 
 
 
Do you feel that you have experienced any emotional states? Stressful life events, etc.?