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Anxiety Care Coaching &
 Holistic Counseling plus
Hypnosis


ANXIETY CARE
from the Doctor Who's Been There.

I spent seven years in "anxiety hell" so
you don't have to!
read my story 

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Contact Me Now, Dr. Dianne Ruth
(858) 560-0439

10 am - 7 pm PT / 7 days

HOME

See Lots of Powerful
Easy to Use

FREE

Self-Help
Techniques


including the
1-Step Reframe
aka
Give it the Finger

Summary of Proven Methods
Power Toolbox

Q & A
Information
ARTICLES
Index

MORE FREE

DOWNLOADS
Forms and Information

Phone or Office?
Index


LOCATION
Driving Directions
plus Message for
New Clients


COST
Fees Made Affordable

ABOUT
Dr. Ruth
Index
Testimonials

CONTACT ME
Dr. Ruth

Links and Resources

Links


Disclaimer Notice


Last Updated
04/08/2012

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DOWNLOADS

Anxiety Care Coaching & Holistic Counseling Forms, Work Sheets, Information and Fact Sheets

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INSTRUCTIONS--Please read:

FIRST SESSION FORMS

REQUIRED! Confidential Client Information. Please complete both pages/sides of this form. If you need more space, you may attach an additional page.

REQUIRED!
Policies and Information. Print 2-copies, READ THOROUGHLY,--you will be tested on your knowledge of the content, ;o) --sign and date both copies and return one copy to me, Dr. Ruth.

If you have any questions or concerns before signing this form, please feel free to discuss them with me.

The above "REQUIRED!" FIRST SESSION FORMS are to be downloaded and printed out. Please return the completed paperwork to me prior to your first session if by phone. Otherwise, you may bring the paperwork in with you if your session is in person.

SECOND SESSION FORMS

The "Strongly Requested!" forms below are also required by your first appointment if you are having a double session, otherwise, they need to be completed by your SECOND SESSION.

Strongly Requested!
Personal Stumbling Blocks.
This list can help you to identify any negative feelings and behaviors that may be keeping you blocked or stuck in old unwanted responses.


S
trongly Requested!
Are you Ready for Life Coaching & Holistic Counseling?
This self-assessment quiz will help to determine how ready you are for my services.

Strongly Requested!
Turning "Stumbling Blocks" Into Personal Growth
by "Building Blocks" for Personal Growth. This work sheet will help to isolate old beliefs that stop you from reaching your full potential.  

Strongly Requested!
Holistic Counseling Index
.
By going over this check list, you can choose the items that you would like to address during our work together.

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THIRD SESSION FORMS

The following forms appear lower down on this web page with descriptions and links, and are to be reviewed and completed by your THIRD SESSION: Communication Skills set, The First Step and What to Talk About With Your Life Coach & Holistic Counselor During Your Session.

Doing the form, Turning "Stumbling Blocks"
Into Wealth by "Building Blocks" for Wealth" is optional based on your objectives.
 
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FOURTH SESSION FORMS 

Completion of Your Life Story and Wheel of Life Exercise will be asked for by your FOURTH SESSION.

There may be other forms below that are relevant to your concerns. Please add them to your downloads. The more information you share with me, the more I can do for you!

The forms may be scanned and emailed to me as an image file or PDF file, faxed, or snail-mailed. Alternately, if we are meeting in person, you may bring them with you to your session.

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MORE FORMS, ARTICLES, AND INFORMATION

Make your selections according to your interests as you progress through your Life Coaching & Holistic Counseling Program

WORK SHEETS FOR ASSESSING SOME MOOD DISORDERS

Depressed? Depression Work Sheet. Click on Warning Signs of Depression to read this article.

Anxious? Anxiety Work Sheet. For more information go to my articles on, 12 Types of Anxiety and Causes of Anxiety.

Panicky? Panic Attacks (and Agoraphobia) Work Sheet. Go to my article on 12 Types of Anxiety for more information on Panic Disorders.

Phobic, Scared or Fearful? Assessing Your Fears List. More about phobias are discussed in my article, 12 Types of Anxiety.

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COMMUNICATION SKILLS
Review in the following order:

Communication Inventory. Are you predominantly visual, auditory, or kinesthetic? Discover your primary method for mentally processing information.

The Secret Language of Verbal Communication. This brief article will explain what each of the above modes of processing means to you.

Process Words
for Creating Instant Rapport. This list of visual, auditory and kinesthetic words will give you an easy to use reference for "seeing eye to eye with," "getting on the same page as," or "getting in tune with," another person.

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WEALTH BUILDING WORK SHEETS

Blocks to Money. Have you ever wondered why you have not been financially successful, or perhaps, you can make money but you cannot seem to keep it?

S.M.A.R.T. Goals. This simple guide will help you to understand how to set achievable goals.

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PERSONAL GROWTH WORK SHEETS

Emotional Assessment. This paper gives a list of words that describe positive and negative emotions. It can help you find ways to express your feelings more accurately.

Are You Highly Sensitive? Take this quiz. You might need to learn how to thrive in an overwhelming world....

Wheel of Life Exercise. This chart gives you a place to visually track major areas in your life, and to determine where more balance is needed.

Wheel of Life Exercise, blank. On this chart, you can fill in and track the areas you choose.

The First Step. What are the energy drainers in your life? List them on this work sheet and get them resolved in session.

What to Talk About With Your Life Coach / Holistic Counselor During Your Session. Here is a guide for staying on track with the issues in your life and getting them settled.

Writing Your Life Story is Really Very Easy. Our lives follow many tracks at the same time. For instance, we can do a time line on our relationships, our jobs, and our hobbies as they evolve over the years.

This short instruction sheet gives you directions on how to organize your thoughts and experiences into an autobiography of your life.

Your Life Story. This form provides you with a starting point for creating your life story. Before beginning, read the above instruction sheet, "Writing Your Life Story is Really Very Easy."

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EFT (Emotional Freedom Techniques) INSTRUCTIONS and WORK SHEETS

EFT Basic Shortcuts. You will usually start with this version of EFT because it is so simple to learn, and quickly provides impressive results.

EFT Full Instructions. This version is for the client who is seeking a more effective and advanced way to work with EFT.

SUDS (Subjective Units of Disturbance)

Raising Your Metabolism (or Immune System) with EFT. This is a simple treatment plan that targets a specific concern.

EFT Drama Words. To take your EFT experience to the next level, consider empowering your set-up statements with "Drama Words."

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EMDR (Eye Movement, Desensitization and Reprocessing)

EMDR Information. These three pages are copied from the book, EMDR: A Closer Look. They give a brief explanation of the EMDR procedure, what it treats, and what it can do for you.

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FLOWER REMEDIES FOR STRESS RELIEF

Bach Flower Remedies Can Help You. There are 116 questions in this questionnaire that are designed to help you identify areas of distress in your life.

Many people are acquainted with the well
known Bach Flower Rescue Remedy. There are a total of 39 more remedies available for treating specific concerns.

These pure liquid tasteless remedies are made from flower essences, are completely safe, and support the individual by correcting emotional upsets, and stimulate the potential for self-healing.

After you have completed, "Flower Remedies Can Help You," I will review the answers with you.

If we are doing sessions in person, I can then muscle test you for selecting the appropriate remedies for the conditions you have indicated. Alternately, I can teach you some muscle tests you can do on yourself.

Note: I do not sell or provide these products; however, with the information we gather, you can then make suitable purchases from the health food or vitamin store of your choice.

How to Use Bach Flower Remedies. This is an extremely handy 6-page instruction manual. It tells you the many different ways you can use the flower essences.

For example, it describes how to use them and what to expect. In addition to yourself, you can use them on plants, pets, animals, children, adults, and seniors.

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ABUSE INFORMATION

"53 Clues to Recognize Abuse" Checklist. Are you confused about whether you are really experiencing emotional, physical or sexual abuse? This checklist can help you to evaluate your experiences.

This information can apply to all: women, men, young and old.

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STOP SMOKING

Stop Smoking For Good: Program Information

The program includes an action packed, 60-page book filled with powerful, easy to use, simple techniques for successful elimination of the smoking habit. It can also be effectively used for other addictions.

When combined with power packed coaching support, your success with making life-altering changes is assured.

Please contact me for more information on purchasing the book for self-use, or to learn more about the program.

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LOSE WEIGHT NATURALLY

Lose Weight Workbook. This 26-page workbook contains about 250 questions to stimulate your thinking about why you have an issue with weight gain or an inability to lose weight for good. (Most clients only check, on the average, about 25 to 40 questions as being relevant to them.)

After completing the project, in-depth coaching inquiry and exploration of hidden agendas can help you to  identify the emotional blocks to losing weight. You will then be able to eliminate them quickly and easily with EFT. This results in an automatically healthier lifestyle.

The "Lose Weight Workbook" is based on the compulsive overeating and weight loss protocol developed by Dr. Carol Look, EFT Master.


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MISCELLANEOUS

Testimonial Release Form. This easy to fill out form is for clients who have done work with me and are willing to share their experience with others. I would love it if you would take a few moments to give me your response. :o)

5 Tips on How to Write a Powerful Testimonial That Makes YOU Look Good


NOTE: I will continue to post more forms and related information articles regularly. Keep watching!

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According to the National Institute of Mental Health, psychotherapy only has a 20% success rate. I have a 97% success rate, and over 36 years experience.

I honor your race, religion, culture, and way of life. I welcome adults in consensual, sane and safe, alternative sexual and other lifestyles.

Butterfly  

 

Website:  http://www.dynamicresources.net
Email: DrDianneRuth@DynamicResources.net
 

The designated contact and principal office responsible for this website is:
Dianne Ruth, PhD
Dynamic Resources International™
Anxiety Treatment & Care Doctor in San Diego

Mission Bay Professional Building
(I-5 & Clairemont Drive, exit 22)
4295 Gesner St., Suite 3C
San Diego, CA 92117-6663 USA


Call direct (858) 560-0439

Calls are welcome between 10 am - 7 pm Pacific Time / 7 days
including holidays

All contents © Copyright 2001-2012 by Dynamic Resources International™. All Legal Rights Reserved. All copies must include the above copyright notice and legal disclaimer in its entirety. Please see Disclaimer Notice for additional information.


CONTACT INFORMATION

Fax:
(Please call for faxing information.)
Email: DrDianneRuth@
DynamicResources.net

Mailing address:

DR DIANNE RUTH
STE 3C
4295 GESNER ST
SAN DIEGO
CA 92117-6663

(858) 560-0439