From: Somatic awareness in the clinical care of patients with body distress symptoms
| 1. | Does the patient ignore his/her body symptom(s) and try to "push on?" |
| 2. | Does the patient exhibit perfectionism and/or Type A attributes? |
| 3. | Does the patient suppress or "stuff" negative feelings? |
| 4. | Did the patient experience verbal, physical and/or sexual abuse as a child? |
| 5. | Is the patient's sleep non-restorative? |
| 6. | Is the patient fearful of functioning without medications? |
| 7. | Is the patient presently experiencing marital/interpersonal problems? |
| 8. | Does the patient exhibit elevated shoulders, facial tension or body guarding? |
| 9. | Does the patient report teeth clenching/grinding? |
| 10. | Does the patient exhibit dysfunctional breathing? |
| 11. | Does the patient breathe into the chest when instructed to take a "relaxed" breath? |