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Patient Evaluation - VIEWING and PRINT

Risa Newell, Ph.D., L.L.C., Licensed Clinical Psychologist

7047 E. Greenway Parkway, #250  |  Scottsdale, AZ 85254

(T) 602-478-1477   (F) 602-773-0998  risa@newellphd.com

Newellphd.com

Thank you for taking the time to complete this evaluation – a thorough review of important parts of your life. The following questions are personal and sensitive in nature and will remain strictly confidential and secure. By completing this form, you will provide valuable information for the therapeutic process.

Identifying Information

January 26, 2026

Submitted

Melissa Sawyer

* Required

02 05 1965

Living Situation:

Partner/Spouse

Relationship Status:

Married

Michael Sawyet

08 16 1964

Megan: 30
Mitchell: 24

Baxter

2 sisters, mother

true

Special Education Teachet

Paradise Valley Unified School District

Megan Sawyer

Daughter

6025013030

Current Concerns

What are you most concerned about now? 

Family relations
Depression
Anxiety

Please rate your current level of distress, from 1-10, (1=minimal to 10=extreme):

8

When do you tend to feel the worst? 

All day

Please indicate how long you’ve been feeling this way now:

8 days

Have you ever felt this way in the past?

Yes

If so, when and how severe?

I have had these issues for close to 40 years. The level of severity just changes.

What has been done so far to address these concerns?

I am on depression medication and have been in therapy many times throughout these years.

Do you have any negative beliefs about yourself?

Yes

If yes, what are they?

That I am a failure as a mother to my son. That I have no idea how to be a happy person, a rarely feel joy. That I have no purpose. That I am an emotional burden to my daughter.

Specify which areas of your life are affected by this problem:

Physical, Home, Family, Relationships

Other?

Stressful Life Events

Please indicate if any of the following have occurred within the past 12 months:

Serious Problem with Child

Marriage

Financial Stress, Work Stress

Other:

Psychiatric Symptoms: DSM-5 Self-Rated Measures - Adult

Instructions: The questions below ask about things that might have bothered you. For each question, select the frequency that best describes how much (or how often) you have been bothered by each problem during the past TWO (2) WEEKS.

During the past TWO (2) WEEKS, how much (or how often) have you been  bothered by the following problems?

None

Not at all

Slight

Rare, less than a day or two

Mild

Several Days

Moderate

More than half the days

Severe

Nearly every day

1. Little interest or pleasure in doing things?

4 Severe - Nearly every day

2. Feeling down, depressed, or hopeless?

4 Severe - Nearly every day

3. Feeling more irritated, grouchy, or more angry than usual?

4. Sleeping less than usual, but still have a lot of energy?

3 Moderate - More than half the days

5. Starting lots more projects than usual or doing more risky things than usual?

0 None - Not at all

6. Feeling nervous, anxious, frightened, worried, or on edge?

4 Severe - Nearly every day

7. Feeling panic or being frightened?

4 Severe - Nearly every day

8. Avoiding situations that make you anxious?

2 Mild - Several Days

9. Unexplained aches and pains (e.g., head, back, joints, abdomen, legs?)

2 Mild - Several Days

10. Feeling that your illnesses are not being taken seriously enough?

1 Slight - Rare

11. Thoughts of actually hurting yourself?

1 Slight - Rare

12. Hearing things other people couldn't hear, such as voices even when no one was around?

0 None - Not at all

13. Feeling that someone could hear your thoughts, or that you could hear what another person was thinking?

0 None - Not at all

14. Problems with sleep that affected your sleep quality overall?

2 Mild - Several Days

15. Problems with memory (e.g., learning new information) or with location (e.g., finding your way home?

1 Slight - Rare

16. Unpleasant thoughts, urges, or images that repeatedly enter your mind?

2 Mild - Several Days

17. Feeling driven to perform certain behaviors or mental acts over and over again?

0 None - Not at all

18. Feeling detached or distant from yourself, your body, your physical surroundings, or your memories?

0 None - Not at all

19. Not knowing who you really are or what you want out of life?

2 Mild - Several Days

20. Not feeling close to other people or enjoying your relationship with them?

3 Moderate - More than half the days

21. Drinking at least 4 drinks of any kind of alcohol in a single day?

0 None - Not at all

22. Smoking any cigarettes, a cigar, or pipe, or using snuff or chewing tobacco?

0 None - Not at all

23. Using any of the following medicines ON YOUR OWN, that is, without a doctor's prescription, in greater amounts or longer than prescribed [e.g., painkillers (like Vicodin), stimulants (like Ritalin or Adderall), sedatives or tranquilizers (like sleeping pills or Valium), or drugs like marijuana, cocaine or crack, club drugs (like ecstasy), hallucinogens (like LSD), heroin, inhalants or solvents (like glue), or methamphetamine (like speed)]?

0 None - Not at all

Current Status

Masters degrer

Are you currently attending school?

No

20 years

Job satisfaction:

Medium

Job stress level:

Medium

Have you ever been terminated from a job?

No

Are you currently receiving disability?

No

Are you an active member of the Armed Forces?

No

Have you ever served in the military?

No

Were you ever in combat?

No

Do you have an illness or injury related to your service

No

Family

Current support network (check all that apply):

Are you satisfied with your home and family life?

How socially active are you?

No

Rarely

Who do you most enjoy spending time with?

My children

How important is religion and/or spirituality in your life?
Very / Somewhat / Not at all

Somewhat

Are you physically active?  Yes / Sometimes / No

Sometimes

Current satisfaction with lifestyle, hobbies, activities:
High / Medium / Low

Low

Please list your favorite activities, interests or hobbies:

Spending time with my children, attending sporting events, reading

Briefly describe how you spend a typical day:

Teaching, cooking, watching tv, sleeping

What do you like most about yourself?

I care about others

Please describe one of your favorite memories:

College and some family vacations

Current Relationships

My daughter

Are you currently in a committed romantic relationship?

Yes

If YES, with whom and for how long?

Married for 35 years

Quality of relationship: (Positive / Mixed / Negative)

Negative

Any current romantic relationship conflicts?

Yes

Are you concerned about any potential violence?

No

Any recent breakups?

No

If you have children, are there any current relationship difficulties?

Yes

If you are co-parenting with an ex-partner, any areas of concern or conflict?

No

Any relationship problems with other family members, (parents, siblings, etc.)?

Yes

Any conflict with others outside of family, (friends, coworkers, neighbors, etc.)? 

No

To whom are you closest?

Physical, Home, Family, Relationships

Physical, Home, Family, Relationships

Mental Health Treatment History

Age at first mental health treatment:

22

Why did you seek/receive treatment? 

Hard to remember, I think just transition to adulthood

Have you ever met with a therapist?

Yes

On and off over the past 40 years individually. Tried marriage counseling at least 4 times

If you would like me to consult with your previous therapist, please provide therapist information and sign your consent here:

January 26, 2026 at 4:05:12 PM

Beth Keen

Have you ever been hospitalized for a mental health condition?

No

If yes, please complete below:

Have you taken psychiatric medication in the past?

Yes

If yes, please complete below:

Effexor

Current

Any other psychiatric medication:

Providers

Primary Care Physician

Chelsea Hoshiwara

4806070060

11 2025

4806075809

Signature

Consent to contact Primary care Dr.

Yes

January 26, 2026 at 4:05:13 PM

Psychiatric Provider

Signature

Consent to contact psychiatric provider?

January 26, 2026 at 4:05:13 PM

Current Medications

Medication list attached separately?

Any concerns or troubling Side Effects with your medications?

No

If yes, please describe: 

Psychiatric Medication

Medication

Dosage/Frequency

When prescribed
Side effects

Medical Medication

Medication

Dosage/Frequency

When prescribed

Side effects

Medical Status

How would you describe your overall health?
(Poor / Below average / Average / Above average / Excellent)

Average

Date of last complete physical exam:

Please list any significant findings:

Date of last dental exam:

07 2025

Please list any significant findings:

Has your life changed because of your health?

Are you currently undergoing medical treatment?

No

Yes

Current medical treatment

Diabetes

Please list any major illnesses, events or accidents from your medical history:

Diabetes

Do you use Medical Marijuana?

No

Do you regularly take pain medication?

No

Please indicate personal concerns with any of the following physical symptoms:

Arthritis, Diabetes

Skin Disorder

Other please specify):

Trauma History

Please indicate if you have ever experienced any of the following:

Other (please specify):

Verbal abuse

Please indicate the typical response to your worst traumatic experience(s):

Help and support

Lasting emotional symptoms

Childhood History: Adverse Childhood Experience (ACE) Questionnaire

2

Did a parent or other adult in the household often…

Swear at you, insult you, put you down, or humiliate you? or

Act in a way that made you afraid that you might be physically hurt?

N

While you were growing up, during your first 18 years of life:

1

Did a parent or other adult in the household often…

Push, grab, slap, or throw something at you? or ever

Hit you so hard that you had marks or were injured?

N

Yes

No

3

Did an adult or person at least 5 years older than you ever…

Touch or fondle you or have you touch their body in a sexual way? or Try to or actually have oral, anal, or vaginal sex with you?

N

4

Did you often feel that…

No one in your family loved you or thought you were important or special? or

Your family didn’t look out for, feel close to, or support each other?

N

5

Did you often feel that…

You didn’t have enough to eat, had to wear dirty clothes, and had no one to protect you? or

Your parents were too drunk or high to take care of you or take you to the doctor if you needed it?

N

6

Were your parents ever separated or divorced?

N

7

Was your mother or stepmother:

Often pushed, grabbed, slapped, or had something thrown at her? or

Sometimes or often kicked, bitten, hit with a fist, or hit with something hard? or

Ever repeatedly hit over at least a few minutes or threatened with a gun or knife?

N

8

Did you live with anyone who was a problem drinker or alcoholic or who used street drugs?

N

9

Was a household member depressed or mentally ill or did a household member attempt suicide?

Y

10

Did a household member go to prison?

N

Mental Health History

Have you ever intentionally harmed yourself or seriously thought about doing so?

No

Have you suffered racial, sexual, or other forms of discrimination?

No

Do you have a history of alcohol or substance abuse?

No

Do you have a history of an eating disorder (restricting, binging, purging)?

No

Any history of gambling, shopping, sexual, or other behavioral addictions?

No

Do you have a history of unstable relationships?

Yes

Have you frequently changed jobs?

No

Have you ever had problems with your temper or violence?

Yes

Have you ever been convicted of a misdemeanor or felony?

No

Childhood and Family History

Illinois

Parents

Were you adopted?

No

Mother

Were there frequent family moves?

Parents:
(Married / Never married / Separated / Divorced)?

Married

Parental Relationship:

Positive, Close

Options

Negative, Unstable

.

Infidelity, Abusive

.
Mother

New york

Did your mother work when you were a child?

Yes

Office work

Was you mother generally healthy while you were growing up?

Yes

Is your mother still living?

Yes

If deceased, please provide year of death: 

If living, where does she currently live?

Scottsdale

Are you in communication with her?

Yes

Relationship with your mother growing up:
(Positive / Mixed / Negative / Abusive)

Positive

If separated or divorced, did mother remarry or have another partner?

If yes, describe your relationship with them growing up:
(Positive, Mixed / Negative / Abusive)

Father

Chicago

Did your father work when you were a child?

Yes

His occupation?

Management

Was you father generally healthy while you were growing up?

No

Is your father still living?

No

If living, where does he currently live?

If deceased, please provide year of death: 

2019

Are you in communication with him?

Relationship with father growing up:
(Positive / Mixed / Negative / Abusive)

Mixed

If separated or divorced, did father remarry or have another partner?

If yes, describe your relationship with them growing up:
(Positive / Mixed / Negative / Abusive)

Siblings

Please indicate your birth order: 
(Oldest / Youngest / Somewhere in the middle)

Somewhere in the Middle

How many siblings?

2

​​Siblings names and ages:

Michelle: 61
Marnie: 54

Are you in communication with some/all of them?

Yes

Do you have any family members living in the area?

Yes

Any problems with your delivery and birth?

Yes

Any developmental delays? 

Yes

Childhood medical problems?  

No

Any childhood hospitalizations or intense medical/dental procedures?

Yes

Did you have a favorite pet growing up?

No

What was your favorite thing to do as a child?

Baton twirl

During childhood, how did you cope with difficult situations?

Cried, hid

Indicate quality and experience of childhood home life (check all that apply):

Variable

Options

At what age did you leave home and why?  

End of Childhood and Family History section

Education History

What type of student were you?
(Above average / Average / Below Average)

Who was most influential or helpful during your school years? 

Mother, special education teacher

Average

Please indicate your school experience:

(Positive / Negative / Mixed)

Elementary School

Negative

Middle/High School

Negative

College

Positive

Year of high school graduation: 

1983

Did you experience any of the following at school?

Learning Difficulties, Hurtful Teachers

Social difficulties

Relationship History

Age at first intimate relationship:

24

Any struggles with sexual orientation or sexual identity?

No

Are you currently in a long-term relationship?

Yes

If currently married, how old were you at the time of marriage?

26

How old was your spouse at the time of marriage?

27

Do you have children together?

Yes

If previously married, what age were you at the time of that marriage?

When did that marriage end?

Briefly describe why that marriage ended:

Did you have children together?

Please check all that apply to your relationship history:

Negative, Conflictual, Rejecting, Verbal Abuse

.
.
.

Other (please specify):

Family Mental Health

Anger Problems, Anxiety, Attentional Difficulties, Bipolar Disorder, Depression, Dementia, Health Problems

Learning Difficulties, Narcissistic Personality, Obsessive-Compulsive

Please indicate if any of the following mental health conditions are/were present or suspected in immediate or extended family:

Condition

Father, husband

Father, son

Husband

Father

Father, sisters, son, mothet

Father, aunt

Father, grandfathers, grandmother, mother

Condition

Father

Father

Father

Which family member(s) have negatively impacted you the most? 

Husband, father

Please indicate how significantly you have been impacted: 
(Not at all / somewhat / Quite a bit / Greatly)

Greatly

Strengths and Goals

What are your goals for treatment? 

Learn how to reduce anxiety. Learn how to deal with my son and husband, learn how to feel joy

When did you last feel emotionally healthy?

Can’t remember

What are you wanting to change most about your life?

The constant emotional overload

How have you made it through difficult times before?

Yes

What do you consider your strengths? 

Resilience

What experience have you enjoyed most over the past week?

Watching movies with my daughter

Please share a positive belief you have about yourself:

I’m a good person

© 2019 Risa E. Newell, Ph.D.  |  AZ License #3330

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