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RISA E. NEWELL, Ph.D., L.L.C.
LICENSED CLINICAL PSYCHOLOGIST
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.
You may also just bring this form with you to your Initial Evaluation appointment.
Identifying Information
June 8, 2026
Submitted
Candace Taylor
* Required
01 17 1953
Alone
Divorced
Chandler
Morgan 44; Gavin 42
No siblings, parents gone over 50 years, one cousin a couple years older.
true
Worked as a School Social Worker for 5 years and then stayed home with my children. Corporate wife.
Marlene Young
Friend and POA
Current Concerns
What are you most concerned about now?
I struggle with how my children treat me. Gavin hasn't spoken to me in 9 years and Thanksgiving will be 10 years since I've seen him. He has a 5 year old, Annalise, I have not seen. Doesn't respond to texts, emails, etc. Morgan lets me see her kids, Caroline 12 and Everett 10, but does not much stay in contact other than to send me pictures of the kids and what they are doing. Morgan and I were extremely close middle school, high school, college, law school, but now she is mostly unkind.
Please rate your current level of distress, from 1-10, (1=minimal to 10=extreme):
10
When do you tend to feel the worst?
When some new cruel thing happens. Example: I visit her in Delaware around 2xs per year. My last visit was at the end of March. Morgan did not arrange it so we could have 5 minutes to talk other than picking me up from the airport for a 45 minute drive home. The rest of the weekend I was ignored.
Please indicate how long you’ve been feeling this way now:
20 years. Since my divorce. Morgan didn't talk to me for around 8 years until reaching out when Caroline was born. Gavin has always been a challenge--was close to me in grad school, but gradually pulled away after he married in 2012.
Have you ever felt this way in the past?
Yes
If so, when and how severe?
Kids do/say things that will keep me up for a few days. They do see their father who has no redeeming qualities, was an uninvolved parent (didn't really want kids), but provided well. But the kids have villainized me. I consider myself to be of high moral integrity and always try to do the right thing. My children and husband were my life for 25 years. I just don't understand it. I do know I was an awesome Mom.
What has been done so far to address these concerns?
I am fairly good at working through my issues. I have seen occasionally Dr. Cochran for help unpacking issues.
Do you have any negative beliefs about yourself?
No
If yes, what are they?
I'm not perfect, but realize no one is. If I have a fault as a mother, it was not taking time for myself, and being overly involved in my children's' lives.
Specify which areas of your life are affected by this problem:
Home, Family
Other?
Stressful Life Events
Please indicate if any of the following have occurred within the past 12 months:
Serious Problem with Child
Other:
My divorce had a life of its own. Officially divorced in 2007, which took 5 years. Four litigations in total which finally ended for good in 2021. I have been through some STUFF.
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?
0 None - Not at all
2. Feeling down, depressed, or hopeless?
1 Slight - Rare
3. Feeling more irritated, grouchy, or more angry than usual?
0 None - Not at all
4. Sleeping less than usual, but still have a lot of energy?
0 None - Not at all
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?
0 None - Not at all
7. Feeling panic or being frightened?
0 None - Not at all
8. Avoiding situations that make you anxious?
1 Slight - Rare
9. Unexplained aches and pains (e.g., head, back, joints, abdomen, legs?)
4 Severe - Nearly every day
10. Feeling that your illnesses are not being taken seriously enough?
0 None - Not at all
11. Thoughts of actually hurting yourself?
0 None - Not at all
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?
0 None - Not at all
16. Unpleasant thoughts, urges, or images that repeatedly enter your mind?
0 None - Not at all
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?
0 None - Not at all
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
MSW
Are you currently attending school?
No
Social Work and Psychology
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
Friends
Are you satisfied with your home and family life?
How socially active are you?
No
Very
Who do you most enjoy spending time with?
Friends. I love the gym, play lots of different games. I don't let myself sit home as too much time as home makes me feel lonely.
How important is religion and/or spirituality in your life?
Very / Somewhat / Not at all
Not at all
Are you physically active? Yes / Sometimes / No
Yes
Current satisfaction with lifestyle, hobbies, activities:
High / Medium / Low
High
Please list your favorite activities, interests or hobbies:
Gym classes, cards, games, theater, speakers series, hiking, travel
Briefly describe how you spend a typical day:
An hour or two at the gym and running errands. Weekends are spent with friends. My gym is very social.
What do you like most about yourself?
I always try to do the right thing. My morals are intact and I try to take the high road. I am not bitter or angry at my lot in life as I am always looking for the next fun adventure. With all I have been through, I have been lucky I don't suffer from depression. In every painful situation, there is a silver lining and I choose to focus on the positive.
Please describe one of your favorite memories:
I spent a lot of time trying to decide on one. A very fond memory was my high school 40th reunion. Not many people are in my life who knew me as a child, so it was fun to hear their memories of me and my folks.
Current Relationships
Have girlfriends I enjoy. Different friends for different things. I have one friend that is my "therapist" and I call her with everything. I have yet to find a girlfriend that is my soulmate.
Are you currently in a committed romantic relationship?
No
If YES, with whom and for how long?
In the past 14 years, I have had 6 "relationships" but none were happily ever after.
Quality of relationship: (Positive / Mixed / Negative)
Positive
Any current romantic relationship conflicts?
No
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?
Yes
Any relationship problems with other family members, (parents, siblings, etc.)?
No
Any conflict with others outside of family, (friends, coworkers, neighbors, etc.)?
No
To whom are you closest?
Home, Family
Home, Family
Mental Health Treatment History
Age at first mental health treatment:
48
Why did you seek/receive treatment?
Reached out to a couple marital counselors and one for myself during the divorce. None of them were a positive experience. Too basic and too focused on blaming me. I had no more to give. Dr. Cochran's style was to respect my knowledge and stay a step ahead of me; she had pearls of wisdom.
Have you ever met with a therapist?
Yes
If you would like me to consult with your previous therapist, please provide therapist information and sign your consent here:
June 8, 2026 at 4:02:25 PM
Gloria Cochran
Your choice to contact her
4802729184
Have you ever been hospitalized for a mental health condition?
No
If yes, please complete below:
Have you taken psychiatric medication in the past?
No
If yes, please complete below:
Any other psychiatric medication:
Providers
Primary Care Physician
Luis Santini
4808827500
03 2026
Signature
Consent to contact Primary care Dr.
No
June 8, 2026 at 4:02:25 PM
Psychiatric Provider
Signature
Consent to contact psychiatric provider?
June 8, 2026 at 4:02:25 PM
I have a specialist for everything.
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
Estradiol
Dosage/Frequency
.1mg Every other day
Levothyrosine
.25mg 1 x daily
When prescribed
01 2009
Side effects
UTIs
01 2018
Hashimotos
Liothyronine
5mcg 2 x daily
Methenamine
1gm 2 x daily
10 2018
Hashimotos
01 2026
Recurrent UTIs
Medical Status
How would you describe your overall health?
(Poor / Below average / Average / Above average / Excellent)
Excellent
Date of last complete physical exam:
01 2026
Please list any significant findings:
Minor
Date of last dental exam:
04 2026
Please list any significant findings:
Has your life changed because of your health?
Are you currently undergoing medical treatment?
No
Yes
Current medical treatment
figuring out my hip issue
Please list any major illnesses, events or accidents from your medical history:
I have lots of annoying things, but nothing serious. Insomnia is probably my biggest health concern. Use CPAP. Right now something is pinched in my hip.
Do you use Medical Marijuana?
No
Do you regularly take pain medication?
No
Please indicate personal concerns with any of the following physical symptoms:
Back Pain
Gastrointestinal Issues, Incontinence, Insomnia, Migraine Headaches
Osteoporosis, Thyroid Problems
Other please specify):
All are treated and attended to.
Trauma History
Please indicate if you have ever experienced any of the following:
Miscarriage or Abortion, Physical Sexual or Emotional Abuse
Other (please specify):
Sometimes I feel like my two children died.
I told someone, Help and support
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?
No
Have you ever been convicted of a misdemeanor or felony?
No
Childhood and Family History
Skokie Illinois
Two older parents. Only child.
Were you adopted?
No
Father.
Were there frequent family moves?
No
Parents:
(Married / Never married / Separated / Divorced)?
Married
Parental Relationship:
Stable
Variable, Distant
Conflictual
Mother
Central Wisconsin
Did your mother work when you were a child?
No
Part time in HS
Was you mother generally healthy while you were growing up?
No
Is your mother still living?
No
If deceased, please provide year of death:
If living, where does she currently live?
Are you in communication with her?
Relationship with your mother growing up:
(Positive / Mixed / Negative / Abusive)
Negative
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
Evanston Illinois
Did your father work when you were a child?
Yes
His occupation?
Janitor
Was you father generally healthy while you were growing up?
Yes
Is your father still living?
No
If living, where does he currently live?
If deceased, please provide year of death:
1975
Are you in communication with him?
Relationship with father growing up:
(Positive / Mixed / Negative / Abusive)
Positive
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)
How many siblings?
​​Siblings names and ages:
Are you in communication with some/all of them?
Do you have any family members living in the area?
No
Any problems with your delivery and birth?
Any developmental delays?
No
Childhood medical problems?
No
Any childhood hospitalizations or intense medical/dental procedures?
Yes
Did you have a favorite pet growing up?
Yes
What was your favorite thing to do as a child?
I lived in an area that was all apartment buildings. The kids for blocks around all played outside, all day. Playing with baby dolls/Barbie was my favorite.
During childhood, how did you cope with difficult situations?
Don't really remember. Just tried to stay out of trouble. My mother was unstable and when I walked in the door I never knew what to expect. I was always a "good girl". She had a traumatic childhood and couldn't leave it behind--obsessed over it. Her sister was the same so I believe it to be true she was abused. She had high expectations for me and I am grateful for that--I was always able to live up to them--to me this is a positive thing.
Indicate quality and experience of childhood home life (check all that apply):
Variable
Options
At what age did you leave home and why?
College. My parents were gone before I finished college so I never went back. Ex and I moved to St. Louis for his job. I lived there until 14 years ago when I moved here.
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?
Above Average
Please indicate your school experience:
(Positive / Negative / Mixed)
Elementary School
Positive
Middle/High School
Positive
College
Mixed
Year of high school graduation:
1971
Did you experience any of the following at school?
Relationship History
Age at first intimate relationship:
20
Any struggles with sexual orientation or sexual identity?
No
Are you currently in a long-term relationship?
No
If currently married, how old were you at the time of marriage?
23
How old was your spouse at the time of marriage?
23
Do you have children together?
Yes
If previously married, what age were you at the time of that marriage?
When did that marriage end?
2007
Briefly describe why that marriage ended:
Around the age of 40 I started to make noise about doing things I wanted to do sometimes. The slow process of figuring out who he really was started then and was the beginning of the end. Also, in our mid 40s he started to make a LOT of money and he went wild--couldn't handle it.
Did you have children together?
Yes
Family Mental Health
Depression
Narcissistic Personality, Post-Traumatic Stress
Please indicate if any of the following mental health conditions are/were present or suspected in immediate or extended family:
maybe mother
husband
maybe mother
Which family member(s) have negatively impacted you the most?
Husband. Narcissist, man child, lier, gives nothing without getting something, controlling.
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?
Come to terms as best as possible with the treatment from my children.
When did you last feel emotionally healthy?
I feel healthy. I am strong that way.
What are you wanting to change most about your life?
Nothing. But I do have to plan for being alone in my old age.
How have you made it through difficult times before?
So many. If I stew over the issue long enough the pain fades and I can move on. My kids, however, are an unending source of new pain.
What do you consider your strengths?
Capable, strong, reliable, organized, loving, giving, smart, healthy, good friend.
What experience have you enjoyed most over the past week?
The gym, playing Mahjongg, movie with a friend.
Please share a positive belief you have about yourself:
I am a good person.