Please fill out our Brief Imago Workup Form, Pg. 1 and submit.
Think as a child from your earliest memories to the age of 18, list the NEGATIVE characteristics of the people who influenced you most: (i.e.angry, depressed, preoccupied, gone, un-protective, dependent, dependent critical, irresponsible, anxious) A.
Now List the POSITIVE characteristics of people who influenced you through age 18: (i.e. loving, supportive, funny, protective, dependable, responsible, and affectionate). B.
Describe what you WANTED and NEEDED the most as a child, the longing of your heart: (i.e. feel loved, be special, feel safe, be cared for, feel included, and be valued). C.
Described how you felt during the BEST times of your childhood: (i.e. happy, loved, smart, confident, important, special, competent, adored, superior, and included). D.
Describe HOW YOU RESPONDED to the frustrations of your childhood: (i.e. by fighting, sulking, withdrawing, getting angry, and staying away from home, trying harder, giving up, and acting out). D.
* From Imago Relationship Therapy developed by Harville Hendrix and Helen Hunt
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