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Key Events / Relationships

List a a word or phrase that comes to mind fairly easily (no need to force it). Identify what area of your body you felt it, and age of occurrence, if possible. Number your pain on a pain scale of 0 (no pain) to 10 (worst pain available).

My Key Problem as I see it...

For Example:

1. Birth trauma (as told by my Mom) - Fear/Shame in my stomach - 5

2. 3 years old lost in store - Fear/Anger in chest and throat - 9

3. Favorite Grandma special times in 1st grade - Safe/Happy in chest

4. Parents divorce age 9 - Anger/Fear in gut and stomach -10

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