Stress Management Therapy Group for Teens Screening Form (Fall 2021)
Stress can take on many different forms. Stress can look like sadness, anxiety, worry, anger, impulsivity, “snapping” at friends or family, crying, or isolating from others. It can disrupt sleeping patterns, social relationships, academic success, and the home environment. It is hard to watch those who we care about suffer from the intense experience of stress.

To help understand what stress is, identify factors that can contribute to or influence stress, build resiliency, and manage stress, Taylor Foster, LCSW will be offering a six-week group focusing on stress reduction. Group members will learn to identify their personalized symptoms of stress and build on strengths they already have to help manage stress. The benefits of working in a group are to help find a community of peers, feel less alone, strengthen communication skills, and help to give and receive support from others. If you or someone you know would like to explore ways to stress less, please complete the referral below.

This group is aimed to serve 11 - 18 year olds, and is flexible to be broken down into more than one group if ages or needs warrant.

The group is planned to begin in Late Fall/Early Winter for 6 weeks.  Time will be from 4:30 PM to 5:30 PM.
Fee for this group is $45 per session OR $240 ($40 per session) if paid in full by the established start date.

Groups will be held at 2300 East Avenue (Tree of Hope Counseling office) and weather permitting, participants will meet outside in a relaxed setting, that allows for walking through the orchard or sitting in the shade of the trees on this beautiful property!  
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Person filling out this form *
Name of Person filling out this form *
Full Name of Teen Participate Participant *
Teen's Age as of October 2021 *
Parent/Guardian Name *
Parent/Guardian phone number *
Parent/Guardian email address *
Individual Therapist's Name and Credentials (NA if no therapist) *
Therapist's contact information (email and/or phone number)
Any current mental health diagnoses *
Describe why this teen is in need of stress management skills. *
If you know now that the teen will not be present for a Monday this Fall (this does not exclude a teen from participation), please specify: *
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