Feeling down, depressed, or hopeless

Loss of interest and enjoyment

Excessive fatigue and difficulty sleeping

Decreased motivation or feeling “stuck”

Isolating from others and feeling lonely

Feeling restless, tense, or nervous

Difficulty with concentration

Experiencing excessive worry

Struggling to control worry

A sense of “impending doom”

Acute, Chronic, and Complex Trauma

Physical, Emotional, Verbal, Sexual Abuse

Posttraumatic Stress

Religious Trauma/Spiritual Abuse

Intergenerational Trauma

Difficulty in social situations

High sensitivity to sounds, smells, etc.

Feeling misunderstood or “left out”

Impaired attention and focus

Inability to readily adapt to change

Coming out or being “outed”

Family/relationship conflict

Internalized oppression

Discrimination, harassment, violence

Difficulty accessing affirming healthcare

Intense negative emotional responses

Difficulty managing emotions

Feeling easily overwhelmed

Impulsivity and outbursts of anger

Damaged and unhealthy relationships

Sudden loss of loved one

Expected loss of loved one

Loss of pet and euthanasia

End of relationship/divorce

Separation from employment/job loss

Increase in stress related to transition

Difficulty completing daily tasks

Fear of the unknown

Fear of failure

Feeling a loss of control

Feeling hopeless and helpless

Apprehension about healthcare providers

Unintended social isolation

Low mood related to decreased function

Difficulty coping with illness and pain