TRTP Homework Task Please fill out and submit at least 3 days before your first appointment. 1. Background information about you - Please answer the following with brief answers Name * First Name Last Name How was Mum during her pregnancy with you? * What was your birth like (if you know)? * What was the relationship like between your parents at the time of your birth, and in early life? * What was the atmosphere like in the home growing up (e.g. happy, relaxed, stressed, violent, scary, cold, boring, walking on eggshells etc.)? * What was your role in the family growing up? (e.g. pleaser, placatory, co-parent, keep under the radar, peacekeeper, entertainer, golden child who could do no wrong, rebel) * What early messages or statements about yourself do you recall hearing from your family? * How did your family handle conflict and/ or communicate with each other? * Who was responsible for discipline in your family? * Were feelings and emotions discussed? * Did you have enough money? * Who did you go to for comfort? * Who did you get on better with, mum or dad? Why? * Describe your Mum in 5 adjectives when you were young * Describe your Dad in 5 adjectives when you were young * Describe yourself in 5 adjectives when you were young * What were your relationships with your siblings like when you were young? * What was school like? * What was adolescence like? * What do you regret, or are you angry at yourself for? * 2. List A - List the most distressing events or periods of extreme stress List in chronological order your most distressing events or periods of time in your life when you experienced significant stress as well as traumatic events and losses. For some people there are periods of intense stress rather than actual traumatic events. If this is the case for you, then write down the main concern of the stress and how long this stress lasted for e.g. months, years. It is critical to the TRTP process that you include events in early years from 0 to 8 years old. This is to include any early childhood moments that may have influenced the formation of your identity or beliefs about yourself and the world. Also include events from even before you were born. For instance, include any information you may have regarding such things as if your mother was anxious/stressed, ill or had an accident during her pregnancy with you, or if you had a difficult birth. (This birth information is important.) Only list the top 10-12 events and just in brief, dot point form. Only write one event, the worst, for one person. One relationship is one event. Write the AGE you were at the time of the event or period of intense stress. For some people there are periods of intense stress, rather than an actual event. Example: Age, Event, Who was there. Distressing Event 1 - Birth, Breech birth, Mum/ Dad/Doctors Distressing Event 2 - 18, Friend Alan drowned in surfing accident, John /Peter/Collin Distressing Event 3 - 35, Partner left me for my friend, Partner/Friends/kids Distressing Event 1 Age * Event * Who was there * Office Use Only Distressing Event 2 Age * Event * Who was there * Office Use Only Distressing Event 3 Age * Event * Who was there * Office Use Only Distressing Event 4 Age * Event * Who was there * Office Use Only Distressing Event 5 Age * Event * Who was there * Office Use Only Distressing Event 6 Age * Event * Who was there * Office Use Only Distressing Event 7 Age * Event * Who was there * Office Use Only Distressing Event 8 Age * Event * Who was there * Office Use Only Distressing Event 9 Age * Event * Who was there * Office Use Only Distressing Event 10 Age * Event * Who was there * Office Use Only Distressing Event 11 Age Event Who was there Office Use Only Distressing Event 12 Age Event Who was there Office Use Only 3. List - FROM and TO Under FROM - list all the things in your life that you want to move away from. Just in dot points. What don't you want any more? E.g. I don't want to be triggered all the time. Under TO - list what you want instead, e.g. I want to be at ease and relaxed. For the TO list, dream a little... How do you want your life to be? Who do you want to be in that? How will that feel? Particularly take time over the 'TO' list. We all know what we don't want, but dream a little - what DO you choose to experience in your life? Who would you be in that? How would that feel? Example: FROM - Waking up dreading the day TO - Comfortable gut FROM - Panic attacks TO - Calm FROM - Lonely and isolated TO - Having friends and social connection. Not freaking out and hating being with people. Not wanting to run when I'm with people. From * From * From * From From From To * To * To * To To To Thank you!