Blocking Beliefs Identifying Blocking BeliefsPlease rate each item where 1= feels completely false and 7 = feels completely true.First Name *Last NameProblem I want to solveI'm embarassed that I have this problem *12345671 = Feels completely false, 7 = Feels completely trueI will never get over this problem *1234567I'm not sure I want to get over this problem. *1234567If I solved this problem, I will feel deprived. *1234567I don’t have the strength or the will power to solve this problem. *1234567If I really talk about this problem, something bad will happen. *1234567This is a problem that can only be solved by someone else. *1234567If I ever solve this problem, I will lose a part of who I really am. *1234567I don’t want to think about this problem any more. *1234567I should solve this problem, but I don’t always do what I should. *1234567I like people who have this problem better than people who don’t. *1234567It could be dangerous for me to get over this problem. *1234567When I try to think about this problem, I can’t keep my mind on it. *1234567I say I want to solve this problem, but I never do. *1234567It could be bad for someone else for me to get over this problem. *1234567If I get over this problem, I can never go back to having it again. *1234567I don’t deserve to get over this problem. *1234567This problem is bigger than I am. *1234567If I got over this problem, it would go against my values. *1234567Someone in my life hates this problem. *1234567There are some good things about having this problem. *1234567Frankly, I don’t have a problem. *1234567I’ve had this problem so long, I could never completely solve it. *1234567I have to wait to solve this problem. *1234567If I solve this problem, I could lose a lot. *1234567If I solve this problem, it will be mainly for someone else. *1234567Reference:Popky, A.J., EMDR Annual Conference, Sunnyvale, CA, 1994SubmitPlease do not fill in this field.
