When developing a questionnaire to screen for psychological or emotional abuse, it's crucial to frame the questions in a sensitive and non-threatening manner to ensure the patient feels comfortable providing honest answers. Here are some potential questions a therapist could include in the questionnaire:
In your current relationship(s), do you ever feel afraid to express your thoughts or feelings?
How would you describe your partner's communication style? Do they often belittle or criticize you?
Are there instances when you avoid spending time with certain people or engaging in specific activities because of your partner's disapproval or reaction?
Does your partner frequently dismiss your opinions, needs, or desires?
Have you noticed a change in your self-esteem or self-confidence since being in this relationship?
Do you feel like you are walking on eggshells around your partner, afraid of their reactions?
Has your partner ever used threats or intimidation to control your behavior or decisions?
Have you ever been made to feel guilty or responsible for your partner's emotional state or behavior?
Do you find yourself making excuses for your partner's behavior to others or rationalizing their actions?
Are there times when you feel isolated from friends or family because of your partner's influence or demands?
Has your partner ever attempted to control your finances, restrict access to money, or create dependency?
Have there been incidents where your partner has humiliated or embarrassed you in front of others?
Have you experienced any physical violence, even if it seems minor or infrequent?
Does your partner monitor your activities, such as checking your phone or social media without your permission?
Do you often feel responsible for resolving conflicts in the relationship, even when it's not your fault?
Have you noticed a shift in your emotional well-being since being with your partner, such as feeling anxious, depressed, or emotionally drained?
How do you feel about the balance of power and control in your relationship?
Do you feel trapped or unable to leave the relationship due to fear of repercussions or harm?
Have you ever sought professional help or support for issues related to your relationship?
Have any friends or family members expressed concerns about your well-being or the dynamics in your relationship?
Remember, these questions are intended to be used as part of an assessment, and the results should be interpreted by a qualified therapist who can provide appropriate guidance and support. If the questionnaire reveals signs of potential abuse, the therapist should follow up with the patient in a caring and non-judgmental manner to explore the concerns further and offer appropriate assistance.