Transform Your Body with MD4 Fitness

 Instructions: Please consider the following questions honestly. Your responses may help us understand how your emotional well-being and psychiatric challenges intersect with your performance, fitness goals, or weight management needs.Answering "Yes" to any question in Sections 1, 2, or 3, and answering "Yes" to all questions in Section 4, suggests you are likely a good candidate for our outpatient psychiatric practice.

.Section 1: Emotional Well-being, Performance, and Physical Health Needs

• Are you currently experiencing emotional or psychiatric issues that are interfering with your competitive sport, performance, physical fitness goals, or overall well-being?
• Do your emotional concerns directly interfere with your ability to train, practice, or compete effectively?
• Do you find yourself performing flawlessly in practice but struggling significantly during actual competition or high-stakes situations ("choking under pressure")?
• Do you experience intense physical symptoms related to anxiety—such as nausea, vomiting, sudden stomach issues, or heart pounding—specifically before or during a big event or major deadline?
• Do you struggle with managing critical feedback from coaches, managers, or supervisors, leading to extended periods of self-doubt and rumination over mistakes?
• Do you need a provider who specifically understands the unique culture, stressors, and demands of competitive or high-stakes environments and integrates that understanding into treatment?

Section 2: General Emotional & Psychological Well-being

• Do you experience symptoms of anxiety or depression that persist even when you are away from your sport or activity?
• Do you struggle with sleep disturbances, changes in eating habits, or low energy that are impacting both your general well-being and your athletic recovery?
• Do you have a history of a formal psychiatric diagnosis (e.g., ADHD, Depression, Generalized Anxiety Disorder, OCD) that you need help managing within the context of your demanding schedule?
• Are you currently recovering from a significant injury or setback and finding that the psychological toll, such as fear of a recurrence or loss of professional identity, is blocking your rehabilitation or progress?
• Do you feel a sense of professional burnout, cynicism, or emotional exhaustion that standard time off has not resolved?

Section 3: Weight Management & Physical Health Focus

• Do you often feel unhappy or depressed about your weight or physical fitness?
• Do you frequently feel embarrassed or self-conscious about your body in social situations?
• Do you avoid social gatherings or activities (e.g., swimming, gym, or parties) due to concerns about your weight?
• Do you find yourself eating in response to stress, anxiety, or depression?
• Have you experienced feelings of frustration or irritability from unsuccessful attempts to lose weight despite trying various diets and exercises?
• Do you feel compelled to eat even when not hungry, or do you experience episodes of binge eating?
• Are you frequently worried about the impact of your weight on your health?
• Do you experience sleep disturbances or excessive fatigue that you believe may be related to your weight or physical fitness?
• Do you often feel a lack of motivation or energy that you attribute to your weight or physical fitness?
• Have you previously used medication, therapy, or other interventions to help with weight loss?

Section 4: Your Needs & Logistics (Practice Fit Confirmation)

• Are you in a stable enough emotional state that you are unlikely to need immediate crisis intervention or emergency services during the course of outpatient treatment?
  • (A "No" answer means you likely need a higher level of care than we can safely provide in an outpatient setting).
• Are you seeking an integrated approach that combines medical expertise (psychiatry) with performance psychology strategies and/or weight management support, rather than only basic motivational coaching?
  • ("No" indicates a potential mismatch, as our approach is clinical and integrated).
• Are your current needs manageable within a standard outpatient setting (e.g., weekly or bi-weekly appointments), rather than requiring highly intensive daily support programs?
  • ("No" indicates you may need a higher level of care, such as an IOP or PHP).

Interpretation & Next Steps:If you answered "Yes" to at least one question in the first three sections, and "Yes" to all questions in Section 4, a comprehensive treatment plan with our practice may be beneficial for you.Please feel free to book an initial free online appointment to discuss your responses with Dr. Homer's team, who can guide you in creating a personalized plan to address your specific needs.

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