Video Observation Form - Stan Tatkin, PsyD 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your name and the date at the top of the form. This ensures that your observations are properly attributed.
  3. For each partner, identify and check off any secure or unresolved markers you observe during the video. Use the provided lists as a guide.
  4. In the Arousal Regulation Assessment section, note signs of hyperarousal and hypoarousal for both partners. Check all relevant cues you notice.
  5. Finally, in the Neurobiological Deficit Assessment section, indicate any signs of possible deficits for each partner by checking appropriate boxes.

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