Datasets:

michelleyunun

/

therapydata

like 15

53

reducing alcohol consumption

therapist

Okay, and-and what if they won't?

question

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53

reducing alcohol consumption

client

Well, then, I guess, I'll just try to hang around them less or something. I'll try to find things for us to do that don't involve alcohol like a party or anything.

n/a

change

53

reducing alcohol consumption

therapist

Yeah. Probably if your friends won't quit drinking, you should just find new friends.

other

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53

reducing alcohol consumption

client

Okay.

n/a

change

53

reducing alcohol consumption

therapist

'Cause, you know, the problem is if they're drinking, they're gonna pressure you into drinking and then you're gonna feel awkward and, you know, you're gonna be stuck and-and not know what to do and really you'd just be better off probably without them. If they're- if they're the kind of people who are gonna keep drinking-

reflection

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53

reducing alcohol consumption

client

Yeah.

n/a

change

53

reducing alcohol consumption

therapist

-they're probably not a good influence.

reflection

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53

reducing alcohol consumption

client

Okay, yeah.

n/a

change

53

reducing alcohol consumption

therapist

Um, and then, then you'll be better set for college too because, you know, the issue is you're getting good grades now, but when you get to college, it's a lot harder and, you know, if you're needing really good grades to get into law school, which you will need, then you really can't be distracted by alcohol.

other

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53

reducing alcohol consumption

client

Okay, yeah, definitely.

n/a

change

53

reducing alcohol consumption

therapist

Okay, so, um, that's great 'cause it pretty much covers all the stuff that I think I needed to go over with you. Um, let's see. I guess we didn't talk about what would happen if your parents found out you were drinking.

other

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53

reducing alcohol consumption

client

They would be pretty upset. Yeah. They don't really condone alcohol use.

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change

53

reducing alcohol consumption

therapist

Mm-hmm.

other

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53

reducing alcohol consumption

client

So-

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neutral

53

reducing alcohol consumption

therapist

Okay, so, yeah, just another reason why you probably need to just quit then. Um, okay, yeah. I-- Okay, so, like I said, I'm gonna right down here that you've decided to quit and, um, uh, you know, I'm gonna be meeting with you again probably in the next semester sometime, so we can kinda check-in and-and make sure that, you know, that's still going well-

therapist_input

n/a

53

reducing alcohol consumption

client

Okay.

n/a

change

53

reducing alcohol consumption

therapist

-and you're still not drinking and not hanging out with any people who are drinking. Um, is there anything else you'd like to talk about while you're here?

therapist_input

n/a

53

reducing alcohol consumption

client

Um, no, no. I think I'm good.

n/a

change

53

reducing alcohol consumption

therapist

Okay. Um, any questions or anything-

question

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53

reducing alcohol consumption

client

Uh, no.

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neutral

53

reducing alcohol consumption

therapist

-like that?

question

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53

reducing alcohol consumption

client

I have no questions.

n/a

neutral

53

reducing alcohol consumption

therapist

Okay. You're sure? Okay. All right. Um, well, that's probably it then. You can, uh, head back to class and-and thanks for coming in.

other

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53

reducing alcohol consumption

client

Okay, thanks.

n/a

neutral

54

more exercise / increasing activity

therapist

Oh, hello Scott.

other

n/a

54

more exercise / increasing activity

client

Hi.

n/a

neutral

54

more exercise / increasing activity

therapist

Um, we were talking a little bit earlier, and you said you wanted to talk about exercising.

reflection

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54

more exercise / increasing activity

client

I do.

n/a

change

54

more exercise / increasing activity

therapist

What's going on with that?

question

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54

more exercise / increasing activity

client

Well, I just can't seem to get back in the gym. I don't wanna-- I-I used to work out quite a bit, and in the last, I dunno, couple of years I've just-- I stopped going. I got busy, and now I'm out of the habit, and I-I really, I dunno, I feel like I need to get back.

n/a

change

54

more exercise / increasing activity

therapist

Well, I mean, I think you just need to maybe sit down and write down a list of reasons why you need to get back to the gym, and then on the other side of the list, put down, you know, um, ideas about what's going to help you get there.

therapist_input

n/a

54

more exercise / increasing activity

client

Okay. Um. All right. Um—

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neutral

54

more exercise / increasing activity

therapist

What gym do you belong to?

question

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54

more exercise / increasing activity

client

Uh, I belong to the-the Sport Fitness Center.

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neutral

54

more exercise / increasing activity

therapist

Okay. And-and how far away is it from your house?

question

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54

more exercise / increasing activity

client

Just a couple of miles.

n/a

neutral

54

more exercise / increasing activity

therapist

Just a couple of miles. Mm. So you-- you know, you could, like, ride your bike or walk there, and it would be [unintelligible 00:01:12] too.

therapist_input

n/a

54

more exercise / increasing activity

client

If I walked that far, I probably wouldn't even need to go to the gym, right?

n/a

neutral

54

more exercise / increasing activity

therapist

Well, I don't know about that. Um. That-- you know, it's really important that you get your, um, not just your cardiovascular-- that's a good idea for the cardiovascular, but also, you know, your, um, weightlifting, the [inaudible 00:01:32] [crosstalk]

therapist_input

n/a

54

more exercise / increasing activity

client

[inaudible 00:01:33] training.

n/a

neutral

54

more exercise / increasing activity

therapist

Yeah, yeah.

other

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54

more exercise / increasing activity

client

It-it-it would be important.

n/a

change

54

more exercise / increasing activity

therapist

Yeah. So why-why do you want to-- what do you wanna do with that? You want to look different, or--?

question

n/a

54

more exercise / increasing activity

client

Well, I-I-I-I would feel better. My-- I'd-I'd be able to wear more my clothes. I've been growing around the middle and I'd like to, uh, you know, go back to where I was, you know, get into a 34, 36 waist, you know.

n/a

change

54

more exercise / increasing activity

therapist

Okay.

other

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54

more exercise / increasing activity

client

I-I'm more comfortable-- I feel better. I think that's the main thing.

n/a

change

54

more exercise / increasing activity

therapist

Okay. Yeah, because your-your health really, to me, it's more important than your-your looks. I mean, don't get me wrong, I understand what you're saying, but, you know, it'd be great to get back in those jeans, but—

therapist_input

n/a

54

more exercise / increasing activity

client

Yeah, yeah. It-it-it-- I-I am- I'm not getting any younger than I [unintelligible 00:02:18]

n/a

change

54

more exercise / increasing activity

therapist

Mm-hmm. Well, I think you know what to do. You've done it before.

reflection

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54

more exercise / increasing activity

client

Yeah.

n/a

change

54

more exercise / increasing activity

therapist

Yeah. Just a matter-- You just gotta do it.

therapist_input

n/a

54

more exercise / increasing activity

client

I've gotta make time.

n/a

change

54

more exercise / increasing activity

therapist

Yeah.

other

n/a

54

more exercise / increasing activity

client

I've gotta make time.

n/a

change

54

more exercise / increasing activity

therapist

Yeah. And so that might mean, you know, like giving up an hour's sleep, getting up an hour earlier in the day, and going there and getting it done then. That's what I do.

therapist_input

n/a

54

more exercise / increasing activity

client

Yeah. Okay.

n/a

neutral

54

more exercise / increasing activity

therapist

Yeah.

other

n/a

54

more exercise / increasing activity

client

All right.

n/a

neutral

54

more exercise / increasing activity

therapist

So when I see you next time, you know, that's what I'd like you to do is to, uh, experiment with getting up an hour earlier and, um-- You know, 'cause, uh, getting healthier is more important than sleep, you know. I mean, I know sleep is important, but-- And then bring that list back that we talked about.

therapist_input

n/a

54

more exercise / increasing activity

client

Okay.

n/a

neutral

54

more exercise / increasing activity

therapist

Okay?

other

n/a

54

more exercise / increasing activity

client

Okay.

n/a

neutral

54

more exercise / increasing activity

therapist

All right, so I'll see you next week.

other

n/a

54

more exercise / increasing activity

client

Okay. Very good. Thanks.

n/a

neutral

54

more exercise / increasing activity

therapist

All right. All right. Bye.

other

n/a

55

reducing drug use

therapist

Miguel, before we end the call, I did want to go over the answers you gave me on the questionnaire about drug use. Is it okay if we go over that right now?

question

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55

reducing drug use

client

Uh, yeah. Yeah, that's fine.

n/a

neutral

55

reducing drug use

therapist

Thanks. When I looked at your form, it looks like you use heroin weekly and you injected. What part of your body do you normally inject in?

question

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55

reducing drug use

client

Uh, mostly in my left arm.

n/a

neutral

55

reducing drug use

therapist

Do you mind if I take a look at your arm, please?

question

n/a

55

reducing drug use

client

Uh, no. That's okay. How's that?

n/a

neutral

55

reducing drug use

therapist

Okay. Well, I don't see any redness. Um, can you go ahead and touch that Miguel, and tell me if it feels warm to you or if it hurts?

question

n/a

55

reducing drug use

client

Uh, nope. It feels okay.

n/a

neutral

55

reducing drug use

therapist

Thanks. Just so you know, when I talk to patients about drug use, my job is to be helpful. I'm not going to tell you what to do or what you should do. What I can do is share some information and be a resource. Does that make sense?

therapist_input

n/a

55

reducing drug use

client

Uh, yeah, that's fine.

n/a

neutral

55

reducing drug use

therapist

Right. What else can you tell me about your heroin use?

question

n/a

55

reducing drug use

client

Uh, I don't know. Um, I use maybe a few times a week.

n/a

neutral

55

reducing drug use

therapist

A couple of times a week. And where do you get your syringes?

question

n/a

55

reducing drug use

client

Syringes? Uh, sometimes I'll buy them at Walgreens. Most times I'll just get them from the needle exchange.

n/a

neutral

55

reducing drug use

therapist

Uh, what one do you remember?

question

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55

reducing drug use

client

Uh, Northeast Glisan.

n/a

neutral

55

reducing drug use

therapist

Okay. How often do you use new deals when you inject?

question

n/a

55

reducing drug use

client

Yeah, I use new needles every time, I never share.

n/a

neutral

55

reducing drug use

therapist

Yeah, it sounds like your health is important to you.

reflection

n/a

55

reducing drug use

client

Yeah, that's right.

n/a

neutral

55

reducing drug use

therapist

And you showed up today to take care of your migraines.

reflection

n/a

55

reducing drug use

client

Mm-hmm, yap.

n/a

neutral

55

reducing drug use

therapist

So, uh, you wrote on here that you've experienced withdrawal symptoms when you've stopped using in the past, is that right?

question

n/a

55

reducing drug use

client

Uh, yeah. Yeah, if it's, uh, you know, if it's been a couple of days like I can go two days, three days tops before I start to feel really sick.

n/a

neutral

55

reducing drug use

therapist

What does that feel like?

question

n/a

55

reducing drug use

client

Uh, geez. Yeah, I mean, it's the obvious stuff like my stomach feels sick, I get the body aches, uh, cold, hot, chills. Uh, everything hurts. Everything is in extremes. My emotions are in extremes. Uh, yeah, it sucks. I don't want to do anything. I just want to stay home and just stay in bed.

n/a

neutral

55

reducing drug use

therapist

That sounds awful. What do you do when that happens?

question

n/a

55

reducing drug use

client

Yeah, I mean, I start to use, I get loaded.

n/a

neutral

55

reducing drug use

therapist

Okay. How else does injecting heroin impact your life?

question

n/a

55

reducing drug use

client

Uh, you know, I get loaded and I-I can- I can function. I can go to work and, you know, do normal things, you know. Uh, I mean, there's been maybe just a couple of times where I wasn't feeling all that well, and I, uh, I was late a couple of times to work or it might overslept from the night before or whatever, but it's about it. Uh, I just want to avoid getting sick right now. That's my main priority.

n/a

sustain

55

reducing drug use

therapist

Yeah. You want to stay healthy. I'm curious, what do you like about using heroin?

question

n/a

55

reducing drug use

client

Um, well, you know, I like the way it feels. Um, you know what I mean? When I shoot up my anxiety, goes away, my depression goes away. Uh, things that usually make life really difficult, uh, get a lot easier.

n/a

sustain

55

reducing drug use

therapist

And what about your use do you not like?

question

n/a

55

reducing drug use

client

Uh, yeah. I mean, I think everybody who uses at least has some concern of overdosing on some level. Right? Uh, so that's something I'm concerned about is accidentally overdosing. And, uh, yeah, I mean, I don't want to get an infection in my arm, you know, just the usual things. I have a hard time hitting veins sometimes, and I gotta dig around a little bit and I would get worried about, you know, hitting something that I shouldn't or, you know, getting infections.

n/a

change

55

reducing drug use

therapist

Mm-hmm. So on one hand, using heroin feels like an escape from things you don't want to think about. On the other hand, it puts you at risk for an overdose in infections.

reflection

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