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michelleyunun

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like 15

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reducing drug use

therapist

And do you mind if we talk about a screening form that you filled out earlier today on drug use?

question

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63

reducing drug use

client

Okay.

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63

reducing drug use

therapist

Let's take a look. It says that on occasion you use, uh, drugs other than medical reasons. Which drugs do you use?

question

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63

reducing drug use

client

I do some meth.

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63

reducing drug use

therapist

Snort it, smoke it?

question

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reducing drug use

client

Snort it, always snort it.

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neutral

63

reducing drug use

therapist

Don't inject it?

reflection

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63

reducing drug use

client

Mm-mm.

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neutral

63

reducing drug use

therapist

Use any other drugs?

question

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63

reducing drug use

client

Just, you know, some alcohol.

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neutral

63

reducing drug use

therapist

And, uh, um, you do this how often?

question

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63

reducing drug use

client

Meth?

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neutral

63

reducing drug use

therapist

Mm-hmm.

other

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reducing drug use

client

Um, two, three times a month.

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neutral

63

reducing drug use

therapist

So you're an occasional meth user. You don't use very often?

reflection

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reducing drug use

client

Right.

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neutral

63

reducing drug use

therapist

Only snort it?

question

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reducing drug use

client

Right.

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reducing drug use

therapist

Well, as I think you know, Methamphetamine use is associated with some health risks. And the amount that you're using it-it puts you in a category that we consider a risky user. And that contrasts with someone who it says addicted, um, someone who's a heavy user but it's not in a healthy category because people who use Methamphetamine tend to run to a number of consequences. And actually one of them is, um, sexually transmitted diseases. Do you suppose that your STD might be associated with your Methamphetamine use?

therapist_input

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63

reducing drug use

client

Yeah, it could be because, uh, I was high when I had unprotected sex and I would not do that if I were not high.

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63

reducing drug use

therapist

So you're normally very careful and you use protection when you have sex?

reflection

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63

reducing drug use

client

Definitely, yeah.

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change

63

reducing drug use

therapist

And it seems to you that methamphetamine may have clouded your judgment?

reflection

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63

reducing drug use

client

Yeah.

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change

63

reducing drug use

therapist

Anything else happening with Methamphetamine in your life? Is it affecting you in any way?

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63

reducing drug use

client

No, I mean, no. I mean, like I said, I only do it in clubs, you know, with my friends, uh, two or three times a month at-at the most. Um, uh, I don't think it's really having other impacts. But I'm-I'm concerned about this one. I never expected to get gonorrhea.

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change

63

reducing drug use

therapist

Yeah, you know, I'm concerned bout it too and I'd actually recommend that you stop using Methamphetamine altogether. And, um, there-there are a lot of reasons for this but that's-that's would be my recommendation.

therapist_input

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63

reducing drug use

client

I-I understand but it's I think that would be a hard thing for me to do. You know, I mean, I know I should but, I mean, that's like my whole social life. You know, I mean, all my friends go to these clubs. That's where- that's where I see them. You know, that's my sex life basically and, uh, meth is just- it's just a part of it. You know, I mean, everyone is doing it there. You know, so it's while I would like to stop it's-it's kind of hard to think about doing that right away.

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sustain

63

reducing drug use

therapist

So you recognize Methamphetamine has some problems associated with it and you also on the balance see that a lot of your social life and your sex life involves Methamphetamine, it would be difficult to quit using?

reflection

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63

reducing drug use

client

Yeah, I don't think it would be easy but I'm not saying that I'm not willing to try.

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change

63

reducing drug use

therapist

Well, if you were to, um, consider how ready you are to stop using Methamphetamine completely-

question

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63

reducing drug use

client

Mm-hmm.

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neutral

63

reducing drug use

therapist

-with zero being not ready at all-

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reducing drug use

client

Mm.

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neutral

63

reducing drug use

therapist

-and 10 being ready, where would you put yourself?

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reducing drug use

client

Uh, three.

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sustain

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reducing drug use

therapist

Why not a one or a two?

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reducing drug use

client

I mean, this has been really uncomfortable, you know, gonorrhea is a really bad experience. And, uM, I know I don't think the same, you know, when I'm- when I'm on it. And, uh, I mean, what I have is bad enough, I could easily get AIDS. I could get HIV the same way. So that scares me a lot. That's why it's higher than a one or two.

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63

reducing drug use

therapist

Are there any other concerns that you have about Methamphetamine?

question

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reducing drug use

client

Well, I do just snort it but you don't know what it's cut with, you know, there could be something, you know. It could be really bad, um, if it was cut with something dangerous or something. I mean, I-I worry about that sometimes.

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change

63

reducing drug use

therapist

Mm, so when I was first talking to you, I thought that you'd have a very, um, really not much interest in not stoping using Methamphetamine but it sounds like you have a number of reasons why you really would like to stop using Methamphetamine. And that is, um, that it might be cut with something else, um, you could get another ST- STD including HIV.

reflection

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reducing drug use

client

Yeah.

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change

63

reducing drug use

therapist

Um, what do you think would make it easier for you to cut down or quit using Methamphetamine?

question

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reducing drug use

client

Something else to do on weekends, you know, different social life.

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reducing drug use

therapist

How could you get a different social life?

question

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reducing drug use

client

It's the hard thing, I mean, almost everybody I know uses it.

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sustain

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reducing drug use

therapist

Is there anyone in your life who doesn't use methamphetamine?

question

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reducing drug use

client

My sister.

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neutral

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reducing drug use

therapist

Does she-- Have you talked to her about your meth use?

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reducing drug use

client

I haven't really talked to her about it. I think she knows it I do it sometimes. I mean, we're pretty close. I think I could talk to her about it, and I think she would probably help.

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reducing drug use

therapist

So on the one hand, it would be difficult to quit using Methamphetamine because there are so many positives that you get from using it. But on the other, there are reasons why you want to quit using methamphetamine.

reflection

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reducing drug use

client

Yes.

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neutral

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reducing drug use

therapist

And ther