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Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Uh, sure, uh, as long as we don't talk too much about like vodka 'cause I'm still, ugh, a little—
therapist: You're still feeling the effects of-
therapist: You're still feeling the effects of-
therapist: You're still feeling the effects of-
therapist: You're still feeling the effects of- | You're still feeling the effects of- |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | therapist: You're still feeling the effects of-
therapist: You're still feeling the effects of-
therapist: You're still feeling the effects of-
therapist: You're still feeling the effects of-
therapist: You're still feeling the effects of- | You're still feeling the effects of- |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | therapist: Oh wow, it was-
therapist: Oh wow, it was-
therapist: Oh wow, it was-
therapist: Oh wow, it was-
therapist: Oh wow, it was- | Oh wow, it was- |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah.
client: Yeah.
client: Yeah.
client: Yeah.
client: Yeah. | -really a rough night. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Yeah.
client: Yeah.
client: Yeah.
client: Yeah.
therapist: -really a rough night. | -really a rough night. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah.
client: Yeah.
client: Yeah.
therapist: -really a rough night.
therapist: -really a rough night. | -really a rough night. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah.
therapist: -really a rough night.
therapist: -really a rough night.
therapist: -really a rough night.
therapist: -really a rough night. | -really a rough night. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | therapist: -really a rough night.
therapist: -really a rough night.
therapist: -really a rough night.
therapist: -really a rough night.
therapist: -really a rough night. | -really a rough night. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | therapist: -really a rough night.
therapist: -really a rough night.
therapist: -really a rough night.
therapist: -really a rough night.
therapist: -really a rough night. | -really a rough night. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Um, well, me and my friends kinda, uh, we party on the weekend and, you know, we're all university students and so it's just normal, um, to have a few drinks.
client: Um, well, me and my friends kinda, uh, we party on the weekend and, you know, we're all university students and so it's just normal, um, to have a few drinks.
client: Um, well, me and my friends kinda, uh, we party on the weekend and, you know, we're all university students and so it's just normal, um, to have a few drinks.
therapist: So a few drinks is nothing new to you?
therapist: So a few drinks is nothing new to you? | So a few drinks is nothing new to you? |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Um, well, me and my friends kinda, uh, we party on the weekend and, you know, we're all university students and so it's just normal, um, to have a few drinks.
therapist: So a few drinks is nothing new to you?
therapist: So a few drinks is nothing new to you?
therapist: So a few drinks is nothing new to you?
therapist: So a few drinks is nothing new to you? | So a few drinks is nothing new to you? |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: No. I-I don't know. It's normal for university students I feel.
client: No. I-I don't know. It's normal for university students I feel.
client: No. I-I don't know. It's normal for university students I feel.
client: No. I-I don't know. It's normal for university students I feel.
client: No. I-I don't know. It's normal for university students I feel. | Okay, so at this point, you're not too concerned and you think that, you know, this is what the other students are doing? |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: No. I-I don't know. It's normal for university students I feel.
client: No. I-I don't know. It's normal for university students I feel.
client: No. I-I don't know. It's normal for university students I feel.
client: No. I-I don't know. It's normal for university students I feel.
therapist: Okay, so at this point, you're not too concerned and you think that, you know, this is what the other students are doing? | Okay, so at this point, you're not too concerned and you think that, you know, this is what the other students are doing? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: No. I-I don't know. It's normal for university students I feel.
client: No. I-I don't know. It's normal for university students I feel.
client: No. I-I don't know. It's normal for university students I feel.
therapist: Okay, so at this point, you're not too concerned and you think that, you know, this is what the other students are doing?
therapist: Okay, so at this point, you're not too concerned and you think that, you know, this is what the other students are doing? | Okay, so at this point, you're not too concerned and you think that, you know, this is what the other students are doing? |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: No. I-I don't know. It's normal for university students I feel.
client: No. I-I don't know. It's normal for university students I feel.
therapist: Okay, so at this point, you're not too concerned and you think that, you know, this is what the other students are doing?
therapist: Okay, so at this point, you're not too concerned and you think that, you know, this is what the other students are doing?
therapist: Okay, so at this point, you're not too concerned and you think that, you know, this is what the other students are doing? | Okay, so at this point, you're not too concerned and you think that, you know, this is what the other students are doing? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: No. I-I don't know. It's normal for university students I feel.
therapist: Okay, so at this point, you're not too concerned and you think that, you know, this is what the other students are doing?
therapist: Okay, so at this point, you're not too concerned and you think that, you know, this is what the other students are doing?
therapist: Okay, so at this point, you're not too concerned and you think that, you know, this is what the other students are doing?
therapist: Okay, so at this point, you're not too concerned and you think that, you know, this is what the other students are doing? | Okay, so at this point, you're not too concerned and you think that, you know, this is what the other students are doing? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | therapist: Okay, so at this point, you're not too concerned and you think that, you know, this is what the other students are doing?
therapist: Okay, so at this point, you're not too concerned and you think that, you know, this is what the other students are doing?
therapist: Okay, so at this point, you're not too concerned and you think that, you know, this is what the other students are doing?
therapist: Okay, so at this point, you're not too concerned and you think that, you know, this is what the other students are doing?
therapist: Okay, so at this point, you're not too concerned and you think that, you know, this is what the other students are doing? | Okay, so at this point, you're not too concerned and you think that, you know, this is what the other students are doing? |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | therapist: Okay, so at this point, you're not too concerned and you think that, you know, this is what the other students are doing?
therapist: Okay, so at this point, you're not too concerned and you think that, you know, this is what the other students are doing?
therapist: Okay, so at this point, you're not too concerned and you think that, you know, this is what the other students are doing?
therapist: Okay, so at this point, you're not too concerned and you think that, you know, this is what the other students are doing?
therapist: Okay, so at this point, you're not too concerned and you think that, you know, this is what the other students are doing? | Okay, so at this point, you're not too concerned and you think that, you know, this is what the other students are doing? |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Uh, uh I would say a little over that.
therapist: Okay, okay.
therapist: Okay, okay.
therapist: Okay, okay.
therapist: Okay, okay. | Okay, okay. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | therapist: Okay, okay.
therapist: Okay, okay.
therapist: Okay, okay.
therapist: Okay, okay.
therapist: Okay, okay. | Okay, okay. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Especially with midterms coming up.
client: Especially with midterms coming up.
client: Especially with midterms coming up.
client: Especially with midterms coming up.
client: Especially with midterms coming up. | Okay, so it's kind of a way to cope through stress? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Especially with midterms coming up.
client: Especially with midterms coming up.
client: Especially with midterms coming up.
client: Especially with midterms coming up.
therapist: Okay, so it's kind of a way to cope through stress? | Okay, so it's kind of a way to cope through stress? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Especially with midterms coming up.
client: Especially with midterms coming up.
client: Especially with midterms coming up.
therapist: Okay, so it's kind of a way to cope through stress?
therapist: Okay, so it's kind of a way to cope through stress? | Okay, so it's kind of a way to cope through stress? |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Especially with midterms coming up.
client: Especially with midterms coming up.
therapist: Okay, so it's kind of a way to cope through stress?
therapist: Okay, so it's kind of a way to cope through stress?
therapist: Okay, so it's kind of a way to cope through stress? | Okay, so it's kind of a way to cope through stress? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Especially with midterms coming up.
therapist: Okay, so it's kind of a way to cope through stress?
therapist: Okay, so it's kind of a way to cope through stress?
therapist: Okay, so it's kind of a way to cope through stress?
therapist: Okay, so it's kind of a way to cope through stress? | Okay, so it's kind of a way to cope through stress? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | therapist: Okay, so it's kind of a way to cope through stress?
therapist: Okay, so it's kind of a way to cope through stress?
therapist: Okay, so it's kind of a way to cope through stress?
therapist: Okay, so it's kind of a way to cope through stress?
therapist: Okay, so it's kind of a way to cope through stress? | Okay, so it's kind of a way to cope through stress? |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Yeah.
client: Yeah.
therapist: Right, and is that something that has been, you know, a way of coping for a while?
therapist: Right, and is that something that has been, you know, a way of coping for a while?
therapist: Right, and is that something that has been, you know, a way of coping for a while? | Right, and is that something that has been, you know, a way of coping for a while? |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Um, I mean, the 10 drinks seems like not a lot, uh, for like-for me and like my tolerance.
therapist: Mm-hmm.
therapist: Mm-hmm.
therapist: Mm-hmm.
therapist: Mm-hmm. | Mm-hmm. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Um, well, I mean, clearly I don't feel good right now. Um, and it's-- I definitely feel more productive when I don't have a hangover. Uh, so I see a benefit.
client: Um, well, I mean, clearly I don't feel good right now. Um, and it's-- I definitely feel more productive when I don't have a hangover. Uh, so I see a benefit.
client: Um, well, I mean, clearly I don't feel good right now. Um, and it's-- I definitely feel more productive when I don't have a hangover. Uh, so I see a benefit.
client: Um, well, I mean, clearly I don't feel good right now. Um, and it's-- I definitely feel more productive when I don't have a hangover. Uh, so I see a benefit.
client: Um, well, I mean, clearly I don't feel good right now. Um, and it's-- I definitely feel more productive when I don't have a hangover. Uh, so I see a benefit. | So you can see some advantages to reducing the amount of drinking- |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Um, well, I mean, clearly I don't feel good right now. Um, and it's-- I definitely feel more productive when I don't have a hangover. Uh, so I see a benefit.
client: Um, well, I mean, clearly I don't feel good right now. Um, and it's-- I definitely feel more productive when I don't have a hangover. Uh, so I see a benefit.
client: Um, well, I mean, clearly I don't feel good right now. Um, and it's-- I definitely feel more productive when I don't have a hangover. Uh, so I see a benefit.
client: Um, well, I mean, clearly I don't feel good right now. Um, and it's-- I definitely feel more productive when I don't have a hangover. Uh, so I see a benefit.
therapist: So you can see some advantages to reducing the amount of drinking- | So you can see some advantages to reducing the amount of drinking- |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Um, well, I mean, clearly I don't feel good right now. Um, and it's-- I definitely feel more productive when I don't have a hangover. Uh, so I see a benefit.
client: Um, well, I mean, clearly I don't feel good right now. Um, and it's-- I definitely feel more productive when I don't have a hangover. Uh, so I see a benefit.
client: Um, well, I mean, clearly I don't feel good right now. Um, and it's-- I definitely feel more productive when I don't have a hangover. Uh, so I see a benefit.
therapist: So you can see some advantages to reducing the amount of drinking-
therapist: So you can see some advantages to reducing the amount of drinking- | So you can see some advantages to reducing the amount of drinking- |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Um, well, I mean, clearly I don't feel good right now. Um, and it's-- I definitely feel more productive when I don't have a hangover. Uh, so I see a benefit.
therapist: So you can see some advantages to reducing the amount of drinking-
therapist: So you can see some advantages to reducing the amount of drinking-
therapist: So you can see some advantages to reducing the amount of drinking-
therapist: So you can see some advantages to reducing the amount of drinking- | So you can see some advantages to reducing the amount of drinking- |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | therapist: So you can see some advantages to reducing the amount of drinking-
therapist: So you can see some advantages to reducing the amount of drinking-
therapist: So you can see some advantages to reducing the amount of drinking-
therapist: So you can see some advantages to reducing the amount of drinking-
therapist: So you can see some advantages to reducing the amount of drinking- | So you can see some advantages to reducing the amount of drinking- |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | therapist: So you can see some advantages to reducing the amount of drinking-
therapist: So you can see some advantages to reducing the amount of drinking-
therapist: So you can see some advantages to reducing the amount of drinking-
therapist: So you can see some advantages to reducing the amount of drinking-
therapist: So you can see some advantages to reducing the amount of drinking- | So you can see some advantages to reducing the amount of drinking- |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Yeah.
client: Yeah.
client: Yeah.
client: Yeah.
client: Yeah. | -um, that you consume during the week? |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Yeah.
client: Yeah.
client: Yeah.
client: Yeah.
therapist: -um, that you consume during the week? | -um, that you consume during the week? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah.
client: Yeah.
client: Yeah.
therapist: -um, that you consume during the week?
therapist: -um, that you consume during the week? | -um, that you consume during the week? |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Yeah.
therapist: -um, that you consume during the week?
therapist: -um, that you consume during the week?
therapist: -um, that you consume during the week?
therapist: -um, that you consume during the week? | -um, that you consume during the week? |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | therapist: That's okay with me.
therapist: That's okay with me.
therapist: That's okay with me.
therapist: That's okay with me.
therapist: That's okay with me. | That's okay with me. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah. Sounds good.
client: Yeah. Sounds good.
client: Yeah. Sounds good.
therapist: So, what brings you here, Bob? What's, what can I do to help?
client: Yeah. Yeah, well, the only reason I'm here is 'cause my wife thinks I've got a problem with smoking. I've been smoking all my life and, uh, six months ago, uh, she thought, she got into this health kick, right? And now everyone who smokes is evil. And, uh, so that's why I'm here just to please her, get her off my back and— | So, you're not too happy to be here. This is the last thing that you want to be doing this afternoon. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah. Sounds good.
therapist: So, what brings you here, Bob? What's, what can I do to help?
client: Yeah. Yeah, well, the only reason I'm here is 'cause my wife thinks I've got a problem with smoking. I've been smoking all my life and, uh, six months ago, uh, she thought, she got into this health kick, right? And now everyone who smokes is evil. And, uh, so that's why I'm here just to please her, get her off my back and—
therapist: So, you're not too happy to be here. This is the last thing that you want to be doing this afternoon.
client: Yeah. That's an understatement. I mean, I'm supposed to be at work right now, too, right? So- | You've taken time off you, it's costing you time and money being here. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Yeah. That's an understatement. I mean, I'm supposed to be at work right now, too, right? So-
therapist: You've taken time off you, it's costing you time and money being here.
client: Yeah, yeah. I'm only here because my wife forced me to come, you know. Like this has come to a head six months of just nagging me, relentless every day, because she was able to quit smoking and now I have to quit.
therapist: So, let me ask you this, Bob, what are some of your wife's concerns about your smoking?
client: Well, she's concerned about my health and she cuts out all these articles from the paper about second-hand smoke and— | Wow, that she's been showing you and making you read. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah, yeah. I'm only here because my wife forced me to come, you know. Like this has come to a head six months of just nagging me, relentless every day, because she was able to quit smoking and now I have to quit.
therapist: So, let me ask you this, Bob, what are some of your wife's concerns about your smoking?
client: Well, she's concerned about my health and she cuts out all these articles from the paper about second-hand smoke and—
therapist: Wow, that she's been showing you and making you read.
client: Yeah, I've got to read this. That's my reading assignment for breakfast and I want to go out and have-- We used to go out and have a cigarette together at the table. Now I have to go outside in this weather, you know, what's that about? And she used to smoke more than me and now she's like holier than now? | So, you're pretty angry about it. It's pretty outraging that you're forced to change your whole life because of a decision she made six months ago. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah, I've got to read this. That's my reading assignment for breakfast and I want to go out and have-- We used to go out and have a cigarette together at the table. Now I have to go outside in this weather, you know, what's that about? And she used to smoke more than me and now she's like holier than now?
therapist: So, you're pretty angry about it. It's pretty outraging that you're forced to change your whole life because of a decision she made six months ago.
client: And she's got my kids on this against me, you know, my son and my daughter, they're, it's like, they're ganging up on me, you know what I mean?
therapist: So, from your perspective, do you see any consequences to your smoking?
client: Well, the big one of course is how it's affecting my wife and the family. Like my dad's 85, he still smokes. I mean, yeah, you know, sometimes I thought of quitting, but I mean, I don't know. I don't know if I can-- I don't know if I can quit. | So, let me make sure I understand kind of the whole scenario 'cause there's a lot of pieces to it. Your wife is on your case and your kids are ganging up too. So, you're sort of isolated, you're put in a corner and you're being told this is something you have to do, you have no choice in the matter. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: And she's got my kids on this against me, you know, my son and my daughter, they're, it's like, they're ganging up on me, you know what I mean?
therapist: So, from your perspective, do you see any consequences to your smoking?
client: Well, the big one of course is how it's affecting my wife and the family. Like my dad's 85, he still smokes. I mean, yeah, you know, sometimes I thought of quitting, but I mean, I don't know. I don't know if I can-- I don't know if I can quit.
therapist: So, let me make sure I understand kind of the whole scenario 'cause there's a lot of pieces to it. Your wife is on your case and your kids are ganging up too. So, you're sort of isolated, you're put in a corner and you're being told this is something you have to do, you have no choice in the matter.
client: Yeah. | You have a few concerns about your health, but that's not really the driving force. It sounds like it's most of all that it would be nice if things just went back to the way they were before she quit smoking and that all of this stuff wasn't something that you had to deal with anymore. Does that pretty much sum up--? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Well, the big one of course is how it's affecting my wife and the family. Like my dad's 85, he still smokes. I mean, yeah, you know, sometimes I thought of quitting, but I mean, I don't know. I don't know if I can-- I don't know if I can quit.
therapist: So, let me make sure I understand kind of the whole scenario 'cause there's a lot of pieces to it. Your wife is on your case and your kids are ganging up too. So, you're sort of isolated, you're put in a corner and you're being told this is something you have to do, you have no choice in the matter.
client: Yeah.
therapist: You have a few concerns about your health, but that's not really the driving force. It sounds like it's most of all that it would be nice if things just went back to the way they were before she quit smoking and that all of this stuff wasn't something that you had to deal with anymore. Does that pretty much sum up--?
client: Yeah. Yeah. I-I'm just, I don't want to lose her or my family over smoking. | I get the feeling that your relationship is really important to you. That you would do anything. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah.
therapist: You have a few concerns about your health, but that's not really the driving force. It sounds like it's most of all that it would be nice if things just went back to the way they were before she quit smoking and that all of this stuff wasn't something that you had to deal with anymore. Does that pretty much sum up--?
client: Yeah. Yeah. I-I'm just, I don't want to lose her or my family over smoking.
therapist: I get the feeling that your relationship is really important to you. That you would do anything.
client: Well, yeah, I mean, we've been married over 25 years, and uh, we've never had any major problems. Like this is-- this is the first problem. I don't even really see it as a problem cause we used to both smoke and I was trying to accommodate them by smoking outside, but it's feeling like we're going like this and I'm just concerned, like if this keeps going, like. | So, it strikes me that the way that we're talking about it, it's like it's all or nothing. Either you keep smoking the way you are, things continue to go downhill and get worse, your wife gets more and more on your case, or you put your cigarettes down starting the moment you walk in the door tonight and never pick them up again. It's almost like one or the other. It strikes me that as well there might be some middle ground here that it took you a long time to learn how to be a smoker and maybe it's going to take some time to learn how to stop smoking. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Yeah, whatever, you know. It's California, no one cares.
therapist: Yeah. Yeah. Yeah.
client: How long is this gonna take?
therapist: Yeah, we-- You know, we have about 15 to 20 minutes to talk today, total. Um-um, which certainly it's just the first of-of some sessions that we'll have together over the next six months. It'd be a natural question you'd wanna know how much time this will take, of course. Um, what else would you like me to know about you and your perspective that you think will help me work with you over this time?
client: I just wanna get whatever I need to get done, done. | Okay. You're more focused on what you need to do to get this behind you? |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | therapist: .Okay, mm-hmm. Well, I'm wondering then if it's okay with you and-and I have a form that we can use if you'd like, um, just to put out some different ideas on an agenda that we could share as we're working together so that I-I can support you to be successful in getting this behind you. Would-would this feel like a natural time to-to move towards figuring out where we might go together?
therapist: Sarah, I'm so glad you came in for your well-woman exam today. I think we addressed a lot of your concerns. However, I would like to ask you more about your smoking. Would that be okay?
client: Yeah, I guess.
therapist: Okay. So about how much are you smoking over the course of a day? You had said it had increased over once or twice a day.
client: Yeah, um, normally, I'm smoking, you know, like once in the morning, uh, once during my lunch break and then in the evening maybe like five or six. | Okay. So about eight cigarettes. So over the course of a day, just under half a pack? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah.
therapist: Okay. And that's changed over what period of time?
client: Um, honestly, it's probably been over the past year or so that I- I've been smoking a little bit more.
therapist: Okay. So over the past year, the smoking has increased. And that's been mainly in the evening?
client: Yeah. Um, I have a two-year-old son as I mentioned, so I try to never smoke around him. So I'm normally kinda waiting until he gets to bed. | Mm-hmm. Well, that's the time when you can relax and unwind. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Um, honestly, it's probably been over the past year or so that I- I've been smoking a little bit more.
therapist: Okay. So over the past year, the smoking has increased. And that's been mainly in the evening?
client: Yeah. Um, I have a two-year-old son as I mentioned, so I try to never smoke around him. So I'm normally kinda waiting until he gets to bed.
therapist: Mm-hmm. Well, that's the time when you can relax and unwind.
therapist: Yeah, exactly. You know, I told you, my-my schedule is kinda crazy right now. I, um, I work full-time and I just started back at night classes. So, you know, all that combined, you know, I enjoy that time to myself in the evening. | Sure. Sure. Well, it's a time to relax and you've got a lot going on. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah, I guess.
therapist: Okay. Well, we do know that an increase in smoking and alcohol is associated with certain kinds of cancer; colon cancer, cervical cancer, breast cancer, lung cancer, and, um, also pancreatic cancer. It's also associated with liver and lung disease as well as heart disease, diabetes, and hypertension. So that's a lot of information, but I'm-
client: Yeah.
therapist: -interested in what your thoughts are, Sarah.
client: Well, I-I'm just kinda surprised because, I mean, I don't smoke or drink that much. And I mean, compared to people I work with, you know, I-I smoke a lot less, and I feel like I've actually been trying to keep it pretty low. | So you're consciously trying to cut back. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Okay.
therapist: Hi, Mrs. Smith. I wanted to let you know that at this appointment, we're gonna be giving Lilly some vaccines.
client: Oh, I-I don't know if I'm comfortable with that. I've been reading a bunch of stuff lately about them.
therapist: Hmm. Can you tell me more about your concerns about vaccines?
client: Uh, yeah, well, I was just- I was reading that it's better to let them build up their immunity, like, naturally and stuff in their immune systems. | Okay, so you were thinking that maybe exposing Lily naturally to these diseases would be a better choice than using vaccines to help her get stronger? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Uh, okay.
therapist: Okay. So, uh, before vaccines were developed, often when children had a natural exposure to some of these diseases, they ended up with, uh, sometimes death, disability, measles caused brain damage and, uh, deafness and blindness. Polio caused, uh, paralysis in children. And so, allowing children to have natural exposure to these diseases, sometimes was a little bit of a gamble, it could be dangerous.
client: Wow, I didn't realize it was so dangerous. I've never heard of polio.
therapist: Hmm. Some of these things I've mentioned to you, you're-you're not familiar with. Uh, and I think that's because we've done such a good job of eliminating some of these diseases that a lot of people your age, and even my age, are unfamiliar with those things. Um, so having shared this information with you, what do you think about the idea of vaccines for-for Lilly?
client: Uh, I guess it's okay. I mean, I just I want her to be healthy and safe. | It's really important for you to make sure that she's protected and that you make good decisions and do your research before you make any medical decisions for her. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Wow, I didn't realize it was so dangerous. I've never heard of polio.
therapist: Hmm. Some of these things I've mentioned to you, you're-you're not familiar with. Uh, and I think that's because we've done such a good job of eliminating some of these diseases that a lot of people your age, and even my age, are unfamiliar with those things. Um, so having shared this information with you, what do you think about the idea of vaccines for-for Lilly?
client: Uh, I guess it's okay. I mean, I just I want her to be healthy and safe.
therapist: It's really important for you to make sure that she's protected and that you make good decisions and do your research before you make any medical decisions for her.
client: Yeah, I just want to do what's right. | So, again, I hear your overall goal is really, to not give up these things you'd like but to cut back on how much you have- |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Uh, I guess it's okay. I mean, I just I want her to be healthy and safe.
therapist: It's really important for you to make sure that she's protected and that you make good decisions and do your research before you make any medical decisions for her.
client: Yeah, I just want to do what's right.
therapist: So, again, I hear your overall goal is really, to not give up these things you'd like but to cut back on how much you have-
client: Yeah, I guess so. | -on that. All right. So, I'd like to ask you, uh, kind of a scaling question about this 'cause I'm hearing that this feels really important to you that you'd be way up there on the high- on the high end of importance. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Yeah.
therapist: So, I'm gonna ask the question this way, on a scale of 0 to 10, where 0 is not at all confident, and 10 is like, "I'm very, very confident," where would you put yourself on a scale right now of confidence in starting this new plan?
client: Right now, I'm probably-
therapist: Mm-hmm.
client: -gonna say a six. | A six. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Right now, I'm probably-
therapist: Mm-hmm.
client: -gonna say a six.
therapist: A six.
client: But I know when I go home and I see the food, it's probably gonna drop back down to a four. | Okay. All right. So, let's talk about that, um, so we should just assume we're gonna be at a four. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: The food would be good. Um, I get- I get support with-- my whānau is really supportive, but I'm- I'm worried about losing- I'm worried about losing my freedom. I'm worried about, um, about them taking over, or, you know what I mean? I have a freedom where I am now, I'm in charge of myself. That would probably be really good.
therapist: In terms of that freedom and in charge of yourself, and the changes that we're talking about, and building your own family, and to enable you to do that, where do some of that freedom stuff sit with re-engaging back with your whānau and your children, your partner? Is it something you're gonna wanna hang on to, or how you're going to manage that?
client: I don't wanna hang on to freedom if it this- if it means that I lose my kids. Um, I'm just, uh, I'm just worried about-- I'm worried about if I move in with family, that they, even if their intentions are good-
therapist: Mm-hmm.
client: I don't know. I'll do anything to get my kids back. | So I get a sense it's a little anxious being here today and, uh, meeting someone like me, and, um, what we're gonna be doing today is-is inducting, but also I wanna talk about, um, yeah, the issues that-that have got you here and we need to do some sorting out around, um, yeah how serious you are to sort of sort those issues. So? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Well, I don't really keep track.
therapist: Yeah, yeah. So if we were to think back, say the last month, the last four weeks, how many times would you have gone down to the- to the pokies, the pub?
client: I don't know. A few times a week.
therapist: Yeah. Yeah.
client: I don't know. It's if you're at the pub, you're, you know, that-that you're out there. | That-that you're up for the money and-and then-then they slot you. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: At times.
therapist: At times. Yeah, so-so what you-- wha-what she might say to us about about- a-a-about your gambling?
client: I don't know. You don't have any money, so-- And that she-she'll probably be quite happy if I stopped.
therapist: Okay.
client: But, um, I don't know. She-she doesn't really discuss it with me. | Okay. But you owe her some money and you get the sense that-- Or I'm picking up, you get a sense that she's not terribly happy. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: I don't know. You don't have any money, so-- And that she-she'll probably be quite happy if I stopped.
therapist: Okay.
client: But, um, I don't know. She-she doesn't really discuss it with me.
therapist: Okay. But you owe her some money and you get the sense that-- Or I'm picking up, you get a sense that she's not terribly happy.
client: Mm. | Yeah, yeah, okay, okay. So Sarah might see it as an issue. And-and I guess there's a part of you also sees it as an issue, part of you, you know. Part of you may not, but a part of you does. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: -you know, it did, so I'm here-
therapist: Yeah-
client: -so, I suppose—
therapist: -so, what did it add up to, at the end of the day? What are we talking here?
client: It's a couple of grand or something. | Yeah, yeah. It's a little bit here, a little bit there, so it then adds up, yeah? Yeah. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah.
therapist: Okay. So, what other things have you've been open to at other times in your life when you've been open to-to new ideas and being able to talk about stuff, that may be tough to talk about?
client: I don't know. I am just usually pretty open with people. It's a bit different here tonight and-
therapist: Yeah.
client: -just not knowing what to expect then— | Yeah, and-and, coming in, talking to a stranger, you know, and someone who can be honest to what you did, talking to a stranger, coming in this time, what do you sense about how you're doing so far? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: -just not knowing what to expect then—
therapist: Yeah, and-and, coming in, talking to a stranger, you know, and someone who can be honest to what you did, talking to a stranger, coming in this time, what do you sense about how you're doing so far?
client: I don't know. I suppose I'm saying that the money did add up, and that was enough for me to end up here, so-
therapist: Mm.
client: -I suppose I'm here for a reason. [chuckles] | Yeah. You know, like-- I-- And, some people wouldn't even, sort of, get in the door or wouldn't be as open as you've been today, okay, to an extent, so, you know, like I said, good on you, yeah. You know, being able to-- It's hard to come to a place like this and start to really open up, so, you know, you've just shown that you can do that. Yeah. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: -I suppose I'm here for a reason. [chuckles]
therapist: Yeah. You know, like-- I-- And, some people wouldn't even, sort of, get in the door or wouldn't be as open as you've been today, okay, to an extent, so, you know, like I said, good on you, yeah. You know, being able to-- It's hard to come to a place like this and start to really open up, so, you know, you've just shown that you can do that. Yeah.
client: I didn't have a choice. [chuckles]
therapist: Well, you have a choice about what you open up to me about. Absolutely, you have a choice about that, yeah. That coming, being on sentence, no, you don't have a choice about that, um, well, you have a choice, 'cause, I mean, you can choose not to come, and you'll be breached and get to head back to court.
client: Mm. | Um, but you do have a choice about how you are here when we meet, and what-what we talk about here. So, um, you know, so you do have lots of choices within that. And, my sense is you're, sort of, you know, a young woman who will make some good choices about that 'cause you're not a bad person, and you know that. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | therapist: Well, you have a choice about what you open up to me about. Absolutely, you have a choice about that, yeah. That coming, being on sentence, no, you don't have a choice about that, um, well, you have a choice, 'cause, I mean, you can choose not to come, and you'll be breached and get to head back to court.
client: Mm.
therapist: Um, but you do have a choice about how you are here when we meet, and what-what we talk about here. So, um, you know, so you do have lots of choices within that. And, my sense is you're, sort of, you know, a young woman who will make some good choices about that 'cause you're not a bad person, and you know that.
client: Mm.
therapist: Yeah. | So you're sick of this? |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Yeah. I-I just-- I can't shoplift anymore. You know, I got- I got caught again. And uh, you know, I-I got suspended, I got back to school, so I'm-I'm uh-- I'm gonna mess up my whole life here, unless I can stop this.
therapist: Mm-hmm.
client: Yeah, it's bad. My friends and I, we just-- I mean, it's fun and uh-- so I don't know what to do, but I- but I gotta change.
therapist: Okay.
client: I want it. | So, it sounds like you're ready. You're ready to give this up. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah, it's bad. My friends and I, we just-- I mean, it's fun and uh-- so I don't know what to do, but I- but I gotta change.
therapist: Okay.
client: I want it.
therapist: So, it sounds like you're ready. You're ready to give this up.
client: Yeah. | But, maybe the path to doing that isn't so clear. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Yeah.
therapist: But, maybe the path to doing that isn't so clear.
client: Right. I don't know what I'm gonna do, I got some friends. These guys are-- they're bad news, but they're my friends.
therapist: Mm-hmm.
client: And, uh, and it's fun. | And it's fun. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | therapist: Uh-huh.
therapist: So I wrote a prescription for antibiotics for Aiden.
client: Okay.
therapist: Um, I did wanna talk to you though. I'm a little bit concerned looking through his chart of how many ear infections he's had recently. And I-I noticed that you had checked the box that someone's smoking in the home. So I was wondering if you can tell me a little more about that.
client: Well, um, It's just me and him and I do smoke. Um, I try really hard not to smoke around him, but I-I've been smoking for 10 years except when I was pregnant with him. But it-- everything is so stressful being a single mom and-and my having a full-time job. And so it's just-- that's why I started smoking again. | You have a lot of things going on and smoking's kind of a way to relax and destress. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Okay.
therapist: Um, I did wanna talk to you though. I'm a little bit concerned looking through his chart of how many ear infections he's had recently. And I-I noticed that you had checked the box that someone's smoking in the home. So I was wondering if you can tell me a little more about that.
client: Well, um, It's just me and him and I do smoke. Um, I try really hard not to smoke around him, but I-I've been smoking for 10 years except when I was pregnant with him. But it-- everything is so stressful being a single mom and-and my having a full-time job. And so it's just-- that's why I started smoking again.
therapist: You have a lot of things going on and smoking's kind of a way to relax and destress.
client: Yeah. Some people have a glass of wine. I have a cigarette. | Sure. And it sounds like you're trying not to smoke around him. Why did you make that decision? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Well, um, It's just me and him and I do smoke. Um, I try really hard not to smoke around him, but I-I've been smoking for 10 years except when I was pregnant with him. But it-- everything is so stressful being a single mom and-and my having a full-time job. And so it's just-- that's why I started smoking again.
therapist: You have a lot of things going on and smoking's kind of a way to relax and destress.
client: Yeah. Some people have a glass of wine. I have a cigarette.
therapist: Sure. And it sounds like you're trying not to smoke around him. Why did you make that decision?
client: I know it's not good for him. I mean, I've read those things about ear infections and asthma and stuff and-and, uh, but other kids have ear infections and their parents don't smoke. | So on the one hand, you're worried about how your smoking might be affecting him and on the other hand, you're not so sure if it's really the smoking that's causing these problems? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: I know it's not good for him. I mean, I've read those things about ear infections and asthma and stuff and-and, uh, but other kids have ear infections and their parents don't smoke.
therapist: So on the one hand, you're worried about how your smoking might be affecting him and on the other hand, you're not so sure if it's really the smoking that's causing these problems?
client: Right. Yeah. I mean, he doesn't have asthma. Yeah. He-- I don't-- he hasn't had a lot of other problems that his other friends have, so. And I've thought about quitting before in the past, but I just don't- I just don't see how it's possible right now.
therapist: What made you decide to quit smoking when you were pregnant?
client: Well, he was inside me and we were sharing everything and I knew that he would get some of that. And I didn't-- I just didn't-didn't think I could live with myself if something happened to him. | Right now, though, it feels almost too difficult to even manage or even to try? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah, exactly.
therapist: How were you successful when you quit before?
client: I don't know. I-I think about it now, I don't even know how I did it. I just- I just did it. You know, I just- I just couldn't imagine like him not being born or going into labor early-
therapist: Mm-hmm.
client: -and-and him having problems and stuff like that, all the stuff that they talk about with women who smoke. So I-- that was just enough to-to say, "Okay, you know what, I'm-I'm not going to risk that." so. | Mm-hmm. The risks were so scary then that you were able to stop? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: I don't know. I-I think about it now, I don't even know how I did it. I just- I just did it. You know, I just- I just couldn't imagine like him not being born or going into labor early-
therapist: Mm-hmm.
client: -and-and him having problems and stuff like that, all the stuff that they talk about with women who smoke. So I-- that was just enough to-to say, "Okay, you know what, I'm-I'm not going to risk that." so.
therapist: Mm-hmm. The risks were so scary then that you were able to stop?
client: Yeah. | But they don't feel as scary to you now? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: -and-and him having problems and stuff like that, all the stuff that they talk about with women who smoke. So I-- that was just enough to-to say, "Okay, you know what, I'm-I'm not going to risk that." so.
therapist: Mm-hmm. The risks were so scary then that you were able to stop?
client: Yeah.
therapist: But they don't feel as scary to you now?
client: No, I mean, we're two separate people. And like I said, I don't, I try really hard not to smoke around him. I'm pretty good about that. I-I don't let other people smoke around him. Um, so I, you know. | You're doing the best you can do. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah.
therapist: But they don't feel as scary to you now?
client: No, I mean, we're two separate people. And like I said, I don't, I try really hard not to smoke around him. I'm pretty good about that. I-I don't let other people smoke around him. Um, so I, you know.
therapist: You're doing the best you can do.
client: Yes. | Okay. But it sounds to me too like part of you really does want to quit? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: No, I mean, we're two separate people. And like I said, I don't, I try really hard not to smoke around him. I'm pretty good about that. I-I don't let other people smoke around him. Um, so I, you know.
therapist: You're doing the best you can do.
client: Yes.
therapist: Okay. But it sounds to me too like part of you really does want to quit?
client: Yeah. I-I know that I need to, and I, you know, keep every new year I say, "Okay, this year I'm gonna quit smoking" but then something happens and it-it just doesn't. And quitting doesn't happen. | It's on your to-do list. It's just not making it to the top? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah.
therapist: If you did decide to quit on a scale of 1 to 10, where 1 is not at all confident, and you don't think you could do it and 10 is you feel pretty certain that you could, where do you think you fall right now?
client: Probably like a 5 . Kind of in the unsure area. Like I know I've done it before, so I know I can do it, but at the same time, it just seems really hard. And it's not the same situation.
therapist: Well, what made you say five rather than two or three?
client: I know- I know all the ways it's bad for me. And I don't want him to grow up thinking that it's okay to smoke. I don't want him to-to use any kind of-- I don't want him to chew or anything like that. Um, so I know I need to, especially before he gets old enough to understand what mommy's doing, but I just don't know if I can do it. | Okay. So it sounds like you have a lot of reasons why you'd like to quit. You have been successful quitting in the past, and right now you're just feeling a little bit hesitant about your ability to do it? |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Um, I'm not sure yet. Maybe a few schools in the area, I'm looking maybe to apply out-of-state.
therapist: Oh.
client: So, maybe move away for college.
therapist: Cool.
client: Yeah. | So, kind of keeping your options open. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah.
therapist: So, kind of keeping your options open.
client: Yeah, definitely.
therapist: Great. And, do you have an idea about what you might want to study or?
client: Yeah, maybe um, pre-law. | Oh, wow. Okay, that's exciting. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah.
therapist: All right, cool. Uh, what do you like to do for fun?
client: Well, um, on the weekends I like to hang out with my friends, maybe go to like a party, or go to the mall to shop, or if there's like a school-related event, we'll go to like a football game or-
therapist: Mm-hmm.
client: -something like that, yeah. | You like to have a good time? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Um, I would say like a moderate amount. I'm not really-really popular or like, I have no friends.
therapist: Mm-hmm.
client: So, I'm like normal.
therapist: All right.
client: Yeah. | That's a good way to be, right? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: -and I want them to, um, be accepting and love me.
therapist: Okay. Do you have brothers or sisters?
client: Yeah, I have one sister.
therapist: Okay, great. And, how about friendship?
client: Friendship, um, I've-I've grown close to many people that I care about. So, I would like them to be accepting of me as well. | Great. So, being a good friend and- |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Yeah.
therapist: -having people who are good friends, too, is important. And then, what about belonging? You mentioned that one too.
client: Yeah, just a sense of like fitting in and not-- And like getting accepted-
therapist: Hm.
client: -in general, yeah. | Yeah. Wanting to be part of a group- |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Um, not much, maybe like one or two drinks at the most.
therapist: Okay. Can you tell me a little bit about how alcohol fits into your overall social scene?
client: Um, I pretty much just have a drink to just have it like, so it looks like I'm drinking, even though I'm not.
therapist: Hm.
client: So maybe people won't bug me about drinking or something. | Okay, you're kinda getting pressure from other people who are drinking, and it feels easier for you to- |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Um.
therapist: -often do you think that you are around alcohol.
client: Maybe one or two weekends a month at the most?
therapist: Okay.
client: Not really much. | So, one or two weekends a month you're in a situation where there is alcohol? |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Well, just I guess, at a party or something, someone's house.
therapist: Uh-huh.
client: Or, even if it's not a party, like a small social gathering, maybe there'll be like a few beers around-
therapist: Hm.
client: -or something. | So, mainly, just kinda hanging out with friends. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Mostly just with us, but, sometimes I'll go to like a close friend's house and like I'm close to a family as well. So, we'll all just hang out.
therapist: Mm-hmm. And, what about driving?
client: Um, like drunk driving?
therapist: Yeah. Do you ever go anywhere in a car after you've had any alcohol?
client: Um, definitely not. I've never drunk-driven, and I've never been in a car with a drunk driver. | Okay. So, that's something that you've sort of made a decision about. It sound like you— |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Um, definitely not. I've never drunk-driven, and I've never been in a car with a drunk driver.
therapist: Okay. So, that's something that you've sort of made a decision about. It sound like you—
client: Yeah, because I know that's extremely dangerous, so.
therapist: Okay. What do you know about how that's dangerous?
client: Um, well, alcohol definitely impairs your judgment. So, I mean, driving under the influence of alcohol can lead to like crashes and accidents and things like that, so I'd rather not be in that situation. | So, you're really are trying to be safe and-and make sure that- |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Um, well, alcohol definitely impairs your judgment. So, I mean, driving under the influence of alcohol can lead to like crashes and accidents and things like that, so I'd rather not be in that situation.
therapist: So, you're really are trying to be safe and-and make sure that-
client: Yeah.
therapist: -you're not putting yourself-
client: Yeah, definitely. | -in those situations? That's great. You know, it's-it's tough to do sometimes, and I really commend you for being able to-to stick with that. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Yeah, definitely.
therapist: -in those situations? That's great. You know, it's-it's tough to do sometimes, and I really commend you for being able to-to stick with that.
client: Thank you.
therapist: So, you mentioned, you pretty much will like hold a drink or maybe have a drink or two. What do you thinks is the most alcohol you've ever had in-in one day?
client: Not more than two drinks. | Okay. So, the-the absolute most- |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Um, I've never really been drunk-
therapist: Uh-huh.
client: -so, I can't really say that I like that feeling or not, but, it's just like-- I mean, you're just in a good mood.
therapist: Mm-hmm.
client: So. | So, it just kind of makes you feel relaxed or? |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Um, no, not really. Like I said, I don't drink that much-
therapist: Mm-hmm.
client: So, I-I wouldn't be able to tell you.
therapist: Okay. And, any not-so-good things about alcohol?
client: Um, definitely, yeah. I mean, when I'm at parties and stuff and it's getting a little later, some people, um, that drink-- Like, drank too much, they start throwing up, or they get hurt, or they're really loud and obnoxious, and that's not fun for anybody. | Mm-hmm. So, you've seen a lot of other kids who- |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: So, I-I wouldn't be able to tell you.
therapist: Okay. And, any not-so-good things about alcohol?
client: Um, definitely, yeah. I mean, when I'm at parties and stuff and it's getting a little later, some people, um, that drink-- Like, drank too much, they start throwing up, or they get hurt, or they're really loud and obnoxious, and that's not fun for anybody.
therapist: Mm-hmm. So, you've seen a lot of other kids who-
client: Yeah. | -had some consequences- |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Um, definitely, yeah. I mean, when I'm at parties and stuff and it's getting a little later, some people, um, that drink-- Like, drank too much, they start throwing up, or they get hurt, or they're really loud and obnoxious, and that's not fun for anybody.
therapist: Mm-hmm. So, you've seen a lot of other kids who-
client: Yeah.
therapist: -had some consequences-
client: Yeah. | -and decided that's not for you? |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: It's just there.
therapist: It's just there? Okay. And, I'm curious, you mentioned, you know, your friends are important to you, and your family's important to you, and, sort of fitting in is important to you. How does alcohol play a role with that?
client: Um, well, definitely not in my family life, because my parents don't really condone-
therapist: Okay.
client: -alcohol use, but, friendships, I mean, when I'm hanging out with my friends, or we're at a party or something, there's usually alcohol involved. | Okay. So, from your family perspective, the drinking is not something that fits very well? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Um, well, definitely not in my family life, because my parents don't really condone-
therapist: Okay.
client: -alcohol use, but, friendships, I mean, when I'm hanging out with my friends, or we're at a party or something, there's usually alcohol involved.
therapist: Okay. So, from your family perspective, the drinking is not something that fits very well?
client: Yeah. | And with friends, you feel like it's easier to-to hang out with alcohol, or maybe you wouldn't have as much fun, or your friends wouldn't like you as much or? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Um, it probably will have a very small role, if any-
therapist: Mm-hmm.
client: -in my life, considering I have big plans for my future. So.
therapist: Okay. Can you expand on that a little bit more? What do you mean?
client: I mean, I don't think I would be, you know, drinking as much or going to parties as much if I'm studying for school, or in college, or trying to get in law school and things like that. | Okay, so, the-the alcohol is something that might make it harder to reach your goals? |