instruction
stringclasses
35 values
input
stringlengths
59
2.77k
output
stringlengths
4
969
Pretend you are a therapist and provide a simple reflection for what the client is experiencing.
client: Yeah. therapist: Yeah. client: Yeah. You can blame hindsight a little bit. I mean, that works for me. [laughter] therapist: Hindsight? Oh, yeah, they'll-- it'll take the- it'll take the blame. Um, so, you still-- Do you still, uh, you know, you started drinking again, and then, um, the second DUI, what-- Is it the same circle of social-social circle, same friends? client: Yeah. [crosstalk]
Same type of situation. [crosstalk]
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
client: Yeah. [crosstalk] therapist: Same type of situation. [crosstalk] client: I mean, they've been my friends since, you know, uh, since high school. therapist: So, they're important to you? client: Yeah, absolutely.
Mm-hmm. Yeah. And-and sometimes, um, people have friends who are friends, but then there's friends who would stay on in our lives and are constant. So, these would be your constant core--
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
client: Uh, no, I'm single now, so, you know, I don't really, uh-- [crosstalk] therapist: How's that going? client: It's all right, you know, I date a little bit but, uh, you know, I just don't wanna get serious right now. therapist: Oh what-- So, what does serious look like? Um-- client: Um, I just don't want to date someone in a regular basis. I don't really feel like I want to be in a committed relationship.
Yeah. That's all right, yeah. That's good. It sounds like you know yourself pretty well.
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
client: Yeah. Well, I mean I-I, uh- I, uh- I wouldn't drink as much, and if I- if I did, I would call, uh, a taxi or, um, you know, get some kind of a ride home, I think, 'cause, uh, you know, I just, uh-- I-I just don't wanna get in trouble, you know. therapist: Yeah. Is there somebody that you could call? client: Uh, I don't really think about that. I guess I would have to think about that, because if I was gonna go out and drink, I would have to think about that. Yeah. therapist: Right. client: I guess I could call it taxi cab or something, I don't know.
They'll come.
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
client: What's that? therapist: Your bar money would be somewhere else, not in your wallet? client: Probably in my front pocket, I guess. therapist: There you go. Okay, yeah. So, that, y-yeah. client: Yeah.
That makes- that makes a lot of sense. So then you'd have your money tucked away someplace different.
Pretend you are a therapist and provide a simple reflection for what the client is experiencing.
client: Yeah. therapist: That makes- that makes a lot of sense. So then you'd have your money tucked away someplace different. client: Yeah. Well, if I put, uh- if I put it away, then I wouldn't spend it though, you know, [unintelligible 00:18:48] have it. therapist: Mm-hmm. client: There-there would be a plan that I would have to-
Sounds like a good plan.
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
client: I don't really hang out with people that really drink a lot though. I mean, they're-they're not like-- I wouldn't call them drunks, so, I mean, they can, you know, they can handle their-- [crosstalk] therapist: So, it would be up to them? client: Sure, I would think, yeah. therapist: Mm-hmm. client: Yeah.
It sounds like you have-- You've thought about this, and you're-you're willing to put some things in place, the-the wallet, um, money in the wallet and-and for the taxi-
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
client: You know, it was a- it was, uh- it was pretty good. I just didn't feel like I had my friends around, and-and it just-- It seemed kinda boring. I mean, I felt good physically and, uh, you know, I, uh- I was more on time to work, I was doing really good at work and so forth, um, but, you know, it just, um-- The hard part for me was I just, uh- I just didn't have any friends around. I just kinda-- I felt isolated. I just didn't- I just didn't feel comfortable, you know. therapist: Six months is a- is a long time. There was, um-- Try to think back, were there- were there other people? Was it- was it just you? client: Well, my-my girl- my girlfriend and I were trying to work it out. But it just seemed like we were arguing all the time, you know. It just didn't seem like-- You know what I mean? Like the not-drinking part was good, but it just didn't seem like anything else had changed. therapist: All right. client: You know.
So-so, if you were not to-- If you were to go with the plan of maybe not drinking, which you mentioned-
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
client: Well, my-my girl- my girlfriend and I were trying to work it out. But it just seemed like we were arguing all the time, you know. It just didn't seem like-- You know what I mean? Like the not-drinking part was good, but it just didn't seem like anything else had changed. therapist: All right. client: You know. therapist: So-so, if you were not to-- If you were to go with the plan of maybe not drinking, which you mentioned- client: Yeah.
-um, uh, your girlfriend Mary is-is not a part of your life-
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
client: You know. therapist: So-so, if you were not to-- If you were to go with the plan of maybe not drinking, which you mentioned- client: Yeah. therapist: -um, uh, your girlfriend Mary is-is not a part of your life- client: No-
-right now.
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
client: No- therapist: -right now. client: -and I really don't see that working out really well. therapist: Would there be something else that would, um, sort of, uh, fill in that-- The-the friends area, do you think? client: Well, I don't know. I mean, it's a-- I mean, my friends drink though. So, it's kinda hard to- it's kinda hard to, you know, to be with them, and then-- When I'm not drinking, 'cause it's-- I just don't feel like I fit in, you know.
But, yeah, I-I see what-what you're saying, for sure. Um, there-there's those friends that they drink but they don't drink that much, I heard you saying.
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
client: -pretty much everyone I know like drinks. therapist: Yeah, so wha-what would-- What do you think it would do to the relationship of you not drinking but still being with the-these folks-- These friends? client: Yeah, I, uh-- therapist: Would-would it work out and-- client: I don't know. Just, it's weird, I-I think that, you know, kinda when I go there, you know, and-and hang with them at all, it's, uh-- You know, we- you know-
It's uncomfortable.
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
client: I've been with them since, you know, like high school. So, I can't. therapist: Mm-hmm, and- client: They mean a lot to me. therapist: -it's [unintelligible 00:24:05]. I-I-I know that you, um- you value friendship and-and friendship is very important, uh, and, I'm just wondering how important, um, it would be for, uh, you to remain friends with them and still have your-your sobriety. client: I guess maybe it would probably be not a bad idea to not hang with them for a little bit, I guess. You know, I mean, I-I-I-- Yeah.
And see what happens.
Pretend you are a therapist and provide a simple reflection for what the client is experiencing.
therapist: Well, I sure-sure would, um, tell the-the people who-who need to know- client: Okay, good. client: -about the plans that you're striving for. Um, that I-- There would be, um, uh, someone to read this assessment-Mm. therapist: -and then, um- and then it would be up to you mostly. The choice is-is completely yours. And, um, it sounds like to me that there's no reason why you wouldn't be able to do this. You've given it a lot of thought, and you have some plans in place, and anything else that you might come up with, uh, to help you stay out of the driver's seat when you've been drinking. client: Um, probably just not really drink as much. I mean, if I just didn't drink, I wouldn't have to really worry about that too much either.
Then you wouldn't have to worry.
Pretend you are a therapist and provide a simple reflection for what the client is experiencing.
therapist: All right. Well, thank you Mike. I appreciate this. client: Okay. Thank you. therapist: Thank you. therapist: Steve, before we're done with our visit today, I was wondering if you'd be willing to take a few minutes to talk about your drinking. client: Okay, like what?
Well, you filled out this survey for us today, which was great. Thank you very much. I just wanted to review a couple of things on here. I noticed that you said that you drink two to three times a week, drink three or four drinks at a time when you do drink, and weekly, um, have more drinks than that. So six or more drinks, it says on here.
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
client: Jeez, no. I didn't think I was that bad. therapist: That's why it's helpful to look at this and give some perspective. On a scale of 1-10, what is your readiness to change, 1 being I don't want to change at all, and 10 is I really want to change? client: I don't know. I mean, this is all news to me. I've, I don't want to do anything to put myself at risk and I've always thought of myself as a pretty healthy guy. I guess I'd put myself right in the middle of the five. therapist: Well, that's great. That's halfway there. What kept you from just giving it a one or two, something lower? client: Well, you know I'm training for the marathon, and that's why I'm coming in, is because I need to be able to get my sleep back on track, but I also don't think of myself as a hazardous drinker, and I'm certainly not an alcoholic. So, that's-that's why the middle-ground, five.
Mm-hmm. Okay. Well, that's a good place to start. So, I heard you say your health is important, and you're getting ready to run a marathon, so you wanna be able to do what you can to make that successful. And you also were a little bit surprised that you fell into this risky or hazardous category.
Pretend you are a therapist and provide a simple reflection for what the client is experiencing.
client: Mm, um, you know, I-I guess drinking no more than maybe three or four times a week, and-and on the weekends, which is when I would drink the most, cup back to no more than five or six beers. therapist: Okay, okay. Well, sometimes when people aren't ready to make changes like this, it helps if they write down their goals, it gives them a chance to see them in black and white. If you were to look at this little form here and figure out where you want to go with your drinking, what would you put down as your goal? client: Um, doing the math, I guess no more than 18 drinks a week. therapist: Okay. So that's an improvement. So you're headed in the right direction. I do wanna let you know that with 18 drinks a week, you're still falling above this low-level risk category, and that it would be my recommendation that at some point you would fall below into this 14 or less a week. But it's an improvement, and it's a great place to start, and I really commend you for your willingness to take a look at this and try to make some improvements. client: Thanks.
So I'm hoping that in your appointment next month, we can touch base on this and see how it's going.
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
therapist: So I'm hoping that in your appointment next month, we can touch base on this and see how it's going. client: Sure. therapist: Okay. Good. therapist: There, um, what brings you in today? client: I don't know. I'm just having a little bit of, uh, having a little bit of trouble dealing with, uh, my criminal history and, uh, you know, trying to stay on the right path, but, you know, um, it's just- it gets, you know, it gets kind of overwhelming, you know. Um, I really wanna be, you know, a good productive member of society, but at the same time, you know, I got this background that nobody will overlook, you know. So it kinda makes it like, well, what, you know, do I go back to what I know?I mean, you can only work for $5, $6, $7 an hour for so long, and it's really frustrating. It's causing, uh, some anger issues to resurface and some depression to resurface and, um, you know, and, um, I don't wanna fall back, you know.
It's really getting in the way of you becoming who you wanna be.
Pretend you are a therapist and provide a simple reflection for what the client is experiencing.
client: Yes, it is. therapist: Yeah. So what-what-what about your criminal record is blocking you from getting where you wanna be? client: I don't know what about it is, um— therapist: There's a, uh, your record has a conviction? client: Yeah. It has a felony conviction on it.
Okay. Ah, there's-
Pretend you are a therapist and provide a simple reflection for what the client is experiencing.
client: I don't know what about it is, um— therapist: There's a, uh, your record has a conviction? client: Yeah. It has a felony conviction on it. therapist: Okay. Ah, there's- client: And, uh—
-the big trouble. Yeah.
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
client: And, uh— therapist: -the big trouble. Yeah. client: Yeah, it is. And it's- I hadn't anticipated that it would have been-- You know, so at the time, it was just like, "Okay, cool. I'm not going to jail." therapist: Mm-hmm. client: You know, and, um, now, it's like, okay, so this is more like a life sentence than it was a four-year sentence that they were offering. You know, I mean, I think it would have been bad either way, but, um, I hadn't anticipated that this was gonna be this difficult, especially since I went back to school and, you know, uh, got a degree and actually want to do, you know, some, um, corporate level or, you know, professional type of work.
Mm-hmm. So when you, um, when you put in applications or anything like that, the felony con-conviction, whether you know it or not, seems to knock you out of the ballpark. You're not even considered as an applicant?
Pretend you are a therapist and provide a simple reflection for what the client is experiencing.
client: - I'm sure. The ones that really count are-are-are, you know, are kind of just, you know, uh, making me so angry and, you know, kind of spilling over into the rest of my life or the ones that I get face face, especially after a really good interview. And, you know, most of the times, I interview extremely well. And, um, it's, you know, I get the vibe that the job is offered almost halfway through the interview because, you know, they start telling me about what I'll be doing and what I'll be getting.And then, you know, when it comes to sign on the paperwork and I believe in honesty, so I tell them, you know, hey, look, this is what you're gonna find, you know, and, um, try to explain it. It's just-it's almost like night and day. therapist: Mm-hmm. client: Black and white. It just stops right there. "I'm sorry. I can't really do much for you. I-- You have to go," you know, and it's— therapist: So do you- do you, um, put out there about the felony conviction before you even go for the interview? client: No. I mean, there's different situations, you know. Sometimes they ask and, you know, I'll say something like, you know, "We'll discuss at interview". Uh, sometimes, there are situations where if I probably put that, I don't get a callback and those situations I don't know about. You know, but there are also times where I get an interview through, um, you know, uh, uh, some sort of connection or something, or like a buddy of mine or a family member will send me on an interview. You know, I don't have to fill it out- fill out an application for that. They just usually, you know, give you the interview. And at the end-
Seems like it's a done deal.
Pretend you are a therapist and provide a simple reflection for what the client is experiencing.
client: Yeah. It seems like it's a done deal. You just have to go through the motion of having the interview. And then- therapist: Mm-hmm. client: -when I go through the interview and it goes well, and they're like, "Okay, well, you know, I think we can do something" and then, "Here, sign this, sign that," and the other thing. And it's like, but we just had a great, you know, I mean, I qualify. Like what does that have to-- Seven years ago, six years ago, what does it have to do with anything? Now, especially because, you know, the type of conviction, it wasn't a non- it wasn't a violent conviction. It's not like I'm a danger to the staff around me. It's not like it's a, you know, a theft type of thing. It was, you know, it was a possession, you know what I mean? therapist: Mm-hmm. client: And
So you didn't hurt anybody.
Pretend you are a therapist and provide a simple reflection for what the client is experiencing.
client: -when I go through the interview and it goes well, and they're like, "Okay, well, you know, I think we can do something" and then, "Here, sign this, sign that," and the other thing. And it's like, but we just had a great, you know, I mean, I qualify. Like what does that have to-- Seven years ago, six years ago, what does it have to do with anything? Now, especially because, you know, the type of conviction, it wasn't a non- it wasn't a violent conviction. It's not like I'm a danger to the staff around me. It's not like it's a, you know, a theft type of thing. It was, you know, it was a possession, you know what I mean? therapist: Mm-hmm. client: And therapist: So you didn't hurt anybody. client: No, I didn't.
You didn't hurt anything, right?
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
client: No, I didn't. therapist: You didn't hurt anything, right? client: It's really frustrating because- therapist: Yeah. client: -it's almost like I-I don't wanna give up, but it's like, I'm not given any other choice, you know?
Yeah, 'cause you're-you're, especially with going back to school and having done all that footwork and stuff. I mean, you really have something to offer somebody.
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
client: It's really frustrating because- therapist: Yeah. client: -it's almost like I-I don't wanna give up, but it's like, I'm not given any other choice, you know? therapist: Yeah, 'cause you're-you're, especially with going back to school and having done all that footwork and stuff. I mean, you really have something to offer somebody. client: I do, yeah.
Yeah. And, um, and at the time the big crisis was actually maybe prison and all the crisis around the arrest and-and, uh, you know, it's like you're a leper and the leper colony.
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
client: -you know what I mean? If it's gonna make things more efficient like as if-if you're what you're trying to say is if that's something that I could do and then if they get past it, then now I know that there's an actual intention by the hiring people to hire me. therapist: Right. If that's a deal-breaker and you both know it from the very beginning, I'm wondering if then really the interview is really something else. I mean, whether they get the job would truly be based on the interview and not-not your criminal record. client: Yeah, I think as far as maybe efficiency, you know, weeding out the things, not wasting my time, you know, but I had to tell you something, a lot of the people that don't care about that type of thing- therapist: Mm-hmm. client: -are not the sort of jobs that I really wanna be doing. You know what I mean? Um, I don't know, it's just really frustrating.
Not like you're working for the government or for a bank or, you know, the FBI where- those are not things you're applying for. They're jobs where you would wonder why a-a non-violent felony would even--
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
client: Right, and then the other thing is anybody that I might tell that to- therapist: Mm-hmm. client: -that doesn't care- therapist: Mm-hmm. client: -are probably not jobs that, you know, are worth going to get the interview.
Mm-hmm, you didn't go to college for that.
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
client: And the other thing that I saw was that it was very politically charged. You know, I didn't think that, um, I was, uh, you know, allowed to kind of get an interview right away with one of those counselors that they offer. Um, I-- it just didn't seem like a type of place that was willing to help, you know. And-and, uh, I saw that there was a lot of, um, I wouldn't say racism but I would say a little bit of racial favor, I suppose. And, uh, I found it really hard to get in and to get an interview with a counselor to match me up with a job. Um, I think that those-those types of groups are cool if they work. I just haven't had any luck with, um- at working with- through that group. therapist: Mm-hmm. client: You know? therapist: Mm-hmm. client: Um, you know, I don't know. I don't know if there's anything else out there.
Mm-hmm. So you're-you're Middle Eastern. So you wonder-- I-I bet you've had experiences where you really have experienced some absolute racism and prejudice because of that.
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
client: You know? therapist: Mm-hmm. client: Um, you know, I don't know. I don't know if there's anything else out there. therapist: Mm-hmm. So you're-you're Middle Eastern. So you wonder-- I-I bet you've had experiences where you really have experienced some absolute racism and prejudice because of that. client: Mm-hmm.
And then, um, you walk into these places and they might just be almost storefront-
Pretend you are a therapist and provide a simple reflection for what the client is experiencing.
client: So at some point, I would imagine that maybe I strike up conversation with the right person- therapist: Mm-hmm. client: -that would probably want to hire me regardless of that sort of thing. Um, I think that at the this point in time, that it doesn't really matter what degree you have. I don't believe that it matters where you went to school. I think it's all about who you know. You know, we live in a very politically charged city. And I think that even if we didn't live in a politically charged city, at this point, jobs are so scarce that people who know people who know people are the ones that are ending up, um, at work- therapist: Mm-hmm. client: -and getting jobs. And I think that, um, if I continue to, you know, go to school and, uh, you know, uh, get time from that felony, you know. So it's been seven years now and—
It's a long time.
Pretend you are a therapist and provide a simple reflection for what the client is experiencing.
client: -and getting jobs. And I think that, um, if I continue to, you know, go to school and, uh, you know, uh, get time from that felony, you know. So it's been seven years now and— therapist: It's a long time. client: Yeah. And at some point, I probably don't even have to report it, you know, and I have that going for me. It's been seven years. I have the fact that I'm, you know, uh, good at, um, interaction with people, that's good. therapist: Mm-hmm. client: You know, um, I've been clean from that sort of lifestyle for that long so that's-that's-that's up for me, you know, that's-that's good. Um—
And you can- you can prove that and document that.
Pretend you are a therapist and provide a simple reflection for what the client is experiencing.
client: Yeah. therapist: Yeah. A lot of folks can't. client: They don't. therapist: Yeah. And you've been going to school. I mean, all-all your movement is in this really positive, highly motivated way. And, um- and I think your-your thoughts and ideas about the fact that one day a conversation will- you'll strike up with somebody and it will happen to be with somebody who works for a company that perhaps does not have a policy against hiring people with felony convictions. client: Yeah. Well, that's my hope.
It's individual. Yeah.
Pretend you are a therapist and provide a simple reflection for what the client is experiencing.
client: They don't. therapist: Yeah. And you've been going to school. I mean, all-all your movement is in this really positive, highly motivated way. And, um- and I think your-your thoughts and ideas about the fact that one day a conversation will- you'll strike up with somebody and it will happen to be with somebody who works for a company that perhaps does not have a policy against hiring people with felony convictions. client: Yeah. Well, that's my hope. therapist: It's individual. Yeah. client: Yeah. That's my hope.
It-it is individual.
Pretend you are a therapist and provide a simple reflection for what the client is experiencing.
client: Yeah. therapist: There's no-- I don't think, any State or federal law that says. client: No, no. It is an individual but you're right. Yeah. It's— therapist: Okay. client: But here's the thing is—
Right person, right company-
Pretend you are a therapist and provide a simple reflection for what the client is experiencing.
client: No, no. It is an individual but you're right. Yeah. It's— therapist: Okay. client: But here's the thing is— therapist: Right person, right company- client: Right.
-we're looking for here. Yeah.
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
client: -blindly, people have implemented those types of, um, measures and they don't have any efficiency with them because they don't- you know, I mean, everybody is offering background checks now and stuff like that. And I'm- that's one of the things that I'm afraid of is that people are implementing all these security security measures, but they don't really know if the reports are even accurate, you know. therapist: I wonder what it'd be like if you ran your own background check and got the report to see what's in there. client: I have. therapist: Oh, you do? client: Yeah, I do. I have one and, uh, um.
Good for you doing that.
Pretend you are a therapist and provide a simple reflection for what the client is experiencing.
client: I have. therapist: Oh, you do? client: Yeah, I do. I have one and, uh, um. therapist: Good for you doing that. client: Right, yeah.
Yeah. Smart.
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
client: Yeah, I do. I have one and, uh, um. therapist: Good for you doing that. client: Right, yeah. therapist: Yeah. Smart. client: Yeah. Thank you. I don't know. I'm just, I guess-
Discouraged.
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
client: Right, yeah. therapist: Yeah. Smart. client: Yeah. Thank you. I don't know. I'm just, I guess- therapist: Discouraged. client: -what I'm really—
Discouraged, yeah.
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
client: Yeah, I'm really here because I think I'm- I-I- It's a very dangerous area for me when I'm discouraged because- therapist: Mm-hmm. client: -you know, all the- despite all the good things that I have going for me, the only thing that's loud and clear are the things that I don't have going for me. therapist: Mm-hmm. client: If that makes any sense.
Uh, yeah, it does. Uh, I am yet to- it-it seems to me just in this time we've been talking together that you, um, um, do have a sense that a lot of it has to do-do with, uh, timing, luck, who you know, and being, are you able to have that conversation where you know that you can sell yourself and your skills and, um, and your competencies and the fact that you've overcome so many things like, um, substance abuse problem and, uh, have been, you know, uh, a good upstanding citizen all this time. Um, to me, if I were an employer, you know, I would- I would be impressed with that.
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
client: I know that- therapist: Or start your own business. That was another thing that I thought was really-- client: Yeah, well, I think that's what I got. That's what I am doing. That's what I'm sort of involved with now is like, you know, find, um, you know, I'm still continuing to go to school, but I'm also starting, um, work for myself. Um, you know, it's not no Fortune 500 company or anything, but I do have a little bit of income coming in from that. therapist: Uh-huh. client: Um, it-it, uh, you know, it will all come together.
So being an entre- being an entrepreneur fits for you.
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
client: You know what? Actually, one of the things is that I read is that is that's one of the things you gotta do is just, uh, start your own business. You know what I mean? Uh, you don't have to report to anybody. I mean, obviously, I can't work with, um-- unless I get a waiver I can't work with, like, I think the law says I can't work with kids or, um, like a hazmat stuff. therapist: Mm-hmm. client: Like truck driving and stuff like that. therapist: Mm-hmm. client: Uh, but that doesn't matter to me. You know what I- you know, I'm kind of- I'm trying to look at the things that I can do.
Well, that, you know, now that's a-a really different way of looking at it than how you were looking at what you can do versus what's getting in your way that you know you can't do.
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
client: Uh, but that doesn't matter to me. You know what I- you know, I'm kind of- I'm trying to look at the things that I can do. therapist: Well, that, you know, now that's a-a really different way of looking at it than how you were looking at what you can do versus what's getting in your way that you know you can't do. client: Right. therapist: So, um, what kinda- what-what are you starting? What's this business? If you-you don't have to tell me if you don't want, I know it's on the up and up, but you don't have to tell me if you don't want. client: No, it's, um, uh, like a party planning event, you know, like a wedding planning, not like a wedding planner, but like—
You'd be so good at that.
Pretend you are a therapist and provide a simple reflection for what the client is experiencing.
client: No, it's, um, uh, like a party planning event, you know, like a wedding planning, not like a wedding planner, but like— therapist: You'd be so good at that. client: Like, you know, like corporate events when they have, you know, like an event, you know, they need- therapist: Uh-huh. client: -you know, they need chauffeured transportation, limos, they need that type of thing. I, um, I'm involved in the planning of the transportation from airports, uh, hotel arrangements, um, uh, booking of, uh, you know, the rooms. It's just, I guess just an event planner, but it's not through any sort of corporate, um, uh, company [unintelligible 00:19:40].
You-you would be the corporate company.
Pretend you are a therapist and provide a simple reflection for what the client is experiencing.
client: Like, you know, like corporate events when they have, you know, like an event, you know, they need- therapist: Uh-huh. client: -you know, they need chauffeured transportation, limos, they need that type of thing. I, um, I'm involved in the planning of the transportation from airports, uh, hotel arrangements, um, uh, booking of, uh, you know, the rooms. It's just, I guess just an event planner, but it's not through any sort of corporate, um, uh, company [unintelligible 00:19:40]. therapist: You-you would be the corporate company. client: Yeah, yeah, yeah, I'm trying to get—
CEO.
Pretend you are a therapist and provide a simple reflection for what the client is experiencing.
client: Yeah, I think that's my only, uh, uh, I know it's not my only- therapist: One. client: -but it's-it's- it's a good, It's a good opportunity to, um, kind of work for myself. I would love to just be able to work for myself, you know? Um. therapist: You're comfortable with that? client: I am, I am comfortable with it and I do well. I do well at-at, you know, the few opportunities I've had to organize something like that. Um, it's okay. You know, um, at least I'm still going to school though, you know I'm going to be done with that.
I know. That's fantastic. It is.
Pretend you are a therapist and provide a simple reflection for what the client is experiencing.
client: I don't want to act out, you know, I mean, I'm, you know, I think I have- therapist: Acting out would be what? client: Well, you know, I dunno, um, going back to a lifestyle, you know, crime or, um, using, or you know, just destructive behavior- therapist: Okay. Gottcha. client: -and sort of destructive behavior. I don't wanna be destructive. I wanna be productive, you know.
Like you are now.
Pretend you are a therapist and provide a simple reflection for what the client is experiencing.
client: Well, you know, I dunno, um, going back to a lifestyle, you know, crime or, um, using, or you know, just destructive behavior- therapist: Okay. Gottcha. client: -and sort of destructive behavior. I don't wanna be destructive. I wanna be productive, you know. therapist: Like you are now. client: Like I am now, but it's-it's starting to get-- Like I said, I mean, I wouldn't have come in here if things were just peachy keen, you know what I mean? It sucks. And I'm getting sick of, you know, rejection and it's like almost, it makes me think like, why am I even going to school? You know? Should I just drop out and just, you know, get jobs that are, you know, I mean, that's not enough, that's not a viable option for me either.You know, I just, I don't, I wanna make sure that I'm centered here so that I can go out there and do the best I can with maintaining composure, and then trying to get ahead. But if I'm not okay here, here, you know, I just, I don't think that I have, I don't stand a chance, you know?
So the-the-the law of, um, felony convictions is-is something that you don't have any control over. I mean, nobody does. So, um, you know, and I'm thinking about how you were talking about getting all the way through the interview and then getting rejected, you know, versus being upfront about it and-and even on the telephone to see whether it's a deal breaker or not, because it must- it sounds like it's so much harder to have that good interview and walk out of there ad know you've done well, and then get turned down.
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
client: No, he did. He said, you know, don't say anything until, you know-- I don't know if I know what he said. I think he said that he's not sure if they do. therapist: Okay. client: He said, just go ahead and give it a shot anyway, you know, and, um, I just, I figured I'd just give her a shot, but I think I like your, I think to spare myself some, uh, frustration and further agony- therapist: Mm-hmm. client: -I think that I might try that. I think I might try, you know, from now on you know, uh, finding like a tactful way of asking, you know, I don't wanna be blunt about it and go you know, "Do you hire criminals?" or anything.
You're not a criminal.
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
client: He said, just go ahead and give it a shot anyway, you know, and, um, I just, I figured I'd just give her a shot, but I think I like your, I think to spare myself some, uh, frustration and further agony- therapist: Mm-hmm. client: -I think that I might try that. I think I might try, you know, from now on you know, uh, finding like a tactful way of asking, you know, I don't wanna be blunt about it and go you know, "Do you hire criminals?" or anything. therapist: You're not a criminal. client: I'm a former criminal though.
That's right. You're rehabilitated.
Pretend you are a therapist and provide a simple reflection for what the client is experiencing.
client: -I think that I might try that. I think I might try, you know, from now on you know, uh, finding like a tactful way of asking, you know, I don't wanna be blunt about it and go you know, "Do you hire criminals?" or anything. therapist: You're not a criminal. client: I'm a former criminal though. therapist: That's right. You're rehabilitated. client: Yeah.
A plus shining new guy.
Pretend you are a therapist and provide a simple reflection for what the client is experiencing.
client: Yeah. I mean the interview process- therapist: Uh-huh, uh-huh. client: -itself, no, I don't think I ever- yeah. No, I-I mean, I don't believe that I have a problem with the actual interview process. therapist: Yeah. I bet you're even better now. client: Yeah. It's been a lot.
You got lots of practice.
Pretend you are a therapist and provide a simple reflection for what the client is experiencing.
client: Yeah, exactly. therapist: Yeah, mm-hmm. client: You know, I know there's-there's just a lot of- a lot of bullshit. therapist: Mm-hmm. client: Yeah.
That's a great word for it there. Yeah. So, um-
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
client: Yeah, to figure out [unintelligible 00:27:30] anyway, you know. therapist: Yeah. So-so maybe you- if you- if you wanted to, and this is really up to you, you could check out the blogs, you know. Um, I can see if I can track him down and stuff and the John Howard Society. And, um, I'd be really interested if-if you wanna get together to see what you have found out. client: Yeah. I-I, you know, I, you know, like I said, I wanna make sure I come back and, um, kind of get my, um, you know, my overall mental health- therapist: Mm-hmm, mm-hmm. client: -you know, um, I wouldn't say stable because I'm not that unstable. I just—
But this has affected it.
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
client: Yeah. I-I, you know, I, you know, like I said, I wanna make sure I come back and, um, kind of get my, um, you know, my overall mental health- therapist: Mm-hmm, mm-hmm. client: -you know, um, I wouldn't say stable because I'm not that unstable. I just— therapist: But this has affected it. client: It has affected it.
Rejection-rejection, yeah.
Pretend you are a therapist and provide a simple reflection for what the client is experiencing.
client: Yeah, rejection. Yeah. therapist: Yeah. client: So, I just wanna make sure that I'm okay. So- therapist: Yeah. client: -I'll be back and we can, you know, we can discuss it further if you have any information and I'll share whatever I've got.
I'll do some checking around for you. I will. Yeah.
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
client: So, I just wanna make sure that I'm okay. So- therapist: Yeah. client: -I'll be back and we can, you know, we can discuss it further if you have any information and I'll share whatever I've got. therapist: I'll do some checking around for you. I will. Yeah. client: Well, thanks for the suggestions. Yeah.
Oh, you are welcome. Thanks for being so open with me. I appreciate it.
Pretend you are a therapist and provide a simple reflection for what the client is experiencing.
client: Well, thanks for the suggestions. Yeah. therapist: Oh, you are welcome. Thanks for being so open with me. I appreciate it. client: No problem. therapist: Yeah. Okay. client: Thank you.
So, Jill, um, I know you're here to talk about your blood pressure today.
Pretend you are a therapist and provide a simple reflection for what the client is experiencing.
client: I drink wine- therapist: Okay. client: -mostly. Um, I go down to the little pub down the street. therapist: Mm-hmm. client: Have a few glasses of wine.
Okay. Kind of socializing?
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
client: Maybe if it's on a weekend, maybe six. therapist: Okay. Okay. client: Over a long-- over a period of time. therapist: Mm-hmm. Okay. So let me just show you on this, um, card here, um, from a medical perspective, we know that there's good evidence that shows that women you're age who drink more than, um, three drinks on any one occasion at any- at any sitting or more than seven in a week, are likely to run into health problems from their drinking, either problems they're having right now or maybe in the future. client: Are you serious?
Yeah. Surprised, ain't you?
Pretend you are a therapist and provide a simple reflection for what the client is experiencing.
client: Over a long-- over a period of time. therapist: Mm-hmm. Okay. So let me just show you on this, um, card here, um, from a medical perspective, we know that there's good evidence that shows that women you're age who drink more than, um, three drinks on any one occasion at any- at any sitting or more than seven in a week, are likely to run into health problems from their drinking, either problems they're having right now or maybe in the future. client: Are you serious? therapist: Yeah. Surprised, ain't you? client: Seven drinks in a week doesn't seem like that much?
It sounds like you're drinking a bit more than that right now.
Pretend you are a therapist and provide a simple reflection for what the client is experiencing.
client: Seven drinks in a week doesn't seem like that much? therapist: It sounds like you're drinking a bit more than that right now. client: Yeah, and I-I didn't think it was much, but that makes it look like I'm drinking way too much. therapist: Mm-hmm. From this, uh, drinker's pyramid over on this side of the card, you can see that the-the score on your screening sheet shows that you're up in the harmful category of drinkers. So that it's likely you're drinking, you know, in quantities probably more than about 90% of the folks who come in to see me here at the clinic. client: Well, I know my drinking has increased a little since I got divorced and moved to Portland, but I-I don't think it's that much of a problem.
It doesn't feel like a problem to you right now, yeah.
Pretend you are a therapist and provide a simple reflection for what the client is experiencing.
client: Well, I didn't realize that drinking was related to my blood pressure problems. therapist: Yeah. client: And I did fall earlier this year on my home from the bar and hurt my shoulder. I don't think the drinking made me fall, but it probably didn't help the situation. therapist: Okay. client: And though my son keeps telling me that I'm drinking too much, and it's scary to think that my drinking is harmful. It's a big word.
Yeah. Yeah. So you've got some good reasons to try to cut back a little bit.
Pretend you are a therapist and provide a simple reflection for what the client is experiencing.
client: And I did fall earlier this year on my home from the bar and hurt my shoulder. I don't think the drinking made me fall, but it probably didn't help the situation. therapist: Okay. client: And though my son keeps telling me that I'm drinking too much, and it's scary to think that my drinking is harmful. It's a big word. therapist: Yeah. Yeah. So you've got some good reasons to try to cut back a little bit. client: Sounds like it to me.
Yeah. And it sounds like you're willing to maybe try not going to the bar quite as much and maybe drinking a little bit less when you go to the bar.
Pretend you are a therapist and provide a simple reflection for what the client is experiencing.
client: I think I can try to do that, yeah. therapist: Okay. So to what levels do you think you could do that? Where-where would you wanna go with your drinking? client: I guess I could use those numbers, and I can't make any promises, but I could try to drink less than three in a night and less than seven in a week. therapist: Okay. Okay. client: That mean I can only drink two or three times a week.
Mm-hmm. So you'd drink maybe just a couple of times a week and maybe a little bit less on each occasion? Is that what you're saying?
Pretend you are a therapist and provide a simple reflection for what the client is experiencing.
client: Yes, I guess. therapist: -maybe you could tell me about how that's going? client: Well, I didn't do anything yet. I didn't go-- I know I was gonna go, but I didn't. But, um, I did look at-- there's the YMCA, they've got some classes that I think will be pretty cool to go to, and then there's this yoga class over at the Women's Center that's only like 10 bucks, so I could do that, um-- but I didn't go because I'm really afraid that like what if-- you know, what if no-one likes me? What if I don't have friends in there? therapist: Yeah, I know you've mentioned that in the past. When we were talking about the pros and cons of going out to one of these activities- client: Mm-hmm.
-you really mentioned that anxiety-
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
client: Yeah. therapist: -is a big con. client: Yeah. therapist: I remember that. client: Yeah, but I'm gonna do it anyway, because this is what I need to do to make-- you know, to make friends.
Okay. To make a change-
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
client: Yeah. therapist: I remember that. client: Yeah, but I'm gonna do it anyway, because this is what I need to do to make-- you know, to make friends. therapist: Okay. To make a change- client: Yeah.
-that you've wanted for some time.
Pretend you are a therapist and provide a simple reflection for what the client is experiencing.
client: Yeah. It makes me feel relaxed. therapist: And you also checked that sometimes you forget things when you drink. client: Yeah. therapist: What kind of things do you forget? client: Um, I forget how many drinks I've had like when a friend asks me or I forget whose house I'm at.
Sometimes you forget where you're at.
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
client: Um, yeah. I was drinking the last time I had sex. Um, the guy had been drinking too, and we didn't use a condom. therapist: Do you remember giving consent when you had sex? client: Yeah. We've had sex before and we've used a condom before. therapist: How do you think drinking alcohol affected using a condom this time? client: Well, we just didn't stop to put one on. We weren't thinking that way.
Sounds like drinking changes how you think in those moments?
Pretend you are a therapist and provide a simple reflection for what the client is experiencing.
client: Um, well, it's fun. I like drinking when my friends are drinking too. Um, I laugh more. It's just fun. therapist: Okay. And what about your drinking do you not like? client: Um, I don't like forgetting where I'm at sometimes. therapist: Anything else? client: I really don't want any STDs.
Right. So, on one hand, you like the feeling of being relaxed and having fun when you're drinking and on the other hand, you don't like forgetting where you are or forgetting how many drinks you've had and you don't like putting yourself at risk for STDs?
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
client: Well, I really don't want any STDs and I don't like wondering whether I have one or not. therapist: Okay. What plan could you come up with to make sure you achieve that goal? client: Um, well, I wanna count my drinks so I don't have more than two and I want to stop drinking once I start feeling drunk. therapist: Great. Who could help you reach this goal? client: Well, I have this friend who thinks I drink too much. She would probably be willing to make me promise not to have more than two drinks at a party.
Okay. And how about unprotected sex? It sounds like you don't want to experience that again.
Pretend you are a therapist and provide a simple reflection for what the client is experiencing.
client: Um, well, I wanna count my drinks so I don't have more than two and I want to stop drinking once I start feeling drunk. therapist: Great. Who could help you reach this goal? client: Well, I have this friend who thinks I drink too much. She would probably be willing to make me promise not to have more than two drinks at a party. therapist: Okay. And how about unprotected sex? It sounds like you don't want to experience that again. client: I'm going to talk with him and I'm gonna make him promise that we always use a condom and that we don't have sex drunk.
All right. So, you're very motivated to change your drinking and you have a plan to keep from drinking more than two drinks at parties and keep from having unprotected sex. I would like to share how it's working for you. What do you think about coming back in six weeks or so?
Pretend you are a therapist and provide a simple reflection for what the client is experiencing.
client: Like last week, I-I didn't get there at all until like Thursday during the week,- therapist: Mm-hmm. client: -so it was- it was a frustrating week like for the gym that way. therapist: Mm-hmm. client: I was kinda busy with some other things, but, um—
Mm-hmm. But you made it-- You made it one day-
Pretend you are a therapist and provide a simple reflection for what the client is experiencing.
client: -so it was- it was a frustrating week like for the gym that way. therapist: Mm-hmm. client: I was kinda busy with some other things, but, um— therapist: Mm-hmm. But you made it-- You made it one day- client: I-I got—
-instead of zero days.
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
client: I-I got— therapist: -instead of zero days. client: Yeah, and actually, I made it again on Saturday too. So. therapist: That's fantastic. client: Yeah.
Even with this, you know, pretty horrendous schedule going on.
Pretend you are a therapist and provide a simple reflection for what the client is experiencing.
client: Yeah. therapist: Even with this, you know, pretty horrendous schedule going on. client: Yeah. It's been a little-little hectic, you know. And, uh-- But, I-I don't like it too much because there's all these younger guys that can lift a lot more weight than me or they can stay on the treadmill longer and it-it-it's a little discouraging, you know. 'Cause I don't know if you've noticed, I'm not buff and they are. And it's-it's a little discouraging to think how much work it's gonna take to get, you know, kinda back towards that. therapist: So you-you'd like to get buffed? client: No, but, um, when-when I'm not at the gym, and I am my normal rational self, I realize that I'm, you know, way, way past the age of where I would really even want to do that, let alone want to spend the time it takes. But then while I'm at the gym, and I see the buff young guys, you know, lifting a lot of weight and all that stuff, then you know, the-- I don't know, the urge to be buff comes up in me.
So, but for right now, it sounds like the-- just having the pants fit better-
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
client: Yeah. It's been a little-little hectic, you know. And, uh-- But, I-I don't like it too much because there's all these younger guys that can lift a lot more weight than me or they can stay on the treadmill longer and it-it-it's a little discouraging, you know. 'Cause I don't know if you've noticed, I'm not buff and they are. And it's-it's a little discouraging to think how much work it's gonna take to get, you know, kinda back towards that. therapist: So you-you'd like to get buffed? client: No, but, um, when-when I'm not at the gym, and I am my normal rational self, I realize that I'm, you know, way, way past the age of where I would really even want to do that, let alone want to spend the time it takes. But then while I'm at the gym, and I see the buff young guys, you know, lifting a lot of weight and all that stuff, then you know, the-- I don't know, the urge to be buff comes up in me. therapist: So, but for right now, it sounds like the-- just having the pants fit better- client: Yeah.
-sounds really, you know, like it's making you feel good about yourself and—
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
client: Um, a little bit less junk food. Um, like at times, when I'm like I feel like, "Oh, I think I'll just go have a candy bar," or some worthless thing like that I'll actually have second thoughts before I do it. therapist: So you're at the second thought part. And what do you think would-- might take you, uh, over to actually doing it if you wanted to? client: Well, I think, uh, when I really start seeing some results at the gym, it's kinda, uh, I think the way it works in my mind is if I've worked out really hard and I've- and I've-- say I've lost a pound that week- therapist: Mm-hmm. client: -you know, and then as I'm looking at that double or triple fudge four-decker of ice cream Sunday thing, you know, that somebody is eating, I would say, "Wow, that would be about two hours on the treadmill." Then-then that would be probably-- the-- that would keep me from actually ordering one of those.
Oh, okay. The payoff just wouldn't be worth that two hours of treadmill versus that double fudgy browny thingy.
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
client: I cut myself the first time I called you thinking you would help me, you wouldn't help me so then I figured, what the hell I [chuckles] might as well just go all the way. And so, that's why I cut myself that deep. therapist: Well, I want to thank you for coming in today to see me. Um, I do understand from talking with your counselor that you've got quite a bit on your plate, you've got a lot going on. Can you tell me a little bit about that? client: Well, um, I have a two-year-old son, and then I work full time as a server at a restaurant, and then recently, I also started going back to night class, so you know, just the combination of all that, you know. I-I've just been feeling really stressed lately. therapist: Yeah, I could see that. Um, may I ask, are you also a single mom? client: Yeah.
So you've got a lot of stressors right now. You're a single mom raising a two-year-old, you're working full time, and you're going back to school. What do you think would be the most helpful for us to focus on today?
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
client: Yeah. therapist: So you've got a lot of stressors right now. You're a single mom raising a two-year-old, you're working full time, and you're going back to school. What do you think would be the most helpful for us to focus on today? client: Well, I-I told the counselor that I think childcare is probably my-my biggest issue right now. therapist: Okay. Can you tell me a little bit about that? client: Yeah. Um, well, my mom normally watches my son, but lately, it's kind of becoming a problem. You know, she like will back out at the last second, and so I've had to call in at work a couple of times. I've had to miss class a few times. So i-it's just stressful worrying about, you know, whether I'll be able to do those things or not.
Okay. So I'm hearing you say that the situation with your mom's not ideal. You actually miss class sometime and had to lose some work shifts as well, and that's problematic.
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
client: Yeah, exactly. therapist: Okay. Um, outside your mom, is there anyone else that can help with childcare? client: Um, well, I have a sister, but I don't really trust her to watch my son, and I don't really know that many people that-- the only thing I can think of, I have this one neighbor who stepped in and helped one time when my mom backed out. She-she actually has, uh, a three-year-old daughter, so you know, kind of worked out. therapist: Okay. client: Um, I don't really know her that well, but I mean, she seems nice and I-I think she did a pretty good job that night.
Hmm. So what I hear you saying is this neighbor was supportive when you really needed her to be.
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
client: Um, well, I have a sister, but I don't really trust her to watch my son, and I don't really know that many people that-- the only thing I can think of, I have this one neighbor who stepped in and helped one time when my mom backed out. She-she actually has, uh, a three-year-old daughter, so you know, kind of worked out. therapist: Okay. client: Um, I don't really know her that well, but I mean, she seems nice and I-I think she did a pretty good job that night. therapist: Hmm. So what I hear you saying is this neighbor was supportive when you really needed her to be. client: Yeah.
Stepped in last minute. Um, when you picked up your son, you didn't have any concerns and he seemed happy?
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
client: [chuckles] No, no, not at all. He, he really hasn't been in the picture since my son was born. therapist: Okay, fine. You know what? We've got one really good lead with the neighbor. I think if you would follow up in pursuing that, you might find some relief and resolve some of your childcare issues. Um, how many days a week are you in school? client: It's-it's three nights right now, so I have class on Monday, Wednesday, and Friday nights. therapist: Okay. Um, so what would it look like if you had a plan where both your neighbor and your mom were helping you out? client: Um, well, you know, if my neighbor could even just take over one day of watching my son, I think that would help my mom quite a bit.
Okay. So what I'm hearing you say is that, if you could just reduce the amount of time that you're needing your mom, she might be more supportive, more onboard?
Pretend you are a therapist and provide a simple reflection for what the client is experiencing.
client: Um, well, you know, if my neighbor could even just take over one day of watching my son, I think that would help my mom quite a bit. therapist: Okay. So what I'm hearing you say is that, if you could just reduce the amount of time that you're needing your mom, she might be more supportive, more onboard? client: I mean, I think so, yeah. therapist: All right. Um, so what do you think would be your next steps in working out a plan between your neighbor and your mom? client: Mom, you know, just, I guess talking to my neighbor and seeing if she's even interested in this idea, and if she is, you know, telling my mom about it and, you know, hopefully, that will make her feel a little better and maybe a little bit more reliable.
Okay. Sounds like you got a good plan to follow up on there. All right. Um, now you mentioned that your son is two. When will he turn three?
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
client: I've heard of it, but I don't know that much. therapist: Okay. Head Start is a very affordable, very high-quality preschool program. Um, it was really created for parents and families, just like yours, folks who have a lower income and fewer resources, but Head Start really prepares your child both socially and intellectually for going to school. Um, and you know, by the time he turns three, you may find that that routine is something that's better for him to get used to before he starts kindergarten. Uh, would you like some more information on local Head Start sites? client: Yeah, I mean, it sounds like it would be really good for my son and, you know, it would help me out in terms of childcare for sure. therapist: Okay. Well, good. Um, all right. It sounds like you've got a good plan there going forward. Um, now I did see from the nurse practitioner's notes, you're also working on reducing your smoking and your drinking. How's that going? client: [chuckles] Well, you know, I-I've been working on it a couple of weeks now, and honestly, it's been a lot harder than I expected. Um, trying to break my routine in the evenings, especially has-has been hard, but, um, you know, a couple of nights I have reached my goal in terms of, you know, number of cigarettes I'm going to smoke and number of drinks. So, I mean, I've done okay some days, but others, not so much.
Okay. So what I hear you say is that it was a bigger challenge than you expected, yeah, but you're working on it. You're-you're still committed to it. So yeah, that's really to be commended. I just want to ask you one thing though. Have you thought about secondhand smoke and the dangers of that and how that might be impacting your son?
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
client: Yeah, I mean, it sounds like it would be really good for my son and, you know, it would help me out in terms of childcare for sure. therapist: Okay. Well, good. Um, all right. It sounds like you've got a good plan there going forward. Um, now I did see from the nurse practitioner's notes, you're also working on reducing your smoking and your drinking. How's that going? client: [chuckles] Well, you know, I-I've been working on it a couple of weeks now, and honestly, it's been a lot harder than I expected. Um, trying to break my routine in the evenings, especially has-has been hard, but, um, you know, a couple of nights I have reached my goal in terms of, you know, number of cigarettes I'm going to smoke and number of drinks. So, I mean, I've done okay some days, but others, not so much. therapist: Okay. So what I hear you say is that it was a bigger challenge than you expected, yeah, but you're working on it. You're-you're still committed to it. So yeah, that's really to be commended. I just want to ask you one thing though. Have you thought about secondhand smoke and the dangers of that and how that might be impacting your son? client: Yeah, yeah. I definitely have, so I-I try to never smoke around him, and if I do smoke at home, I always go out to the balcony to smoke.
Oh, okay, good. You know, I can tell you really have your son's best interest at heart here. You know, just from our conversation today, I can tell you're a really good mom. Um, let's reflect back on what we've discussed here so far. Now, we've got a couple of good options between the neighbor and Head Start programs for childcare. What do you see as your next steps in getting that going?
Pretend you are a therapist and provide a nan reflection for what the client is experiencing.
therapist: Yeah, it is. It's some damage to the roof of your mouth that happens from tobacco smoking and so I'm wondering if you can tell me a little bit how-- about how tobacco fits in your life right now. therapist: Yeah, it is. It's some damage to the roof of your mouth that happens from tobacco smoking and so I'm wondering if you can tell me a little bit how-- about how tobacco fits in your life right now. therapist: Yeah, it is. It's some damage to the roof of your mouth that happens from tobacco smoking and so I'm wondering if you can tell me a little bit how-- about how tobacco fits in your life right now. therapist: Yeah, it is. It's some damage to the roof of your mouth that happens from tobacco smoking and so I'm wondering if you can tell me a little bit how-- about how tobacco fits in your life right now. therapist: Yeah, it is. It's some damage to the roof of your mouth that happens from tobacco smoking and so I'm wondering if you can tell me a little bit how-- about how tobacco fits in your life right now.
Yeah, it is. It's some damage to the roof of your mouth that happens from tobacco smoking and so I'm wondering if you can tell me a little bit how-- about how tobacco fits in your life right now.
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
client: Tobacco. Well, I don't smoke cigarettes. I've never smoked cigarettes. I do go out with my friends. Um, you know, we go out to bars and, you know, we'll have a few drinks and smoke some of those little cigarillo-type things. I mean I wouldn't even think of them as cigars and they're certainly not cigarettes. Um, and I mean I'll have one or two of those in an evening with, uh, with my friends but certainly not 20 or 30 of them a day like you would with cigarettes and that's the only thing that could possibly have anything to do with tobacco. client: Tobacco. Well, I don't smoke cigarettes. I've never smoked cigarettes. I do go out with my friends. Um, you know, we go out to bars and, you know, we'll have a few drinks and smoke some of those little cigarillo-type things. I mean I wouldn't even think of them as cigars and they're certainly not cigarettes. Um, and I mean I'll have one or two of those in an evening with, uh, with my friends but certainly not 20 or 30 of them a day like you would with cigarettes and that's the only thing that could possibly have anything to do with tobacco. client: Tobacco. Well, I don't smoke cigarettes. I've never smoked cigarettes. I do go out with my friends. Um, you know, we go out to bars and, you know, we'll have a few drinks and smoke some of those little cigarillo-type things. I mean I wouldn't even think of them as cigars and they're certainly not cigarettes. Um, and I mean I'll have one or two of those in an evening with, uh, with my friends but certainly not 20 or 30 of them a day like you would with cigarettes and that's the only thing that could possibly have anything to do with tobacco. client: Tobacco. Well, I don't smoke cigarettes. I've never smoked cigarettes. I do go out with my friends. Um, you know, we go out to bars and, you know, we'll have a few drinks and smoke some of those little cigarillo-type things. I mean I wouldn't even think of them as cigars and they're certainly not cigarettes. Um, and I mean I'll have one or two of those in an evening with, uh, with my friends but certainly not 20 or 30 of them a day like you would with cigarettes and that's the only thing that could possibly have anything to do with tobacco. client: Tobacco. Well, I don't smoke cigarettes. I've never smoked cigarettes. I do go out with my friends. Um, you know, we go out to bars and, you know, we'll have a few drinks and smoke some of those little cigarillo-type things. I mean I wouldn't even think of them as cigars and they're certainly not cigarettes. Um, and I mean I'll have one or two of those in an evening with, uh, with my friends but certainly not 20 or 30 of them a day like you would with cigarettes and that's the only thing that could possibly have anything to do with tobacco.
So you've made a decision in your life not to smoke cigarettes, that's something you didn't want to do. It sounds like you're kinda concerned about the health effects of cigarettes. But you have been smoking the little cigarillos at least one or two every time you go out.
Pretend you are a therapist and provide a simple reflection for what the client is experiencing.
client: Tobacco. Well, I don't smoke cigarettes. I've never smoked cigarettes. I do go out with my friends. Um, you know, we go out to bars and, you know, we'll have a few drinks and smoke some of those little cigarillo-type things. I mean I wouldn't even think of them as cigars and they're certainly not cigarettes. Um, and I mean I'll have one or two of those in an evening with, uh, with my friends but certainly not 20 or 30 of them a day like you would with cigarettes and that's the only thing that could possibly have anything to do with tobacco. client: Tobacco. Well, I don't smoke cigarettes. I've never smoked cigarettes. I do go out with my friends. Um, you know, we go out to bars and, you know, we'll have a few drinks and smoke some of those little cigarillo-type things. I mean I wouldn't even think of them as cigars and they're certainly not cigarettes. Um, and I mean I'll have one or two of those in an evening with, uh, with my friends but certainly not 20 or 30 of them a day like you would with cigarettes and that's the only thing that could possibly have anything to do with tobacco. client: Tobacco. Well, I don't smoke cigarettes. I've never smoked cigarettes. I do go out with my friends. Um, you know, we go out to bars and, you know, we'll have a few drinks and smoke some of those little cigarillo-type things. I mean I wouldn't even think of them as cigars and they're certainly not cigarettes. Um, and I mean I'll have one or two of those in an evening with, uh, with my friends but certainly not 20 or 30 of them a day like you would with cigarettes and that's the only thing that could possibly have anything to do with tobacco. client: Tobacco. Well, I don't smoke cigarettes. I've never smoked cigarettes. I do go out with my friends. Um, you know, we go out to bars and, you know, we'll have a few drinks and smoke some of those little cigarillo-type things. I mean I wouldn't even think of them as cigars and they're certainly not cigarettes. Um, and I mean I'll have one or two of those in an evening with, uh, with my friends but certainly not 20 or 30 of them a day like you would with cigarettes and that's the only thing that could possibly have anything to do with tobacco. therapist: So you've made a decision in your life not to smoke cigarettes, that's something you didn't want to do. It sounds like you're kinda concerned about the health effects of cigarettes. But you have been smoking the little cigarillos at least one or two every time you go out.
So you've made a decision in your life not to smoke cigarettes, that's something you didn't want to do. It sounds like you're kinda concerned about the health effects of cigarettes. But you have been smoking the little cigarillos at least one or two every time you go out.
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
client: Tobacco. Well, I don't smoke cigarettes. I've never smoked cigarettes. I do go out with my friends. Um, you know, we go out to bars and, you know, we'll have a few drinks and smoke some of those little cigarillo-type things. I mean I wouldn't even think of them as cigars and they're certainly not cigarettes. Um, and I mean I'll have one or two of those in an evening with, uh, with my friends but certainly not 20 or 30 of them a day like you would with cigarettes and that's the only thing that could possibly have anything to do with tobacco. client: Tobacco. Well, I don't smoke cigarettes. I've never smoked cigarettes. I do go out with my friends. Um, you know, we go out to bars and, you know, we'll have a few drinks and smoke some of those little cigarillo-type things. I mean I wouldn't even think of them as cigars and they're certainly not cigarettes. Um, and I mean I'll have one or two of those in an evening with, uh, with my friends but certainly not 20 or 30 of them a day like you would with cigarettes and that's the only thing that could possibly have anything to do with tobacco. client: Tobacco. Well, I don't smoke cigarettes. I've never smoked cigarettes. I do go out with my friends. Um, you know, we go out to bars and, you know, we'll have a few drinks and smoke some of those little cigarillo-type things. I mean I wouldn't even think of them as cigars and they're certainly not cigarettes. Um, and I mean I'll have one or two of those in an evening with, uh, with my friends but certainly not 20 or 30 of them a day like you would with cigarettes and that's the only thing that could possibly have anything to do with tobacco. therapist: So you've made a decision in your life not to smoke cigarettes, that's something you didn't want to do. It sounds like you're kinda concerned about the health effects of cigarettes. But you have been smoking the little cigarillos at least one or two every time you go out. therapist: So you've made a decision in your life not to smoke cigarettes, that's something you didn't want to do. It sounds like you're kinda concerned about the health effects of cigarettes. But you have been smoking the little cigarillos at least one or two every time you go out.
So you've made a decision in your life not to smoke cigarettes, that's something you didn't want to do. It sounds like you're kinda concerned about the health effects of cigarettes. But you have been smoking the little cigarillos at least one or two every time you go out.
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
client: Tobacco. Well, I don't smoke cigarettes. I've never smoked cigarettes. I do go out with my friends. Um, you know, we go out to bars and, you know, we'll have a few drinks and smoke some of those little cigarillo-type things. I mean I wouldn't even think of them as cigars and they're certainly not cigarettes. Um, and I mean I'll have one or two of those in an evening with, uh, with my friends but certainly not 20 or 30 of them a day like you would with cigarettes and that's the only thing that could possibly have anything to do with tobacco. client: Tobacco. Well, I don't smoke cigarettes. I've never smoked cigarettes. I do go out with my friends. Um, you know, we go out to bars and, you know, we'll have a few drinks and smoke some of those little cigarillo-type things. I mean I wouldn't even think of them as cigars and they're certainly not cigarettes. Um, and I mean I'll have one or two of those in an evening with, uh, with my friends but certainly not 20 or 30 of them a day like you would with cigarettes and that's the only thing that could possibly have anything to do with tobacco. therapist: So you've made a decision in your life not to smoke cigarettes, that's something you didn't want to do. It sounds like you're kinda concerned about the health effects of cigarettes. But you have been smoking the little cigarillos at least one or two every time you go out. therapist: So you've made a decision in your life not to smoke cigarettes, that's something you didn't want to do. It sounds like you're kinda concerned about the health effects of cigarettes. But you have been smoking the little cigarillos at least one or two every time you go out. therapist: So you've made a decision in your life not to smoke cigarettes, that's something you didn't want to do. It sounds like you're kinda concerned about the health effects of cigarettes. But you have been smoking the little cigarillos at least one or two every time you go out.
So you've made a decision in your life not to smoke cigarettes, that's something you didn't want to do. It sounds like you're kinda concerned about the health effects of cigarettes. But you have been smoking the little cigarillos at least one or two every time you go out.
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
client: Tobacco. Well, I don't smoke cigarettes. I've never smoked cigarettes. I do go out with my friends. Um, you know, we go out to bars and, you know, we'll have a few drinks and smoke some of those little cigarillo-type things. I mean I wouldn't even think of them as cigars and they're certainly not cigarettes. Um, and I mean I'll have one or two of those in an evening with, uh, with my friends but certainly not 20 or 30 of them a day like you would with cigarettes and that's the only thing that could possibly have anything to do with tobacco. therapist: So you've made a decision in your life not to smoke cigarettes, that's something you didn't want to do. It sounds like you're kinda concerned about the health effects of cigarettes. But you have been smoking the little cigarillos at least one or two every time you go out. therapist: So you've made a decision in your life not to smoke cigarettes, that's something you didn't want to do. It sounds like you're kinda concerned about the health effects of cigarettes. But you have been smoking the little cigarillos at least one or two every time you go out. therapist: So you've made a decision in your life not to smoke cigarettes, that's something you didn't want to do. It sounds like you're kinda concerned about the health effects of cigarettes. But you have been smoking the little cigarillos at least one or two every time you go out. therapist: So you've made a decision in your life not to smoke cigarettes, that's something you didn't want to do. It sounds like you're kinda concerned about the health effects of cigarettes. But you have been smoking the little cigarillos at least one or two every time you go out.
So you've made a decision in your life not to smoke cigarettes, that's something you didn't want to do. It sounds like you're kinda concerned about the health effects of cigarettes. But you have been smoking the little cigarillos at least one or two every time you go out.
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
therapist: So you've made a decision in your life not to smoke cigarettes, that's something you didn't want to do. It sounds like you're kinda concerned about the health effects of cigarettes. But you have been smoking the little cigarillos at least one or two every time you go out. therapist: So you've made a decision in your life not to smoke cigarettes, that's something you didn't want to do. It sounds like you're kinda concerned about the health effects of cigarettes. But you have been smoking the little cigarillos at least one or two every time you go out. therapist: So you've made a decision in your life not to smoke cigarettes, that's something you didn't want to do. It sounds like you're kinda concerned about the health effects of cigarettes. But you have been smoking the little cigarillos at least one or two every time you go out. therapist: So you've made a decision in your life not to smoke cigarettes, that's something you didn't want to do. It sounds like you're kinda concerned about the health effects of cigarettes. But you have been smoking the little cigarillos at least one or two every time you go out. therapist: So you've made a decision in your life not to smoke cigarettes, that's something you didn't want to do. It sounds like you're kinda concerned about the health effects of cigarettes. But you have been smoking the little cigarillos at least one or two every time you go out.
So you've made a decision in your life not to smoke cigarettes, that's something you didn't want to do. It sounds like you're kinda concerned about the health effects of cigarettes. But you have been smoking the little cigarillos at least one or two every time you go out.
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
client: But that's- that's just like a- a social thing. That's something that my friends and I do. We-- We-- It's not habit or something that I have to have and, you know, talking about one or two when we go out for an evening. Not packs of them. client: But that's- that's just like a- a social thing. That's something that my friends and I do. We-- We-- It's not habit or something that I have to have and, you know, talking about one or two when we go out for an evening. Not packs of them. client: But that's- that's just like a- a social thing. That's something that my friends and I do. We-- We-- It's not habit or something that I have to have and, you know, talking about one or two when we go out for an evening. Not packs of them. client: But that's- that's just like a- a social thing. That's something that my friends and I do. We-- We-- It's not habit or something that I have to have and, you know, talking about one or two when we go out for an evening. Not packs of them. client: But that's- that's just like a- a social thing. That's something that my friends and I do. We-- We-- It's not habit or something that I have to have and, you know, talking about one or two when we go out for an evening. Not packs of them.
Yeah, so you're not-- You're not like those chain smokers, you're not smoking packs and packs a day.
Pretend you are a therapist and provide a simple reflection for what the client is experiencing.
client: But that's- that's just like a- a social thing. That's something that my friends and I do. We-- We-- It's not habit or something that I have to have and, you know, talking about one or two when we go out for an evening. Not packs of them. client: But that's- that's just like a- a social thing. That's something that my friends and I do. We-- We-- It's not habit or something that I have to have and, you know, talking about one or two when we go out for an evening. Not packs of them. client: But that's- that's just like a- a social thing. That's something that my friends and I do. We-- We-- It's not habit or something that I have to have and, you know, talking about one or two when we go out for an evening. Not packs of them. client: But that's- that's just like a- a social thing. That's something that my friends and I do. We-- We-- It's not habit or something that I have to have and, you know, talking about one or two when we go out for an evening. Not packs of them. therapist: Yeah, so you're not-- You're not like those chain smokers, you're not smoking packs and packs a day.
Yeah, so you're not-- You're not like those chain smokers, you're not smoking packs and packs a day.
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
client: But that's- that's just like a- a social thing. That's something that my friends and I do. We-- We-- It's not habit or something that I have to have and, you know, talking about one or two when we go out for an evening. Not packs of them. client: But that's- that's just like a- a social thing. That's something that my friends and I do. We-- We-- It's not habit or something that I have to have and, you know, talking about one or two when we go out for an evening. Not packs of them. client: But that's- that's just like a- a social thing. That's something that my friends and I do. We-- We-- It's not habit or something that I have to have and, you know, talking about one or two when we go out for an evening. Not packs of them. therapist: Yeah, so you're not-- You're not like those chain smokers, you're not smoking packs and packs a day. therapist: Yeah, so you're not-- You're not like those chain smokers, you're not smoking packs and packs a day.
Yeah, so you're not-- You're not like those chain smokers, you're not smoking packs and packs a day.
Pretend you are a therapist and provide a simple reflection for what the client is experiencing.
client: But that's- that's just like a- a social thing. That's something that my friends and I do. We-- We-- It's not habit or something that I have to have and, you know, talking about one or two when we go out for an evening. Not packs of them. client: But that's- that's just like a- a social thing. That's something that my friends and I do. We-- We-- It's not habit or something that I have to have and, you know, talking about one or two when we go out for an evening. Not packs of them. therapist: Yeah, so you're not-- You're not like those chain smokers, you're not smoking packs and packs a day. therapist: Yeah, so you're not-- You're not like those chain smokers, you're not smoking packs and packs a day. therapist: Yeah, so you're not-- You're not like those chain smokers, you're not smoking packs and packs a day.
Yeah, so you're not-- You're not like those chain smokers, you're not smoking packs and packs a day.
Pretend you are a therapist and provide a complex reflection for what the client is experiencing.
client: But that's- that's just like a- a social thing. That's something that my friends and I do. We-- We-- It's not habit or something that I have to have and, you know, talking about one or two when we go out for an evening. Not packs of them. therapist: Yeah, so you're not-- You're not like those chain smokers, you're not smoking packs and packs a day. therapist: Yeah, so you're not-- You're not like those chain smokers, you're not smoking packs and packs a day. therapist: Yeah, so you're not-- You're not like those chain smokers, you're not smoking packs and packs a day. therapist: Yeah, so you're not-- You're not like those chain smokers, you're not smoking packs and packs a day.
Yeah, so you're not-- You're not like those chain smokers, you're not smoking packs and packs a day.