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Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Yeah, definitely.
therapist: Um, so, when you're sort of looking ahead, how often do you think you might be drinking, say, when you get to college?
client: Um, maybe less than I am now. I mean, I don't drink much anyway, so-
therapist: Mm-hmm.
client: -maybe, like, one drink every once in a blue moon. | Okay. So, you sort of have a plan to cut back on- |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Um, maybe less than I am now. I mean, I don't drink much anyway, so-
therapist: Mm-hmm.
client: -maybe, like, one drink every once in a blue moon.
therapist: Okay. So, you sort of have a plan to cut back on-
client: Yeah, definitely. | -your drinking eventually? |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Yeah, definitely.
therapist: -your drinking eventually?
client: For sure.
therapist: How might that go?
client: Well, I mean, I guess right now I would try to stop in high school, and once I get older, maybe just like, socially once in a while, but not anything big or anything. | Yeah, so, you don't feel the need to make any major changes, but you feel like you could make some adjustments that would make it easier or— |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Definitely, yeah. That's a good word.
therapist: Okay. How important is it to you to make some adjustments to your drinking, on a scale of 1 to 10? Where 1 is not at all important, not something you're thinking about, and 10 is most important thing.
client: Maybe a five or six.
therapist: And why did you say five or six rather than like two or three?
client: Because, um, it's not something I do not care about at all, but it's not something that's just constantly on my mind that I want to change about myself. | Okay. So, it is something you have thought about or something. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: -if I can quit or not?
therapist: Yeah.
client: Maybe like an 8 or 9.
therapist: Okay, and why'd you say 8 or 9 rather than even like 5 or 6?
client: Because, like I said, it's not a big part of my life. So, it's not really that difficult | Okay. All right. Well, kind of keeping that in mind, it sounds like, um, you do have sort of a-a vague plan to make some adjustments in your drinking at some point- |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Um, definitely, I'll have like all my senses there and I'll be aware of everything that's going on.
therapist: Uh-huh. Anything else?
client: Um, health concerns, I guess. I know alcohol is bad for your health.
therapist: Mm-hmm.
client: So, that would be one. | Okay. So, it's-- It sounds like you're actually pretty comfortable with setting a goal of not drinking anymore a-at least at the next part? and seeing how it goes. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: So, that would be one.
therapist: Okay. So, it's-- It sounds like you're actually pretty comfortable with setting a goal of not drinking anymore a-at least at the next part? and seeing how it goes.
client: Yeah.
therapist: Okay. Do you think it would be all right if we met again to kinda check in on how it goes and-and see if it's working out for you?
client: Yeah, that would be okay. | All right, great. And then, i-it sounds like some of the benefits you're expecting are, um, health benefits- |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Yeah.
therapist: Okay. Do you think it would be all right if we met again to kinda check in on how it goes and-and see if it's working out for you?
client: Yeah, that would be okay.
therapist: All right, great. And then, i-it sounds like some of the benefits you're expecting are, um, health benefits-
client: Yeah. | -having an easier time with achieving your academic and career goals, and just sort of not having to deal with some of the consequences that your peers do. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: So.
therapist: Your friends would be pretty comfortable with that?
client: Yeah. I mean, at least my closest friends, for sure.
therapist: Okay, great. Any other concerns or questions? Anything else I can help with?
client: No. No, I think I'm okay. | Okay. So then, like I said, um, I'll try and see if we can meet up maybe in a few weeks and see how it's going- |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yes.
therapist: Family happiness?
client: Yes, it's the most important because it's a little lacking, so I know that that's something that is very important to me.
therapist: Okay. Would you like to talk more about that?
client: Yeah. Um, I can just pretty much say that my family hasn't been on one accord, so, like, if-- I feel like if we all just can fall in the middle, which I know everybody doesn't really follow that track. So, um, I think for my part, 'cause I can't change anybody, is to be more present and, um, just listen and understand my family members, and-and be able to voice what I feel as far as how important family happiness-happiness is to me. | Mm. Because even though it's important to you, maybe they don't know it's important to you. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: -what I usually pick.
therapist: Okay.
client: Um, and then the second one I said is religion. Um, it was number one at first, um, but somehow with a big situation that happened in my family you kind of lose sight of your faith a little bit, which is normal. And not a lot of people-- They, uh-- Well, in my church home, i-it just seems like, "Oh, you lost touch of God, oh my gosh, you're the devil."
therapist: Uh-huh.
client: You know? And it's kind of like, well we all face those challenges every day, we're not perfect, you know? And I feel like my faith is still there but it's-- You know, as long as it's still there, that's all that matters. | Right. So, right now, it really is important to you to put the family values first? And religion is still very important to you, but you feel like maybe you're losing faith a little bit? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: You know? And it's kind of like, well we all face those challenges every day, we're not perfect, you know? And I feel like my faith is still there but it's-- You know, as long as it's still there, that's all that matters.
therapist: Right. So, right now, it really is important to you to put the family values first? And religion is still very important to you, but you feel like maybe you're losing faith a little bit?
client: Yeah. I lost faith, and so I'm not afraid to say it.
therapist: Uh-huh.
client: You know? And once you say [unintelligible 00:03:12] people that don't really feel like that's— | Because you know that other people experience it too. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah. I lost faith, and so I'm not afraid to say it.
therapist: Uh-huh.
client: You know? And once you say [unintelligible 00:03:12] people that don't really feel like that's—
therapist: Because you know that other people experience it too.
client: Yeah, I know that. | So, you know it's normal. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: You know? And once you say [unintelligible 00:03:12] people that don't really feel like that's—
therapist: Because you know that other people experience it too.
client: Yeah, I know that.
therapist: So, you know it's normal.
client: I know that it's normal. | But sometimes it's not something that people talk about. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Yeah, I know that.
therapist: So, you know it's normal.
client: I know that it's normal.
therapist: But sometimes it's not something that people talk about.
client: Yeah, well, it's a— | Especially in the church. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah, it's like a shock to them when you say something like that. And it's like, "Well, we all go through things where we're just not sure, and--" I still have a little bit, I'm not saying that I'm off track, you know? I still have a little bit to go on. And the little bit that I do have are the positive things in my life that I look at and I'm like, "Okay, well, I'm not in this situation, so I'm thankful," and-
therapist: Mm-hmm.
client: -you know, I'd still have faith to keep going on, but sometimes you feel as though, "Where is God?"
therapist: Yeah.
client: You know? | And it sounds like right now you're at a place of acceptance about that also. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: -you know, I'd still have faith to keep going on, but sometimes you feel as though, "Where is God?"
therapist: Yeah.
client: You know?
therapist: And it sounds like right now you're at a place of acceptance about that also.
client: Yes. | Uh, that it's okay with you, and you-you know that it's gonna change because that's been your, uh, experience. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: You know?
therapist: And it sounds like right now you're at a place of acceptance about that also.
client: Yes.
therapist: Uh, that it's okay with you, and you-you know that it's gonna change because that's been your, uh, experience.
client: Yes. | You've done numerous values clarification handouts and every time they're different- |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Yes.
therapist: Uh, that it's okay with you, and you-you know that it's gonna change because that's been your, uh, experience.
client: Yes.
therapist: You've done numerous values clarification handouts and every time they're different-
client: Mm-hmm. | -so you know that it's going to change. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Um, I mentioned before that it was kind of, like, out of place for me, because when I did this one in particular, um, as-as-- I stated that there were-- The other three were important to me, but I haven't focused on it so I'm like, "Okay, it's important to me," so I lost track of that and the other three—
therapist: The other three?
client: Um, number three was health.
therapist: Mm-hmm.
client: Number four is inner harmony, and number five is security. | Inner harmony, health, and security- |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Mm-hmm.
therapist: And the top two are family happiness and religion?
client: And religion.
therapist: Okay, and the three- the three other ones, inner harmony-- Let me see if I can remember them. Inner harmony, health and, what was the other one?
client: Security. | Security. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: And religion.
therapist: Okay, and the three- the three other ones, inner harmony-- Let me see if I can remember them. Inner harmony, health and, what was the other one?
client: Security.
therapist: Security.
client: Yeah. | Inner harmony, health, and security. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Security.
therapist: Security.
client: Yeah.
therapist: Inner harmony, health, and security.
client: Yeah. | You feel like you're not really paying as much attention to them as you would want to? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: -and, uh, I learned about the different way of looking at self-esteem.
therapist: Mm-hmm.
client: -and I've been definitely esteeming others.
therapist: Uh.
client: So, I've had, um, less time to have some inner harmony. | Oh yeah, right. The family has been so much coming first that you have sort of taken a back seat? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: -because when I was, you know, 18 I was just so, like, free-spirited, open-minded. I was living life, now that I look at it, as a fairy tale.
therapist: Mm. Mm-hmm.
client: And so I got knocked to reality and reality said, "This is not a fairy tale." Um, you're now on board. Like—
therapist: Okay.
client: And so I felt like, "This is not about you, you know, this is about everyone else." | Mm. So, something dramatic happened? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: And so I got knocked to reality and reality said, "This is not a fairy tale." Um, you're now on board. Like—
therapist: Okay.
client: And so I felt like, "This is not about you, you know, this is about everyone else."
therapist: Mm. So, something dramatic happened?
client: Yeah. | That kind of shocked you out of that fairy tale life- |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: And so I felt like, "This is not about you, you know, this is about everyone else."
therapist: Mm. So, something dramatic happened?
client: Yeah.
therapist: That kind of shocked you out of that fairy tale life-
client: Mm-hmm. | -and into a take care of everyone else thing? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah. Um, yeah, I guess it kind of- it kind of started like five, six years ago.
therapist: Okay.
client: Um, it kind of escalated a bit. Um, I've just recently moved out, um, from living with my parents. So just made it a bit worse, I think.
therapist: Okay. Is this the first time that you've left home?
client: Yeah, I am- Yeah. It's the first time actually, yeah. Um, I was going to a few years ago. I just thought it'd be easier to stay at home, so. | Okay. So it has been quite a big step and a big change and it sounds like that that was what led you to go to your GP. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Yeah.
therapist: So how has that, uh, changed things for you?
client: Um, don't know, it's kind of, I haven't really told anyone, so, I mean, it's made it like better in sense. I feel, hopefully this is, this is it like, it- it'll help, but I don't know. I don't like thinking that I've like have to do this. I never thought I'd like be the kind of person you'd have to actually go and like get help if that makes sense.
therapist: Okay. So how do you feel about being here today?
client: It's like scared. I don't know. Hopefully, it will help. | Okay. So you'd, you're feeling a little bit anxious about today. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Um, don't know, it's kind of, I haven't really told anyone, so, I mean, it's made it like better in sense. I feel, hopefully this is, this is it like, it- it'll help, but I don't know. I don't like thinking that I've like have to do this. I never thought I'd like be the kind of person you'd have to actually go and like get help if that makes sense.
therapist: Okay. So how do you feel about being here today?
client: It's like scared. I don't know. Hopefully, it will help.
therapist: Okay. So you'd, you're feeling a little bit anxious about today.
client: Yeah. | Okay. So I guess just going back to why you went to the GP and how you've ended up kind of coming here today. So it sounds like you've been experiencing anxiety for quite a few years. Um, but just recently you moved out of home for the first time and, um, and that was what kind of led you to go to the GP. So how did that change things? How were things after you moved out? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah.
therapist: Okay. So I guess just going back to why you went to the GP and how you've ended up kind of coming here today. So it sounds like you've been experiencing anxiety for quite a few years. Um, but just recently you moved out of home for the first time and, um, and that was what kind of led you to go to the GP. So how did that change things? How were things after you moved out?
client: Um, I thought that they'd be better, but 'cause I thought I'd have to kind of be independent and I suppose actually a lot worse. So I'm-I'm just kind of staying in the house a lot. I don't really have any friends or anything. I mean my family come and visit a bit, but it's not-- I don't know. It's kind of scary because I've just been kind of-- that should just end the flight by myself, which I always thought I'd like, but I don't actually like it.
therapist: Okay. So what other kinds of difficulties that you have been experiencing?
client: Um, I mean, I'm-I'm a photographer. Um, so I kind of-- It's-it's been stopping me a bit, my anxiety, from being able to get work and because every time, you know, there's, uh, an opportunity that is kind of involving me having to interact with people, I just tend to just turn it down. So it was kind of making things hard in that respect and um, just kind of friends wise and everything. I just feel like I'm just kind of increasingly more alone. So it's kind of stopping me from making friends and, you know, like relationships and stuff. | Okay. So you said that, um, your difficulties are getting in the way of you doing certain things. So they're, they're stopping you from taking up kind of certain types of work and as a freelance photographer, I guess that- that can be kind of a problem. And they're also stopping you or you feel like it's stunting you, uh, socially. You're not kind of able to make new friends and get to meet new people. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Um, I thought that they'd be better, but 'cause I thought I'd have to kind of be independent and I suppose actually a lot worse. So I'm-I'm just kind of staying in the house a lot. I don't really have any friends or anything. I mean my family come and visit a bit, but it's not-- I don't know. It's kind of scary because I've just been kind of-- that should just end the flight by myself, which I always thought I'd like, but I don't actually like it.
therapist: Okay. So what other kinds of difficulties that you have been experiencing?
client: Um, I mean, I'm-I'm a photographer. Um, so I kind of-- It's-it's been stopping me a bit, my anxiety, from being able to get work and because every time, you know, there's, uh, an opportunity that is kind of involving me having to interact with people, I just tend to just turn it down. So it was kind of making things hard in that respect and um, just kind of friends wise and everything. I just feel like I'm just kind of increasingly more alone. So it's kind of stopping me from making friends and, you know, like relationships and stuff.
therapist: Okay. So you said that, um, your difficulties are getting in the way of you doing certain things. So they're, they're stopping you from taking up kind of certain types of work and as a freelance photographer, I guess that- that can be kind of a problem. And they're also stopping you or you feel like it's stunting you, uh, socially. You're not kind of able to make new friends and get to meet new people.
client: Yeah, yeah. Um, it was kind of easier when I was at home because I was obviously, I mean, my parents, so it's fine, but you know, they would, I'd go to places with, um, or I'd kind of have people there, but more and more, I'm just finding myself just staying in a lot. I mean-- I went like two weeks ago for coffee with my friends and the whole time I was just kind of wanting to go home again. So I don't, I just don't want to-- I don't want that to happen. I don't want to lose everyone. So- | So you're kind of worried about how, where this is going to lead to. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Um, I mean, I'm-I'm a photographer. Um, so I kind of-- It's-it's been stopping me a bit, my anxiety, from being able to get work and because every time, you know, there's, uh, an opportunity that is kind of involving me having to interact with people, I just tend to just turn it down. So it was kind of making things hard in that respect and um, just kind of friends wise and everything. I just feel like I'm just kind of increasingly more alone. So it's kind of stopping me from making friends and, you know, like relationships and stuff.
therapist: Okay. So you said that, um, your difficulties are getting in the way of you doing certain things. So they're, they're stopping you from taking up kind of certain types of work and as a freelance photographer, I guess that- that can be kind of a problem. And they're also stopping you or you feel like it's stunting you, uh, socially. You're not kind of able to make new friends and get to meet new people.
client: Yeah, yeah. Um, it was kind of easier when I was at home because I was obviously, I mean, my parents, so it's fine, but you know, they would, I'd go to places with, um, or I'd kind of have people there, but more and more, I'm just finding myself just staying in a lot. I mean-- I went like two weeks ago for coffee with my friends and the whole time I was just kind of wanting to go home again. So I don't, I just don't want to-- I don't want that to happen. I don't want to lose everyone. So-
therapist: So you're kind of worried about how, where this is going to lead to.
client: Yeah. Um, yeah. | So you said that you first noticed the anxiety kicking in about five or six years ago. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Yeah, yeah. Um, it was kind of easier when I was at home because I was obviously, I mean, my parents, so it's fine, but you know, they would, I'd go to places with, um, or I'd kind of have people there, but more and more, I'm just finding myself just staying in a lot. I mean-- I went like two weeks ago for coffee with my friends and the whole time I was just kind of wanting to go home again. So I don't, I just don't want to-- I don't want that to happen. I don't want to lose everyone. So-
therapist: So you're kind of worried about how, where this is going to lead to.
client: Yeah. Um, yeah.
therapist: So you said that you first noticed the anxiety kicking in about five or six years ago.
client: Yeah. | So you would have been about 19. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Uh, I guess I'd finished school about a year before that. Um, and I mean, I-I've always been a bit shy, um, at school, but it was never ever, uh, like it didn't really affect the things as much as not at all as much as it has been doing the last few years ago, I guess. It just started when I- like my friends went to university, and, I don't know, I felt like I was expected to kind of move out or do something and then it just kind of escalated from there.I just stop going to parties or I'd just say no to invitations or I don't know, I thought my job would help because I mean, I love it. I've- I really like doing photography, but I'm just kind of getting less and less work as it goes on, so, which is my thing, you know, but—
therapist: What kind of work is the most difficult for you in your job?
client: I guess when it- I have to kind of be working with other people. Um, I don't like that. It's like when I'm trying to kind of- would do an event or something where there's a lot of people there, not just photographers, but actual, you know, if I'm like taking places with people that I don't know, I just kind of find myself saying, you know, I mean, I want to do them, but just is scary. So I just don't do it.
therapist: So I guess, tell me a bit more about what happens then. So let's focus on maybe an invitation to do a job with, uh, you know, it's going to involve, uh, photography with- with a group of people and you're going to have to have social interaction. What kind of thoughts go through your head?
client: Um, just, I mean, I get really hot and sweaty, and I don't-- I feel like everyone's kind of looking at me and thinking that I'm just like really stupid, and I feel like they're all going to be staring and thinking, I just can't do my job. And I'm just an idiot. And I mean, they'll think that I just look like a weirdo and I just try and-- I mean, I just kind of just try and get out of the situation or just focus on something else. So that's why I like doing shots where it's just me and the camera 'cause I- then I can just put all my attention on that instead of having to, you know, be with other people. | Okay. So it sounds like you have quite a lot of thoughts rushing through your head then at the point where you get that invitation and you think, "People will look, people will stare, people will think I'm a weirdo." So there's quite a lot about what you- what you think other the people will think. And how does that make you feel? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah. I was doing a job where it was kind of like a- a Nature issue and I was having to work with a lot of different people. Um, and, um, when they told me about the job, I thought it would be fine. I thought it was just going to be a few other photographers, but there were actually people and, you know, I was taking photos of people kind of in the trees and stuff like that. And I guess- they asked me to, um—
therapist: It's quite interesting. Was that a fashion shoot or something?
client: Yeah. Yeah. It was a fashion thing. I think it was for some kind of-- I'm not sure if it was a campaign or something, but, it was-
therapist: Okay.
client: Yeah, it was, yeah, it was really cool, but I find it- found it really hard to try and focus on that 'cause I was so- I was kind of feeling really anxious and— | So it wasn't what you expected? |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Yeah, it was, yeah, it was really cool, but I find it- found it really hard to try and focus on that 'cause I was so- I was kind of feeling really anxious and—
therapist: So it wasn't what you expected?
client: No. No.
therapist: So how long ago was that?
client: That was two weeks ago. | Okay. So it was quite recent. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: That was two weeks ago.
therapist: Okay. So it was quite recent.
client: Yeah.
therapist: So on that particular day, what were the thoughts that you had in your head when you were in that situation?
client: I just felt really- just really kind of hot. I couldn't really breathe and just felt like I wanted to just get out. And I was kind of trying really, really hard to just focus, and just, you know, like kind of hold the camera and just not think about anything, but I just felt like everyone was looking at me and like, when they'd say 'action' and they're trying to get me to start and I was just felt like everyone was just thinking I was really stupid and I shouldn't have been there and— | I can tell you're getting kind of anxious, even just thinking about that day. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Yeah.
therapist: So on that particular day, what were the thoughts that you had in your head when you were in that situation?
client: I just felt really- just really kind of hot. I couldn't really breathe and just felt like I wanted to just get out. And I was kind of trying really, really hard to just focus, and just, you know, like kind of hold the camera and just not think about anything, but I just felt like everyone was looking at me and like, when they'd say 'action' and they're trying to get me to start and I was just felt like everyone was just thinking I was really stupid and I shouldn't have been there and—
therapist: I can tell you're getting kind of anxious, even just thinking about that day.
client: Yeah. | Okay. So you're describing quite a lot there to me. So you're saying that you, you kind of got hot and sweaty, you said that you- you held the camera. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Yeah.
therapist: Okay. So you're describing quite a lot there to me. So you're saying that you, you kind of got hot and sweaty, you said that you- you held the camera.
client: Yeah.
therapist: W-what was, do you mean you kind of try to hide behind it or?
client: I was just trying to focus on it. I was just thinking if I could just hold it really tightly, it would just-- I don't know. I'd kind of just be able to just get through it and just focus. | So you're holding the camera very tightly. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: I was just trying to focus on it. I was just thinking if I could just hold it really tightly, it would just-- I don't know. I'd kind of just be able to just get through it and just focus.
therapist: So you're holding the camera very tightly.
client: Yeah.
therapist: W-why was that? Why was that helpful?
client: Cause I felt like I was getting really like hot and flushed and I just thought, at least if I can just-- I don't know. It sounds weird, but I was just trying to keep my hands still on it. 'Cause my hands were kind of sweaty and like shaking like loads, like, and I could just tell everyone was looking and they could see, and I just thought if I just managed to hold onto it, it wouldn't be as noticeable, but— | Okay. So, okay. So it sounds like you had a lot of thoughts going through your head. Um, you said that you're worried that everyone's looking at you. What other thoughts were there that were in your mind? |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Cause I felt like I was getting really like hot and flushed and I just thought, at least if I can just-- I don't know. It sounds weird, but I was just trying to keep my hands still on it. 'Cause my hands were kind of sweaty and like shaking like loads, like, and I could just tell everyone was looking and they could see, and I just thought if I just managed to hold onto it, it wouldn't be as noticeable, but—
therapist: Okay. So, okay. So it sounds like you had a lot of thoughts going through your head. Um, you said that you're worried that everyone's looking at you. What other thoughts were there that were in your mind?
client: Just-- I was just, just stupid and it was just really-- just felt really like kind of- like everyone was just going to be staring and just thinking that I-- Like- I just felt like everyone was looking at me and just, they could tell. And then just thinking of what was she doing?
therapist: They could tell what—
client: I was just really like sweaty and just— | Oh, it was all-all that they could see that-that was- |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Yeah, um, I was trying to wear black so this kind of tries to cover it up and just like a lot of layers, so they can't tell but, I mean, my hands, like, they were so shaken. I was really red and just was-- Just wishing that I just wasn't there.
therapist: So, I mean, you've already described it to me a little bit, but if you think about how you looked that day, how'd-how'd you say, how'd you think you looked?
client: I think just very stupid and, like, I think my face was really red. I could feel it flushing and I knew that I'd- I was probably sweating and shaking, like my hands were definitely really really shaking. Um, and af-- it was, like definitely really noticeable. Everyone could definitely see.
therapist: Okay and what-what did you do about-- How did you try and conceal that or hide that?
client: Um, well, I again was trying to grip the camera, just look down, just trying not to do anything weird or-- 'Cause, I mean, they could probably tell I was being weird anyway, but hopefully if-- I just- I just tried really hard to just focus and look down, not trying, like not kind-- look at anyone else and just, yeah, just kind of trying get on with it as best as I could, but— | So you avoided looking at people. It sounds like you wore black as well in kind of preparation anyway. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | therapist: Okay and how did it end?
client: Um, well, it kind of went on for like an hour or so, and then, um, people were going, um, just a-after every shoot people go out for drinks after just to kind of celebrate like that we've done it. I'd just- I went home straight away, just got on my car and went home. I just didn't want to be around them especially after they would've seen me being weird and I just wanted to get-get home straight away.
therapist: Okay.
therapist: Hey, can I help you?
client: Yeah, I hope so. Um, my workplace has just gone smoke-free. I-I'm not-not very happy about it. I'm gonna keep smoking, but I was wondering if there's anything that-that can help me like get through the day. It's like, you know, go get my beer and smoke cigarettes after work. | So your workplaces went smoke-free and you're not too pleased, huh? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah, I hope so. Um, my workplace has just gone smoke-free. I-I'm not-not very happy about it. I'm gonna keep smoking, but I was wondering if there's anything that-that can help me like get through the day. It's like, you know, go get my beer and smoke cigarettes after work.
therapist: So your workplaces went smoke-free and you're not too pleased, huh?
client: No. I'm not gonna quit smoking. I mean, I like it. It helps me relax. So, I mean, I don't see what the big deal is.
therapist: Okay. Tell me a little bit about how smoking fits in your day. It'll help with the—
client: I mean, I smoke a little less than a pack a day. It's not too bad. Um, I've probably smoked for the last five years, but I-I-I mean, could quit if I wanted to, but I don't really want to right now. | Okay. So you feel like, right now, smoking's a pretty important part of your life. It's not something you're ready to change, but if the time came when you did decide to quit, you feel pretty confident that you could go ahead and do that. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Um, I'm sick of feeling the way I do. I feel kinda sluggish. Especially with the winter coming, I think I want to have more energy.
therapist: Mm-hmm.
client: Um, I don't like the way my clothes fit or don't fit me.
therapist: Mm-hmm.
client: Just, I don't feel comfortable. | Yeah. So, you're not feeling comfortable with the way that, you said, your clothes fit. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Mm-hmm.
therapist: What are some of the reasons why, um, it would be good for you to kinda make this change?
client: Um, I know exercise is-- in the past, has always made me feel good. I felt good about myself, and just in general, exercise, I know, makes me feel good. I want to be a good example for my kids. I want them to feel like that's a part of life-
therapist: Mm-hmm.
client: -exercising. So, I want-- I really just want to go get back in a routine. | So, to heal-- feel healthy for yourself as well be a good role model for your kids? |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Yeah.
therapist: So, if you did decide to get exercising more into your daily routine, how would you go about doing it?
client: Um, I don't know. I'd probably have to sit down maybe with my husband and try to figure out a good time for me to be able to do that, where he'd be home with the kids and I'd be going to do that, whether it's morning-time, evening, maybe the weekends.
therapist: Mm-hmm.
client: Just to find the time to be able to do it, or what works in our schedule. | So, it's that balance of doing something for yourself, but it sounds like you don't want that schedule to affect too much into your family routine. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Mm, I would like to say a seven or an eight, that that's how important it is to me.
therapist: Okay, and how come not at like a five or a six?
client: Because I'm really sick of being overweight.
therapist: Mm-hmm.
client: Not ha-- I just don't like being unhealthy. It doesn't make me feel good, so I'm motivated to change, it's just getting there. | So, to summarize, it's important for you to do this. You're starting to feel sluggish, you're not feeling healthy, and you know that you've got other people in your family watching you, and you want to be a good role model for them to know that this is gonna be just a part of your life, is your exercise. Yet for you, you're struggling just a little with the logistics of when to schedule time for you so it doesn't interfere too much with your family. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Not ha-- I just don't like being unhealthy. It doesn't make me feel good, so I'm motivated to change, it's just getting there.
therapist: So, to summarize, it's important for you to do this. You're starting to feel sluggish, you're not feeling healthy, and you know that you've got other people in your family watching you, and you want to be a good role model for them to know that this is gonna be just a part of your life, is your exercise. Yet for you, you're struggling just a little with the logistics of when to schedule time for you so it doesn't interfere too much with your family.
client: Exactly, yeah.
therapist: So, knowing this, what do you think you'll do next?
client: Mm, I'll probably, I don't know, find-- Now, while it's still somewhat okay outside, maybe pick days I'm gonna go for walks or runs, um, maybe look for a gym close to the house so that I know I can go there quickly or maybe that has daycare, um, yeah, maybe I'll just start to look for that, and find ways I can do it first. | That's great. It sounds like you've got some options and leads on how- on how to get that done. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Mm, I'll probably, I don't know, find-- Now, while it's still somewhat okay outside, maybe pick days I'm gonna go for walks or runs, um, maybe look for a gym close to the house so that I know I can go there quickly or maybe that has daycare, um, yeah, maybe I'll just start to look for that, and find ways I can do it first.
therapist: That's great. It sounds like you've got some options and leads on how- on how to get that done.
client: Yeah.
therapist: So what's been going on?
client: I just want my call, that's it. | All right. yeah, I was told that you're phone calls was taken away |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: I just want my call, that's it.
therapist: All right. yeah, I was told that you're phone calls was taken away
client: [scoffs] Yeah.
therapist: What-what happened?
client: I don't know. Some of-- One of the officers, it's like he has it out for me or something. I don't- I don't know what it is. Something about me not making my bed, something about my attitude. I don't know, I just want my call, man. | Okay. yeah, it was weird when I, uh, got that report because for the most part since you've been here, uh, you'd been like, uh, model-model resident, uh, always making their bed, uh, been pretty, uh, respectful of the staff, of all the other residents. So, uh, is it something to do with you getting out in three weeks? It must be pretty hard. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: [scoffs] Yeah.
therapist: What-what happened?
client: I don't know. Some of-- One of the officers, it's like he has it out for me or something. I don't- I don't know what it is. Something about me not making my bed, something about my attitude. I don't know, I just want my call, man.
therapist: Okay. yeah, it was weird when I, uh, got that report because for the most part since you've been here, uh, you'd been like, uh, model-model resident, uh, always making their bed, uh, been pretty, uh, respectful of the staff, of all the other residents. So, uh, is it something to do with you getting out in three weeks? It must be pretty hard.
client: I just wanna contact my mom, that's it. | Mm-hmm. Yeah, you used to have contact with your mom, you know, almost every other night and now for just about a week, you haven't even gotten to talk to her. I can imagine that being pretty difficult. I remember you saying something about like your dad's birthday coming up? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: I just wanna contact my mom, that's it.
therapist: Mm-hmm. Yeah, you used to have contact with your mom, you know, almost every other night and now for just about a week, you haven't even gotten to talk to her. I can imagine that being pretty difficult. I remember you saying something about like your dad's birthday coming up?
client: My dad's birthday is tomorrow.
therapist: Okay.
client: And I just wanted my call so I can talk to my mom. That's it. | Like I said, it's been, um, a long time and this is basically the first time that we've seen this behavior from you, so I know for a lot of other guys right before they get out, uh, a lot of anxiety, a lot of frustration comes around because they haven't been out in a while and then like the pressures of being on the outside are starting to settle in. So is that something might be going on with you? |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | therapist: Like I said, it's been, um, a long time and this is basically the first time that we've seen this behavior from you, so I know for a lot of other guys right before they get out, uh, a lot of anxiety, a lot of frustration comes around because they haven't been out in a while and then like the pressures of being on the outside are starting to settle in. So is that something might be going on with you?
therapist: Hi Carrie, thanks for coming in today.
client: Thank you, my doctor [unintelligible 00:00:05]
therapist: What brings you in?
client: Well am having, um-- I've been an ongoing problem with smoking and trying to quit. | So, you'd like to give up those cigarettes? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Well am having, um-- I've been an ongoing problem with smoking and trying to quit.
therapist: So, you'd like to give up those cigarettes?
client: Oh I've been wanting to, for a long long time in years.
therapist: Yeah, so then it's, um, right now, uh, tell me a little bit about, um, right now at this point in your life why it's so important to quit.
client: Well I have a 15-year-old daughter and she's highly against it. And, um, health issues, you know, I'm getting-- not getting any younger and I have asthma and I have chronic bronchi-- bronchitis and, um, I'm having a hard time breathing when I exercise and not to mention it's socially unacceptable really. | Like being a leper in a leper colony right now to be a smoker. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Oh I've been wanting to, for a long long time in years.
therapist: Yeah, so then it's, um, right now, uh, tell me a little bit about, um, right now at this point in your life why it's so important to quit.
client: Well I have a 15-year-old daughter and she's highly against it. And, um, health issues, you know, I'm getting-- not getting any younger and I have asthma and I have chronic bronchi-- bronchitis and, um, I'm having a hard time breathing when I exercise and not to mention it's socially unacceptable really.
therapist: Like being a leper in a leper colony right now to be a smoker.
client: Actually it's like being a leper in a non-leper colony. | 'Cause you can't find a leper colony anymore. So, um, so it-it's really important for you to be a good mum- |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Well I have a 15-year-old daughter and she's highly against it. And, um, health issues, you know, I'm getting-- not getting any younger and I have asthma and I have chronic bronchi-- bronchitis and, um, I'm having a hard time breathing when I exercise and not to mention it's socially unacceptable really.
therapist: Like being a leper in a leper colony right now to be a smoker.
client: Actually it's like being a leper in a non-leper colony.
therapist: 'Cause you can't find a leper colony anymore. So, um, so it-it's really important for you to be a good mum-
client: Right. | -and model for your- for your daughter who's at this age where 15 would be a really common age at which she might decide to smoke. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Actually it's like being a leper in a non-leper colony.
therapist: 'Cause you can't find a leper colony anymore. So, um, so it-it's really important for you to be a good mum-
client: Right.
therapist: -and model for your- for your daughter who's at this age where 15 would be a really common age at which she might decide to smoke.
client: Right and, um, she's been expressing, you know, she walks in and she's like shhh and it's embarrassing for her friends and, um, and in-in turn, it's embarrassing for me. | Okay. So, you-you wanna look good, you know, and she's proud of you I'm sure anyway and then this just would be an added benefit. Yeah. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Right.
therapist: -and model for your- for your daughter who's at this age where 15 would be a really common age at which she might decide to smoke.
client: Right and, um, she's been expressing, you know, she walks in and she's like shhh and it's embarrassing for her friends and, um, and in-in turn, it's embarrassing for me.
therapist: Okay. So, you-you wanna look good, you know, and she's proud of you I'm sure anyway and then this just would be an added benefit. Yeah.
client: Right right, yeah. | So, and then you mentioned quite a few things about medical problems. So, um, you mentioned, um, asthma, um, acute bronchitis did you say— |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Right and, um, she's been expressing, you know, she walks in and she's like shhh and it's embarrassing for her friends and, um, and in-in turn, it's embarrassing for me.
therapist: Okay. So, you-you wanna look good, you know, and she's proud of you I'm sure anyway and then this just would be an added benefit. Yeah.
client: Right right, yeah.
therapist: So, and then you mentioned quite a few things about medical problems. So, um, you mentioned, um, asthma, um, acute bronchitis did you say—
client: Oh and emphysema the beginning stages of emphysema. | Oh my goodness. Okay. And so, and that-- yeah, that's very-- that's really scary beginnings of emphysema, I'm sorry to hear that. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: I really couldn't tell you, um, I remember when my daughter was like five, um, I was-- it was humid out and I have a problem with humidity-
therapist: Mm-hmm.
client: -you know, for breathing, um, and, um, I was trying to stick my head out the window to gasp for air-
therapist: Mm-hmm.
client: -and my daughter became so frightened that she went next door to our neighbor and called 911 and it really— | Smart girl. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Um, and there is a support group that they have that you can go online or call-
therapist: Okay.
client: -but of course I didn't do either but-
therapist: Mm-hmm.
client: -um— | It just didn't fit for you to do the online. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: -but of course I didn't do either but-
therapist: Mm-hmm.
client: -um—
therapist: It just didn't fit for you to do the online.
client: No. Yeah. | Okay. So, um, but you gave it a good try and it was just not a good fit for you like you-you really listened to what your body told you like nightmares, nausea, I mean those are really bad things. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: No. Yeah.
therapist: Okay. So, um, but you gave it a good try and it was just not a good fit for you like you-you really listened to what your body told you like nightmares, nausea, I mean those are really bad things.
client: And agitation really-
therapist: Oh yeah.
client: -because, um, you know, um, being at my age I'm going through the menopause stage which is part, you know, you'll have that anyways and then having 15-year-old that causes a little bit more stress so you don't need any extra stress, I don't think, as far as I'm concerned. | So, it's already piled I'm thinking up for you, you don't need anything else so you're looking for some relief and not something to make you feel worse. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Only when I was in the hospital. [chuckles]
therapist: Okay.
client: And even then I-I snuck out and had a cigarette, you know.
therapist: Okay. So, what's the longest you've ever gone without a cigarette including being in the hospital?
client: Oh God, I would have to say, uh, three days. | Oh, three days. You know, that's a long time and I felt, you know, that's a pretty long time to go without smoking and I would imagine, I think that's pretty good. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: And even then I-I snuck out and had a cigarette, you know.
therapist: Okay. So, what's the longest you've ever gone without a cigarette including being in the hospital?
client: Oh God, I would have to say, uh, three days.
therapist: Oh, three days. You know, that's a long time and I felt, you know, that's a pretty long time to go without smoking and I would imagine, I think that's pretty good.
client: But it was not really by choice, it was by, um, the situation I was in, I wasn't able to smoke so, yeah. | You were forced to- |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Oh God, I would have to say, uh, three days.
therapist: Oh, three days. You know, that's a long time and I felt, you know, that's a pretty long time to go without smoking and I would imagine, I think that's pretty good.
client: But it was not really by choice, it was by, um, the situation I was in, I wasn't able to smoke so, yeah.
therapist: You were forced to-
client: Right. | -not smoke? |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: I mean, just cigarette. Um, so it's always, like, it's-it's a duel kind of problem I think-
therapist: Mm-hmm.
client: -you know-
therapist: Mm.
client: -I'm finding it to be. | It does, uh, it does a lot of positive things for you. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: -you know-
therapist: Mm.
client: -I'm finding it to be.
therapist: It does, uh, it does a lot of positive things for you.
client: Mm-hmm. | And it sounds like it's paired, like a coffee and a cigarette. I mean, you know, probably hard to think about, "How will I have a cup of coffee without a cigarette?" |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Oh, yeah.
therapist: It'll-it'll take a good usually 10 years off your life minimum.
client: As they say, my aunt was like, "Put another nail in your coffin," you know.
therapist: Okay. What do you think when she says that to you?
client: More on kind of cocky and I say, "Well, you know, Aunt Kathy, you were my role model, and back in the day, um, I used to envy and watch and think you were so sexy, and all the movies, the old movies." | Glamourous. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: More on kind of cocky and I say, "Well, you know, Aunt Kathy, you were my role model, and back in the day, um, I used to envy and watch and think you were so sexy, and all the movies, the old movies."
therapist: Glamourous.
client: Yes, yeah. And that's what I associated with at the time and now it's almost, I'm ostracized for it.
therapist: Mm-hmm.
client: So, it's kind of like a double-edged sword. | So, and I would- I would-- it really is because it wasn't like that 20 years ago. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Yes, yeah. And that's what I associated with at the time and now it's almost, I'm ostracized for it.
therapist: Mm-hmm.
client: So, it's kind of like a double-edged sword.
therapist: So, and I would- I would-- it really is because it wasn't like that 20 years ago.
client: Mm. | It wasn't like that for sure 30 years ago. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: So, it's kind of like a double-edged sword.
therapist: So, and I would- I would-- it really is because it wasn't like that 20 years ago.
client: Mm.
therapist: It wasn't like that for sure 30 years ago.
client: Mm-hmm. | So, it's become harder to be a smoker. You light up a cigarette-cigarette and people make assumptions about you. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Mm-hmm.
therapist: -um, then we can pursue those things. So it's really just about what brings you joy in terms of how you move your body and I'm just here to help you figure that out.
client: Cool, so both with the foods and the activity, we would be working to find things that I like to do-
therapist: Yeah.
client: -that I could do for longer periods versus more of like you said, the prescriptive approach. | Exactly. Yeah. So helping you find changes that feel sustainable because they bring you both nourishment health, but also pleasure. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | therapist: Fantastic. Thanks, Natalie.
therapist: Hey, Mary. I wanted to bring up to you, um, that your battery died last night. So, can you tell me what happened?
client: I don't know, and I still don't wanna charge it.
therapist: So, it's something you just aren't willing to do?
client: No. I got a lot of stuff to do, I don't need to charge it. | So, it's not really a priority for you right now, to be charging it? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Hey.
therapist: Hi, I'm Tonny Brownie, I'm a pharmacist here, uh, and I- and I was wanting to spend just a little time with you talking to you about your cholesterol. I found out you're newly diagnosed and your medicine for your cholesterol.
client: Yeah, my doctor talked to me about my cholesterol, that-that's-that's his job.
therapist: Okay, certainly glad to hear that your doctor did spend some time with you, um, I-I see myself as somebody who works with your doctor, uh, to help you get the most benefit from your medicine, uh, because you are gonna spend money on it we wanna make sure that you get the most benefit from it. Uh, also sometimes it may be difficult to reach your doctor we're also here, uh, and so we try to work together, wo-would that be okay?
client: Yeah, that'd be okay, yeah, you know, I'm not so certain I'm even gonna take the medicine cause, you know, he mentioned muscle weakness, uh, you know, I-I know I got high cholesterol, uh, and that I'm running the risk of stroke and heart attack down line but yeah, he mentioned muscle weakness and I've been thinking about that and, uh, you know I'm a truck driver and I got a haul the heavy boxes out of the truck on a dolly, and I can't afford that right now. Just that-that muscle weakness, uh, that-that bothers me. | So-so on the one hand, the doctor talked to you about high cholesterol, down the line possibly causing a stroke or heart attack- |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah, my doctor talked to me about my cholesterol, that-that's-that's his job.
therapist: Okay, certainly glad to hear that your doctor did spend some time with you, um, I-I see myself as somebody who works with your doctor, uh, to help you get the most benefit from your medicine, uh, because you are gonna spend money on it we wanna make sure that you get the most benefit from it. Uh, also sometimes it may be difficult to reach your doctor we're also here, uh, and so we try to work together, wo-would that be okay?
client: Yeah, that'd be okay, yeah, you know, I'm not so certain I'm even gonna take the medicine cause, you know, he mentioned muscle weakness, uh, you know, I-I know I got high cholesterol, uh, and that I'm running the risk of stroke and heart attack down line but yeah, he mentioned muscle weakness and I've been thinking about that and, uh, you know I'm a truck driver and I got a haul the heavy boxes out of the truck on a dolly, and I can't afford that right now. Just that-that muscle weakness, uh, that-that bothers me.
therapist: So-so on the one hand, the doctor talked to you about high cholesterol, down the line possibly causing a stroke or heart attack-
client: Oh, yeah. | -and that would be pretty serious. On the other hand, uh, when you found out that this drug might cause muscle weakness, that really alarmed you. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Yeah, that'd be okay, yeah, you know, I'm not so certain I'm even gonna take the medicine cause, you know, he mentioned muscle weakness, uh, you know, I-I know I got high cholesterol, uh, and that I'm running the risk of stroke and heart attack down line but yeah, he mentioned muscle weakness and I've been thinking about that and, uh, you know I'm a truck driver and I got a haul the heavy boxes out of the truck on a dolly, and I can't afford that right now. Just that-that muscle weakness, uh, that-that bothers me.
therapist: So-so on the one hand, the doctor talked to you about high cholesterol, down the line possibly causing a stroke or heart attack-
client: Oh, yeah.
therapist: -and that would be pretty serious. On the other hand, uh, when you found out that this drug might cause muscle weakness, that really alarmed you.
client: Yeah, that's the problem, that's what I face now with my job. | Especially with your job and- |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Oh, yeah.
therapist: -and that would be pretty serious. On the other hand, uh, when you found out that this drug might cause muscle weakness, that really alarmed you.
client: Yeah, that's the problem, that's what I face now with my job.
therapist: Especially with your job and-
client: Yeah. | -preventing you from doing your livelihood. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Well, uh, I guess that's the-the way to go then cause I-I don't wanna be, you know, crippled by a stroke or a heart attack-
therapist: Sure.
client: -so take- taking the medicine sounds like the-the end of the game right now.
therapist: Mm-hmm, yeah it would, I-I-I think that would, uh, go a long way toward reducing those risks.
client: Yeah. | Okay, um, so if so where we are right now if I understand is you're feeling more comfortable about the concern about muscle weakness? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: -so take- taking the medicine sounds like the-the end of the game right now.
therapist: Mm-hmm, yeah it would, I-I-I think that would, uh, go a long way toward reducing those risks.
client: Yeah.
therapist: Okay, um, so if so where we are right now if I understand is you're feeling more comfortable about the concern about muscle weakness?
client: Oh yeah. | Uh, you seem fairly committed to taking the medicine to reduce your risk so that you can enjoy your retirement. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah, I've thought about it. I'm just-- It's not my cup-- I-I-I hear it from everybody, and, uh, I've tried- I've tried before, didn't work. I get it all the time.
therapist: Okay. And it's like here I am one more person, the next- the next doctor who's saying, "You need to quit smoking, David."
client: Yeah, yeah, yeah, yeah, [unintelligible 00:01:13] hmm.
therapist: Mm, and I'm sorry, that's not how I mean to come across at all.
client: Yeah, I-I-I know I'm not an idiot and people know that smokers are, you know, "How can you smoke today?" [coughs] It's just not that easy to, uh, quit. | Mm-hmm, and if it was as easy as the doctor is saying or your partner- |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah, yeah, yeah, yeah, [unintelligible 00:01:13] hmm.
therapist: Mm, and I'm sorry, that's not how I mean to come across at all.
client: Yeah, I-I-I know I'm not an idiot and people know that smokers are, you know, "How can you smoke today?" [coughs] It's just not that easy to, uh, quit.
therapist: Mm-hmm, and if it was as easy as the doctor is saying or your partner-
client: Yeah. | -saying- |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah, I-I-I know I'm not an idiot and people know that smokers are, you know, "How can you smoke today?" [coughs] It's just not that easy to, uh, quit.
therapist: Mm-hmm, and if it was as easy as the doctor is saying or your partner-
client: Yeah.
therapist: -saying-
client: Uh, who wouldn't be? | -you have to quit. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: I've smoked for 40 years, since I was 14-
therapist: Mm-hmm.
client: -and quit a couple of times, off and on in my 20s, but, you know, it's been consistent. And I can't see myself changing now.
therapist: Mm-hmm.
client: No matter what kinda talk I get or what they come up with. | It sounds like almost you've tried a lot of things that are out there and it's not something that you're— |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Prostate cancer, that didn't do it.
therapist: Right.
client: I don't know. I really don't know. I just don't really want it.
therapist: Mm-hmm.
client: I just- | So, this is something that you-you- |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: I don't know. I really don't know. I just don't really want it.
therapist: Mm-hmm.
client: I just-
therapist: So, this is something that you-you-
client: -have to- | -pretty much see yourself doing for- |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: -have to-
therapist: -pretty much see yourself doing for-
client: Yeah, a while, quite a while. Yeah.
therapist: Yeah. Okay. Well, I really appreciate you being willing to even talk about it. And I get that right now, this is not something that you wanna pursue. Would it be okay if I brought it up in our next visit? 'Cause I-I know that you've said you don't want a lecture, but on the other hand, I am- I am concerned.
client: Okay, yeah. I could go for that. I-I, uh, I'm always open to some-- you know, to listen. Yeah. | As long as I don't talk too much? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah. [laughs]
therapist: Okay. [chuckles]
client: [unintelligible 00:03:34] options. I had some-- I had my surgeon just go like, "You're- you're--" like, "Why do I even keep you as a patient?"
therapist: Hmm.
client: He's good, though. [laughs] | [chuckles] You're glad to keep him as a doctor? |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Thanks, doc.
therapist: Okay.
client: Okay.
therapist: Thank you for coming in to see me today, Nina. I'm looking forward to getting to know you a little bit and hearing a little bit about you and what brought you in here today.
client: Um, my doctor referred me. He said I had to come because I've- I've been a little irresponsible with this pregnancy. Yeah. | Okay. He's thinking you were a little irresponsible. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Okay.
therapist: Thank you for coming in to see me today, Nina. I'm looking forward to getting to know you a little bit and hearing a little bit about you and what brought you in here today.
client: Um, my doctor referred me. He said I had to come because I've- I've been a little irresponsible with this pregnancy. Yeah.
therapist: Okay. He's thinking you were a little irresponsible.
client: Yeah. Um, he said that I was drinking too much with it. Um, I-I haven't been a lot, but he said it was still maybe, um, would screw things up. | And you're feeling kind of concerned about that. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Um, my doctor referred me. He said I had to come because I've- I've been a little irresponsible with this pregnancy. Yeah.
therapist: Okay. He's thinking you were a little irresponsible.
client: Yeah. Um, he said that I was drinking too much with it. Um, I-I haven't been a lot, but he said it was still maybe, um, would screw things up.
therapist: And you're feeling kind of concerned about that.
client: Yeah. Yeah. Like I don't- I don't want to screw anything up with this baby, but, um, yeah, I'm just- I'm scared I already did. | Okay. So, you're concerned about the consequences, and you really care about your baby, and you want to give your baby the best start you can. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah. Um, he said that I was drinking too much with it. Um, I-I haven't been a lot, but he said it was still maybe, um, would screw things up.
therapist: And you're feeling kind of concerned about that.
client: Yeah. Yeah. Like I don't- I don't want to screw anything up with this baby, but, um, yeah, I'm just- I'm scared I already did.
therapist: Okay. So, you're concerned about the consequences, and you really care about your baby, and you want to give your baby the best start you can.
client: Mm-hmm. Yeah. | And you're wondering a little bit about this time that we're going to spend together. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Yeah. Yeah. Like I don't- I don't want to screw anything up with this baby, but, um, yeah, I'm just- I'm scared I already did.
therapist: Okay. So, you're concerned about the consequences, and you really care about your baby, and you want to give your baby the best start you can.
client: Mm-hmm. Yeah.
therapist: And you're wondering a little bit about this time that we're going to spend together.
client: Yeah. He didn't really tell me what to expect. He just said, "Go- go see her as well." | So here you are today and, um, you're sharing that you have been drinking alcohol throughout your pregnancy. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah. He didn't really tell me what to expect. He just said, "Go- go see her as well."
therapist: So here you are today and, um, you're sharing that you have been drinking alcohol throughout your pregnancy.
client: Yeah. Um, I didn't find out I was pregnant until probably two-ish months in-
therapist: Okay.
client: -and I had already been drinking then. Um, I've been really trying not to, but, you know, weekends come around, and, um, all my friends are kind of partying and stuff, and it's been hard to, like, break that habit. | Mm-hmm. So, there's this external pressure coming from the people you care about to sort of stay in the scene. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah. Um, I didn't find out I was pregnant until probably two-ish months in-
therapist: Okay.
client: -and I had already been drinking then. Um, I've been really trying not to, but, you know, weekends come around, and, um, all my friends are kind of partying and stuff, and it's been hard to, like, break that habit.
therapist: Mm-hmm. So, there's this external pressure coming from the people you care about to sort of stay in the scene.
client: A little bit. I think if I- if I talk to them, it would be fine, but it's-it's weird, right? Like I'm the only one of my friends that's, like, taking this step and having a kid, and they don't really know how to handle that. | Kind of feels like You're between two worlds. In one world, you're preparing to be a mother and bring a baby into this world, and this other world is the world that you've been in for a while where you're kind of having a good time and- |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah.
therapist: -drinking and your friends are-
client: Yeah, like, I'm- I'm still, like, I'm only in my 20s, and-and for everyone else, it's like, "Okay, it's party time," and now I kind of have to, like, break out of that.
therapist: Okay. So, this party-time world's- are you feeling like this is something you want to move out of and move into that mom world? Or does it feel like I want to hang out there still too?
client: There's, yeah, there's part of me that still wants to live that out because I'm not going to have another chance, like once this kid comes, it's-it's going to be over. I know I'm gonna- I know I'm going to have to change. | So, for you, you're feeling like once the baby comes and actually in your arms, then things are going to change, but right now, while you're pregnant, you're thinking, "I can kind of hang out in both worlds a little bit," but part of you may be thinking maybe that's not the case. It's time to go to the mom world maybe. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: There's, yeah, there's part of me that still wants to live that out because I'm not going to have another chance, like once this kid comes, it's-it's going to be over. I know I'm gonna- I know I'm going to have to change.
therapist: So, for you, you're feeling like once the baby comes and actually in your arms, then things are going to change, but right now, while you're pregnant, you're thinking, "I can kind of hang out in both worlds a little bit," but part of you may be thinking maybe that's not the case. It's time to go to the mom world maybe.
client: Yeah. Probably. And I'm also feeling like it's too late. I already screwed it up.
therapist: Okay. So, you've got a lot of concerns about what's happened to- up until this point, as far as your drinking. What do you know about, um, drinking alcohol throughout pregnancy?
client: Well, I know, like, they say not to, but I thought because my friends didn't really care, I thought, "Okay. Like maybe-maybe it doesn't matter. Maybe it's just what they tell you." Just like drinking, in general, is bad. | So, you were thinking because your-your friends weren't pressuring you to stop drinking, that-that it must be okay. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah. Probably. And I'm also feeling like it's too late. I already screwed it up.
therapist: Okay. So, you've got a lot of concerns about what's happened to- up until this point, as far as your drinking. What do you know about, um, drinking alcohol throughout pregnancy?
client: Well, I know, like, they say not to, but I thought because my friends didn't really care, I thought, "Okay. Like maybe-maybe it doesn't matter. Maybe it's just what they tell you." Just like drinking, in general, is bad.
therapist: So, you were thinking because your-your friends weren't pressuring you to stop drinking, that-that it must be okay.
client: Yeah. | And then there's this other part of you that's- was thinking maybe it's not okay. |