Datasets:

michelleyunun

/

therapydata

like 15

56

more exercise / increasing activity

therapist

Mm.

other

n/a

56

more exercise / increasing activity

client

-any way to tell anybody.

n/a

neutral

56

more exercise / increasing activity

therapist

Good. Well, you've got some good plans and we'll go check it out and make sure they happen.

other

n/a

56

more exercise / increasing activity

client

Okay.

n/a

neutral

56

more exercise / increasing activity

therapist

All right. Thanks.

other

n/a

57

taking medicine / following medical procedure

therapist

Mr. Johnson?

question

n/a

57

taking medicine / following medical procedure

client

Yeah?

n/a

neutral

57

taking medicine / following medical procedure

therapist

Uh, I'm here to talk to you about, uh, your cholesterol and the, um, medicine your doctor prescribed.

other

n/a

57

taking medicine / following medical procedure

client

Uh, I talked with my doctor about my medicine. That's his job.

n/a

sustain

57

taking medicine / following medical procedure

therapist

But well, it's my job too, uh, to-to help you understand how to use your medicine and, uh, give you information about getting the most benefits from it.

other

n/a

57

taking medicine / following medical procedure

client

Well, to be honest with you, I'm not even certain I'm going to take the medicine. Now, I know I got high cholesterol, I've got to get that down, but on the other hand, this medicine can cause some severe muscle weakness and I just can't afford that. I'm a truck driver and I haul those heavy boxes in on the dollies and I just can't afford that, so you know.

n/a

sustain

57

taking medicine / following medical procedure

therapist

So your-your-your doctor told you that if your cholesterol remains elevated, you're at risk of stroke or heart attack?

therapist_input

n/a

57

taking medicine / following medical procedure

client

Yeah, down the line, but-

n/a

sustain

57

taking medicine / following medical procedure

therapist

Okay. Well, the-the side effect is something that's very, very rare, it's not really something you need to worry about, and the risk of stroke or heart attack is much worse.

therapist_input

n/a

57

taking medicine / following medical procedure

client

Well, right now it's the muscle weakness that-that I'm concerned about, and that's, uh, you know, that's the present, uh, I've got to do my job.

n/a

sustain

57

taking medicine / following medical procedure

therapist

Well, I-I-I understand that. Um, but like I said, it's very rare. If you feel some muscle weakness, you'll let your doctor know. It's not permanent, okay? Yeah, it won't get to the blood- it won't get to the point where it affects your job—

therapist_input

n/a

57

taking medicine / following medical procedure

client

Well, you know- why don't you just give me the medicine, I'll take it home and I'll think about it? But you know, I'm worried about my job.

n/a

sustain

57

taking medicine / following medical procedure

therapist

You- you really need to take it, and-and like I said, the-the muscle weakness is rare. If you feel muscle weakness, just let your doctor know. He can take you off or switch. It's not permanent.

therapist_input

n/a

57

taking medicine / following medical procedure

client

Sure. Fine. Just—

n/a

change

57

taking medicine / following medical procedure

therapist

It's-it's not permanent.

other

n/a

57

taking medicine / following medical procedure

client

Whatever.

n/a

neutral

57

taking medicine / following medical procedure

therapist

Okay? So a stroke or heart attack is much worse, so make sure you go ahead and pick up your medicine as you're on your way out and, uh, one-one every day to get your cholesterol down.

therapist_input

n/a

57

taking medicine / following medical procedure

client

Okay, sure. Fine.

n/a

change

57

taking medicine / following medical procedure

therapist

Okay.

other

n/a

58

more exercise / increasing activity

therapist

Hi, Scott.

other

n/a

58

more exercise / increasing activity

client

Hi.

n/a

neutral

58

more exercise / increasing activity

therapist

Hi. You were saying over the phone, uh, you want to talk about exercise?

question

n/a

58

more exercise / increasing activity

client

Yeah.

n/a

neutral

58

more exercise / increasing activity

therapist

Okay, alright. Where would you like to start with that?

question

n/a

58

more exercise / increasing activity

client

Well, I'm, uh, I-I used to work out pretty good. I-I would go to the gym several times a week. I had kind of a schedule, um—

n/a

neutral

58

more exercise / increasing activity

therapist

That's really a lot. Very good.

reflection

n/a

58

more exercise / increasing activity

client

Yeah, well, you know, it really-- At-at one time, I was running-- I ran a half marathon. I was really into it, and, uh--.

n/a

neutral

58

more exercise / increasing activity

therapist

Wow.

other

n/a

58

more exercise / increasing activity

client

Well, and I-- But I was working at a different company, where I had a little bit different schedule, a little more free time than I have now, so I just don't have the time like I used to.

n/a

sustain

58

more exercise / increasing activity

therapist

Mm-hmm.

other

n/a

58

more exercise / increasing activity

client

And I-- And really, it's kind of an excuse, I guess, cause I-I could probably make the time, but it's-it's easier to just keep working or-

n/a

change

58

more exercise / increasing activity

therapist

Mm-hmm.

other

n/a

58

more exercise / increasing activity

client

-just being in bed or whatever.

n/a

neutral

58

more exercise / increasing activity

therapist

But that goal of the half-marathon, you know, it's really important that you were willing to put all the time into getting ready for it, which, from what I've heard from other people, is almost like a job in and of itself.

reflection

n/a

58

more exercise / increasing activity

client

I-it was. A-and it was huge for me cause I'd never really been a runner, you know, but it-it was very motivating, and-and—

n/a

change

58

more exercise / increasing activity

therapist

What'd you like about it?

question

n/a

58

more exercise / increasing activity

client

I don't know. I guess there's kind of an adrenaline rush to it. Kinda almost like, you know, uh, kind of a high, I guess.

n/a

change

58

more exercise / increasing activity

therapist

Uh-huh.

other

n/a

58

more exercise / increasing activity

client

So yeah-- That's-- I-I really enjoyed it. And I-I liked the feeling that I was doing something good for myself. I liked that, too. I-it kind of-- It so-- It gave me a little bit of self-esteem, I guess.

n/a

change

58

more exercise / increasing activity

therapist

I-it a-almost, um, feels like you identified as being a runner, like an athlete?

reflection

n/a

58

more exercise / increasing activity

client

I-I subscribed to the magazine a while.

n/a

neutral

58

more exercise / increasing activity

therapist

Do you really?

question

n/a

58

more exercise / increasing activity

client

I did.

n/a

change

58

more exercise / increasing activity

therapist

[unintelligible 00:01:40]

other

n/a

58

more exercise / increasing activity

client

I let-- I lit it on fire but I-

n/a

neutral

58

more exercise / increasing activity

therapist

Okay.

other

n/a

58

more exercise / increasing activity

client

-I did burn for a time.

n/a

neutral

58

more exercise / increasing activity

therapist

Got into the culture?

reflection

n/a

58

more exercise / increasing activity

client

I got into the whole culture. I was-- I-I felt as good as I’ve felt in many, many years. And now I’ve kind of let that all slide, and-- Well, I had a foot injury, too, which kind of started the whole problem.

n/a

change

58

more exercise / increasing activity

therapist

Okay, alright. Cause it’s tough, it's really, it is. I mean I’ve, um, I’m sure you’ve been told before by whomever, uh, diagnosed your foot injury, but if not, let me know if it gets so tough on your body [unintelligible 00:02:10] let me know. So--

other

n/a

58

more exercise / increasing activity

client

It-it is. And I-- it-it may be why I can’t really run again, but I can certainly, you know, ride a stationary bike-

n/a

change

58

more exercise / increasing activity

therapist

Okay.

other

n/a

58

more exercise / increasing activity

client

-and do all the other things in a gym that you can do when you’re not running, so, it just nakes you to [unintelligible 00:02:23]

n/a

change

58

more exercise / increasing activity

therapist

Oh, and yet and at the same time you know your body well enough, and you-you’re willing to pay attention to your doctor’s advice about the running, right now, for you, not the best thing. Um, so, riding a stationary bike. Um, what else do you like to do that's cardiovascular?

question

n/a

58

more exercise / increasing activity

client

Um, well, um, I like-- The bike is pretty good. Uh, even the uh, you know, the kind of a rolling machine is okay. And the uh, the elliptical. Any of that’s fine. I-I really don’t, uh-- I don’t dislike any of it. Kind of once you get into the rhythm, yeah, it’s fine

n/a

change

58

more exercise / increasing activity

therapist

If you were to pick one of those, which one do you enjoy the most, um, would be most likely to do?

question

n/a

58

more exercise / increasing activity

client

Probably the elliptical.

n/a

change

58

more exercise / increasing activity

therapist

The elliptical. Okay. Yeah. [unintelligible 00:03:07] like kind of almost like running.

other

n/a

58

more exercise / increasing activity

client

Well, it is.

n/a

change

58

more exercise / increasing activity

therapist

[chuckles].

other

n/a

58

more exercise / increasing activity

client

It is without any of the impact, so it is true.

n/a

change

58

more exercise / increasing activity

therapist

Okay. And-and what do you- do you-- Some folks, you know, [unintelligible 00:03:18] put on music, kind of- kind of.

other

n/a

58

more exercise / increasing activity

client

Yeah, I do headphones.

n/a

neutral

58

more exercise / increasing activity

therapist

Yeah.

other

n/a

58

more exercise / increasing activity

client

I got my headphones, and I got my, uh, kind of [unintelligible 00:03:24], if you know what I mean

n/a

neutral

58

more exercise / increasing activity

therapist

Okay. Get your rocking out, running on the elliptical playlist.

reflection

n/a

58

more exercise / increasing activity

client

Yeah

n/a

neutral

58

more exercise / increasing activity

therapist

And, um, so you were-- You said that you’ve been going several times a week, which is really an extraordinary number, I-I think it’s four, five times a week?

question

n/a

58

more exercise / increasing activity

client

Yeah. I was going literally every other day, you know. And then, some days I would, you know, I’d run, and I’d go to the gym the next day, so I would-- I was very-- I don’t really feel it necessary to get back to that level, but I need to do something cause I’m doing nothing right now.

n/a

change

58

more exercise / increasing activity

therapist

Nothing. Okay.

reflection

n/a

58

more exercise / increasing activity

client

I should-- Or next to nothing. I walk to the grocery store or whatever’s handy when I have time, but yeah.

n/a

neutral

58

more exercise / increasing activity

therapist

So what ideas do you have about initially just getting started, and what-what would you do [unintelligible 00:04:13] ?

question

n/a

58

more exercise / increasing activity

client

Well, if I could just get myself over there once, 'cause usually that’s the hardest thing. It’s just going there. So I think that's-- You know, I’ve thought about it a little bit, I think I just need to make that first trip over there and just kind of to take it easy that first time. Just show up 'cause I think that’s really what I need to do. I justt need to go over there.

n/a

change

58

more exercise / increasing activity

therapist

What would help you do that?

question

n/a

58

more exercise / increasing activity

client

Um, knowing that my schedule isn’t gonna be too crazy that day where I could spare an hour or so, and-and just go do it.

n/a

change

58

more exercise / increasing activity

therapist

Mm-hmm.

other

n/a

58

more exercise / increasing activity

client

And then I-- [unintelligible 00:04:41] kinda nice [unintelligible 00:4:42] gonna be troublesome.

n/a

neutral

58

more exercise / increasing activity

therapist

[unintelligible 00:04:45]?

other

n/a

58

more exercise / increasing activity

client

Um, I don’t know. I think- I think the time has just been the biggest thing, you know, and-and I-I guess the motivation really hasn’t been there. I mean, you know, it’s not like- I don’t really have a goal. I don’t really have a, you know I don't, other than maybe reducing my waistline, you know, I don't really have a-a set number like I'm gonna run a marathon and you know.

n/a

change

58

more exercise / increasing activity

therapist

Mm-hmm.

other

n/a

58

more exercise / increasing activity

client

You know, so I think the just running off the playlist. I-I guess maybe if I made a goal would helped too.

n/a

change

58

more exercise / increasing activity

therapist

Mm-hmm- mm-hmm. So that-that-that half marathon was, uh, a very specific concrete thing and you could envision yourself, and you're ready for it and the day of and all that kinda stuff.

reflection

n/a

58

more exercise / increasing activity

client

Yeah.

n/a

neutral

58

more exercise / increasing activity

therapist

Um.

other

n/a

58

more exercise / increasing activity

client

Plus there's people who have done that countless times and you can go read what their-

n/a

change

58

more exercise / increasing activity

therapist

Mm-hmm.

other

n/a

58

more exercise / increasing activity

client

-regimen was so you get feedback too. And then [unintelligible 00:05:37] did this from this day and so on.

n/a

change

58

more exercise / increasing activity

therapist

So sometimes-- almost sounds like, um, your feedback would be, uh, useful to you. Like some immediate feedback in terms of like, um, like [inaudible 00:05:53]

reflection

n/a

58

more exercise / increasing activity

client

Yeah. Maybe.

n/a

change

58

more exercise / increasing activity

therapist

[inaudible 00:05:55]

other

n/a

58

more exercise / increasing activity

client

That might not be be a bad idea. [inaudible 00:05:59]

n/a

change

58

more exercise / increasing activity

therapist

[inaudible 00:06:01]

other

n/a

58

more exercise / increasing activity

therapist

-somebody there and, you know, hooking up with somebody.

therapist_input

n/a

58

more exercise / increasing activity

client

I think that'd be great. I-I never have really found anybody that like to exercise with the pace that I wanted to. They were all either going way too fast or not even moving at all.

n/a

change

58

more exercise / increasing activity

therapist

Okay.

other

n/a