michelleyunun/therapydata · Datasets at Hugging Face

transcript_id stringlengths 1 2	topic stringclasses 27 values	interlocutor stringclasses 2 values	utterance_text stringlengths 3 732	main_therapist_behaviour stringclasses 5 values	client_talk_type stringclasses 4 values
14	weight loss	therapist	Okay.	other	n/a
14	weight loss	client	And like be able to look nice, you know.	n/a	change
14	weight loss	therapist	Okay, all right.	other	n/a
14	weight loss	client	I wanna be able to look nice.	n/a	change
14	weight loss	therapist	Okay. So, what would help increase that confidence? What-- Because that sounds like where we really need to focus on. What's gonna help you feel more confident about this?	question	n/a
14	weight loss	client	I don't even really know-	n/a	neutral
14	weight loss	therapist	Mm-hmm.	other	n/a
14	weight loss	client	-honestly. Like, I mean, I know I'm gonna have to keep like telling myself like-	n/a	change
14	weight loss	therapist	Mm-hmm.	other	n/a
14	weight loss	client	-like this is something that you want- that you've wanted-	n/a	change
14	weight loss	therapist	Uh-huh.	other	n/a
14	weight loss	client	-for years.	n/a	change
14	weight loss	therapist	Uh-huh.	other	n/a
14	weight loss	client	Like, you can do it. Because like-	n/a	change
14	weight loss	therapist	Okay.	other	n/a
14	weight loss	client	I know I can do it. Like I can do anything.	n/a	change
14	weight loss	therapist	All right.	other	n/a
14	weight loss	client	I can do anything-	n/a	change
14	weight loss	therapist	All right.	other	n/a
14	weight loss	client	-I know that. But it's hard getting to the point where I-	n/a	sustain
14	weight loss	therapist	Okay.	other	n/a
14	weight loss	client	-do something.	n/a	sustain
14	weight loss	therapist	All right. Well, if it's okay, just for a moment, let's put the- let's put the changing the eating pattern off to the side, and let's take a look at some other time in your life that there was something you really wanted to accomplish and you did. And what is it about you- what was it about you? What kind of strengths did you bring to the table that allowed you to tackle something that felt like a challenge and-and allowed you to be successful?	question	n/a
15	smoking cessation	therapist	Can I help you?	question	n/a
15	smoking cessation	client	Uh, yeah. I just got off work, and apparently, they're going smoke-free, so I'm-- I-I thought I'd stop by the pharmacy here and see what my options are. Some of my friends have tried nicotine patches and the-- they say they don't work really well. I don't really wanna quit smoking, I just need something to get me through the day.	n/a	sustain
15	smoking cessation	therapist	So you want nicotine replacement, but you don't wanna quit smoking?	reflection	n/a
15	smoking cessation	client	Maybe like da-- during the day nicotine replacement. Is that-- I mean, do you have anything like that?	n/a	change
15	smoking cessation	therapist	We don't really recommend that. The idea is you would use the nicotine replacement to actually quit, so then you wouldn't be smoking at work, but you also wouldn't be smoking the rest of the time either.	therapist_input	n/a
15	smoking cessation	client	Well, I don't really wanna quit. I mean, I like smoking. I like go-- after work, I have a beer with my friends, and I'll smoke cigarettes. I mean, it's not really a big deal. Cigarettes aren't that bad. I mean, I know that the-- it's popular to say that smoking is bad for you but, you know, I like it, so I'm gonna be doing it.	n/a	sustain
15	smoking cessation	therapist	Okay. Well, smoking really is really bad for you, you know. It causes things like lung cancer, emphysema, heart disease-	therapist_input	n/a
15	smoking cessation	client	Yeah, yeah. Okay.	n/a	neutral
15	smoking cessation	therapist	-oral diseases.	therapist_input	n/a
15	smoking cessation	client	Okay. Well, what are my options? You know, assuming that I'm right, what are my options?	n/a	neutral
15	smoking cessation	therapist	Well, to be honest with you, you mentioned the patch. I can't recommend a patch to you if you're gonna continue smoking. That can actually be pretty dangerous for you. In order to advise you about this at all, I need you to tell me a little bit more about your smoking history and how much you're smoking now.	therapist_input	n/a
15	smoking cessation	client	Well, I mean, I s-- I-I-I smoke barely a pack a day. I mean, I've probably smoked for about five or six years now. It's not really a lot of cigarettes, but it's sort of hard to get through the day at work.	n/a	sustain
15	smoking cessation	therapist	Okay. Well, we actually consider 20 cigarettes a day to be a significant amount, and in fact, I would then recommend to you that you would start on the highest dose of nicotine replacement.	therapist_input	n/a
15	smoking cessation	client	Sounds good to me. The more nicotine, the better. Is it like gum or something? Could I chew it like while I'm in the office? That sounds pretty great. I mean, do you have—	n/a	sustain
15	smoking cessation	therapist	Well, there are some products that you could use to take away some of your cravings, and probably the gum would be the best option for you. It's not something you would continue to use continuously throughout the day, however, but gum is something you use just when you have a craving.	therapist_input	n/a
15	smoking cessation	client	Oh. Okay. Well, where is that?	n/a	neutral
15	smoking cessation	therapist	Well, we have that here, but again, the-the idea would be for you to actually quit smoking.	therapist_input	n/a
15	smoking cessation	client	Well, I-- [sighs] I'm probably not gonna buy anything today. I mean, I just came by to see what my options are. I-- if-- thanks for the input. I mean, do you have anything else, do you have any other advice for me?	n/a	neutral
15	smoking cessation	therapist	Well, aside from the gum, you could try the nicotine lozenge, that would be another option for you. Again, that's not something you'd wanna use continuously throughout the day. The nicotine patch is the best for continuous nicotine replacement, but again, that's not something you can use while you're continuing to smoke.	therapist_input	n/a
15	smoking cessation	client	Oh, well. Okay. Well, thanks. I mean, I guess that helps a little bit. I'll-- maybe I'll be back later. Thanks.	n/a	neutral
15	smoking cessation	therapist	Okay.	other	n/a
16	reducing alcohol consumption	therapist	So, Rick, just in regards to your flatmate situation at the moment with Tristan. Uh, you know, we talked about how walking through this program and with the support of your parents and having some positive influence to help you through this. I just want to rethink a bit if you stay living with Tristan. What are the sort of pros and cons of that? What are the good things about living there, what are the not-so-good things about living there?	question	n/a
16	reducing alcohol consumption	client	Oh, it's a nice place. It's close to work. It's good living with a mate.	n/a	neutral
16	reducing alcohol consumption	therapist	Yeah. So, in terms of being supportive and a sort of support you're gonna need to make these changes.	therapist_input	n/a
16	reducing alcohol consumption	client	Yeah.	n/a	neutral
16	reducing alcohol consumption	therapist	What's your thinking around that?	question	n/a
16	reducing alcohol consumption	client	That's the thing, isn't it? I am-- I don't know if it's the best place for me to be if I'm gonna make those changes.	n/a	change
16	reducing alcohol consumption	therapist	Mm-hmm.	other	n/a
16	reducing alcohol consumption	client	And Tristan is a good flatmate.	n/a	sustain
16	reducing alcohol consumption	therapist	Yeah.	other	n/a
16	reducing alcohol consumption	client	I have no-- We're going in different-different directions now. He doesn't have the same kind of responsibilities I have and stuff, and so-- And I can't expect him to change his whole life around, just because I wanna change mine.	n/a	change
16	reducing alcohol consumption	therapist	Right.	other	n/a
16	reducing alcohol consumption	client	I just-- I don't know how keen I am to move in with my- with my aunty and uncle, though.	n/a	neutral
16	reducing alcohol consumption	therapist	Okay. You're good to explore, but I just want to ask you about, how much does Chris-Christian-Christian know-- Tristan know about you changing your life? What does he really know about the changes you wanna make?	question	n/a
16	reducing alcohol consumption	client	I sit down and talk with him, asked him for, um, for support and stuff and he's fully, he says fully he'll be there for me. But, like I said, he's, um, he's in a different place in his life than I am in mine.	n/a	change
16	reducing alcohol consumption	therapist	Mm-hmm.	other	n/a
16	reducing alcohol consumption	client	He doesn't have kids.	n/a	neutral
16	reducing alcohol consumption	therapist	Right.	other	n/a
16	reducing alcohol consumption	client	He doesn't-- I don't know if he can really understand what it means to me. Um, he's a good mate.	n/a	neutral
16	reducing alcohol consumption	therapist	Okay. What are some of the pros and cons about moving in with whāna, moving in with your auntie and uncle?	question	n/a
16	reducing alcohol consumption	client	The food would be good. Um, I get- I get support with-- my whānau is really supportive, but I'm- I'm worried about losing- I'm worried about losing my freedom. I'm worried about, um, about them taking over, or, you know what I mean? I have a freedom where I am now, I'm in charge of myself. That would probably be really good.	n/a	neutral
16	reducing alcohol consumption	therapist	In terms of that freedom and in charge of yourself, and the changes that we're talking about, and building your own family, and to enable you to do that, where do some of that freedom stuff sit with re-engaging back with your whānau and your children, your partner? Is it something you're gonna wanna hang on to, or how you're going to manage that?	question	n/a
16	reducing alcohol consumption	client	I don't wanna hang on to freedom if it this- if it means that I lose my kids. Um, I'm just, uh, I'm just worried about-- I'm worried about if I move in with family, that they, even if their intentions are good-	n/a	change
16	reducing alcohol consumption	therapist	Mm-hmm.	other	n/a
16	reducing alcohol consumption	client	I don't know. I'll do anything to get my kids back.	n/a	change
17	reducing alcohol consumption	therapist	Okay, so I'm just gonna ask you a couple of more background questions.	therapist_input	n/a
17	reducing alcohol consumption	client	Okay.	n/a	neutral
17	reducing alcohol consumption	therapist	Do you use any tobacco products, or smoke cigarettes?	question	n/a
17	reducing alcohol consumption	client	No, I would bum cigarettes in college, but I was never a smoker.	n/a	neutral
17	reducing alcohol consumption	therapist	Okay. How about in the last year?	question	n/a
17	reducing alcohol consumption	client	No, not really anything.	n/a	neutral
17	reducing alcohol consumption	therapist	Okay. And how often do you have a drink containing alcohol?	question	n/a
17	reducing alcohol consumption	client	Um, a few times a week. Uh, Wednesdays, I'll go to happy hour and have about two or three. And then, um, Thursdays, seven, um, seven or eight. Fridays, probably just a couple of glasses of wine with dinner. Um, but Saturdays are bigger night. And I would probably have a few drinks before I went to the bar. And then have four or five at when-when I was out. So—	n/a	neutral
17	reducing alcohol consumption	therapist	Okay. So it sounds like you're drinking about four times a week, anywhere between three and eight drinks on a given day. So, maybe around 20 drinks a week?	question	n/a
17	reducing alcohol consumption	client	I guess, it sounds like a lot when you say [chuckles] like that. But yeah.	n/a	neutral
17	reducing alcohol consumption	therapist	Okay. Do you use any street drugs like any marijuana, cocaine, heroin?	question	n/a
17	reducing alcohol consumption	client	No. I-I smoked weed in college, but just a little bit. I wasn't a regular smoker.	n/a	sustain
17	reducing alcohol consumption	therapist	Do you, um, do you ever use any prescription medicines that were not prescribed for you, or ever use your own prescriptions in a way on which they were not prescribed?	question	n/a
17	reducing alcohol consumption	client	No.	n/a	neutral
17	reducing alcohol consumption	therapist	Okay. So, you know, as we said before, you're drinking-- it sounds like you're drinking about 20 drinks a week, over the course of a few days. And I did want to point out to you that the recommended limit for women is actually no more than seven drinks a week, and no more than three on a given day.	therapist_input	n/a
17	reducing alcohol consumption	client	Okay.	n/a	neutral
17	reducing alcohol consumption	therapist	So you're doing more than that right now. And when you drink more than this amount, it puts you at risk for a number of things, okay? Things like greater risk of injury, damage to different parts of your body, um, just a bunch of different problems. And, uh-- so I'm going to recommend that you cut down- cut down that amount to the recommended limit. Again, that's no more than seven drinks a week and no more than three on a given day. Do you think you could do that? Would that be a good goal for you?	therapist_input	n/a
17	reducing alcohol consumption	client	That's a lot to change. I don't know.	n/a	sustain
17	reducing alcohol consumption	therapist	Yeah, I know that making changes isn't always easy. But when you drink more than what's recommended, it creates problems. You know, you said you hurt your ankle when you came out of the bar this time.	reflection	n/a
17	reducing alcohol consumption	client	I mean, the stairs were really steep. So—	n/a	sustain
17	reducing alcohol consumption	therapist	Yeah. Well, it's possible you strained your ankle as a result of the alcohol. You know, it can actually affect your balance and stability. So, really, you know, for where you are right now, you're drinking a good amount more than what's recommended. And, you know, I want you to be healthy. And I don't want to see you coming back in here for something else. So I'm really gonna recommend that you try to cut down to that amount. So, do you think you could do that, cut down to no more than three drinks on a given day?	therapist_input	n/a
17	reducing alcohol consumption	client	Where are these limits from? Um, old- an older population? Because, uh, I drink just as much as my friends do. I mean, everybody drinks like I drink. I'm not even the biggest drinker in my group. So I'm pretty middle of the road.	n/a	sustain
17	reducing alcohol consumption	therapist	So, it sounds like, you know, the amount you drink is pretty normal-	reflection	n/a
17	reducing alcohol consumption	client	Yeah.	n/a	neutral
17	reducing alcohol consumption	therapist	-amongst the people you typically drink with. But these limits are-- they're actually recommended for all adults. And studies have shown that when you drink more than this, it creates a bunch of problems like we talked about. So, you know, why do you think you drink the amount you drink?	therapist_input	n/a
17	reducing alcohol consumption	client	I don't know. It's what we do. It's-- this is how we have fun, I guess. It is fun.	n/a	sustain
17	reducing alcohol consumption	therapist	Well, I think you can still have fun within these amounts. So that's what I'm gonna recommend. Um, I think this is a really good goal, and hopefully, we won't see any more injuries. Okay? So why don't you try that?	therapist_input	n/a
17	reducing alcohol consumption	client	Okay.	n/a	neutral
17	reducing alcohol consumption	therapist	All right. Thank you so much.	other	n/a
17	reducing alcohol consumption	client	Thanks.	n/a	neutral
18	reducing gambling	therapist	So I get a sense it's a little anxious being here today and, uh, meeting someone like me, and, um, what we're gonna be doing today is-is inducting, but also I wanna talk about, um, yeah, the issues that-that have got you here and we need to do some sorting out around, um, yeah how serious you are to sort of sort those issues. So?	reflection	n/a
18	reducing gambling	client	I don't really know what issues I need to sort.	n/a	neutral

14

weight loss

therapist

Okay.

other

n/a

14

weight loss

client

And like be able to look nice, you know.

n/a

change

14

weight loss

therapist

Okay, all right.

other

n/a

14

weight loss

client

I wanna be able to look nice.

n/a

change

14

weight loss

therapist

Okay. So, what would help increase that confidence? What-- Because that sounds like where we really need to focus on. What's gonna help you feel more confident about this?

question

n/a

14

weight loss

client

I don't even really know-

n/a

neutral

14

weight loss

therapist

Mm-hmm.

other

n/a

14

weight loss

client

-honestly. Like, I mean, I know I'm gonna have to keep like telling myself like-

n/a

change

14

weight loss

therapist

Mm-hmm.

other

n/a

14

weight loss

client

-like this is something that you want- that you've wanted-

n/a

change

14

weight loss

therapist

Uh-huh.

other

n/a

14

weight loss

client

-for years.

n/a

change

14

weight loss

therapist

Uh-huh.

other

n/a

14

weight loss

client

Like, you can do it. Because like-

n/a

change

14

weight loss

therapist

Okay.

other

n/a

14

weight loss

client

I know I can do it. Like I can do anything.

n/a

change

14

weight loss

therapist

All right.

other

n/a

14

weight loss

client

I can do anything-

n/a

change

14

weight loss

therapist

All right.

other

n/a

14

weight loss

client

-I know that. But it's hard getting to the point where I-

n/a

sustain

14

weight loss

therapist

Okay.

other

n/a

14

weight loss

client

-do something.

n/a

sustain

14

weight loss

therapist

All right. Well, if it's okay, just for a moment, let's put the- let's put the changing the eating pattern off to the side, and let's take a look at some other time in your life that there was something you really wanted to accomplish and you did. And what is it about you- what was it about you? What kind of strengths did you bring to the table that allowed you to tackle something that felt like a challenge and-and allowed you to be successful?

question

n/a

15

smoking cessation

therapist

Can I help you?

question

n/a

15

smoking cessation

client

Uh, yeah. I just got off work, and apparently, they're going smoke-free, so I'm-- I-I thought I'd stop by the pharmacy here and see what my options are. Some of my friends have tried nicotine patches and the-- they say they don't work really well. I don't really wanna quit smoking, I just need something to get me through the day.

n/a

sustain

15

smoking cessation

therapist

So you want nicotine replacement, but you don't wanna quit smoking?

reflection

n/a

15

smoking cessation

client

Maybe like da-- during the day nicotine replacement. Is that-- I mean, do you have anything like that?

n/a

change

15

smoking cessation

therapist

We don't really recommend that. The idea is you would use the nicotine replacement to actually quit, so then you wouldn't be smoking at work, but you also wouldn't be smoking the rest of the time either.

therapist_input

n/a

15

smoking cessation

client

Well, I don't really wanna quit. I mean, I like smoking. I like go-- after work, I have a beer with my friends, and I'll smoke cigarettes. I mean, it's not really a big deal. Cigarettes aren't that bad. I mean, I know that the-- it's popular to say that smoking is bad for you but, you know, I like it, so I'm gonna be doing it.

n/a

sustain

15

smoking cessation

therapist

Okay. Well, smoking really is really bad for you, you know. It causes things like lung cancer, emphysema, heart disease-

therapist_input

n/a

15

smoking cessation

client

Yeah, yeah. Okay.

n/a

neutral

15

smoking cessation

therapist

-oral diseases.

therapist_input

n/a

15

smoking cessation

client

Okay. Well, what are my options? You know, assuming that I'm right, what are my options?

n/a

neutral

15

smoking cessation

therapist

Well, to be honest with you, you mentioned the patch. I can't recommend a patch to you if you're gonna continue smoking. That can actually be pretty dangerous for you. In order to advise you about this at all, I need you to tell me a little bit more about your smoking history and how much you're smoking now.

therapist_input

n/a

15

smoking cessation

client

Well, I mean, I s-- I-I-I smoke barely a pack a day. I mean, I've probably smoked for about five or six years now. It's not really a lot of cigarettes, but it's sort of hard to get through the day at work.

n/a

sustain

15

smoking cessation

therapist

Okay. Well, we actually consider 20 cigarettes a day to be a significant amount, and in fact, I would then recommend to you that you would start on the highest dose of nicotine replacement.

therapist_input

n/a

15

smoking cessation

client

Sounds good to me. The more nicotine, the better. Is it like gum or something? Could I chew it like while I'm in the office? That sounds pretty great. I mean, do you have—

n/a

sustain

15

smoking cessation

therapist

Well, there are some products that you could use to take away some of your cravings, and probably the gum would be the best option for you. It's not something you would continue to use continuously throughout the day, however, but gum is something you use just when you have a craving.

therapist_input

n/a

15

smoking cessation

client

Oh. Okay. Well, where is that?

n/a

neutral

15

smoking cessation

therapist

Well, we have that here, but again, the-the idea would be for you to actually quit smoking.

therapist_input

n/a

15

smoking cessation

client

Well, I-- [sighs] I'm probably not gonna buy anything today. I mean, I just came by to see what my options are. I-- if-- thanks for the input. I mean, do you have anything else, do you have any other advice for me?

n/a

neutral

15

smoking cessation

therapist

Well, aside from the gum, you could try the nicotine lozenge, that would be another option for you. Again, that's not something you'd wanna use continuously throughout the day. The nicotine patch is the best for continuous nicotine replacement, but again, that's not something you can use while you're continuing to smoke.

therapist_input

n/a

15

smoking cessation

client

Oh, well. Okay. Well, thanks. I mean, I guess that helps a little bit. I'll-- maybe I'll be back later. Thanks.

n/a

neutral

15

smoking cessation

therapist

Okay.

other

n/a

16

reducing alcohol consumption

therapist

So, Rick, just in regards to your flatmate situation at the moment with Tristan. Uh, you know, we talked about how walking through this program and with the support of your parents and having some positive influence to help you through this. I just want to rethink a bit if you stay living with Tristan. What are the sort of pros and cons of that? What are the good things about living there, what are the not-so-good things about living there?

question

n/a

16

reducing alcohol consumption

client

Oh, it's a nice place. It's close to work. It's good living with a mate.

n/a

neutral

16

reducing alcohol consumption

therapist

Yeah. So, in terms of being supportive and a sort of support you're gonna need to make these changes.

therapist_input

n/a

16

reducing alcohol consumption

client

Yeah.

n/a

neutral

16

reducing alcohol consumption

therapist

What's your thinking around that?

question

n/a

16

reducing alcohol consumption

client

That's the thing, isn't it? I am-- I don't know if it's the best place for me to be if I'm gonna make those changes.

n/a

change

16

reducing alcohol consumption

therapist

Mm-hmm.

other

n/a

16

reducing alcohol consumption

client

And Tristan is a good flatmate.

n/a

sustain

16

reducing alcohol consumption

therapist

Yeah.

other

n/a

16

reducing alcohol consumption

client

I have no-- We're going in different-different directions now. He doesn't have the same kind of responsibilities I have and stuff, and so-- And I can't expect him to change his whole life around, just because I wanna change mine.

n/a

change

16

reducing alcohol consumption

therapist

Right.

other

n/a

16

reducing alcohol consumption

client

I just-- I don't know how keen I am to move in with my- with my aunty and uncle, though.

n/a

neutral

16

reducing alcohol consumption

therapist

Okay. You're good to explore, but I just want to ask you about, how much does Chris-Christian-Christian know-- Tristan know about you changing your life? What does he really know about the changes you wanna make?

question

n/a

16

reducing alcohol consumption

client

I sit down and talk with him, asked him for, um, for support and stuff and he's fully, he says fully he'll be there for me. But, like I said, he's, um, he's in a different place in his life than I am in mine.

n/a

change

16

reducing alcohol consumption

therapist

Mm-hmm.

other

n/a

16

reducing alcohol consumption

client

He doesn't have kids.

n/a

neutral

16

reducing alcohol consumption

therapist

Right.

other

n/a

16

reducing alcohol consumption

client

He doesn't-- I don't know if he can really understand what it means to me. Um, he's a good mate.

n/a

neutral

16

reducing alcohol consumption

therapist

Okay. What are some of the pros and cons about moving in with whāna, moving in with your auntie and uncle?

question

n/a

16

reducing alcohol consumption

client

The food would be good. Um, I get- I get support with-- my whānau is really supportive, but I'm- I'm worried about losing- I'm worried about losing my freedom. I'm worried about, um, about them taking over, or, you know what I mean? I have a freedom where I am now, I'm in charge of myself. That would probably be really good.

n/a

neutral

16

reducing alcohol consumption

therapist

In terms of that freedom and in charge of yourself, and the changes that we're talking about, and building your own family, and to enable you to do that, where do some of that freedom stuff sit with re-engaging back with your whānau and your children, your partner? Is it something you're gonna wanna hang on to, or how you're going to manage that?

question

n/a

16

reducing alcohol consumption

client

I don't wanna hang on to freedom if it this- if it means that I lose my kids. Um, I'm just, uh, I'm just worried about-- I'm worried about if I move in with family, that they, even if their intentions are good-

n/a

change

16

reducing alcohol consumption

therapist

Mm-hmm.

other

n/a

16

reducing alcohol consumption

client

I don't know. I'll do anything to get my kids back.

n/a

change

17

reducing alcohol consumption

therapist

Okay, so I'm just gonna ask you a couple of more background questions.

therapist_input

n/a

17

reducing alcohol consumption

client

Okay.

n/a

neutral

17

reducing alcohol consumption

therapist

Do you use any tobacco products, or smoke cigarettes?

question

n/a

17

reducing alcohol consumption

client

No, I would bum cigarettes in college, but I was never a smoker.

n/a

neutral

17

reducing alcohol consumption

therapist

Okay. How about in the last year?

question

n/a

17

reducing alcohol consumption

client

No, not really anything.

n/a

neutral

17

reducing alcohol consumption

therapist

Okay. And how often do you have a drink containing alcohol?

question

n/a

17

reducing alcohol consumption

client

Um, a few times a week. Uh, Wednesdays, I'll go to happy hour and have about two or three. And then, um, Thursdays, seven, um, seven or eight. Fridays, probably just a couple of glasses of wine with dinner. Um, but Saturdays are bigger night. And I would probably have a few drinks before I went to the bar. And then have four or five at when-when I was out. So—

n/a

neutral

17

reducing alcohol consumption

therapist

Okay. So it sounds like you're drinking about four times a week, anywhere between three and eight drinks on a given day. So, maybe around 20 drinks a week?

question

n/a

17

reducing alcohol consumption

client

I guess, it sounds like a lot when you say [chuckles] like that. But yeah.

n/a

neutral

17

reducing alcohol consumption

therapist

Okay. Do you use any street drugs like any marijuana, cocaine, heroin?

question

n/a

17

reducing alcohol consumption

client

No. I-I smoked weed in college, but just a little bit. I wasn't a regular smoker.

n/a

sustain

17

reducing alcohol consumption

therapist

Do you, um, do you ever use any prescription medicines that were not prescribed for you, or ever use your own prescriptions in a way on which they were not prescribed?

question

n/a

17

reducing alcohol consumption

client

No.

n/a

neutral

17

reducing alcohol consumption

therapist

Okay. So, you know, as we said before, you're drinking-- it sounds like you're drinking about 20 drinks a week, over the course of a few days. And I did want to point out to you that the recommended limit for women is actually no more than seven drinks a week, and no more than three on a given day.

therapist_input

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17

reducing alcohol consumption

client

Okay.

n/a

neutral

17

reducing alcohol consumption

therapist

So you're doing more than that right now. And when you drink more than this amount, it puts you at risk for a number of things, okay? Things like greater risk of injury, damage to different parts of your body, um, just a bunch of different problems. And, uh-- so I'm going to recommend that you cut down- cut down that amount to the recommended limit. Again, that's no more than seven drinks a week and no more than three on a given day. Do you think you could do that? Would that be a good goal for you?

therapist_input

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17

reducing alcohol consumption

client

That's a lot to change. I don't know.

n/a

sustain

17

reducing alcohol consumption

therapist

Yeah, I know that making changes isn't always easy. But when you drink more than what's recommended, it creates problems. You know, you said you hurt your ankle when you came out of the bar this time.

reflection

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17

reducing alcohol consumption

client

I mean, the stairs were really steep. So—

n/a

sustain

17

reducing alcohol consumption

therapist

Yeah. Well, it's possible you strained your ankle as a result of the alcohol. You know, it can actually affect your balance and stability. So, really, you know, for where you are right now, you're drinking a good amount more than what's recommended. And, you know, I want you to be healthy. And I don't want to see you coming back in here for something else. So I'm really gonna recommend that you try to cut down to that amount. So, do you think you could do that, cut down to no more than three drinks on a given day?

therapist_input

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17

reducing alcohol consumption

client

Where are these limits from? Um, old- an older population? Because, uh, I drink just as much as my friends do. I mean, everybody drinks like I drink. I'm not even the biggest drinker in my group. So I'm pretty middle of the road.

n/a

sustain

17

reducing alcohol consumption

therapist

So, it sounds like, you know, the amount you drink is pretty normal-

reflection

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17

reducing alcohol consumption

client

Yeah.

n/a

neutral

17

reducing alcohol consumption

therapist

-amongst the people you typically drink with. But these limits are-- they're actually recommended for all adults. And studies have shown that when you drink more than this, it creates a bunch of problems like we talked about. So, you know, why do you think you drink the amount you drink?

therapist_input

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17

reducing alcohol consumption

client

I don't know. It's what we do. It's-- this is how we have fun, I guess. It is fun.

n/a

sustain

17

reducing alcohol consumption

therapist

Well, I think you can still have fun within these amounts. So that's what I'm gonna recommend. Um, I think this is a really good goal, and hopefully, we won't see any more injuries. Okay? So why don't you try that?

therapist_input

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17

reducing alcohol consumption

client

Okay.

n/a

neutral

17

reducing alcohol consumption

therapist

All right. Thank you so much.

other

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17

reducing alcohol consumption

client

Thanks.

n/a

neutral

18

reducing gambling

therapist

So I get a sense it's a little anxious being here today and, uh, meeting someone like me, and, um, what we're gonna be doing today is-is inducting, but also I wanna talk about, um, yeah, the issues that-that have got you here and we need to do some sorting out around, um, yeah how serious you are to sort of sort those issues. So?

reflection

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18

reducing gambling

client

I don't really know what issues I need to sort.

n/a

neutral