Datasets:

michelleyunun

/

therapydata

like 15

18

reducing gambling

therapist

Yeah.

other

n/a

18

reducing gambling

client

-just not knowing what to expect then—

n/a

neutral

18

reducing gambling

therapist

Yeah, and-and, coming in, talking to a stranger, you know, and someone who can be honest to what you did, talking to a stranger, coming in this time, what do you sense about how you're doing so far?

reflection

n/a

18

reducing gambling

client

I don't know. I suppose I'm saying that the money did add up, and that was enough for me to end up here, so-

n/a

neutral

18

reducing gambling

therapist

Mm.

other

n/a

18

reducing gambling

client

-I suppose I'm here for a reason. [chuckles]

n/a

neutral

18

reducing gambling

therapist

Yeah. You know, like-- I-- And, some people wouldn't even, sort of, get in the door or wouldn't be as open as you've been today, okay, to an extent, so, you know, like I said, good on you, yeah. You know, being able to-- It's hard to come to a place like this and start to really open up, so, you know, you've just shown that you can do that. Yeah.

reflection

n/a

18

reducing gambling

client

I didn't have a choice. [chuckles]

n/a

neutral

18

reducing gambling

therapist

Well, you have a choice about what you open up to me about. Absolutely, you have a choice about that, yeah. That coming, being on sentence, no, you don't have a choice about that, um, well, you have a choice, 'cause, I mean, you can choose not to come, and you'll be breached and get to head back to court.

therapist_input

n/a

18

reducing gambling

client

Mm.

n/a

neutral

18

reducing gambling

therapist

Um, but you do have a choice about how you are here when we meet, and what-what we talk about here. So, um, you know, so you do have lots of choices within that. And, my sense is you're, sort of, you know, a young woman who will make some good choices about that 'cause you're not a bad person, and you know that.

reflection

n/a

18

reducing gambling

client

Mm.

n/a

neutral

18

reducing gambling

therapist

Yeah.

other

n/a

19

reducing recidivism

therapist

So you're sick of this?

reflection

n/a

19

reducing recidivism

client

Yeah. I-I just-- I can't shoplift anymore. You know, I got- I got caught again. And uh, you know, I-I got suspended, I got back to school, so I'm-I'm uh-- I'm gonna mess up my whole life here, unless I can stop this.

n/a

change

19

reducing recidivism

therapist

Mm-hmm.

other

n/a

19

reducing recidivism

client

Yeah, it's bad. My friends and I, we just-- I mean, it's fun and uh-- so I don't know what to do, but I- but I gotta change.

n/a

change

19

reducing recidivism

therapist

Okay.

other

n/a

19

reducing recidivism

client

I want it.

n/a

change

19

reducing recidivism

therapist

So, it sounds like you're ready. You're ready to give this up.

reflection

n/a

19

reducing recidivism

client

Yeah.

n/a

change

19

reducing recidivism

therapist

But, maybe the path to doing that isn't so clear.

reflection

n/a

19

reducing recidivism

client

Right. I don't know what I'm gonna do, I got some friends. These guys are-- they're bad news, but they're my friends.

n/a

sustain

19

reducing recidivism

therapist

Mm-hmm.

other

n/a

19

reducing recidivism

client

And, uh, and it's fun.

n/a

sustain

19

reducing recidivism

therapist

And it's fun.

reflection

n/a

19

reducing recidivism

client

You know?

n/a

neutral

19

reducing recidivism

therapist

Mm-hmm.

other

n/a

19

reducing recidivism

client

Nothing-nothing much else going on that's as fun as this. We go in, we steal these CDs. It was working out fine, but—

n/a

sustain

19

reducing recidivism

therapist

Uh-huh.

other

n/a

20

smoking cessation

therapist

So I wrote a prescription for antibiotics for Aiden.

therapist_input

n/a

20

smoking cessation

client

Okay.

n/a

neutral

20

smoking cessation

therapist

Um, I did wanna talk to you though. I'm a little bit concerned looking through his chart of how many ear infections he's had recently. And I-I noticed that you had checked the box that someone's smoking in the home. So I was wondering if you can tell me a little more about that.

therapist_input

n/a

20

smoking cessation

client

Well, um, It's just me and him and I do smoke. Um, I try really hard not to smoke around him, but I-I've been smoking for 10 years except when I was pregnant with him. But it-- everything is so stressful being a single mom and-and my having a full-time job. And so it's just-- that's why I started smoking again.

n/a

sustain

20

smoking cessation

therapist

You have a lot of things going on and smoking's kind of a way to relax and destress.

reflection

n/a

20

smoking cessation

client

Yeah. Some people have a glass of wine. I have a cigarette.

n/a

sustain

20

smoking cessation

therapist

Sure. And it sounds like you're trying not to smoke around him. Why did you make that decision?

reflection

n/a

20

smoking cessation

client

I know it's not good for him. I mean, I've read those things about ear infections and asthma and stuff and-and, uh, but other kids have ear infections and their parents don't smoke.

n/a

change

20

smoking cessation

therapist

So on the one hand, you're worried about how your smoking might be affecting him and on the other hand, you're not so sure if it's really the smoking that's causing these problems?

reflection

n/a

20

smoking cessation

client

Right. Yeah. I mean, he doesn't have asthma. Yeah. He-- I don't-- he hasn't had a lot of other problems that his other friends have, so. And I've thought about quitting before in the past, but I just don't- I just don't see how it's possible right now.

n/a

sustain

20

smoking cessation

therapist

What made you decide to quit smoking when you were pregnant?

question

n/a

20

smoking cessation

client

Well, he was inside me and we were sharing everything and I knew that he would get some of that. And I didn't-- I just didn't-didn't think I could live with myself if something happened to him.

n/a

neutral

20

smoking cessation

therapist

Right now, though, it feels almost too difficult to even manage or even to try?

reflection

n/a

20

smoking cessation

client

Yeah, exactly.

n/a

sustain

20

smoking cessation

therapist

How were you successful when you quit before?

question

n/a

20

smoking cessation

client

I don't know. I-I think about it now, I don't even know how I did it. I just- I just did it. You know, I just- I just couldn't imagine like him not being born or going into labor early-

n/a

neutral

20

smoking cessation

therapist

Mm-hmm.

other

n/a

20

smoking cessation

client

-and-and him having problems and stuff like that, all the stuff that they talk about with women who smoke. So I-- that was just enough to-to say, "Okay, you know what, I'm-I'm not going to risk that." so.

n/a

neutral

20

smoking cessation

therapist

Mm-hmm. The risks were so scary then that you were able to stop?

reflection

n/a

20

smoking cessation

client

Yeah.

n/a

neutral

20

smoking cessation

therapist

But they don't feel as scary to you now?

reflection

n/a

20

smoking cessation

client

No, I mean, we're two separate people. And like I said, I don't, I try really hard not to smoke around him. I'm pretty good about that. I-I don't let other people smoke around him. Um, so I, you know.

n/a

change

20

smoking cessation

therapist

You're doing the best you can do.

reflection

n/a

20

smoking cessation

client

Yes.

n/a

neutral

20

smoking cessation

therapist

Okay. But it sounds to me too like part of you really does want to quit?

reflection

n/a

20

smoking cessation

client

Yeah. I-I know that I need to, and I, you know, keep every new year I say, "Okay, this year I'm gonna quit smoking" but then something happens and it-it just doesn't. And quitting doesn't happen.

n/a

change

20

smoking cessation

therapist

It's on your to-do list. It's just not making it to the top?

reflection

n/a

20

smoking cessation

client

Yeah.

n/a

neutral

20

smoking cessation

therapist

If you did decide to quit on a scale of 1 to 10, where 1 is not at all confident, and you don't think you could do it and 10 is you feel pretty certain that you could, where do you think you fall right now?

question

n/a

20

smoking cessation

client

Probably like a 5 . Kind of in the unsure area. Like I know I've done it before, so I know I can do it, but at the same time, it just seems really hard. And it's not the same situation.

n/a

sustain

20

smoking cessation

therapist

Well, what made you say five rather than two or three?

question

n/a

20

smoking cessation

client

I know- I know all the ways it's bad for me. And I don't want him to grow up thinking that it's okay to smoke. I don't want him to-to use any kind of-- I don't want him to chew or anything like that. Um, so I know I need to, especially before he gets old enough to understand what mommy's doing, but I just don't know if I can do it.

n/a

change

20

smoking cessation

therapist

Okay. So it sounds like you have a lot of reasons why you'd like to quit. You have been successful quitting in the past, and right now you're just feeling a little bit hesitant about your ability to do it?

reflection

n/a

20

smoking cessation

client

Yeah.

n/a

neutral

20

smoking cessation

therapist

Where do you think we should go from here?

question

n/a

20

smoking cessation

client

I don't know. I-I'd like some help. I just don't know what kind of help I need.

n/a

change

20

smoking cessation

therapist

Sure. Well, if you'd be interested, that's something I can definitely talk to you about. There are a lot of new options that can actually help people be way more successful in their attempt at quitting. There's different medications you can try.

therapist_input

n/a

20

smoking cessation

client

I don't like medicine.

n/a

neutral

20

smoking cessation

therapist

Okay. There's also a lot of support groups and classes that you can take where you have other people to go through it with you. And sometimes just having that support can be a big part of it, especially for people like you where smoking is such a stress reliever.

therapist_input

n/a

20

smoking cessation

client

That sounds nice, but I'm not sure if I have the time for all that.

n/a

neutral

20

smoking cessation

therapist

Sure. It feels like something that would take up a lot of time and maybe not fit into your life. I wonder if we could talk about some options that might fit into your life.

question

n/a

20

smoking cessation

client

That would be really nice.

n/a

neutral

20

smoking cessation

therapist

Okay. Well, if you're willing, then we could set up another appointment where you could come in and we could talk more about that.

therapist_input

n/a

20

smoking cessation

client

I would like that. That would be great.

n/a

neutral

20

smoking cessation

therapist

Great.

other

n/a

20

smoking cessation

client

Thank you.

n/a

neutral

20

smoking cessation

therapist

Sure.

other

n/a

21

reducing alcohol consumption

therapist

Hi, Laura.

other

n/a

21

reducing alcohol consumption

client

Hi.

n/a

neutral

21

reducing alcohol consumption

therapist

Thanks for coming in. Um, so, I'm not sure how much you know already about sort of what you're doing here. If it's okay, I'll give you a little rundown.

question

n/a

21

reducing alcohol consumption

client

Yeah.

n/a

neutral

21

reducing alcohol consumption

therapist

So, basically, we're here, I'm just gonna talk to you for a little bit about sort of what your goals are for your life, um, get to know you a little bit better and talk about some different behaviors that you might be engaging in. It's not my job at all to judge you or to try and change you, you know. Basically, I'm gonna talk to you about how things are going, any changes you might want to make in your life, how I could help you with that, and just what I can do that's going to be most beneficial for you.

therapist_input

n/a

21

reducing alcohol consumption

client

Okay.

n/a

neutral

21

reducing alcohol consumption

therapist

Does that sound okay?

other

n/a

21

reducing alcohol consumption

client

Yeah.

n/a

neutral

21

reducing alcohol consumption

therapist

All right, so, I guess just to get started, can you tell me a little bit about yourself?

question

n/a

21

reducing alcohol consumption

client

Well, my name is Laura. I'm 17 years old, and I'm a senior in high school.

n/a

neutral

21

reducing alcohol consumption

therapist

Okay. And, what kinds of things do you plan for your life?

other

n/a

21

reducing alcohol consumption

client

Well, hopefully, go to college, get, you know, good enough grades to go to college.

n/a

neutral

21

reducing alcohol consumption

therapist

Hm.

other

n/a

21

reducing alcohol consumption

client

Yeah.

n/a

neutral

21

reducing alcohol consumption

therapist

That's great.

other

n/a

21

reducing alcohol consumption

client

Yeah.

n/a

neutral

21

reducing alcohol consumption

therapist

Do you have a plan as to where you might want to go or?

question

n/a

21

reducing alcohol consumption

client

Um, I'm not sure yet. Maybe a few schools in the area, I'm looking maybe to apply out-of-state.

n/a

neutral

21

reducing alcohol consumption

therapist

Oh.

other

n/a

21

reducing alcohol consumption

client

So, maybe move away for college.

n/a

neutral

21

reducing alcohol consumption

therapist

Cool.

other

n/a

21

reducing alcohol consumption

client

Yeah.

n/a

neutral

21

reducing alcohol consumption

therapist

So, kind of keeping your options open.

reflection

n/a