{ "cells": [ { "cell_type": "code", "execution_count": 1, "metadata": {}, "outputs": [], "source": [ "import os\n", "os.environ['OPENAI_API_KEY'] = \"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\" #reginas key\n" ] }, { "cell_type": "code", "execution_count": 2, "metadata": {}, "outputs": [ { "name": "stderr", "output_type": "stream", "text": [ "/Users/lsacy/opt/miniconda3/envs/chatbot/lib/python3.8/site-packages/tqdm/auto.py:22: TqdmWarning: IProgress not found. Please update jupyter and ipywidgets. See https://ipywidgets.readthedocs.io/en/stable/user_install.html\n", " from .autonotebook import tqdm as notebook_tqdm\n" ] } ], "source": [ "import openai\n", "import pandas as pd\n", "import numpy as np\n", "import pickle\n", "from transformers import GPT2TokenizerFast\n", "from typing import List\n", "\n", "openai.api_key = \"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\" #reginas key\n", "COMPLETIONS_MODEL = \"curie:ft-personal-2023-02-03-17-06-53\"" ] }, { "cell_type": "code", "execution_count": 17, "metadata": {}, "outputs": [], "source": [ "# combine two jsonl files\n", "!cat data/depression-d.jsonl data/hope.jsonl > data/combined.jsonl" ] }, { "cell_type": "code", "execution_count": 4, "metadata": {}, "outputs": [ { "name": "stdout", "output_type": "stream", "text": [ "{\"prompt\": \"What does it mean to have a mental illness?\", \"completion\": \"Mental illnesses are health conditions that disrupt a person's thoughts, emotions, relationships, and daily functioning. They are associated with distress and diminished capacity to engage in the ordinary activities of daily life. Mental illnesses fall along a continuum of severity: some are fairly mild and only interfere with some aspects of life, such as certain phobias. On the other end of the spectrum lie serious mental illnesses, which result in major functional impairment and interference with daily life. These include such disorders as major depression, schizophrenia, and bipolar disorder, and may require that the person receives care in a hospital. It is important to know that mental illnesses are medical conditions that have nothing to do with a person's character, intelligence, or willpower. Just as diabetes is a disorder of the pancreas, mental illness is a medical condition due to the brain's biology. Similarly to how one would treat diabetes with medication and insulin, mental illness is treatable with a combination of medication and social support. These treatments are highly effective, with 70-90 percent of individuals receiving treatment experiencing a reduction in symptoms and an improved quality of life. With the proper treatment, it is very possible for a person with mental illness to be independent and successful.\"}\n", "{\"prompt\": \"Who does mental illness affect?\", \"completion\": \"It is estimated that mental illness affects 1 in 5 adults in America, and that 1 in 24 adults have a serious mental illness. Mental illness does not discriminate; it can affect anyone, regardless of gender, age, income, social status, ethnicity, religion, sexual orientation, or background. Although mental illness can affect anyone, certain conditions may be more common in different populations. For instance, eating disorders tend to occur more often in females, while disorders such as attention deficit/hyperactivity disorder is more prevalent in children. Additionally, all ages are susceptible, but the young and the old are especially vulnerable. Mental illnesses usually strike individuals in the prime of their lives, with 75 percent of mental health conditions developing by the age of 24. This makes identification and treatment of mental disorders particularly difficult, because the normal personality and behavioral changes of adolescence may mask symptoms of a mental health condition. Parents and caretakers should be aware of this fact, and take notice of changes in their child's mood, personality, personal habits, and social withdrawal. When these occur in children under 18, they are referred to as serious emotional disturbances (SEDs).\"}\n", "{\"prompt\": \"What causes mental illness?\", \"completion\": \"It is estimated that mental illness affects 1 in 5 adults in America, and that 1 in 24 adults have a serious mental illness. Mental illness does not discriminate; it can affect anyone, regardless of gender, age, income, social status, ethnicity, religion, sexual orientation, or background. Although mental illness can affect anyone, certain conditions may be more common in different populations. For instance, eating disorders tend to occur more often in females, while disorders such as attention deficit/hyperactivity disorder is more prevalent in children. Additionally, all ages are susceptible, but the young and the old are especially vulnerable. Mental illnesses usually strike individuals in the prime of their lives, with 75 percent of mental health conditions developing by the age of 24. This makes identification and treatment of mental disorders particularly difficult, because the normal personality and behavioral changes of adolescence may mask symptoms of a mental health condition. Parents and caretakers should be aware of this fact, and take notice of changes in their child\\u2019s mood, personality, personal habits, and social withdrawal. When these occur in children under 18, they are referred to as serious emotional disturbances (SEDs).\"}\n", "{\"prompt\": \"What are some of the warning signs of mental illness?\", \"completion\": \"Symptoms of mental health disorders vary depending on the type and severity of the condition. The following is a list of general symptoms that may suggest a mental health disorder, particularly when multiple symptoms are expressed at once. In adults: Confused thinking Long-lasting sadness or irritability Extreme highs and lows in mood Excessive fear, worrying, or anxiety Social withdrawal Dramatic changes in eating or sleeping habits Strong feelings of anger Delusions or hallucinations (seeing or hearing things that are not really there) Increasing inability to cope with daily problems and activities Thoughts of suicide Denial of obvious problems Many unexplained physical problems Abuse of drugs and/or alcohol In older children and pre-teens: Abuse of drugs and/or alcohol Inability to cope with daily problems and activities Changes in sleeping and/or eating habits Excessive complaints of physical problems Defying authority, skipping school, stealing, or damaging property Intense fear of gaining weight Long-lasting negative mood, often along with poor appetite and thoughts of death Frequent outbursts of anger In younger children: Changes in school performance Poor grades despite strong efforts Excessive worrying or anxiety Hyperactivity Persistent nightmares Persistent disobedience and/or aggressive behavior Frequent temper tantrums\"}\n", "{\"prompt\": \"Can people with mental illness recover?\", \"completion\": \"When healing from mental illness, early identification and treatment are of vital importance. Based on the nature of the illness, there are a range of effective treatments available. For any type of treatment, it is essential that the person affected is proactive and fully engaged in their own recovery process. Many people with mental illnesses who are diagnosed and treated respond well, although some might experience a return of symptoms. Even in such cases, with careful monitoring and management of the disorder, it is still quite possible to live a fulfilled and productive life.\"}\n", "{\"prompt\": \"What should I do if I know someone who appears to have the symptoms of a mental disorder?\", \"completion\": \"Although this website cannot substitute for professional advice, we encourage those with symptoms to talk to their friends and family members and seek the counsel of a mental health professional. The sooner the mental health condition is identified and treated, the sooner they can get on the path to recovery. If you know someone who is having problems, don't assume that the issue will resolve itself. Let them know that you care about them, and that there are treatment options available that will help them heal. Speak with a mental health professional or counselor if you think your friend or family member is experiencing the symptoms of a mental health condition. If the affected loved one knows that you support them, they will be more likely to seek out help.\"}\n", "{\"prompt\": \"How can I find a mental health professional for myself or my child?\", \"completion\": \"Feeling comfortable with the professional you or your child is working with is critical to the success of the treatment. Finding the professional who best fits your needs may require research. Start by searching for providers in your area.\"}\n", "{\"prompt\": \"What treatment options are available?\", \"completion\": \"Just as there are different types of medications for physical illness, different treatment options are available for individuals with mental illness. Treatment works differently for different people. It is important to find what works best for you or your child.\"}\n", "{\"prompt\": \"If I become involved in treatment, what do I need to know?\", \"completion\": \"Since beginning treatment is a big step for individuals and families, it can be very overwhelming. It is important to be as involved and engaged in the treatment process as possible. Some questions you will need to have answered include: What is known about the cause of this particular illness? Are there other diagnoses where these symptoms are common? Do you normally include a physical or neurological examination? Are there any additional tests or exams that you would recommend at this point? Would you advise an independent opinion from another psychiatrist at this point? What program of treatment is the most helpful with this diagnosis? Will this program involve services by other specialists? If so, who will be responsible for coordinating these services? What do you see as the family's role in this program of treatment? How much access will the family have to the individuals who are providing the treatment? What medications are generally used with this diagnosis? How much experience do you have in treating individuals with this illness? What can I do to help you in the treatment?\"}\n", "{\"prompt\": \"What is the difference between mental health professionals?\", \"completion\": \"There are many types of mental health professionals. The variety of providers and their services may be confusing. Each have various levels of education, training, and may have different areas of expertise. Finding the professional who best fits your needs may require some research.\"}\n", "{\"prompt\": \"How can I find a mental health professional right for my child or myself?\", \"completion\": \"Feeling comfortable with the professional you or your child is working with is critical to the success of your treatment. Finding the professional who best fits your needs may require some research.\"}\n", "{\"prompt\": \"If I become involved in treatment what do I need to know?\", \"completion\": \"Beginning treatment is a big step for individuals and families and can be very overwhelming. It is important to continue involvement in the treatment process as much as possible. Some questions you will need to have answered include: What is known about the cause of this particular illness? Are there other diagnoses where these symptoms are common? Do you normally include a physical or neurological examination? Are there any additional tests or exams that you would recommend at this point? Would you advise an independent opinion from another psychiatrist at this point? What program of treatment is the most helpful with this diagnosis? Will this program involve services by other specialists? If so, who will be responsible for coordinating these services? What do you see as the family's role in this program of treatment? How much access will the family have to the individuals who are providing the treatment? What medications are generally used with this diagnosis? What is the biological effect of this medication, and what do you expect it to accomplish? What are the risks associated with the medication? How soon will we be able to tell if the medication is effective, and how will we know? How much experience do you have in treating individuals with this illness? What can I do to help you in the treatment?\"}\n", "{\"prompt\": \"Where else can I get help?\", \"completion\": \"Where you go for help will depend on the nature of the problem and/or symptoms and what best fits you. Often, the best place to start is by talking with someone you trust about your concerns, such as a family member, friend, clergy, healthcare provider, or other professionals. Having this social support is essential in healing from mental illness, and you will be able to ask them for referrals or recommendations for trusted mental health practitioners. Search for mental health resources in your area. Secondly, there are people and places throughout Nebraska that provide services to talk, to listen, and to help you on your journey to recovery. Thirdly, many people find peer support a helpful tool that can aid in their recovery. There are a variety of organizations that offer support groups for consumers, their family members, and friends. Some support groups are peer led while others may be led by a mental health professional.\"}\n", "{\"prompt\": \"What should I know before starting a new medication?\", \"completion\": \"The best source of information regarding medications is the physician prescribing them. He or she should be able to answer questions such as: 1. What is the medication supposed to do? 2. When should it begin to take effect, and how will I know when it is effective? 3. How is the medication taken and for how long? What food, drinks, other medicines, and activities should be avoided while taking this medication? 4. What are the side effects and what should be done if they occur? 5. What do I do if a dose is missed? 6. Is there any written information available about this medication? 7. Are there other medications that might be appropriate? 8. If so, why do you prefer the one you have chosen? 9. How do you monitor medications and what symptoms indicate that they should be raised, lowered, or changed? 10. All medications should be taken as directed. Most medications for mental illnesses do not work when taken irregularly, and extra doses can cause severe, sometimes dangerous side effects. Many psychiatric medications begin to have a beneficial effect only after they have been taken for several weeks.\"}\n", "{\"prompt\": \"If I feel better after taking medication, does this mean I am \\\"cured\\\" and can stop taking it?\", \"completion\": \"It is not uncommon for people to stop taking their medication when they feel their symptoms are under control. Others may choose to stop taking their medication because of its side effects, without realizing that most side effects can be effectively managed. While it may seem reasonable to stop taking the medication, the problem is that most often, the symptoms will return. If you or your child is taking medication, it is very important that you work together with your doctor before making decisions about any changes in your treatment.\\\\nAnother problem with stopping medication, particularly for stopping it abruptly, is that you may develop withdrawal symptoms that can be very unpleasant. If you and your doctor feel a trial off your medicine is a good idea, it is necessary to slowly decrease the dosage of medications so that these symptoms don\\u2019t occur.\\\\nIt is important that your doctor and pharmacist work together to make sure your medications are working safely and effectively. You should talk with them about how you are doing and if there are side effects that make you unwilling to continue treatment. They will work with you to develop strategies for minimizing these side effects, or will create a plan for switching to a different treatment that will be a better fit.\"}\n", "{\"prompt\": \"How can I get help paying for my medication?\", \"completion\": \"Some pharmaceutical companies offer prescription assistance programs to individuals and families with financial needs, while others offer special drug discount cards. These programs typically require a doctor\\u2019s consent and proof of your financial status. They may also require that you have either no health insurance or no prescription drug benefit through your health insurance.\\\\nIn addition, there are prescription programs you might qualify for. Visit Healthfinder.gov to learn more.\"}\n", "{\"prompt\": \"Where can I go to find therapy\", \"completion\": \"Different kinds of therapy are more effective based on the nature of the mental health condition and/or symptoms and the person who has them (for example, children will benefit from a therapist who specializes in children\\u2019s mental health). However, there are several different types of treatment and therapy that can help.\"}\n", "{\"prompt\": \"Where can I learn about types of mental health treatment?\", \"completion\": \"Mental health conditions are often treated with medication, therapy or a combination of the two. However, there are many different types of treatment available, including Complementary & Alternative Treatments, self-help plans, and peer support. Treatments are very personal and should be discussed by the person with the mental health conditions and his or her team.\"}\n", "{\"prompt\": \"What are the different types of mental health professionals?\", \"completion\": \"There are many types of mental health professionals. Finding the right one for you may require some research.\"}\n", "{\"prompt\": \"Where can I go to find a support group?\", \"completion\": \"Many people find peer support a helpful tool that can aid in their recovery. There are a variety of organizations that offer support groups for consumers, their family members and friends. Some support groups are peer-led, while others may be led by a mental health professional.\"}\n", "{\"prompt\": \"Where can I go to find inpatient care?\", \"completion\": \"If you or someone you know is in crisis, inpatient care can help. Inpatient care can help people stabilize on new medications, adjust to new symptoms, or get the help they need.\"}\n", "{\"prompt\": \"Where can I go to find other local services?\", \"completion\": \"There are likely plenty of resources that can be used to help you find mental health treatment in your community. These resources can help you find the right therapist, and enable you to better understand viable treatment options and the treatment process.\"}\n", "{\"prompt\": \"Where can I learn more information about clinical trials?\", \"completion\": \"Sometimes, consumers of mental health services may consider participating in a research study when they have not experienced improvement despite having tried a variety of medications and treatments. Research studies (also known as clinical trials) may involve the use of new medications or new treatment approaches whose safety and effectiveness is being tested. While we support innovation in the field, consumers should be cautioned that there are risks associated with clinical trials \\u2013 make sure you\\u2019re aware of them before you enroll.\"}\n", "{\"prompt\": \"Where can I learn more information about creating a Psychiatric Advance Directive?\", \"completion\": \"Similar to a medical advance directive or a health care power of attorney, a psychiatric advance directive is a legal document completed in a time of wellness that provides instructions regarding treatment or services one wishes to have or not have during a mental health crisis, and may help influence his or her care.\"}\n", "{\"prompt\": \"What is mental health?\", \"completion\": \"We all have mental health which is made up of our beliefs, thoughts, feelings and behaviours.\"}\n", "{\"prompt\": \"What do I do if the support doesn\\u2019t help?\", \"completion\": \"It can be difficult to find the things that will help you, as different things help different people. It's important to be open to a range of approaches and to be committed to finding the right help and to continue to be hopeful, even when some things don't work out.\"}\n", "{\"prompt\": \"Can you prevent mental health problems?\", \"completion\": \"We can all suffer from mental health challenges, but developing our wellbeing, resilience, and seeking help early can help prevent challenges becoming serious.\"}\n", "{\"prompt\": \"Are there cures for mental health problems?\", \"completion\": \"It is often more realistic and helpful to find out what helps with the issues you face. Talking, counselling, medication, friendships, exercise, good sleep and nutrition, and meaningful occupation can all help.\"}\n", "{\"prompt\": \"What causes mental health problems?\", \"completion\": \"Challenges or problems with your mental health can arise from psychological, biological, and social, issues, as well as life events.\"}\n", "{\"prompt\": \"What do I do if I\\u2019m worried about my mental health?\", \"completion\": \"The most important thing is to talk to someone you trust. This might be a friend, colleague, family member, or GP. In addition to talking to someone, it may be useful to find out more information about what you are experiencing. These things may help to get some perspective on what you are experiencing, and be the start of getting help.\"}\n", "{\"prompt\": \"How do I know if I\\u2019m unwell?\", \"completion\": \"If your beliefs , thoughts , feelings or behaviours have a significant impact on your ability to function in what might be considered a normal or ordinary way, it would be important to seek help.\"}\n", "{\"prompt\": \"What should I do if I\\u2019m worried about a friend or relative?\", \"completion\": \"This may depend on your relationship with them. Gently encouraging someone to seek appropriate support would be helpful to start with.\"}\n", "{\"prompt\": \"How do I deal with someone telling me what to do?\", \"completion\": \"Some people may advise you on good evidence of what works with the best of intentions, but it's important to find out what works best for you.\"}\n", "{\"prompt\": \"Why do I need to keep informed?\", \"completion\": \"It may be tempting to try to block out the world altogether to avoid bad news, but it's important to keep yourself informed. We all have to step up during a pandemic because we all have a part to play in reducing the spread of the virus. It's important that you know what must be done and how you should do it. This is important for the health of your neighbours and your own mental health, and taking action can help counter difficult feelings like hopelessness and despair. One study from people in China found that people who had reliable up-to-date information about the coronavirus and COVID-19 illness and accurate instructions on how they should act (such as instructions around hand-washing and wearing a mask) felt more resilient and felt better able to handle the virus. People who received good, accurate information reported lower levels of stress, anxiety, and depression. This research is available for free at www.mdpi.com/1660-4601/17/5/1729. Of course, it's okay to set limits. Staying informed does not mean that you have to follow the news all day. Check in a few times a day, sticking to trusted sources and media outlets. While social media can be a great way to keep in touch with family and friends, social media can also amplify bad advice, vague or untrue stories, and other unhelpful information. Be sure to use good critical thinking skills.\"}\n", "{\"prompt\": \"How can I tell if health information is good or bad?\", \"completion\": \"Anyone can post anything online. It's up to the readers to think critically about information to decide if it seems helpful, truthful, or safe. Here are key points to keep in mind as you determine which information is worth considering and which information doesn't pass the test. It's so easy to spread information online, and we can't assume that the source we're reading or watching is the original source. Before you can evaluate anything, you need to know where the claims come from and determine if it's a reliable source. Reliable sources on the coronavirus and COVID-19 illness include the World Health Organization (WHO), Government of Canada ministries and agencies like Health Canada and the Public Health Agency of Canada, the Government of BC ministries and agencies like the BC Ministry of Health, and the BC Centre for Disease Control (BCCDC). Scientists and researchers at universities and other institutions and health sciences professionals are also important sources of information. Headlines and titles need to be simple and short, so they can sometimes be misleading on their own. They may also be purposefully shocking or controversial to entice you to click to read more. Websites that belong to governments, government-funded agencies, well-known health providers, universities, or groups of medical professionals are generally the most reliable. Be careful of sites that don't list the author or don't tell you much about themselves. Double-check the author and the credentials of any 'experts' quoted or cited to see if they are actually experts in the topic being discussed. Can you find other evidence from other sources to support the claims? Does the author list their sources? Are the sources legitimate, like research journals? Unhelpful sources want you to feel a certain way: scared, angry, distrustful, vulnerable. Phrases like \\\"Skyrocketing rates of infection\\\" are sensational and they're meant to make people feel afraid. On the other hand, factual statements like \\\"We have 50 new cases in BC\\\" give you important information without playing into your emotions. Helpful news or information sources want you feel informed and empowered. Who is paying for the site? What products or services are being advertised? What links or other sites do they promote? Are you learning something from a story or experience, or are you simply being directed to buy a product or service? Social media can be a great way to keep in touch with family and friends, especially as we practice physical distancing or self-isolation. Social media can also be an important way to learn from health experts and connect to support services and mutual aid groups in your community. Like any other source of information, it's important to use good critical thinking skills when you use social media. Studies find that searching for health information on social media generally has very mixed results. You'll see both very poor-quality sources next to good-quality sources, and it's up to you to decide which is which. In addition, social media posts tend to be short and rarely capture everything you need to consider. They are generally useful as a way to start learning or exploring different points of view rather than a place to gather all the information. Visit www.mediasmarts.ca to learn more about digital and media literacy Visit www.healthnewsreview.org to learn more about thinking critically around health claims (this resource is no longer updated daily, but all toolkits and lessons are still available) This page is adapted from the Evaluating Mental Health and Substance Use Information info sheet.\"}\n", "{\"prompt\": \"Why do I need a plan?\", \"completion\": \"There are a lot of things you can't control. You can't control what happens next, how governments respond, or how your neighbours react to the pandemic. What you can do is make a plan and decide how you'll manage the things you do control, like your ability to stay safe, follow public health measures, stay connected with loved ones, and take care of your mental and physical health. Events like a pandemic change a lot over time, and that uncertainty can add to fear and stress. The truth is that we don't know what will happen next\\u2014but that doesn't mean we're all helpless. You can do a lot. You can: Map out a daily schedule, including times you can connect with loved ones online or by phone Plan out daily tasks and goals Give yourself a schedule to look up current information Make sure you have 14 days of healthy food and household supplies at home Keep medications on hand and talk to your doctor for advice if you're at increased risk Educate yourself on public health measures and figure out how you'll follow those instructions Figure out how you'll manage increased childcare demands, working for home, or other changes to your usual routine Determine if you'll need financial supports like the Canada Emergency Response Benefit or BC Temporary Rent Supplement if your job is affected by COVID-19. If you anticipate a need, you can find application instructions and gather any documents or other pieces of information ahead of time Figure out how you'll manage times when you feel overwhelmed or hopeless, like calming activities, the number for a local support or crisis line, a video chat with a loved one, or a way to connect with your mental health care provider Look for local support organizations, neighbourhood groups, or mutual aid groups if you need extra help or support or would like to help others in your community Some planning will be straightforward, but you may also encounter situations or times when it's harder to see a solution or good plan of action. This is a great time to practice problem-solving skills. Problem-solving is a method that helps you break down a complicated situation into manageable pieces, look for realistic and unbiased information, brainstorm possible solutions, and test the solutions that you think might work well. Problem-solving is a helpful skill no matter what else is going on in the world, and it's an empowering, methodical approach when you might otherwise feel overwhelmed or lost. Check out the following resources for more information about problem-solving: Wellness Module 4: Problem-Solving: www.heretohelp.bc.ca/wellness-module/wellness-module-4-problem-solving Problem-solving worksheet from Anxiety Canada: www.anxietycanada.com/sites/default/files/ProblemSolving.pdf Effective Problem-Solving in The Antidepressant Skills Workbook: psychhealthandsafety.org/asw\"}\n", "{\"prompt\": \"How can I maintain social connections? What if I feel lonely?\", \"completion\": \"A lot of people are alone right now, but we don't have to be lonely. We're all in this together. While you may be physically separated from friends, family members, and other loved ones, it has never been more important to maintain those social connections. Social connections are an opportunity to seek and share support, talk through difficult feelings, share a laugh, keep up-to-date with loved ones, and help each other cope. This pandemic is a lot for one person to deal with on their own. While measures like physical distancing and self-isolation are necessary to slow the spread of the virus, the physical separation can amplify a lot of challenging emotions like loneliness and fear. Think about the different ways to connect that are most meaningful for you. For example, you might prefer a video chat over a phone call, or you might prefer to text throughout the day rather than one set time for a video call. Then, work with your social networks to make a plan. You might video chat with your close friends in the evening and phone a family member once a week. Remember to be mindful of people who may not be online. Check in by phone and ask how you can help. The quality of your social connections matter. Mindlessly scrolling through social media and liking a few posts usually doesn't build strong social connections. Make sure you focus on strategies that actually make you feel included and connected. If your current strategies don't help you feel connected, problem-solve to see if you can find a solution. Everyone feels lonely at times\\u2014maybe you recently moved to a new city, are changing your circle of friends, lost someone important in your life, or lost your job and also lost important social connections with coworkers. Other people may have physical connections to others but may feel like their emotional or social needs aren't met. Measures like social distancing or self-isolation can make loneliness feel worse no matter why you feel lonely now. Reach out to the connections you do have. Suggest ways to keep in touch and see if you can set a regular time to connect. People may hesitate to reach out for a lot of different reasons, so don't be afraid to be the one who asks. Look for local community support groups and mutual aid groups on social media. This pandemic is bringing everyone together, so look for opportunities to make new connections. These groups are a great way to share your skills and abilities or seek help and support. Look for specialized support groups. Support groups are moving online, and there are a lot of different support lines to call if you need to talk to someone. To find community services in BC, call or text 211 or visit www.bc211.ca. If you need extra support, you can talk with a psychologist or counsellor for free: You can access a free phone call with a Registered Psychologist though the Covid-19 Psychological Support Service from the BC Psychological Association. Visit www.psychologists.bc.ca/covid-19-resources. You can access free, phone-based, short-term support with a counsellor from a new group called the BC COVID-19 Mental Health Network. Email bccovidtherapists@gmail.com to receive an appointment time. For youth people ages 12-24, you can talk with a counsellor for free through Foundry Virtual. Visit foundrybc.ca/get-support/virtual/. Call the BC Mental Health Support Line at 310-6789. It\\u2019s available 24/7. Chat online with a Crisis Center volunteer at www.crisiscentrechat.ca (daily between noon and 1:00am) For older adults: Call the Seniors Distress Line at 604-872-123 For youth and young adults: Chat online with a volunteer at www.YouthinBC.com (daily between noon and 1:00am) For children and youth: Call the Kids Help Phone at 1-800-668-6868 or visit kidshelpphone.ca For tips on managing loneliness, check out the following resources: Coping with Loneliness from the Canadian Mental Health Association: cmha.bc.ca/documents/coping-with-loneliness/ Loneliness and Social Connection issue of Visions Journal at www.heretohelp.bc.ca/visions/loneliness-and-social-connection-vol14 Wellness Module 3: Social Support at www.heretohelp.bc.ca/wellness-module/wellness-module-3-social-support\"}\n", "{\"prompt\": \"How can I take care of my physical health?\", \"completion\": \"Taking care of your physical health is also good for your mental health. It's more important than ever to keep yourself healthy. Try to eat as well as you can. It may be easier to reach for unhealthier comfort foods and snacks while you spend more time at home, but try to keep a balanced approach. When you stock up on groceries, don\\u2019t ignore fresh fruit and vegetables\\u2014we still have everything we need to prepare food. Now that we're advised to limit the amount of time we spend in public spaces like grocery stores, this is a great time to try out new fruits and vegetables that keep at home for longer periods of time. If it's safer for you to stay home or you are in self-isolation, reach out for help. Many grocery stores and meal prep services offer safe, no-contact delivery. You can also ask family or friends to bring you groceries, or look for local COVID-19 support groups on social media. It's safest if others leave food and other supplies outside of your door to avoid spreading the virus. Exercise is an important part of mental health and well-being, stress management, and health sleep. However, it's something that many people give up when they start to feel stressed or overwhelmed. If it's safe for you to do so, spend time outside. You should still avoid busy areas or groups and stay at least two metres away from others, but there is no reason to avoid walks, runs, or other safe outdoor activities. (Note that some municipalities, BC Parks, and Parks Canada have restricted some outdoor spaces to reduce crowds, so check the status of your local parks or trails and respect closures\\u2014they're just keeping everyone safe.) If you prefer to exercise indoors, you can also find many different exercises classes online. You can try yoga, follow a barre class, work on your cardio, pick up a new dumbbell routine, and keep up with Crossfit WODs from the comfort of your living room. Look for no-equipment exercise routines or classes if you don't already have equipment. Poor sleep can make even simple problems feel a lot worse than they really are. Poor sleep can affect your mood, your outlook, and your patience. Unfortunately, stress and anxiety can really take a toll on your sleep. If you're having a hard time sleeping, be proactive and practice healthy sleep habits. For more, check out Wellness Module 6: Getting a Good Night's Sleep at www.heretohelp.bc.ca/wellness-module/wellness-module-6-getting-a-good-nights-sleep. If you have other health problems like a chronic illness, check in with your doctor or health care team to see if you need to take any additional measures or precautions. Remember to plan ahead and do what you can to keep prescription or over-the-counter medications, medical supplies, supplements, or other health needs on hand.\"}\n", "{\"prompt\": \"How can I use distraction to manage difficult thoughts or feelings?\", \"completion\": \"Distraction is a very valid tool to help you cope when everything feels overwhelming or when you feel lonely or isolated. If you don't have a lot of energy or focus right now, try low-effort distractions like watching TV, browsing Youtube, listening to a podcast or audiobook, playing a game on your phone, reading an easy book or magazine, or working on a simple art project. If you have more energy and focus, give yourself a to-do list every day: you can clean and take care of projects around your home, work on hobbies, connect with family or friends, read a new book and catch up on your favourite TV shows. You can find interesting opportunities to take online courses from universities all over the world through MOOCs and other online learning platforms, you can learn a new language online or through apps, and you can learn new hobbies and activities. As more people have to practice social distancing or self-isolation, people are finding creative ways to bring the world into their homes: you can tour museums and art galleries, Skype with a scientist, watch animals at zoos and nature preserves, and more. When normal schedules are disrupted, it's easy to fall into unhelpful habits. Look for ways to keep yourself on track with healthier habits. You could set yourself goals every day or turn activities into a fun competition with friends or family\\u2014whoever takes the most language classes wins! Many communities are using social media platforms like Facebook to organize support and help for neighbours. If you are healthy and it's safe to do so, you can sign up to walk dogs, pick up groceries and household supplies, and help others who can't go out at the moment. This can be a great way to make new connections in your area, and helping others is good for your own mental health. Just be sure to follow good hygiene practices and physical distancing\\u2014your own health is important.\"}\n", "{\"prompt\": \"How can I reframe the situation and find more balanced perspectives?\", \"completion\": \"How you think about something impacts your feelings and your behaviours. When we feel stressed out, angry, or fearful, it's hard to look at the situation realistically and see all of the options we have. (Remember: we all control our own actions and reactions, no matter what's going on in the world. We can call do something about this pandemic.) People often overestimate the negative parts\\u2014their own feelings, their own abilities to manage a difficult situation, or the situation itself\\u2014and underestimate positive parts\\u2014their own abilities to care for themselves and loved ones, their support networks, and opportunities. How does the thought \\\"We're never going to make it through this!\\\" make you feel? It likely doesn't feel good\\u2014and it isn't even true. Challenging negative, unhelpful thoughts can improve your mood, validate your ability to get through this, and help you see new options or opportunities to stay well. Stop and notice thoughts that come up. How do they make you feel? Do your thoughts seem realistic if you look at the situation more objectively? How can you reframe the thought to make it more productive or hopeful? Can you find any positive aspects or think of new ways to approach the situation? Here are a few example: \\\"I'm so mad that my event was cancelled! This sucks!\\\" \\\"I know this is the safer option for everyone. When it's rescheduled, I'll enjoy it more because I won't have to worry about getting sick or spreading the illness.\\\" \\\"I hate spending so much time at home. This is so boring.\\\" \\\"I'm doing my part to keep my neighbours safe. It's worth it because it keeps people healthy.\\\" \\\"I'm having a hard time getting used to my new schedule. This is so frustrating.\\\" \\\"I'll get used to this soon, just like I adapted the last time I had to change my schedule. Now that I'm home more, I'll have more time to finish the projects I haven't touched in months and I'm excited to see the end results. \\\"I'm really scared and I don't know what to do. I feel so overwhelmed right now.\\\" \\\"It makes sense that I feel scared\\u2014people are getting sick and we don't know when things will go back to normal. But there are a lot of things I can do to keep healthy, and I'm going to do some research so I can do my best. When I focus on the things I can do, everything feels more manageable.\\\" \\\"We're going to be stuck inside forever. I'm already sick of this.\\\" \\\"I understand that it will take some time to manage COVID-19, and I trust that health care professionals and scientists are working as fast as they can. I know this will end eventually and life will go back to normal.\\\" The goal is not to ignore the bad or uncomfortable parts of the situation or deny that there's a problem. Instead, this exercise can help you understand the situation more realistically and see the parts that you can control right now.\"}\n", "{\"prompt\": \"How can I challenge thinking traps?\", \"completion\": \"What you tell yourself about a situation affects how you feel and what you do. Sometimes your interpretation of a situation can get distorted and you only focus on the negative aspects\\u2014this is normal and expected. However, when you interpret situations too negatively, you might feel worse. You're also more likely to respond to the situation in ways that are unhelpful in the long term. These automatic thoughts and assumptions are sometimes called thinking traps. Everyone falls into unbalanced thinking traps from time to time. You're most likely to distort your interpretation of things when you already feel sad, angry, anxious, depressed or stressed. You're also more vulnerable to thinking traps when you're not taking good care of yourself, like when you're not eating or sleeping well. Here are some common thinking traps: Thinking that a negative situation is part of a constant cycle of bad things that happen. People who overgeneralize often use words like \\\"always\\\" or \\\"never.\\\" I was really looking forward to that concert, and now it\\u2019s cancelled. This always happens to me! I never get to do fun things! Seeing things as only right or wrong, good or bad, perfect or terrible. People who think in black and white terms see a small mistake as a total failure. I wanted to eat healthier, but I ate too many snacks today. This plan is a total failure! Saying only negative things about yourself or other people. I made a mistake. I'm stupid! My boss told me that I made a mistake. My boss is a total jerk! Predicting that something bad will happen without any evidence. I've been doing what I can to stay home and reduce the risks, but I just know that I'm going to get sick. Focusing only on the negative parts of a situation and ignoring anything good or positive. I know there's a lot I can do at home, but I'm just so sick of this. Everything is terrible. Believing that bad feelings or emotions reflect the situation. I feel scared and overwhelmed right now, so that must mean everything is very bad and will never get better. Telling yourself how you \\\"should\\\" or \\\"must\\\" act. I should be able to handle this without getting upset and crying! Here are helpful strategies to challenge common thinking traps. Many people find their mood and confidence improve after working through these skills. You can also find worksheets to help you go through each step at www.heretohelp.bc.ca. Don't try to get out of a thinking trap by just telling yourself to stop thinking that way. This doesn't let you look at the evidence and challenge the thinking trap. When you try and push upsetting thoughts away, they are more likely to keep popping back into your mind. Ask yourself the following questions when something upsetting happens: What is the situation? What actually happened? Only include facts that everyone would agree on. What are your thoughts? What are you telling yourself? What are your emotions? How do you feel? What are your behaviours? How are you reacting? What are you doing to cope? Take a look at the thoughts you've listed. Are you using any of the thinking traps and falling into distorted thinking patterns? It's common to fall into more than one thinking trap. Go back to the thinking trap list and identify which ones apply to you and your current situation. The best way to break a thinking trap is to look at your thoughts like a scientist and consider the hard facts. Use the evidence you've collected to challenge your thinking traps. Here are some ways to do that: Try to find evidence against the thought. If you make a mistake at work, you might automatically think, \\\"I can't do anything right! I must be a terrible employee!\\\" When this thought comes up, you might challenge it by asking, \\\"Is there any evidence to support this thought? Is there any evidence to disprove this thought?\\\" You might quickly realize that your boss has complimented your work recently, which doesn't support the idea that you're a bad employee. Ask yourself, \\\"Would I judge other people if they did the same thing? Am I being harder on myself than I am on other people?\\\" This is a great method for challenging thinking traps that involve harsh self-criticism. Find out whether other people you trust agree with your thoughts. For example, you might have trouble with one of your kids and think, \\\"Good parents wouldn't have this kind of problem.\\\" To challenge this thought, you can ask other parents if they've ever had any problems with their kids. Test your beliefs in person. For example, if you think that your friends don't care about you, call a few friends and make plans to start a regular video call. If you assumed that they will all say no, you may be pleasantly surprised to hear that they do want to see you. Once you have worked through some challenges, try to think of a more balanced thought to replace the old thinking traps. Let's use the following example: I feel sad and overwhelmed. I'm having a hard time figuring out what to do. I'm the worst! I should be able to handle this! Labeling 'Should' statements Examine the evidence: I have a lot of challenges right now. I'm worried about my family and everything seems to change so quickly. I've successfully handled complicated situations in the past, so I know I can do this. It's okay to feel upset right now\\u2014there's a lot going on. I'm going to think about how I got through past situations and see what worked for me. I'm trying to do a lot on my own, so I'm going to talk to my family so we can make a plan and work together. Try the Healthy Thinking Worksheet at www.heretohelp.bc.ca Check out Anxiety Canada's articles Helpful Thinking and Thinking Traps This page is adapted from Wellness Module 8: Healthy Thinking at www.heretohelp.bc.ca/wellness-module/wellness-module-8-healthy-thinking.\"}\n", "{\"prompt\": \"How can I manage grief?\", \"completion\": \"While a lot of people think of grief in terms of losing a person or pet, grief can come up whenever you lose something important. This includes: Losing security, like losing your job or wondering how long you'll be able to pay rent Losing stability or routine, like finding yourself working from home or navigating childcare closures Losing your sense of safety, like fearing you or someone you love might end up with COVID-19 Losing your social relationships, like missing time with family and friends now that everyone must practice physical distancing or self-isolation Losing hope for the future, like feeling that life will never go back to normal Losing important goals, like finding your classes, sports competitions, or performances are cancelled for the foreseeable future Losing important milestone celebrations like graduation ceremonies and weddings Grief bring up complicated feelings. You might feel sad, angry, frustrated, fearful, or hopeless. You may have a hard time eating or sleeping, or feel very tense. You may feel overwhelmed and tired. You may wonder if life will ever feel normal again. Everyone grieves in their own way and their own time. Here are some strategies to try as you navigate your own journey. Acknowledge and express your feelings in a healthy way. Give your feelings a name and find healthy ways to express them, such as by talking with a friend, writing in a journal, or making art. Give yourself as much time as you need. Grief follows its own schedule. Give yourself permission to use this time to take care of your well-being. Let go of expectations, tasks, or other obligations that can wait. Seek support. Grief can feel very isolating, even though a lot of people are experiencing some sort of loss right now. Reach out to friends or family and share your feelings. Look for ways to help and support each other. Take care of yourself. Ignoring health and well-being can make difficult experiences feel worse. Eat as well as you can, try to get enough sleep, spend time outside if it's safe for you to do so, and exercise regularly. Think about self-care activities or strategies that have helped you cope with challenging situations in the past and make time for those activities. Know that feelings of grief will pass. Grief may feel intense at times, but those feelings will become more manageable over time and will eventually pass. Connect with a mental health professional if you're having a hard time. If you're having a hard time getting through the day, coping in unhealthy ways, or having a hard time managing difficult thoughts or feelings, it's a good idea to seek help from a professional like a psychologist or counsellor\\u2014many now offer online or phone appointments. To find help: For everyone BC Psychological Association: Find a Registered Psychologist at www.psychologists.bc.ca/find_psychologist BC Association of Clinical Counsellors: Find a Registered Clinical Counsellor at bc-counsellors.org BC Mental Health Support Line: call 310-6789 (no area code) for to learn about services in your area or just to talk with someone right now For young people Kids Help Phone: Talk to a counsellor at 1-800-668-6868 or chat at kidshelpphone.ca (available 24/7) Foundry: Contact your local Foundry office at foundrybc.ca for Foundy Virtual and information about local resources (for youth ages 12-24) Youth in BC: Chat with a crisis line responder at youthinbc.com (available every day from noon \\u2013 1:00am) That Discomfort You're Feeling Is Grief in Harvard Business Review at hbr.org/2020/03/that-discomfort-youre-feeling-is-grief Grieving from the Canadian Mental Health Association at cmha.ca/documents/grieving Coping with Grief and Loss from Mind Your Mind at mindyourmind.ca/wellness/coping-grief-and-loss\"}\n", "{\"prompt\": \"How can I find a doctor, psychiatrist, psychologist, or counsellor?\", \"completion\": \"To find a family doctor (general physician), visit the College of Physicians and Surgeons of BC to use their Find a Physician tool. You can also see a family doctor at a local walk-in clinic, though it\\u2019s helpful to find a regular doctor if you have ongoing care needs. You can also find a psychiatrist through the College of Physicians and Surgeons of BC. Be aware that you almost always need a doctor\\u2019s referral to see a psychiatrist. You can find a registered psychologist through the BC Psychological Association and the College of Psychologists of BC. To find a clinical counsellor, visit the BC Association of Clinical Counsellors. For more on the differences between these service providers, see the article The Right Path for You: Finding your way to and through services in BC from the Finding the Right Help \\u2013 Navigating the System issue of Visions Journal.\"}\n", "{\"prompt\": \"How can I see a psychiatrist?\", \"completion\": \"A psychiatrist is a specialist doctor. In BC, you need to ask your doctor for a referral. If you don't see a regular family doctor, you can ask any doctor at a walk-in clinic for a referral. In some cases, you may be able to \\\"self-refer\\\" or make an appointment with a mental health program yourself, but that may not get you access to a psychiatrist. Contact your local mental health centre to see what's available in your area. You can search for mental health centres at www.gov.bc.ca/mentalhealth. If you need help finding your local mental health centre, call HealthlinkBC at 811 or visit www.healthlinkbc.ca and use the Find Health Service tool.\"}\n", "{\"prompt\": \"How can I see a psychologist?\", \"completion\": \"To find a Registered Psychologist, visit the BC Psychological Association. You can make an appointment on your own. You don\\u2019t need a doctor\\u2019s referral to see a psychologist. Registered Psychologists are not usually covered by MSP, so you\\u2019ll have to pay for the cost of the appointment yourself. Workplace extended health benefits or Employee (Family) Assistance Programs may cover some costs. Some psychologists offer a sliding scale based on your income. If you\\u2019re facing financial hardship, you can ask when you make the appointment. If you want to learn more about lower-cost options to access counselling (though not usually by Registered Psychologists), email us with your location and our information and referrals team can see what options there may be in your community. If you see a Registered Psychologist through a public mental health centre like a mental health team or outpatient psychiatry program, it will still be covered by MSP. Talk to your care provider if you have questions or want to learn more.\"}\n", "{\"prompt\": \"How can I see a counsellor?\", \"completion\": \"You can find directories of counsellors through their professional organizations. Registered Clinical Counsellors: visit the BC Association of Clinical Counsellors Canadian Certified Counsellors: visit the Canadian Counselling and Psychotherapy Association Canadian Professional Counsellors: visit the Canadian Professional Counsellors Association For more specialized counselling professionals, such as Marriage and Family Therapists, see the Federation of Associations for Counselling Therapists in British Columbia. You can make an appointment on your own. You don\\u2019t need a doctor\\u2019s referral to see a counsellor. Counsellors are not usually covered by MSP, so you\\u2019ll have to pay for the cost of the appointment yourself. Workplace extended health benefits, Employee (Family) Assistance Programs, or private health insurance plans may help cover some costs. Some counsellors may offer a sliding scale based on your income. If you\\u2019re facing financial hardship, you can ask when you make the appointment. Learn more about lower-cost options to access counselling or email us with your location and our information and referrals team can see what options there may be in your community. If you see a counsellor through a public mental health centre like a mental health team or outpatient psychiatry program, it will still be covered by MSP. Talk to your care provider if you have questions or want to learn more. Indigenous community members can access some counselling services locally or through the First Nations Health Authority. Contact your local Band or local Friendship Centre, or contact the First Nations Health Authority.\"}\n", "{\"prompt\": \"How can I find a support group?\", \"completion\": \"Support groups are a way for people with a common experience to help each other and learn from each other. There are support groups for people with any experience of mental illness, support groups for people with a specific diagnosis, support groups for family members and friends, and more. Support groups are offered by community organizations, mental health service providers, schools, campuses, and support agencies. Here are some general resources to help you find a mental health or substance use related support group in BC: Talk to your mental health care provider. They might be able to make recommendations. The Mood Disorders Association of BC offers a network of peer support groups around the province for people who experience mental illnesses like mood disorders or post-traumatic stress disorder. They also have groups for family and friends. Groups are drop-in. Many Canadian Mental Health Association branches offer support services, including support groups. If your local branch doesn\\u2019t have their own program, they can recommend other services in your community. The BC Schizophrenia Society maintains a directory of support groups and other regular events for family members of people with a mental illness. For groups related to alcohol or drug use, call the Alcohol and Drug Information Referral Service at 1-800-663-1441 or 604-660-9382 in the Lower Mainland. For groups in the Lower Mainland, search the Red Book Online. If you are at school or on campus, talk to a school counsellor or your campus\\u2019 health and wellness office. For online support, see some suggestions at www.heretohelp.bc.ca/discuss. This can be particularly useful if you don\\u2019t have a group in your community or have trouble getting to an in-person group. In order to benefit the most from a support group, you need to feel safe enough to share your experiences and thoughts, and you need to feel comfortable supporting others. It can be helpful to contact the group facilitator or organizer ahead of time to see if a particular group might be a good fit for you. We have a checklist to help you evaluate support groups\\u2014including when it might be time to leave one. Sometimes a group just doesn\\u2019t work for you, and that\\u2019s okay. If you feel comfortable, you can try talking to the facilitator to see if they can recommend another group that you can try.\"}\n", "{\"prompt\": \"Where can I find child and youth mental health services?\", \"completion\": \"To find help for a child or youth, you can: Encourage your child to talk to a teacher or school counsellor Talk to your family doctor or pediatrician, or go to a walk-in clinic Contact your local Child & Youth Mental Health office on one of their walk-in days Use Kelty Mental Health\\u2019s Help Finder Tool to find specific services and providers Contact the Institute of Families for Child and Youth Mental Health\\u2019s Youth-in-Residence or Parent-in-Residence for guidance, information, and support. Youth-in-Residence and Parents-in-Residence are located around the province. If you don\\u2019t have one in your community, a Parent- or Youth-in-Residence at the Kelty Mental Health Resource Centre can help you by phone or email Visit www.familysmart.ca for information and resources on child and youth mental health For young people ages 12-24, visit foundrybc.ca to see if there is a Foundry Centre in your area. Foundry offers easy-to-access mental health care, physical health care, social services, and support out of one office.\"}\n", "{\"prompt\": \"Where can older adults find help for mental health concerns?\", \"completion\": \"Mental health concerns are a serious concern at any age, and everyone deserves help and support. If you\\u2019re concerned about your mental health, you can: Talk to your family doctor or go to a walk-in clinic Call the Mental Health Support Line at 310-6789 (no area code) for information about services in your area Find your local mental health centre or program at www.gov.bc.ca/mentalhealth (you may need a doctor\\u2019s referral to access some programs) Find your local Canadian Mental Health Association branch at www.cmha.bc.ca and ask for information about local services Contact a local senior\\u2019s support organization or group and ask for advice. You can search for organizations at www.bc211.ca For general information about senior\\u2019s mental health: Find resources from the Canadian Coalition for Seniors' Mental Health at www.ccsmh.ca Find info sheets in the Seniors and Depression Series at www.heretohelp.bc.ca/factsheet/seniors-and-depression-series If you are concerned about a loved one: Be honest about your concerns, like changes you\\u2019ve noticed or problems that have come up Give your loved one a chance to talk about their perspectives. They may have a different take on the problem or have different priorities in their health care Be patient\\u2014it will probably take more than one conversation Whenever possible, aim for cooperation. Focus on finding an action or solution that everyone can agree on Remember that asking for help is hard for many of us, and it can be even harder as people\\u2019s roles and abilities change. If your loved one isn\\u2019t willing to talk about their experiences with you right away, offer alternatives like the BC Mental Health Support Line (310-6789\\u2014no area code needed), the Seniors Distress Line (604-872-1234) or a local seniors support organization (search for organizations at www.bc211.ca) Seek support to manage your expectations and your own well-being. It can be very stressful to see a loved one experience health problems. But adults who can care for themselves and aren\\u2019t at risk of harm are free to make their own choices\\u2014and that includes refusing help\"}\n", "{\"prompt\": \"Where can I find self-help materials for depression?\", \"completion\": \"Self-help resources are not a substitute for diagnosis or treatment. If you have concerns about low mood, it\\u2019s best to talk to your doctor first and rule out physical causes for your symptoms. However, once you\\u2019ve checked in with your doctor, self-help materials can be a great way to learn more about depression and practice different skills at your own pace or in between treatment sessions. Here are some resources to check out. The Antidepressant Skills Workbook was created by two BC psychologists. You\\u2019ll learn more about depression, learn and practice different skills to help improve your mood, and learn how healthy changes in other parts of your life can impact your mood. They also have similar workbooks for specific groups: Dealing With Depression: Antidepressant Skills for Teens A workbook for people who experience problems with depression at work called Antidepressant Skills at Work: Dealing with Mood Problems in the Workplace A workbook for expecting or new moms called Managing Depression: A Self-help Skills Resource for Women Living With Depression During Pregnancy, After Delivery and Beyond A workbook for people who experience health problems called Positive Coping with Health Conditions: A Self-Care Workbook On the HeretoHelp site, our Managing Depression series offers three info sheets: Dealing with a Diagnosis of Depression, Working With Your Doctor for Depression, and Preventing Relapse of Depression. The series helps you be an active partner in your health care, build healthy coping skills and self-management strategies, and more. Often depression can affect your concentration and motivation to work through self-help materials on your own. If you\\u2019d like self-help materials with a bit of extra support from a person, Bounce Back: Reclaim Your Health is a guided self-help program for British Columbians who experience mild to moderate depression, low mood, stress, or anxiety. You can get a DVD of tips to help you recognize and manage symptoms of depression, or you can learn more in-depth skills in a series of workbooks you complete at home. You also work with a trained coach from the Canadian Mental Health Association who will offer support and advice by telephone or video conference. Bounce Back is free with a doctor\\u2019s referral. For more information, visit www.bouncebackbc.ca (If you want to access the Bounce Back materials without a coach or referral, you can do that online in BC at www.bouncebackonline.ca). The Mood Disorders Association of BC has a number of videos on mental health, seeking help, and other topics Kelty Mental Health Resource Centre also maintains a comprehensive list of websites, toolkits, books and other resources for young people and families Heads Up Guys offer tips and strategies for healthy living strategies for men who experience depression The BC Reproductive Mental Health Program of BC Mental Health and Substance Use Services has a self-management guide for women who experience postpartum depression called Coping with Depression in Pregnancy and Following the Birth. They also have a guide for Aboriginal women and their families called Celebrating the Circle of Life: coming back to Balance and Harmony The follow resources are based outside of BC, but they offer a lot of good information. MoodGYM Training Program is a web-based self-help course for people who experience depression. It is based in Australia but is available for free to anyone Moodjuice is a UK initiative that offers self-help workbooks, including one for depression There are many books and workbooks available to help people who experience depression. Talk to your mental health care team for recommendations. You can find many from your local bookstore or special bookstores specializing in mental health like Odin Books in Vancouver (you can also order online). Within British Columbia, you may also borrow books for free from the Family Support and Resource Centre at BC Children\\u2019s and Women\\u2019s Hospitals. They have many self-help and reference materials on depression for women and their partners, for parents, and for children and youth.\"}\n", "{\"prompt\": \"Where can I find self-help materials for anxiety?\", \"completion\": \"Self-help resources are not a substitute for diagnosis or treatment. If you have concerns about low mood, it\\u2019s best to talk to your doctor first and rule out physical causes for your symptoms. However, once you\\u2019ve checked in with your doctor, self-help materials can be a great way to learn more about anxiety and practice different skills at your own pace or in between treatment sessions. Here are some resources to check out: Anxiety Canada has self-help resources, toolkits, worksheets, and videos on anxiety and anxiety disorders for children and their parents, teens, adults, expecting and new moms at www.anxietycanada.com. Their MindShift app teaches skills to help users manage anxiety, relax, and live well. Although designed for teens and young adults, other adults can also benefit from it. Kelty Mental Health Resource Centre has a list of recommended websites, toolkits, books, and other resources for children and for teens. The BC Reproductive Mental Health Program of BC Mental Health and Substance Use Services has a self-management guide for women who experience anxiety during and after birth called Coping With Anxiety During Pregnancy and Following the Birth. Moodjuice is a UK program that offers self-help and information on a number of mental health concerns, including their anxiety self-help guide. If you\\u2019d like help for a specific anxiety disorder, visit www.moodjuice.scot.nhs.uk to search for other guides. There are many books and workbooks available to help people who experience anxiety problems. Talk to your mental health. Talk to your mental health care team for recommendations. There are bookstores that specialize in mental health and well-being materials, such as Odin Books in Vancouver. Within British Columbia, you may also borrow books for free from the Family Support and Resource Centre at BC Children\\u2019s and Women\\u2019s Hospitals. They have many self-help and reference materials on depression for women and their partners, for parents, and for children and youth. If you\\u2019d like self-help materials with a bit of extra support from a person, Bounce Back: Reclaim Your Health is a guided self-help program for British Columbians who experience mild to moderate low mood or anxiety. You can get a DVD of tips to help you recognize and manage symptoms of anxiety, or you can learn more in-depth skills in a series of workbooks you complete at home. You work with a trained coach from the Canadian Mental Health Association who will offer support and advice by telephone or video conference. Bounce Back is free with a doctor\\u2019s referral. For more information, visit www.bouncebackbc.ca. If you want to access the Bounce Back materials without a coach or referral, you can do that online in BC at www.bouncebackonline.ca.\"}\n", "{\"prompt\": \"I\\u2019m having a hard time coping with a physical health problem. Where can I find help?\", \"completion\": \"Physical health can have a big impact on mental health! Here are some resources to help you cope with the emotional challenges of living with a chronic health problem: Self-Management BC offers free programs for adults of all ages who are experiencing any ongoing physical or mental health issues. Find information and strategies to help manage symptoms and take action toward the best life possible. Family members, friends, and loved ones are welcome to attend. Programs are available in languages other than English, including Chinese and Punjabi. On their website, you learn more about self-management research and find a workshop or telephone-based support program. Visit www.selfmanagementbc.ca or call toll-free 1-866-902-3767. A group of BC psychologists and doctors have created a self-guided workbook called Positive Coping with Health Conditions for anyone who is dealing with a health problem and anyone who supports a loved one that experiences a health problem. The workbook discusses the links between physical health and mental health, and teaches you different skills to help you manage problems and difficult feelings well, get active, and work on healthy relationships. Bounce Back: Reclaim Your Health is a guided self-help program for British Columbians who experience mild to moderate depression, low mood or anxiety. You can get a DVD of tips to help you recognize and manage symptoms of depression, or you can learn more in-depth skills in a series of workbook you complete at home. One of the workbooks, Reclaim Your Health, is focused on living with chronic health conditions. You work with a trained coach from the Canadian Mental Health Association who will offer support and advice by telephone or video conference. Bounce Back is free with a doctor\\u2019s referral. For more information, visit www.bouncebackbc.ca. If you want to access the Bounce Back materials without a coach or referral, you can do that online in BC at www.bouncebackonline.ca. Reclaim Your Life: From illness, disability, pain, or fatigue is a booklet from the Canadian Mental Health Association that offers practical tips and strategies to help you cope with a problem and get back to your usual routine. The booklet is available for purchase at www.livinglifetothefull.ca. It is part of a program called Living Life to the Full, an eight-week program that helps people make helpful changes in their lives. It\\u2019s offered throughout the province, and you can find course listings on the website as well. Many organizations support people who experience a particular illness or health problem. These organizations can often help people find appropriate support services or may even offer support groups of their own. You can also ask your health care team for recommendations. If you can\\u2019t find support in person, you can see if there are any support groups online. If you\\u2019re having a hard time coping and feel that you need one-on-one support, a therapist or counsellor can be a great option. You can find more information on finding these professionals at www.heretohelp.bc.ca/ask-us/how-can-i-find-a-doctor-psychiatrist-psychologist-or-counsellor.\"}\n", "{\"prompt\": \"When is substance use a problem? Where can I go for help?\", \"completion\": \"Each person has a different relationship with substances like alcohol and other drugs, and people use substances for different reasons. What\\u2019s beneficial for some may cause problems for others, or for the same person in different situations. To learn more about substance use, check out Understanding Substance Use: A health promotion perspective. For more on supporting someone else, a useful resource is Helping People who Use Substances: A health promotion perspective. To help you think about your relationship with substance, You and Substance Use: Stuff to think about...and ways to make changes is a great workbook. Another series, Making Healthier Choices about Substance Use: Tips for cutting back or quitting, has a lot of useful tips and resources if you want to change the way you use alcohol, marijuana, medications, methamphetamine, and tobacco. If you or someone you care about needs more help, contact the Alcohol and Drug Information Referral Service to find support in your area. To get help anywhere in BC, call 1-800-663-1441. In Greater Vancouver, call 604-660-9382. To learn more about substance use, visit the Centre for Addictions Research of BC.\"}\n", "{\"prompt\": \"Where can I find free or low-cost counselling?\", \"completion\": \"Mental health services like counselling or therapy may be covered by your BC Medical Services Plan (MSP) when you access the service through a hospital or mental health clinic. Find your local health authority to learn more about counselling services in your area. HealthLink BC\\u2019s Find Services tool and Locator app can also help you find services. You often need a doctor\\u2019s referral to access these types of programs. Without a doctor\\u2019s referral, you need to access care through the private system, which is not funded by the government. Private mental health services can be expensive. This can be a real barrier to finding good care. While there is no simple answer, there are several different places you can look: If you have health benefits at work, ask about your coverage. Some plans will cover a certain number of private counselling or therapy sessions. In addition, a workplace Employee/Family Assistance Plan may offer some services or may refer you to community services. Some psychologists, clinical counsellors, or other service providers may offer a sliding scale, which means that their costs are based on your income. Try contacting service providers directly to ask if they offer a sliding scale. One private clinic in Vancouver has a good list of lower-cost counselling options in the Vancouver area. For those outside of the Lower Mainland, you can still look at this list and see if any similar organizations might be in your community. Contact a mental health organization like Anxiety Canada, the Canadian Mental Health Association, BC Schizophrenia Society, Institute of Families for Child and Youth Mental Health, Mood Disorders Association of BC, or Jessie\\u2019s Legacy. They may offer services in your area, or they may have local connections that they can refer you to. You can also email us and we\\u2019ll try and give you some recommendations for your community.\"}\n", "{\"prompt\": \"Can I get help paying for prescription medications?\", \"completion\": \"BC PharmaCare covers the cost of some medications through Plan G, the Psychiatric Medications Plan, for people who need a medication to be well but cannot afford them. Your doctor or nurse practitioner must apply for your coverage on your behalf. Coverage usually lasts for one year, and then you can reapply if needed. Talk to your care team if you\\u2019re interested in Plan G.\"}\n", "{\"prompt\": \"How can I pay for mental health care?\", \"completion\": \"Mental health services provided through the government-run (\\u2018public\\u2019) system, like services you receive through your local mental health centre or team, an outpatient psychiatry at a hospital are most often completely covered by MSP. As long as you are eligible for MSP, you won\\u2019t have to pay to see someone. For mental health services that aren\\u2019t covered by MSP, such as psychotherapy or counselling with a private practitioner, you will have to cover the costs yourself. It\\u2019s no secret that these services can be expensive, but you may be able to offset the costs through: Extended health coverage from your own or an immediate family member\\u2019s workplace benefits Employee (Family) Assistance Program from your own or an immediate family member\\u2019s workplace benefits For students, school or campus mental health services For Indigenous community members, services offered through your Band, Friendship Centre, Indigenous support organization, or the First Nations Health Authority Cultural or faith communities may offer some mental health services You may be able to claim some larger costs related to treatment of a mental health condition on your income tax return under health expenses Some providers offer lower-cost services or a sliding scale, usually based on your income. Email us with your location and our information and referrals team can help you look for options in your area. If costs are a barrier to health care, talk to your doctor to see if there are any services in the public health system (covered by MSP) that may be a good fit for you. You can also called the Mental Health Support Line at 310-6789 (no area code) for more information on local mental health services.\"}\n", "{\"prompt\": \"How do I apply for income assistance?\", \"completion\": \"Provincial income assistance has three income levels: basic assistance (also called welfare), Persons with Disabilities benefits (PWD), and the Persons with Persistent and Multiple Barriers to employment benefits (PPMB). All are administered by the Ministry of Social Development and Social Inclusion. Depending on the situation, mental illness may considered under PWD or PPMB. Addictions may not be included in PPMB applications. PWD benefits are for people who have a disability that prevents them from working or going about their daily activities. Find information from the Ministry and read a fact sheet from the Disability Alliance of BC with information about the application process. PPMB benefits are for people who experience multiple barriers to work. Find information from the Ministry and read a fact sheet from the Disability Alliance of BC with information about the application process. The Disability Alliance of BC (formerly the BC Coalition of People with Disabilities) and help you navigate PWD and PPMB programs as well as Canada Pension Plan benefits. They have in-depth information on preparing your application, working through the application process, and handling appeals. PovNet can also connect you with an advocate to help you through the application process. For more on provincial PWD benefits and advocacy tips, see Getting By on Social Assistance: Navigating the \\u2018welfare\\u2019 system or read other articles in our Income issue of Visions Journal.\"}\n", "{\"prompt\": \"What is MSP?\", \"completion\": \"MSP stands for Medical Services Plan. It\\u2019s a health insurance program managed by the government for people who live in British Columbia, Canada. MSP pays for things like doctor\\u2019s appointments, appointments with specialist doctors like psychiatrists, and hospital stays you need to treat a medical problem. Everyone who lives in BC must enroll in MSP. You pay a monthly fee based on your income. Some workplaces cover the costs of MSP fees for you. Learn more about MSP here. If you have questions about applying for or managing your MSP coverage, call Health Insurance BC at 604 683-7151 in the Lower Mainland or 1-800-663-7100 in the rest of BC. They are open Monday \\u2013 Friday from 8.00am \\u2013 4.30pm. You can also get help in person at your local Service BC office. If you are new to BC, you have to wait three months before registering for MSP. Bring your Care Card or BC Services Card with you when you go to medical appointments or use the pharmacy.\"}\n", "{\"prompt\": \"What is a referral?\", \"completion\": \"A referral means someone recommends you to another service. In health care, it usually means a request from your doctor to see a specialist like a psychiatrist. To access any specialist in BC, you first need a referral. You may need to meet certain criteria, like a specific diagnosis or specific symptoms, to access some specialists. Your doctor can tell you what to expect. Once your doctor has made the referral, the specialist\\u2019s office will contact you with an appointment time. Make sure your doctor\\u2019s office has your current contact information so the specialist can reach you. The process is the same whether you see the same family doctor or visit a walk-in clinic. Not all mental health programs in BC require a doctor\\u2019s referral. This is good news for people who are looking for help! A \\\"self-referral\\\" means that you ask to see someone, and then you will be evaluated to see if you meet the criteria to receive services. Contact your local health authority to learn more about programs in your area:\"}\n", "{\"prompt\": \"What's the difference between a psychiatrist and a registered psychologist?\", \"completion\": \"A psychiatrist is a medical doctor with extra training in mental health who can choose to prescribe medications. Some use psychotherapy (\\u2018talk therapies\\u2019) approaches like cognitive-behavioural therapy to treat mental health problems. Many psychiatrists work at hospitals, clinics, or health centres, and some have a private office. As they are specialist doctors, you will almost always need another doctor\\u2019s referral to see a psychiatrist, and fees are covered by MSP. If you have a valid BC Services or CareCard, you do not need to pay to see a psychiatrist. A registered psychologist focuses on different talk therapy or counselling approaches to treatments, but they don\\u2019t prescribe medication. They have graduate degrees in psychology. There are two different ways to access registered psychologists: the public system and the private system. Registered psychologists in the public system work in some hospitals or schools. You may need a doctor\\u2019s referral to access the program, and costs are usually covered by MSP. However, most people need to access registered psychologists through the private system. To do this, you can contact the psychologist yourself\\u2014you do not need a referral. Costs are not covered by MSP, but they may be covered by employee health plans. A registered psychologist\\u2019s fees charged by hour vary, and some offer lower fees to people with lower incomes. You\\u2019ve probably noticed that a lot of the differences come down to how you pay for different services and how these professionals are educated. The practical differences in how they work are not always so clear. When it comes to your treatment and care, the most important part is finding a professional who supports your own goals. Are you really focused on fine-tuning medications? Are you looking for a particular therapy approach? Does the professional\\u2019s philosophy of care make sense to you? Do you like the professional you\\u2019re talking to and do you feel safe sharing your experiences? Ultimately, your relationship with the professional is what matters. Instead of focusing on designation, look for a professional who meets your needs and your expectations. Talk to your family doctor and ask for their recommendations Ask local mental health organizations for help. You can find local branches through the provincial organizations behind HeretoHelp Ask a community health centre, outpatient psychiatry program, or mental health team for suggestions For a list of psychiatrists near you, search under \\u2018Specialist\\u2019 in the College of Physicians and Surgeons of British Columbia\\u2019s Find a Physician Tool but remember that you will first need a referral from a doctor (like your family doctor) For a list of psychologists near you, search in the British Columbia Psychological Association\\u2019s Find a Registered Psychologist tool and you can also learn more about finding a psychologist from the College of Psychologists of British Columbia\"}\n", "{\"prompt\": \"What's the difference between psychotherapy and counselling?\", \"completion\": \"Psychotherapy and counselling have a lot in common and usually mean the same thing. Both are used to describe professionals who use talk-based approaches to help someone recover from a mental illness or mental health problem. Many different professionals may provide counselling or psychotherapy, including registered psychologists, registered clinical counsellors, psychiatrists, other therapists and counsellors, family doctors, psychiatric nurses, and faith leaders. It\\u2019s useful to talk to someone about any problem\\u2014a lot of people find that simply talking with friends or family can help them feel better. A professional therapist or counsellor can offer more: they have training, experience, and emotional distance (since they don\\u2019t know you). They use different theories to listen to you, support you, and approach different problems or patterns. For example, a psychotherapy called cognitive-behavioural therapy is based on the theory that learning skills to change your thinking and actions can positively impact your emotions, well-being, and future thoughts and behaviours. A therapist could help you learn and practice these skills. There are many psychotherapies with good evidence of being effective for different problems or illnesses. A few examples include cognitive-behavioural therapy, interpersonal therapy, dialectical behaviour therapy, solutions-focused brief psychotherapy, narrative therapy, and emotion-focused therapy. In general, some aspects of therapy and counselling are the same, no matter which approach you choose: the expectations you bring to your counselling sessions, the match between your understanding of the problems and your therapist\\u2019s understanding of the problem, and the trust and rapport that you have with your therapist. In fact, one research review found that 50% of the improvement seen in clients who just received active listening and support from a counsellor (called non-directive supportive therapy) was due simply to the relationship between client and therapist.1 Psychotherapy can and does work, but the professional you choose, and their match with your values, is also very important. When you\\u2019re looking for a professional, it\\u2019s always a good idea to ask if they are a member of a professional organization (like those listed in the next section).\"}\n", "{\"prompt\": \"What's the difference between CBT and DBT?\", \"completion\": \"CBT (cognitive-behavioural therapy) and DBT (dialectical behaviour therapy) are two forms of psychotherapy or \\u201ctalk therapy.\\u201d In both, you work with a mental health professional to learn more about the challenges you experience and learn skills to help you manage challenges on your own. Cognitive-behavioural therapy or CBT teaches you how your thoughts, feelings, and behaviours influence each other. For example, if you believe that people don\\u2019t like you (thought), you might avoid social situations (behaviour) and feel lonely (feeling). However, CBT teaches you how to use these relationships to your advantage: a positive change in one factor (changing a thought or behaviour) can lead to positive changes in all factors. CBT is an approach that has been proven by research to work for many different mental health problems, including depression, anxiety disorders, eating disorders and substance use problems. CBT is structured, short-term, goal-oriented and focused on the present. It starts with education around the particular mental illness or challenge and how the illness or challenge affects you. Next, you\\u2019ll learn and practice skills and strategies like problem-solving or realistic thinking to help you make changes in your thoughts, feelings, and behaviours. You\\u2019ll learn how you can use your new skills to deal with problems in the future. Dialectical behaviour therapy or DBT is based on CBT, with greater focus on emotional and social aspects. DBT was developed to help people cope with extreme or unstable emotions and harmful behaviours. DBT is an evidence-based approach to help people regulate emotions. It started as a treatment for borderline personality disorder, and current research shows it may help with many different mental illnesses or concerns, particularly self-harm. Key differences between CBT and DBT are validation and relationships. DBT teaches you that your experiences are real, and it teaches you how to accept who you are, regardless of challenges or difficult experiences. Relationships are also very important in DBT\\u2014including the relationships between you and your DBT practitioner. You may have frequent check-ins to talk about any successes or problems. Treatment may include a mix of one-on-one sessions and group sessions. In addition to CBT skills, you\\u2019ll learn skills around managing your emotions, building relationships with others, coping well with problems or distress, acceptance, and mindfulness. As with many talk therapies, it takes time and effort to enjoy the benefits of CBT and DBT skills. But once people master skills with support from your CBT or DBT therapist, they often find that their new skills and strategies become second nature\\u2014they are tools that last a lifetime.\"}\n", "{\"prompt\": \"What's the difference between antidepressants?\", \"completion\": \"There are many different types of antidepressant medications, and they each work in different ways. Antidepressants are divided into \\u201cclasses\\u201d based on what they do and which chemical messengers in the brain (called neurotransmitters) they are thought to influence. Each class may contain several different medications, which each have slightly different ways of working. Below, you\\u2019ll find common classes and examples of common medications. The first name is the generic name and name in brackets is the brand name. SSRIs or selective serotonin reuptake inhibitors: fluoxetine (Prozac), paroxetine (Paxil), citalopram (Celexa), escitalopram (Cipralex), and sertraline (Zoloft) SNRIs or serotonin and norepinephrine reuptake inhibitors: venlafaxine (Effexor) and duloxetine (Cymbalta) NDRIs or norepinephrine-dopamine reuptake inhibitors: bupropion (Wellbutrin and Zyban) NaSSAs or noradrenergic and specific serotonergic antidepressants: mirtazapine (Remeron), which can also be classed as a TeCa or tetracyclic antidepressant SARIs or serotonin antagonist and reuptake inhibitors: trazodone (Desyrel) There are other classes of antidepressants (such as MAOIs or triclycics) that are much older and have more side effects or restrictions. They are usually prescribed when newer antidepressants don\\u2019t work. Other medications such as lithium, thyroid medication, or antipsychotics may also be prescribed, often in combination with an antidepressant to boost its effect. Antidepressants are not only used to treat depression\\u2014they may be prescribed to treat other illnesses like anxiety disorders. Only medical doctors like family doctors or psychiatrists can prescribe antidepressants. If your doctor recommends that you consider antidepressants, keep in mind that most people have to try a few different options before they find the right medication. It can be a frustrating process, especially when you feel unwell, but it\\u2019s important to find something that works for you! Side effects and benefits can vary significantly between different people, and it\\u2019s difficult to predict how a medication might work without trying it out first. Everyone responds to them differently. It\\u2019s very important to have ongoing discussions with your health care team regarding your medication so you can bring up any problems or concerns\\u2014or even ask more about how your particular antidepressant works.\"}\n", "{\"prompt\": \"I received a diagnosis but I don\\u2019t think it\\u2019s right. What can I do?\", \"completion\": \"If possible, bring up your concerns with the professional who provided the diagnosis. That way, the professional can answer your questions and you can better understand their decision. If that doesn\\u2019t resolve the situation or a follow-up appointment isn\\u2019t possible, you can ask for a second opinion. A second opinion is an assessment from a different professional. This can give you better understanding of what\\u2019s going on and what to do about it. Second opinions are common when it comes to major health decisions\\u2014you won\\u2019t hurt anyone\\u2019s feelings and your doctor will try to accommodate reasonable requests for a second opinion. Talk to your family doctor (or go to a walk-in clinic) to discuss your options and get a referral to a different program or health professional, if needed. For more how to get a second opinion, see HealthLinkBC\\u2019s factsheet at www.healthlinkbc.ca. For general tips on managing a diagnosis of a mental illness and working well with health care professionals, see HeretoHelp\\u2019s Managing a Mental Illness series.\"}\n", "{\"prompt\": \"I was prescribed an antidepressant or other psychiatric medication but I don\\u2019t think it\\u2019s working. What can I do?\", \"completion\": \"If you\\u2019re concerned about your medications, it\\u2019s important to talk with the doctor or psychiatrist who prescribed your medications. While it can take a few weeks to really see improvements with many antidepressants, it\\u2019s still a good idea to talk to your doctor about what to expect. Talk to the doctor that prescribed your medication if you experience symptoms or side effects that are distressing you. If you want to talk to a trusted professional about the most common side effects, call your pharmacist. You can reach a pharmacist by phone after-hours by calling 811. It\\u2019s also best not to stop taking the medication or changing the dose on your own without first talking to a health care provider. While it might be tempting to stop taking your medication when you start feel better, it\\u2019s important to follow your doctor\\u2019s instructions. In some cases, people can have an allergic reaction to a medication. Some reactions are not serious, like a rash. In these cases, you can call the pharmacist or call 811 to reach help after-hours. If you have a serious reaction like difficult breathing, dizziness, or confusion, call 911 right away. When you start a new medication, your pharmacist will give you a printout with information like side effects, signs of an allergic reaction, how long it might take to work, and other information. It\\u2019s good information to keep on hand, but it isn\\u2019t always easy to read. When you pick up your medication, you can ask the pharmacist to go over the information with you so you understand what you should look for. If a particular antidepressant or psychiatric medication just isn\\u2019t working for you, there are many different options! Unfortunately, finding the right medication can take some trial and error. Different people can have very different experiences with the same medication, and often you need to try something to see if it works (or doesn\\u2019t work) for you. This can be a frustrating process, especially when you want to start feeling better, but it\\u2019s important to keep trying and work with your doctor so you understand your options. Many people feel intimidated talking to health professionals, but it\\u2019s important to share information so you both understand what\\u2019s going on and can make good, informed decisions about your health care. Some people also feel embarrassed talking about symptoms or side effects like changes in sex drive or digestion, but its important information for your doctor (and they know that changes in sex drive or digestion are common concerns). You can find strategies, including a mood journal, to help you work with doctors and other health care providers in our Working With Your Doctor toolkit.\"}\n", "{\"prompt\": \"An adult in my life seems ill and won\\u2019t find help. What can I do?\", \"completion\": \"It\\u2019s difficult when an adult child, sibling, parent, friend, co-worker, or other important person is struggling or behaving in ways that are causing harm. This can be a tricky situation\\u2014you want to help, but most adults are responsible for their own care. There are two important points to think about. First, diagnosing a health condition, especially when symptom-checking is so easy online, can be dangerous. Diagnosis is still always best left to professionals who can look at the whole picture. Remember, too, that the person you care about may have a very different idea of what\\u2019s causing their difficulties and what the negative impacts are on their life. Second, except in rare cases, the person being treated needs to be an active player in their own recovery to continue with their treatment, just as they would for any other health problem. If the vast majority of cases, you cannot do this work entirely for them\\u2014and trying to do so may damage your relationship. Be honest about your concerns, the impacts you are seeing that worry you, listen to their point of view and work together to find a solution that works for everyone, even if it means a compromise. You may want to offer to go with them to an appointment, encourage them to do an online screening self-test, or involve someone else close to them who may be similarly concerned and may have more influence in encouraging them to notice changes and seek help. Because you may be feeling frustrated and helpless, it\\u2019s important to get care and support for yourself during this time, especially if you\\u2019re very close to the person you\\u2019re worried about. In serious situations, the BC Mental Health Act allows someone to be held for a period of time for psychiatric assessment without their consent if they are at risk of harming themselves or others. While it\\u2019s necessary in some situations to get someone the care they need, it can be traumatic for everyone involved. For more on the BC Mental Health Act, see the Guide to the Mental Health Act.\"}\n", "{\"prompt\": \"I\\u2019m worried about my child or teenager. Where can I find help?\", \"completion\": \"It can be hard to figure out what to do if you\\u2019re concerned about a young person in your family. Many people start by talking with their family doctor. If you don\\u2019t have a family doctor, you can find a doctor through the College of Physicians and Surgeons of BC. You can also visit a walk-in clinic. Depending on the situation, your family doctor may offer everything you need. If your child needs more specialized services, such as psychiatry services, your family doctor needs to make a referral for your child. Many family doctors can also recommend community services or supports in your community. Learn more about the role of family doctors in the info sheet What to Expect from Your Family or Walk-In Clinic Doctor. If your child\\u2019s difficulties affect their performance or behaviour at school, the school may be involved. If your child\\u2019s school has a counsellor, talk to them about services you can access through the school. School counsellors can also suggest community services. See the info sheet What to Expect from Your Child's School. Kelty Mental Health Resource Centre offers information, resources, peer support, and system navigation to children, youth, and families experiencing mental health or substance use challenges. Their Help Finder tool and help you navigate the mental health system. Kelty Mental Health is based at BC Children\\u2019s Hospital in Vancouver, but they support young people and their families across the province. Institute of Families for Child and Youth Mental Health advocates for healthy young people and family support. They offer resources and education events across BC. The Canadian Mental Health Association\\u2019s BC Division offers Confident Parents: Thriving Kids, a phone-based education and support program to help parents or caregivers manage mild to moderate behaviour problems for children ages 3 to 12. This program is free, but it requires a doctor\\u2019s referral. You may also want to check out these resources from HeretoHelp on child and youth mental health and substance use:\"}\n", "{\"prompt\": \"Someone I care about has a brain injury. Where can I find more information?\", \"completion\": \"A brain injury itself isn\\u2019t the same as a mental illness, though someone who experiences a brain injury may also experience mental health problems. These mental health problems may stem from the injury itself or from thoughts around the injury (like feelings of loss, anger, or frustration when quality of life changes). In some cases, mental health challenges may not be related to a brain injury at all. The good news is that mental health problems are treatable, even if you or someone you care about has experienced a brain injury. It may be helpful to find a service provider who is familiar with both brain injuries and mental health. For more information and support, visit the BC Brain Injury Association. You can also find local and regional groups and organizations in BC through the Brain Injury Association of Canada.\"}\n", "{\"prompt\": \"Someone I love has been diagnosed with depression. How can I help?\", \"completion\": \"We naturally want to help a loved one who isn\\u2019t feeling well. How we can or should help may seem fairly obvious when a loved one experiences a physical health problem, but many people say they\\u2019re not sure how to best help when a loved one experiences a mental illness like depression. Here are some tips: You don\\u2019t have to understand exactly what someone else is experiencing, you just need to recognize that it\\u2019s a difficult experience. You can try something like, \\u201cI can see that this experience or these symptoms are really painful for you,\\u201d or, \\u201cI\\u2019m sorry to hear that you\\u2019re feeling unwell.\\u201d If you have experienced depression yourself, you might say, \\u201cI know how you feel.\\u201d Just remember that everyone experiences illnesses like depression differently, and empathy is about recognizing the impact of the illness, not comparing symptoms. You don\\u2019t have to be an expert, but learning more about depression can help you understand what\\u2019s going on (and maybe dispel some of the unhelpful myths around depression). Our Depression info sheet is a great place to start, and we have a list of resources at Q&A: Where can I learn more about depression? Sometimes talking about problems or concerns can really help\\u2014in fact, many people who experience a mood disorder say that they just want to be heard. It\\u2019s important to understand that talking about something difficult like experiences of depression can be very hard for your loved one. You cannot force them to talk about it, but you can invite them to, and create safe and quiet spaces to talk. If a loved one opens up to you, listen actively\\u2014that is, without distractions like your phone or the TV. Really pay attention to what they have to say. Listen with empathy and without judgement. Even if you don\\u2019t understand the problem or see the problem in a different way, your main concern is the distress or difficult feelings your loved one is experiencing. You can find in-depth tips on listening and communicating well in Module Three of the Family Toolkit. Some people are not ready to talk about everything at once, or at all. That\\u2019s okay! Respect your loved one\\u2019s boundaries and let them tell you what they\\u2019re ready to talk about. Even when you have the best intentions, unsolicited advice can be unhelpful. You likely can\\u2019t fix the problem, and you may not know the whole story. If you\\u2019d like to share what worked for you in a similar situation, you can ask if the other person would like to talk about strategies that worked for you. Different people need different things\\u2014don\\u2019t assume you know what\\u2019s best! Some people need emotional help, like someone they can talk with. Other people may have a good relationship with a counsellor or other professional, but they might need practical help, like help around the house or help sticking to their treatment plan. And others may simply want to be included in some social events. By asking what a person needs, you may also be less tempted to give advice. When people experience an episode of depression, they can have a lot of very negative thoughts and feelings. This can take a real toll on others. It\\u2019s a good idea to seek support for yourself\\u2014there are support groups just for family members and friends. The BC Schizophrenia Society has a directory of family support groups around BC for any mental illness. If your loved one isn\\u2019t happy with their treatment or would like to try a different option, you can also help them seek different resources or services. You can find general advice in the Ask Us section of HeretoHelp. To find local services, call the BC Mental Health Support Line at 310-6789 (no area code) or email us. This is very important! You are not responsible for your loved one\\u2019s treatment (unless your loved one is your child under 19)\\u2014but you can support them as they work towards recovery. In most cases, your loved one\\u2019s treatment and recovery plans are their choice\\u2014you are there to offer support and encouragement. In order for any treatment to work, your loved one needs to be actively involved. Forcing or threatening treatment generally doesn\\u2019t work and will only hurt everyone involved. In most cases, anyone 19 years of age and older is free to make their own choices. And their choices may include refusing treatment or choosing a treatment you disagree with. It\\u2019s important to be respectful and keep honest communication open between you. You can learn more about dealing with this situation in Ask Us: An adult in my life seems ill and won\\u2019t find help. What can I do? If your loved one says that they have thoughts of ending their life, it\\u2019s important to take action. Call 1-800-SUICIDE (1-800-784-2433) at any time or message online at www.crisiscentrechat.ca between noon and 1am. If you think your loved one is in immediate danger, you can always call 911 or go to a hospital emergency room.\"}\n", "{\"prompt\": \"Someone I love has been diagnosed with schizophrenia. How can I help?\", \"completion\": \"We naturally want to help a loved one who isn\\u2019t feeling well. How we can or should help may seem fairly obvious when a loved one experiences a physical health problem, but many people say they\\u2019re not sure how to best help when a loved one experiences a mental illness like schizophrenia. Here are some tips: You don\\u2019t have to be an expert in schizophrenia, but learning more can help you understand what\\u2019s going on. There are a lot of myths about schizophrenia, so it\\u2019s a good idea to find some trustworthy resources. Our Schizophrenia info sheet is a great place to start. You can also find a lot of information from the BC Schizophrenia Society. Sometimes talking about problems or concerns can really help. It\\u2019s important to understand that talking about something difficult like experiences of schizophrenia can be very hard for your loved one\\u2014and the symptoms of schizophrenia can also make conversations difficult. If a loved one opens up to you, listen actively\\u2014that is, without distractions like your phone or the TV. Really pay attention to what they have to say. Give them time to finish their thoughts, even if it takes a bit longer than usual. Listen with empathy and without judgement. Even if you don\\u2019t understand the problem or you see the problem in a different way, your main concern is the distress or difficult feelings your loved one is experiencing. You can find in-depth tips on listening and communicating well in Module Three of the Family Toolkit. Some people are not ready to talk about everything at once, or at all. That\\u2019s okay! Respect your loved one\\u2019s boundaries and let them tell you when they\\u2019re ready to talk. Symptoms of schizophrenia like hallucinations (sensations that aren\\u2019t real, like hearing voices) or delusions (beliefs that can\\u2019t be true, like believing that you are being followed by a spy) can take some time to stop even when people are receiving treatment and following their treatment plan. As a group, these very distressing symptoms are called psychosis. Many people have a hard time responding to a loved one\\u2019s hallucinations or delusions. It\\u2019s best to avoid arguing about these experiences. Remember that delusion are symptoms of schizophrenia\\u2014they are not thoughts that you can talk someone out of. Telling someone that their experiences aren\\u2019t real or aren\\u2019t true doesn\\u2019t help when the experiences feel very real to that person! A better approach is to empathize with the feelings that hallucinations or delusions bring up\\u2014without confirming or denying the hallucination or delusion. For example, if a loved one is frustrated or upset when they hear voices, it isn\\u2019t helpful to say something like, \\u201cYou\\u2019re okay! It isn\\u2019t real. I don\\u2019t hear anything.\\u201d Instead, you might say, \\u201cI can only image how upsetting that voice must be. I can see the voice makes you feel scared.\\u201d Know that with good treatment and support, symptoms like hallucinations and delusions become much easier for people to manage and lose importance. Ask how you can help. When people experience a serious mental illness like schizophrenia, they may want to plan how they can take action if they start to feel unwell again, especially if they have dependent children. These plans, such as advanced directives or Ulysses Agreements, are made when a person feels well and are meant to communicate their wishes to loved ones and their care team. Ask your loved one if they have a plan in place so you know what they need if they need help. If you\\u2019d like to learn more about planning for care, see the BC Schizophrenia Society. If a loved one is experiencing an episode of psychosis or is recovering for an episode of psychosis, they might need extra help. For example, people who are actively experiencing hallucinations or delusions might need a lot of personal space and feel uncomfortable being around a lot of people or even making eye contact. When people are recovering from an episode of psychosis, they may need a quiet space and a lot of rest. Sometimes people can get back into their usual routines fairly quickly, while other times it may take a lot of time (and effort) to get back into routines. Keep in mind that too much help can be a bit counterproductive. It may well be faster and easier for you to take care of your loved one\\u2019s tasks or chores yourself, but rebuilding activity and confidence are a big part of recovery. Encourage and support your loved one as they take on daily responsibilities, and let them tell you when they need extra help. Schizophrenia can be a difficult illness\\u2014for everyone. During episodes of psychosis, your loved one may experience frightening sensations that you can\\u2019t understand. They may act in ways that you don\\u2019t understand. Other symptoms of schizophrenia can make it hard for people to express emotions or feelings, communicate clearly, or seem interested in others. It\\u2019s important to know that these are symptoms of an illness. They are no one\\u2019s fault, but they can still be hard to cope with. Consider reaching out to a family and friends support group for your own support. The BC Schizophrenia Society has a directory of groups around BC at www.bcss.org/monthly-meetings-calendar/. As a family member, it\\u2019s important to take care of yourself. Try to maintain your regular schedule and activities, such as your exercise routine and hobbies. Ask another family member or good friend to provide help with caregiving, especially in the early days of your loved one's illness. If you need help balancing time for self-care with caregiving duties, check out the BC Schizophrenia Society\\u2019s Family Respite Program. Try to maintain your friendships or the network of people that you have in your life. These will later become important supports as your loved one recovers. Educate them and update them on your loved one's recovery. People are sometimes afraid to ask questions about schizophrenia and this will put them at ease. This is very important! You are not responsible for your loved one\\u2019s treatment (unless your loved one is your child under 19), but you can support them. Schizophrenia can make it difficult for people to make and go to appointments and follow their treatment plan. With your loved one\\u2019s permission, you may choose to help by reminding them of appointments, taking them to appointments, or whatever helps in your situation. If your loved one isn\\u2019t happy with their treatment or would like to try a new approach, you can encourage them to talk with their care team, like their doctor or mental health team\\u2014it can be dangerous to stop or change a treatment without a doctor\\u2019s support. Treatment can be a difficult area for loved ones. It\\u2019s hard to see someone you love in pain. You might be scared of the things your loved one is experiencing. You want to help. But in order for any treatment to work, your loved one needs to be active in their care. Forcing or threatening treatment generally doesn\\u2019t work (or if it does, in the case of an emergency, only for a short time) and can often hurt everyone involved. In most cases, anyone 19 years of age and older and not at risk of harm is free to make their own choices. And their choices may include refusing treatment or choosing a treatment that you disagree with. It helps everyone if you can be respectful and keep honest communication open between you. You can learn more about dealing with this situation in Q&A: An adult in my life seems ill and won\\u2019t find help. What can I do?. If you think your loved one is at risk of harming themselves or others and they refuse help, it is possible to have them evaluated by a psychiatrist under the Mental Health Act. This process may involve police and other first responders, and it can be a difficult and stressful process for everyone. But it can also be a necessary step if someone is in danger. You can learn more about the Mental Health Act in the info sheet Families Coping with a Crisis and you can find the Guide to the Mental Health Act at www.health.gov.bc.ca/library/publications/year/2005/MentalHealthGuide.pdf. For a more in-depth discussion of the Mental Health Act, see a video with lawyer and health law consultation Gerrit Clements. If your loved one says that they have thoughts of ending their life, it\\u2019s important to take action. Call 1-800-SUICIDE (1-800-784-2433) at any time or message online at www.crisiscentrechat.ca between noon and 1am. If you think your loved one is in immediate danger, you can always call 911 or go to a hospital emergency room.\"}\n", "{\"prompt\": \"I\\u2019m a young person and one of my parents has a mental illness. What can I do?\", \"completion\": \"Someone else\\u2019s illness is not your fault. You also can\\u2019t control how someone else feels, their illness, or the things they do or say. What you can do is take care of yourself. Learning more about your parent\\u2019s illness can make it a bit easier to understand what they experience. On this website, you can find easy-to-read booklets on mental illnesses as well as longer info sheets on many different mental illnesses. You can also find information for young people from the Centre for Addiction and Mental Health. It\\u2019s important to take care of yourself, too! A lot of people have a big mix of feelings when a parent isn\\u2019t well. You might feel angry, embarrassed, scared, or many other things. These feelings and experiences can have a big impact on the way your think about yourself and other people. When you\\u2019re on an airplane and the flight attendants go through the safety demonstration, they tell you to put your own oxygen mask on before your help other people. That\\u2019s because it\\u2019s hard to help someone else if you aren\\u2019t well yourself. Here are some programs specifically for young people: Kids in Control Support Group Program from the BC Schizophrenia Society helps children and youth ages 8-18 understand mental illnesses, cope with challenges, and take care of their own health and well-being. If Kids in Control is not currently available at your local branch, your branch can order materials so you can work through them on your own. Super Saturday Club from CMHA Vancouver-Fraser is a free recreation group for children and youth ages 8-17 who have a parent that experiences a mental illness. To learn more, visit www.vancouver-fraser.cmha.bc.ca. If you\\u2019re having trouble coping with something going on at home, ask for some help! Here are some places you can go: A teacher or counsellor at school An adult you trust, like a friend\\u2019s parent or another family member Kids Help Phone: visit www.kidshelpphone.ca to learn about taking care of yourself and chat with a counsellor, or call 1-800-668-6868 to talk with a counsellor YouthinBC: Visit www.youthinbc.com to chat with a trained volunteer (noon-1.00am Pacific Time) BC Mental Health Support Line: If you ever need to talk to someone or you\\u2019d like to see what kind of resources are in your community, call 310-6789 (no area code) at any time\"}\n", "{\"prompt\": \"I have thoughts of suicide, or someone I care about is talking about suicide. What should I do?\", \"completion\": \"If you need to talk to someone or you aren\\u2019t sure how to help someone you care about, call 1-800-SUICIDE (1-800-784-2433) at any time. Or type your concern using live chat (like texting online) at www.crisiscentrechat.ca between noon and 1am. They can help you, and they can suggest good local resources. If you\\u2019re at risk of harm or think someone else is in danger and you need help right now, call 911. It\\u2019s scary to have thoughts of suicide or hear that someone you can care about has thoughts of suicide. Thoughts of suicide don\\u2019t mean that someone will end their life, but it\\u2019s a sign that they need extra help or support. If you have thoughts of suicide, it\\u2019s important to talk with your doctor or mental health service provider. If you\\u2019re supporting someone else, encourage them to seek help. Coping With Suicidal Thoughts is a good resource to help you understand and manage difficult feelings. Our info sheet on suicide has information on suicide, helping someone else, and finding help. What is Suicide? is a booklet with audio in plain language for lower literacy readers. The Centre for Suicide Prevention has many resource toolkits on suicide for different audiences, including people serving in the military, young people, teens, older adults, Aboriginal community members, and LGBT community members.\"}\n", "{\"prompt\": \"Cannabis is legally allowed to 19+ but there are doctor groups saying it\\u2019s potentially harmful to age 25. Any use or certain use? What\\u2019s myth and what\\u2019s fact? If I\\u2019m a parent, what should I tell my young adult?\", \"completion\": \"Using cannabis has the potential for benefits and harms. Young people use cannabis, like other psychoactive drugs, to feel good, to feel better, to do better or to explore. Trying cannabis out of curiosity, as an experiment, or while socializing with friends, is related to moderate use and lower potential for harm. Using cannabis to cope with daily life, deal with unpleasant feelings, or fit in with a social group has higher potential for harm. This is because dealing with these kinds of issues is associated with frequent and heavier use, less thought about potential harms and little consideration of alternatives for coping such as talking with a parent or trusted adult or physical activity with friends. Evidence suggests that the younger a person is when they start using cannabis and the more often they use, the greater the potential for harms. The legal age to use cannabis in BC is 19. However, our brains do not finish developing until about age 25. Delaying cannabis use until early adulthood may reduce potential harmful effects on the brain. Some young people, especially those with many factors predisposing them to serious and persistent mental health issues, should probably not use cannabis. Cannabis has been associated with an increased risk for psychosis and schizophrenia in this small group of people. Some people with serious mental health issues have also reported that using cannabis has helped them cope with their illness by helping them feel less anxious or stressed. As in most situations, balancing potential benefits and harms of using cannabis will be key for young people who have serious mental health concerns. Mixing drugs, such as cannabis and alcohol, can also increase the possibility of experiencing harms. Intoxication may be more intense and long lasting and the young person may not appreciate how impaired they are. We often suggest, \\u201cNot too much, not too often, and only in a safe context\\u201d as a simple way to gauge your use of any psychoactive substance. As a parent or caring adult, an open respectful relationship with a young person is one of your best resources and ways to prevent harms from substance use. Letting the youth know they can approach you at any time to talk about cannabis, other substances, or anything else of concern to them, says they matter to you and you are ready to listen and engage in dialogue with them. This is a great place to begin addressing anything that might come the young person\\u2019s way in life! The Canadian Institute for Substance Use Research, formerly CARBC, is a member of the BC Partners for Mental Health and Addictions Information. The institute is dedicated to the study of substance use in support of community-wide efforts aimed at providing all people with access to healthier lives, whether using substances or not. For more, visit www.cisur.ca.\"}\n", "{\"prompt\": \"What's the difference between mental health and mental illness?\", \"completion\": \"\\u2018Mental health\\u2019 and \\u2018mental illness\\u2019 are increasingly being used as if they mean the same thing, but they do not. Everyone has mental health, just like everyone has health. As the World Health Organization famously says, \\u201cThere is no health without mental health.\\u201d In the course of a lifetime, not all people will experience a mental illness, but everyone will struggle or have a challenge with their mental well-being (i.e., their mental health) just like we all have challenges with our physical well-being from time to time. When we talk about mental health, we\\u2019re talking about our mental well-being: our emotions, our thoughts and feelings, our ability to solve problems and overcome difficulties, our social connections, and our understanding of the world around us. A mental illness is an illness the affects that way people think, feel, behave, or interact with others. There are many different mental illnesses, and they have different symptoms that impact peoples\\u2019 lives in different ways. Health isn\\u2019t like an on/off switch. There are different degrees of health. People move on a continuum ranging from great or good health to so-so health to poor health to illness or disability. For example, some people have good health and have no problems going about their lives. Some people experience serious health problems, and their poor health has a very negative impact on their life. Some people have serious health problems that last for a long time, and others have serious health problems that resolve very quickly. Many people fall somewhere in the middle\\u2014they\\u2019re generally in good health, though the occasional problem may come up. Mental health is the same way. Just as someone who feels unwell may not have a serious illness, people may have poor mental health without a mental illness. We all have days where we feel a bit down, or stressed out, or overwhelmed by something that\\u2019s happening in our lives. An important part of good mental health is the ability to look at problems or concerns realistically. Good mental health isn\\u2019t about feeling happy and confident 100% of time and ignoring any problems. It\\u2019s about living and coping well despite problems. Just as it\\u2019s possible to have poor mental health but no mental illness, it\\u2019s entirely possible to have good mental health even with a diagnosis of a mental illness. That\\u2019s because mental illnesses (like other health problems) are often episodic, meaning there are times (\\u2018episodes\\u2019) of ill health and times of better or good health. With the right supports and tools, anyone can live well\\u2014however they define well\\u2014and find meaning, contribute to their communities, and work towards their goals.\"}\n", "{\"prompt\": \"Where can I find more information about depression?\", \"completion\": \"Our info sheets on mood disorders, bipolar disorder, and depression offer information on mood problems, treatment options, and resources in BC. We also offer What is Depression? It\\u2019s a booklet with audio in plain language for lower literacy readers. You can take a screening self-test for depression (and other mental health concerns). The adult depression tool also screens for signs of bipolar disorder. If you want to go beyond the basics, our Managing Depression series can help you deal with a diagnosis of depression, work with doctor, and prevent relapse of depression. You\\u2019ll also find many experiences and perspectives around depression\\u2014reading personal stories can help you feel less alone.\"}\n", "{\"prompt\": \"What\\u2019s the difference between anxiety and an anxiety disorder?\", \"completion\": \"Anxiety is a normal reaction to many different kinds of events and situations in our lives. Anxiety is one of our internal warning systems that alerts us to danger or other threats and prepares our bodies to fight back or get out of a dangerous situation. (Scientists call this the \\u2018fight, flight, or freeze\\u2019 response.) A manageable amount of anxiety from time to time can be helpful. For example, it can motivate you to prepare for a test a school or finish a task at work. Even happy events like moving to a new home or celebrating an important milestone can bring up anxiety\\u2014all of this is just part of being human. Anxiety is a problem when it becomes overwhelming or unmanageable and it comes up unexpectedly. Anxiety disorders are mental illnesses that have a big impact your life. People may avoid going about their daily lives in order to avoid anxiety. They may experience a lot of uncomfortable physical sensations and physical health problems. Many people say that they know their anxiety isn\\u2019t based in reality, but they feel \\u2018trapped\\u2019 by their thought and feelings. Anxiety disorders can be treated. It\\u2019s important to seek help if you\\u2019re concerned about anxiety in your life. Normal anxiety... Is related to a specific situation or problem Lasts only as long as the situation or problem/p> Is proportional to the situation or problem/p> Is a realistic response to a realistic problem or situation/p> When someone experiences an anxiety disorder... Anxiety may come up unexpectedly, for seemingly no reason The anxiety response to a situation or problem may be much stronger that they would expect They may experience a lot of unrealistic anxiety, such as fear of a situation that likely will never happen Anxiety may last for a long time, even when the situation or problem has been resolved Anxiety may feel impossible to control or manage They may avoid situations or things that they believe to trigger anxiety symptoms Here\\u2019s an example of normal anxiety and an anxiety disorder. Many people are a bit nervous about flying, which is a totally normal reaction. Yet, if they have to travel for work, they can can get on a plane without any problems. Someone with an anxiety disorder, on the other hand, may not be able to travel to the airport\\u2014even if it puts their job in jeopardy. *Formerly classified as an anxiety disorder and currently classified as Trauma- and Stressor-Related Disorders **Formerly classified as an anxiety disorder and currently classified as Obsessive-Compulsive and Related Disorders\"}\n", "{\"prompt\": \"What's the difference between anxiety and stress?\", \"completion\": \"Stress and anxiety are often used interchangeably, and there is overlap between stress and anxiety. Stress is related to the same \\u2018fight, flight, or freeze\\u2019 response as anxiety, and the physical sensations of anxiety and stress may be very similar. The cause of stress and anxiety are usually different, however. Stress focuses on mainly external pressures on us that we\\u2019re finding hard to cope with. When we are stressed, we usually know what we\\u2019re stressed about, and the symptoms of stress typically disappear after the stressful situation is over. Anxiety, on the other hand, isn\\u2019t always as easy to figure out. Anxiety focuses on worries or fears about things that could threaten us, as well as anxiety about the anxiety itself. Stress and anxiety are both part of being human, but both can be problems if they last for a long time or have an impact on our well-being or daily life.\"}\n", "{\"prompt\": \"What's the difference between sadness and depression?\", \"completion\": \"Sadness is a normal reaction to a loss, disappointment, problems, or other difficult situations. Feeling sad from time to time is just another part of being human. In these cases, feelings of sadness go away quickly and you can go about your daily life. Other ways to talk about sadness might be \\u2018feeling low,\\u2019 \\u2018feeling down,\\u2019 or \\u2018feeling blue.\\u2019 A person may say they are feeling \\u2018depressed,\\u2019 but if it goes away on its own and doesn\\u2019t impact life in a big way, it probably isn\\u2019t the illness of depression. Depression is a mental illness that affects your mood, the way you understand yourself, and the way you understand and relate to things around you. It can also go by different names, such as clinical depression, major depressive disorder, or major depression. Depression can come up for no reason, and it lasts for a long time. It\\u2019s much more than sadness or low mood. People who experience depression may feel worthless or hopeless. They may feel unreasonable guilty. Some people may experience depression as anger or irritability. It may be hard to concentrate or make decisions. Most people lose interest in things that they used to enjoy and may isolate themselves from others. There are also physical signs of depression, such as problems with sleep, appetite and energy and unexplainable aches or pains. Some may experience difficult thoughts about death or ending their life (suicide). Depression lasts longer than two weeks, doesn\\u2019t usually go away on its own, and impacts your life. It\\u2019s a real illness, and it is very treatable. It\\u2019s important to seek help if you\\u2019re concerned about depression.\"}\n", "{\"prompt\": \"What is dysthymia or persistent depressive disorder?\", \"completion\": \"Dysthymia, now called persistent depressive disorder or PDD, is a mood disorder. It is related depression (major depressive disorder). The difference between the two is in the number of symptoms and the amount of time that they last. Someone diagnosed with PDD would experience two to four of the symptoms below for at least two years with no periods of wellness during that time, while someone diagnosed with major depressive disorder would experience five or more of the symptoms below for at least two weeks. Symptoms of PDD include: There is a myth that PDD is not as severe an illness as major depressive disorder, but research shows that the disability of the illness, like the ability to work productively and enjoy hobbies, may be as severe in PDD as it is in major depressive disorder. As PDD involves a smaller number of symptoms that last for a very long time, many people begin to assume PDD is just part of their personality rather than an illness that can be effectively treated. So you should most certainly talk to a doctor or mental health professional if you think you might have PDD.\"}\n", "{\"prompt\": \"What is cyclothymic disorder?\", \"completion\": \"Cyclothymic disorder is a subtype of bipolar disorder. Much like bipolar disorder, the symptoms of cyclothymia include three or more symptoms of hypomania, and five or more symptoms of depression. Like bipolar disorder, people may experience wellness between episodes of hypomania and depression. Symptoms of hypomania include: Symptoms of depression include: Talk to a doctor or mental health professional if you think you might have cyclothymic disorder.\"}\n", "{\"prompt\": \"What does rapid cycling mean?\", \"completion\": \"Rapid cycling means that someone diagnosed with bipolar disorder (or depression) experiences four or more episodes of depression and/or mania in one year. Rapid cycling can happen any time someone experiences bipolar disorder\\u2014about 10-20% of people diagnosed with bipolar disorder experience rapid cycling at some point. In many cases, rapid cycling eventually goes away on its own and people return to a pattern of longer and less frequent episodes.\"}\n", "{\"prompt\": \"Where can I find information and help for borderline personality disorder?\", \"completion\": \"Borderline personality disorder or BPD is a treatable illness. It\\u2019s made up of five groups of symptoms around behaviours, emotions, relationships, sense of identity, and awareness. You can read our info sheet on borderline personality disorder. We also have an entire issue of Visions Journal on BPD, where you\\u2019ll find information on treatments and support and personal stories from people who are managing BPD and living well. The Borderline Personality Disorder Society of BC offers a support group in Victoria and a resource library, and they have a listing of services in BC. In Vancouver, the DBT Centre of Vancouver offer dialectical behaviour therapy (DBT) ad specializes in helping people who experience BPD. The offer individual, group, and family counselling, and they have a useful blog on DBT skills. There are several good, helpful books available now, including:\"}\n", "{\"prompt\": \"What is schizoid personality disorder?\", \"completion\": \"A personality disorder is a pattern of thoughts, feelings, and behaviours that last for a long time and causes some sort of problem or distress. Schizoid personality disorder or SPD affects social interactions and relationships. People with SPD may have a hard time relating to others and showing emotions. They may avoid close relationships and prefer to spend their time alone, seeming distant even to close family members. Many people don\\u2019t respond to strong emotions like anger, even when others try to provoke them. On the outside, people with SPD may seem cold or aloof, showing little emotion. While they have a similar name, schizoid personality disorder isn\\u2019t the same as schizophrenia. Schizoid personality disorder is believed to be relatively uncommon. While some people with SPD may see it as part of who they are, other people may feel a lot of distress, especially around social interactions. Some medications may help people manage symptoms and psychotherapy may help people build new skills and improve relationships. To find help for schizoid personality disorder, talk to your family doctor, find a psychologist through the BC Psychological Association, or call 811 to talk to a HealthLink BC navigator.\"}\n", "{\"prompt\": \"What is antisocial personality disorder?\", \"completion\": \"A personality disorder is a pattern of thoughts, feelings, and behaviours that last for a long time and causes some sort of problem or distress. Antisocial personality disorder or ASPD affects the way people think about the rights of others. Someone with ASPD may disregard laws or expectations, lack remorse when they hurt others or break the law, make reckless decisions, and believe they are superior to others. People may see someone with ASPD as overly dramatic, impulsive, manipulative, and deceitful. Some people may appear charming, at least on the surface. Like all mental illnesses, antisocial personality disorder is a spectrum. Some people may only occasionally act out, while others may break the law often and spend a lot of time in the criminal justice system. ASPD is only diagnosed in adults, but people with ASPD start to have problems with conduct or antisocial behaviours at a young age. They may be diagnosed with conduct disorder during childhood. Treatment for antisocial personality disorder, usually psychotherapy, can help reduce the harms of ASPD and help people build empathy towards others. ASPD is treatable and it may improve as a person approaches middle age. All of us have hurt someone else or acted without thinking of others' needed. It\\u2019s important to remember that antisocial personality disorder is an enduring pattern around lack of empathy and lack of remorse. Only a doctor or mental health professional can diagnose illnesses like ASPD. To find help for antisocial personality disorder, talk to your family doctor, find a psychologist through the BC Psychological Association, or call 811 to talk to a HealthLink BC navigator.\"}\n", "{\"prompt\": \"What is obsessive-compulsive personality disorder?\", \"completion\": \"A personality disorder is a pattern of thoughts, feelings, and behaviours that last for a long time and causes some sort of problem or distress. Obsessive-compulsive personality disorder or OCPD is about control. People with OCPD have very inflexible thinking and expect everything to be ordered, perfect, and done their \\\"correct\\\" way. This happens at the expense of other important things in life, including relationships with others. Work can take priority over every other part of life, too, and people with OCPD may seem excessively dedicated, but may be unable to complete tasks due to perfectionism. They may struggle to delegate and may distrust other people\\u2019s contributions. People with OCPD may not tolerate uncertainty and may have a very rigid understanding of the world\\u2014something is either right or wrong. They may also have a hard time spending money on themselves or others, and they may experience hoarding, the inability to throw away items from their homes. The conflict between the desire for neatness or order and the inability to throw things out may cause a lot of anxiety. While obsessive-compulsive personality disorder and obsessive-compulsive disorder (OCD) have a similar name, they are not the same illness. People with obsessive-compulsive disorder usually understand that their obsessions and compulsions are illogical and usually experience a lot of distress, even though they may not be able to stop obsessions or compulsions. Compulsions are an attempt to reduce anxiety, not to find pleasure. People with obsessive-compulsive personality disorder may view their thoughts as part of who they are, see their thoughts as logical, and may find pleasure or benefit in completing compulsive tasks. They may experience a lot of distress when they can\\u2019t achieve control or the perfectionism they want. Obsessive-compulsive personality disorder is one of the most common personality disorders. Treatment may include some combination of psychotherapy, medication, and self-help strategies. To find help for OCPD, talk to your family doctor, find a psychologist through the BC Psychological Association, or call 811 to talk to a HealthLink BC navigator.\"}\n", "{\"prompt\": \"What is binge-eating disorder?\", \"completion\": \"Binge-eating disorder or BED is a type of eating disorder. It involves episodes of eating a lot of food in a short amount of time, past the point of feeling full, and feelings of being out of control or unable to stop eating. People who experience binge-eating disorder may binge even when they don\\u2019t feel hungry. They may feel temporarily comforted by food, and then feel depressed, upset, guilty, or ashamed of their eating. As a result, many people try to keep binge-eating symptoms a secret. You can\\u2019t tell if someone experiences binge-eating disorder just from the way they look or the way they eat around others. While a lot of people have the experience of eating too much a few times and feeling uncomfortable after, people who experience binge-eating disorder experience many binges for a long period of time. Binge-eating disorder is treatable. Talk to your doctor or a mental health professional if you think you might have binge-eating disorder.\"}\n", "{\"prompt\": \"What\\u2019s the difference between dissociative identity disorder (multiple personality disorder) and schizophrenia?\", \"completion\": \"Sometimes, people confuse dissociative identity disorder, formerly known as multiple personality disorder, and schizophrenia. Schizophrenia does mean \\u201csplit mind,\\u201d but the name was meant to describe the \\u2018split\\u2019 from reality that you experience during an episode of psychosis, as well as changes in thoughts, emotions, and other functions. Dissociative identity disorder, on the other hand, does cause a split or fragmented understanding of a person\\u2019s sense of themselves. Dissociative identity disorder is really more about fragmented identities than many different personalities that develop on their own. Most people see different parts of their being as part of the whole person. For people who experience DID, identity fragments may have very different characteristics, including their own history, identity, and mannerisms. A key part of DID is dissociation\\u2014feeling detached to the world around you. People who experience DID may have many unexplainable gaps in their memory, forget information they\\u2019re already learned, or have difficulties recalling things they\\u2019ve said or done. Unlike portrayals of DID on TV or in movies, DID may not be obvious to others, and it can take a lot of time to come to the diagnosis. Schizophrenia is a serious mental illness that causes hallucinations (sensations that aren\\u2019t real) and delusions (beliefs that can\\u2019t possibly be true, in addition to other symptoms like jumbled thoughts, jumbled speech, and difficulties expressing emotions. People who experience schizophrenia may hear or feel things that aren\\u2019t real or believe things that can\\u2019t be real, but these aren\\u2019t separate identities.\"}\n", "{\"prompt\": \"What's the difference between psychosis and schizophrenia?\", \"completion\": \"Psychosis is a syndrome or group of symptoms. Someone experiencing an episode of psychosis is having a \\u2018break\\u2019 with reality. Major symptoms of psychosis are hallucinations and delusions. Hallucinations are sensations that are not real, such as hearing voices or sounds that aren\\u2019t real. Hearing voices is a common hallucination, but hallucinations can be experiences with any sense\\u2014hearing, sight, smell, taste, or touch. Delusions are strong beliefs that can\\u2019t possibly be true. Common delusions include the belief that someone is following or monitoring you, or the belief that you have extraordinary powers or abilities. Other symptoms of psychosis include difficulties concentrating, completing tasks, or making decisions. Thoughts may feel \\u2018jumbled\\u2019 or confused. Some people have a hard time following conversations or speaking clearly. Psychosis can even affect the way people move or express their emotions. Schizophrenia is a mental illness that causes psychosis, but schizophrenia also has other symptoms. And it isn\\u2019t the only cause of psychosis. In some cases, other mental illnesses cause psychosis, including depression, bipolar disorder, dementia and borderline personality disorder. Psychosis may come up during times of extreme stress, a major lack of sleep, or trauma. People who are using or withdrawing from certain drugs or medications may experience psychosis. Psychosis may also be caused by a brain injury, neurological problem, or other health problem. So while psychosis can be a part of schizophrenia, it can be caused by many other things too. Psychosis and schizophrenia are treatable. It\\u2019s important to seek help as soon as possible.\"}\n", "{\"prompt\": \"What are positive and negative symptoms?\", \"completion\": \"Positive and negative symptoms are medical terms for two groups of symptoms in schizophrenia. Positive symptoms add. Positive symptoms include hallucinations (sensations that aren\\u2019t real), delusions (beliefs that can\\u2019t be real), and repetitive movements that are hard to control. Negative symptoms take away. Negative symptoms include the inability to show emotions, apathy, difficulties talking, and withdrawing from social situations and relationships. There is also a third group of symptoms, usually called cognitive symptoms. This includes anything related to thinking, such as disorganized thoughts, memory problems, and difficulties with focus and attention.\"}\n", "{\"prompt\": \"What is a prodrome?\", \"completion\": \"Prodrome is a medical term for early signs or symptoms of an illness or health problem that appear before the major signs or symptoms start. Psychosis, a group of symptoms found in disorders like schizophrenia, is one illness with a specific prodrome. With psychosis, prodrome signs and symptoms start before full symptoms like hallucinations and delusions appear. Common symptoms in the prodrome of psychosis include: These symptoms are found in many other mental illnesses, so it isn\\u2019t always clear at the time if this is a prodrome of psychosis or schizophrenia or something else. It\\u2019s best to seek help whenever you are concerned about your mental health or a loved one\\u2019s mental health. Psychosis and schizophrenia are much easier to manage and treat when treatment starts early.\"}\n", "{\"prompt\": \"I\\u2019m an adult and I think I might have ADHD. What can I do next?\", \"completion\": \"While we think of attention-deficit/hyperactivity disorder as an illness that affects children, it can last into adulthood\\u2014and some people aren\\u2019t diagnosed until much later in life. ADHD is diagnosed like any other mental illness, so your family doctor is a good place to start. Your family doctor may be able to assess your mental health and start treatment, if needed, or they may refer you to more specialized mental health services. There are a few organizations that can help you find good resources and find some support: The Canadian Attention Deficit Hyperactivity Disorder Resource Alliance (CADDRA) is an organization that supports health professionals who research ADHD, treat and support people diagnosed with ADHD, and trains professionals. In the \\u2018Public Info\\u2019 section of their website, you\\u2019ll find more information on adult ADHD and the assessment process. You\\u2019ll also find extensive resources and recommended publications. The Centre for ADHD Awareness, Canada provides education and advocacy for Canadians who experience ADHD. They have a section on their website for adults, including information on symptoms and assessments, treatments, ADHD in the workplace, resources, and a reading list. CHADD Vancouver offers a monthly support group for adults in the Vancouver area.\"}\n", "{\"prompt\": \"What\\u2019s the difference between substance use and addiction?\", \"completion\": \"People tend to use the word \\u201caddiction\\u201d to mean very different things. \\u201cI am addicted to shopping\\u201d might mean only that the speaker likes to shop. On the other hand, \\u201cHe is addicted\\u201d might mean the speaker thinks the other person is completely unable to control his own behaviour. When people use the word about psychoactive (mind-altering) substances like alcohol, tobacco, or other drugs, they often assume these drugs are dangerous and have the power to control human behaviour. The evidence, however, suggests a quite different picture. While substance use can clearly contribute to health and social problems, substances can be beneficial for some people in some situations. Many people celebrate a special occasion with a nice glass of wine, for example. Some people use tobacco as a powerful symbol in cultural and spiritual ceremonies. In fact, substances have been used by humans throughout history for many reasons: to feel good, to feel better, to improve performance, for cultural/spiritual reasons, and to have new experiences. Substance use is more complicated than just \\u201cgood\\u201d or \\u201cbad.\\u201d It\\u2019s helpful to think of substance use along a continuum, from beneficial use to harmful use. Along the middle of the continuum, substance use may be both beneficial and harmful. You have an enjoyable night out with friends, but feel a little ill the next day. At the far end of the continuum, some people develop dependence\\u2014they need to continually use the drug in order to feel normal and will keep using even when that leads to financial difficulties, problems at home or at work, health problems, or legal problems. In general, substance use is a problem when it causes problems for you or others\\u2014and how much use causes problems will be different for different people in different situations. The reason a person uses a substance influences the risk of developing problems. For instance, if a person uses a substance to have fun, only occasional social use may follow. But when a person uses a substance to cope with a long-term problem such as social anxiety, then more long lasting and intense use may follow. Managing our risk involves being aware of why we are using and what impacts our use is having on ourselves and those around us. The wisdom of our ancestors suggests a guiding principle\\u2014not too much, not too often, and only in safe contexts.\"}\n", "{\"prompt\": \"How can I find help for an alcohol or drug use problem?\", \"completion\": \"Seeking to make changes in the way you use substances like alcohol or other drugs? This can be an important step! Some people are able to reduce their substance use or quit altogether on their own or with self-help materials. But most of us need support from other people\\u2014family members, friends, health professionals, or other people struggling with substance use problems. The right help for you depends on many factors. These include the type of drug you are using, how much and how often, your health and social situation and, of course, your own preferences. Getting help doesn\\u2019t mean giving up control of shaping your own path. You are still the one who makes the final decisions about the type and degree of change you make. One way to get help is to talk to a doctor you trust and feel comfortable confiding in. If you aren\\u2019t comfortable talking in person, you can also get advice from a registered nurse (along with advice on programs or services in your area) by calling HealthLink BC at 8-1-1. Since some drugs are illegal, many people worry about what might happen if they talk about drug use. It\\u2019s important to know that in most cases, doctors have to protect your privacy\\u2014it\\u2019s the law. In BC, the Alcohol and Drug Information Referral Service can help you find information on treatment options, support groups and other resources throughout the province. It\\u2019s free, confidential, and available 24/7. Call the Alcohol and Drug Information Referral Service at 1-800-663-1441 or 604-660-9382 in the Lower Mainland.\"}\n", "{\"prompt\": \"How do I know if I'm drinking too much?\", \"completion\": \"Sorting out if you are drinking too much can be complicated. You are unique and your relationship with alcohol is unique. No one has the same combination of life experiences and influences that you do. So even though you and your friend may choose to drink, how and why you use alcohol may be different. Those of us who drink, seek benefits from alcohol, not difficulties. But sometimes we start using more, and more often, than makes sense. As a general rule, drinking alcohol becomes a problem when it negatively affects our life or the lives of others. Many people imagine this refers to people who consume alcohol \\u201call day every day.\\u201d But even drinking too much on a single occasion can lead to a problem, for instance making a poor decision such as driving while impaired. What\\u2019s also important to recognize is the potential for negative consequences related to drinking in various contexts (i.e., places, times and activities) and over time (e.g., coping with chronic problems). You can get personalized feedback related to your pattern of drinking as compared to Canada\\u2019s Low-Risk Alcohol Drinking Guidelines via the Alcohol Reality Check screening app. This short, simple screen can be used by people of all ages. All alcohol use involves some risk. The reasons people use alcohol can influence their risk of developing problems. For instance, if a person uses alcohol to enhance special celebrations, only occasional social use may follow. But when a person drinks to cope with a long-term problem such as social anxiety, then more long lasting and intense use may follow. By reflecting on your pattern of drinking you can manage your risk for immediate injury or death, your chances for long-term health consequences such as cancer or heart disease, and your risk of developing habitual patterns of drinking that may lead to these harms. Whenever you decide to drink alcohol, it is helpful to know what steps you can take to ensure that your drinking behaviour is the most rewarding and least harmful possible. The following are some useful guidelines to consider. Not too much. Managing how much you drink on a given occasion helps decrease risky behaviours. Tip: Drink slowly and alternate between non-alcoholic and alcoholic beverages. Not too often. Drinking in moderation helps to reduce harms to ourselves and others over time. Tip: Keep less alcohol at home and set limits on how much you are going to drink each week, avoiding drinking on some days. Only in safe contexts. Making informed decisions about where you drink helps to minimize alcohol-related harm. Tip: If going to a bar, stay with a group and choose an establishment that is well lit and near safe transportation options. For information on treatment options and resources throughout BC, call the Alcohol and Drug Information Referral Service at 1-800-663-1441. In Greater Vancouver, call 604-660-9382. To better understand how substances play a role in your life, visit the You and Substance Use workbook on the HeretoHelp website. The Canadian Institute for Substance Use Research, formerly CARBC, is a member of the BC Partners for Mental Health and Addictions Information. The institute is dedicated to the study of substance use in support of community-wide efforts aimed at providing all people with access to healthier lives, whether using substances or not. For more, visit www.cisur.ca.\"}\n", "{\"prompt\": \"If cannabis is dangerous, why are we legalizing it?\", \"completion\": \"Cannabis smoke, for example, contains cancer-causing toxins. However, the risk of developing some cancers (e.g., mouth, tongue and lung) is less for cannabis smokers than tobacco smokers, partly because they tend to smoke less than tobacco users. And, while all drugs have an effect on the brain, the particular properties of the drug influence the level of risk of harmful consequences. The negative effects of cannabis on the brain, for example, seem to be less than the effects of some substances such as alcohol. Legalizing cannabis provides an opportunity to put in place regulations to minimize potential harms. The danger of buying and using any illegal drug is that we can never know for sure what exactly is in it. Cannabis is legal in Canada as of October 17, 2018. Adults (over age 19 in BC) are now permitted to possess up to 30 grams of cannabis in public. Cannabis is regulated by the Province of British Columbia and will be sold through the Liquor Distribution Branch. Cannabis will be tested for quality. When drugs are produced and obtained inside a regulated system, it is possible for us to know about the contents and dosage of what we are taking. This helps us manage the risks. However, it is likely that cannabis will still be available outside the government system. It is important to know that the quality of cannabis obtained from a dealer or a friend is unknown and may contain contaminants like mold, mildew, or fillers that may be toxic. The legalization of cannabis also provides us with openings to engage in honest and thoughtful discussions about drug use with our families and communities. When dealing with complex issues, like cannabis policy, no one has all the answers. But as community members, we all have thoughts, feelings and experiences around drugs and drug use to share with each other. Engaging together to explore and share ideas will help us discover how to manage use, as individuals and communities, in ways that maximize benefit and minimize harm. The Canadian Institute for Substance Use Research, formerly CARBC, is a member of the BC Partners for Mental Health and Addictions Information. The institute is dedicated to the study of substance use in support of community-wide efforts aimed at providing all people with access to healthier lives, whether using substances or not. For more, visit www.cisur.ca.\"}\n", "{\"prompt\": \"How can I convince my kids not to use drugs?\", \"completion\": \"You can't. But you can influence their capacity to make good choices in a world where alcohol and other drugs are available. It's about helping your child develop the skills to assess what might be helpful in achieving their goals in life. It's also about nourishing a supportive relationship, so they know where to go with questions or problems. Opening up a discussion about drugs can help strengthen your relationship with your child. Inviting and allowing open, honest conversation about drugs (or any other subject) makes your child know that what they are thinking, feeling and experiencing matters to you. The goal is to get your child talking and sharing their thoughts and feelings. When young people are asked thoughtful, open-ended questions exploring what they think, it helps them become interested in their own thoughts and behaviour. This process of self-reflection is part of developing critical thinking skills, a part of good decision-making. Critical thinking skills are actually an essential part of reducing the risks related to using drugs. Once young people have considered something carefully, they are a lot less likely to act out of impulse or in response to influence. There is no rule about how or where a conversation about alcohol or other drugs should start. Even young children know drugs are a part of our culture. They see people drinking around them and are exposed to drugs on TV and in advertising. This makes it a subject that can be brought up naturally while getting ready for a family celebration where alcohol will be present, or if you are planning to visit a relative who uses tobacco, or while swapping stories at the dinner table about what happened at work and school that day. Talking with teens and young adults about drugs as they make choices on the path into adulthood helps them to develop personal standards, minimize risks and critically assess popular beliefs about drug use. This can be particularly important as they transition to the legal age for using alcohol or cannabis and move out of the family home. While young adults have more independence and more legal rights, parents can continue to be an important sounding board on which to try out their thoughts and ideas. The Canadian Institute for Substance Use Research, formerly CARBC, is a member of the BC Partners for Mental Health and Addictions Information. The institute is dedicated to the study of substance use in support of community-wide efforts aimed at providing all people with access to healthier lives, whether using substances or not. For more, visit www.cisur.ca.\"}\n", "{\"prompt\": \"What is the legal status (and evidence) of CBD oil?\", \"completion\": \"Cannabidiol or CBD is a naturally occurring component of cannabis. It is extracted from the cannabis plant and often made into an oil for use. CBD is not psychoactive, and does not produce the \\u2018high\\u2019 of THC (tetrahyrocannabinol), the primary psychoactive component of cannabis. CBD is legal in Canada and has been used in the treatment of various medical conditions. All cannabinoids, including CBD, produce effects in the body by attaching to certain receptors in the brain or immune system. The human body also produces its own cannabinoids. It seems that CBD does not attach directly to receptors. Instead, it directs the body to use more of its own cannabinoids to produce the therapeutic effects associated with CBD. Research suggests that CBD may provide relief for chronic pain. Sativex is a proprietary medication that combines THC and CBD and may be prescribed for the relief of pain associated with multiple sclerosis. There is also some evidence suggesting that CBD may be a promising support for people with opioid use disorders. The researchers noted that CBD reduced some symptoms associated with substance use disorders including anxiety, mood-related symptoms, pain, and insomnia. After researching the safety and effectiveness of CBD oil for treating epilepsy, in 2018, the United States FDA approved CBD (Epidiolex) as a therapy for two rare conditions characterized by epileptic seizures. Other evidence suggests that CBD may be useful in the treatment of schizophrenia, though further research is needed before introducing CBD into medical practice. There is some initial evidence that CBD may help people in the early stages of Alzheimer's disease keep the ability to recognize the faces of people that they know, and thus slow progression of the illness. Again, more research is needed in this area. Because of the way cannabis and its products are metabolized, scientists believe there is a potential for interaction with other drugs, although nothing significant has yet been recorded. CBD has been found to be generally safe. Reports from patients indicate that negative drug interactions are not common. As with any other treatment, it is important to monitor your use of CBD and seek assistance if you experience any problems or have questions or concerns about its use. The Canadian Institute for Substance Use Research, formerly CARBC, is a member of the BC Partners for Mental Health and Addictions Information. The institute is dedicated to the study of substance use in support of community-wide efforts aimed at providing all people with access to healthier lives, whether using substances or not. For more, visit www.cisur.ca.\"}\n", "{\"prompt\": \"What is the evidence on vaping?\", \"completion\": \"\\\"Vaping\\\" is the term for using a device where liquids, often flavoured, are turned into vapour (hence, vaping) and inhaled. A vaping device consists of a mouthpiece, tank or reservoir to hold the liquid, a heating element and a battery to power the element. The liquid is heated to become a mist, inhaled through the mouth into the lungs where the nicotine or cannabis enters the bloodstream. Any residual vapour is exhaled. Vaping devices come in several types, shapes, and sizes, referred to as e-cigarettes, vape pens, vapes, mods, tanks, or e-hookahs. Vaping liquid (e-liquid, e-juice) consists of a solvent, usually propylene glycol or glycerol, flavour, and nicotine or cannabis, though it may not contain anything. In British Columbia you must be 19 years old to buy vaping products. The number of young people who smoke cigarettes has declined over the past few years, while vaping has increased. E-cigarettes were developed as an alternative to smoking. The first devices were available in 2003 and looked much like a traditional cigarette. Nicotine vapour contains significantly fewer toxins and other particles than smoke from cigarettes. Vaping is a less harmful alternative to cigarettes and evidence suggests, it may help some people quit smoking. Evidence suggests vaping is likely not a gateway to smoking tobacco. Though less harmful than smoking cigarettes, vaping still carries potential harms. There is a small exposure to nicotine and possible carcinogens in the vapour. (A carcinogen is a substance that has the potential to cause cancer). Some evidence suggests that young people may be unaware the vaping liquid often contains nicotine. E-cigarettes are not controlled and the nicotine content of vaping liquids varies significantly among brands. Other chemicals, flavourings, and heavy metals present in vaping liquids, have not as yet been well studied. Long-term health risks from vaping are thus undetermined. More research is needed in these areas. Marketing strategies for vaping products, often on social media, are designed to appeal to young people. The range of flavours available, especially those that are fruity and sweet, and the look and feel of vaping devices attract youth. Young people can see vaping as fun and a way to socialize with friends and 'smoke' in a less harmful way. Making the time and space for discussion and exploring the issues around vaping is one important way we can support young people and indeed, each other, in making good decisions about if, when, or how much to vape. We offer, \\\"not too much, not too often, and in a safe context\\\" as one way to think about using any substance. What this means to you may be a place for talking to start! The Canadian Institute for Substance Use Research, formerly CARBC, is a member of the BC Partners for Mental Health and Addictions Information. The institute is dedicated to the study of substance use in support of community-wide efforts aimed at providing all people with access to healthier lives, whether using substances or not. For more, visit www.cisur.ca.\"}\n", "{\"prompt\": \"Good, good. \", \"completion\": \"It's good to see you. Yeah.\"}\n", "{\"prompt\": \"Yeah, I mean, good week with the roommates. I had a good conversation with her about like, what times are good for boyfriend to be over and kind of giving him better heads up on when I'm really mean.\", \"completion\": \"Silence. Terrific. So what was what specifically? I mean, I know we've talked a lot about that, but what specifically did you say to her, or how did you bring it up\"}\n", "{\"prompt\": \"is just telling her that like, my studies are really important and I understand like, it's also important that she time with her boyfriend, but that I would really appreciate that this is both our space and that there are times when like, we really need to respect each other's space. And yeah, she responded really well. Yeah, she was like, just really give me a good heads up before. Terrific. You. Yeah. And that we kind of decided like certain times are more appropriate for them to have the living room and not\", \"completion\": \"right. Right. Right. Because I think that's really similar No, we kind of talked about that. Because I remember like a few sessions ago, I was kind of wondering whether or not she really got it in terms of what you were feeling because it seems like one of the ways that you've we talked about that before in terms of like, you know, first starting that oftentimes one of the ways that you manage your feelings that you kind of you think you're letting people know what you're you know, feeling but it doesn't really come out. And I know that it's something that you and I had to really like you know, kind of work out but sounds like that. You were able to talk with her in that She heard you. And as I want, as I kind of thought that she was actually really responsive in a very positive way.\"}\n", "{\"prompt\": \"So I think being a little way direct was helpful.\", \"completion\": \"It's really nice, I think to you've been able to do that more with me, and I feel like that, that I feel like it's been really helpful. I know, they've been kind of pushing you on that. And that's been hard, but I feel like it's been really nice to feel like it's really been helpful with your relationship with Kathy. So that's fantastic. And also, you know, again, I know that I've keep, you know, like saying this over and over again. But you know, as you've worked on these things, it's been really notable that it's really had a nice positive effect on your eating because it seems like it's really you've really seen a lot of real nice improvements. So awesome. Anything else that you know, so you had a really good conversation with Kathy, anything else go on this week? Yeah, I got to spend some time with Brooke.\"}\n", "{\"prompt\": \"At home for two days, and it was with my mom and Okay,\", \"completion\": \"okay. So she's still sixers. Did she have a birthday recently?\"}\n", "{\"prompt\": \"He's awesome.\", \"completion\": \"Oh, that's great. almost seven great. You plans for birthday for her or what are you\"}\n", "{\"prompt\": \"She really into frozen?\", \"completion\": \"Okay? Like anything frozen. Okay, okay, okay. Yes. Okay, that sounds terrific. And so then you spend some time with her. So obviously that was real positive for you. Did you? When you were there? Did you have any opportunity to, you know, visit with your mom? or How did that go? I\"}\n", "{\"prompt\": \"I think my mom was around like we kind of all spent time together. And like she asked about school. They were like, tell her a little more about school and how things are going. Yeah, we don't really get a one on one time.\", \"completion\": \"How does it feel for you in terms of like for her? I know you've talked about not really liking that. She all the sudden, is deciding now that she wants to really be kind of like, you know, the good mother and kind of like be involved in your life. But how is it for her to kind of like want to want to know how things have been going for you. I mean,\"}\n", "{\"prompt\": \"I've kind of like allowed myself to tell her I guess I don't think have been going. I mean, like, to an extent, like it was like it broke and whatnot like we don't really sit down just do together.\", \"completion\": \"So kind of what we had discussed kind of that you've been, you've like, you've been allowing yourself to be more connected with her, but you're still kind of keeping up keeping a little bit of a boundary. Yeah. Yeah. Well, I'm sure that would be really hard to trust her after everything that's gone on, you know, with, you know, kind of the infidelity issue with your dad, or at least it's just, you know, kind of like the wondering about that. I mean, I think you kind of know that that was probably what was going on, but then, you know, and then moving you how harsh and critical she was issues with Brooke, you know, even I still even remember to, for her to have gotten to the point where she wouldn't even let you like go to your grandmother's funeral or at least you know, kind of, so all those things have been so like, you know, front and center, you know, and so now I feel like that she's made this real dramatic shift and, you know, wanting to start being a mom, that sounds like that. You're really working to try to manage that in, you know, in a better way?\"}\n", "{\"prompt\": \"Yeah. I mean, like we still butt heads a little bit. I'm sure Shane but\", \"completion\": \"yeah, yeah, but when you do butt heads, what is it how what happens in terms of your eating when you guys kind of like you feel like that there's a little bit of a friction.\"}\n", "{\"prompt\": \"I mean, I guess that's like, kind of leaps back to things like things are really good this weekend for the most part and then kind of when I was leaving she just like, either just brought up things about wanting to know more about life and whatnot and what's going on at school and if I'm seeing anyone, yeah, it's just like, we don't have that relationship.\", \"completion\": \"Right. So that really, that's a really stressful time?\"}\n", "{\"prompt\": \" like when I got back to school like right after that. And like caught me.\", \"completion\": \"Well, it makes a lot of sense because again, you know, like, you know, we've really reviewed this quite a bit but You know, historically, that's how it's been, you know that that's really been a real enemy. It really clarifies why we're working on this because it's so clear that when the two of you have like these rough patches, that it really all of a sudden evokes all these like negative feelings. And that's when food like really, you know,\"}\n", "{\"prompt\": \"you know, all comments, though. Yeah. What I'm wearing. Right. Right.\", \"completion\": \"Right. Right. Yeah. So it's really hard to, you know, I can understand it's really hard to let that go. I mean, cuz obviously, there's a lot of lot of feelings that you have about that. Yeah. Yeah. But on the other hand, too, it seems like that, you know, things have been going really well. How have things been going in terms of just in general like school friendships, you know, anything else that's on the horizon? \"}\n", "{\"prompt\": \"yeah, kind of scene guy.\", \"completion\": \"I won't get too excited about that. But tell me about him telling you about him.\"}\n", "{\"prompt\": \"Yeah, he felt like my mother.\", \"completion\": \"Now what's this? You have to at least give me his name? What's his name?\"}\n", "{\"prompt\": \"His name's Alan.\", \"completion\": \"Alan. Okay. Okay. All right. Well, did you like, I'm not gonna blow this out of proportion. But how? How did that kind of come about?\"}\n", "{\"prompt\": \"Yeah, cost together and kind of went and studied at a coffee shop. Yeah. And then just kind of asked to, like, do a movie night. And I was like, chill and good. Nice. Ya know, like,\", \"completion\": \"Yeah. Nice. Nice. That's great. Oh, I'm really happy. That's great. So, a lot of really nice things that are going on. Yeah, that's terrific. Yeah. So then for you to go like from, you know, because, you know, we kind of got going with this thing. It was kind of like, you were full on binge eating, you know, virtually every day, sometimes twice a day, and now it'd be down to, you know, three, like in the space of like, you know, just like seven eight weeks is pretty remarkable. So no, I'm really pleased with how hard you've been working cuz you've really been pushing yourself. And I really appreciate it. I know this stuff with your mom is particularly hard. It's hard for you\"}\n", "{\"prompt\": \"is like not being able to, like I don't feel comfortable really telling her yet about.\", \"completion\": \"And you may not, you know, I mean it's like, you know, another we talked about there's like maybe there are times when you just don't really want to share some of that stuff. You know, and and I think sometimes my experience has been some parents, like, you know, the goal is not to make her feel bad. If you would want to share it, you'd want to share it knowing that she would hold on to that and keep it and really connect with you around it and want to be helpful rather than like, like, Oh, yeah, you were so mean to me now have an eating disorder, you know, because then that that feels, you know, that doesn't feel quite right. And know that that's, you know, I know that you have a lot of hard feelings, but I don't really feel like that. That's how you'd want that to go, you know? Yeah. And I know we've talked about it a lot, but how are things going with your dad? Yeah,\"}\n", "{\"prompt\": \"yeah. Yeah, he's doing well, hoping that he's coming up here to school to see me once he plays a couple weeks. Great.\", \"completion\": \"So nice. They'll be really nice for you to spend time with them. That's great. That's really great. Yeah. So let's talk some more about this thing with your mom, because I feel like that. I mean, I know it's tough, but I guess I've been thinking about this a lot, especially after last session that that given the fact that, you know, you and Brooke are so close, and it does feel like that your mom is, at least she seems like she's making she's trying to make an attempt to connect with you. Whether or not, you know, at what point would you feel like that you? Well, what would you need from her in order to feel like that you could kind of like, maybe not let down the walls, but kind of soften those a little bit. I mean, is there something is there something that like, if you could ask They're like, okay, mom, if you did this, then I would do this. Not that you would do that. But just wondering if like, what would you? ideally what would you like to see in order to feel like that you could connect with her more.\"}\n", "{\"prompt\": \"I mean, like, I wish she really recognized like, kind of the pressures that she put on me back in the day, huh? Yeah, and just like now to just know just kind of be there in the moment. So like, trying so hard to like, things still come out. Like she still makes her little comments that they.\", \"completion\": \"Yeah, I know. We talked about this, but have you gotten to the point yet where you felt like that you could? Like, even let her know that. That that puts a lot of pressure on you or that that comment that she makes kind of hurt your feelings because I know that in the moment you feel it. But what would it be like for you if you were to just like, yeah, say like, you know, I know that you're I know that you mean Well, I mean, maybe she doesn't, but maybe it's sometimes important to approach it that way, but it really hurts my feelings or, you know, I feel like that that really puts a lot of pressure on me to look a particular way. And, you know,\"}\n", "{\"prompt\": \"so I mean, I am seeing that I like starting to see that she does mean well.\", \"completion\": \"right, because I know that you did that. You've done that with your roommate. I know there's been other times when people have done that. So I know that that's been kind of part of the bigger issue is just knowing what it is you're feeling and also being able to kind of give voice to that and you know, thinking about that relationship with your mom because it does seem like that every once in a while she kind of like jabs here, she'll send something out and and, and the way that you take it in is more like harsh, critical. You know her and, and I just don't know like color. It's kinda like with Kathy. When you Talk with her how it's like, it was like, it was like, Oh, of course, like, you know, uh, you know, I'll try to be more sensitive and I'm not really sure. You know whether or not your mom would be.\"}\n", "{\"prompt\": \"Yeah, I mean, I guess she could do. Yes, I worry that, because we've always been kind of defensive towards each other. I just worry that like, that will happen again. I mean, I don't know, like it might not because of things happen. Right. But\", \"completion\": \"yeah, yeah. Yeah. Well, I think there are times when I wonder if like, maybe if there's a time when you say something, like, I know there have been times when you kind of snap back at her, you know, or you'll kind of like, you know, barber or kind of jabber a little bit. What if, you know, again, you What have you thought about like, because it sounds like that you're really aware when you do that? Because you know that when she says something, you have a tendency to jet back. You could just say, you know, You know, I realized I was I, that was a that was a jab at you. And I'm really sorry, I aware that that sometimes I kind of get really critical with you and I that doesn't I don't feel very good about that. Now I wonder how she would you know if, if that would, what that would do, maybe, maybe it wouldn't do anything or may make you feel a little bit too vulnerable, but you think about it, I mean, and you kind of Mull that over in your mind about what that might be like, because my experience has been that sometimes. You know, I hate the phrase, be a bigger person, because then you know, I didn't want that to come across that way. But sometimes in order to change relationships, somebody has to be willing to kind of like, kind of be willing to do something just a little different. And since it seems like you have a growing awareness of, you know, the interactions that you have with her I wonder if that might be worthwhile. Yeah, yeah. Yeah. mulling over and think about it and, and we'll keep talking about it. But yeah, sounds like it was a really terrific week and been working really hard it really pays off because again, the more you've done that we've seen real positive impact on your eating so nice\"}\n", "{\"prompt\": \"yeah.\", \"completion\": \"Are you adopted?\"}\n", "{\"prompt\": \"No.\", \"completion\": \"All right. Are your parents married?\"}\n", "{\"prompt\": \"They're not married.\", \"completion\": \"She's married four times.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"What age were you when your parents divorced?\"}\n", "{\"prompt\": \"I was about 16.\", \"completion\": \"And then your father you said, remarried. He did. And how long after the divorce? \"}\n", "{\"prompt\": \"I think it was about 18.\", \"completion\": \"You're about 18. And then your mother remarried and was divorced a few times your sign?\"}\n", "{\"prompt\": \"Well, yeah, I mean, it was pretty much right after they got divorced. She married some guy. I don't even know he was nice guy, but it was like six months after pretty much like real fast. Um, and then that didn't last very long. Forgive me, I have to remember like how long they were together because there's so many. But I believe that they were only together for not even a year. And then she kind of had some time where she just was dating But it was numerous people. And then she met somebody in her a meeting. And they married. That lasted, that they probably got married.\", \"completion\": \"So well, she was married to your father.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"And then, very quickly after that, you said and then she met some a Meeting.\"}\n", "{\"prompt\": \"Yes, that's a third and then this one would be Oh, yeah, the fourth the fourth. Okay.\", \"completion\": \"Yeah. She married now.\"}\n", "{\"prompt\": \"No, no. Now she's, I don't know, just dating or whatever she was\", \"completion\": \"how long did the last marriage so that\"}\n", "{\"prompt\": \"was three years that was the longest.\", \"completion\": \"So how's your relationship with your father?\"}\n", "{\"prompt\": \"Um, it's good, I guess. I mean,\", \"completion\": \"All right, how about your relationship with your mother?\"}\n", "{\"prompt\": \"Um, it's just it's honestly there's no other way to describe it. It's just chaotic. I mean, she's chaotic. So she's all over the place and it's just Hard to capture on a good day. And when you do, it's just you know, it's kind of surface our relationship.\", \"completion\": \"Alright, so who? Who raised you?\"}\n", "{\"prompt\": \"My parents raised me? Yeah, yeah. I mean, they were good parents, I guess, according to my standards, because my mom was just always a mess. So I guess they both did the best that they could, given some circumstances. So\", \"completion\": \"do you think the way they're raised has an impact on who you are now in terms of,\"}\n", "{\"prompt\": \"um, I think so. Yeah, definitely.\", \"completion\": \"tough memories in Yeah,\"}\n", "{\"prompt\": \"yeah, absolutely. \", \"completion\": \"Can you tell me about your siblings?\"}\n", "{\"prompt\": \"I do. I do. I have two siblings. Okay.\", \"completion\": \"So what's your relationship with with them now? What's it like now?\"}\n", "{\"prompt\": \"Um, it's okay. You know, I guess. I mean,\", \"completion\": \"I didn't mention that. Everybody went their separate way.\"}\n", "{\"prompt\": \"Yeah. I don't really see them quite honestly. So If I do see them and maybe it's like if I show up at a at a family party once every five years, but so I think to me, that's okay. That's right. Yeah.\", \"completion\": \"You're satisfied with your relationship with them?\"}\n", "{\"prompt\": \"I think so. I mean, you know, it's not my fault that they won't accept who I am.\", \"completion\": \"Are you aware of any medical conditions that like your mother and father might have or your grandparents,\"}\n", "{\"prompt\": \"like heart disease or anything like back in the medical? My grandpa had like heart disease. My grandfather had cancer but he beat colon cancer was in like the first stage but he was fine after. But as far as my parents, they don't have any medical issues that I know of.\", \"completion\": \"All right, how about kind of same question except for mental health conditions.\"}\n", "{\"prompt\": \"I'm just crazy. Like my mom was crazy and she was just completely\", \"completion\": \"You have any formal diagnosis she had her um\"}\n", "{\"prompt\": \"she uses magnetic like I guess like bipolar, but we she never really got like a definitive label as dipole bipolar and like therapy or anything like that. But\", \"completion\": \"you know, symptoms of bipolar and anxiety. Yeah.\"}\n", "{\"prompt\": \"No, that's just my mom with her. You know obsessiveness and she'd get depressed after But as far as any other siblings No, no.\", \"completion\": \"Do you have any special family traditions?\"}\n", "{\"prompt\": \"I mean, we would go on family vacations. When I was a kid. We were constantly staying at the best hotels and stuff like that. Because a mom, you know, would shop around, she actually would Book Three hotels, and just decide which one she liked better when we got there. I don't, I don't know. But anyway, we would do that we would go on vacations together, we would always go down to the beach. So that was really our family tradition as far as in like holidays. We did when we were younger. We would have like our family over for Christmas and stuff like that. But\", \"completion\": \"can you tell me about holidays, like were the most important holidays to your family.\"}\n", "{\"prompt\": \"I Christmas was yester During the most important Thanksgiving, \", \"completion\": \"how did you celebrate those holidays?\"}\n", "{\"prompt\": \"Sometimes we would go to my cousin's house on my dad's side, and Christmas would be at my parents house and then Easter woods. It was just very back back and forth between my cousins or my parents, whoever wanted to happen.\", \"completion\": \"Can you tell me about your extended family?\"}\n", "{\"prompt\": \"my extended family? Well, on my dad's side, my uncle, he's super successful. And he's a cool guy, you know, I don't really see him now. But when I was a kid, I did. But now I don't see him at all. Honestly, I don't really see anybody at all. But um, yeah, and on my mom's side, she has a sister. And she's like crazy, but she's not as crazy as my mom. But she has she has two kids. And she's actually still married to her to her husband. They were actually highschool sweethearts, so I don't have where my mom came from but and I hadn't seen her probably since I graduated high school. And, you know, she associates my mom and they talk amongst themselves so I don't really have a relationship with her either. So\", \"completion\": \"Alright, so not not many active relationships there. Your family history. It sounds like so.\"}\n", "{\"prompt\": \"Well, yeah, there's not many now.\", \"completion\": \"Is there anything else you want to tell me about your family history?\"}\n", "{\"prompt\": \"Um, my mom would drink sometimes when I was growing up, but that's what my mom is really friendly to me when she would drink And yeah, she would drink. I don't know if that's, you know, she was considered an alcoholic but she would drink often. And I think just to come off of her shopping a lot she would drink or vice versa. Sometimes she would drink or shopping or just to calm down, she would drink and sometimes in our drinking habits, she would actually be nice to me.\", \"completion\": \"And they also have something.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Okay, let's look at it real quick. Bring it over here.\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"Okay, so anxiety is really high. What happened yesterday anxiety is really high can be quick summary\"}\n", "{\"prompt\": \"anxiety is always really high. But yesterday was the worst.\", \"completion\": \"why?\"}\n", "{\"prompt\": \"We were driving. My dad was driving and I was in the passenger seat and we were in a lot of traffic and that, you know, that already makes me nervous. I like to be on time.\", \"completion\": \"I know\"}\n", "{\"prompt\": \"I don't want to be late because then what if I get in trouble. So it's already kind of on edge. And then we passed the accident that I guess was causing off the traffic. And there were two cars and they were like, mashed together like accordions, and there was a tarp. And I know that under that tarp, there was a dead body, and the car went right. by it. \", \"completion\": \"That's scary.\"}\n", "{\"prompt\": \"This horrible\", \"completion\": \"kind of explains that number. Hmm ?\"}\n", "{\"prompt\": \"yeah. Who wouldn't be anxious? That's like a normal thing because there's a dead body.\", \"completion\": \"Well, I'd be anxious Of course. And it's kind of scary to see that. And what else did you think when you saw that?\"}\n", "{\"prompt\": \"Who would drive when there's two cars mash together like accordions on a dead body? That's insane. You have to be insane to drive.\", \"completion\": \"And your family wants you to learn to drive this year because you're 16\"}\n", "{\"prompt\": \"they're insane.\", \"completion\": \"And yet, you all you you keep complaining how you live in the middle of nowhere. And if you had a car you could like, go see friends more and get out of your lame Old Town and get to go do fun things. \"}\n", "{\"prompt\": \"I can't see my friends anymore if I'm dead.\", \"completion\": \"True. That's true. And I won't get to see you anymore. Because you're dead. You know, I don't treat dead people right. Remember that? Yeah, okay. So on one hand, I know the idea of driving is completely overwhelming. And I know you're anxious, like all the time.\"}\n", "{\"prompt\": \"And I get that I have to drive because you're right. It's like the middle of nowhere. And I can't just, like, not go places, but \", \"completion\": \"so I'm wondering if we can bring it back to some of those things you're talking about to help reduce your anxiety. Maybe that's one idea to help you be able to get in the driver's seat. What do you think? So, essentially, you're practicing getting the driver seat by like doing this treatment and get in the driver's seat of your anxiety, as opposed to being a passenger and you're letting anxiety outside really your life? Because that's what you're doing. What do you think?\"}\n", "{\"prompt\": \"There's a lot of puns, Jen.\", \"completion\": \"I'm punning ain't I? So, here's an idea. Let's get on board. We start treating this anxiety. We do it really, really good. job at it we work hard. And idea driving might not be quite as scary. And let's face it being anxious driver increases your risk accidents. \"}\n", "{\"prompt\": \"Well, that's helpful. Thanks. \", \"completion\": \"So reducing your anxiety, It's gonna make you a safer driver.\"}\n", "{\"prompt\": \"Yeah, but all these things you keep telling me that I have to do to be less anxious. They involve like feeling really anxious. \", \"completion\": \"True.\"}\n", "{\"prompt\": \"there's no way to like can't you're supposed to like just make it go away. You're not supposed to make it worse to make it better.\", \"completion\": \"So here's what's interesting. You're really good at being really anxious. So you'll be really good at this. And it will go away. I promise you, I totally promise you. \"}\n", "{\"prompt\": \"That's soo hard.\", \"completion\": \"You know, done well, I'm the expert here of treating anxiety, and I promise you it will get better. I know everything. I know this. What do you think?\"}\n", "{\"prompt\": \"I think it sounds really hard. It's really hard.\", \"completion\": \"All I do is totally, totally hard.\"}\n", "{\"prompt\": \"Maybe it's just not there. Same thing that you have to be more anxious to be less anxious.\", \"completion\": \"I know. It isn't. It's pretty insane, isn't it? I agree. Well, another option is you could just be anxious the rest of your life. Do they have a bus where you live? \"}\n", "{\"prompt\": \"No, you know that\", \"completion\": \"live with your parents for the rest of your life. I know I forgot. So you can live with your parents for the rest of your life. Because you're too anxious to leave town you won't be able to drive. So you could just live with your parents be anxious all the time, and you could go home so ideas on how to maintain your anxiety the rest of your life. You won't need to learn to drive. I mean, your parents are fairly nice. They probably drive around for the rest of your life, you know, until they pass away or something. In the meantime, what about that? So forget the whole treatment. I'm pushing you too hard. Why don't we just talk about how to maintain your anxiety? You're good at it. \"}\n", "{\"prompt\": \"Jenna's thats not funny.\", \"completion\": \"It's not meant to be funny. What do you think ?\"}\n", "{\"prompt\": \" that's horrible, \", \"completion\": \"I really want to help you. I know being anxious every time Really hard. So one of the options is to really become good at being anxious, and do okay, and learn to sit with your anxiety. And another option is Yeah, getting more anxious to reduce your anxiety. \"}\n", "{\"prompt\": \"So you're saying that no matter what I choose, it's going to involve feeling anxious. \", \"completion\": \"Yeah. For your practice at it.\"}\n", "{\"prompt\": \"Well, I mean, if those are the only options, might as well do the one that's gonna make it eventually go away rather than just be there forever.\", \"completion\": \"All right. Do you want to review what some of the treatment strategies will be?\"}\n", "{\"prompt\": \"Yeah, I guess. \", \"completion\": \"Okay, let's do that.\"}\n", "{\"prompt\": \"I am All right, I'm a little bit stressed out right now. \", \"completion\": \"Little stressed, What's going on?\"}\n", "{\"prompt\": \"Well, as you know, I'm in a graduate program right now. And I'm just really coming to the near the end of my program and I'm just finding it increasingly difficult. I'm just really stressed with how things have been going. \", \"completion\": \"Okay, we've talked about some different struggles you've had as you balance work and school and everything. What specifically is bothering now it seems like you're a little more distressed today.\"}\n", "{\"prompt\": \"Well, I don't I don't, I don't really know. It's just I am, as I've told you, before, I take school really seriously and I really strive to do well, well in school and well on my assignments and I just feel like I'm not performing, as well as I needed to\", \"completion\": \"what kind of grades you've been getting lately?\"}\n", "{\"prompt\": \"Well, I've been getting A's,\", \"completion\": \"anything else?\"}\n", "{\"prompt\": \"No\", \"completion\": \"Okay. That's usually considered pretty good, right?\"}\n", "{\"prompt\": \"Yeah. I just feel like it's getting harder to get the As\", \"completion\": \"okay, you're working hard to get the same grade?\"}\n", "{\"prompt\": \"right, It used to be so easy for me to do what my teachers expect and to get good grades. Now I feel like it's, it's really a struggle and I'm not doing as well as I need to and I'm constantly worried about not doing this well.\", \"completion\": \"Have you been getting any feedback from professors or your classmates about your performance?\"}\n", "{\"prompt\": \"My teachers all seem to think I'm doing well. They actually I see To get good feedback on my assignments, but I feel like I feel like I just to make sure I'm doing well. I really focus on like the details like making sure that the instructions are really clear, like I'm doing everything, like perfectly as an Instructure instructor wants because I'm really afraid that you know, if I'm not really clear on what the assignment is, then maybe I won't do it the right way. \", \"completion\": \"Alright, so before when you got A's you were working hard to have a job but not to the level of precision in terms of like the detail in the assignment that you are now. You're trying to get more information about the assignments, you're working harder to get the same grade that used to get before\"}\n", "{\"prompt\": \"right like I find myself like emailing the teacher like almost like obsessively, like trying to, to clarify the assignment and to make sure do they think I'm doing well in class and and what not.\", \"completion\": \"So when you're when you're having this feeling that I guess it's a feeling of anxiety or stress, yeah. What's going through your mind? What are you thinking about?\"}\n", "{\"prompt\": \"Well, I guess I'm just feeling that, you know, I've worked really hard, this whole program and I don't want to mess it up now or, you know, because if I don't get these grades, and I feel like what was the use, if I met, then I'm going to be ruining all this hard work, that I've done this whole program if I kind of, if I don't maintain that level of, you know, like you said, precision, I feel like like that I've let myself down or that I'm a failure because I'm, I just slacked off at the end of the program and it's so close to being done.\", \"completion\": \"So what grade would you have to receive for you to feel like you have failed\"}\n", "{\"prompt\": \"probably less than an A. Anything other than A\", \"completion\": \"right below an A isn't A minus?\"}\n", "{\"prompt\": \"I mean, I guess I would be okay with that, but I wouldn't be really happy with it. \", \"completion\": \"What about A plus?\"}\n", "{\"prompt\": \"I wouldn't be that excited about that.\", \"completion\": \"a B?\"}\n", "{\"prompt\": \"I wouldn't be happy with that.\", \"completion\": \"No, no, it'd be worse. Okay. So an A you can tolerate an A minus you're not exactly sure but you think you could\"}\n", "{\"prompt\": \"yeah.\", \"completion\": \"But a B plus and a B?\"}\n", "{\"prompt\": \"to me like, like an A minus I would maybe be okay with but like, below that like to me like a B, whether it's like a B minus A B, A, B plus it's all B, and that's not an\", \"completion\": \"so what would it mean to you if you received a B?\"}\n", "{\"prompt\": \"that I didn't try hard enough, but there's something else I could have done to to do better that I was like, slacking or I didn't read the directions right or I didn't have enough responses or make my paper long enough. I just didn't do enough. \", \"completion\": \"But you didn't try hard enough that you didn't do enough. What would it mean If that were true?\"}\n", "{\"prompt\": \"If I didn't try hard enough that I was lazy.\", \"completion\": \"That you were lazy?\"}\n", "{\"prompt\": \"Yeah, that I could have tried harder and I didn't. So why didn't I try? I didn't, maybe I didn't care. I was lazy. Kind of like what's the use? If you're not gonna try your best and why try it all?\", \"completion\": \"Okay, now we we've talked before about automatic thoughts and cognitive distortions right in other sessions and one of the cognitive distortions is this idea that unuseful type of thinking and Aaron thinking is when you think of everything in terms of like, Black or White, all or nothing? So sounds like you have a little tolerance for like an A minus you're not completely there. But generally, it's kind of an A of some type, right? Or you're not interested. Right. So we get down to you didn't try hard enough and if that were true, the new would be lazy. Right? Which, you know, having senior these last few sessions is clear to me. You're not lazy. But that's the body.\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"Now, it seems that earlier in your earlier years in the program, this was the Acer effortless for you, but you'd have to work as hard for them. \"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"what's what do you think has changed?\"}\n", "{\"prompt\": \"I'm not quite sure. Like it didn't stress me out as much in the beginning of the program. Like I really like school. But now I feel like I'm static because it's anxiety producing for me because, you know, I'm constantly worried\", \"completion\": \"You mentioned part of it was you can get close to the end, right. So is there anything else?\"}\n", "{\"prompt\": \"Well, the only thing I can think of is we have the same students throughout our program. But I guess this semester there's a new student in the program and I know that you mentioned and it seems like she's kind of really stressing me out. And also well see throughout the program, I kind of considered myself like to be the student who got the best grades and there's this award at the end of the program for doing really well. And I kind of made it a goal of mine to get this award at the end because I felt like that would show that I really tried hard this program really meant a lot to me. I think You know, it would show people who viewed Did that, you know, I really busted my butt and, and did a good job in this program. And for the whole program so far, you know, that was me like that was I was kind of the front runner, I guess for this award. And this semester, there's a new student and then come to find out like she had a 4.0 in her other program. So,\", \"completion\": \"so if I'm reading you, right, you you really didn't have any competition for this award that you were aware of. Right? And now you feel like you really do,\"}\n", "{\"prompt\": \"right like I feel like the pressures on like, I felt like I tried so hard, this whole program and now like this new person comes in, and she might want a different me so I really need to go above and beyond to make sure that I'm still on track.\", \"completion\": \"I'm paradoxically that's caused you to be more anxious and more stressed and your performing but you're still getting the A's which are working harder to get the A's,\"}\n", "{\"prompt\": \"right. And it's causing me a lot of anxiety with school where it's not as enjoyable for me as it once was.\", \"completion\": \"So what would it mean if you couldn't get the award if you didn't with the, what's the name of the new was first name with a new choice choice? Okay, but of choice once award, and you didn't want me?\"}\n", "{\"prompt\": \"I guess part of me feels like them. Why did I do the program? if, you know, part of me feels like if you're not going to be the best why try? So if, if she got the award over me, then it's kind of like, why did I work so hard this whole time, like I could have been slacking this whole time and just skated by so why did I bust my butt? If it was all for nothing? I don't have anything to show for it. \", \"completion\": \"So its all or nothing if you don't win the award.\"}\n", "{\"prompt\": \"I mean, I guess it's not the only thing that matters so part of me feels that way sometimes that I have these thoughts that if I don't try my hardest and do well and win this award, then why do I try so hard the rest of the time, but like it negates all the positive things. This that this, you know, kind of like the end result like if you tried hard the whole race and then you lose, you know, at the end.\", \"completion\": \"Right, but you're not really losing a race because you would still graduate?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"You're you're just not getting a word, which you would like, right and which would be great. Right, and certainly accomplishment. But the reason you came to the program was to get the degree,\"}\n", "{\"prompt\": \"right and even know about the award until probably like the second year anyway, so that wasn't the reason I entered. But,\", \"completion\": \"but it's now it's now taken on some importance for you winning award has been a real goal.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So with the new student choice coming in, I have this increased competition. \"}\n", "{\"prompt\": \"Right.\", \"completion\": \"And that's causing me anxiety is caused you to work hard for the same grade. All right. So, as we talked before, you have a tendency to be, I mean, this as a compliment a little perfectionistic. Right. I don't think it's necessarily a bad thing. It is taking too far, It can be right it can be not useful. Ever hear the phrase Perfect is the enemy of good. No. Does that make sense what that might mean? \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Yeah. So this desire to be perfect or to win the award is potentially causing you not even to perform well. Right?\"}\n", "{\"prompt\": \"Right\", \"completion\": \"you're still getting the A's but it's called the anxiety and you're working hard and\"}\n", "{\"prompt\": \"right now I'm not even I feel like when I read, like, I'm so stressed with it from reading the right thing and memorizing every word that I'm not retaining all the information, so it could and it's starting to like impact school.\", \"completion\": \"So is there any way that you cannot win the award and still walk away? having accomplished worthy goals? Or does it have to be the award or none of this was worth it?\"}\n", "{\"prompt\": \"I mean, it kind of sounds silly when you when you're reflecting it back to me how, you know that I have to read the words like I, I think that it makes sense. You know, that wasn't my goal going into it. You know, why does it matter so much to me that there's different degrees of success. I think if you've said before that is Not all about the award, I think I would be happy with just, you know, getting the degree and all the stuff that I've learned. And I would feel like it was, if I didn't get the award rather, I would feel like it was still a worthwhile journey. But in the moment, sometimes it's really upsetting at the thought of not getting the award. But that's a possibility. \", \"completion\": \"Your word validates all the hard work you've done.\"}\n", "{\"prompt\": \"Right, exactly. \", \"completion\": \"And in your mind, losing the award invalidates all the hard work you've done, right? But in reality, there's probably a between ground there might have been a shade of gray, where you're still an excellent student, you still graduate, you just don't have an extra plaque hanging on the wall, whatever the word is, right. That's really all you'd be missing. Right?\"}\n", "{\"prompt\": \"yep\", \"completion\": \"With this award have any impact on employment?\"}\n", "{\"prompt\": \"I don't think so I am thinking about I don't think of a long term many people would know about it besides me, or if I put it, you know, on a resume or something, but I don't think it would make that much of a difference.\", \"completion\": \"And you didn't know about it when you first came in, and you're already working hard.\"}\n", "{\"prompt\": \"right at the beginning, I didn't even know about it.\", \"completion\": \"So in a sense, and of course, we can't do this, for the sense of you could forget about the award. Right? You probably win it.\"}\n", "{\"prompt\": \"Right, Right.\", \"completion\": \"Because you're already doing so well. But the thought of this potential failure, right away the word that's holding you back,\"}\n", "{\"prompt\": \"right, It makes me it makes me paranoid to make mistakes or to try and take risks or to really, you know, do well because I'm so worried about judgment, like from my teachers, if I'm doing well enough. \", \"completion\": \"Yeah, there's no there's no tolerance for any type of mistake?\"}\n", "{\"prompt\": \"Right. Right.\", \"completion\": \"So so now that with the award out there, you really feel like you can't make any type of mistake or you just go right to, to a catastrophe?\"}\n", "{\"prompt\": \"Right, like I'm walking on eggshells, and I'm just expecting my grades to tank if I if I kind of like deviate from that line.\", \"completion\": \"So free so for you to feel better about this one way, I guess right would be to not help have to not place so much value in way.\"}\n", "{\"prompt\": \"It's really hard.\", \"completion\": \"Yeah, you really want that. And it would be great. And that's okay. Right? We talked about the adaptive responses before, right? What are what's your automatic thought you have when you're sitting there and trying to get every assignment right and you you're kind of vaguely thinking about not losing or not winning this award was the automatic thought that comes to mind?\"}\n", "{\"prompt\": \"if I'm you If I want when I'm just doing the work,\", \"completion\": \"yeah, when you're doing your work, and you sense that anxiety come on, right as you start maybe vaguely thinking about winning or losing this award, right? Like it's losing it Really? What's going through your mind right that moment?\"}\n", "{\"prompt\": \"I guess I'm just kind of like running through a checklist. Did I do this? Did I do this? Did I do this? Making sure I did everything that was expected of me\", \"completion\": \"to ensure that you're gonna get that award?\"}\n", "{\"prompt\": \"Right.\", \"completion\": \"Right. So at a higher level, one of your thoughts is, I must win that award. \"}\n", "{\"prompt\": \"Right.\", \"completion\": \"Does that make sense? I mean, that that's probably somewhere. Is there any type of adaptive response you could apply that moment, that statement, or kind of, well, that's an absolute statement, right? I must win that award. Is there any type of adaptive response you could play at that moment that could counteract that on thought\"}\n", "{\"prompt\": \"That I must win the award?\", \"completion\": \"Yeah.\"}\n", "{\"prompt\": \"I guess I could say that, you know, this, the award is something local to my university and no one's going to know about it in the grand scheme of things. So it won't really impact future employment or what my colleagues think of me. You know, if I, if I don't get the award that they won't think less of me.\", \"completion\": \"Okay, so so you could say, it'd be nice to win the award. But in the end, it's not really gonna make the difference in my life in terms of my career\"}\n", "{\"prompt\": \"right.\", \"completion\": \"and, and that's a fair, adaptive response, right? You do want to win it, right? Truthfully, and it would be nice to win it right. Who doesn't want to win the award, right? But if you don't, you were still good student. You're still gonna be a good connection and your career still good before. Do you believe in that adaptive response? Do you believe that adaptive response is true?\"}\n", "{\"prompt\": \"I feel like sometimes I do. And then sometimes it's really hard in the heat of the moment to kind of talk myself down from that, that kind of spiral of not doing this assignment, right? I'm not doing well. I'm going to get to be in this class, I'm going to lose this award. So I feel like it starts. It's hard in the moment to spiral out of that.\", \"completion\": \"So what percentage of the time Do you believe that adaptive response is true?\"}\n", "{\"prompt\": \"Maybe like half the time,\", \"completion\": \"so 50% of time?\"}\n", "{\"prompt\": \"right? depends on what's going on in my stress.\", \"completion\": \"And the other half, you're not really buying. \"}\n", "{\"prompt\": \"Right\", \"completion\": \"Okay. All right. So what advice Well, let's use choice, right? choices in the same situation, in a sense, in that she's, well, maybe not knowing what she is working toward this award as well\"}\n", "{\"prompt\": \"I don't even know she knows about the award.\", \"completion\": \"Let's assume. Let's assume she knows about it. Right? He's in a similar situation. What advice would you give her? She's kind of obsessing about this in the same way that you are.\"}\n", "{\"prompt\": \"Yeah. I think I would tell her that, you know, the rest of the class sees that she's doing well. Her teachers give her positive feedback. So all science would point towards that you're doing really well and you're being very successful in the program that you're getting positive feedback from them. So that all the signs the feedback is telling you you're doing a really good job.\", \"completion\": \"Your advice to her seems positive and uplifting. Mostly, your advice to her is more positive, uplifting what you're telling yourself internally,\"}\n", "{\"prompt\": \"definitely it is.\", \"completion\": \"So if that advices adequate. I feel It is adequate and appropriate for her. Why isn't it adequate probably for you?\"}\n", "{\"prompt\": \"I don't know sometimes I feel like I just hold myself to a higher standard than I hold other people to like if some a friend of mine like Joyce would come and tell me the same situation, you know, I'd be able to give her a whole bunch of, you know, suggestions or some positive feedback, but it's really hard for me sometimes because I hold myself to a higher standard than other people.\", \"completion\": \"But you would agree your advice to choice as you frame it to me is useful, right? But you're just having trouble applying that to yourself?\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"Smooth. That's what you need to work on a bit. So you can kind of see the logic of all this, but your feelings don't match.\"}\n", "{\"prompt\": \"Correct. Makes sense in my head and I would know what to tell someone else but I don't always believe it. When I say to myself,\", \"completion\": \"Alright, so here's what I want you to do. You familiar with the thought record that I introduced you in the first session where you can outline your situation and your feelings and you've explained all this to me, I want you to actually complete one thought records. \"}\n", "{\"prompt\": \"Okay\", \"completion\": \"I know after having set it all might seem like doubling the work. But I think it's something changes when you write something down. Okay, I have to face it on paper. And also, it's a good tool to remember exactly what you're thinking. And then work through the adaptive response section and their smiles at the bottom of thought record questions you can ask yourself to help you form that adaptive response. And maybe write out a few different ones. But there's plenty of room on the forum. You see it, right, \"}\n", "{\"prompt\": \"right.\", \"completion\": \"That's actually the largest grid cell is the one on adaptive responses, that the responses don't have to be short. like yours wasn't short. There's really good they can they can be long and they can So be realistic, like, I'd like to win. It would be good to win. But Alice should have to be successful. \"}\n", "{\"prompt\": \"Okay\", \"completion\": \"I thinl the adaptive response kicked out is to the downside of not having success, okay? It doesn't have to be completely positive. Okay, has to be realistic and useful. And, as importantly, you have to believe it. Okay, there's a place on there to note what percentage you believe that you could write that in. Okay, I know we'll look at that from week to week and, you know, as we move closer to your graduation, hopefully it'll bring you some relief for missing anxiety. \"}\n", "{\"prompt\": \"Okay\", \"completion\": \"that's sounds like a good plan?\"}\n", "{\"prompt\": \"Hmm\", \"completion\": \"Thanks.\"}\n", "{\"prompt\": \"I am Okay, how are you Dr. Grande?\", \"completion\": \"I am good, thanks for asking what's been going on?\"}\n", "{\"prompt\": \"Not really a lot of change on the drug front.\", \"completion\": \"Mm hmm\"}\n", "{\"prompt\": \"it's as you know, the the Adderall I'm really struggling.\", \"completion\": \"still struggling with the Adderall?.\"}\n", "{\"prompt\": \"Yeah. I'm not sure what to do because I know that I mean, I'm having such a hard time with it. But when I don't have it, I am. I'm just not functioning I'm not able to get As much accomplished\", \"completion\": \"right, so, go ahead\"}\n", "{\"prompt\": \"well it's it's like it's always there to.\", \"completion\": \"It's always available ?\"}\n", "{\"prompt\": \"it's always available, Yeah. Or so much at the time.\", \"completion\": \"You're having some mixed feelings about it. So I'm sensing.\"}\n", "{\"prompt\": \"Yeah. Yeah. Like I know I want to stop\", \"completion\": \"you think you think you want to stop?\"}\n", "{\"prompt\": \"Yeah. No, I do. \", \"completion\": \"You do ?\"}\n", "{\"prompt\": \"Oh my god see, I feel crazy, but I know it would be good if I didn't have it in my life.\", \"completion\": \"But at the same time it is in your life ?\"}\n", "{\"prompt\": \"And I don't know how to get out of that. I mean, the one thing if I didn't live with my roommate, that would be one thing. Like, it wouldn't be in the apartment all the time.\", \"completion\": \"So you find you have easier access to the Adderall when you're when you're in the house or apartment with your, with your roommate. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So if you physically weren't there, like with your roommate in that apartment?\"}\n", "{\"prompt\": \"Yeah, like if I was oh my god living at home with my parents again or even living with somebody else, I guess. Oh my god, move ? What a hassle but that's I mean, that's the problem. It's just there. It's it's accessible.\", \"completion\": \"So you're kind of it sounds like you're recognizing that, maybe you don't have the willpower to stop taking the drug when it's right there in front of you.\"}\n", "{\"prompt\": \"Maybe you're right. Yeah, that's that's good. Because before I didn't really want to stop at some, I mean, I definitely sometimes I want to stop, I'm my mind, I'll go back and forth. You know, but for the most part I would like to be without it. You know, I really don't want to deal with this anymore.\", \"completion\": \"So mostly so so there's still some feelings for you. You want to use it, but mostly you would like to stop ?\"}\n", "{\"prompt\": \"Well, it makes us so easy to get stuff done. I mean, I just take a couple and boom boom boom, I mean,\", \"completion\": \"so there's some advantages for you ?\"}\n", "{\"prompt\": \"Yeah, definitely. Definitely. And I'm so used to it. So it's just comfortable and\", \"completion\": \"it's comfortable and it allows you To be productive. Are there any downsides to it?\"}\n", "{\"prompt\": \"Well, yeah. When I don't have it, the crash, it's like a really bad crash and I'm not productive. You know, it's it's, and it's gotten worse than it used to be.Like I need it.\", \"completion\": \"So it's painful ?\"}\n", "{\"prompt\": \"It's painful. Definitely. Definitely. It feels like a trap. I want out.\", \"completion\": \"And one of the ideas you're having was sound like potentially was moving out, moving out of the apartment, because then you wouldn't have access to the who would have access to the Adderall anymore? Or it would be hard to get ?\"}\n", "{\"prompt\": \"Oh my god, like sometimes it's really weird. Sometimes it feels like that's a good idea. And then sometimes I'm like, No, no, I don't want to be You know kind of cut off from it but I think I am come ready. \", \"completion\": \"You think you're ready for that?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"And that moving out you really see is what you would need to do. Because stopping while living there is too difficult.\"}\n", "{\"prompt\": \"Yeah, yep, I think you're right.\", \"completion\": \"Remember before you've tried to stop living there a few times right or, or last few months and with your roommate having it with your roommate being the one that gives it to you. It just appears that temptation so great for you.\"}\n", "{\"prompt\": \"Yeah, she really doesn't get it. She doesn't understand like, What? What a problem this is for me? She's definitely not supporting me or anything like that. Yeah, God, maybe it would be better\", \"completion\": \"Well, are there any disadvantages to living with your parents?\"}\n", "{\"prompt\": \"living with my parents at my age, it just feels like a little bit humiliating a lot humiliating. \", \"completion\": \"Okay, so humiliation would be one.\"}\n", "{\"prompt\": \"Yeah, just this feeling of failure, embarrassment and then my mom just is in my business.\", \"completion\": \"So some clear disadvantages to move into Paris any advantages other than the obvious who would separate you from the Adderall?\"}\n", "{\"prompt\": \"Am I would you buy laundry? fully stocked fridge?\", \"completion\": \"Yeah.\"}\n", "{\"prompt\": \"Yeah, my dad will fill my gas tank up.\", \"completion\": \"things that happened before ?\"}\n", "{\"prompt\": \"Uh huh.\", \"completion\": \"So there's some disadvantages to this plan, but there's some advantages. And there's a key advantage of being think of narrow.\"}\n", "{\"prompt\": \"Yeah. And it wouldn't necessarily have to be the rest of my life either. Just for now, just to get me out of that apartment with the Drug. Right ?\", \"completion\": \"That would separate you from the drug and you could potentially move out later on.\"}\n", "{\"prompt\": \"Oh my god, do I want to I mean, that that's just it. Like, it's like, it sounds really good until I like really think about it.\", \"completion\": \"When you really think about it, what comes to mind?\"}\n", "{\"prompt\": \"Oh, like I start to shake like that feeling of, you know, when you really want something, you really want something and you can't get to it. And that desperation that I'm like, right now, I know that, you know, I'm living there, it could be my choice. I could take it, or I could not take it. You know, but at least when I want it, it's there. If I move out, I'm like making that decision for myself. \", \"completion\": \"That's right. It would be.\"}\n", "{\"prompt\": \"I don't know.\", \"completion\": \"Is it tough?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"Before it seemed like you're really more on the side of making this change than not. Clearly, there's still some things you want to consider.\"}\n", "{\"prompt\": \"No, you know, you're right, though. I want out, and it's not really a choice when I'm there. Like I say, I have the choice yes or no, but the choice is always Yes. \", \"completion\": \"You always end up using the Adderall ?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So, so make sure I understand the situation overall. You live with your roommate, she has that role and she makes it available to, you use it?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"You've tried to stop that behavior, but that's just not working for you.\"}\n", "{\"prompt\": \"Yeah, yeah, that's so clear. And I don't want to be using it.\", \"completion\": \"You don't want to be using it. But yet you are. Especially because the proximity, right, like cuz you're right there and she has it and it's just tougher to stop that behavior. There's another possible decision, which is moving back home, which has some disadvantages and advantages. \"}\n", "{\"prompt\": \"Yeah, that's true. It would be nice having that fully stocked fridge.\", \"completion\": \"so that there's an upside to it.\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"That would be beyond just not using the drug which would which fit itself It'd be a big victory for you.\"}\n", "{\"prompt\": \"Yeah. And my mom would be there to talk to Yeah. Yeah.\", \"completion\": \"So let's do this. It seems like that's the direction you're moving. Right?\"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"No pun intended with moving. But that's, you're you, you're thinking that might be a better way to go?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So, for the next session, let's plan out that and this wouldn't necessarily be doing anything. This would just be let's plan out the steps that you'd have to put in place to move out to move back home, talking to your parents, whatever financial arrangement, have the roommate, getting all your stuff out the logistics of moving, let's just go through the steps. \"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"And try to get a firm plan together. And of course, you can always re evaluate and change your mind. \"}\n", "{\"prompt\": \"Okay, right. \", \"completion\": \"But all we're doing at this point, is just just planning and seeing how it would look. \"}\n", "{\"prompt\": \"This is kind of exciting.\", \"completion\": \"Exciting ?\"}\n", "{\"prompt\": \"Yeah, it definitely is. I can do that.\", \"completion\": \"So I will see you and next week ?\"}\n", "{\"prompt\": \"okay\", \"completion\": \"and we'll pick up where we left off and we'll, we'll start with a planning and we'll see what happens with that. \"}\n", "{\"prompt\": \"Cool. All right.\", \"completion\": \"Thanks.\"}\n", "{\"prompt\": \"I'm doing okay.\", \"completion\": \"You make it here okay to the office?\"}\n", "{\"prompt\": \"I did traffic wasn't too bad.\", \"completion\": \"Good, good. So I understand that you come to see me because you have a situation, how?\"}\n", "{\"prompt\": \"yeah, I'm just been a lot of anxiety right now my oldest child is moving out. And I know as a mom that that's the goal is to, you know, let them be independent and you start on their own but still a little concerned that it's gonna work out and that you know that he's in a good place and living where he should and kind of eat dinner and do those things that you worry about him doing. \", \"completion\": \"Okay. I'll try to help you that I'm sure your your get started. Right?\"}\n", "{\"prompt\": \"Absolutely. The sooner the better.\", \"completion\": \"Good. I want to make sure I go over a few disclosures about the counseling relationship before we get into assessment, which is the first stage. \"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"Right. We'll ask you a lot of questions. Okay, that's your past and what's going on now. And then after assessment, we'll move into counseling. So we come in roughly once a week. \"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"But first I want to get through kind of a piece on confidentiality.\"}\n", "{\"prompt\": \"Okay. So like attorneys what you what you can do and not do.\", \"completion\": \"We kind of I'm glad you brought that up, about attorneys. Attorneys and clients have confidentiality, and counselors and clients have confidentiality, but the two types are different. So I'll explain to you how it worked between you and I. But no, that is a little bit different than it works between the attorney and their client.\"}\n", "{\"prompt\": \"Okay. Now explain the differences to me.\", \"completion\": \"Absolutely. So, one thing about a casting lationship all this time you spend here, the notes they'll take in during the assessment and the progress notes later on. Because all of a chart with your name on it will be stored in a secure place. All that is confidential, and next to that word confidential as an astress. Right? There's exceptions. Okay. And what I want to explain to you are those exceptions to confidentiality, because confidentiality isn't absolute.\"}\n", "{\"prompt\": \"So there's times you might tell someone else something that I said,\", \"completion\": \"Yes.\"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"Yeah. But they're very specific situations that occur that permit that or mandate that. Okay, I want to review those with you before we move on. Okay. Does that make sense?\"}\n", "{\"prompt\": \"Yeah. I'd like to know that before I tell you.\", \"completion\": \"I agree. That's a good, good way to look at it. So the first exception to confidentiality is when you give me permission to release information that you've disclosed and interactions we've had during counseling This is actually fairly common. For example, do you have a primary care physician? \"}\n", "{\"prompt\": \"I do? Yes.\", \"completion\": \"So depending on we talk about you may want him or her to know about discussions. So you may sign a release, that gives that physician the right to talk to me directly. \"}\n", "{\"prompt\": \"That makes sense, \", \"completion\": \"right. Furthermore, your issues with are part of your concern with your son. So say and I don't necessarily foresee this but say, later on, as we work together, you want him to come in for a session just to talk about something right? You would have to sign release confidentiality, so we could be here and talk with me. \"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"That makes sense?\"}\n", "{\"prompt\": \"That makes a lot of sense.\", \"completion\": \"Okay. The other exceptions are insurance company. So when you fill out your screen packet insurance Insurance companies have access to like progress knows the assessment, anything on the chart and they're generally responsible this information I don't know of any instances where they're irresponsible with it. But I just think it's important that you know that anything I write in the chart anything in the chart itself technically the insurance company can ask for and periodically could review. Again, I've never seen in my career any difficulty with that, but as far as I know that information would be transmitted off site so to speak. And when this agency bills it would be transmitted your information be transmitted off site to the insurance company\"}\n", "{\"prompt\": \"so it goes automatically whatever progress made you have automatically go to the insurance company?\", \"completion\": \"the progress notes, don't for standard billing, but information about the type of session we had length of the session. any of that and some other personal information about you to identify you would go to them also they know a service was provided. \"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"Like I said, There They're generally very responsible information, large companies that have done this for a while, right,\"}\n", "{\"prompt\": \"taking all your medical stuff too. So they have,\", \"completion\": \"they have access to different types of data. Another exception to confidentiality and again, I don't foresee necessarily a this happening, but I want to tell you about the limits of it is in the event that I feel that you're going to harm, or there's a high potential that you're gonna harm yourself or someone else. In that instance, I'm obligated to act. Now, we're gonna probably talk about a lot of different elements of your life through the next however many weeks were together. Okay? When, and if, and again, I don't predict this. You have some sort of suicidal ideation or you want to harm smell. So in the unlikely event that happens, I would only release information I have to release to protect you or the person that I'm worried about. So if you review a lie like deep, dark secrets, and then you tell me that you want to go harm a relative of yours, right? I have a duty to warn that relative of what you plan on doing, where you are at the moment, what threats you've made, but I'm certainly not going to tell them about your deepest, darkest secrets to be revealed. Okay, unless they're directly relevant to protecting. Okay, it's very unlikely they would be,\"}\n", "{\"prompt\": \"I don't know why I not hurt anybody, but I should know this\", \"completion\": \"I know. Yeah, but I just want to let you know that these know this confidentiality information I release is limited to just what I need to release. \"}\n", "{\"prompt\": \"Okay\", \"completion\": \"Similarly, if you have any type of suicide ideation, and I was had to contact somebody come pick you up like law enforcement. I would only tell them I knew tell them from the get to the hospital and get you in a safe environment. \"}\n", "{\"prompt\": \"Okay\", \"completion\": \"This I want to take an opportunity Talking about the suicide ideation. So you know that just because you have suicidal ideation, like thoughts, a lot of people think about suicide from time to time, or even homicidal ideation or thoughts, you're going to harm someone by not saying kill, but it's harm does not by any means automatically me, I'm gonna call police think of it as something that opens a discussion certainly about your safety and someone else's safety. But that's not, you know, we don't go automatically from there. You know, that is, if you have a thought of suicide to the hospital. There's a discussion and many, most the vast majority, actually of people that have a suicide ideation do not have any intent or plan to commit suicide. \"}\n", "{\"prompt\": \"So you say, so, if someone's thinking about it, you are not just gonna call the police and send you to the hospital. You're gonna try to get to the bottom of it.\", \"completion\": \"Absolutely.\"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"Yeah. That, you know, I responsibility to make sure you're safe and I feel like I can do that. If we talk to Through an issue and you don't have any, any reason to believe you're going to harm yourself, but just had a suicidal thought, okay, okay, that's a lot different than you, you came in to me and told me about detail plan, and you really seem like you're going to do it, then I'd be a lot more worried. \"}\n", "{\"prompt\": \"Okay That makes sense. Okay.\", \"completion\": \"So that exception to confidentiality is really used in the most extreme cases of suicidal or homicidal ideation. Another exception in the state that will let you know about is if I have any reason to believe that a child or an elderly person is being abused. I have to report it was called a mandated reporter.\"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"Now I'm sure that you're not abusing anyone or elderly people. But I want to explain how this exception works because it's a little more far reaching you may think. So say that you come in and you discuss with me a neighbor, right, that seemingly has nothing to do with your treatment, but just kidding. I mentioned that something's going on that discussion leads me to believe that your neighbor's abusing their child. I still have to report that, even though it has really nothing to do with you directly. It's something you just told me in passing. I'd have to act on it. Again, I would only release the information necessary to protect a child safety. Does that make sense?\"}\n", "{\"prompt\": \"It Does. Yes. \", \"completion\": \"So no matter how I find out about it, or who it is, I have to act on that.\"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"And then the last exception I want to review is, again, as with many of these very unlikely, but if for some reason you're involved in any type of civil or criminal litigation, and a judge orders me to testify. I have to testify. I can tell you this happens. Very Rarely, but it can happen. And I can and will try not to disclose me, I'll ask the judge to not disclose if you don't want me to, but ultimately a judge can order me and I have to. So in the end, it's up to the judge. \"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"So, again, most of these pretty unlikely, yeah. But I'd rather have all the information going forward so you don't have any concerns about where the information you're revealing or talking about where the information is going. Okay. Do you have any questions about that?\"}\n", "{\"prompt\": \"seems pretty clear.\", \"completion\": \"Okay. Well, I appreciate you sitting through that. Talk on confidentiality. So we're gonna get started now with the assessment. \"}\n", "{\"prompt\": \"Umm not not too good.\", \"completion\": \"Not so good ?\"}\n", "{\"prompt\": \"No, I just got into a fight my parents\", \"completion\": \"what's been going on?\"}\n", "{\"prompt\": \"Well, I I've been doing heroin for for a few months now. And I didn't think my parents knew but I guess they they found a needle in my room. And I mean they knew what I was doing. And they they told me that I have to start shaping up and I need to I need to stop doing any kind of drugs because they said they said the next time that they find find any kind of drugs and it's, it's it, they're gonna kick me out of the house.\", \"completion\": \"Alright, so they're at the point where anything else happens they discover it and you're on the street. \"}\n", "{\"prompt\": \"Right\", \"completion\": \"What are your feelings about being on the street?\"}\n", "{\"prompt\": \"Who want to be out there ever? I don't know who would be. I mean it would be hard just to kind of stop cold turkey and I know a couple buddies that did that and it's it's not good when you get junk sick. And I mean, I'm kind of stuck because I don't know. I don't want to be out in the streets, but it's just gonna be so hard. So hard to give\", \"completion\": \"So there are conflicting feelings here. You don't want to be out in the street. But you don't want to give up the heroin same time.\"}\n", "{\"prompt\": \"Right, Right. I just I mean, I don't want to give it up. But, I mean, I kind of know I have to. I mean, I'm a young guy, I I couldn't make it outside of my parents house and I definitely don't want to be on the streets.\", \"completion\": \"So you want to stop to avoid the consequences could happen.\"}\n", "{\"prompt\": \"Right. But to this point haven't been able to.\", \"completion\": \"So this is the first consequence or potential consequences motivated you Right since you started using\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"How strong is the craving to use?\"}\n", "{\"prompt\": \"I mean when I first started it was I mean it was pretty freakin great. I mean the rush that you get from it it's it's just mind blowing it's it's just amazing. But of I've noticed recently that like the rush isn't as intense anymore and it's even like it's even kind of started to backfire a little bit where like actually I'll feel all sick without using it. And I mean that kind of scares me but the cravings are definitely still there.\", \"completion\": \"Right so when you when you try to cut back, have you tried to cut back?\"}\n", "{\"prompt\": \"I had before but a minute like there there is no reason to so I didn't try very hard.\", \"completion\": \"When you did try Did you have the feeling Were you getting sick?\"}\n", "{\"prompt\": \"I did. Yeah, it was an A it wasn't as bad as as any of my buddies but I definitely I mean I didn't I didn't feel well\", \"completion\": \"have your parents given you any options in terms of like Do they understand that your seems like you're a little dependent on\"}\n", "{\"prompt\": \"Yeah, I mean they they do I definitely like I don't hold anything against my parents I got you I have a pretty good relationship with them. I know what I'm doing isn't isn't good for me. And they they said that they would completely support me they they told me that they have a place picked out where I can go and that they'd be willing to pay for it and everything but they said if I you know if I don't meet them halfway then it's just that's it like it's they're done.\", \"completion\": \"So they have a solution in a sense for what's going on. silica is like a detox.\"}\n", "{\"prompt\": \"It is\", \"completion\": \"okay detox right. So they have a they have a solution to help get you off the heroin, but there's still, there's still a part of you that doesn't want to go that route.\"}\n", "{\"prompt\": \"I mean, that you know, I think I think I'm starting to come to terms and it's that it's time to stop and it might be good that maybe I'm stopping so early. I know. I know. My friends have been doing it for a lot longer than I have. But I just Yeah, I don't I don't know if the detox gonna work. I mean, it's, it's hard for me to focus on like anything until sometimes until I get my next fix.\", \"completion\": \"Right. So there's, there's a few problems here. So So one is can you can you commit to going to detox and the second is, even if you successfully complete that, when you come back out, if you can build void the power\"}\n", "{\"prompt\": \"right It's tough right now cuz actually my, my dealer lives in my neighborhood. I mean, he's, I mean, he's just like a few few houses down. My my girlfriend lives in our community too. And like, he's he's on the way to her house. So a girl kind of just maybe pick it up on my way. And third, third, my bookbag and getting out my girlfriend bit and then maybe on my way back home, I'll shoot up the buddy. So\", \"completion\": \"right. So you so really, you're running into them as you walk to your girlfriend's house. \"}\n", "{\"prompt\": \"Right. Yeah.\", \"completion\": \"And he's there and the temptations is great. And\"}\n", "{\"prompt\": \"I mean, it's like that house is kind of, that's actually where I shoot up a lot. So it's like whenever it is \", \"completion\": \"in his house?\"}\n", "{\"prompt\": \"right, right. So it's like, whenever whenever I'm coming up to his house, I'm like, I start start getting excited, you know, like, sir anticipating how how great it's, it's gonna feel the next time. And it's I know it's like stuck with me I get I get excited when it's as well as you\", \"completion\": \"know, feeling so so it's exploiters. As soon as you're walking up to the wall as you're getting ready to pass this house Sumo like to all the way to your girlfriend, you divert to kind of go to his house and you have this feeling of excitement. What's the thought that's going through your mind?\"}\n", "{\"prompt\": \"I like I kind of, I just can't wait for the for the next hit. Now I got passes how since my parents are giving me an ultimatum. And now it's kind of mixed because I'm like, man, if I if I get to do that, and somehow they find out like, it's, it's kind of all over for me. And then but on the other hand, I'm thinking about how How great it's gonna be. I'm just kind of like I'm planning in my mind how much I'm going to do and what kind of plans we'll have for the rest of the night.\", \"completion\": \"Okay, so you have a you have a few things going on. Do you think like, is your plan right now to go into the detox?\"}\n", "{\"prompt\": \"It is. Yeah, it's Yeah. I mean, my, my definite plan is to go into detox and if the detox works, like, I mean, I think I can be done with it. But it's just I don't I don't know if the detox can work. And I mean, I've never only tried to cut back that one time. And I mean, I don't know how good I'll be at it. You know,\", \"completion\": \"let's let's presume for a second that the detox would be successful and you you wouldn't be one even you wouldn't be on heroin coming out of detox.\"}\n", "{\"prompt\": \"Right, right.\", \"completion\": \"Are you worried at that point that you'll go right back?\"}\n", "{\"prompt\": \"I don't know if I'll go right back. Like I think if I can get off at the detox actually work. So with that said, Do I think I could stay off it, I think like, my, I think my cravings will still always be there. But now that it's like, now that I've come to the realization that some of the stuff that I can lose if I get caught, I mean, if I can get off it for good, I don't, I don't like I feel back. It might be hard, like if I run into my buddy or something. \", \"completion\": \"That's that's the point of worry right?\"}\n", "{\"prompt\": \"Right.\", \"completion\": \"so there's there is a concern that you'll you could, you could go back if you run into them?\"}\n", "{\"prompt\": \"right.\", \"completion\": \"If you could stay away from him. You think you increase your chances of being successful?\"}\n", "{\"prompt\": \"I mean, yeah, definitely. I won't like there's there's so many like, experiences in this house. That that kind of to feed into the anticipation and the cravings. I mean, if that doesn't happen, you probably help\", \"completion\": \"When you plans in terms of going into detox?\"}\n", "{\"prompt\": \"Pretty soon I think I'm supposed to go on Monday after the weekend. So like three days\", \"completion\": \"okay. So it it actually sounds like what your parents have put in place you believe will work. Right? You have confidence that will work. And that your worry is what will you have is when you get out can you avoid it when your friends\"}\n", "{\"prompt\": \"right\", \"completion\": \"You don't buy from anybody else other than your friends.\"}\n", "{\"prompt\": \"No No\", \"completion\": \"So so that's really becomes the maybe one of your key goals here since since your cake. Sounds like you're committed to the detox part. Right and you know, some reading that incorrectly that that seems to be something you're\"}\n", "{\"prompt\": \"no Yeah, if it works, and then I can try.\", \"completion\": \"So it's it's preparing for life after detox\"}\n", "{\"prompt\": \"right?\", \"completion\": \"and avoiding wait for the phrase people places things through with with the addictions or, or substance use. So in this case you need to avoid it would seem your friend we're and and where he lives right which is unfortunately not far from you and in between because houses in between your house and your girlfriend \"}\n", "{\"prompt\": \"right\", \"completion\": \"so is there a way it's may seem a little odd but there's a way to walk around the block where you can completely avoid his house and still get to your girlfriend's house.\"}\n", "{\"prompt\": \"Yeah, I mean there is this is kind of out of the way but I think yeah I could go there's like a like a horseshoe path. I could. Yeah, I could. I could like go up the block and I'm like around the horseshoe and then and then I can like turn right and get her house there.\", \"completion\": \"She would never even see his house.\"}\n", "{\"prompt\": \"Right Right.\", \"completion\": \"have other options as well. So there's that option. How about her coming over to where your parents that was that ever happened before?\"}\n", "{\"prompt\": \"Um, I mean, yeah, she's she's come over. So maybe if like, maybe if I tell her that it'll, you know, help me out she can like she can make that walk and I'll be like, it'll be easier\", \"completion\": \"because she can walk right by the house without problem,\"}\n", "{\"prompt\": \"right right I if I are walking out of the house, it'd be harder for me to actually do what I'm supposed to. So if I can't even leave, and she comes at I might be best, \", \"completion\": \"and to get to work, do you have to pass his house?\"}\n", "{\"prompt\": \"No, no, I, like I worked on the road. So I just drive like I drive all the way out to the community.\", \"completion\": \"So there's kind of some like, really, there's a physical kind of slash behavioral strategy here, which is just physically keeping you away from having to go by his house and sounds like the only reason other than to, to buy and use drugs is to see your girlfriend. \"}\n", "{\"prompt\": \"Right.\", \"completion\": \"There's an alternative strategy here, right? She She comes to you, or you could go all the way around, and then only round back to return. And to get back and forth to work. You don't have to go by his house at all. \"}\n", "{\"prompt\": \"Yeah, I could do that. I'm gonna work. \", \"completion\": \"Is there ever a time where he comes to you?\"}\n", "{\"prompt\": \"I'm honestly not that much. Now. He obviously he doesn't. He doesn't really like to leave his house much. He's he's kind of going on always there. So that's kind of he just deals out of there and then shoots up there. So he, he stays in his house most of the time and he doesn't even come out.\", \"completion\": \"And we, you know, we know that there's on my thoughts, we've talked about this before, right, that is on Mac thoughts that lead to feelings and behaviors. \"}\n", "{\"prompt\": \"Right, right. \", \"completion\": \"And can you identify a specific thought that may occur or maybe has occurred? Not really. walking by his house, but when you've been in your house like this, maybe it's motivated you to go walk to his house,\"}\n", "{\"prompt\": \"right. I'm bored.\", \"completion\": \"Okay,\"}\n", "{\"prompt\": \"yeah, just straight up. I mean, when when there's nothing to do in the house, my parents are gone. So it's a it's the best way to have fun.\", \"completion\": \"So you've identified a thought that that directly connects to the behavior you want, which is on board. So onboard leads to using the drug assuming because that would alleviate the boredom?\"}\n", "{\"prompt\": \"right.\", \"completion\": \"Is there an adaptive response that you can put in right there that you can interject right at that moment? When you say, board? Is there a depth of response to couplets as soon as this post detox.\"}\n", "{\"prompt\": \"Right, right. \", \"completion\": \"Sounds like that's your plan. You're sitting in your house detox is done. There's no more you know, we would hope withdrawal type symptoms\"}\n", "{\"prompt\": \"right.\", \"completion\": \"The thought comes upon you I'm bored. What's It's a self talk piece that could be interjected there.\"}\n", "{\"prompt\": \"Um, I think like if I if I remember to think what I don't want to do when I think that I'm bored, like I just kind of come up something else. So I right now my usually my two choices when I'm bored are either to go to my buddy's house, or go to my gril's houses, you know, across from my buddy. So maybe that could just be like, one of the times I called my girl and be like, Hey, can you just like come over? We can do something like just kind of distract me from from, like, wanting to go over dance place, you know?\", \"completion\": \"So to the adaptive responses, call you girlfriend.\"}\n", "{\"prompt\": \"right yeah.\", \"completion\": \"On board and, and she, you know, sounds like what's voice that she's really supportive of?\"}\n", "{\"prompt\": \"Yeah, yeah, I mean, she wasn't too happy with me doing it she doesn't use so I mean there's there's that social All, she'll be on board for that.\", \"completion\": \"It seems like consequences motivates you. Right. And that's what brought you in today like to practice anyway. So I'm wondering if another adapter response response could involve, you know, I don't want any, any trouble. You know, and you can substitute a lot of words in for trouble. There's all kinds of trouble that can occur from using heroin,\"}\n", "{\"prompt\": \"right\", \"completion\": \"So getting kicked out of house, I don't want to, you know, I don't want to get kicked out my house. I'm clean. And there's something else I can do here other than drugs, \"}\n", "{\"prompt\": \"right\", \"completion\": \"Like I'm thinking in times and your girlfriend might not be around. Okay. Right. So you still want to have you want to have adaptive response. That's not necessarily tied to a person in case she isn't around.\"}\n", "{\"prompt\": \"Right\", \"completion\": \"can use that one certainly, that's a good one, when she's not around. And you kind of revisit those consequences, new adaptive response. Do you think that's going to be enough motivation to keep you from going to the house?\"}\n", "{\"prompt\": \"Yeah, I do. I mean I like as of right now, work scones good, like school is going good. I don't, I really don't want any problems. And I think like now If i don't realize that if I if I do keep using, it's not just going to be something like that I do when I'm bored or like that I'm doing for fun it's going to turn into like a problem that's going to kind of affects everything else. So I think like, if I just remember to tell myself, like when I'm feeling bored if I just remember to tell myself like I don't, I don't want to be out in the streets and like especially I don't want to lose my job. Like I think telling myself those things that will help remind me like kind of what's at stake. You know\", \"completion\": \"Good, good. So it sounds like you have some some adaptive responses to use. Nothing occurs to me is your parents around much\"}\n", "{\"prompt\": \"Yeah, I mean, they're my dad works a lot. My mom's usually she works to a single part time job. So she's usually like home at night.\", \"completion\": \"And night one of the times and you have gone over to your friend's house, \"}\n", "{\"prompt\": \"well it's actually it's more during the day, it's more kind of day.\", \"completion\": \"So she could be an asset in terms of trying to stop you from leaving the house, but only when she's there. \"}\n", "{\"prompt\": \"Right.\", \"completion\": \"And similar to your father, you know, so it's really, I guess we kind of narrow it down to when you're home alone and particularly when your girlfriend's not available, that's your highest risk time right? \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So we have the cognitive adaptive responses to come employment, what was anything more behavioral, we can do like can you can you go somewhere else?\"}\n", "{\"prompt\": \"Well, I think like one of the one of the other things I do to kind of clear my head as I like to go for a drive. So like if I if I start feeling bored I think maybe if I like get in my car And like I said, all of that that's his stuff. I just drive away, like, just physically leave the temptation. And then like from there, I can go to a bookstore or like a comic book store like I can, I could spend hours in there. So maybe if I can, like I can remind myself to drive away, go to the stores, and like, maybe I can just kind of stay out there like enough till either like my girlfriend's home or my parents come home.\", \"completion\": \"I think that's a good I think it's a good plan. Yeah. and remember that the more we apply these adaptive responses, right, what we hope is that you the risk decreases, like your craving decreases your motivation to stay clean increases\"}\n", "{\"prompt\": \"right.\", \"completion\": \"So while it may be only convenient to drive someplace, every time no one's available, and you'd have thought that might not be something I do forever. \"}\n", "{\"prompt\": \"Right, right. \", \"completion\": \"But that'll That'll minimize the risk for now. And we want to, we want to focus on the short term first. And then we'll worry more about the midterm and long term\"}\n", "{\"prompt\": \"right?\", \"completion\": \"Then circumstances may change, maybe you he reside there forever. Maybe some of his work schedule change. Maybe there are other adaptations you can make. \"}\n", "{\"prompt\": \"Right\", \"completion\": \"But But for now, I think this would be a good way to go. Just keeping you away from the circumstance, \"}\n", "{\"prompt\": \"right?\", \"completion\": \"You definitely don't want,\"}\n", "{\"prompt\": \"right.\", \"completion\": \"So good news, a few behavioral pieces we have in here and then a few cognitive as well. So I want to see in a couple of days before we go into detox\"}\n", "{\"prompt\": \"okay\", \"completion\": \"so that we can practice some of these adaptive responses are like good practice some at home. Between now right as well.\"}\n", "{\"prompt\": \"Right. Yeah\", \"completion\": \"and these behavioral responses as well. But we'll try to get them shored up before detox and I'll see it right after you come out as well.\"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"We'll make sure that we just keep working on applying and refining his adaptive cognitive responses and his adaptive behavioral responses. Right. Does that sound like a plan?\"}\n", "{\"prompt\": \"Yeah, definitely. I think that will definitely help. Especially especially being in here and after detox. That would definitely, definitely be the best\", \"completion\": \"I appreciate you coming in Jesse, and I'll see you in a couple days. \"}\n", "{\"prompt\": \"Yeah. Thank you. Thank you.\", \"completion\": \"Thanks.\"}\n", "{\"prompt\": \"I mean, Liz would be the best. \", \"completion\": \"All right, great. So this one of the things I wanted to talk with you about is I know that you did some assessments over the last couple of days. And so I want to talk with you about that and just talk with you about kind of treatment and how things are going to go. And based on that sounds like the what, from what you were saying in terms of the assessment process that you have an eating disorder, it's called bulimia nervosa, and I'm not sure if you've ever heard of that.\"}\n", "{\"prompt\": \"I mean, a little bit yeah. Okay.\", \"completion\": \"So what I want to do is kind of describe that for you a little bit. So what you talked about was that there are periods of time when you have when you have eating episodes where you eat, like kind of a large amount of food that you feel like that you've lost control and you feel, you know, like overly full me vomit and the This happens fairly regularly. And there are times to when you, you know, you're maybe really overly concerned about your shape or your weight. And that feel familiar to you. Yeah. So and then it sounds like that's been going on for quite some time, at least, you know, two, three, sometimes even upwards of five times a week.\"}\n", "{\"prompt\": \"I, I'd say, Yeah. All right.\", \"completion\": \"So just want to let you know to about, about that, that it's not unusual. For a person like in college like yourself to be struggling with an eating disorder like this. In fact, we see upwards of 5% of women and call on college campuses who struggle with that and even more upwards of 20%, who have you know, kind of what we would call kind of variants of that in terms of excessive dieting, and some may even like, throw up or use laxatives or excessively exercise, so it's not unusual. One of the things we know about blaming Nervosa is that for a lot of women, it really starts by Excessive dieting. So like going for long periods of time without eating and sounds like that that was something that you endorsed as well that there are times when you kind of diet excessively. Yeah,\"}\n", "{\"prompt\": \"especially when I was younger.\", \"completion\": \"One of the things that we know about bulimia nervosa is that when people overly restrict or you know, stop eating a lot or go for, you know, a day and a half and really restrict their calories, that oftentimes that that kind of leads into that kind of binge eating cycle. And we know that that's the case. The other thing that we're aware of is that a lot of individuals who struggle with eating difficulties like this also report a lot of difficulties they have like with managing stress or managing relationships or have a difficult time knowing what they're feeling or managing feelings. Is that something that you've experienced? Okay. Yeah. All right. Well, that's okay. Because in many respects, I think both things go on for individuals that struggle with eating difficulties like that. And so we know that there's a lot of dieting and restriction that goes on but we also know that there are other things that are happening in terms of managing feelings, managing stress, etc. So one of the things that I like to focus on in terms of working with clients and working with individuals like yourself is I take an approach it's called interpersonal psychotherapy and, and what that means, in essence is that I like to approach the eating problem by looking at kind of the kind of social in kind of more interpersonal context, because there's a lot of things that are probably going on, or may have gone on in your life that have been kind of associated with times and you've been more likely to use food or to restrict your calorie intake. And so what I'd like to do is really talk with you over the next, you know, few sessions about, you know, periods of time in your life currently and in the past where you've had, you know, overeating episodes and when you've restricted your calories, when you've You know, lost weight, or when you, you know binge and things like that and really start looking at, you know, patterns perhaps in your relationships and then what we'll do is kind of sum that up at the end of the time that we're together and see if we can kind of come up with a little bit of a game plan and some goals to help you reduce your binge eating. So how's that sound? Okay. And there's really good evidence for the things you know, the things that we're going to be doing, in fact, the more that we work on some of these issues, you'll you'll know pretty quickly that you're gonna start feeling a lot better and, and it'll have a, you know, pretty positive impact on your eating. Okay, great. So this is what I'd like to do is first of all, first of all, let's start with I want you to give me a recent episode, where like just recently within the last couple days where you've had one of those episodes that you talked about where you felt like a lot that you lost control, and that you ended up vomiting or you know, and and it will and kind of get an idea about that. And then what I'd like to do is and we'll go kind of back in time, and then I want you to tell me the first time that you had an episode like that. So and then then what we'll do then over the next couple of sessions is then we'll, we'll start from when it started and kind of like work our way up to the present. And I'll just ask you a lot of questions and we'll, you know, kind of go from there. Right? So why don't you tell me the Tell me like a recent episode, that where you felt like that you'd lost control. You're eating\"}\n", "{\"prompt\": \"me like just this Saturday night, I guess. I went out with my friends. And it was fun. It was a good night at first and whatnot. And we then went to a party. I guess guess what kind of sparked it would be I saw the sky that I kind of liked for a little while and I mean, I just wasn't I was a little nervous about kind of what I was wearing and it just didn't feel that good to see him. So I kind of left pretty early on and went home or back to my apartment. And yeah, I mean, kind of what typically happens is the kitchen grabbing different foods bag of chips. I think my roommate had left out like a sleeve of cookies or something and, and I just ate on the couch. Yeah. Finished most of it and yeah.\", \"completion\": \"Okay. Did you been restricting your your food? You know, for the prior to that or you've been dieting prior to that?\"}\n", "{\"prompt\": \"I mean, I guess like, dieting isn't what you would consider it as I try to eat more healthy typically. And yeah, I mean, I've been like dealing with different assignments and stress around that. So Yeah, it's kind of fluctuated time. Okay. Okay.\", \"completion\": \"I'm meant to tell you to I like to take a lot of notes at least initially so I have a good sense of what's going on. So what else was going on? Okay, so it sounds like Saturday night out with friends. See person that you like that you've just say you dated some?\"}\n", "{\"prompt\": \"I really like we've kind of been like okay interested. Interesting. Yeah.\", \"completion\": \"Okay. All right. I'm sorry. Okay, so you're kind of interested. Yeah. And then you sounds like what you were, then you began to feel more concerned about how you were how you looked at how your outfit felt. Yeah.\"}\n", "{\"prompt\": \"I mean, I didn't plan on seeing him right now. Yeah, yeah, it just, it was Yeah, the right outfit to see.\", \"completion\": \"Okay. And so that then, then what's then what happened then is that you go back to the apartment foods there. And then you kind of sat down on the couch and you felt like that you'd lost control.\"}\n", "{\"prompt\": \"Yeah. And then I guess after that, like before bed I made sure. Okay. Go into the bathroom. Okay.\", \"completion\": \"Okay. It's just kind of a typical scenario.\"}\n", "{\"prompt\": \"Yeah. I mean, yeah, eating before. Okay.\", \"completion\": \"Okay. And then um, so you went home to the apartment.\"}\n", "{\"prompt\": \"your junior year. So my third year\", \"completion\": \"in school, and what are you working on?\"}\n", "{\"prompt\": \"at English isn't major?\", \"completion\": \"Yeah. Because I was thinking about the time of the year, so Coming up or any projects coming up, so, anything big on the horizon for you? \"}\n", "{\"prompt\": \"I mean, like midterm,\", \"completion\": \"okay. Okay. Okay.\"}\n", "{\"prompt\": \"Ah, yes, studying for one of my midterms and like on Thursday night, my test was on Friday, and my roommate kind of has had her boyfriend over a lot. And it's pretty annoying because like she knew I had a test to study for and, like, I like being home to study. I don't want to, I don't want to be in the library. Like, I want to be in my room and my bed and they're constantly in the living room on the couch. And yeah, they're pretty loud. So it's kind of frustrating and yeah, it's pretty stressful. Okay,\", \"completion\": \"sounds like it. Um, what's your roommates name? \"}\n", "{\"prompt\": \"Kathy\", \"completion\": \"Kathy. Okay. Okay. So then Kathy has a roommate over quite often this last week she was they were there quite a bit boyfriend, her boyfriend. Okay. And then you're trying to study and did you talk with them about that in terms of the noise or that bothering you?\"}\n", "{\"prompt\": \"I mean, she knew I had a midterm coming up. Okay. Okay.\", \"completion\": \"Sounds like you feel like that you've tried to let her know in various ways that you know, you've got something coming up and that you'd like to study and when it's quiet and you'd like to be able to focus but that the sounds like that. They're kind of constant commotion is really distressing to you, right? If you talk with her, like one to one about How that bothers you or that that's a real problem for you. Okay, she know what's hard about doing that, in terms of talking with her.\"}\n", "{\"prompt\": \"I mean, we're kind of like newer roommates, each other we were introduced. So we haven't known each other.\", \"completion\": \"Okay. All right, that makes sense. Okay.\"}\n", "{\"prompt\": \"I mean, he's ever alive.\", \"completion\": \"Okay. Okay. Okay. All right. Okay, that's helpful.\"}\n", "{\"prompt\": \"Yes, middle school, so or eighth grade, probably 12 or 13?\", \"completion\": \"Middle School, 12 or 13 years old. Um, good. So we'll start from there. Tell me about your. Tell me about your parents.\"}\n", "{\"prompt\": \"So my mom, Lisa, she, my dad is Steve. They actually got divorced when I was 10. Okay, so she then remarried soon after. Okay.\", \"completion\": \"Okay, so your mom and dad divorced when you were 10. Okay, and so, alright, so let me Okay, that's helpful. And then you say your mom got remarried.\"}\n", "{\"prompt\": \"Two years after that. Okay. Okay.\", \"completion\": \"You haven't any siblings?\"}\n", "{\"prompt\": \"I do now from this from her second marriage.\", \"completion\": \"Okay. All right. And is that a boy or a little sister? What's her name? Brooke. Okay, so mom remarried. What's your stepdad same? Bruce. Bruce. Okay. Okay. All right. So, Mom and Bruce. They have a little girl and her name is Brooke. Okay, how old is Brooke. Okay, six. Oh, she's six. Okay. Okay. All right. Okay.\"}\n", "{\"prompt\": \"I mean, like after, or what led up to that\", \"completion\": \"kind of do you have a sense about what led up to the divorce or what was going on?\"}\n", "{\"prompt\": \"I guess they were fighting a lot. Yeah, probably that those are probably my most memorable memories. Yeah, that's a fighting and dad, just they weren't around each other as much anymore. And mom was kind of out of the house more.\", \"completion\": \"Okay. Then Then. So then they divorced when you were 10. And so then how soon after, did your mom marry a Bruce?\"}\n", "{\"prompt\": \"just under two years\", \"completion\": \"under two years. Okay. How was that for you to have her remarry so quickly?\"}\n", "{\"prompt\": \"I mean, they really like it. Yeah. Okay.\", \"completion\": \"During the, during that period of time, because I know you talked about middle school, but during the period of time when they were having difficulties with their marriage. What was your, you know, your eating like? or How are you managing that during that time in terms of your feelings about the night? Ah.\"}\n", "{\"prompt\": \"I mean, I guess I don't really recognize too many issues right then necessarily.\", \"completion\": \"Were you talking to anybody or you know, anybody? reasonable. Did anybody else know what was going on? Or?\"}\n", "{\"prompt\": \"I mean, I was like, pretty close with my grandma, my dad's mom. Okay.\", \"completion\": \"And she was aware of what was happening.\"}\n", "{\"prompt\": \"Yeah, she was. Yeah. So she was definitely there. Okay, I'm closer with my dad. I'd say.\", \"completion\": \"Okay, even at that time, and sounds like that. You're pretty close to you're pretty close to your dad's mom.\"}\n", "{\"prompt\": \"Yeah. She's not around anymore. But yeah.\", \"completion\": \"Oh, I'm sorry about that. When did she pass away High School. Okay, so alright, so make a note of that okay all right so yeah definitely make sure that we talk a little bit about that okay so at 10 mom and dad divorce less than two years your Mamrie Mary's Mary's Bruce so then what happened what happened to you after the divorce Did you were you with your dad with with you\"}\n", "{\"prompt\": \"know with my mom more we moved to a different area okay not too far from my dad I saw him like a decent amount but definitely was with my mom more\", \"completion\": \"okay so then you alright so then Bruce your mom and Bruce in the you because I know you're seeing more time with her moved to what like a different different town different\"}\n", "{\"prompt\": \"I just like a town over okay, but change schools and whatnot.\", \"completion\": \"Okay. All right. So prior to moving to a new school, were you in a public school or private school\"}\n", "{\"prompt\": \"isn't a public school, then switch to a private\", \"completion\": \"switch or private school? Okay. Okay. All right. Okay. How was that transition for you going from public school to private school?\"}\n", "{\"prompt\": \"I mean, I wasn't excited about it. It was kind of like a more uppity area. Yeah, I mean, like, it was kind of hard, because they're like, like in a private school, these people have kind of been together for a little while. And because there's less people there, they kind of moreso all know each other and have their groups and whatnot.\", \"completion\": \"Okay. And so then that would have been in around the time when you were 1213 when you made that move. Okay, so then, sounds like to that that was the time when you first were aware of struggling with your eating.\"}\n", "{\"prompt\": \"Yeah, I think I like started. Mate, and I felt like more pressure from my mom. She was very vocal. towards me about my eating and my looks and whatnot.\", \"completion\": \"Oh, that you felt when you say pressure from her In what way? Were she pressuring you?\"}\n", "{\"prompt\": \"I mean, like she wanted me to look good.\", \"completion\": \"Okay. Like what say that you would fit in more or okay. Okay, okay doing\"}\n", "{\"prompt\": \"hair. Yeah. Okay.\", \"completion\": \"And it sounds like what you were saying was that we'll ask you how you felt. And you said you You said you weren't excited. You weren't excited. Like I wasn't excited, but so doesn't mean so did that mean that you weren't sounds like if you weren't happy?\"}\n", "{\"prompt\": \"happy let them know that I didn't like the school.\", \"completion\": \"Okay. And then what when you would do that what would be the risk\"}\n", "{\"prompt\": \"I just like, oh, you should feel lucky. Like it's good school. Okay.\", \"completion\": \"Okay. Well, so many ways, like, one might be putting words your mouth, but what like, kind of get over it or like deal with it or, okay. So and so then you were feeling pressure from her sounds like also to that you weren't really feeling like that they were really that maybe there wasn't as much concern about your feelings about where you were. Was there anything specifically that your mom would say to you about that in terms of like, kind of the Get over it? You know that?\"}\n", "{\"prompt\": \"I mean, you mean in terms of the schooler? My body?\", \"completion\": \"No, you're in terms of the school.\"}\n", "{\"prompt\": \"I mean, like get over it, like, it will get better with time. Like you just have to put yourself out there to meet people.\", \"completion\": \"Okay. All right. So, that kind of pressure. Yeah. And then you said that you didn't really like Bruce, what kind of person was a man? What was making you not like him so well?\"}\n", "{\"prompt\": \"I mean, he's just kind of like a sketchy guy. Okay.\", \"completion\": \"Oh, so that maybe that there was something going on between Bruce and your mom prior to the divorce? Yeah. Sorry to hear that must have been really hard. Yeah. And were you keeping in touch with your dad during that time? Yeah. Okay. Like, were you? I mean, how what was the arrangement where you're spending time with him sometimes and spending time with your mom?\"}\n", "{\"prompt\": \"Yeah. So I said my mom during the week and I got to my dad like every other week. Okay.\", \"completion\": \"Okay. So then, given the fact that in case you weren't happy in school, you said that it was more kind of an uppity school, private school. Kids Was it a mixed school or was it like an all girls school? Yeah, mix school and that kind of clicky sounds like and then your mom really sounds like she really was pressuring you really wanted to try to pressure you so that you fit in a little bit better. So when in this process Did you find yourself like like turning to food or being excessively concerned about your weight or starting to diet binge things like\"}\n", "{\"prompt\": \"dieting, it's definitely I guess, like eighth grade, ninth grade. And that definitely came from like, my mom thinking were telling me that to look a certain way to knit Yeah, and then there were times like, like there was unhealthy food around the hospital debris seats. Mm hmm. And is there an accessible at times like I would eat that I would say for the most part, I would try to like really restrict myself to Okay.\", \"completion\": \"Okay. And do you recall the first time that you then vomited or use vomiting as a way to kind of like manage the overeating?\"}\n", "{\"prompt\": \"I mean, just like pressures of starting High School, and I'm in a same school, same people and I really wasn't happy, hard to make friends. I don't know When I guess I heard from some of the other girls about, like vomiting as like an option, right, that they've heard some of their friends talk about before. Right? Right. Yeah, so, okay. And like the dieting even though if I was eating healthy, I would still hear from my mom like, oh, like you need to look like this, right? Here's this outfit I want you to wear, but you can't wear it like if your body's like that.\", \"completion\": \"So she was really critical of how you looked. Okay, okay, so then what was that? What did that do? Let me take a step back. So it sounds like that. You've always been a little closer to your dad. So then what was the divorce and the move and some of that transition? What effect did that have on your relationship with your mom?\"}\n", "{\"prompt\": \"I mean, I don't even really remember like a really good time with my mom.\", \"completion\": \"Okay. Okay. All right. So the two of you don't get along as well. Okay. Did it was it getting? Was it kind of the same during that time? Or was it getting worse?\"}\n", "{\"prompt\": \"I mean, I guess I was getting more vocal towards her and speaking my mind more.\", \"completion\": \"Okay. All right. And then she was then coming back more harshly and more critically. Okay. All right. Okay. Well, it's not unusual. I mean, a couple things, certainly not unusual for, you know, girls at that age, you know, in terms of like, kind of the social influence or kind of the social contagion of, you know, with eating and diet, you know, binge eating and dieting and vomiting. So it sounds like that, that was kind of, in some respects part of that culture. But it also sounds like that there, you know, in terms of the external pressure that you were getting from your mom to look a particular way. It almost sounded like that, that she was saying that you were like, What? You were too heavy for a particular outfit. And so then, I'm sure that that Do you remember how that was feeling to you at that time when she would say things like that?\"}\n", "{\"prompt\": \"Today? Yeah, I felt like nothing I could do. Right. Right. Yeah.\", \"completion\": \"All right cut of Trump. Did you talk to anybody about that? Did you talk with your dad about that? Or?\"}\n", "{\"prompt\": \"It's like, No, not really. Okay. We have.\", \"completion\": \"Okay. So you kept a lot of those feelings to yourself. Okay. All right. Okay, well, that's that's, that's helpful. Let's kind of let's kind of hang on to that, because we've got a couple things because obviously, I think the the divorce the move the transition from middle school to high school. Also sounds though that also during that time that you're obviously you didn't have a very good relationship with Bruce to begin with. And that your relationship with your mom was kind of deteriorating. Yeah. And then I know you said your grandmother passed away when you were in, in high school, but during that time, like, you know, eighth or ninth grade, did you have more contact with her? Were you able to, like\"}\n", "{\"prompt\": \"connect with her on that as much as I could? She also I mean, she didn't live in That's where I was living. Like when I would see my dad like occasionally we got,\", \"completion\": \"okay, okay. Okay, um,\"}\n", "{\"prompt\": \"I mean, like I love, we're really close and I love her. But as well as training so as an only child and then your mom gets remarried and soon after a new baby And others also like, my mom and stepdad, like they both worked a lot. And so there's also like, I was kind of looking after Brooke, got Okay. Okay.\", \"completion\": \"Okay, so then, right? So not only did Where's your relationship with your mom kind of deteriorating, then all of a sudden, she's pregnant, she delivers. You have a baby sister. They're working. And now not only are you kind of feeling distressed about your relationship with her, but now you're also feeling the pressure to take care of a baby sister. Okay. Okay, and so, during that time, you're feeling what?\"}\n", "{\"prompt\": \"Ah, I just have, you know, a lot of weight on my\", \"completion\": \"okay. emotional weight on your shoulders. Yeah. Yeah. Yeah. And then and then what was your eat so then that would have been like, you know, the years like 14 maybe to 16 when you were more active. involved with that. What was your eating? Like during that time?\"}\n", "{\"prompt\": \"I mean, I guess kind of similar to, like what I described, kind of now. I mean, I like try to eat like super healthy, right? But then at times, like, especially because there was food available.\", \"completion\": \"So were you binge eating more during that time then?\"}\n", "{\"prompt\": \"Yeah, and I mean, because I kind of found other ways to make up for the binge eating.\", \"completion\": \"Okay. All right, such as throwing up, so vomiting. Okay, so then that, that kind of began to that started during that particular time. Okay. All right. That's, yeah. Okay. That's really helpful to get that.\"}\n", "{\"prompt\": \"Um, I mean, I guess I try to keep in touch with friends from my old school is tough because they all have new friends. And I've met a few people. Like, nothing I know and I really open to but I mean, I have a couple friends. \", \"completion\": \"Okay, um, did anybody get anybody like emerges like, like a best friend or a really good friend during that time or?\"}\n", "{\"prompt\": \"I mean, I just went to my friends from like when I was really young.\", \"completion\": \"Okay, and what's her name?\"}\n", "{\"prompt\": \"is Julia.\", \"completion\": \"Julia. Okay. So do you enjoy? Did you enjoy and still kind of maintain contact during the time? Yeah. Yeah. Did Julia know what was going on with you? Are you Did you ever talk with her about kind of like the stress you were under?\"}\n", "{\"prompt\": \"Like she knew I didn't like my stepdad and that Brooke being born right.\", \"completion\": \"So if she was one person that you could kind of confide in a little bit. Did she know about your the struggles you're having with your ex With your binge eating no likes.\"}\n", "{\"prompt\": \"Okay, yeah, like we never really talked about it. Okay. And you're like she knew, like my mom, like put a lot of pressure. Okay.\", \"completion\": \"All right. Okay, that's helpful. So, so Julia was and then kind of a source of support for you during that time. And also sounds like your grandmother was but then you'd also mentioned early on that your grandmother died in high school. Okay, and so that when did she pass away? Okay, when you were 16 Okay. What was that like for you when she died? Yes.\"}\n", "{\"prompt\": \"Yeah, I mean, a lot. And then, like, my mom, for some reason, didn't want me to go to the funeral. Like, I don't even know why, um, because she doesn't like me being like so connected to my dad's family. \", \"completion\": \"I'm sorry about that.\"}\n", "{\"prompt\": \"Yeah. So there is kind of like an argument there. About Going to the funeral and they had my dad get involved.\", \"completion\": \"And so did you, were you able to eventually go? Okay. All right.\"}\n", "{\"prompt\": \"give me even more just been like the fight with my mom.\", \"completion\": \"Okay. All right. So during that time when you were arguing, you notice more, okay. All right. Okay. All right. So, okay, that's helpful.\"}\n", "{\"prompt\": \"I mean, that was well, actually seen before that my mom and Bruce actually also got divorce.\", \"completion\": \"Oh, okay, so alright, so then\"}\n", "{\"prompt\": \"as I got like 17 surprised the, like, middle of senior year.\", \"completion\": \"Okay, so in the middle of your senior year, then your mom and Bruce get divorced. Okay. All right, so 17 mom and first divorce. Okay, what was that time like for you? Because then obviously then Brooke is then she's about two years old, right? No, no, no, she before. Okay, she's four years old. Okay. Okay. So what was going on?\"}\n", "{\"prompt\": \"I mean, I never really got close to Bruce. But I would say the only hard part would have been like, kind of figuring out with broke because I was really, I mean, I feel like I raised her. Yeah, that's tough. And it's just like frustrating that like my mom off my dad and then get married and then divorced dad,\", \"completion\": \"right? Yeah. Yeah. Yeah. And so then what did that do to your How did that impact your relationship with your mom after you know in around the divorce?\"}\n", "{\"prompt\": \"I mean, we were still arguing. Okay a lot.\", \"completion\": \"Okay. All right.\"}\n", "{\"prompt\": \"She like kind of like started like trying to say sorry, like, feeling bad for certain things, but like, it was not again it feel like it was sincere.\", \"completion\": \"Okay, so it's almost as though that No, she didn't have anybody and she was you felt like that. She was kind of like trying to reach out to you, like Mike almost like too little too late or, okay. So then, you know continued sounds like continued kind of like anger and frustration with her. And then did did you notice any changes in your eating during that time?\"}\n", "{\"prompt\": \"Okay\", \"completion\": \"I know all these things don't apply to everybody, but I'm gonna make sure I go through and ask certain questions that Okay, \"}\n", "{\"prompt\": \"okay.\", \"completion\": \"Have you ever had a suicide attempt?\"}\n", "{\"prompt\": \"NO.\", \"completion\": \"So no attempts I've ever had thoughts of suicide.\"}\n", "{\"prompt\": \"I mean, sometimes when I get really sad, I thought think that the world would be better without me. But I bring myself out of that. I don't think it's anything I'd never do but\", \"completion\": \"that's all you ever do. But sometimes, yeah, the thought crosses your mind like that. Yeah, remember the last time I thought like that crossed your mind?\"}\n", "{\"prompt\": \"We were getting evicted from our last place. Cuz I just felt like a complete failure.\", \"completion\": \"How long ago was that?\"}\n", "{\"prompt\": \"was about a month and a half ago? Yeah, all the my friends in the house turned against me because I couldn't pay rent. And it would have been like, the third month but like not consecutively, so I don't see the big issue. Um, and so they told me that if I didn't get out, they would call the police. And I had to stay with my sister and I just, I felt like a failure. I felt like a failure and myself to my kids.\", \"completion\": \"So it's a tough time for you.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So you had some sounds like maybe passing thoughts.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"that ever changes would you tell me?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"So how about harm to others? Meaning Do you ever feel like you have good thoughts? Have you ever develop a plan to hurt someone else?\"}\n", "{\"prompt\": \"When I was younger not anymore\", \"completion\": \"What was the last time\"}\n", "{\"prompt\": \"probably when I was in high school well but yeah when I was still in that like violent stage in my life where I would fight but I never went to anything like out kill this person. It was always just you know, I'll knock you out, but I won't kill you. And that was a while ago, but presently no thoughts of harming anybody else. No, if I ever feel really, really angry, because held onto a wall I have like special plates. That all thrown on the ground and break them\", \"completion\": \"like the suicidal thoughts if thoughts of harming others do come up would you tell me about those?\"}\n", "{\"prompt\": \"Oh yeah, I don't want to go jail over hurting somebody. So I tell you \", \"completion\": \"Thank you\"}\n", "{\"prompt\": \"No, no.\", \"completion\": \"How about under the influence of drugs?\"}\n", "{\"prompt\": \"Ah well when I used to do go cocaine sometimes I would like think that somebody is at the door and they're not at the door. Nobody's nobody's there. think somebody in the house when there's nobody in the house?\", \"completion\": \"Alright, so I want to switch gears again. I want to talk about if you're okay with this, the goals for counseling, okay? So the goals that you want to meet\"}\n", "{\"prompt\": \"Okay, \", \"completion\": \"so let's start with if you're okay if your goals in life in general\"}\n", "{\"prompt\": \"that's I haven't really felt lunch about it, but I would like to just have a real I mean, it doesn't care. I don't care what the job is just a nice cushy job without a job where I can just relax and when my kids will have a good future. I'll have a good future.\", \"completion\": \"better future for your children.\"}\n", "{\"prompt\": \"Oh yeah,\", \"completion\": \"Have any other general life goals?\"}\n", "{\"prompt\": \"I guess be drug free Like I said, I'd really like to quit. \", \"completion\": \"But I have a goal specifically for counseling, like what you hope to get out of this counseling?\"}\n", "{\"prompt\": \"I'd like to learn to be less angry. Blood pressure down a little bit.\", \"completion\": \"eat less?\"}\n", "{\"prompt\": \"And again, guess try to quit. Quit drugs,\", \"completion\": \"quitting drugs.\"}\n", "{\"prompt\": \"kind of, I guess isn't the answer. To answer, kind of kind of confident, yeah, I mean, like I said, I haven't really move forward anywhere. And every time I go to a counseling place, so\", \"completion\": \"Alright, so you're kind of confident and wanting to try again.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So, throughout this intake of Sq, a lot of questions, I want to thank you for answering them. Do you have any questions for me?\"}\n", "{\"prompt\": \"No.\", \"completion\": \"So next time, I see you, sorry, if you would be about a week. And we'll start with the actual counseling sessions. And so I'll still have some questions, but not as many as I've asked today. \"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"Does that make sense how it's structured\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"Alright, so we've completed intake. Also some more questions, but we'll get to the Catholics, the counseling sessions. Next week, we'll get started working on specific details of what's happened to and what might be causing it, how we can treat it. \"}\n", "{\"prompt\": \"Alright.\", \"completion\": \"So I appreciate again, you taking this time and answer these questions, and I'll see you next week. \"}\n", "{\"prompt\": \"Thank you.\", \"completion\": \"Thanks, Rhonda.\"}\n", "{\"prompt\": \"Have a seat. Yeah. Hi. And so we just talked on the phone.\", \"completion\": \"Right.\"}\n", "{\"prompt\": \"Yes, yes. I saw Joe Dr. Donovan. Yeah. And he did that scan for gall stones.\", \"completion\": \"Okay. And so what happened from there then just tell me a little bit about what's happened so that I'm up to speed.\"}\n", "{\"prompt\": \"I went for that scan and then I was a bit surprised actually, they actually rang me up and a few days afterwards and said that I needed another scan to check things out. Okay, so I was there. It was on Monday this week. Don't let anything then.\", \"completion\": \"Okay. So in between the scan happening and the second scan happening Was it the department?\"}\n", "{\"prompt\": \"No, no, it was the it was a nice old sound girl who rang me saying they were booking this disappointments for this extra scan.\", \"completion\": \"And did they give you an idea why they needed to do extra?\"}\n", "{\"prompt\": \"No, they didn't actually I mean, I try to ask you always do and play sweet talk lady, but she was not pretending. \", \"completion\": \"Okay. And I do have any thoughts yourself or any worries about why they were calling back?\"}\n", "{\"prompt\": \"I guess it was gallstones.\", \"completion\": \"So just tell me a little bit about what symptoms you've been having them but we do have a scan result here today and there's some scuffs on it.\"}\n", "{\"prompt\": \"Right.\", \"completion\": \"I just like to make sure that I know what's been happening to you first of all, and then we'll go into detail \"}\n", "{\"prompt\": \"all started a few months ago Ray with his tummy pain.\", \"completion\": \"Yeah.\"}\n", "{\"prompt\": \"And then I saw your colleague, and he said we better get a scan. Yeah, I went for that scan. It was only about two weeks ago. And I got literally four or five days later. got the phone call? I needed this additional scan. So I went on Monday.\", \"completion\": \"Okay. Okay. And so do you still have pain at the abdomen?\"}\n", "{\"prompt\": \"Yes. Yeah, it's just there all the time. \", \"completion\": \"Okay. Well, as I said, you scan result has come through to me today. \"}\n", "{\"prompt\": \"Yes\", \"completion\": \"I'm afraid I'm afraid there is something that's potentially a little bit worrying on it.\"}\n", "{\"prompt\": \"Really?\", \"completion\": \"Yeah.\"}\n", "{\"prompt\": \"So what's what's the worrying thing that you found?\", \"completion\": \"Well, if I take you back to the first scan first. So what it appears that that showed is that there was something suspicious on what we call the pancreas gland\"}\n", "{\"prompt\": \"suspicious?\", \"completion\": \"Yeah. So there is a gland that sort of the top of your abdomen, which is quite closely evolved, right, and called the pancreas. And when they did the ultrasound scan, which is a good scan, but isn't particularly detailed, right, there was something on it that they saw that they wanted a bit more info \"}\n", "{\"prompt\": \"All right.\", \"completion\": \"So that's why they called you back for the second scan\"}\n", "{\"prompt\": \"That doesn't sound good, does they?\", \"completion\": \"which was a CT scan, which is a detail that we're likely to be talking about. \"}\n", "{\"prompt\": \"Right.\", \"completion\": \"So the second scan, I showed that there definitely is something on your pancreas.\"}\n", "{\"prompt\": \"Really?\", \"completion\": \"When I say something, what we worry about is whether or not this could be a cancer\"}\n", "{\"prompt\": \"god. I didn't expect that. God, I am only 47 cancer. \", \"completion\": \"I'm really sorry to have to break it to you like this, but I felt that it was important that as soon as I knew that I communicated that to you. So, I mean, I know that I've just dropped a big bombshell on you.\"}\n", "{\"prompt\": \"Oh, yes. God\", \"completion\": \"Have you got any Any questions in a minute? Have you got anything that you can query?\"}\n", "{\"prompt\": \"What's the pancreas and I have got cancer. What can I can make can they cut it out?\", \"completion\": \"And it depends. And basically a pancreas is a brand that sort of sits at the top of the abdomen, as I said, and it controls some of the sort of the hormones, the fluids that your body prefers the body. Because it's at the back of the abdomen, often we don't know very much about it until it starts causing a bit of a problem, like your pain that you've been getting. So that probably explains why you've not had many other symptoms. \"}\n", "{\"prompt\": \"Right\", \"completion\": \"And the answer is, I don't know what could be done about it. But we need to ask a specialist what we usually do. This situation is asked especially today to see what has happened, think about what was cooking. Right? Do they agree that it could be potentially cancer and how do we find out what it definitely is\"}\n", "{\"prompt\": \"Okay. Okay.\", \"completion\": \"So I understand that I've just thrown a whole lot of information at you and\"}\n", "{\"prompt\": \"I just hasn't expected that so.\", \"completion\": \"I mean, is there is there anybody that you could that you could bring in with them? Oh, quit I went on a bit of a chat maybe tomorrow when you've had a bit. Bit more time.\"}\n", "{\"prompt\": \"I suppose I could love myself. No doubt come by myself actually. Yeah, okay. It will just be easier. Feel Sure. \", \"completion\": \"I mean, I think it's important to say that we don't know for definite what this is. We have to imagine that it is something like a cancer until we can prove what is right. So we do everything very quickly. Yeah, try and get some answers. Right. But we don't know any definite nothing certain in a minute. But I do appreciate that. I've just given you a little bit of time. So my door is open and yes. Okay. Have you got any questions?\"}\n", "{\"prompt\": \"No.\", \"completion\": \"I've taken the liberty of printing off a little bit of something about pancreatic cancer, if that's what it is. \"}\n", "{\"prompt\": \"Okay,\", \"completion\": \"some of it's a little bit a little bit scary. And as I said, we don't know, nothing certain yet. I wonder if you might want to come back to see me. So what this does is it just explains a little bit about what the pancreas is right? \"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"And it talks about cancer in general. The types of ways in which you can affect the pancreas\"}\n", "{\"prompt\": \"okay. Okay.\", \"completion\": \"How we do it and how we work out what we do about it talks about the different types of scans that you've had and this one is CTS.\"}\n", "{\"prompt\": \"Yes. Okay.\", \"completion\": \"And then depending on what they find, yeah, it gives you a brief run through of the different types of treatment.\"}\n", "{\"prompt\": \"Okay\", \"completion\": \"did you want to have a read through this and then Maybe tomorrow.\"}\n", "{\"prompt\": \"Yeah, we like tomorrow. Yeah. Okay. I like this.\", \"completion\": \"I'll see you tomorrow.\"}\n", "{\"prompt\": \"I'm doing good thanks. How are you?\", \"completion\": \"I'm doing well. Thank you for asking. I understand you've been having some symptoms that have been bothering you lately. Can you? Can you tell me about that?\"}\n", "{\"prompt\": \"Well, I just moved into an apartment. It's the first time that I'm on my own. And I kind of had heard that someone got robbed and ever since then. I'm kind of nervous about my apartment getting wrong.\", \"completion\": \"Someone someone was robbed. near where you live.\"}\n", "{\"prompt\": \"Yeah. Someone in the same complex. Okay. So Sometimes when I'm sleeping, I'll wake up in the middle of the night, and I'll think that I locked the door. Is the door locked? And I can't fall back asleep.\", \"completion\": \"How long does it take you to fall back to sleep?\"}\n", "{\"prompt\": \"Sometimes it takes maybe an hour two.\", \"completion\": \"And what are you thinking about during that time?\"}\n", "{\"prompt\": \"I'm just worried that I left the door unlocked. And sometimes I'll hear sounds. And I think maybe someone's in the apartment or I just, I get nervous. I just get scared.\", \"completion\": \"That sounds scary. And you said a couple hours to stay away. Yeah. So yeah. So this is this is troubling for you. Have you ever gotten up and check the door?\"}\n", "{\"prompt\": \"Now I sit in bed, and I just try to I just think about it.\", \"completion\": \"So you just keep thinking about it. Does it get worse as the time goes on? Or does it get better? What happens?\"}\n", "{\"prompt\": \"It gets, it gets worse. I mean, I try to fall back asleep, and I stay in bed and I just think, you know, maybe I did leave the door unlocked. And then I just keep thinking that maybe it isn't locked.\", \"completion\": \"So keep cycling through the same\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Do you ever do anything to try to get those thoughts to go away like focusing on something else?\"}\n", "{\"prompt\": \"Um, well, I have like a ceiling fan above me. So sometimes, I'll just like, count how many times it goes around and just to distract myself from thinking about it. But I still think about the door being unlocked. Sometimes it helps.\", \"completion\": \"Right? So you have have a fear that somebody is going to enter break in To where you live, and you're staying up at night thinking about whether the doors been secured. That's been that's been troubling. Anything else?\"}\n", "{\"prompt\": \"Um, sometimes if I'm leaving for work, I'll get to my car and I'll think I let the hair Sugarland. And I'll think to myself, should I go back? I don't know what to do. And I'll just, like, kind of debate whether or not I should just go double check. I'm just worried that if I left the straightener on something, you know, that would happen, \", \"completion\": \"What do you think happen?\"}\n", "{\"prompt\": \"Well, I mean, if I left the strainer on something, you know, it's if I have like clothes or something and it's it's on a quad like that burn, or if it's I just don't want anything. I don't want to place the burn down was nervous about.\", \"completion\": \"So when you leave, you're thinking about it was a hairspray Are you thinking about whether you unplugged it or not? Or turn it off or not?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"And how long those thoughts go on for?\"}\n", "{\"prompt\": \"Normally I think about it before I get to my car, and I'm like, well, maybe I should just go just to make sure I unplugged it and I turned it off. And then sometimes during the day, I'll be at work and I can't focus just because I'm thinking about, I'll come back and I'll see you know, my apartment burned down so I left the strainer plugged in.\", \"completion\": \"Alright, so remember with the door you're saying that you you struggle with those thoughts, but you don't get up and check the door. Have you ever come back and checked to see if something was left on?\"}\n", "{\"prompt\": \"No, I haven't. But it just I think about it. I would if I did leave it. If I did leave it on or plugged in.\", \"completion\": \"So you're worried anxious\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Yeah, afraid?\"}\n", "{\"prompt\": \"Yeah, definitely. All three.\", \"completion\": \"And how, how often does this happen? Like the cycle of thoughts?\"}\n", "{\"prompt\": \"Probably throughout the day.\", \"completion\": \"So every day?\"}\n", "{\"prompt\": \"every day, yeah.\", \"completion\": \"And how long has this been going on?\"}\n", "{\"prompt\": \"For Ever since I moved, I guess into the apartment. So about I guess a year \", \"completion\": \"this specific a year\"}\n", "{\"prompt\": \"yeah.\", \"completion\": \"And in that year timeframe hasn't become any worse.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Yeah. How did it start out?\"}\n", "{\"prompt\": \"Um, it started out with just, you know, I would go to bed and I would wake up in the light and think to myself tonight, the door I'm pretty sure I locked the door. And then I would just be fine. I could go back to sleep and be like, no, I remember I locked it. But then as it progressed, I really, I would wake up multiple times throughout the night. And I would it would just keep me up.\", \"completion\": \"I should as you thought about it.\"}\n", "{\"prompt\": \"yeah\", \"completion\": \"All right, I want to ask a few other questions, try to help me figure out what's going on. Have you ever been diagnosed with any condition like a mental health condition?\"}\n", "{\"prompt\": \"No\", \"completion\": \"Have a medical condition?\"}\n", "{\"prompt\": \"No, never.\", \"completion\": \"Have you ever used alcohol or any other substances?\"}\n", "{\"prompt\": \"No\", \"completion\": \"And is this been the first time in your life you've experienced these symptoms? Starting a year ago up till now? Yeah, never anything like this before.\"}\n", "{\"prompt\": \"No\", \"completion\": \"I'm going to get you in to see one of our counselors here.\"}\n", "{\"prompt\": \"okay\", \"completion\": \"I appreciate you spending this time with me. It's been helpful for me to try to understand what's going on.\"}\n", "{\"prompt\": \"Thank you.\", \"completion\": \"Thanks\"}\n", "{\"prompt\": \"I guess I'm doing okay. Good. I'm having some problems and some problems.\", \"completion\": \"What's going on?\"}\n", "{\"prompt\": \"Ah, I find myself getting really distracted, kind of fidgety and stuff. And I think I might have that one disorder that I hear about all the time on TV\", \"completion\": \"like ADHD. That's the one you think you might have ADHD?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Alright, so let me ask you some other questions, and then we'll get into some questions specifically about that and see what's going on there. \"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"Do you ever find yourself depressed or anxious?\"}\n", "{\"prompt\": \"Yes\", \"completion\": \"A trouble with drugs or alcohol?\"}\n", "{\"prompt\": \" Oh, no. \", \"completion\": \"Nothing like that. When did you first Notice you had the symptoms?\"}\n", "{\"prompt\": \"early teens maybe before\", \"completion\": \"Do you Do you know what age?\"}\n", "{\"prompt\": \"No, no. \", \"completion\": \"All right. But you're thinking early teens maybe before?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Do the symptoms of a really bothersome to you that caused me.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Yeah. What kind of areas they cause you problems?\"}\n", "{\"prompt\": \"I mean really all everywhere, I guess. Yeah. Yeah.\", \"completion\": \"Do do you work?\"}\n", "{\"prompt\": \"Yes. \", \"completion\": \"this cause problems at work?\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"How about college?\"}\n", "{\"prompt\": \"Yes, it does\", \"completion\": \"Okay. Have it at home?\"}\n", "{\"prompt\": \"Oh, yeah. \", \"completion\": \"Good. Okay. All right. So tell me a little bit about the symptoms that you think might indicate ADHD. What's going on?\"}\n", "{\"prompt\": \"Well, When I go to class, and I find myself, you know, kind of going off into my own little world where the teachers talking, it's kind of like I just, I can't stand sitting down and then I'll stand up. And the teachers look at me like, Do you need something? And I'm like, No, I just really needed to stand up.\", \"completion\": \"So you feel compelled to, to stand up in class? \"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"Even though you know, it might draw some attention.\"}\n", "{\"prompt\": \"Yeah, unfortunately, I mean, I know it, but I still I need to do it.\", \"completion\": \"Alright, so I'm going to ask you a few questions. And as you can have two categories of questions. \"}\n", "{\"prompt\": \"Okay, \", \"completion\": \"so let's start with the first category. Do you feel like you have trouble establishing intention? And let's, let's look at this in terms of school? \"}\n", "{\"prompt\": \"Yes, \", \"completion\": \"you do. Okay. How about when you have established attention Do you find yourself struggling to hold on to it?\"}\n", "{\"prompt\": \"Yes, yes.\", \"completion\": \"And again, I'll just stick with the school environment. Right. That's a place to be symptoms bother. Well, that's cool. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Again, they bought other places, but that's a big issue?\"}\n", "{\"prompt\": \"That's a big one. \", \"completion\": \"Okay. Do you have trouble listening in class?\"}\n", "{\"prompt\": \"Yes, \", \"completion\": \"you do. How about following through on instructions that are provided by say the professor?\"}\n", "{\"prompt\": \"Yes, yeah. class projects are the hardest.\", \"completion\": \"Do you do you find yourself organized?\"}\n", "{\"prompt\": \"Yeah, I pretty organized so\", \"completion\": \"pretty organized. Do you find yourself in school or other settings, avoiding activities that require a lot of mental effort?\"}\n", "{\"prompt\": \"Yeah, they give me a headache and I just don't want to deal with it.\", \"completion\": \"What are some things you avoid? Oh,\"}\n", "{\"prompt\": \"games. I can't stand chess. I just So understand it and then people explained to me the rules and I just zoned out.\", \"completion\": \"They were find yourself losing things that you need to to function at work or school.\"}\n", "{\"prompt\": \"No. No.\", \"completion\": \"distracted??\"}\n", "{\"prompt\": \"Yes. distracted. distracted.\", \"completion\": \"fairly easily?\"}\n", "{\"prompt\": \"Yeah, yeah.\", \"completion\": \"How about forgetfulness?\"}\n", "{\"prompt\": \" Yeah, I am pretty forgetful.\", \"completion\": \"Okay, so I'm gonna move and ask you another category of questions.\"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"Okay. How do you find yourself? fidgeting?\"}\n", "{\"prompt\": \"Yes, yeah.\", \"completion\": \"How do you deal with I think you touched on this before, but I did it with quiet activities. Like for example, reading.\"}\n", "{\"prompt\": \"I really struggle with that.\", \"completion\": \"You start with that? Yeah.\"}\n", "{\"prompt\": \"I can play video game for an hour, but I can't Read or play game or draw? \", \"completion\": \"So when you are engaged in quiet activities, do you find yourself kind of wandering off?\"}\n", "{\"prompt\": \"Yes, \", \"completion\": \"you do. feel like you have an internal motor that won't shut off?\"}\n", "{\"prompt\": \"No, I wouldn't say that.\", \"completion\": \"No. Okay. Do you feel like you talk excessively?\"}\n", "{\"prompt\": \"Yes. Yeah, yeah, almost to the point that I allow even almost I interrupt people a lot.\", \"completion\": \"What settings to find that's a problem.\"}\n", "{\"prompt\": \"at schools a big one.\", \"completion\": \"That's a big one?\"}\n", "{\"prompt\": \"Yeah. Because I'll talk and I'll talk. I mean, I'll get off track when called on by the teacher. And then somebody else will say something and be like, Oh, yeah, no, I forgot. Yeah, that too. And, I mean, I feel horrible, but I just I can't stop it.\", \"completion\": \"Do you ever find that same class you blurt things out?\"}\n", "{\"prompt\": \"Yes. Yeah.\", \"completion\": \"do you interrupt people?\"}\n", "{\"prompt\": \"Yes, I do\", \"completion\": \"have a situation where, like, say at work or school or at home, where you have to wait your turn for something. Do you find that subproblem?\"}\n", "{\"prompt\": \"What, like at a drive thru?\", \"completion\": \"It could be a drive thru dude. If your drive thru Do you find?\"}\n", "{\"prompt\": \"I mean, I don't get it.\", \"completion\": \"You don't have any trouble with like waiting in lines or waiting for your turn? I guess not. It's not okay. Okay. All right. So I'm gonna get you in to see one of our counselors, you mentioned that these symptoms are bothersome to you. And I want to make sure you get treated. We'll take a couple days to get you in to see somebody that okay, \"}\n", "{\"prompt\": \"yes, that's fine. \", \"completion\": \"So I want to thank you for spending this time with me and answering these questions. This has been really helpful.\"}\n", "{\"prompt\": \"Thank you.\", \"completion\": \"Thanks.\"}\n", "{\"prompt\": \"I have a few friends but mainly have I meet friends as I move around a lot you know if I can't pay rent at one place another friend will offer me to stay at their house but by the time we get there, there's like seven other people. You know, they'll be my friends until I move again. I mean, some of them are strong friends. Some of them are weak or friends that are you know, on friends because I'm there. \", \"completion\": \"close friends. Yeah.\"}\n", "{\"prompt\": \"One or two.\", \"completion\": \"One or two?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"How often you talk with them?\"}\n", "{\"prompt\": \"One I live with my doctor every day. And the other one you know talk about every other day.\", \"completion\": \"Have any romantic interest?\"}\n", "{\"prompt\": \"Um, I mean, I have I've had a few boyfriends but they get kind of annoyed because I make them do everything and you know that's how I guess guys see me now cuz I don't want to do certain things like clean or pickoff or just tell me you know I'm in pain because my accident I still went sometimes I'm in pain. Can you do this and like I'll be lazy or they call me. Whatever.\", \"completion\": \"You were in an accident.\"}\n", "{\"prompt\": \"Other day, Yeah, sorry. I didn't mention that.\", \"completion\": \"But we'll get to that in a bit. So you've had some, some boyfriends? Yeah. And they became annoyed\"}\n", "{\"prompt\": \"not currently? not currently.\", \"completion\": \"So I want to switch gears again a little bit and talk about your medical history. So Becca told me, I\"}\n", "{\"prompt\": \"I am 24 years old 24 Do you have any health problems currently?\", \"completion\": \"So tell me about the damage sustained in the car accident.\"}\n", "{\"prompt\": \"Um, well, I was under the influence of cocaine. And I crashed into a car, parked car.\", \"completion\": \"I see you're driving a car and you're on the influence cocaine and you drove it To a crime as part\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"Okay, injuries Did you sustain?\"}\n", "{\"prompt\": \"Oh, my left leg was just shattered.\", \"completion\": \"You said it still causes you to limp now.\"}\n", "{\"prompt\": \"Yeah. I mean, some days are better than others. Some days are worse.\", \"completion\": \"In terms of the pain, \"}\n", "{\"prompt\": \"yeah.\", \"completion\": \"You take any medications for pain?\"}\n", "{\"prompt\": \"I'm not really. No.\", \"completion\": \"Did you have a surgery for that?\"}\n", "{\"prompt\": \"Yeah. After after the accident happened. Yeah.\", \"completion\": \"Any other surgeries or health problems?\"}\n", "{\"prompt\": \"I sprained my wrist when I was when I was in school before\", \"completion\": \"sprained your wrist. Which wrist,\"}\n", "{\"prompt\": \"right, Worse, right\", \"completion\": \"Any other health concerns in the past currently?\"}\n", "{\"prompt\": \"Well, I mean, my drug use did kind of cause the accident.\", \"completion\": \"much. There's some some connection there. Maybe.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"I want to switch gears again, and talk about your mental health history. Okay,\"}\n", "{\"prompt\": \"okay.\", \"completion\": \" Clearly, you're here today seeking treatment I've ever been treated before for mental health conditions.\"}\n", "{\"prompt\": \"Um, after my accident, they sent me to, like psychiatrists, talk about like, possible PTSD.\", \"completion\": \"Post Traumatic Stress Disorder.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Were you ever diagnosed with that?\"}\n", "{\"prompt\": \"Stick around long enough\", \"completion\": \"How long did we treat it by the psychiatrists?\"}\n", "{\"prompt\": \"Not very long now\", \"completion\": \"and the other mental health professionals.\"}\n", "{\"prompt\": \"Once when I was in high school counselor pulled me aside talked about my grades and my not going to class and my behavior\", \"completion\": \"was just a one time thing that happened maybe\"}\n", "{\"prompt\": \"like three times, three times, and then I just got annoyed. Stop going.\", \"completion\": \"All right, any other diagnosis you're aware of in the past? You mentioned PTSD might have been a diagnosis you're not sure \"}\n", "{\"prompt\": \"might have been\", \"completion\": \"but nothing else. Sure. How would you characterize your experience experiences so far at the mental health treatment system\"}\n", "{\"prompt\": \"I mean, I haven't had that much experience. People try to tell me things are wrong with me and that's when I get annoyed.\", \"completion\": \"So so far You don't seem like you're impressed okay.\"}\n", "{\"prompt\": \"Yes, I'd like that.\", \"completion\": \"Right. Okay. And I'd like to take some notes if that's okay, just to keep track of what we talked about. That'd be okay with you. \"}\n", "{\"prompt\": \"Yes. It'll be fine.\", \"completion\": \"You can have a Coffee to take away afterwards. And what I find quite helpful is if we talk about a specific situation. I wonder if you could just think of a time maybe a recent time when you felt particularly depressed and it affected you.\"}\n", "{\"prompt\": \"Umm a few weeks ago, I was due to meet up with some friends from antenatal classes. We used to meet up every week. But I felt so tired and low. Just couldn't go\", \"completion\": \"right to what was going through your mind when you're feeling tired and low, that stopped you wanting to go\"}\n", "{\"prompt\": \"when I started thinking about the other mothers laughing and chatting, and I wouldn't have anything to say. \", \"completion\": \"And what would that mean, if you didn't have anything to say? \"}\n", "{\"prompt\": \"They'd probably think that I was boring. Why would they want me there? If I was just going to make everyone else miserable?\", \"completion\": \"It sound like some really difficult thoughts to have and how did it make you feel when you're thinking that ?\"}\n", "{\"prompt\": \"really low\", \"completion\": \"Okay, it's really understandable. I think that you'd feel low if you're having quite self critical, very negative thoughts and that it's quite common in depression to have those type of thoughts. Did it make you think anything about how they might see you, for example?\"}\n", "{\"prompt\": \"Will the other children always seem so happy, I started thinking maybe the other mother is doing a better job than me. And I worry a lot about Molly and wondered if she'd be better off for one or the other mums.\", \"completion\": \"Right. Okay. I'm not that that must be really painful. And how does it make you feel to think that Molly might be better off with one or the other moms?\"}\n", "{\"prompt\": \"That made me feel really sad\", \"completion\": \"What tells you that Molly might be better off with one or the other moms?\"}\n", "{\"prompt\": \"We seem so in control with my depression. I just feel guilty that I'm not very good mother.\", \"completion\": \"You've mentioned a number of emotional feelings. You said you feel fed up, low, sad and sometimes guilty. Do you have any physical symptoms or body reactions?\"}\n", "{\"prompt\": \"I get quite tearful, although that's mainly when I'm on my own. I'm so tired. I just don't have the energy.\", \"completion\": \"Are you getting good sleep at the moment?\"}\n", "{\"prompt\": \"Molly keeps me up sometimes at night that makes me tired. But even after a good night's sleep, I'm still exhausted \", \"completion\": \"right\"}\n", "{\"prompt\": \"Umm I am kind of doing, I'm feeling a little bit stressed out\", \"completion\": \"stressed?\"}\n", "{\"prompt\": \"Yeah, I feel like I have a lot on my plate. I have this test that I have to take for work.\", \"completion\": \"What kind of test?\"}\n", "{\"prompt\": \"It's like an aptitude test. It has like math problems on it and like scenarios in order for me to move up to the system manager position.\", \"completion\": \"Now, that's a job that you've been interested in for a while.\"}\n", "{\"prompt\": \"Yes. Yes. So I've been just feeling a lot of anxiety about taking the test and then they actually scheduled for me to take the test. And I want and I just got really overwhelmed. And I started like I felt my heart was racing. I felt like I wish my hands were shaking. And I just really couldn't concentrate on the test. Even though the night before me and my friend that practice problems, and I knew all the answers with no proper like, I didn't miss any of the questions\", \"completion\": \"so you know the material on this test pretty well?\"}\n", "{\"prompt\": \"yes.\", \"completion\": \"But the feelings and that the physiological response to heart rate and sweating, that feelings of anxiety plus those physiological responses they got in the way of you completing it, like you were unable to complete it.\"}\n", "{\"prompt\": \"No, I wasn't able to complete it. And thankfully, they gave me a chance to come back. I just told him I didn't feel well. So they rescheduled so now I'm feeling a lot of anxiety because I'm scared the same thing is gonna happe, when I go back.\", \"completion\": \"So you weren't you weren't feeling great about taking the test in the first place?\"}\n", "{\"prompt\": \"Today, the night before, I felt like I know all the answers, but the minute I walked into the room, all of a sudden, all these fears kind of took over. \", \"completion\": \"But did you know that was coming?\"}\n", "{\"prompt\": \"Yes, \", \"completion\": \"you did ?Okay.\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"So you had some anxiety in advance?\"}\n", "{\"prompt\": \"Yes, \", \"completion\": \"or no, you did. Okay.\"}\n", "{\"prompt\": \"I had some anxiety the day before. But when I reviewed it with my friend, I'm like, Oh, I know the answers. I thought that would kind of push it down. But I think once I got there, it all came back up to the surface,\", \"completion\": \"erupt in that moment, and that prevented you. What do you think is leading to this?\"}\n", "{\"prompt\": \"Well, I've always kind of struggled with tests. I'm like, I can remember when I was in third grade, I had to take this test, because I was really struggling in math. And I had to pass this test in order to move to the next grade. And I thought just like this test that I was ready for it, I had a tutor, and I felt really prepared for it. And then when I took it, I failed. And I was held back. And I feel like, you know, that was so it was, it was really embarrassing for me to be held back. And I felt like I don't want to say but I did feel like a failure at the time. Because I felt like I really didn't know this. I don't know why I couldn't pass the test.\", \"completion\": \"And since that this was third grade.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"And since that bad testing experience. Have you had trouble with tests since?\"}\n", "{\"prompt\": \"Yes, I always feel really anxious. I mean, I'm able to pass tests obviously because I graduated from college. School went on to high school. But it's so hard for me because of this anxiety that I feel that even though I may think I know it, I may still fail the test anyway, maybe like a repeat of what happened.\", \"completion\": \"Alright, so in third and third grade, you had a really bad testing experience. And as you move forward from there, you've never really been thrilled about taking tests \"}\n", "{\"prompt\": \"no\", \"completion\": \"But you've been able to adapt. You've been able to take them and still, like pass them.\"}\n", "{\"prompt\": \"Yeah, I mean, sometimes I get an A. \", \"completion\": \"So that's, that's good, right? \"}\n", "{\"prompt\": \"Yeah. I mean, yeah, it is good. Yeah, it's good.\", \"completion\": \"But this particular test, which is not for scorches for work, yeah, this one, this is more of a stumbling block for you.\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"You have any ideas as to what may what may be what may be making this test such a point of anxiety for you?\"}\n", "{\"prompt\": \"I think it's just the fact that it's this promotion. So it's like the same thing. Like, if I fail, I'm being held back. And I feel like it's, we live in that moment of being held back. And that, that that's like a fear that I have that, um, that by not being able to pass these tests are holding me back.\", \"completion\": \"So it really that same feeling you've had in third grade. That's coming up with this test.\"}\n", "{\"prompt\": \"Yeah, I mean, I didn't put them together until now. But yeah.\", \"completion\": \"And the other test you take in throughout the rest of grade school in high school they didn't, they didn't have that same value attached to them.\"}\n", "{\"prompt\": \"Now because they didn't have all that pressure that it was either win win or lose, basically, \", \"completion\": \"you could, you could take them again or take the course again or?\"}\n", "{\"prompt\": \"or I could take another test to raise the grade if I didn't do good on that.\", \"completion\": \"so you have you maybe had more options in school?\"}\n", "{\"prompt\": \"Yes. Was it fail, you know, pass or fail?\", \"completion\": \"Right, So it's the, it's the pressure is the pressure of you need to get through this. And you don't have the safety nets that you had in school? \"}\n", "{\"prompt\": \"Yeah, if I fail it, then I'm not going to be able to get the promotion, I would have to wait. Just like I did not have to wait a certain amount of time. I think an ear before I could take it again.\", \"completion\": \"So this a lot of pressure.\"}\n", "{\"prompt\": \"Yeah it is\", \"completion\": \"So is there any time limit to this test for work?\"}\n", "{\"prompt\": \"Um, no, there isn't.\", \"completion\": \"There's no time.\"}\n", "{\"prompt\": \"No\", \"completion\": \"How many Is it like a, like a multiple choice? \"}\n", "{\"prompt\": \"Yes, it is. \", \"completion\": \"Okay. And you seem like, like you said, you said the night before with your friend. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"You're really well prepared for it.\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"So I have a few a few thoughts about this. One is I'm wondering you know, we've talked before about cognitive therapy core beliefs. So I'm curious as to what you think about what core beliefs may be operating. For you now with this with this test, this work test\"}\n", "{\"prompt\": \"that I could fail that if I fail I could end up being a failure at all, you know, the things that I try\", \"completion\": \"something like, I am a failure or I'm bound to be a failure, I'm destined to be a failure. \"}\n", "{\"prompt\": \"I would say like I'm destined to be.\", \"completion\": \"Okay, so destined to be failure. So that, so that, potentially, is a core belief. Right? That's, that's operating.\"}\n", "{\"prompt\": \"I mean, that's what scares me. That's, that's exactly the thought that I'm thinking when I'm about to take the test. And if I don't pass that, it's just gonna have like this domino effect of failure.\", \"completion\": \"Okay, so it could be a core belief, but it's also seems like you're still on that thought. Like as you get ready to take that test. You're thinking I'm just destined to be a failure. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"And you're having what sounds like a panic response to heart racing.\"}\n", "{\"prompt\": \"Yeah, my hands shaking. \", \"completion\": \"Are you in the room alone? You're taking the test?\"}\n", "{\"prompt\": \"Yes, \", \"completion\": \"you are. So no one's really seeing you have this. I wouldn't want to call it a panic attack yet we haven't really gotten too far into it. But it sounds like it has some panic like features.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Because it's not. It's interfering with you thinking clearly enough to get to the items. So, okay. So one thought I have is you have you ever had panic attacks in the past or anything like this?, the third grade thing?\"}\n", "{\"prompt\": \"No, not really. I mean, sometimes I get worked out when I'm about to take a test, okay, but it's only around test.\", \"completion\": \"And what happens once you get worked up like once your heart rate increases and You have any other physiological symptoms would\"}\n", "{\"prompt\": \"want to actually do take the test?\", \"completion\": \"hmmm\"}\n", "{\"prompt\": \"Um, I kind of try to work through it and start trying to answer one question at a time to get to the last question.\", \"completion\": \"So one one possible strategy here is we talked about the adaptive response. Right? So, which is that thought that you say to yourself that self talk, I wonder if your doctor response couldn't be I can ride this out like you have no time to test? \"}\n", "{\"prompt\": \"Yeah, that's true. \", \"completion\": \"I mean, the panic responses only maintained for so long\"}\n", "{\"prompt\": \"and I could also choose like maybe questions that are no the answer to automatically so that could help maybe release some of that stress\", \"completion\": \"to get some in a sense to get some minor victories under your belt by like, answering those right you know, you're closer to achieving your goal\"}\n", "{\"prompt\": \"yes and then I feel like I know, at least I know that like, Don't validate the feeling that I maybe I can pass this test.\", \"completion\": \"So the more items you you answer correctly, the less anxious you're gonna feel because you're closer to the end of.\"}\n", "{\"prompt\": \"Yeah, definitely. Because then I start to feel more calm because I know that I know these questions are definitely going to be right.\", \"completion\": \"So that's so that's one well, that's a cognitive and behavioral strategy, right? Like you can you can wait out the panic. I mean, you're in the room alone.\"}\n", "{\"prompt\": \"Yeah, that's true. Nobody's there. Nobody's gonna see me. I'm kind of trying to get myself together. \", \"completion\": \"Yeah. Now the panic painful. Right, the you know, the panic symptoms are painful. So what you could tell yourself is, this isn't pleasant. But I can write out these symptoms because they only last so long. \"}\n", "{\"prompt\": \"Probabiy, I could use like self talk. \", \"completion\": \"Exactly. Yeah, because usually mean peg symptoms can run you know, five minutes. 10 minutes, 15 minutes. But you have no time limit? \"}\n", "{\"prompt\": \"Yeah,\", \"completion\": \"yeah so if you can just kind of use that time to focus on the items, as you mentioned, you could get right. And kind of, at the same time be telling yourself I can ride this out.\"}\n", "{\"prompt\": \"Yeah, I mean, I've done that in the past, so I can apply it to this test. \", \"completion\": \"So if that's worked for you that ?\"}\n", "{\"prompt\": \"yes, that has worked and I passed. \", \"completion\": \"So that's, that's certainly that's certainly one adaptive response to try writing. Another one could be that, although it wouldn't be great to fail, you can retake the test in a year. Right. You could try it. \"}\n", "{\"prompt\": \"Yeah, that's true.\", \"completion\": \"I mean, I know that's not what you want, but, but the alternative is kind of buying into that automatic thought we know that's not working. Right. The I'm I'm Destin, that was the word right like I'm destined to be a failure. We know that's not working for you. \"}\n", "{\"prompt\": \"So even if I have to take the test again and in a year, then I'm not going to be a failure because I still have the chance to take it again. It's not like I'll never be able to take this test again.\", \"completion\": \"Yeah, you just have, you just have another years of study, right? And, of course, you wouldn't have that promotion that time and that would be an outcome, I know you don't want. But it's not the end of your career, It's not like something so drastic it's important to you and I can appreciate that. But it's not the end of your career. You're not going to be unemployed.\"}\n", "{\"prompt\": \"No, no, definitely not. And just thinking back and relating it back to the third grade, even though I had to stay back. I still managed to, you know, do well the next year and keep moving up. And it hasn't really, in the long run prevented me from doing anything that I've wanted to do.\", \"completion\": \"So that's great. That's another adaptive response, which you've survived this before.\"}\n", "{\"prompt\": \"Yes, I definitely have.\", \"completion\": \"So this one event, I mean, I had the the incident third grade with the unpleasant experience but this one event you don't want that this kind of fashion. While use your word, your destiny by like this was one that seemed to catch you off guard but the the panic like symptoms. And fortunately your employer is going to give you the chance to retake and try this again. And, and I met you know, so you have I imagine you could you can write out these, these symptoms. And I think you have the other adaptive response, which is I've been successful this before.\"}\n", "{\"prompt\": \"Yeah. I mean, definitely I feel a lot better now because I just know that no matter what happens, I've been here before, and I can get through it as opposed to like that feeling that I'm going to just fail together.\", \"completion\": \"Oh, it's so good, when you have to take the test?\"}\n", "{\"prompt\": \"on next week.\", \"completion\": \"So let's schedule one more appointment right before that.\"}\n", "{\"prompt\": \"Okay, right. \", \"completion\": \"And we'll, we'll make sure that you have these adaptive responses down and you're ready to go. Okay. And really will kind of focus on the positive outcome. Right. Okay, which is just taking this test taking one item at a time and fighting through some of these physical symptoms you're having, and fighting through the useful thoughts.\"}\n", "{\"prompt\": \"Okay. Yeah, I mean, that sounds good. That helped me prepare for the test. \", \"completion\": \"Great. So, Michelle, I'll see you. I'll see you then and work through it. I really appreciate you coming in today.\"}\n", "{\"prompt\": \"This week? Um, I don't know. I guess it was a little bit more productive than usual. But not really, I'm still just usual, dead to the world. You know, you know, I'm just in my room most of the day, I'm not really part of the world or part of my family. I'm just closed off in my own little sad universe.\", \"completion\": \"So you're feeling isolated from your family?\"}\n", "{\"prompt\": \"Yeah, just feeling really disconnected. Just really, I don't know. It's just been a really tough week with my husband. We've been fighting a lot as usual.\", \"completion\": \"So when you say you're feeling disconnected Can you explain to me more what that looks like?\"}\n", "{\"prompt\": \"Yeah, I guess. I'm just, I'm so tired all day and just exhausted and he has all these demands and all these things he wants me to do. And I just feel like I'm not capable of doing that. I can't even get myself out of bed in the morning. Myself supposed to do all the things he wants me to do. Just last night, came home yelling at me like usual and all the dishes are still in the sink and all the laundry was all on the bed. Like, I couldn't even tell him that like I looked online for jobs, which I was thought I should be proud of that I knew and no, I didn't find a job. So whatever It's that big of a deal. I just thought maybe like we could talk about that. But it was just feeling about shirts, maybe ironed and I just couldn't do any of it. \", \"completion\": \"So you feel that even though you made some progress by looking at them for jobs this week that you didn't feel much accomplishment from that because your husband didn't acknowledge it or appreciate it.\"}\n", "{\"prompt\": \"Yeah, he doesn't appreciate anything\", \"completion\": \"How being not appreciated make you feel inside?\"}\n", "{\"prompt\": \"Just makes my whole body just ache just makes me feel empty. Like, if you can't appreciate the things that I do, and then why would I be motivated to do the things that he wants me to do? Like, how am I supposed to iron shirts when I can even get out of bed in the morning? You know It just makes me feel really just just empty, just miserable.\", \"completion\": \"I hear you saying that you're shutting down. And not only do I hear you saying that, like I can see you sitting here with me. That way you're sitting with your arms crossed, like I feel like you're closing yourself off To a lot of things to a lot of people.\"}\n", "{\"prompt\": \"Yeah, definitely because they don't notice anything I do. And I mean it's on Monday like I actually got out of the house which I thought was like a big deal in the moment. But I took the cat to the groomer, my husband's been bugging me about that for months and you know, I got out of house I drove the groomers I changed my pajamas and like all these things are a big deal to me, but he doesn't even see that accomplishment. Then even notice, like my daughter didn't notice either. She just comes home and slams the door doesn't even look at me. The cat was all groomed and nice little bow now. It's been like five days since done haven't doing since then. So I feel. I feel like I've made this huge accomplishment for myself by getting out the door. Even in taking the cat to the groomers but Then when I get home and it's not noticed by anyone, it takes it all away. It doesn't even matter to me.\", \"completion\": \"Exactly\"}\n", "{\"prompt\": \"So for things to matter to you, and for you to feel good about even little progress steps you're making, you really need to have that acknowledged by your husband. Yeah. I mean, otherwise, what's the point? You know, if they don't have that support, all they do is point out the things I haven't done, they'll do something but it's all about what hasn't been done. Oh, you haven't back in two months, but they don't notice the things. \", \"completion\": \"So I hear you saying that you're experiencing a lot of hurt. So bad thing. You're feeling all the skirt. You're feeling in ways recognizing who you are. You have all this laundry. vacuums do its chores. So what to do is wave comedian. Put it away somewhere for a little bit to be able to address all the issues. You try to pay put in a little jar and we'll call that trick jar.\"}\n", "{\"prompt\": \"It's hard. It's like it will disconnect for me. I just can't separate it from myself.\", \"completion\": \"Okay. What do you think that that hurts trying to tell you?\"}\n", "{\"prompt\": \"I don't know\", \"completion\": \"let's take a minute and think about it.\"}\n", "{\"prompt\": \"Maybe it's just telling me that it's what I always do. I always try to avoid it\", \"completion\": \"was the seller hurt, but maybe the hurt is important. We'll be able to come back to it once we push it away. So it's not going to be there forever. So if we do that,\"}\n", "{\"prompt\": \"I guess we could try this. No, it's, it's trying to tell me that. It's not gonna work. It's just like, it's just what I always do with it. I just try to avoid it.\", \"completion\": \"Let's try doing this. He's trying to close your eyes. If you're doing breathing exercises here, take a deep breath in, Deep breath out, deep breath in, deep breath out imagine all the laundry, Husband, daughter this, put it outside in the hallway, very quiet. How's it feel?\"}\n", "{\"prompt\": \"A little bit more relaxed\", \"completion\": \"or is it in the hallway?\"}\n", "{\"prompt\": \"Just different things.\", \"completion\": \"What are you What are you feeling right now?\"}\n", "{\"prompt\": \"Little relaxed\", \"completion\": \"but I don't have an agenda today. So whatever, Whatever comes to mind already feels important. We'll take a minute to think about it. Close your eyes and think about what you're feeling. So what are you feeling right now?\"}\n", "{\"prompt\": \" I guess what it really is. I feel guilty, even letting go that hurt I need that hurt. Hurt makes me feel guilty. I shouldn't feel so bad for even hurting. \", \"completion\": \"So, you feel guilty for not not worthy of feeling hurt not worthy \"}\n", "{\"prompt\": \"I feel guilty for even feeling hurt but I feel guilty that, I don't deserve happiness, but I know I probably deserve to feel better.\", \"completion\": \"So I want to, I want to kind of dive into that little bit, That's arising between wanting to try something new.\"}\n", "{\"prompt\": \"yeah, I guess\", \"completion\": \"So, what I'm gonna do is I want you to think about this chair. I want you to picture yourself this is the side of you that says you deserve to be able to feel and that you don't deserve to be focused on yourself. Tell yourself about how it makes you feel be guilty.\"}\n", "{\"prompt\": \"I just feel like I feel guilty for hurting because it makes me it forces me to just stay in bed and it makes me feel hurt makes me feel like I'm incapable of taking care of my family and I need to take care of my family And I just feel guilty because I can't do that.\", \"completion\": \"First when I deserve it I deserve more than you want, You don't deserve to Be, feel guilty about being you know deserve to feel guilty about being hurt. You need to take care of your thing. \"}\n", "{\"prompt\": \"I need to Stop being so selfish, I need to stop being so selfish, I need to take care of them \", \"completion\": \"If I Don't take care of them, They get upset?\"}\n", "{\"prompt\": \"That's why they're always mad at you because you don't take care of them selfish.\", \"completion\": \"Does it make you feel yourself tells you that you're sad. It makes me sad its hurts me.\"}\n", "{\"prompt\": \"They Tell me I'm selfish. When you tell me I don't care about things I do. I'm trying\", \"completion\": \"Why don't you make me feel guilty?\"}\n", "{\"prompt\": \"I have needs to have needs need to be taken care of to know you're not taking care. Selfish doesn't allow me to feel good How's it feel when you hear that the hurt the pain Just wanted to step it up.\", \"completion\": \"So when you tell yourself that I am hurt yourself selfish, how does that feel?\"}\n", "{\"prompt\": \"It's just really confusing. Like I need to break out of this guilty feeling and just allow myself to hurt. I deserve to hurt. I deserve to have my needs met this well deserved\", \"completion\": \"So how does it make you feel the other self understands\"}\n", "{\"prompt\": \"It does still hurting but it's, it's okay. I feel I feel better that you're allowed to feel bad. I feel validated to help me. I need to help my family. I need to hurt and show them that I'm hurting but not feel guilty that we can do that. Hold on. I need this inside. Feeling things feel lighter like it's not even. \", \"completion\": \"So really, it just feels more when you hear that you think it's okay. I need to be validated. Tell yourself How can feel hurt without feeling guilty.\"}\n", "{\"prompt\": \"about hurting, hurting. doesn't need to be selfish to me.\", \"completion\": \"So now you can come to an agreement with yourself to allow that space.\"}\n", "{\"prompt\": \"So we're actually out of time for today.\", \"completion\": \"So what do you do? Take this with you this week.\"}\n", "{\"prompt\": \"Okay\", \"completion\": \"What's been going on?\"}\n", "{\"prompt\": \"Well, last time I started to tell you a little bit about one of my friends, my best friend Actually, she had this issue. So what happened was she went to a bathroom at our local library, and she found a video camera when she was going to the bathroom\", \"completion\": \"in the bathroom?\"}\n", "{\"prompt\": \"Yeah, she actually, yeah. And she turned it into the police. And I guess because like she carried it, or she had found it. Her hand prints were on it and they weren't able to they weren't able to detect who actually did it. They weren't able to catch the \", \"completion\": \"probably didn't catch the person?\"}\n", "{\"prompt\": \"No. So send Then I've been on really just high alert, like, I'm worried that that could happen to me to my kids. And I'm just really worried because they didn't catch the guy that him or someone like him could be out there.\", \"completion\": \"So he's still out in the community, right? So how is it affecting your your daily life? Can you tell me kind of what your where you've been feeling?\"}\n", "{\"prompt\": \"A lot of anxiety just not knowing maybe, you know, what if someone were to videotape me like that, I've been very aware, shall I say, of cameras.\", \"completion\": \"Okay, so anxious and aware,\"}\n", "{\"prompt\": \"right, Like, I know you have one in your office and people on their cell phone cameras.\", \"completion\": \"Right\"}\n", "{\"prompt\": \"Just all the possibilities that I could be recorded. I've just been very aware of them which makes me not want to go anywhere. So I've been having Arguing with my husband a lot because he wants to go out to restaurants and I don't want to go because there could be cameras in the bathrooms and how I dress also as you can see him kind of dress more conservatively because I remember hearing once about cameras that people use on shoes that could be you, you know use in a creepy way and so I I can't you know it's now almost summertime I can't dress and skirt or be comfortable because I'm dressing like that.\", \"completion\": \"So you have covered a lot of ground there. So you have the you have the feeling of being like worried nervous, whether that's gonna happen to you. But you've also had to kind of change your routine or you have to change routine to feel safer. \"}\n", "{\"prompt\": \"Right\", \"completion\": \"has that helped has has changed in the way you dressed or changing where you go and when you go is that help reduce the anxiety?\"}\n", "{\"prompt\": \"Not really no, I would say it's really starting. That's why I wanted to come in. It's really starting to affect my life.\", \"completion\": \"You mentioned specifically your husband has, like what's been going on here? \"}\n", "{\"prompt\": \"He just wants to go places with our kids like go out to eat and and I don't really want to go anywhere that because you know cameras are everywhere nowadays.\", \"completion\": \"They are\"}\n", "{\"prompt\": \"And I just kind of worried like public bathrooms Could they be there someone being you know, sometimes baby monitors or you know have two phones and people can hack into that. Laptop cameras. So even in my own house, I've just been really nervous. So I feel like I'm not really getting relief from that anxiety.\", \"completion\": \"Have you taken any precautions because of this persistent worry.\"}\n", "{\"prompt\": \"I mean, I've read \", \"completion\": \"I was already mentioned like with the camera specifically. I mean,\"}\n", "{\"prompt\": \"I've um, you know, when I go into bathrooms I I've been looking for cameras to make sure they weren't there before you know me or my children that needs a bathroom. I have tried, I read online You can learn how to turn off the cameras on your phone, and that you can close your laptop in that way the camera will face down. So, and the same thing on a smart TV so it doesn't recognize your face. I've I've tried to turn things off, they don't need to be on as far as people being able to access myown information \", \"completion\": \"and that seems reasonable. Once you take reasonable precautions to try to avoid being video recorded, \"}\n", "{\"prompt\": \"right\", \"completion\": \"against your will.\"}\n", "{\"prompt\": \"Exactly.\", \"completion\": \"But still, you have this feeling of worry anxiety and your your schedules being interfered with?\"}\n", "{\"prompt\": \"right.\", \"completion\": \"skewed you'd like to cope more effectively with your feelings, reduces anxiety. So when you enter into a public bathroom and we talked about automatic thoughts before those thoughts it just kind of pop into our head and they connect to feelings. That can be unpleasant\"}\n", "{\"prompt\": \"right.\", \"completion\": \"Like anxiety and worry. So when you walk into a public restroom, what's the first thing that goes through your mind?\"}\n", "{\"prompt\": \"that there might be a video camera that I don't see that that's maybe like with my friend that was big enough, but I might not catch it in that someone's going to use that in a vulgar way.\", \"completion\": \"Okay, so when you walk in, you're wondering if there's a camera there. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"And when that automatic thought occurs, what follows that in terms of a feeling or behavior?\"}\n", "{\"prompt\": \"Usually I'll try and find the camera but it's usually anxiety fear. My heart rate starts going up, I start getting really anxious and then you know, I try and either rush to use the bathroom if I really have to go or a lot of times if I don't, I'll just leave. Sometimes I try and use bathroom at home so I don't have to go out.\", \"completion\": \"So you behaviors looking for the camera or sometimes just leaving without using a restroom. And you're You're feeling is that that anxiety worry there?\"}\n", "{\"prompt\": \"Yeah, \", \"completion\": \"we've been talking about. Okay. So, really, if we think about, we talked before about the core beliefs, intermediate beliefs, and wonder if the intermediate belief, isn't it, I'm vulnerable. Or this more specifically, maybe it's more of a core belief. More specifically, I'm vulnerable in this area, like put this guy on the loose\"}\n", "{\"prompt\": \"right, \", \"completion\": \"you know, committed that crime. And then, you know, that's combining with situations that you encounter, and that's where you're getting those automatic thoughts. So that sort of makes sense.\"}\n", "{\"prompt\": \"Exactly.\", \"completion\": \"Okay. So you remember what, what in terms of kind of therapy, you'd like to apply what we call the adaptive response or self talk. So it's that thought that you interject at that moment you realize you're having an automatic thought, that's going to be to in this case, anxiety and worry and behaviors that are looking for the camera isn't maybe useful behavior, but leaving, you know, that's that that could certainly be on useful behavior. So in terms of that self talk, let's let's work to develop a self talk response so that you could tell yourself to that initial, you know, I wonder if there's a camera in this bathroom. Right? What do you think you could tell yourself that would get in between that thought and the feelings you're having?\"}\n", "{\"prompt\": \"I could say if when I walked in the bathroom?\", \"completion\": \"Umm hmm\"}\n", "{\"prompt\": \"maybe I could say, Umm you know, while there could be a chance that there's a camera in this bathroom, the chance of it happening is not very likely. And You know, I'm gonna take steps to keep myself safe, so that I won't be in a vulnerable position such as looking for the camera.\", \"completion\": \"But it's good. So you have, you have a low probability of it happening, and you're taking useful behaviors to minimize your risk even further. \"}\n", "{\"prompt\": \"Right.\", \"completion\": \"Right. So that's a good automatic thought, I think are good adaptive response for the next thought rather. Why don't you Why don't you try that one out? Right, the next time. You had that on that thought? Right. Try out that. You know, I think that's really, you know, that's logical. I mean, it's, it's unlikely to happen. Of course, there's a chance. Right,\"}\n", "{\"prompt\": \"right.\", \"completion\": \"And we, we acknowledge that in the self talk, there's a chance that it could happen, but there's precautions you can take. That's a low chance sometimes as well, so keep that on Mac thought. We'll review it In the end, \"}\n", "{\"prompt\": \"okay, \", \"completion\": \"right before you leave today, we'll write these down. But that's that's one adaptive response rather that I want to write down for you. I also want to talk about like, the worst case scenario, because right now you have the anxiety worry about an event that while it's unlikely it could happen. It could happen. And I'm wondering how you think you would react? If it is the worst did happen if you if you use the restroom, and you found out through law enforcement or by finding a camera that an offender had been, you know, watching you right on recording. How would react to that?\"}\n", "{\"prompt\": \"I mean, I think I would be really upset. I think I would feel vulnerable probably for a while and be hesitant. I mean, I would think ultimately, that would be okay. My friend is happened a while ago, she's starting to get to get over it and get back to her usual routine, although she's still hesitant, so I think I would be okay. Eventually, although I'd be really upset that it happened.\", \"completion\": \"And it would make sense to feel upset. But that would be upsetting for anybody. But as you noted, that would probably be relatively temporary. \"}\n", "{\"prompt\": \"That's right.\", \"completion\": \"distress, right? Well, acute, and certainly, you wouldn't be happy about it. It shouldn't be happy about it. \"}\n", "{\"prompt\": \"Right\", \"completion\": \"It would probably go away. I learned to adapt. How long have you been in the state of anxiety and worry?\"}\n", "{\"prompt\": \"Probably it happened like two months, two months?\", \"completion\": \"And how many days and the average week are you affected by these feelings?\"}\n", "{\"prompt\": \"Every day, \", \"completion\": \"every day?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So if we can compare it right, we have a chance to be recorded, right illegally. That's a low probability event. It could happen. Probably not likely. The anxiety and worry that you're having. That's a high probability event because you're suffering from every day.\"}\n", "{\"prompt\": \"And that's true. I never thought about it that way.\", \"completion\": \"So there's a, there's a point at which maybe you reach and you say, I'd rather take that route to take the risk, I'd rather deal with the potential consequences of that an unlikely event to be recorded and face that if it happens, then be in the state of anxiety, worry\"}\n", "{\"prompt\": \"right, Because right now I'm suffering every day.\", \"completion\": \"Now you're suffering, right? And if, if you could adaptively respond effectively, you you're still gonna have that risk of being recorded. But you know, you could survive that event if it happened late.\"}\n", "{\"prompt\": \"I can get it\", \"completion\": \"And you're taking reasonable cautions and you know, things we talked about. So, as you think about this in a more general sense, is there a adaptive response, you could apply it to that, to that on that thought of, you know, I need to be worried about This or, you know, whatever that thought looks like sometimes the thoughts in image rights may like an image have been recorded, but whatever that kind of general series of automatic thoughts are that are that are getting you anxious or worried before you even get out of the house. What adapter response? Could you apply there?\"}\n", "{\"prompt\": \"Maybe, you know, like I said, I'm worried about all the cameras, maybe I could say, you know, I understand there's some cameras that, you know, use for good purposes, security, \", \"completion\": \"probably most are\"}\n", "{\"prompt\": \"right. And the chances of being recorded illegally are not likely if, and I'm taking precautions to you know, go to the right places. The good areas, good areas. So it's not likely to happen overall. And me going outside the house is worth the risk. You know, the minimal risk that it would happen and if it did happen, I could survive.\", \"completion\": \"That's great. That's a great adaptive Yeah. And actually, that's kind of a few adaptive responses. \"}\n", "{\"prompt\": \"Right, right. \", \"completion\": \"But that's good. And you can you can apply them and we'll, we'll kind of break them down. \"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"Like I said, before you leave today, we'll break those down. So you can, you could have written down as you go out. I think it's important, because the automatic thoughts tend to spring on us quickly. It's important to rehearse these adaptive responses. So we're ready to go. \"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"Right. And, and kind of, you know, we're being we're preparing ourselves to apply that adaptive response. And in order to be prepared you, you have to know what it is. So it's good to have it written down to kind of more or less commit to memory. \"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"Does that make sense?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"All right. So, before we leave today, I'll take care of that. And I want you to use as adaptive responses for this week. I'll see you next week. And record what the outcome Was every time you're able to apply the response, and that includes what you felt and what you actually did. \"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"And of course, as you mentioned, any physiological reactions like your heart racing, right underneath that, so that's really that sub behavior. But note both a physiological behaviors and other behaviors. \"}\n", "{\"prompt\": \"Okay\", \"completion\": \"Yeah. Once you're consciously controlling, and then any feelings, okay? And we'll go through them. We'll go through each time use it one by one, they have a there are and kind of see if we need to adjust the adaptive response and see how well it's working. Okay. That's the plan.\"}\n", "{\"prompt\": \"Yeah. I think that will be helpful\", \"completion\": \"So we'll go from there. And I appreciate you coming in today.\"}\n", "{\"prompt\": \"Thank you very much.\", \"completion\": \"Thanks.\"}\n", "{\"prompt\": \"good.\", \"completion\": \"I do well, thanks for asking. How'd you do this week?\"}\n", "{\"prompt\": \"Better? Well, last time we talked about that\", \"completion\": \"postponed gratification. Yeah,\"}\n", "{\"prompt\": \"that um, and I think you wanted 10 minutes for me to put it off 10 minutes. Yeah. So I did better. I think I ended up only doing like join a half instead of two I was able to put offered, I think, the 10 minutes a couple times. And then there were there was, I think one or two days where I went out for a walk because I was Tired of staring at the clock waiting for the 10 minutes to pass. So I got up, went for a walk. And then I passed one of my friends. So I ended up walking with her. And I actually didn't get back to my house for like an hour. So I kind of put it off for like an hour because then I came home and took a couple hits on\", \"completion\": \"so it sounds like you were able to maintain waiting 10 minutes to smoke marijuana. At least in most cases. It was rough.\"}\n", "{\"prompt\": \"It was rough. Yeah.\", \"completion\": \"So it was it was difficult for you, but most cases, you're able to pull off the 10 minutes. Mm hmm. That sounds like there's a few instances where you're able to hold it off longer because something else kind of Yeah, came up.\"}\n", "{\"prompt\": \"Yeah, I found I actually talked to a couple people on the phone before I knew it like half hour to come by.\", \"completion\": \"so another activity presented itself and You've forgotten with marijuana.\"}\n", "{\"prompt\": \"Kind of Yeah. Yeah. I guess I just wasn't thinking about it.\", \"completion\": \"So have your feelings about marijuana change since we last talked?\"}\n", "{\"prompt\": \"No, not really. \", \"completion\": \"Tell me about that.\"}\n", "{\"prompt\": \"I mean, it's I don't see it as a problem. It's it's legal in a lot of states now. And I mean, it's not that bad for you. It doesn't really endanger me much.\", \"completion\": \"So you still you still believe you should have the right to smoke marijuana?\"}\n", "{\"prompt\": \"Yeah, I mean, I'm not hurting anybody else. \", \"completion\": \"But at the same time, you want to go back to work. And if I remember, right, you're the person that you could go work for. I guess you know them right. Yeah, it's my uncle, your uncle, and you need to be cleaned for was about two months.\"}\n", "{\"prompt\": \"Yeah, two to three months.\", \"completion\": \"So you have kind of opposing forces here, right? You have your enjoyment of marijuana. And then you, you know, that's something you like you don't wanna give up. And you believe you have a right to do that. But then there's that job.\"}\n", "{\"prompt\": \"Yeah, I mean, my parents are pretty cool with it, like they know. But I mean, I'm at the point now where they kind of want me to move on and move out. But I don't know. I mean, I just, it'd be nice to have that job. Like, it's a really good job, but at the same time, like, I don't see why I have to sacrifice something that I like. \", \"completion\": \"So it doesn't seem fair to you. But she recognizes the reality of your situation.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So it really does come down in your instance to marijuana use or appointment.\"}\n", "{\"prompt\": \"Yeah, it's pretty accurate.\", \"completion\": \"So you're not happy about that choice. And kind of what we did with the postpone gratification was just really just ask you to wait 10 minutes and you were able to do that. And more, although it's difficult, \"}\n", "{\"prompt\": \"it's difficult.\", \"completion\": \"It's difficult for you. So I asked you to track the number of times you smoke marijuana. Did you really track that over the last week? Yeah, you remember how many times that was?\"}\n", "{\"prompt\": \" I think think I think it like 15. Okay, between 15 and 20,\", \"completion\": \"between 15 and 20. And how many times did something kind of get in the way that's something else come up in that 10 minutes span that distracted you or that you enjoyed\"}\n", "{\"prompt\": \"I'm like, almost closer to 20 times I guess, otherwise, I probably would have kept going smoke more. I mean, there were a couple times where like somebody would call me or somebody would text me and that kind of distracted me and so I was able to put it off for a little bit.\", \"completion\": \"So you can see in that 10 minutes, things can happen. Right things can happen that can help you to avoid the marijuana. Sometimes nothing does and after 10 minutes, use it. And sometimes something does kind of get in the way with a marijuana like distract you or you have another activity that you enjoy and then you didn't use. So with that in mind you found the experience rough, but was it tolerable? \"}\n", "{\"prompt\": \"Yeah, Was it bad \", \"completion\": \"was a bit Do you think for this next week? We could try postpone gratification from 10 minutes to 20 minutes?\"}\n", "{\"prompt\": \"I don't know. That seems kinda. Yeah, that seems like a longer time\", \"completion\": \"that that is definitely. That is a longer time. \"}\n", "{\"prompt\": \"I don't know about that.\", \"completion\": \"Yeah.\"}\n", "{\"prompt\": \"Maybe like 15 minutes,\", \"completion\": \"no compromises. 15 Okay, do you think you could maintain 15 minutes weighing 15? \"}\n", "{\"prompt\": \"I think I could try a little bit more than 20.\", \"completion\": \"All right, so let's go with 15 minutes, right. So 15 minutes, you know, as compared to 10. I'll give you five extra minutes that something could happen that could distract you. And you wouldn't use that instance, right. There's also, you know, to constructively use that time, you could consider alternatives like like you mentioned walking right. You could use that time and start walking. Yeah. Anything else that that you like, maybe in the past on occasion when you want to use marijuana, but she didn't have anything available? What would you do instead?\"}\n", "{\"prompt\": \"binge watch TV,\", \"completion\": \"or should it be okay, well, so perhaps in that 15 minute time period that that timer you're delaying using marijuana, you could start watching the show.\"}\n", "{\"prompt\": \"Yeah, I can do that.\", \"completion\": \"At the under 15 minutes, you might end up using marijuana or you might want to continue watching the show. So do you see kind of how it works? Like is it making sense to you the postponing?\"}\n", "{\"prompt\": \"Yeah, it doesn't make it any easier, but it's tough for you. Yeah. Yeah. No, I definitely see how helps\", \"completion\": \"And maybe if we're successful to 15? Who knows? We'll move it up from there.\"}\n", "{\"prompt\": \"Maybe we'll see how the 15 goes, see\", \"completion\": \"how it goes the 15? Yeah, I'll see how that goes. You know, I'm hoping. And I hope this kind of makes sense that there'll be a point where you will be really interfering with the vast majority of the times that use marijuana. Like because you're giving yourself that many more opportunities, the longer you wait. Right. The more minutes you wait, the more opportunities for something else to get in the way so to speak. And probably what you'll see, just like you saw this last because you're, you know, you used marijuana less frequently, just by waiting the 10 minutes. Even though you described as difficult I'm sure it was, but there were a few times where it kind of worked out\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So, I think that planning something for that time would be helpful. And try to plan something 15 minutes, even if you fully intend to beyond the 15 to go right and use, I think it's still useful plan something in there. You never know that might take you. Or you might end up walking or watching TV or doing something else that would distract you or pull you away from the marijuana use. Okay. So that's like a plan.\"}\n", "{\"prompt\": \"Yeah, I think I can give that a try. Okay\", \"completion\": \"Sounds like a plan?\"}\n", "{\"prompt\": \"Yeah, I think we can manage that.\", \"completion\": \"All right. We'll go with that. And I'll see you next week. Okay, thank you.\"}\n", "{\"prompt\": \"I guess I'm doing pretty good.\", \"completion\": \"doing pretty good.\"}\n", "{\"prompt\": \"Well, so I was looking at online during break between my classes I go to online school. \", \"completion\": \"like college?\"}\n", "{\"prompt\": \"Yeah. And they have this I was looking up my symptoms, I guess, difficulty paying attention, difficulty staying still. Just stuff like that and you know, I think I might have that one disorder \", \"completion\": \"ADHD?\"}\n", "{\"prompt\": \"yeah,\", \"completion\": \"that one that you may have ADHD. Alright, is it these symptoms bothering you? You said you go to college online.\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"It was bothering you there?\"}\n", "{\"prompt\": \"Yeah, it does. \", \"completion\": \"It does. Alright. I'm going to ask you a few questions to try to get a better understand what's going on. Okay. These symptoms you've been having, what age did they start? \"}\n", "{\"prompt\": \"About eight years old, \", \"completion\": \"eight years old. All right. And you feel like they're bothering you. With your classes that you take online?\"}\n", "{\"prompt\": \"Yes, but I still I still get good grades, you still\", \"completion\": \"get good grades for? Somebody asked you some questions about that. So I'll specifically be asking about how it affects you in class, but affects you in any other area. Tell me about that, too. \"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"All right. Do you have trouble establishing attention?\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"When you have established attention, do you have difficulty holding attention?\"}\n", "{\"prompt\": \"Yes, do\", \"completion\": \"for example, with a professor, do you listen to the professor Your Online classes. \"}\n", "{\"prompt\": \"I have difficulty listening to\", \"completion\": \"that's a problem for you. How about following through on any instructions that professor gives you?\"}\n", "{\"prompt\": \"I wrote a problem.\", \"completion\": \"Are you organized?\"}\n", "{\"prompt\": \"I actually organize\", \"completion\": \"Do you find yourself avoiding activities that require a lot of mental effort?\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"Do you know what type of activities to avoid.\"}\n", "{\"prompt\": \"anything that just like rebels? I can't stand them. Chess can't stand it. People try to explain me the rules. I still don't get it. I get a headache and I quit.\", \"completion\": \"Do you ever find yourself losing things that you need for class or any other place\"}\n", "{\"prompt\": \"all the time. Yeah.\", \"completion\": \"Are you easily distracted?\"}\n", "{\"prompt\": \"Yes. Take time.\", \"completion\": \"Are you forgetful?\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"Yeah. All right. So I'm going to move to another series of questions. Do you fetch it.\"}\n", "{\"prompt\": \"Yes. I do.\", \"completion\": \"Do you find it difficult to stay in your seat?\"}\n", "{\"prompt\": \"Yes, there's, we have these videos. And sometimes I just I gotta pause them and I just got to walk around my room for a while. You know, call back, sit down, get out my system. Click, and we're good.\", \"completion\": \"Okay, so you feel kind of compelled to stand up and walk around. \"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"And then you can sit down and resume.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"How do you do with quiet activities like reading?\"}\n", "{\"prompt\": \"No, no, no, I don't like doing them because I just can't. I can't deal with the quiet. \", \"completion\": \"No,\"}\n", "{\"prompt\": \"no.\", \"completion\": \"All right. Here feel like you have an internal motor that's always running.\"}\n", "{\"prompt\": \"Yes. Yeah.\", \"completion\": \"How about talking? Do you find that you talk excessively\"}\n", "{\"prompt\": \"Yes, I do.\", \"completion\": \"How about blurting things out?\"}\n", "{\"prompt\": \"Yes. But people don't really notice it cuz especially at class, I'll like yell out the answer, but you have to hit a button\", \"completion\": \"so that I get on and the audio turns on. So you'll you'll blurt something out, but they won't hear it. Yeah, they won't because you haven't. So I guess that's good. Okay. How about interrupting people?\"}\n", "{\"prompt\": \"Yes, yeah.\", \"completion\": \"Yes. Do you have trouble waiting Your turn\"}\n", "{\"prompt\": \"back to the the blurting out I forget to hit the button. I then hit the button to answer and it goes something like this line. I hate waiting for my turn. I can't I can't deal with it. Okay.\", \"completion\": \"That's not not a strong suit for you. No,\"}\n", "{\"prompt\": \"no\", \"completion\": \"Okay, so you mentioned that This is causing some difficulty in school but you also said that you're doing okay in school. Yeah. All right. Is there any other area of your life for this is causing your problems? Not not I can think of. No. Yeah. What else do you do? So you go to college? \"}\n", "{\"prompt\": \"Yeah. Other activities to engage in. Or have like nothing. I got a full coat courseload trying to get it done. Really don't do anything else. I mean, yeah, no, I but like relatives. I don't see my relatives lot. Like my parents retired, they moved, so I don't see them and see them.\", \"completion\": \"Have aany friends? It's kind of embarrassing, but really don't have any friends. Just kind of live, eat and breathe school. Do you ever socialize with any of your classmates from college?\"}\n", "{\"prompt\": \"No, no. \", \"completion\": \"Yeah. Do you feel that's because of these symptoms? Or that you wouldn't anyway? Well, I feel bad about it. So I mean, it's hard for me to to get over it cuz I notice it, but it's hard for me to get out there. Right. Do you think it's hard for you to engage with your classmates socially, because of any concentration or hyperactivity type symptoms? \"}\n", "{\"prompt\": \"But But I believe Yeah, \", \"completion\": \"you believe it is because the symptoms\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"And any other areas like, like shopping or clean house? \"}\n", "{\"prompt\": \"No, I'm pretty okay with that. \", \"completion\": \"That works out. Okay.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"All right. Okay, at least I'm going to get you in to see a counselor or just take a couple days to get In my starting point for a couple days out, I appreciate you spending this time with me. And let me ask these questions. This was helpful. \"}\n", "{\"prompt\": \"Thank you.\", \"completion\": \"Thanks\"}\n", "{\"prompt\": \"Well, I came to see Dr. Seal last week because of increasing stress and anxiety, that's kind of getting the best of me. And in the course of my appointment with him, he was asking how I was dealing with that stress. And I mentioned that my one or two glasses of wine a few nights a week is turning into more frequent and maybe three or four on some nights and he had some concerns about that and, and felt like maybe you could help me with stress or something.\", \"completion\": \"Yeah. So he, he actually see me because you went to him for increased stress. And he's concerned that your alcohol consumption may be a part of that increase And prior to prescribing anything, you want to make sure that you at least had someone to talk to that\"}\n", "{\"prompt\": \"I suppose.\", \"completion\": \"Okay. So you filled in one of the Pink Sheets and I take a look at that.\"}\n", "{\"prompt\": \"He told me to fill that out and bring it with me.\", \"completion\": \"Okay, thank you. So, you say here that you have four or more drinks in one week, you mentioned that you may be increasing that a little bit as well. And that you have one or two drinks in one setting \"}\n", "{\"prompt\": \"typically, yeah. \", \"completion\": \"And maybe monthly you have more than that. What what's what kind of drinks do you have? What do you do when you typically drink\"}\n", "{\"prompt\": \"wine with my meals? You know, again, one or two, typically and more frequently, three or four. My stress is increased.\", \"completion\": \"So it's time to increase your strength a little more. Well, based on what you put here, you get it gives you six points on this scale scale ranging from zero to 46 points will put you in what we would consider an at risk zone. So if it's okay with you to talk a little bit about that,\"}\n", "{\"prompt\": \"okay\", \"completion\": \"okay. So that was sunset run zero to 40. It's not a sort of super high risk, but it certainly could be a risk for maybe increasing stress might be some physical ailments related to alcohol as well could could start to show up if you were to increase your drinking from there, or even stay there. This is a typical standard drink size over here, I'm not sure whether that fits your description of a glass of wine or not,\"}\n", "{\"prompt\": \"I feel the glass up so maybe a little more than that\", \"completion\": \"maybe the little space it's upset, perhaps a drink drink and a half each one. So that also increased a little bit more. So perhaps maybe drinking more than you indicated on here. And for women, healthy woman your age, no more than three drinks in one setting is considered to be low or no risk and one seven in one week, seven total in total a week and what you say here is that even on this sheet, you're perhaps already drinking more than that. So what do you make of all that?\"}\n", "{\"prompt\": \"That news to me, you know, I thought red wine with your meals is supposed to be healthy. You know, no more than seven in a week? That seems kind of prohibitive?\", \"completion\": \"Yeah, it seems seems a little less than perhaps you've been drinking or what you consider to be healthy drinking. And certainly there's there's conflicting information out there about what's healthy and what's not healthy. Imagine the increased stress work because we're concerned doctor seal as your stress increases, and if you were to describe you anything, maybe some interaction between the two, that would also be a concern for him. I would, I would think, so if you would, what is it that you like about alcohol?\"}\n", "{\"prompt\": \"Well, you know, it does, at least in the moment, temporarily reduce my stress. And I you know, like a good glass of wine. I don't don't drink the cheap stuff. I like the expensive.\", \"completion\": \"See, like the taste of it. And it does help to lower the stress, even if it's just for the fun of me drinking. What's not so good things about alcohol for you.\"}\n", "{\"prompt\": \"Um, well, you know, the nights that maybe I have a couple more glasses than I should I wake up feeling kinda yaak and, of course, part of my stress is finances. And I mentioned I like the good stuff. And so if I'm drinking more than I'm increasing my financial burden,\", \"completion\": \"your financial stress may be increased by the fact that you're drinking.\"}\n", "{\"prompt\": \"Yeah, kind of defeating the purpose they're\", \"completion\": \" the drink introduce stress and increasing stress at the same time. So on the one hand, it low is it on the other hand, it's increasing kind of the seesaw teeter totter effect. What do you make of that, given that on one hand, it lowers on the other hand, it increases and and now it's increasing even more?\"}\n", "{\"prompt\": \"And maybe I need to find some other way to deal with my stress. Yeah.\", \"completion\": \"Imagine investment thoughts so that what have you thought of trying?\"}\n", "{\"prompt\": \"Well, I've exercised in the past and that helps. Right now. My schedule is kind of out of whack and I just really don't know what to do. That's why I came to see Dr. seal. I thought maybe he can prescribe me something that would help. You know, when I'm feeling overwhelmed,\", \"completion\": \"And he may be able to I'm not saying that he cannot just imagine that he's concerned that if you continue to drink, the level that you are drinking, that whatever he prescribes you, there may be an interaction with it to mention that he's concerned. I'm not completely sure. So you've had some success in the past of changing behaviors. And if you were to decide to make any changes here that sounds like you could draw upon that to make those changes. How important would it be for you on a scale of zero to 10? I have a low visual hero that if zero is not important, ten is very important to do something about your drinking wine.\"}\n", "{\"prompt\": \"Well, I mean, if if it means that it's increasing my stress and or he's not going to prescribe me anything because of my drinking, then it's fairly important, maybe about seven. \", \"completion\": \"It's it's pretty up there. What do you choose a seven out of five or four?\"}\n", "{\"prompt\": \"Well, again, I got to get things under control. You know, My kids are dependent on me and I've got to go to work to help ease this financial stress. And so, you know, all those responsibilities\", \"completion\": \"there's a lot riding on your decision on what to do with this. What if anything would bring up to an eight or nine on that scale?\"}\n", "{\"prompt\": \"Well, the you know, the risk that you mentioned about the drug interaction, I certainly can't afford to, you know, have any more stress. So, yeah, \", \"completion\": \"so so you you choose to lower your stress rather than increase it. And if lowering your drinking would have that effect that something be willing to do.\"}\n", "{\"prompt\": \"hmmm\", \"completion\": \"How confident are you that you could do something about your drinking?\"}\n", "{\"prompt\": \"I'm pretty confident and you know, probably about a seven or an eight \", \"completion\": \"Okay, so it's pretty high up there again, and what if, what if anything, would you choose to do would it be to cut down would it be to quit? I'm just curious about that\"}\n", "{\"prompt\": \"I you know, I like a lot A glass of wine, I don't want to quit altogether, I'd be willing to try cutting that. But now if it's going to, if Dr. Seal would agree to prescribe me something for the anxiety, and it meant that I had to not drink at all, I'd be willing to do that at least for a period of time.\", \"completion\": \"So you'd be willing to stop altogether. That's what was indicated by the physician. Okay. So based on that, how ready are you to do anything right now, whether it's to cut back whether it's to quit?\"}\n", "{\"prompt\": \"Well, again, you know, if if I can get something to help me manage if maybe I can find some other way to deal with the stress, then then you know, I be pretty ready. Again, maybe about an on that scale, maybe an eight.\", \"completion\": \"Okay, so that's, that's pretty hot there as well. It sounds as though you're pretty motivated to do something about this right now, given any responsibilities given your children learning at this point. And just on lowering anxiety, in general, it sounds and that's one of your goals as well. Well, I'm pretty confident Once you decide to do whatever it is you decide to do, you'll be able to follow through with it. Based on your experience in the past of making behavior changes. I mentioned some things that you can draw upon. What's one thing that you could do? Imagine you thought of some things might help to lower your stress.\"}\n", "{\"prompt\": \"Oh, I you know that the exercise but again, that's that's kind of difficult to fit in right now. I'm hoping that Dr. Seal will prescribe something for me to take when I'm feeling particularly overwhelmed and maybe just having somebody to talk to to bounce some things off of \", \"completion\": \"one of the things we can offer here is for you to come in and talk to one of our behavioral health specialists may be able to help you talk talk through this this area of your life, this area of increased stress and sound like responsibility there and we can make an appointment for you for like before you leave today to talk to somebody\"}\n", "{\"prompt\": \"That would be nice\", \"completion\": \"that also has some information here if you're interested, some pamphlet on alcohol and and how what helps limits on how it may be affected by medications that you take as well. And I wish you lots of luck. It sounds as though you're really committed to making this shift in this change. And I imagine doctors still want to follow up with you and see how you do with your with your change within a few weeks.\"}\n", "{\"prompt\": \"Okay\", \"completion\": \"Again, I look forward to speaking to you in the future.\"}\n", "{\"prompt\": \"Yes. Hi.\", \"completion\": \"Hello there. My name is Dr. Beji. I'm one of the new GP in the practice. And I'm seeing you today instead of Dr. Jones, who's your usual GP?\"}\n", "{\"prompt\": \"Yes, he is. Yeah. \", \"completion\": \"First of all, what would you like me to call you? \"}\n", "{\"prompt\": \"Oh, Julie os fine. \", \"completion\": \"Okay. Okay. But Julie, so what is it that's bought you to see me today?\"}\n", "{\"prompt\": \"Well, it's the same thing that I see Dr. Jones about as my heart. \", \"completion\": \"Yeah, I understand that you've been in to see him a few times over the last few months. Would you mind if I asked you to go over again what the problem is perhaps in your own words, so that I get an understanding of it. \"}\n", "{\"prompt\": \"I just I keep getting these situations where my heart starts to really, really race like, boom, boom, boom, boom, boom, boom, boom, boom, boom. I get chest pains. I can't catch my breath and it's making me feel funny talking to you about And so my heart starts to race. I can't get my breath and I get chest pain. I get very afraid. I'm gonna have to die\", \"completion\": \"and you're feeling a little bit anxious just here with me.\"}\n", "{\"prompt\": \"Yeah I am just talking about it. I can feel it starting to come up.\", \"completion\": \"Take your time. Okay. So your heart starts to race really beats really fast and you feel like you can't catch your breath.\"}\n", "{\"prompt\": \"Yeah, that's exactly it. Yes. Yeah.\", \"completion\": \"How long has all this been going on for Julie?\"}\n", "{\"prompt\": \"I think it's probably about six months, basically. \", \"completion\": \"Okay. And can you remember what happened to start it all off?\"}\n", "{\"prompt\": \"Well, I think we have had some problems at work. And I felt more stressed about work than I normally do. And basically, I was just trying to get into town one day on a day off and it was very hot, very funny, hot days and it just happened. My heart just started. to race and race and race and I couldn't get my breath, I was just like gasping for breath. Then I start to get chest pains and it was just awful. And I managed to sit down and call my husband and he, he came out, he actually left work to come and get me. \", \"completion\": \"Right. So that sounds like quite an unpleasant experience.\"}\n", "{\"prompt\": \"Its was awful It frightenining, yeah\", \"completion\": \"and when that was happening to Julie, when you're in the middle of town, what was it that you thought was going on? \"}\n", "{\"prompt\": \"I thought I was having a heart attack I'm so afraid that that's is what's happening.\", \"completion\": \"Right Okay.\"}\n", "{\"prompt\": \"So you know, start to try to avoid situations where I might get like that they see ya. \", \"completion\": \"So what kind of things are you finding yourself avoiding?\"}\n", "{\"prompt\": \"I can't get into town now without my husband taking me My husband has to take me to from work. And then I also thought I shouldn't do anything to put any strain on my heart at all. So I don't do much exercise or anything at the moment or other things as well\", \"completion\": \"and other things, what sort of things you are not doing?\"}\n", "{\"prompt\": \"personal things, personal things. \", \"completion\": \"Okay. I guess I'm wondering if you're talking about your sex life there.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Right.\"}\n", "{\"prompt\": \"Now I just feel, you know that I shouldn't do anything like that, because it just might put too much strain on me.\", \"completion\": \"So you're avoiding sex in case that puts your heart rate up.\"}\n", "{\"prompt\": \"yeah yeah\", \"completion\": \"Okay, How's that affecting things between you and your husband?\"}\n", "{\"prompt\": \"My husband's getting really fed up with it to be honest. He's been really, really kind and really supportive. But I think it's starting to affect his life quite a lot now. So he wanted me to go to the pub last week and absolutely promised that I would, because I've begun to stop wanting to go out because I'm so afraid it's gonna happen. I promised and promised him I go to the pub. And then when it came to it, I just couldn't. I just sat on the sofa and it started happening again. And then I was worried that if I went to the pub, I'd actually like get ill in the pub. And then it's really embarrassing for everybody. So just that I couldn't go in, and I think he's getting a bit To the end of his tetanus because it just seems to come out of the blue. And I've never suffered from anything like this before.\", \"completion\": \"It sounds like he's getting to the end of his tether because it also sounds like you're pretty fed up with the whole thing as well. Julie\"}\n", "{\"prompt\": \"Yeah, right. Yeah, yeah. \", \"completion\": \"So just so that I've got the story straight. This all began about six months ago. Before that, had you had anything like this? \"}\n", "{\"prompt\": \"No, not at all. I mean, I think we had a new manager at work, I work in a bank only and then we had a new computer system put in and so it became very much stressful for all the staff not just me. And that's I can sort of see that I was in a lot more pressure and that could be affecting me.\", \"completion\": \"So just to make sure I've got the right the right way around. It began six months ago, pressure at work went to town you had the first of these attacks. And then since then you've had some more and now it's kind of got to the point that you don't want to go out to don't get to town by yourself. \"}\n", "{\"prompt\": \"No, I don't want to risk it to be honest. \", \"completion\": \"You know, you don't go to the pub, not socializing like you used to and you avoiding things like exercise and things like sex and having a bit of a taking its toll on your relationship. \"}\n", "{\"prompt\": \"Yeah yeah yeah.\", \"completion\": \"Okay. Okay. And looking at your I know, you've had an ECG, Dr. Jones, organized for you a couple of months ago. \"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"What have you been told about the results of that?\"}\n", "{\"prompt\": \"Well Dr. Jones said that it was okay. And there were no problems. And, you know, I did feel relief, you know, because, obviously, there's been events in my family, my dad died of one, you know, 72. So I'm thinking it must be my heart. There must be something wrong with it right now. It did feel pleased when Dr. Jones said that. But on the other hand, nothing's changed. You know, I'm still getting exactly the same problems. Nothing, you know, not getting any help with it. I just feel a bit like well, so I haven't got a bad heart according to the experts, but I'm still getting all the same symptoms you kow worse and worse.\", \"completion\": \"So even though the your GP told you there's no, there's nothing to worry about with your heart. Do you still worry that There might be something wrong with your heart?\"}\n", "{\"prompt\": \"I can't understand it. What do you think of Dr. Julia?\", \"completion\": \"I think I agree with Dr. Jones. I don't think there is anything wrong with your heart. The reason I say that is that you've had an ECG, which has come back perfectly normal. And usually if there was a problem with the heart the ECG would pick something up. Also, you've got none of the risk factors really for heart disease, because you you don't smoke, your blood pressure, from what I can gather from you notes has always been fine. You're fairly young. Before this, you were pretty fit and active. And also, I know you're worried about your dad having had a heart attack, but actually, he was a lot older than you are. And so you're not really in the same risk sort of bracket as he would have been. \"}\n", "{\"prompt\": \"Right.\", \"completion\": \"So I don't think that there is a problem with your heart. I guess what I'm what Is weather actually, what's going on is a little bit more what Dr. Jones thought weather actually this, this might be the anxiety that's giving you a lot of these symptoms. Have you ever thought it might be that rather than a heart problem?\"}\n", "{\"prompt\": \"I think I've been thinking more recently, it could be because my friend has like panic attacks. I've discussed it with her and she said, to be honest, it just sounds like that. I've always thought it was my heart. And what I can't understand is how my brain is making my heart start racing like it is. \", \"completion\": \"It's right. Okay. Has anyone explained to about anxiety and panic attacks?\"}\n", "{\"prompt\": \"I don't really know.\", \"completion\": \"Okay, well, perhaps it would be helpful to sort of hear a little bit more about that. What we have on top of our kidneys is two little glands and they called our adrenal glands. \"}\n", "{\"prompt\": \"Right.\", \"completion\": \"And they produce a hormone called adrenalin. Have you heard of that?\"}\n", "{\"prompt\": \" Yes, I have heard of that\", \"completion\": \"okay. And what adrenalin does is it prepares us for situations of fight or flight? Is that a term you perhaps remember from biology at school?\"}\n", "{\"prompt\": \"I do. I do. Yeah. I Do\", \"completion\": \"you remember what we mean by fight or flies?\"}\n", "{\"prompt\": \"I think like, if you're in a scary situation, you fight or you run away, basically your body sort of triggers that.\", \"completion\": \"Yeah\"}\n", "{\"prompt\": \"to do it.\", \"completion\": \"Yes, exactly. It's what's released to allow you to do the flight or fight response in the adrenaline. So when your body needs to get ready to do something, it's surges out a load of adrenaline, and the adrenaline basically gets you ready for action. \"}\n", "{\"prompt\": \"Right.\", \"completion\": \"So it does things like it puts your heart rate up, it makes your breathing speed up, you're ready to run. It can sometimes make people feel as though their mouth is dry. It can sometimes make people feel a bit lightheaded. But those are the kinds of symptoms that you can get.\"}\n", "{\"prompt\": \"All of those actually Okay.\", \"completion\": \"What often happens with people with panic is that the first time that happens the first adrenaline release Out of the blue, perhaps at times of stress, and you mentioned that there was stuff going on at work, and you're feeling a bit stressed out and you're in town, it was a bit hot. So that may have been what was behind that very first panic attack. What happens to people is that once they've had one panic attack, they go on to have more. \"}\n", "{\"prompt\": \"Hmm.\", \"completion\": \"And the reason for that is that once you've had something like that happen to you, you're kind of there thinking, Oh, will this happen again? \"}\n", "{\"prompt\": \"Is that something that you are Absolutely sure. I have started to really monitor my heart And when it starts to race, I start to get worried. And then it starts getting faster and faster So it does feel that's\", \"completion\": \"Yeah, you describing it Exactly. Julie, that's what we call hyper vigilance. So you they're kind of keeping a bit of an eye on your heart. And for most of us, our heart rate will go up and down all through the day, but most of us don't worry about it, because we don't notice it. \"}\n", "{\"prompt\": \"Right.\", \"completion\": \"But because you've had a panic attack you they're thinking, What's my heart doing? \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"And then the minute it starts to change, you clock it You notice it, and then you start to get anxious thoughts, you might worry And\"}\n", "{\"prompt\": \"I really start worrying, thinking thinking, is it going to be now? You know, is my heart gonna stop beating\", \"completion\": \"Right, So you get those kinds of anxious and they're very frightening, because you're thinking, Oh, my goodness me could my heart's on that makes you even more anxious, and that causes even more adrenalin to be released. \"}\n", "{\"prompt\": \"Right\", \"completion\": \"And that makes the symptoms even more pronounced. And then that makes you believe even more that there's something wrong with you. Does that make sense to what might be happening?\"}\n", "{\"prompt\": \"It does make sense doctor\", \"completion\": \"One of the things that you have been doing, which is something that a lot of people with anxiety do is that you've started to, to avoid doing things that trigger it off. \"}\n", "{\"prompt\": \"Yeah, like not walking to town or anything like that anymore. \", \"completion\": \"Exactly. And whilst in the short term that sort of alleviates your symptoms, because you don't have to get panicky, what's happening is that the more you avoid doing things, the less likely you are to ever get round to finding out whether or not anything awful, really happens. \"}\n", "{\"prompt\": \"Right yeah.\", \"completion\": \"Does that make sense?\"}\n", "{\"prompt\": \"It Does. it just makes sense\", \"completion\": \"Well, if we all started to tackle this as if it was an anxiety problem, there are a number of approaches, we can think about tablets. And we're gonna think about other kind of talking approaches. There are pros and cons to those and side effects and things that we need to discuss. So I'm just slightly watchful of the time, we seem to be coming to the end of today's session for the appointment, but all right, well, I wonder is whether we should meet again, perhaps next week, and look again, more carefully at some of the treatment options and think together about which might suit you best. \"}\n", "{\"prompt\": \"Okay\", \"completion\": \"how would that sound?\"}\n", "{\"prompt\": \"You know, that's fine. That's fine. \", \"completion\": \"Any other questions before we end this session\"}\n", "{\"prompt\": \"No, I will make an appointment to see you next week\", \"completion\": \"I'll see you next week.\"}\n", "{\"prompt\": \"Okay, thank you, doctor. \", \"completion\": \"Pleasure. All right.\"}\n", "{\"prompt\": \"I'm doing pretty well, but kind of concerned about something.\", \"completion\": \"Yeah, I'm aware you have some symptoms that have been bothering you. You tell me about those.\"}\n", "{\"prompt\": \"Yeah. Sometimes I have problems like with my attention and you know, I was looking at online and I'm really worried that I might have ADHD\", \"completion\": \"ADHD. Alright, so we'll, we'll talk about that. Let me ask you a few quick questions before we we get to that. Do you ever feel depressed\"}\n", "{\"prompt\": \"No\", \"completion\": \"or anxious?\"}\n", "{\"prompt\": \"No\", \"completion\": \"and in trouble with drugs or alcohol?\"}\n", "{\"prompt\": \"Oh No\", \"completion\": \"Nothing like that. Okay. ?Why do you think you have have ADHD?\"}\n", "{\"prompt\": \"Oh, cuz I mean, I've always had a problem with my attention. And I can get distracted pretty easily. And\", \"completion\": \"so, so trouble establishing attention? \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"How about difficulty in holding attention? Like once you have established it?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Trouble with both?\"}\n", "{\"prompt\": \"yeah\", \"completion\": \"Alright. And you mentioned the word distracted.\"}\n", "{\"prompt\": \"Yes. Yeah.\", \"completion\": \"So you find yourself easily distracted? Yeah, you do. Okay. How about well give me an idea of the setting. So, is this at work or school?\"}\n", "{\"prompt\": \"It's everywhere.\", \"completion\": \"It's everywhere. Right. So, do you work? \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Do you go to school?\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"How old are you?\"}\n", "{\"prompt\": \"I'm 24\", \"completion\": \"24. All right. And this problem with the attention affects you at work.\"}\n", "{\"prompt\": \"Yeah, \", \"completion\": \"at a school and you said everywhere.\"}\n", "{\"prompt\": \"Yeah, pretty much it's part of my everyday life now.\", \"completion\": \"You're 24. Now, when did you first notice the potential problems?\"}\n", "{\"prompt\": \"I've always had that. I mean, even when I was in like elementary school, you know, it was always that kid.\", \"completion\": \"You've had it for a long time?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"How about how disturbing is like, How much is it interfering with your functioning?\"}\n", "{\"prompt\": \"It really It really does.\", \"completion\": \"It's really problematic. Wow. All right. Okay, so I'm going to ask you a few other questions here. We talked about the attention. So it's hard for you to give attention and hold attention. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"How about listening? Let's Let's go with the school environment for now. Let's talk about school. How about listening in class?\"}\n", "{\"prompt\": \"I don't really have a problem with that.\", \"completion\": \"That's not a problem for you.\"}\n", "{\"prompt\": \"No\", \"completion\": \"How about following instructions?\"}\n", "{\"prompt\": \"No.\", \"completion\": \"Tell me about your organizational skills\"}\n", "{\"prompt\": \"I am very organized, \", \"completion\": \"very organized?\"}\n", "{\"prompt\": \"Yeah Have to be in college.\", \"completion\": \"Do you find yourself avoiding activities that require a lot of mental investment? Until energy?\"}\n", "{\"prompt\": \"No, not really No, no.\", \"completion\": \"Do to move toward those types of activities.\"}\n", "{\"prompt\": \"I'm not opposed to them. Like I like chess and checkers\", \"completion\": \"to ever find yourself losing things that you need to complete different jobs or tasks.\"}\n", "{\"prompt\": \"no.\", \"completion\": \"Okay, I'm gonna change gears and ask you some other questions around a different area. \"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"Do you ever find yourself like fidgeting? tough to stay still?\"}\n", "{\"prompt\": \"Not really No, \", \"completion\": \"no. In school, and we'll get we'll cut stick with the school. environment. \"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"Do you find it difficult to stay seated?\"}\n", "{\"prompt\": \"No, not at all.\", \"completion\": \"How do you do when you are engaging in a quiet activity?\"}\n", "{\"prompt\": \"I do pretty well.\", \"completion\": \"You're okay with that.\"}\n", "{\"prompt\": \"Yeah, \", \"completion\": \"you know find yourself wandering off.\"}\n", "{\"prompt\": \"No.\", \"completion\": \"Did you ever feel like, again internally there's a motor running and you can't shut it off.\"}\n", "{\"prompt\": \"No, no.\", \"completion\": \"How about being talkative Do you find yourself\"}\n", "{\"prompt\": \"I am very talkative, very talkative, very talkative. Sometimes I end up being rude and I interrupt people. Cuz I just I gotta get it out.\", \"completion\": \"Right. So you feel like you'd talk a lot? And that you interrupt. Yes. People in a situation where it would be traditional to like, wait, in line or wait your turn. Do you find that's difficult for you? \"}\n", "{\"prompt\": \"ack\", \"completion\": \"no. Do you ever find yourself like, for example in class, just saying something? Like blurting something out without giving it much thought?\"}\n", "{\"prompt\": \"No, not really. No? Okay.\", \"completion\": \"All right. I think I have what I need here. And I want to get you in to see a counselor.\"}\n", "{\"prompt\": \"Okay, \", \"completion\": \"if that works for you, because you did mention this was affecting your function. I want to I want to make sure you get to see a counselor. It'll just take a couple days to get you in to see somebody that works for you.\"}\n", "{\"prompt\": \"That's great. Thank you.\", \"completion\": \"Yeah, I appreciate you taking this time with me. This information has been helpful. \"}\n", "{\"prompt\": \"Thank you very much.\", \"completion\": \"Thanks, .\"}\n", "{\"prompt\": \"I'm doing okay. It could be a little better but could always be worse, but I'm going okay,\", \"completion\": \"good. Okay. I understand you have some symptoms that have been bothering you.\"}\n", "{\"prompt\": \"They have been bothering me. Well, I just started back to school last year, I was staying at home while my husband was working with the kids are crawling now out of the house. So I said I was gonna go back to school. I have been in school in 20 years, and I thought I could handle it. But right now, I just find myself so anxious and just so worried all the time. And I just don't know what to do with it. It's been going on for around the past seven, eight months now.\", \"completion\": \"About seven or eight months?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Would you say that this anxiety has been affecting you? more days? That doesn't?\"}\n", "{\"prompt\": \"Um, I would say it's been affecting me. Yes. For some time, though. Yes. More often than not, yes.\", \"completion\": \"More often than not. Yeah. Do you find yourself struggling to control the anxiety?\"}\n", "{\"prompt\": \"So control it. I'm just anxious all the time. Yes.\", \"completion\": \"Sounds like you're struggling to get under control.\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"Tell me about how it's been affecting. You mentioned in school.\"}\n", "{\"prompt\": \"It's, I'm not doing too well at school right now. \", \"completion\": \"Not at all?\"}\n", "{\"prompt\": \"I thought it would be a better student. I was always a steady student back. Back before when I was an undergrad. I was always a straight A student, but now I'm failing and I just can't, I can't concentrate school failing. I'm just so worried all the time about what how I'm going to do in this class, what assignments are due. If I'm getting the work done in time, it's controlling. It's taking over everything I do in school. So I'm so more I'm more worried about how I'm going to do, then having time to focus on my grades. Like it's just to that level.\", \"completion\": \"It's really distressing for you. Yes, that's a school about a home\"}\n", "{\"prompt\": \"and home. I'm so worried about school, that it's affecting my life at home. Like I'm okay, I have this assignment but then, oh my goodness, I'm so focused on this assignment. We'll have time to make dinner for the kids. Oh, my husband's been all over the house is such a mess all the time. And it's just causing so much conflict at home. My husband thinks I should be doing my house workout. I'm so consumed with school and then it's just such a big mess right now. So I'm constantly worried when I'm when I'm at school, I'm worried about home and when I'm home, I'm worried Got school.\", \"completion\": \"So good deal with deal worrying\"}\n", "{\"prompt\": \"all the time, all the time.\", \"completion\": \"Okay, so I'll ask you a few questions about this. And some that might be related to drink or use any drugs?\"}\n", "{\"prompt\": \"No, not at all. Not at all.\", \"completion\": \"Do you have any medical conditions?\"}\n", "{\"prompt\": \"No, not at all. \", \"completion\": \"Nothing. Have you ever been diagnosed with any other mental health disorders?\"}\n", "{\"prompt\": \"No.\", \"completion\": \"Not ever have panic attacks , have you ever had one in the past?\"}\n", "{\"prompt\": \"No, no.\", \"completion\": \"So a lot of anxiety but no panic just just\"}\n", "{\"prompt\": \"anxiety like overwhelming anxiety.\", \"completion\": \"Intense anxiety?\"}\n", "{\"prompt\": \"Yes,\", \"completion\": \"but but never situation where you felt you had to flee from a room or anything like that. Any past trauma\"}\n", "{\"prompt\": \"No\", \"completion\": \"Okay, Do you sometimes feel keyed up on edge or restless?\"}\n", "{\"prompt\": \"restless?\", \"completion\": \"restless, yes\"}\n", "{\"prompt\": \"restless.\", \"completion\": \"Do you find yourself easily fatigued? I'm\"}\n", "{\"prompt\": \"tired all the time.\", \"completion\": \"tired all the time.\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"Do you have any trouble concentrating or finding your mind go blank?\"}\n", "{\"prompt\": \"No, not really notice. \", \"completion\": \"How about irritability find yourself. irritable.,\"}\n", "{\"prompt\": \"no, not really irritable.\", \"completion\": \"Any muscle tension?\"}\n", "{\"prompt\": \"Not really. No. Okay.\", \"completion\": \"Hello. trouble sleeping. So to be falling asleep, staying asleep having unsatisfying sleep, anything like that?\"}\n", "{\"prompt\": \"Well, I have unsatisfied sleep. But we just moved and we live next to a factory. There's trucks in and out all the time who can sit with that? There's crackling noise\", \"completion\": \"so you think that might be causing Your sleep disturbance.\"}\n", "{\"prompt\": \"It's entirely possible. It's like who can sleep? Well, we got trucks in and out all hours of the night overnight, and in the wee hours of the morning, so it's pretty much impossible to fall asleep when you have just this noise\", \"completion\": \"about before you moved there.\"}\n", "{\"prompt\": \"I don't remember.\", \"completion\": \"How long ago was it that you moved to the florida?\"}\n", "{\"prompt\": \"Um, a couple years\", \"completion\": \"couple years?\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"So you've had the stories that by for a couple years?\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"So symptoms started eight months ago.\"}\n", "{\"prompt\": \"Yes. So I don't know if they've made it. I don't know if it made it if made it worse, or just the noises just been. So I don't know if it's the noise or why but I can't sleep.\", \"completion\": \"Okay, how about any vacations or anything? \"}\n", "{\"prompt\": \"I'm sorry.\", \"completion\": \"No vacation. So you've pretty much been sleeping. Your home every night for as long as the symptoms have been around.\"}\n", "{\"prompt\": \"Oh, yes, yeah. \", \"completion\": \"All right. All right, sir. I appreciate you answering these questions. For me. This has been helpful. I'm gonna get your schedule with a counselor. And they should be. I'll see you in a couple of days.\"}\n", "{\"prompt\": \"Oh, thank you. Thank you. I would I would so appreciate it just to get this under control. \", \"completion\": \"Absolutely. Take care, sir. \"}\n", "{\"prompt\": \"Well, actually, Wendy, I'm having a lot of trouble coping with with my job. The hours are working are supposed to be 830 to 330. And lately, I've just got so much work given to me. I'm having difficulty getting through the whole day with it. And I've got a couple of teenage boys that I pick up after school every day because he's so naughty. They're not allowed to go on the bus. And so I've made my hours 830 to 330. So I give them a chance to Get out of school and then at 330 on on supposed to be there to pick them up. But lately, it's been later and later on getting there sometimes 430 the other day was five and the boys were just the naughty boys you notice and and they're everywhere. They're all over the school they're getting into trouble and and then I'm late home preparing dinner for my husband and then he gets annoyed and on it goes, it's getting too much. \", \"completion\": \"So you're supposed to finish at 330 Why do you think you're not finishing it through 330?\"}\n", "{\"prompt\": \"too much work? And here's what's happening. We'll we'll do one dog work in a doctor's surgery. I don't know if I mentioned that. One doctor employed me but there are four within the practice. And I'm doing work for all of them when really I should only be doing work for one\", \"completion\": \"right, So that's really the problem that we'll get You work and there's no way you can fit into the the times that you were employed to work. \"}\n", "{\"prompt\": \"No. And I just can't say no to them, but they put the they put the work in my in tray. And then and then it's not get into my head try and write those fallen. It's there the next day in. And it's It's just all too much for us. \", \"completion\": \"I can see that I can see you're getting quite stressed about it. So have you had any thoughts about anything you might be able to do about this? Kathleen? Is there anything you think you could do?\"}\n", "{\"prompt\": \"Well, apart from just I don't I don't believe it's such a good job, but I'll probably have to, I'll have to, I'll have to tell some. I'll have to tell her. I think I'm gonna have to tell her \", \"completion\": \"so you really do feel that you need to talk to the boss that includes you and explain what the problem is. Is this something you feel comfortable about doing?\"}\n", "{\"prompt\": \"No, no, no, no. Oh, she's easy and And she is lovely and I just thought I don't I don't want to annoy her. \", \"completion\": \"Okay, because she was lovely there. She says, Do you think that if you were able to go and talk to her, that she'd actually be quite receptive to listening to you?\"}\n", "{\"prompt\": \"Well, of course she, wouldn't she\", \"completion\": \"okay. What I'm going to suggest Kathleen is that we do something called a role play. And what that is, is that we act out the situation, whatever it is. And in your case, it's going to be you going and talking to your boss and trying to explain to her that you've got a problem trying to fit your work into the house, which is supposed to be working. So you'll be playing, you end up playing your boss. Now, obviously, you're not going to get exactly the same responses from your boss that you'll get from me today. But it does give you a chance to think about the way you might approach it, to practice it, and to get a response that you can then react to and practice your way through a possible scenario. And what this could do happily Give you a bit more confidence about the swing. \"}\n", "{\"prompt\": \"What do you put in a?\", \"completion\": \"Well, we practice it right now. Oh, I can, what we'll do is, you'll be you. And I'll be the doctor that you're going to see. Let's just think about a couple of things to get it started.\"}\n", "{\"prompt\": \"So I pretend that I'm going to be coming into her tutorial. Okay, \", \"completion\": \"well, what do you think would be the best time of day to do it? Oh, topic day\"}\n", "{\"prompt\": \"time of day. I'm so busy so busy during the day, I'm probably early morning might be the best first first thing in the morning. \", \"completion\": \"Sounds like a good idea because then you don't have to worry.\"}\n", "{\"prompt\": \"That's true.\", \"completion\": \"Okay, so have you had any got any thoughts about what you might say? How are you going to introduce?\"}\n", "{\"prompt\": \"I suppose I could say to her, is this a good time to talk? \", \"completion\": \"That's fantastic.\"}\n", "{\"prompt\": \"Okay\", \"completion\": \"because that gives her the chance the opportunity to say well, No, it isn't. Could you come in five minutes. I'm sorry. Oh, Go straight into it. That's really good. Okay. Should we give it a try? \"}\n", "{\"prompt\": \"Okay. All right.\", \"completion\": \"So I'm gonna get you to stand up and pretend that you knocking on the doors that what you do. Yes, yes. All right. So I want you to get out and just do that and then come back in as if you're having to see your boss and the boss to tell me what to \"}\n", "{\"prompt\": \"do the role plays out.\", \"completion\": \"yeah\"}\n", "{\"prompt\": \"Okay. Now good time to talk.\", \"completion\": \"Yeah, sure. Good, thank you.\"}\n", "{\"prompt\": \"Well, the problem is Marianne on on having I'm having problems coping with my workload at the moment, mainly because it's putting me here, too late in the afternoon. Remember when you first put me on miles were 830 to 330 as well. No, I'm finishing later and later 430, sometimes 5 I've got too much work and a lot to finish on time because I have to pick them up from school and you know what they like. So I'm just wondering if if we can work well \", \"completion\": \"obviously you're employed 830 to 330 Kathlleine hours we want you to work so we don't want you working back so first of all, this is important that you know that we want you to leave at 330 and that's what I want you to do. But from what you're saying the work you're being given doesn't fit into those hours\"}\n", "{\"prompt\": \"I don't know\", \"completion\": \"what's happening here I'm getting too much work from the other doctors\"}\n", "{\"prompt\": \"All right i don't know i don't think you're not but I didn't think that I'd be getting work of four because this doctors here and is only doing your work.\", \"completion\": \"I think I've got the picture.\"}\n", "{\"prompt\": \"I don't I don't like saying no to them though.\", \"completion\": \"I'm glad you came to me. I really need this job. Look. I'm really glad you came to see But obviously 830 to 330 is not enough. It's a long day, early as you're supposed to work. So I need to have a look into this and see what's going on. \"}\n", "{\"prompt\": \"It's only half my day. The other half starts when I pick my boys up. And they say naughty they are they are really well, certainly\", \"completion\": \"Kathleen. Yes, I'll have a look at it. But I want you to make sure that you do leave at 330 every day.\"}\n", "{\"prompt\": \"Well, I think because I've done that little rolle play feel a little bit better probably gone and seen the doctor will help\", \"completion\": \"Obviously the responses that I gave are not going to be the ones you'll get from doctor because she is sure this is what she said she. So there'll be something similar, but the important thing is, I think, to work out that first opening gambit, isn't it and it's true and to do that, and then flow on so That's something I want you to think about. Perhaps a few. You guys come and see me next week and about a week perhaps.\"}\n", "{\"prompt\": \"I have to sit home.\", \"completion\": \"Well, let's look at it. What I'd like you to do is think about what we've done today. Yes, but but don't don't. Don't overdo it don't sort of keep it down for your mind. Well, exactly. That's what I was going to say. I can see that you're getting a bit, too.\"}\n", "{\"prompt\": \"I don't like confrontation. I don't like telling people what to do.\", \"completion\": \"I know. Yeah. So having the right words is a help. That will help you to get a bit of confidence there. But importantly, I think we need to relax a bit, don't we? And there are some very simple relaxation exercises that I can teach you that I'd like you to go away and practice. So that horrified by next week when you come, you'll practice those relaxation exercises, because they have things that you can use anyway in any situation. I'll tell you what I know you don't have to lie on the floor. Not for these because that's not very practical before you go see your boss. So, what I suggest is we look at you coming back in a week's time and your practice the relaxation exercises, we'll go through them again, and we perhaps do another role play and then maybe we might be ready to go and do it for real. What do you think? \"}\n", "{\"prompt\": \"Doing good. How are you?\", \"completion\": \"I am doing well, thanks for asking. I want to give you a brief assessment to help measure functions like memory and thinking. Is that okay with you? \"}\n", "{\"prompt\": \"Okay\", \"completion\": \"All right. For the first part of this assessment, we're going to be handing the sheet back and forth. Okay, I have a table there, so you can write on it. half a second part. I'll get that out of your way. I'll work on some other parts of it. Okay, that sounds good?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"All right. So let's take a look at this section right here. I have my finger pointed, please draw a line going from a number to a letter in ascending order. So I want you to begin here and draw a line from one that's a than the two and so on and here?\"}\n", "{\"prompt\": \"Okay\", \"completion\": \"thank you. I want you to copy this drawing as accurately as you can in the space below.\"}\n", "{\"prompt\": \"....\", \"completion\": \"Thank you. So in this empty space here like to draw a clock, put in all the numbers and set the time to five past hour\"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"Thank you for joining us. Can you tell me the name of this animal?\"}\n", "{\"prompt\": \"Giraffe\", \"completion\": \"what the name of this animal?\"}\n", "{\"prompt\": \"bear\", \"completion\": \"and the name of that animal?\"}\n", "{\"prompt\": \"hippopotamus.\", \"completion\": \"Thank you. This is a memory test. I'm going to read a list of words that you will have to remember now, and later on, listen carefully. When I'm through, tell me as many words as you can remember, it does not matter in what order you said. Truck, Banana, Violin, Born, Green.\"}\n", "{\"prompt\": \"Banana, Truck, Violin, Green, Born. \", \"completion\": \"Thank you. I'm going to read the same list for a second time. Try to remember and tell me as many words as you can including words you said the first time. Truck, Banana, Violin, Born, Green\"}\n", "{\"prompt\": \"truck banana violin green.\", \"completion\": \"Thank you. I will ask you to recall those words again at the end of the test. I am going to say some numbers when I'm through, repeat them to me exactly as I've said them...3 2 9 6 5 \"}\n", "{\"prompt\": \"3 2 9 6 5.\", \"completion\": \"Thank you. Now I'm going to say some more numbers, but when I'm through, you must repeat them to me in the backwards order. 8 5 2 \"}\n", "{\"prompt\": \"2 5 2008\", \"completion\": \"Thank you. Now I asked you to count by subtracting seven from 90 and then keep subtracting seven from your answer until I tell you to stop.\"}\n", "{\"prompt\": \"Starting with 90 and then going down seven,\", \"completion\": \"correct\"}\n", "{\"prompt\": \"90 83 76 69 62 55.\", \"completion\": \"that's good. Thank you. I'm going to read you a sentence, repeat it after me, exactly as I say it. A bird can fly into closed windows when it's dark and windy. \"}\n", "{\"prompt\": \"A bird can fly into close windows when it's dark and windy.\", \"completion\": \"Thank you. Now I'm going to read you another sentence repeat it after me exactly as I say it. The caring grandmother sent groceries over a week ago.\"}\n", "{\"prompt\": \"The caring grandmother sent groceries over a week ago.\", \"completion\": \"Thank you. Tell me as many words as you can think of the beginning with a certain letter of the alphabet, that I will tell you in a moment. You can say, any kind of word you want except for proper nouns, like Bob or Boston, numbers, or words that begin with the same sound, but have a different suffix for example, love lover loving. I will tell you to stop after one minute. Are you ready?\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"Now tell me as many words as you can think of the begin with the letter S?\"}\n", "{\"prompt\": \"shoes, socks, stockings, sweater, shirt, Stripes. suitcase, Save, Strategic, Serene. Sweet, super.\", \"completion\": \"Tell me how a carrot and a potato are like?\"}\n", "{\"prompt\": \"vegetables.\", \"completion\": \"Can you tell me how a diamond and Ruby are like?\"}\n", "{\"prompt\": \"They both are stones\", \"completion\": \"I read some words to you earlier, which I asked you to remember. Tell me as many of those words as you can remember,\"}\n", "{\"prompt\": \"banana, truck, green, born, violin\", \"completion\": \"Can you tell me today's date?\"}\n", "{\"prompt\": \"February 10.\", \"completion\": \"tell me what day of week it is ?\"}\n", "{\"prompt\": \"Tuesday.\", \"completion\": \"Tell me what place we're in right now.\"}\n", "{\"prompt\": \"Willmington University\", \"completion\": \"and what city we're in ?\"}\n", "{\"prompt\": \"Delaware.\", \"completion\": \"Susan, thank you very well. \"}\n", "{\"prompt\": \"Good. How are you?\", \"completion\": \"I'm doing all right. How things been since last week?\"}\n", "{\"prompt\": \"Um, things you know, I've been really sort of preoccupied and anxious a lot this week. My daughter got sick. So I had to take three days off of work to take care of her and I'm starting to worry, she's been sick a lot since I've gone back to work she's in daycare. And I've had to take a lot of time off work and I'm getting close to going over my allotted amount of days. And so I'm finding myself being very anxious about that and then feeling guilty because when I'm trying to take care of her, I'm always worrying about work so, \", \"completion\": \"okay, sounds like a couple things may be going on. In child has been sick so youre taken off days. So there's a little worried about your relationship with your employer. At the same time, you want to make sure you're taking good care of your child having trouble reconciling those two.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"All right. What was the last time it happened, can you described what happened?\"}\n", "{\"prompt\": \"The last time I had to take off work?\", \"completion\": \"Hmm\"}\n", "{\"prompt\": \"It was just this week. She woke up one morning with a really high fever. So I had to call out that day and then she still had a favourites The next day, and then I had to take a third day because she has to be fever free before she can go back to daycare. So the first day was, I was okay with that. But then like the second and then when I started realizing that I was going to have to take a third day, and I really start to get kind of panicky and were worried about it.\", \"completion\": \"Alright, so let me see. Let's go through each day. Right. So the first day when we discovered that she was sick, right well, we Thinking that when you had to call out of work\"}\n", "{\"prompt\": \"well, because she's been sort of sick a lot lately, I was a little bit worried. And I was sort of, you know, I have this number 10 because I only have 10 days for the whole year. So I had this number in my head and I just thought, Okay, well, there's one more day I got to take away from that 10 that I have, and but I was able to sort of think about, I was a little worried about any work that I would miss, you know, keeping up with my caseload and stuff at work, so, but I was able to kind of figure out that I would be okay for a day and I can kind of make up for that when I get get back.\", \"completion\": \"Okay, so you're thinking was this isn't ideal, but I can I can live with it. \"}\n", "{\"prompt\": \"Yes\", \"completion\": \"Just one, just one day?\"}\n", "{\"prompt\": \"right\", \"completion\": \"How about one on one, day two, when you realize that you're gonna have to take a second day,\"}\n", "{\"prompt\": \"and I got a little bit more worried and then I did start to also, you know, add the worry of I was going to start to get behind at work. Not only was I missing more time, but I was also going to be behind on my work. So then I started thinking, when I go back, it's going to be a mad scramble and kind of catch up and keep up with everything. And you know, so it was going to became worrying about my workload and worrying about taking more time. \", \"completion\": \"Okay. So a little more stressful version of what happened on day one. And then how about when you discovered that you had to take a third day off?\"}\n", "{\"prompt\": \"I was then it was just more amplified, you know, amplified worry, and it was a lot harder for me to let it go. I just kept thinking I kept going back to it. And then I started feeling guilty. Because I was so preoccupied worried about that. And I was trying to answer emails and do some stuff and send out some emails to people that I work with to try to help me out with things at work since I wasn't there. And then I felt guilty because I wasn't really caring for my child as best as I felt I should have been, you know, I started feeling kinda like a bad mom.\", \"completion\": \"So guilty and a bad mom. And that was mostly on third. That was the worst of it.\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"Now this go up against the weekend was the third day Friday. All right, so, so then you kind of knew that by Monday, things would be better. So tell me what happened when you returned to work on Monday?\"}\n", "{\"prompt\": \"Well, I checked in with the main office and you know, I just said I'm really you know, I'm starting to worry I'm getting I know I'm had to take a lot of time. But you know, I've done the best I can to try to make other arrangements but my, you know, just starting back in, starting in daycare, she's just been sick a lot, and I can't control it. I'm doing the best I can. You know, I asked them if there was anything I needed to do as far as providing doctor's notes and stuff. And they said no, that they you know, they don't need a doctor's note since it was my daughter that was sick. They said there's nothing nothing that I really couldn't do and just try to not have it happen much more if I can\", \"completion\": \"just do what I can to not miss more. So they said that?\"}\n", "{\"prompt\": \"Yeah, but yeah. They kind of just said, you know, do what you can do not have it happen, but if it you know if it has to happen, you know, what can I do about it? It was kind of they were saying\", \"completion\": \"so, they were understanding?\"}\n", "{\"prompt\": \"I didn't feel like they were that understanding, but I also didn't feel like they were gonna take any punitive action against me, right, right then and there or anything.\", \"completion\": \"Did you anticipate worst reaction than you experienced?\"}\n", "{\"prompt\": \"Yeah, I did. And I also anticipated that they would maybe have more of a procedure for how to handle it and they didn't have a procedure which also made me feel a little worried. I can't imagine I'm the first mom that has had to deal with this. And they kind of talked like It's never happened before. So I kind of felt anxious, because I thought, am I really the first mom that's had to take a lot of time off because their child sick. They didn't give me the impression that they had sort of a protocol or like they had dealt with this before.\", \"completion\": \"As a sort of like it took them by surprise?\"}\n", "{\"prompt\": \"Yeah, or they just didn't have a plan for what to do about it.\", \"completion\": \"And they were investing a lot of energy in thinking about that?\"}\n", "{\"prompt\": \"No, no, I guess not.\", \"completion\": \"And when was the second how long?\"}\n", "{\"prompt\": \"Just this past week, this week.\", \"completion\": \"So how has this week been back at work?\"}\n", "{\"prompt\": \"Oh, it's been very busy because I'm trying to catch up and get everything handled. But that's the way it always, always is. So nobody has said anything to me or anything about the absences \", \"completion\": \"other than that first and other ?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"And there's been no more absences?\"}\n", "{\"prompt\": \"Nope\", \"completion\": \"Okay, earlier you mentioned being a good mom How a good mom look lik?\"}\n", "{\"prompt\": \"Umm somebody who takes care of their child and puts them makes them a priority, like their first priority. And, you know, does the things that they need to do to make sure their child is taken care of.\", \"completion\": \"And you're a little worried through this was last experience you're talking about that you didn't rise level of good mom?\"}\n", "{\"prompt\": \"Yeah, I felt like I wasn't being a good mom because I was preoccupied and making work a bit of a bigger priority than taking care of my kid.\", \"completion\": \"Okay, so so good, mom's more about More than just rather, your behavior, right, what you're doing is about what you're also thinking. So you took care of your child. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"But your mind, your thoughts are somewhere else some of the time. And that's where you feel like you've, you've wandered out of the good mom area. Okay, I've been on the other side, how about a good employee? Did you mention that? You want to be a good employee? \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"What's what's that look like?\"}\n", "{\"prompt\": \"Um, well, somebody that, you know, takes care of all of their workload and handles all of the tasks that they have each day and someone that's consistent and reliable, and, you know, puts effort into what they're doing and gets their job done. Really, you know, reliably.\", \"completion\": \"And that's where you feel like with the sort of the last workdays you missed. You missed three. Okay, how about last year? How many days have you missed?\"}\n", "{\"prompt\": \"Well, I missed a lot for maternity leave.\", \"completion\": \"So that's understandable but excluding that?\"}\n", "{\"prompt\": \"I've missed out since the school year started, I've missed if you include the three. I've missed nine days. But some of those were half days. They add up to nine days. \", \"completion\": \"Okay, total nine?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"And you're allowed?\"}\n", "{\"prompt\": \"10 per school year, it's only January and I'm already at nine.\", \"completion\": \"I can see that will cause worry what happens if you go over the 10\"}\n", "{\"prompt\": \"I don't know. I mean, I think that they would dock my pay for the for those for it. If I was there a day and I didn't have any more sick days left. They would just dock my pay for that day. But outside of that, I don't know what else would happen.\", \"completion\": \"Is anybody that you work with that you could ask that question to HR department?\"}\n", "{\"prompt\": \"Yeah, I guess I could contact the HR department.\", \"completion\": \"I'm just thinking because you're just one day away, from being at that number might be prudent just to talk with them and see. See, you know what to expect, right? So this whole thing though, the missing days caused you anxiety, frustration.\"}\n", "{\"prompt\": \"Yeah, a little bit\", \"completion\": \"about any type of feeling down at all?\"}\n", "{\"prompt\": \"A little bit sometimes when I start feeling like I'm a bad mom.\", \"completion\": \"Okay, so that so as far as your child is concerned in your relationship with your child, yes, some anxiety relationship at work, some anxiety, but the sadness mostly surrounds how you feel you're treating your job. Of all the emotions of frustration, anxiety, what I'll refer to as depression I should say sadness. What's bothering you the most? What? emotional response is probably the most?\"}\n", "{\"prompt\": \"probably sort of the guilt and the feelings of not being able to be the best mom.\", \"completion\": \"How would you rate yourself right now as a mother if say 10 was the best mother you could imagine? Right? And one was the absolute worst?\"}\n", "{\"prompt\": \"I'm probably like an eight.\", \"completion\": \"Okay. That's pretty good, right? \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"What would be the cutoff to where? What's the cutoff score? And that will scale I just gave it for good mother and not good mother.\"}\n", "{\"prompt\": \"I guess like halfway like, \", \"completion\": \"so five is good enough.\"}\n", "{\"prompt\": \"Yeah, feel like It's not good enough for me. \", \"completion\": \"Okay. Okay\"}\n", "{\"prompt\": \"I wouldn't be okay with that.\", \"completion\": \"So if you look at somebody else, another person in similar situation of five would be acceptable. Right? \"}\n", "{\"prompt\": \"Probably. Yeah.\", \"completion\": \"But how about for you specifically?\"}\n", "{\"prompt\": \"Yeah, that's not \", \"completion\": \"that's not gonna cut it?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"Well, we've cut it. \"}\n", "{\"prompt\": \"I don't know. At least a seven.\", \"completion\": \"and you're an eight\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"sure?\"}\n", "{\"prompt\": \"No\", \"completion\": \"not sure. Okay. So you're close to the border. Like you're close to the border on you're your value system of being not a good mother.\"}\n", "{\"prompt\": \"Yes, not as good a mother as I want to be\", \"completion\": \"Okay. Now, what do you want to be?\"}\n", "{\"prompt\": \"Yeah, I want to be like a eight or higher,\", \"completion\": \"eight or higher where you are in s you said?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"okay. So you want to be the parent sounds like\"}\n", "{\"prompt\": \"Well, yeah, doesn't everybody want to be the best at what they do?\", \"completion\": \"I mean, I think people are driven to, to do their best. But is it crucial to be perfectly crucial to be a 10?\"}\n", "{\"prompt\": \"No, there's some leeway, I guess you have to allow for that.\", \"completion\": \"Remember before in other sessions for the situations you've brought in here, we've talked about dysfunctional thinking, irrational thinking. How does reflect on that, like the usefulness of of these thoughts? The, you know, the other mothers can be a five and B. And that's, that's good, right? You need to be an eight or hire a nine or 10 , does it seem useful, like a useful way of thinking?\"}\n", "{\"prompt\": \"In some ways, it's useful because it keeps me keeps me on track if that makes sense. It keeps me pushing to keep doing the best I can.\", \"completion\": \"Okay, So it does have a useful side does have an unusual side less than useful?\"}\n", "{\"prompt\": \"Well, yeah, I guess it does in the sense that if I become too worried about it, then I'm wasting energy on worry instead of being able to put that energy into being good mom.\", \"completion\": \"Yeah. So I guess one things I'm getting at here is has to worry has the anxiety or it paid off for you?\"}\n", "{\"prompt\": \"Probably not.\", \"completion\": \"Why not? So you're suffering with it?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"it might make you a little more vigilant but mostly most, it's just causing suffering.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So at the heart of it, you're not a bad mom. Right? You're in good mom category. You're a good employee. Right. But your, your way of dying yourself, Your perception is that you're not doing a great job at either one.\"}\n", "{\"prompt\": \"Exactly.\", \"completion\": \"And that's the thinking I'm getting that it's not, you know, it's not necessarily irrational. I'm thinking it's just less than useful. It's dysfunctional.\"}\n", "{\"prompt\": \"Yeah, I can see that.\", \"completion\": \"Yeah, we're talking about that third day, right. The the third day of work you had to you had to call off. And do you remember any specific thoughts that are going through your mind on that? What was that a morning when you figured it out? Like a Friday morning?\"}\n", "{\"prompt\": \"Yeah. Um, no, it was really the night But, um, well, you know, I went as far as to think, am I gonna get fired? You know, I had to kind of think about\", \"completion\": \"so your thought was, am I gonna get fired? \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"And then what was the feeling that that came right after that?\"}\n", "{\"prompt\": \"panic and worry Oh, yeah, \", \"completion\": \"maybe some anxiety?\"}\n", "{\"prompt\": \"some anxiety? Yeah.\", \"completion\": \"Were you able to do anything to address that panic or your anxiety at that time? Like, did you tell yourself anything? Or did you take some action?\"}\n", "{\"prompt\": \"Oh, I did tell myself that I didn't go over yet. And, you know, hopefully I won't, you know, there's still a chance that I'm not going to go over on my days and hopefully won't go so far as to fire me, you know,\", \"completion\": \"and how did you feel after you consciously had that thought?\"}\n", "{\"prompt\": \"a little bit better, but the still kept hovering around. Yeah\", \"completion\": \"the whole time. Probably all the way till Monday, right when you returned to work?\"}\n", "{\"prompt\": \"Yeah. Yeah. Like I wanted to call somebody at work and talk to them about it and make sure it was okay. But you know, it was the weekend, so I couldn't do any of those things. I just had to wait it out. Yeah.\", \"completion\": \"So we've talked before about self talk, you might remember me saying the phrase adaptive response, right? So it's the kind of pre packaged response we have two thoughts that we've identified is not so useful. \"}\n", "{\"prompt\": \"Right.\", \"completion\": \"So degree, those thoughts like, Am I going to get fired and all that? Not very useful in that moment? \"}\n", "{\"prompt\": \"Yes. not useful in that moment\", \"completion\": \"understandable. Right, but not useful.\"}\n", "{\"prompt\": \"yeah\", \"completion\": \"So what's you had sort of some self talk that you apply on your own, what some other self talk with some other another thought that you could think or something you can say yourself that could counter an automatic thought like that. Like, specifically, I'm gonna lose my job.\"}\n", "{\"prompt\": \"Well, I guess I could say, you know, I didn't, you know, I'm not. I haven't had any conversations with anybody that have indicated that. So sort of like maybe I just need to not worry about it or cross that bridge when I come to it kind of thing. Like, hopefully it won't. I don't know if it will happen or not. And hopefully it won't happen.\", \"completion\": \"So, so there the self talk there is there's no clear indication that's gonna happen, \"}\n", "{\"prompt\": \"right\", \"completion\": \"So why borrow the worry? Right? How about other habit adaptive behaviors? We talked about the importance of support systems before other sessions. Is there anybody else that could watch your child if you were really running up against that?\"}\n", "{\"prompt\": \"Yeah, my mom can. can sometimes I did call her this this week to see if she could take one of take a day. But she couldn't because of what she had going On, but in in other times she might be able to take a day and stay home or my sister can do that as well. And my husband can sometimes it depends on what is going on that week for him at work. So there are some options there.\", \"completion\": \"Did you explore those options for this last time?\"}\n", "{\"prompt\": \"I did. I did, but just the circumstances didn't work out. \", \"completion\": \"So none of those individuals were available?\"}\n", "{\"prompt\": \"right.\", \"completion\": \"Is there any other options you have for care? Was that it?\"}\n", "{\"prompt\": \"That's really it. You know, when she's sick, and that's really it, because you don't i don't want to put her around any other kids, which is why I wouldn't send her to daycare. So\", \"completion\": \"that seems reasonable. Okay, so there are some things you've already done. Right. And I think at this point, since to address I know this is the lesser of your worries, which is your employer, you're more worried about being a good mom, but to go look at the employer side first. Second, you can talk to HR, you can try to understand what the consequences are for going over explained that doesn't appear to be your fault. \"}\n", "{\"prompt\": \"Right.\", \"completion\": \"Okay. And I don't know what you can do in terms of support, maybe try to get a better awareness of the schedules when they're available and or convey the nature of your problem to them. Customer Support \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So that was one issue. Now if you highlight more prominently though, the good mother want to touch on that as well. You did everything you had to do to care for your child?\"}\n", "{\"prompt\": \"Yes,\", \"completion\": \"Are you sure?\"}\n", "{\"prompt\": \"Yeah, \", \"completion\": \"okay hundred percent ?\"}\n", "{\"prompt\": \"Except for my my thinking I was maybe a little not as present as I should have been.\", \"completion\": \"Okay. And we'll get to that but your behavior behavior. Yeah, you did everything a good mom would do.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Okay. So is it okay? If you're doing everything you need to do to think thoughts that don't seem congruent with that, you know, the distract you away from that?\"}\n", "{\"prompt\": \"I guess it's not ideal, but it's okay.\", \"completion\": \"It's not ideal. So you'd really rather be have the ability to be really focused on what's going on your child to the exclusion of what's going on other circumstances?\"}\n", "{\"prompt\": \"you know, or at least be able to put my worry about the other circumstances aside for the time for that time period.\", \"completion\": \"So by addressing the employer issue, that might give you a little relief one good mom ish. All right. So here's another opportunity to talk about dysfunctional thoughts. I think that is reflect on whether you're a good mom or not, you're really basing it on this idea that if I'm thinking about something other than my child, I'm in the wrong place in terms of being a good mom. Are you only being distracted?\"}\n", "{\"prompt\": \"Right\", \"completion\": \"so that pushes you on a one to 10 scale?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"the more thoughts you have like that you think of it as like pushing you down toward five.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Okay. So when you have those thoughts what's an adaptive response or you know, self talk, what can you tell yourself in those moments?\"}\n", "{\"prompt\": \"that I'm doing them behaving doing the behaviors that I need to do and the baby doesn't know what I'm thinking so probably not. She doesn't know what I'm distracted or worried. So I'm not doing any harm to her.\", \"completion\": \"Who doesn't know you're distracted or worried?\"}\n", "{\"prompt\": \"I guess just me.\", \"completion\": \"Just you?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So the self talk that would be I'm doing what I have to do to be a good mom. And that's what my child says. Right\"}\n", "{\"prompt\": \"right.\", \"completion\": \"But I have these understandable thoughts that come in where I worry about other things and more or less justice what it is, right? I mean, you're permitted to worry about things life isn't going to be worryfree\"}\n", "{\"prompt\": \"true.\", \"completion\": \"But we can, we can work to not suffer more than we have to \"}\n", "{\"prompt\": \"right\", \"completion\": \"That kind of makes sense?\"}\n", "{\"prompt\": \"Yeah. It makes sense. And, you know, when you say it back to me the things that I'm saying it does sound a little bit irrational, or unhelpful less than useful. \", \"completion\": \"Yeah, it's a little less than useful it's not, you know, I want this important distinction. It's not good or bad right. And those words have a function right in our in our lives, but they're a little dangerous when applied in terms of mental health when they're applied to things like you know, good mom, bad mom. \"}\n", "{\"prompt\": \"Right\", \"completion\": \"But doesn't leave a lot of gray area to talk about. improvement. Right? Also, it seems like what you're describing your, your way into the good mom category anyway. Sure. 8 or 10 I think most people would be happy with an eight out of 10. \"}\n", "{\"prompt\": \"TRUE\", \"completion\": \"So it's not like you've drifted down toward five before somewhere. Okay. So there's a couple different Yeah, I know we talked about two different subjects, right, but they're related the work situation and situation care for a child. But those are some self talk strategies. So I'd like you to do when you go home today, and I would I would ask you to do it today if you can. Okay, I think it's important in the states in terms of time, near when we're having this conversation. If you could try to document some of those automatic thoughts. Remember, I gave you a worksheet before and then work on some of your own calm adaptive response. \"}\n", "{\"prompt\": \"Okay okay.\", \"completion\": \"Maybe around this area or maybe about other areas as well, it doesn't. It's okay. If you have other problems you'd want to apply the model to, but certainly around this issue of the childcare versus the work performance. That's the real struggle that's going on right now inside of you. Is that right?\"}\n", "{\"prompt\": \"Yes. Yes.\", \"completion\": \"Do you think you'd be able to have that completed? next week?\"}\n", "{\"prompt\": \"yeah, I think I can handle that. Yeah.\", \"completion\": \"Okay. So we'll leave it there and I'll see you next week.\"}\n", "{\"prompt\": \"Okay, thank you. \", \"completion\": \"Thanks, ma'am.\"}\n", "{\"prompt\": \"Yeah, I think so. I mean, you're right. To a certain extent, we have guidelines and everything like that. But I also feel like certain things, it just isn't black and white, and I have to make a judgment call. And I used to trust my judgment, but now I feel like how do I know that I'm making the right decisions?\", \"completion\": \"Yeah. Well, and this is really the one of the key parts of what may be causing this distress. We talked about this insecurity. You're on this I'm sure. And so you know, one question may be, did you make a efficient or less efficient decision with this particular family but the larger question is, you as a person can you can you do this, this job and if you do it and make money Like, what would you do then? Could you go through this again?\"}\n", "{\"prompt\": \"Yeah, I think that's where the fear is, is that if 99 times out of 100 I do it right, there's still gonna be that one that I messed up. And I'm starting to feel like that one mistake could be like, life changing for somebody.\", \"completion\": \"And it could be you certainly in a job where, like, most jobs where mistakes have consequences. You also do a lot of good for a lot of people. So by you not being in the field. They're not getting the benefit of the skills you have.\"}\n", "{\"prompt\": \"I guess that's true. Like, yeah, maybe somebody else could come and replace me but do I think that they would be better at it? I don't know. I feel like I was pretty good at it before I started. have all these doubt.\", \"completion\": \"So, so mostly This was good until recently. Well, alright, let's look at this from another point of view. You really seem like, you can empathize with these families. You really, to me, it seems like you really know what they're feeling.\"}\n", "{\"prompt\": \"Yeah I care about them\", \"completion\": \"and appreciating their perspective. Take a moment and try to walk in their shoes. If a professional like yourself came to you and your family situation and maybe you're engaged in the activities where it was warranted that your family we've broken up temporarily. What would you want? How would you want them to process that? Like you said, thinking about the caseworker from the point of view of the family? How would you want them to feel that? Would you want them to process that decision?\"}\n", "{\"prompt\": \"I don't know. That's a hard question. I mean, if they took my kids away, even if it was the right thing, I would want them to be at least a little bit, you know, feel a little bit bad about having to make such a hard decision. But I guess if, you know, if they fell apart, every time that they made that kind of decision, they wouldn't be able to help other people.\", \"completion\": \"So from the family's point of view, if you're in that situation, you can appreciate what the caseworker has to do. Well, you'd like to have some compassion for you. Okay, that seems reasonable. Yeah. So now flip back into the role you're in. You made the decision you had to make although you're second guessing it That's separate. Do you have compassion for them?\"}\n", "{\"prompt\": \"Thanks, how are you?\", \"completion\": \"I'm doing well. Thank you for asking. I understand that. You've come here today because you've had some symptoms that have been bothering you.\"}\n", "{\"prompt\": \"Yeah. I have anxiety sometimes. And I've lost about three jobs within the past year.\", \"completion\": \"You've lost three jobs in the past year. Is it because of things?\"}\n", "{\"prompt\": \"Yeah, well, I'm scared that something's going to happen and my apartment. So I need to unplug things. But I it has to be in order. So when I unplug things, it has to start with the TV and then my computer And then my phone and then the lamps. And then I've been late to work.\", \"completion\": \"Alright, so you have a system you go through of unplugging. Yeah, different objects in your apartment. And you're worried that they're going to cause a problem if they're left plugged in.\"}\n", "{\"prompt\": \"Yeah. Like if they overheat it because they burned it down.\", \"completion\": \"You're so afraid that if you leave them plugged in or overheat, \"}\n", "{\"prompt\": \"yeah, \", \"completion\": \"and your apartment will catch on fire. And you have a particular order, you go in as you unplug,\"}\n", "{\"prompt\": \"yeah.\", \"completion\": \"What happens if you're unplugging the items and you get distracted or something interrupts that\"}\n", "{\"prompt\": \"mean sometimes I'll get like a text message and I'll hear my phone call. Have to just start all over again.\", \"completion\": \"Will you plug the objects back in? Are we how we do it for the items are already unplugged?\"}\n", "{\"prompt\": \"I would just have to unplug them, and then I would have to plug them back in or vice versa.\", \"completion\": \"I should go back and plug them in?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"What's your anxiety level? Like as you start that process?\"}\n", "{\"prompt\": \"It's it's really bad.\", \"completion\": \"Is it?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"How about towards the end of the process?\"}\n", "{\"prompt\": \"It goes away. But it it's just kind of temporary for a little bit of time, and then it comes back and I have to go check it again.\", \"completion\": \"Okay, so So when it comes back, everything's unplugged. So you have to plug everything back in, unplug it. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"And go through the whole process again. It's just pretty distressing.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Yeah. And you think that This is what led to the problems of deployment.\"}\n", "{\"prompt\": \"Yeah, because I also, I have to lock my door, but I like to lock it 12 times. So I'll put the key in, and I'll hear it click, but then I just like doing it 12 times just to make sure it's locked. And that made me late for work. And then when I was at work, I have a drawer on the cashier. Um, so I would just make sure it was locked, but I would have to do it, you know, 12 times just make sure was locked. And I didn't get back in time to like, half the customers.\", \"completion\": \"Sure your employer wasn't wasn't happy with that.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"And that led to those new job.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"you're working now?\"}\n", "{\"prompt\": \"No, um, I had a job for a little bit of time. It was again a cashier position. But I was on break. And, you know, I was like in the room and I have the fights and I Just Just want to be sure like they would go off all the way because they don't want me to light on. And by the time I got done turning them on, and just make sure they were off and get back in time on the floor. My employer just said I wasn't a good fit\", \"completion\": \"wasn't a good fit. So this so these symptoms have caused you some real problems.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"With employment and how about with your anxiety level?\"}\n", "{\"prompt\": \"My anxiety is really bad.\", \"completion\": \"If we were to put on a scale like one was very little exciting. A 10 was the worst anxiety you've ever experienced. What kind of anxiety having a daily basis now?\"}\n", "{\"prompt\": \"Probably, like a 10\", \"completion\": \"by 10. So the worst ever\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"and checking the door was checking light switches, unplugging everything. This reduces your anxiety for a while just for\"}\n", "{\"prompt\": \"a little bit.\", \"completion\": \"But then it comes back?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Is there anything else that you do that helps to reduce the anxiety?\"}\n", "{\"prompt\": \"It's just, I guess when I'm in the act of doing it, it will relieve it. And that'll be okay for a little bit of time. But even coming in, you know, like I said, when you have chairs and some pictures, and I just like I had to touch them, like, had to touch the chairs. But I wanted to touch the chairs first, and then the pitchers. And that's normally what I do. I'm in a room like I have to touch the chairs first. And I feel okay when I'm doing it. And then when I'm finished, I feel a little better. But then it comes back things.\", \"completion\": \"Do you know how long you've had these symptoms?\"}\n", "{\"prompt\": \"Probably since, I guess like third grade.\", \"completion\": \"So So sometime Yeah. Did they start off? Like they are now? Or are they different?\"}\n", "{\"prompt\": \"And started off with a little bit of things like I would just get a little bit of anxiety. I just went on to play with the doorknob. And then as I got it went away for like a year. Maybe and then I would start to play with the lights and just make sure that they were off.\", \"completion\": \"It was the same thing that help reduce anxiety.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"didn't cause any trouble?\"}\n", "{\"prompt\": \"My parents didn't really like it. They kind of were like, you know, something's wrong with you. Yeah. Stop playing with that.\", \"completion\": \"Will you ever taken somewhere and diagnosed or treated?\"}\n", "{\"prompt\": \"No, no. My parents just thought it was like nerves.\", \"completion\": \"And now it's now it's the worst it's ever been.\"}\n", "{\"prompt\": \"Yeah. Yeah.\", \"completion\": \"Do you feel like you're able to go back to work with the symptoms? Boy they are now?\"}\n", "{\"prompt\": \"Probably not.\", \"completion\": \"Because they're so disruptive.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Have you ever had any medical conditions?\"}\n", "{\"prompt\": \"No.\", \"completion\": \"And have you ever used or do use a types of a type of drug or alcohol.\"}\n", "{\"prompt\": \"No\", \"completion\": \"And I want to thank you for coming. I'm going to get you scheduled to see one of our counselors. I appreciate you spending time with me. It's helped me to understand what you're going through.\"}\n", "{\"prompt\": \"Thank you.\", \"completion\": \"Thanks.\"}\n", "{\"prompt\": \"Yes\", \"completion\": \"I'm Jane Corona. I'm a medical student with university here\"}\n", "{\"prompt\": \"Nice to meet you\", \"completion\": \"I've been sitting by Dr. Smith is part of our treating as a medical student to do an interview with you. Okay. And then I'll take that information back to Dr. Smith And then she will come back in and see you then after that\"}\n", "{\"prompt\": \"okay.\", \"completion\": \"All right. How may I address you?\"}\n", "{\"prompt\": \"Mrs. Jones is fine.\", \"completion\": \"All right. Thank you. Um, is that okay with you today to talk?\"}\n", "{\"prompt\": \"Yes. Okay, fine, thank you.\", \"completion\": \"I'm going to start out today by just talking a little bit with you about your chief complaint What brings you here today?\"}\n", "{\"prompt\": \"Sure, my left elbow is actually been bugging me a lot. Every once in a while, I've been getting a little bit of pain, extending my arm and going back to bending it. Really, that's the primary reason I've come in I've attempted to take a little bit To Tylenol to relieve the pain but it's not really seemed to help much. \", \"completion\": \"Okay, before we talk a little bit more about that, is there anything else that you want to talk with either me or Dr. Smith today?\"}\n", "{\"prompt\": \"Not that I can think of no.\", \"completion\": \"Okay. Tell me more about this pain.\"}\n", "{\"prompt\": \"Um, it's just kind of a throbbing pain, it'll act up kind of randomly throughout the day. It doesn't it's not specific to, you know, the morning or evening, or even in the middle of the day or night. It just kind of randomly acts up. I would say excessively, like when I'm doing work, like after the dishes will start to act up. If I, you know, lift one of my children up, it'll start to act up. So any sort of exertion is kind of where I've noticed a lot of the pain coming from\", \"completion\": \"and tell me when did it start for you?\"}\n", "{\"prompt\": \"I would send every about maybe a week and a half to two weeks ago.\", \"completion\": \"And you describe the pain is throbbing. Is there anything else about the pain in terms of the quality of the pain that you want to describe for me?\"}\n", "{\"prompt\": \"No Just really throbbing\", \"completion\": \"okay, started about a week to two weeks ago. Okay. And do you recall what you were doing at the time that it started?\"}\n", "{\"prompt\": \"I've been helping my husband clean out the garage lately, and we were lifting some boxes. And that's kind of I didn't notice it at the moment, but later in the evening, started to act up. \", \"completion\": \"Okay. Umm I would like to hear about a little bit about the severity of it on a pain scale of one to 10, 10 being the worst pain you've ever had one or zero being no pain at this, How bad is this pain?\"}\n", "{\"prompt\": \"I would measure it probably six or seven. It's become more of a nuisance than an actual physical pain.\", \"completion\": \"Okay. And is it a six or seven all the time?\"}\n", "{\"prompt\": \"Um, whenever it starts to act up, yes. \", \"completion\": \"Okay. And how often a day does that happen?\"}\n", "{\"prompt\": \"I would say maybe two to three times per day.\", \"completion\": \"Do you notice any pattern to that at all?\"}\n", "{\"prompt\": \"No.\", \"completion\": \"Okay. All righty. And can you point exactly to Where it is for me the location exactly?\"}\n", "{\"prompt\": \"Kind of the area that just kind of wraps around the actual elbow than it is really bothering me.\", \"completion\": \"And does that pain go up your arm or down your arm or anywhere else on your arm?\"}\n", "{\"prompt\": \"No It stays right in that area.\", \"completion\": \"Is there anything else that goes on at the same time? Any other symptoms that happen anything else other than when the pain is happening there anything else going on for you?\"}\n", "{\"prompt\": \"Not that I've noticed, No.\", \"completion\": \"Is there anything that makes it feel better?\"}\n", "{\"prompt\": \"Um, nothing that completely gets rid of it. I will relieve it for a temporary period of time. But it hasn't gotten rid of it.\", \"completion\": \"And how much time it will do take?\"}\n", "{\"prompt\": \"I whatever it says on the bottle usually wanted to tablet\", \"completion\": \"is that regular strength or extra strength?\"}\n", "{\"prompt\": \"regular strength.\", \"completion\": \"You just take it across the counter to normal directions on the bottom.\"}\n", "{\"prompt\": \"correct\", \"completion\": \"Okay. And does anything make it worse?\"}\n", "{\"prompt\": \"Um, like you mentioned any sort of exertion, picking up a child doing the dishes, pretty much daily kind of living. \", \"completion\": \"So using it.\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"Have you seen anybody else for this complaint?\"}\n", "{\"prompt\": \"Um, no. \", \"completion\": \"Have you What else have you tried other than the Tylenol and anything else?\"}\n", "{\"prompt\": \"Um, I've attempted to use a heating pad on it. And I've also attempted ice. Neither were successful. \", \"completion\": \"Okay. It sounds you've talked a little bit about how it's impacted, you know, you to be able to work in the garage or do the dishes or lift your child is there Other impact on your life,\"}\n", "{\"prompt\": \"Umm like I mentioned is more of a nuisance. There'll be times in the middle of the night that will start to act up. If I get up to go to the bathroom. I'll notice pain in my elbow.\", \"completion\": \"Does it wake you up at night?\"}\n", "{\"prompt\": \"It doesn't, but if I wake up in the middle of the night Well, trouble me and falling back asleep. \", \"completion\": \"Okay. What do you think it is?\"}\n", "{\"prompt\": \"Um, I'm not quite sure my best guess is maybe some sort of pulled muscle or something. But I honestly don't know.\", \"completion\": \"All right. What I'd like to do now is just kind of go through all the things that you told me and summarize for you. This is information that I want to take that but I want to make sure that I have it all correct. So if I've forgotten something, or I've gotten something incorrect, please, please help me. \"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"You came to the clinic today for a complaint of left elbow pain, and it's pain that you mostly noticed when you were bending it or using it in some capacity. It's a throbbing pain that happens randomly, but it does happen two to three times during the day, which you notice about is if you exert or you extend or flex your elbow at all, that's when it seems to be at its worst. It's gone on for about a week, maybe two, two weeks when you think back on it, and it started out when you were helping your husband clean the garage and you were lifting locks of boxes. So about a six to seven on a pain scale. And you describe it over and over as being a nuisance, which tells me that it's getting kind of in the way of doing some things that you want to you report that it happens probably two to three times a day, and that the pain wraps around the joint. Completely, you've taken some Tylenol for it across the counter, you've taken that several times a day now with without much relief\"}\n", "{\"prompt\": \"right\", \"completion\": \"that it hasn't helped much. You've also tried a heating pad, you've tried some ice, that hasn't really helped either too much. It sounds like you know, again, you kept referring to it as an as a nuisance. It's just kind of getting in the way of your daily activities. It Doesn't necessarily keep you up at night. But you do notice it at night when you wake up that it's still going on for you. So sleep doesn't seem to help much. And that what you mostly think this could be is a pulled muscle of some type. Is there anything I forgotten or that you wanted to tell me about this?\"}\n", "{\"prompt\": \"I'm not that I can think of no.\", \"completion\": \"Thank you for telling me about your chief concerns. So I'm going to take it back to Dr. Smith.\"}\n", "{\"prompt\": \"I am feeling well\", \"completion\": \"Okay, good. So So today's your first visit would be today, were you okay with traffic? \"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"Did you find parking okay?\"}\n", "{\"prompt\": \"Yeah I did\", \"completion\": \"Okay. Okay, I just wanted to interview I know you had some concerns you called me so we're going to go over that today. What I wanted to do first of all was asked you what brings you here today to my office? \"}\n", "{\"prompt\": \"I'm thinking about the therapy, now looking into some therapy lessons.\", \"completion\": \"What what kind of classes are you looking for what exactly?\"}\n", "{\"prompt\": \"drug and alcohol perhaps\", \"completion\": \"Okay. Okay. All right, are you right now today, Are you using any drugs today?\"}\n", "{\"prompt\": \"very less mostly used honestly at least they go a party with my friends and use a lot like almost on a daily basis but don't do it as much All\", \"completion\": \"right. What is your number one drug of choice right now? We wait okay now do you smoke with friends by yourself?\"}\n", "{\"prompt\": \"Yes usually with friends actually.\", \"completion\": \"Okay Do you find yourself doing it at home or do you go out?\"}\n", "{\"prompt\": \"my mom doesn't allow so easily go Parks you know after school or something\", \"completion\": \"and do you feel that that's something that you need to help you function or is it something that you like?\"}\n", "{\"prompt\": \"just it's a habit and helps you relax and honestly keeps me down\", \"completion\": \"Do you go smoke weed with other friends or by yourself?\"}\n", "{\"prompt\": \"Um, I usually go with my other friends because they were that my influences to begin with.\", \"completion\": \"Right Okay, so I mean, do you feel that you need to function or helps you function better Or is it just something that you're just experimenting with? Or what what exactly do you\"}\n", "{\"prompt\": \"It actually helps me function a lot better. And that was not the right choice or anything like that therapy where I can find ways to\", \"completion\": \"guide yourself spending a lot of money on?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"how much do you spend in a week or what your, your habit like right now?\"}\n", "{\"prompt\": \"about 200$\", \"completion\": \"That's, you know, pretty much equivalent to about maybe 10 to 10 to 15 hours a day.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Okay. All right. Well, you know, you know, what we want to do is just be able to help you maybe create some some steps to help you begin to phase out in time, I wanted to pretty much identify the problem and that's the marijuana would you say? Maybe there's events in your life that trigger your use. Is there something that which I wanted to ask you? What are what's your family structure like right now?\"}\n", "{\"prompt\": \"Um, you know, I get along with my family I have a foster family who was born was born was kind of separated from my biological family. So he kind of put me in foster care. It was like that since I was two years old, and from two to 13 a little bit my two other siblings.\", \"completion\": \"So pretty much should have been raised by your foster parents and your biological parents are not independent. Okay. Now, in your family, how many siblings and your what and what What number are you using? \"}\n", "{\"prompt\": \"I'm actually the only one\", \"completion\": \"so do you feel maybe there was added responsibility put on you or do you know that you live together?\"}\n", "{\"prompt\": \"There was only two of us. My sister, one of my sisters, and what do we have to do my sisters? We just lived together and I wasn't didn't have full responsibility.\", \"completion\": \"Right. And so your other four siblings? Where did they go?\"}\n", "{\"prompt\": \"I don't find them\", \"completion\": \"separate?\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"You were raised by your foster parents And how do you feel about that? And how does that make you feel as far as foster?\"}\n", "{\"prompt\": \"I'm just again, my brother when I was in school, and it was a little harsh. A little bit army, but I'm kind of getting over it now. Right? I tried to contact them but it's not working. Right. Yeah. \", \"completion\": \"Okay. So they're pretty much your biological sibs. And your, your, your foster parents are pretty much the ones that Rachel those are your parents. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Okay. Then also, as you were, you know, living together at home, how are you disciplined? Or who are you disciplined by who discipline?\"}\n", "{\"prompt\": \"My mom, I'm not so much of my dad, he was kind of like that col Relax, right, You know, my mom should discipline it can go from being grounded from overpaying, you know, from show take our equipment like PlayStations or phones or lectron.\", \"completion\": \"So that was pretty much a consequence for your behavior equal to continental. Would you say that mom was consistent? she pretty much disciplined everybody.\"}\n", "{\"prompt\": \"Yeah, yeah. Everybody's saying that\", \"completion\": \" So growing up, do you feel that discipline helped you? \"}\n", "{\"prompt\": \"Yeah, yeah, the whole drug use, but I think it helped me \", \"completion\": \"kind of set some boundaries.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Does your mother know that you smoke marijuana.\"}\n", "{\"prompt\": \"She doesn't know how to do it. At This exact model because a while ago, I kind of stopped didn't do as much I told him, so she doesn't really doing as much.\", \"completion\": \"Okay. The reason why I'm asking is because in order for us to help you, we want to be able to develop a good support system. So we want to, you know, maybe in time will include you know, your mom and let her know and you know, getting some help getting some treatment. But that was, you know, some of the questions I had for as far as you know, your family how you were raised. And now tell me a little bit about yourself when you were growing up, were you more of an introvert or an extrovert meaning, you know, without going or you\"}\n", "{\"prompt\": \"more going on to be, you know, in the center spot.. Yeah, exactly. So, you know, make that makes people attention seeker class clown, you know,\", \"completion\": \"that kind of explains why you know, this conversation has gone well, you pretty much open Now, right now, hopefully British Columbia, you're 20 years old. And do you have any girlfriend? \"}\n", "{\"prompt\": \"I do you have a girlfriend actually three weeks off to some pretty much Asian.\", \"completion\": \"And do you have How long have you known or how long have you been together ?\"}\n", "{\"prompt\": \"for two months, I've been off and on with girlfriends because it's kind of been, oh, drug use and don't want to deal with it so often on relationships and sometimes single sometimes has been, you know, not that good for me. Right. \", \"completion\": \"So your past relationships pretty much haven't been good\"}\n", "{\"prompt\": \"yeah\", \"completion\": \"Did the your partners know that you were smoking or came out?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Were you upfront with them or is it something they found out in there? They said, You know, I don't want \"}\n", "{\"prompt\": \"Yeah Yeah exactly\", \"completion\": \"So some of your choices and some of your decisions that are a consequence, bad choices, decisions,\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"okay. So what we want to do is we want to be able to identify, you know, your problem and that's, you know, the marijuana use, maybe what triggers you to go use marijuana and then maybe then begin to identify some of the emotions that are behind it. But you know, you've grown up with six siblings that you all if you go to the same school or your different schools, that becomes a little bit about your, your school history.\"}\n", "{\"prompt\": \"Um, you know, her sister who is one years younger than me, and so we were kind of on the same level right now. Meet her was at the same school for a while, and she got into this class, right, and it's just human to underscore and I was kind of Escobar myself. And I went Rule 70 this was a younger sister. Yes, this one choosing only one years younger. \", \"completion\": \"So you're pretty close to her?\"}\n", "{\"prompt\": \"Yeah. Yeah. During high school, I went to seven different high schools. Okay, it's been hard, right, but I'm going to go a little bit there, right. Around two years ago, I got my high school diploma, graduated.\", \"completion\": \"Now in high school, how did that affect you being moved around seven times? What was your foster parent moving you? Did you move physically your house? \"}\n", "{\"prompt\": \"No, it was actually when I was 13. I was told, you know, 13 more moved from my foster parents. And when I was 13, I went to a group home. Right. So, you know, when I moved from place to place from Groupon, Groupon, this area of the city would vary. So kind of like, the different schools,\", \"completion\": \"right Yeah. So then you had to make a whole new set of friends.\"}\n", "{\"prompt\": \"Exactly.\", \"completion\": \"And that was the challenge with meeting new friends. Not knowing who You know your friends are what they do. Right? What are some of the subjects that maybe were that came easy to you that you enjoy that were you know what you did well and what some of the areas that you excelled in\"}\n", "{\"prompt\": \"spelling, I suppose in every spelling bee room, everyone, but I wasn't every spelling\", \"completion\": \"so spelling and reading are your strong points. Yeah, that kind of explains why you're cute. You're pretty good. As far as you know, being vocal, you're okay. You'd like to talk to people, you engage well with people. So spelling English, what were some of the classes that maybe you didn't really enjoy? Or you had a challenge with\"}\n", "{\"prompt\": \"Well, you can call me Barbara. That'll be fine. \", \"completion\": \"Okay, that's fine. Okay, so, Barbara, I'm seeing you today. But I think it's usually Dr. Brown that sees you. Is that right?\"}\n", "{\"prompt\": \"Yes. Dr. Brown is my doctor.\", \"completion\": \"Okay. What is it this boy you see me today?\"}\n", "{\"prompt\": \"Well, I've come about my tummy problem. I've got terrible trouble with my stomach. And Dr. Brown just doesn't seem to be able to get to the bottom of it. I thought perhaps I'd come and see you to see if you could help.\", \"completion\": \"Right. Okay. Can you tell me a bit more about your tummy problems?\"}\n", "{\"prompt\": \"Umm Well, I have this terrible discomfort nearly all the time. It very often feels bloated. I I swing between being constipated and having diarrhea. I have sort of cramping feelings sometimes and other times it stops. It's a real stabbing feeling. I often have the urge to go to the toilet, and and I pass very smelly wind.\", \"completion\": \"So quite a few symptoms and some of them sound more troublesome to you.\"}\n", "{\"prompt\": \"Yes. Okay.\", \"completion\": \"And how long has this been going on?\"}\n", "{\"prompt\": \"Well, I I've traced it back to a holiday I had in Egypt about four years ago. I had a horrible bout of sickness and diarrhea And I don't think my stomach's ever been really right since then.\", \"completion\": \"Okay. Okay. So you think it began about four years ago after this holiday?\"}\n", "{\"prompt\": \"Yes,Yes.\", \"completion\": \"Okay.And What sort of treatments have you tried for this before?\"}\n", "{\"prompt\": \"Well, Dr. Brown gave me some muscle relaxants at the beginning. But I've been to the health shop and and they've been really helpful. They've given me lots of different tablets and medicines for different things. Now oh and Imodium, I have Imodium in my hand back all the time, just in case, right.\", \"completion\": \"So these different tablets that you've got from the herbal shop, how are you taking them? \"}\n", "{\"prompt\": \"Oh, well, different tablets. You know, I don't have the same problem every day. So I'll take some tablets for certain symptoms, right. Other tablets for other things.\", \"completion\": \"So my my writing thinking you perhaps decide on a day to day basis, what you're going to take depending on what your stomach's doing. \"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"okay. Okay. And what About tests if you have any tests for these problems.\"}\n", "{\"prompt\": \"Yes, I had in the early days, I had a gastros,, guess. \", \"completion\": \"they're are the gastroscopy?\"}\n", "{\"prompt\": \"yes, And at the same time, I had a barium enema, right, that was very uncomfortable. \", \"completion\": \"Okay.\"}\n", "{\"prompt\": \"But now I've tried you. I don't think he's tried enough tests because he said after that, that they didn't find anything. He's, he's just not sent me for anymore. That's it now, as far as he's concerned, sent me back to the doctor.\", \"completion\": \"Right. sounds as though you're not happy with that?\"}\n", "{\"prompt\": \"Well, you know, I think that actually, the NHS are running out of money out there. And he's decided that I've had enough tests small and you know, if you go on the internet, there's loads of tests that he could have sent me for.\", \"completion\": \"Right\"}\n", "{\"prompt\": \"If I had a bit more money, I'd go Private. I just don't think he's got to the bottom of it.\", \"completion\": \"So you feel as though actually enough hasn't been done in the way.\"}\n", "{\"prompt\": \"He's not. There's loads more he could do, I'm sure. Right. Okay.\", \"completion\": \"It sounds like you've had these problems now for about four years, you've you've got a lot of various symptoms in your stomach. You've tried a lot of tablets, some prescribed some herbal remedies, and you've had some investigations, but you're not entirely happy that you've been investigated thoroughly enough. Is that is that about it? So I got the stor?\"}\n", "{\"prompt\": \"Yes\", \"completion\": \"Right. Okay. And can I ask you, Barbara, how is all of this affecting you day to day, how's how's it affecting your life?\"}\n", "{\"prompt\": \"Well, it's had quite, quite a big impact. I mean, the first thing the biggest thing, I suppose is that I, I went from being full time to part time at work. I just couldn't sit all day comfortably. And so in part time, In the end, I hope about a year ago I stopped work altogether, right. I missed that. I missed the girls we used to use least once a week night to the pictures or drink. That's one thing.\", \"completion\": \"That's something you quite enjoyed.\"}\n", "{\"prompt\": \"Yes, yes. Yes, we just have a laugh. \", \"completion\": \"Okay.\"}\n", "{\"prompt\": \"I used to go to swing in shape. I used to go to an exercise class that was I missed the exercise Actually, that was once a week, but you know, the thing was, I wasn't comfortable. Never felt quite right doing all this exercise. I was always worried I was going to be taken shorter So I stopped that.\", \"completion\": \"right\"}\n", "{\"prompt\": \"Then well, my husband and I used to go out for meals. That's another thing we don't do anymore Now.That's Quite a few things really.\", \"completion\": \"Yeah, it does, It does sound as though over the last few years, your life has really changed quite a lot because of the symptoms. It's It sounds like you're doing very few of the things that you used to do. \"}\n", "{\"prompt\": \"Hmm, right. \", \"completion\": \"What is it you spend your average day doing now?\"}\n", "{\"prompt\": \"Well, I put around the house. I spent perhaps a little bit too much time watching. I've got a bit hooked on daytime television, I have to say draw you in don't do. I read a bit the old magazines but generally I'm at home.\", \"completion\": \"Right. Okay. Okay. And have you been any times of the last four years that you've noticed any significant changes in your symptoms for example, have there been any times when things have been better for you?\"}\n", "{\"prompt\": \"Last year My son got married. And I have to say I was worried that that I wouldn't be able to cope with it that I wouldn't be feeling well enough. But surprisingly enough, I was in good form. I think it was about three weeks in the summer getting ready for it and the whole heart of the wedding, but I was in good, really good form for that. Yeah. That was a good time.\", \"completion\": \"Right. And how were you told me symptoms then?\"}\n", "{\"prompt\": \"I hardly noticed them. Yes. It seemed to clear up\", \"completion\": \"nice\"}\n", "{\"prompt\": \"which was good,\", \"completion\": \"right, That's interesting And are there any times when you Tommy symptoms bother you More seem particularly bad?\"}\n", "{\"prompt\": \"Well, it's I'm having a bit of a bad patch at the moment. It's particularly uncomfortable. I have to say I do notice it when my husband's away. He, he travels with his job and he can be away a couple of times A month And that's not very often not good, then I have to say,\", \"completion\": \"so you notice it's the worst when your husband's not around.\"}\n", "{\"prompt\": \"Maybe I'm thinking about it a bit more. I don't know when he's not there.\", \"completion\": \"Right. Now, you've been seeing Dr. Brown about this for the last few years. What is it that he's said that he thinks might be wrong here?\"}\n", "{\"prompt\": \"Well, he he thinks it's all in my head. He's he says it's stress. \", \"completion\": \"Right Okay. Um, what do you think?\"}\n", "{\"prompt\": \"Well, I mean, it can't all be in my head. I hit too much physical pain for it to be in my head. I mean, it's real. It's it's a real pain.\", \"completion\": \"And if you had any thoughts yourself about what you think might be causing it\"}\n", "{\"prompt\": \"Well, I mean, I did think that perhaps it was an infection that hadn't cleared up in the early stages. But I think I mean, sometimes I think it's IBS friend of mines got that and it sounds similar. And then other times, I think, I wonder if it's an ulcer on a really bad day, I start to think it might be cancer\", \"completion\": \"right\"}\n", "{\"prompt\": \"My mother in law my mother in law died of cancer last year and she had a growth the doctor didn't investigate that by the time they found it, it was the size of a football and it was it was too late to operate them. So you know, when I go to bed at night now and I just feel and make sure there's nothing different going on And yeah, I worry about that.\", \"completion\": \"So you're, you're kind of prodding having a feel at night just to see if you can feel anything.\"}\n", "{\"prompt\": \"Yeah. So just want to make sure there's nothing changing down there You know\", \"completion\": \"Right. Okay. Okay. So just to make sure that I've got the story straight you've, you've seen Dr. Brown for couple of years, you've tried a variety of medications, some prescribed some from the herbal shop, and none of them really made a great deal of difference. You've had some investigations, but you perhaps feel you've not had enough investigations. And times you worried that this could be something quite serious like a cancer. Is that if I got the story, right,\"}\n", "{\"prompt\": \"yes\", \"completion\": \"Barbara, what was it that you were hoping that I'd do for you today?\"}\n", "{\"prompt\": \"Well, I thought, you know, you're a new doctor here and you've just finished your medical training. I wondered whether you know, with new eyes and new way of looking at at the problem. You probably know about different tests and new tests that my doctor doesn't know about, you know, new developments, that perhaps you could send me for some different tests.\", \"completion\": \"Right. Right. So you're hoping that I'd send you four more tests?\"}\n", "{\"prompt\": \"Hmm. Well, I think this, there's got to be something that tests might reveal. \", \"completion\": \"Right. Okay. Well, I think Barbara having having heard his story and heard about the symptoms, I'm not sure that actually sending you for more tests at this point would be the most useful thing that we could do for you. And the reason for that is because you've you've had some of the main investigations in the last couple of years, and they've not shown anything. And you symptoms haven't really changed that much. So it's very unlikely that if we were to send you for more tests now that they'd show anything different than what we already know. So it'd be I think it would be a waste of time for you to go for more tests. \"}\n", "{\"prompt\": \"So it's like, do you think it's all in my head that you're going to be like Dr. Brown, you think I'm imagining all of this?\", \"completion\": \"No, I think that you clearly have pain. And it clearly you have lots of physical symptoms and they clearly getting in the way of your life and causing you a lot of disability. I guess the way I think about these things is that they're not necessarily either all in the mind or all in the body. Sometimes these things can go together. I guess I'm thinking about how you told me that last year when your son got married, and you were very busy and quite happy that somehow your symptoms seemed less and when your husband's away, which is something you don't like very much. Sometimes somehow his symptoms then will seem greater. So I guess what I'm wondering, Barbara is if the might be some kind of a link with you between how you feel In your mind and what's going on in your life, and and how much you symptoms trouble you. Do you think that's a possibility?\"}\n", "{\"prompt\": \"Well, I can't see that my mind can be causing this amount of pain.\", \"completion\": \"I'm not saying that the pains in your mind. I guess what I'm saying is that sometimes the way that we feel, and the way that our lives are going can impact how we notice our symptoms. Given that we've tried medication for you, and we've tried investigations, and we've drawn a blank really with those, none of those have really helped you. I guess I'm wondering whether now, it would be a good idea to try a different approach to your problems.\"}\n", "{\"prompt\": \"What sort of approach?\", \"completion\": \"Well, I guess, thinking a little bit about those other areas of your life. I'm thinking about the fact that over the last four years, your life's really changed. It seems to have been Really shrunk down. And it sounds as though you're not doing lots of the things that you used to do that you used to get pleasure out of, is that right?\"}\n", "{\"prompt\": \"Well, I just can't do them. Yeah, I can't do them anymore.\", \"completion\": \"And I guess I wonder it sounds as though you've you've dropped doing those things, because you felt you couldn't do them. But I wonder if in a funny way, what's happened is the fact that you're not doing those pleasurable things now, has kind of fed into you feeling unhappy with the way that that your life is at the moment. And I guess I wonder whether that can then make your symptoms worse for you?\"}\n", "{\"prompt\": \"Oh, I don't know.\", \"completion\": \"I guess what I'd be wondering is whether one of the approaches we need to be using now is thinking about what you do with your life and what you do with your day. And maybe trying to bring back some of those pleasurable things. Even if it's just meeting up with your female friends once a week. And whether actually doing those sorts of things might generally improve your quality of life. I'm also thinking about the tablets that you're taking. And the fact that you, you seem to be taking quite a lot of them and wondering whether it's worth of sitting and looking at them and maybe trying to rationalize them a little bit and really decide which are helping you, which are doing nothing, and which may actually be making some of these symptoms Worse, I guess. What would you think about trying that slightly different approach for, say, two or three months just to see whether or not it makes any difference?\"}\n", "{\"prompt\": \"What two, three months is a long time if there is something going on, I mean, that's what happened to my mother in law, you know, they they left her and didn't spot it and\", \"completion\": \"well, I guess, if we if we did decide to work together like this, this new approach, I'd be seeing you regularly, we can keep an eye on your symptoms and if they change then we can investigate as appropriate proof They stay the same, then, you know, we could be pretty clear that there's nothing new happening that that we're missing. How would that sound?\"}\n", "{\"prompt\": \"So, what are you saying then that I should come back and see you\", \"completion\": \"I think that would be a good idea. I think we've only just begun talk about it. And I think perhaps you need to have a bit of time to think about it, and then perhaps come back, perhaps if you booked him for a double slot next week. And that would give us a good chunk of time to think about this new approach. And perhaps if you could also bring your your tablets in or make a list of them. We can look at what you're taking and perhaps go from there. How would that sound Barbara?\"}\n", "{\"prompt\": \"Okay, well, to make an appointment for next week, come back and see you again and talk about it a bit more.\", \"completion\": \"Yes, I think so. I think that would be a good, a good start.\"}\n", "{\"prompt\": \"And I'll make a list of the tablets that I'm taking here and bring all the bottles down.\", \"completion\": \"Okay. All right. Okay. All right. So see you again next week\"}\n", "{\"prompt\": \"I'll make an appointment next week.\", \"completion\": \"All right. Thank you Barbara.\"}\n", "{\"prompt\": \"Okay, okay.\", \"completion\": \"bye bye\"}\n", "{\"prompt\": \"oh I'm okay could be better could be worse. I'm hanging in there\", \"completion\": \"hanging in there. I understand you've been having some symptoms that have been bothering you can you tell me about those?\"}\n", "{\"prompt\": \"Oh, I'm worried all the time and just everyday all day just so worried about everything I I've just started back to school. After 20 years I've been a housewife the kids are now grown. So why not go back to school and now for the past seven, eight months it's just been nothing but Worry, worry worry constantly all the time worried about home worried about school and it's affecting Life.\", \"completion\": \"So, so a lot of lot of worrying, and how many? How many days? Would you say you're worried a typical week?\"}\n", "{\"prompt\": \"How many days Don't worry, I would say most days, Monday to Friday, Saturday, so it's always worrying when I'm on Monday through Friday, I'm worried about school, or when I'm at school, I'm worried about home and then on the weekends, I noticed school is coming up. And then they're just worried about managing everything. How am I going to deal with everything so it's a it's a lot.\", \"completion\": \"So it's very, very distressing for you\"}\n", "{\"prompt\": \"very much so.\", \"completion\": \"And you mentioned it's impacting school\"}\n", "{\"prompt\": \"on school. I'm not doing too well right now. When I was in undergrad, I used to be a straight A student. I thought I could do it again. Just pick up where I left off, but right now I'm worried so much that I'm so focused on worrying worrying that I'm worried about what assignment is too worried about Dude, I have just turned in the microwave. They're slipping right now. Because I'm so or when I'm in school, I'm still worried about home. What's going on at home that I can't pay attention in class and it's just all consuming.\", \"completion\": \"Right? So both at school and at home? Oh,\"}\n", "{\"prompt\": \"yes, definitely. You\", \"completion\": \"find difficult to control the anxiety.\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"That's affecting in a major way.\"}\n", "{\"prompt\": \"Yes. Very much.\", \"completion\": \"So might ask you some other questions that may be tied in with this. Okay. Do you do you use any alcohol or drugs?\"}\n", "{\"prompt\": \"Some, some some. I have a drink occasionally. But I'm so worried right now. My nerves are always on edge right now. I find it helps. So I mean, I got him troll, but\", \"completion\": \"it's under control. Yeah. How often would you say you drink?\"}\n", "{\"prompt\": \"Um, maybe some here and there every day.\", \"completion\": \"And how much would you So you drink.\"}\n", "{\"prompt\": \"Um, maybe it's a question of wine at night, but I'm not an alcoholic or anything but, okay, about the drug use a little pot. But I find it helps my nerves.\", \"completion\": \"So just down then\"}\n", "{\"prompt\": \"I'm like maybe a couple times a week, a couple\", \"completion\": \"times a week.\"}\n", "{\"prompt\": \"All right. Have you ever had a panic attack? No.\", \"completion\": \"Have you ever had any trauma in your history?\"}\n", "{\"prompt\": \"Well, my grandma, she died. When I was young. She used to take care of us. She was like a second mom to me. And I saw her that way. And she died when I was young, and she was really young. And it just, I was really close to her. And just I think about her a lot and especially since I have started back to school, been thinking about she's always encouraged me to get to education, get along with 10 and now just up Thinking about our ally. So she's,\", \"completion\": \"she's been on your mind. And when you think about her, what's the feeling that comes up?\"}\n", "{\"prompt\": \"Um, I worry a lot about because I'm thinking I'm upsetting her and her memory that if I don't do well then she will be upset even though she's not here anymore. She'll be upset if I'm not doing well.\", \"completion\": \"Alright, so when you're when you're thinking about her, you're having some sort of worry.\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"That's been distressing.\"}\n", "{\"prompt\": \"yes\", \"completion\": \"Alright, so I'm going to ask you some different symptoms. Let me know if you've had these symptoms as part of what's going on now. Do you feel restless, keyed up or on edge? \"}\n", "{\"prompt\": \"all the time\", \"completion\": \"Yeah.\"}\n", "{\"prompt\": \"So tense.\", \"completion\": \"How about you feel like you get tired easily.\"}\n", "{\"prompt\": \"I'm tired all the time.\", \"completion\": \"Yes. How about do you find your mind going blank or having trouble concentrating?\"}\n", "{\"prompt\": \"Well, I find my head trying to think of so many things at once so I can't focus just on things on Yes, definitely I'm in trouble concentration\", \"completion\": \"will concentrate. Have you noticed that you're more irritable\"}\n", "{\"prompt\": \"I'm not sleeping a lot, so I'm cranky,\", \"completion\": \"cranky? Maybe a little safe.\"}\n", "{\"prompt\": \"According to my husband a lot irritable. Okay.\", \"completion\": \"You mentioned you're tense all the time. Is that like a muscle tension.\"}\n", "{\"prompt\": \"I'm pretty much so just feel awake. Like my muscles are going to snap. Just I feel so rigid all the time.\", \"completion\": \"And tell me about your sleep.\"}\n", "{\"prompt\": \"Sleep span. With sleep. It's just like non existent pretty much right now is like the actors think trying to go to sleep when you have so much on your mind is hard.\", \"completion\": \"So you have difficulty falling asleep. But once you fall asleep\"}\n", "{\"prompt\": \"I'm no because I find like even though I'll have nightmares that would just wouldn't be up and better just by myself when I get up. Oh my gosh. What do I have to do? What am I forgetting? So I just always feel like there's something always on my mind that just makes it if I'm asleep, I can't stay asleep because I wake up thinking about it. I can't go back to sleep. This is some ugly cycle going on right now.\", \"completion\": \"Versus sleep has been a big, big problem for you.\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"So I like to get you in to see a counselor. I can probably get you into see one in just a couple of days\"}\n", "{\"prompt\": \"That's okay. Oh, I would appreciate it that\", \"completion\": \"that'd be helpful. Yes, yes. And I want to thank you for answering these questions. For me. This has been very helpful.\"}\n", "{\"prompt\": \"Thank you very much.\", \"completion\": \"Thanks.\"}\n", "{\"prompt\": \"Good. Thank you.\", \"completion\": \"You're doing good?\"}\n", "{\"prompt\": \"between part of me that wants to settle down, but then part of me that also wants to pursue my career and what I'm doing\", \"completion\": \"so we have a part that wants to settle down, a part that wants to keep going with the career so For this to chair, what I like to do is in the chair where you're seated now, this will be the emotional self, in this case, the side that wants to pursue the career. Yeah, myself before that seems like we're more that's what I really want. Yes, you're more emotionally connected. That's what you want. That's what I want. So this will be the side of you, that has the needs and the wants, and more the emotion. Okay, so that's who you'll be in this chair. That makes sense. \"}\n", "{\"prompt\": \"Yep.\", \"completion\": \" In the other chair, let's have the critic that's inside that internal critic. That's advocating for settling down for getting married for having kids. In a way it represents a societal pressure Did those two sides seem separate to you? \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \" You feel like you can be the emotional self here, an internal critic there?\"}\n", "{\"prompt\": \"I think so. Okay.\", \"completion\": \"So, I think you remember how this work she'll be, he'll be talking to this case the internal critic, right? So the internal critics on the side of settling down, getting married. And then when you're ready to have the critic respond, you'll switch that chair and respond to the emotional needs driven and wanting some make sense. Okay. So whenever you're ready, go ahead and speak directly to the internal critic.\"}\n", "{\"prompt\": \"I want to Finish what I'm doing, and I want to finish what I started. I've worked so hard on my career path, and I'm so close to finishing. And I want to finish for me want to accomplish those goals that I've set for myself? And something I'm passionate about?\", \"completion\": \"So you've made your statement. Are you ready to switch? Okay, good switch. So I use the internal critic.\"}\n", "{\"prompt\": \"There's always time to pursue a career, but I need to focus on what's expected of me at this time, on the best age for having kids I have a loving boyfriend who is ready and wants to get married and settle down. And you are being selfish by just following a path that you can take at any time\", \"completion\": \"an internal critic cues in the emotional side, in this case, the career side, been selfish. And notice your posture is very linear and you're upright. I noticed you kind of put your hand down a little bit when you're talking. Try to think of the internal critics, body movements. Try to act that out a little bit. Okay.\"}\n", "{\"prompt\": \"Think it's accusation. You know, I think I like I just wanted to, like tell the emotional part that it's being stupid that it's, you know, you're you're you're not acting in the best interest of everyone else. Jump at it.\", \"completion\": \"You're gonna jump at the emotional side?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So that's the internal critic, they respond back to the term critic from the emotional side. \"}\n", "{\"prompt\": \"Yeah, \", \"completion\": \"okay. So the internal critic is just called a selfish and one of the things is a response.\"}\n", "{\"prompt\": \"I feel like I'm being attacked. And I don't think it's wrong to think about myself and what I am truly passionate about.\", \"completion\": \"Let me interrupt you. So your hands are pointing back toward the career emotional self. What can you do with your hands that really embody that you want to communicate to the internal critic? Is there anything else you want to do?\"}\n", "{\"prompt\": \"the pointing towards me to protect myself from what the critics is saying. I just want to like push that back towards critic.\", \"completion\": \"So continueand have used that motion there. You're, you're pushing the internal critic away. Okay.\"}\n", "{\"prompt\": \"So I don't need I don't need to feel guilty you know, I don't need to feel selfish for wanting to follow my dreams\", \"completion\": \"does the internal critic have something to say back?\"}\n", "{\"prompt\": \"No.\", \"completion\": \"So you've you've now pushed the emotional side is pushed the critical way.\"}\n", "{\"prompt\": \"Okay. I think the critic, the critic feels like it understands where the emotional side of me is coming from. You know, like I can recognize why it's so important, then, like why working so hard is, is worth that, you know, sense of accomplishment that's going to come with it, how it's gonna, in the long run, help provide for all these extra things that I want to like my family in the future. I can see that.\", \"completion\": \"Alright, so internal critic is that hands down here is the internal critic. Right? It's an internal critic less angry, less assertive,\"}\n", "{\"prompt\": \"less pushy, less pushy, less pushy. Yeah, it's not. Not as critical. Truthfully, it's just I feel like the the pressure is annoying Dwayne on either either shoulders\", \"completion\": \"So the critic is more separated now maybe a little bit but also has a different outlook.\"}\n", "{\"prompt\": \"more quiet. It's not like always yelling at me. Because I think it I mean, sometimes it might still say something but not in like the urgency that it had before.\", \"completion\": \"So the critic has lost some of its vigor and determination.\"}\n", "{\"prompt\": \"Yeah, \", \"completion\": \"to move back to the emotional?\"}\n", "{\"prompt\": \"I feel calmer. I feel like you know, the critic is, has always been a part of me. But that part of me It's more like, you know, it's it's not as assertive. It's not as you know, intense right now it's a call. And I think that the emotional part of me was able to win the argument per se, you know, just because that's, you know, what I want.\", \"completion\": \"So at the end of this conflict, after we split into two parts here, they have this conflict is eventually a decision is a decision to pursue a career or settle down. Do you feel you gain more clarity in that decision?\"}\n", "{\"prompt\": \"Yeah. Because I feel like I, you know, I can stay on my decision is in has, you know, has been to stay on my career path, but now I feel less guilty for doing it.\", \"completion\": \"So that's, that's really been your decision all along. But the internal critic was harassing you this whole time? \"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"And today you're able to kind of shove that internal critic back a little. And allow that internal critic to see how strongly you feel with the decision you've made.\"}\n", "{\"prompt\": \"Yeah, that I very much\", \"completion\": \"do you feel is helpful technique?\"}\n", "{\"prompt\": \"Yeah, I do. I, you know, I think that separating the two sides helped me realize which one felt stronger.\", \"completion\": \"So he was able to give you some clarity.\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"Right. All right. Well, let's once reflect on what's happened here, between now and the next session, okay, Bye, guys. Kind of a lot happened. And it seems like you've gained clarity for your decision. And then we'll pick up with the next session and see how things have progressed with. See if that internal critic is still harassing you or if it kind of stays back. And if you have more peace with a decision, that's not like a plan.\"}\n", "{\"prompt\": \"I am 20.\", \"completion\": \"You're 20 Okay, where do you live?\"}\n", "{\"prompt\": \"At home\", \"completion\": \"you live at home? Who do you live with?\"}\n", "{\"prompt\": \"My mom, my dad, my sister.\", \"completion\": \"Okay, so you live with mom, dad and sister. what do you do for work?\"}\n", "{\"prompt\": \"I go to cop.\", \"completion\": \"Okay, so you came to me. It's See me cuz I'm a Doctor. \"}\n", "{\"prompt\": \"I didn't come to you, my mom and dad and my sister drove me here. I didn't want to come. \", \"completion\": \"Okay, are your mom dad and sister here?\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"Okay, so I'll I'll let you go back to them in a few minutes. But let's just get through a few questions\"}\n", "{\"prompt\": \"I want to go done now.\", \"completion\": \"So Victor, tell me, how's your sleep? And what about Have you experiencing any lack of joy? \"}\n", "{\"prompt\": \"Yes, I have my teacher have been mean to me. My educational assistants have been mean to me. They always put me in timeout.\", \"completion\": \"You need to calm down, victory stay in your seat. I'm gonna have to call security.\"}\n", "{\"prompt\": \"I never yelled It was the first ever first time ever.\", \"completion\": \"you are you yelling at me right now and I need you not to yell. Are you on any medications right now?\"}\n", "{\"prompt\": \"My mom and dad and my sister? No. So it's just Yes,\", \"completion\": \"yes or no. Are you on any medications?\"}\n", "{\"prompt\": \"Yes, I am\", \"completion\": \"okay. I need you to bring me a list of your medications later. So I'm going to give you a prescription for an antidepressant medication. Are you bringing home to your mom and show it to her and then get it filled?\"}\n", "{\"prompt\": \"Obviously, that's none of your business.\", \"completion\": \"Okay, so I'm just I'm just gonna go to my computer and put it in and then I'll be a receptionist will put you off the medication. Okay, so good luck Victor.\"}\n", "{\"prompt\": \"Bye\", \"completion\": \"Hi Victor, I'm Dr. Sawyer. Hi. I'm a psychiatrist. Do you know what a psychiatrist is? \"}\n", "{\"prompt\": \"No.\", \"completion\": \"Okay. So a psychiatrist is a doctor who deals with people who are feeling sad or mad, different feelings that they might have. We'll talk for a little bit and we'll talk about some things that might have been difficult in your life over the past little bit. And our goal is to try to make things see how we can make things a little bit easier for you.\"}\n", "{\"prompt\": \"Okay, and at school, I feel like they're not doing anything. They're not listening to me about my feelings. \", \"completion\": \"So you feel pretty unheard.\"}\n", "{\"prompt\": \"I feel unheard at school. My parents and my sister are hearing\", \"completion\": \"so you said you've been feeling pretty sad. How long have you been feeling sad for ?\"}\n", "{\"prompt\": \"Um, well. This is one teacher. I will give out her name but she She doesn't listen to me. Okay? She just tries to keep me down. \", \"completion\": \"How long have you had this teacher for?\"}\n", "{\"prompt\": \"Four years, four years. \", \"completion\": \"So have you been feeling sad for this entire four years or a shorter period of time?\"}\n", "{\"prompt\": \"shorter period of time.\", \"completion\": \"So has it been a couple of weeks? A couple months? A couple days?\"}\n", "{\"prompt\": \"A couple of months.\", \"completion\": \"So Victor, I want to tell you some of my thoughts of what I think is going on, but I want to invite your sister in because I need to find out a little bit about your medical history. So I'm just going to get her and then I'll come back. Okay. \"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"So, I've been talking to Victor he's been telling me about how his how he's had less interest in things. He's having trouble sleeping. And he's, he's not he's feeling sad all the time. And it does sound like he's been suffering from what we call a major depression. There's a couple of treatments that I want to talk about what you know what medications Victor's on? \"}\n", "{\"prompt\": \"Yeah, so I actually thought of this because there's a, there's quite a few. Okay, certainly. \", \"completion\": \"Thank you. Okay, so on this list it says about sort of what medical illnesses he's had and hospitalizations and surgeries as well. So there's a couple of treatments for for depression. One is medication and one is also doing some interventions within the school and within the family. And there's a lot of things to think about, but it seems like things in the school have been really not going well. And that's been a major contribution to his to sadness.\"}\n", "{\"prompt\": \"I am good, how are you?\", \"completion\": \"Pretty good. Can I ask you what handed only write with?\"}\n", "{\"prompt\": \"my right hand\", \"completion\": \"Your right hand would be all right to ask you some questions about your memory.\"}\n", "{\"prompt\": \"I guess\", \"completion\": \"Okay, thank you. I'm gonna ask you some questions and give you some problems to solve. Please try to answer them as best as you can. \"}\n", "{\"prompt\": \"Okay\", \"completion\": \"What year is this?\"}\n", "{\"prompt\": \"2015\", \"completion\": \"what season of the year is this?\"}\n", "{\"prompt\": \"winter\", \"completion\": \"what is the date today?\"}\n", "{\"prompt\": \"January 20.\", \"completion\": \"what day of the week is this ?\"}\n", "{\"prompt\": \"Tuesday\", \"completion\": \"What month is this\"}\n", "{\"prompt\": \"January\", \"completion\": \"Can you tell me what country we are in?\"}\n", "{\"prompt\": \"United States\", \"completion\": \"Do you know what county we're in?\"}\n", "{\"prompt\": \"Newcastle\", \"completion\": \"Do you know what city we're in?\"}\n", "{\"prompt\": \"Newcastle\", \"completion\": \"do the name or the address of this building?\"}\n", "{\"prompt\": \"was it Graduate Center? Three weeks away 31 weeks away\", \"completion\": \"What floor of the building are we on?\"}\n", "{\"prompt\": \"First floor\", \"completion\": \"I am going to name three objects. After I've said them, I want you to repeat them back to me. Apple, Table, Penny\"}\n", "{\"prompt\": \"Apple, Table, Penny\", \"completion\": \"remember what they are because I'm going to ask you to name them again in a few minutes.\"}\n", "{\"prompt\": \"okay\", \"completion\": \"Now I'm going to give you a word and ask you to spell it forwards and backwards. The word is world. First, Can you spell it forwards?\"}\n", "{\"prompt\": \"W O R L D\", \"completion\": \"Now, can you spell it backwards?\"}\n", "{\"prompt\": \"D L R O W\", \"completion\": \"What were the three objects I asked you to remember earlier?\"}\n", "{\"prompt\": \"world? No. Apple. I can't remember.\", \"completion\": \"What is this called?\"}\n", "{\"prompt\": \"This the Watch.\", \"completion\": \"I would like you to repeat a phrase after me. The phrases no ifs, ands or buts\"}\n", "{\"prompt\": \"no ifs ands or buts\", \"completion\": \"I want you to read the words on the page. I'm going to hold up and then do with the word say.\"}\n", "{\"prompt\": \"Close your eyes.\", \"completion\": \"Thank you. take this paper in your right hand. Fold the paper once with both hands and put the paper down on your lap. On this piece of paper, write any complete sentence on that piece of paper for me. \"}\n", "{\"prompt\": \".....\", \"completion\": \"Thank you. Here's a drawing, please copy the drawing on the same paper. \"}\n", "{\"prompt\": \"....\", \"completion\": \"Thank you. That concludes this test on that. Thank you for your cooperation.\"}\n", "{\"prompt\": \"I am alright\", \"completion\": \"Just alright?\"}\n", "{\"prompt\": \"I mean obviously I'm not doing great I you know asked you to have this session we didn't we weren't scheduled for today. I just I don't know I just I'm feeling you know, depressed as usual but it's just it's stronger and I'm just feeling I just don't want to wake up I just\", \"completion\": \"rough time of things?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"what was causing it?\"}\n", "{\"prompt\": \"Not really. I mean, it's just the same except one You know, like, I just I feel like what's the point? I don't feel like continuing on.\", \"completion\": \"You don't feel like continuing with your life.\"}\n", "{\"prompt\": \"Yeah, kind of\", \"completion\": \"Have you been having thoughts of suicide?\"}\n", "{\"prompt\": \"I mean, I think about what it would be like to just end things. I think it would be a lot easier. But at the same time, like, I can't imagine doing it. But you know, I can't say I haven't thought about it. \", \"completion\": \"So you have some thoughts about it, what prevents you from doing it?\"}\n", "{\"prompt\": \"I don't know. I mean, I guess I know what it would be like for my family. I don't want to hurt them.\", \"completion\": \"They would be hurt?\"}\n", "{\"prompt\": \"Yes and it's scary, I mean, the thought of dying is scary, but the thought of going on is painful.\", \"completion\": \"So it almost sounds as if by squaring it down a bit.\"}\n", "{\"prompt\": \"Yeah, I kind of feel like I'm stuck between a rock and a hard place. Like I just don't know where to go from here.\", \"completion\": \"Have you worked out in a specific plan or so?\"}\n", "{\"prompt\": \"No, I mean, you know, you know, I thought like if I were to do it, you know, ways but not not specific because I just don't think that I could do it, you know, like, I don't. I thought about suicide, but I don't like, seriously consider it as an option. But it's starting to like creep into my thoughts. And it never has before so that I'm like, kind of concerned about that. Like, I guess I know. Sometimes people like really planted and but for me, I've it's an I've never really considered it before so it's really scaryfor me. \", \"completion\": \"So, this how long been going on this feelings?\"}\n", "{\"prompt\": \"Um, I think like in the past couple of days, it started you know, more so and then like today, it was just like the first thought in my head and I couldn't stop thinking about it and that's why I wanted to see you because I'm just feeling I'm starting to feel like a little bit out of control.\", \"completion\": \"Okay, so and today and maybe the past few days been kind of new feeling that a new thought you don't want to continue life continue living. But at the same time, you don't want to commit suicide. You don't have a plan.\"}\n", "{\"prompt\": \"Yeah, I don't want to I, I really don't want to but, you know, like I said, I feel like I'm stuck between a rock and a hard place like it. It's not, I know it's not a good option. I just like Sometimes I feel like I'm so stuck. I just don't know where else to go.\", \"completion\": \"So if, we'll call it feeling depression, right, because that's what we've talked about before, is the depression will go away? Do you think that would change your outlook on?\"}\n", "{\"prompt\": \"Definitely, I think that is like the reason why I, the reason why the thought of not living anymore comes into my head is because of my depression because I just feel so like, my emotions are out of control, because I wake up feeling so down and so useless and pointless, that it makes me wish that I was dead. But if I didn't have that feeling, then I wouldn't wish that I was dead. Because I know that my life has value and I know that my family would want me around and I know there's a future for me, but my feelings make me feel like my future is just dark and pointless\", \"completion\": \"Alright these suicidal ideations I know you're, you're telling me you haven't had them before, so I can appreciate that they're scary. They could be scary, even if you hadn't had them before, are fairly common with depression. And you've, it sounds like what you're really saying is you're frustrated, and you're tired of being sick. And I think that you make a valid point when you say your family would be upset if you happen to regularly talk about your family before and it would seem to be very upset. When I see your life has value. I want to try to hang on to that thought. After we're done here today, tell me what you have planned for us today.\"}\n", "{\"prompt\": \"Well, I didn't I didn't really have plans because I kind of you know, came here feeling like I really needed to see you so I kind of put things on hold but I mean, I guess I would go home and, and, you know, I'm not really sure. \", \"completion\": \"Anywhere else you will go?\"}\n", "{\"prompt\": \"No. But, I mean, I probably could go to my parents house if I needed to, I could probably call them in and see, you know, it's getting close to the afternoon so they get off work soon.\", \"completion\": \"Can you do that for me? Can you go there?\"}\n", "{\"prompt\": \"Yeah, I think that's a good idea.\", \"completion\": \"And we'll kind of play by here from that point. I'm going to see you today. We'll we'll do some work today. Well, I'll see you again tomorrow. All right. So if you could spend a night there that that would be a wiser choice, given your thoughts and your feelings right now. Have you ever haven't used the term contract for safety?\"}\n", "{\"prompt\": \"I think you mentioned it before. I'm not really sure.\", \"completion\": \"Okay. So what it means is you kind of an only if it's authentic, I want this to be true is kind of where you promised me that you're going to be safe until I see you again, right for the foreseeable future that you don't have any intent or plan to harm yourself. Can you make that promise to me now? \"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"Okay. All right. So give me a minute and I'll come back and overcome a bit today. And now I'm going to schedule you see tomorrow as well.\"}\n", "{\"prompt\": \"yeah.\", \"completion\": \"okay\"}\n", "{\"prompt\": \"Thank you.\", \"completion\": \"Thanks, Joe.\"}\n", "{\"prompt\": \"yes.\", \"completion\": \"Have you ever hurt yourself?\"}\n", "{\"prompt\": \"Sometimes I cut myself.\", \"completion\": \"Have you ever cut deep enough so that you needed stitches?\"}\n", "{\"prompt\": \"No, no, \", \"completion\": \"or had to go to the hospital?\"}\n", "{\"prompt\": \"No.\", \"completion\": \"Does anyone know that you know what you and I say is confidential but when I'm worried about people's safety, and usually I need to tell someone about it. Because it's so that they stay safe. But I wonder if we talk about you cutting a little bit more and help understand it. If you and I can tell someone in your family together so that when you feel like cutting, they can help you. And so you don't cut anymore. Can you tell me about those thoughts?\"}\n", "{\"prompt\": \"Want to stick a knife right here and this slit my wrists\", \"completion\": \"at some pretty rough.\"}\n", "{\"prompt\": \"All right.\", \"completion\": \"Is it is it all the time that you want to do it? I just some of the time, \"}\n", "{\"prompt\": \"all the time, all the time. \", \"completion\": \"Some people say that when they cut themselves, it makes them feel and that helps them because they just feel nothing otherwise it's not you. \"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"Okay. Have you ever had thoughts of wanting to kill yourself or in your life?\"}\n", "{\"prompt\": \"Yes, I do, putting my face on your pillow.\", \"completion\": \"Have you ever put a pillow over your face to try to kill yourself?\"}\n", "{\"prompt\": \"I triedd, but I got scared. \", \"completion\": \"You got scared? What kept you from doing it? Let me just stop.\"}\n", "{\"prompt\": \"I wrote for my family and friends.\", \"completion\": \"I wonder Victor, if we made a plan of what to do when you're feeling like wanting to hurt yourself or kill yourself if we made a plan with your sisters here today? \"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"So if we made a plan with your sister of what to do, so that you go to your sister if you're feeling sad, and you have a list of what to do when you feel like you want to die or hurt yourself, so you don't hurt yourself. \"}\n", "{\"prompt\": \"All right today? Yes,\", \"completion\": \"I understand that you've been having some symptoms and that's what brought you into our agency. Could you tell me about that?\"}\n", "{\"prompt\": \"Um, I've been having a lot of worry. Worry. Yes. A lot of worry on and off for about the past four or five months, maybe four or five months, about four or five months, maybe about six months? Yeah, round four or five, six months. And I just started back to school after being a stay at home mom for 20 years. The Kids Are All awful to college now in a way and I decided why not go back to school do something else now. And it's just been causing. And I've just been getting worse so much lately.\", \"completion\": \"All right, so so a lot of worry, summer at four or five or six months\"}\n", "{\"prompt\": \"it's been going somewhere in there for five, six months.\", \"completion\": \"Have you had this worry more days than you haven't had it in that last four to six months?\"}\n", "{\"prompt\": \"I've had a lot of good days. I mean, I've had some bad days. I want to get these two. So I don't know. Okay,\", \"completion\": \"not quite sure. Sure. Do you find the worry difficult to control?\"}\n", "{\"prompt\": \"What to do or Yes, yes.\", \"completion\": \"So I'm going to ask you some questions related to this. Let me know if you've experienced these symptoms. You You restless keyed up on edge.\"}\n", "{\"prompt\": \"Yes, Yes, I do. Okay.\", \"completion\": \"How about are you easily tired?\"}\n", "{\"prompt\": \"all the time? So tired all the time?\", \"completion\": \"Yeah. All the time. Yes. You're having trouble concentrating or finding your mind go blank.\"}\n", "{\"prompt\": \"Find the mind just wondering. Just cold blankets avocado calm like yes. Okay.\", \"completion\": \"Do you find that you've been irritable?\"}\n", "{\"prompt\": \"Very much so.\", \"completion\": \"Yeah. Name muscle tension.\"}\n", "{\"prompt\": \"Yes. rigidness\", \"completion\": \"and tell me about how you've been sleeping.\"}\n", "{\"prompt\": \"I'm not very well, obviously not very well. lately. I find that hard. Just I can't go to sleep. And I can't stay asleep. It's just been hard.\", \"completion\": \"Do I drink alcohol or use any drugs?\"}\n", "{\"prompt\": \"No, I don't know. \", \"completion\": \"Have you ever had a panic attack?\"}\n", "{\"prompt\": \"No\", \"completion\": \"Okay, trauma and history,\"}\n", "{\"prompt\": \"No\", \"completion\": \"any mental health disorders at all?\"}\n", "{\"prompt\": \"No\", \"completion\": \"You find the symptoms very distressing. Um,\"}\n", "{\"prompt\": \"yes. distressing? Yes.\", \"completion\": \"And what areas are the distressing?\"}\n", "{\"prompt\": \"I'm at home so much at home.\", \"completion\": \"Yeah, \"}\n", "{\"prompt\": \"I'm doing I'm already in school. Schools okay schools don't I 4.0 well, very good. I'm just at home I'm just in a constant state of worry all the time.\", \"completion\": \"How about when you go out with friends have fun.\"}\n", "{\"prompt\": \"Great times. Great times. My friend tests\", \"completion\": \"have gone out. Is there something specific to your home environment you think might be contributing to this because you don't have it? at school? You don't have socially\"}\n", "{\"prompt\": \"I mean, we have some problems here. And there are some problems here. \", \"completion\": \"They're nothing you could isolate as maybe causing the symptoms,\"}\n", "{\"prompt\": \"um, windows, maybe maybe not things but just not an Ikea.\", \"completion\": \"Nothing you can't work through. Alright, so I'm going to get you in to see one of our counselors if that's okay with you. Just take a couple days for you to get in, get appointments set and pretty get in. Is that okay?\"}\n", "{\"prompt\": \"I would like to see your house. Yes.\", \"completion\": \"Okay. I'll get that set up. And I want to thank you for answering these questions has been really helpful to me.\"}\n", "{\"prompt\": \"No, I usually I've been dealing with the teachers. Honestly, I was always the class clown. So I'm usually getting kicked out, getting detention, you know, so I didn't really get along with the teachers trying to teach class right stuff. \", \"completion\": \"Okay. So overall today are you pursuing or do you want to further your education\"}\n", "{\"prompt\": \"Yeah, I'm trying to get in college.\", \"completion\": \"Right. Yeah. Great. So you're looking into for year junior college,\"}\n", "{\"prompt\": \"yeah, a dream college.\", \"completion\": \"And what would be like, give me a little bit during the time that you were in school. Did you have a job heavy work?\"}\n", "{\"prompt\": \"I was working at cost wise, It's a restaurant Through the school, okay, and it was not like a job program, right, package of knives and forks and wrapped in salt and pepper and would send them over to the school. I mean to the restaurant. \", \"completion\": \"You sent over to the restaurant.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Okay. So you would prep everything, you know, all the tensile Ready? \"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"Okay. Now, when you were working, how did that make you feel when you're working?\"}\n", "{\"prompt\": \"You know, I got boring at times, obviously And because the Patriots were also really small. \", \"completion\": \"but it was the start?\"}\n", "{\"prompt\": \"Yeah, it was a start. \", \"completion\": \"Right. And so how did it make you feel good? Because you work for something And then the finished product was your paycheck.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So if you want something in life, you pretty much have to work for it work for a car or not You have to work at a young age. How old were you when you started working?\"}\n", "{\"prompt\": \"10 years old\", \"completion\": \"10 years old and then you started working and As a program for the school, so you know, you've known at a young age that it's going to take hard work,\"}\n", "{\"prompt\": \"yeah to achieve something to achieve something.\", \"completion\": \"Now, what about your dream job? What would be if tomorrow you could say, I'm gonna have this person tomorrow? Or this is my profession tomorrow? What would be your dream job? \"}\n", "{\"prompt\": \"A pilot\", \"completion\": \"Wow. And when what was what's your reasoning behind that?\"}\n", "{\"prompt\": \"I love airplanes I used to make smaller airplane\", \"completion\": \"Tell me more about that. What would you do in your dream job?\"}\n", "{\"prompt\": \"I just want to fly by being in the end, I like going fast.\", \"completion\": \"Fast in the air and being above Yeah, I think being able to see different view. So pilot Have you looked into what it would take to become a pilot.\"}\n", "{\"prompt\": \"You know, the only struggle with thatI dont have to drink, I don't think this will work out\", \"completion\": \"What is you next dream job?\"}\n", "{\"prompt\": \"A cop.\", \"completion\": \"Police Officer, have you looked into that what it takes?\"}\n", "{\"prompt\": \"yeah trying to get back into this cadet program I was doing for about three weeks ago was doing it but was too far. So to kind of really go forward in my area\", \"completion\": \"right maybe that's something we can discuss to help you find the cadet program close fine. We're able to give you a, you know, some goals to set to get you in the program at that. But let's look at you know, back, let's back up a little bit to the marijuana. Because you and I know being in law enforcement, you know, marijuana and being a cop, pretty much \"}\n", "{\"prompt\": \"Yeah, yeah. \", \"completion\": \"And you would have to what would you have to do?\"}\n", "{\"prompt\": \"Let it go, I have to let it go. \", \"completion\": \"So, what we want to do while you're here, you know, we want to help you here develop a treatment plan and treatment model where you can pursue some realistic goals. We want to set some goals for you. Also, what about your medical History tongue a little bit about your medical history. Have you ever been in the hospital? Has anything ever happened to a broken bone\"}\n", "{\"prompt\": \"I had surgery on my cybereason\", \"completion\": \"What about in your family? Is there any diseases in your family and you want to know suffer for any illnesses, ailments. Okay. And as far as medical attention is there anyone that needs medical that needed medical attention in the past maybe someone on meds in your family psychological health? Was there anyone maybe that has gone to therapy that has been in therapy Your family and family member\"}\n", "{\"prompt\": \"No.\", \"completion\": \"And what we want to do, what I want to do to help you with this verse is one want to develop a treatment plan to help you with the marijuana use. We want to be able to look at your support system, you know who's in your life right now? What are your friends that you smoke marijuana with? What type of people are they? Would this be a good fit for you? But our whole goal is to start you off with small steps. So today, you're using marijuana how many times a day. So you pretty much said you use it every day. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"But how many times?\"}\n", "{\"prompt\": \"3-4 times\", \"completion\": \"Do you wake up and you do?\"}\n", "{\"prompt\": \"yeah. It's not my morning routine. Go ahead and do it. And then usually around noon time I'll do it again and then towards five o'clock. I'll do it again at nighttime in Fargo. They'll do Again, right\", \"completion\": \"so one of maybe one of the realistic goals is you're okay you know we can we can narrow down maybe the relationship see which of your friends right now today? How many of them smoke\"}\n", "{\"prompt\": \"about six seven\", \"completion\": \"Yeah so maybe a realistic short term goal is to begin to see which friends to hang out with you know and then also your mom man either way she\"}\n", "{\"prompt\": \"She told me before you fall into the wrong crowd and fall into something just she pretty much said that this if I keep this up is gonna get me into something I don't want to get into right now jail time round because we makes you do things that you shouldn't be doing for other things legal, right so,\", \"completion\": \"so definitely we want to look at your whole peer relationships who your friends are We also want to look at your your time right now. So, you mentioned earlier that you were working. Are you working today? \"}\n", "{\"prompt\": \"No.\", \"completion\": \"Okay, so maybe that's another thing a realistic goal that we need to look at, and maybe help you pursue is it as a job? Maybe because the idle time sometimes can trigger events, you know, where you begin to want to use marijuana, and then we can identify some of the emotions that you're feeling. Let's go over that maybe briefly. Before you get before you smoke marijuana, is there a feeling that you have that says, hey, you depress, so we can look at the depression and see how we can treat that. What else? What are some of the other feelings that you see?\"}\n", "{\"prompt\": \"so angry, You know\", \"completion\": \"what you think?\"}\n", "{\"prompt\": \"Be a bit boring, but my girlfriend So it's kind of a start. So it still bothers me as much as I'm trying to ignore it. Instead, it still bothers me. \", \"completion\": \"Right? There's a certain days that maybe perhaps you remember or events\"}\n", "{\"prompt\": \"Like Thanksgiving and Christmas and holidays and things like that.\", \"completion\": \"That's when you become angry.\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"How you were brought up?\"}\n", "{\"prompt\": \"Yeah its like that I don't appreciate my foster parents. Right? But just with Billy, I've been born with my biological right.\", \"completion\": \"So we want to we want to maybe will equip you with some coping skills, how to cope with those things, how to prepare you maybe for the holidays, maybe there's a way we can, you know, we can begin to look at that. During the holidays. This is these are the emotions I feel. So we identify those emotions and we'll be able to, you know, take care of that we'll be able to prepare you prior to you are you falling back into the trap of going out and using marijuana Maybe during Christmas? Do you feel the same way during Christmas?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"Maybe even your birthday, Father's Day, Mother's Day, these are all things that we can kind of get you ready for. Because once again, it's gonna take small steps, realistic goals. And then what we want to do after that the real estate goals is just get you ready, you know, for long term goal. But you know what, Curtis? I'm glad you came into my office. It was great meeting you. I look forward to working with you. \"}\n", "{\"prompt\": \"All right.\", \"completion\": \"Is there any other questions that you may have for me? Is there anything?\"}\n", "{\"prompt\": \"How many times a week Am I going to be allowed to come?\", \"completion\": \"What Well, we can do we'll set you up with a treatment plan. And then I'd like to meet at least have two contacts with you your week. We can go over that. And then maybe during one of the context, we can help you with one, help you with a job. Okay? And then identifying some of the emotions. And then maybe we can get the whole marijuana use, we can begin to kind of taper it down instead of seven, you know, everyday. Yeah, we'll begin to see how we can take with that. Okay, we're down but again, I'm glad that you came. It was a pleasure meeting you and we'll be in touch and we'll be able to do it again.\"}\n", "{\"prompt\": \"Not very much on it.\", \"completion\": \"I'll take a look at it and see, well, you did complete most of it.\"}\n", "{\"prompt\": \"I don't see the point. And I mean, how do you master watching TV or eating a meal? I, if I had tried to use chopsticks, I suppose it would have some mastery involved in but I, I didn't mess with chopsticks, okay. Food was okay. Hmm. But not, not great. Okay.\", \"completion\": \"So it was tough. And I just want to be clear, though, Charles that this is very typical though for many people that we work with. It's very difficult to complete homework worksheets, because things happen, right? I don't feel that Well, sometimes things get in the way. There's things that just prevent me from doing that. So I think our job together is to try to figure out what are the sort of barriers that make these sort of things difficult. So what would you say what would be some barriers that made it difficult to Your mastery ratings.\"}\n", "{\"prompt\": \"I don't enjoy anything. And I used to I used to enjoy it a lot of things. But I don't even I don't look forward to breakfast, particularly cup of coffee. The news is mostly bad and what if there is news? I mean, the paper doesn't carry much national news anymore. So, I mean, I have to eat, but I really don't see the point of a lot of things.\", \"completion\": \"Okay. Okay. Well, I think something that will be useful for both of us, Charles is to collaboratively work together and figure out how we can look at the perceived benefit of doing some of these things. versus the cons. So there's a worksheet that I have called a decisional balance worksheet. And it basically takes two separate decisions. One decision is to engage in activities, and there's some benefit to doing that. And then another decision would be to not engage in activities. There's benefit to that. But there's also cost to both of those decisions. So I think one objective way for you to look at this worksheet would be to determine what are the sort of things you could do and determine whether there's more benefit or cost to completing that? What do you think about that?\"}\n", "{\"prompt\": \"Well, that would depend on the activity. I know but okay. I could, I could get in touch with somebody I could call a friend. Maybe try to meet somebody for lunch.\", \"completion\": \"Okay, that's a great idea. So what would be a benefit of calling a friend or meeting someone for lunch?\"}\n", "{\"prompt\": \"Well, I would, I would enjoy the company. Okay, and wouldn't be as lonely I suppose.\", \"completion\": \"Okay, that sounds great. So sounds like one benefit would be you'd enjoy the company. Yeah. And you wouldn't be as lonely. So I'd write that down. Okay, good.\"}\n", "{\"prompt\": \"Company company and said not as lonely not only. That's good, okay.\", \"completion\": \"Okay, can you think of the downside to potentially doing that?\"}\n", "{\"prompt\": \"Well, one downside might be that he wouldn't be interested in having lunch with me. I haven't been a whole lot of fun lately. And, or he might be busy and might not not might not be able to have lunch.\", \"completion\": \"Okay, or\"}\n", "{\"prompt\": \"he might want to talk about what's going on in my life and I'm ready We don't want to talk about that let somebody talk about it with you course. Okay.\", \"completion\": \"So it sounds like the most practical one of those would be that he may be busy.\"}\n", "{\"prompt\": \"Right? That could be the downside. Is that right? Okay. might not be able to come. Sure.\", \"completion\": \"Okay. So I'd write that is a great job Charles with the top two boxes with the first decision. So let's move to the second decision, which would be to stay the same and there's some benefit to that and there's some cost to that as well. Sure. Okay, Charles, so we completed the worksheet. So what's your overall impression about the benefits of changing versus the cons and staying the same?\"}\n", "{\"prompt\": \"Well, it makes sure that the, the benefits outweigh the cons. If, if I make the change if I don't make the change I'll be doing just what I've been doing and I'll be getting up wondering, what's the point? And well still be lonely. And\", \"completion\": \"Those are good observations, Charles. So, which activity doesn't make the most sense to try for homework this week?\"}\n", "{\"prompt\": \"Well, I call somebody I think, Okay.\", \"completion\": \"Okay, that's a good observation. So, let's say for homework, then you tried to call someone to get together with a friend. And how about also trying to complete a full day of the activity schedule, and completing both the mastery and the pleasure ratings? What do you think about that?\"}\n", "{\"prompt\": \"Sure. Okay.\", \"completion\": \"Okay. And if it gets Difficult, which again, that's pretty normal for that to take place. If it gets hard, we can talk about it next time and we can problem solve together and figure out how to remove those barriers. Does that sound good?\"}\n", "{\"prompt\": \"Great. How are you?\", \"completion\": \"I'm doing well. Thanks for asking. So doing great. I noticed today your brother rush in. And he has some concerns about how you remove a spin.\"}\n", "{\"prompt\": \"I mean, I don't know why because I mean it's been awesome for like a week I've been getting so much done. You know at work, I finished both reports that I've been working on. And even at home, like I've had tons of time to clean my house and get caught up on actually making my house what I want it to be and just Working on in general and it's clean. And I mean, I haven't had any issues.\", \"completion\": \"Right. So you're feeling pretty good. And you have been for about a week? Yeah. Have you? Do you feel like your sleep habits have changed?\"}\n", "{\"prompt\": \"I mean, they have. I haven't been sleeping as much. I haven't needed it really. I only need a few hours, it seems like but it's been fine because I haven't been tired. I haven't been, you know, irritable or anything during the day and at night, I get a few artists late, but the rest of the time I'm like, you know, either working on work or my house or whatever. So I mean, I've slept like in less but it's not an issue.\", \"completion\": \"No, it's you're sleeping less but you don't feel tired at all.\"}\n", "{\"prompt\": \"Okay, yeah.\", \"completion\": \"Do you Find yourself more easily distracted by anything. things around you.\"}\n", "{\"prompt\": \"No Not really like that.\", \"completion\": \"You mentioned you get a lot of things done at work. How about at home?\"}\n", "{\"prompt\": \"Yeah, I mean, so my daddy room, I feel like more in new China and stuff like that. So I've gotten everything set up. You know, I hadn't finished unpacking all my boxes from when I moved in. So I've gotten all the boxes on packed. You know, even like things like placemats and whatever, like, it looks like a home now and I'm really liking what I'm doing\", \"completion\": \"if you're accomplishing you're accomplishing a lot. Know, when your brother can brush in, he'd mentioned some shopping and that's one of the things he was certain about.\"}\n", "{\"prompt\": \"Yeah, well, so I on the weekend, I had gone ahead and when shopping and I kind of went on a shopping spree. And I had bought, like I said, my new China and I got some kitchen utensils too and a couple things for around the house like home decor. And I called him because I had ran out of space to take everything I was at the mall. So I was hitting a lot of different stores. And I've run out of space to put everything in because I really wanted to actually get a new dining room set like tables and chairs and maybe a cabinet and he has an SUV. So I called him to see if he could come in so I could purchase the items but he said he wasn't he couldn't come out and I guess he kind of said he was worried about you spending that much money. Which I don't know. I don't know why he would be just from me calling him but I think that's why he was concerned it but he didn't come I didn't get the dining room set or anything.\", \"completion\": \"You remember how much you spent\"}\n", "{\"prompt\": \"I don't know exactly, because there's lots of different stores. But, you know, I have a couple different credit cards. So one credit card I used was declined by the end. So it was probably, you know, I didn't need to get the dining room set. I could have used a different credit card, but obviously it's been enough.\", \"completion\": \"Dude, I feel like you spent more than you usually would spend a trip to the mall.\"}\n", "{\"prompt\": \"I never really go on shopping sprees. And I really treat myself like that. So I mean, yes. But I again like I haven't, you know, I needed all those things that I got from my apartment.\", \"completion\": \"So have you ever had a time in the past when you felt this way where you felt really good?\"}\n", "{\"prompt\": \"Not like this. Now is the first time I've just feel like, you know, life's falling into place right now.\", \"completion\": \"Life's fall into place. So you're feeling pretty good. You feel like things are On your way\"}\n", "{\"prompt\": \"I do\", \"completion\": \"you get a lot accomplished. Any sadness or anything like that?\"}\n", "{\"prompt\": \"No, no.\", \"completion\": \"A change in appetite. You seem to have a good amount of energy. Any feelings of worthlessness?\"}\n", "{\"prompt\": \"No\", \"completion\": \"Any thoughts of death or dying?\"}\n", "{\"prompt\": \"NO\", \"completion\": \"drug and alcohol use?\"}\n", "{\"prompt\": \"No\", \"completion\": \"no medical conditions.\"}\n", "{\"prompt\": \"No.\", \"completion\": \"Have you ever had time in the past when you felt depressed?\"}\n", "{\"prompt\": \"I mean, I have been depressed in the past. Yes. Yeah. But I mean, I feel like that's, I feel like it was it was a different person. And I feel like, you know, I haven't had any of those symptoms. You know, and I feel like it's a new me\", \"completion\": \"to new you. Yep. So do you know what happened? With the depression the past? Like, did you end up hospital or being treated some other way? \"}\n", "{\"prompt\": \"No, no.\", \"completion\": \"Just no treatment?\"}\n", "{\"prompt\": \"No. I mean, I've talked to people before about being depressed. But I was never hospitalized for it.\", \"completion\": \"But you believe you were depressed?\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"Now we're back then. Did you see or hear things that other people couldn't see or hear?\"}\n", "{\"prompt\": \"No,\", \"completion\": \"not now. We're back then.\"}\n", "{\"prompt\": \"NO\", \"completion\": \"Okay. All right, Sherry. answering these questions has been helpful to me. I appreciate it. I'm going to get you over to see a counselor. Just a few moments. \"}\n", "{\"prompt\": \"Okay. All right.\", \"completion\": \"I know that you're feeling pretty good, but I'd like them to talk to you for just a bit. \"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"Okay, thanks for\"}\n", "{\"prompt\": \"Yeah, I guess maybe that's part of where it's so hard for me is like, I know that I'm causing a lot of suffering for people.\", \"completion\": \"Well, let's, let's talk about that. So you're in, you're in a position where you have to make some decisions about people's lives. And sometimes those decisions result in people being separated from the family. Sometimes they don't. Are you really the cause? In the larger picture? Are you really the cause of these families being broken up?\"}\n", "{\"prompt\": \"I guess not like it's their actions, if they were doing the right things, even if I did come in their kids wouldn't be removed. But it is still hard to be the one that pulls that trigger, you know.\", \"completion\": \"Well, you're the immediate cause kind of at the end of the whole process, but the true cause happened years or months before you got there as people made decisions that maybe weren't the best for their children for themselves. So you're really coming in, to some extent the tail end of a long series of behavioral choices\"}\n", "{\"prompt\": \"Yeah. That's true.\", \"completion\": \"Ultimately, for this family that's causing you the cycle that you're worried about. In kind of the looking at the long term lengths, do you think the children are better off? Because they're not with a family right now?\"}\n", "{\"prompt\": \"I mean, if they get with a good family, which, you know, usually they do. It's, it's good for them, you know, maybe it could be a wake up call for the parents, or if not, at least the kids are getting their needs met and stuff like that. It's probably really hard for the kids and they probably want to go back to their parents. But I think overall, we wouldn't be doing this if we didn't think that it would be best for the kids to go to a place where they're going to be taken care of.\", \"completion\": \"So immediately, there's some pain because you have to pick up the family but the long run. Maybe there's a better result. Even with that, though, let's talk about the concern you have about making a poor decision. So this based on what you're describing, do you believe this was actually a poor decision?\"}\n", "{\"prompt\": \"I guess not. It just feels like it is.\", \"completion\": \"Yeah, it feels like it is. And it was a tough decision. But looking at it in the weight of the evidence. Maybe you can appreciate that you might have had to the same thing you if you go back in time.\"}\n", "{\"prompt\": \"Yeah. Yeah, I think so. And I'm not sure anybody else would have made a different decision either.\", \"completion\": \"So you really did what you had to do. Because there's still a pain component there for them. You're feeling torn. And you don't want to go through this again?\"}\n", "{\"prompt\": \"No, I mean, not this feeling. But I do want to keep doing my job.\", \"completion\": \"But doing your job in a world where you could make a mistake, that's not as appealing.\"}\n", "{\"prompt\": \"Yeah, I mean, I guess I always knew I could make mistakes, but it just feels really real now, I guess that is the difference.\", \"completion\": \"So in this particular instance, this what you're saying doesn't seem like a mistake. Let's consider a situation where you did make a mistake. That would be the worst case, right? We're just taking things to the worst case scenario. Okay. Your fear here is that in a sense, regardless of what already happened, going forward, you'd be mortified to make an error. Because this pain you're feeling right now. There's just a variable that's thrown everything into chaos for you. So looking around like where you work and and the history of your profession, what's the mistake you see people make from time to time and you'll be frightened of.\"}\n", "{\"prompt\": \"I guess the biggest mistake you can really make is to miss some form of abuse or something like that.\", \"completion\": \"And then someone's hurt. Okay.\"}\n", "{\"prompt\": \"Good, good how are you?\", \"completion\": \"I'm doing well. Thanks for asking. Last week you were talking in therapy?\"}\n", "{\"prompt\": \"Yeah. I mean, I thought a lot more about it this week after I mentioned it last week, but but Jill was telling you about Jill, a co worker. And, you know, she was kind of bothered me the past couple weeks, but really, this this past week was like the worst, right? So she's not doing her paperwork. And the thing is, is that she has to do these reports in order for me to do my reports. So if she doesn't have hers, I can't do mine. And then I can't get mine out in time for the next person to do theirs and it's a mess. The whole thing's a mess. And it's just it's annoying.\", \"completion\": \"So her work slow down, or not being efficient work is affecting your work productivity.\"}\n", "{\"prompt\": \"Yeah. Yeah, it definitely is. And it it's one of those things that like, you know, has, it gives me a bad a bad evaluation, you know, like, if I'm not in my stuff in in time, the number reflects negatively on me, you know, and it's it's all kind of she's she's the first level, you know, and then all the other levels are kind of dependent on her turning things in on time. So she doesn't, then I don't then the next person and so forth, and it makes it seem like you're not doing her job, right? Yeah. And my boss doesn't like it. my boss's boss doesn't like and so forth. You know, and I try to explain them. You know, she's the problem, but it doesn't always I don't always have the time to go up and tell them like, here's what's happening or just somehow it doesn't Now,\", \"completion\": \"you don't always get the opportunity to tell people that are important at your work about the situation.\"}\n", "{\"prompt\": \"Yeah. And that's pretty annoying too. Because, you know, it's one thing if people get mad at me, but then I'm able to tell them why I'm not doing my job, like I'm supposed to. But it's another thing for them to get mad at me. Not realizing it's not my fault.\", \"completion\": \"You know, you have an explanation for why that works.\"}\n", "{\"prompt\": \"Yeah, I do. I do. That's the thing. But I can't always get it out. You know, I can always tell the person that's has the complaint about and yeah, I mean, I've tried talking to my, my boss. And I've tried talking other people too, you know, but really hasn't gotten anywhere.\", \"completion\": \"So you're feeling stuck with this whole thing?\"}\n", "{\"prompt\": \"Yeah. Yeah, I mean, I talked to Joe a little bit about it, too. You know, and I tried to ask, I tried to kind of gently reminding her, you know, like, such and such needs to be turned in by Tuesday at 12 o'clock. I didn't want to be real abrasive, you know, but I, I tried to remind him as a polite approach. Yeah. Yeah. And it didn't didn't really seem to work because it's still happening. You know,\", \"completion\": \"your attempt to fix the problem hasn't really worked the way you want.\"}\n", "{\"prompt\": \"It really hasn't. And, and that's just, I feel like I've tried everything that I could try. You know, and even like, I came home and I was talking to a friend about it, and I was trying to think of other solutions, right. You know, I was trying to think like, what else I could do what else I could say. Who else I could talk to things like that. You know, and my friend, you know, you He was listening and stuff. He had some good suggestions, but he didn't know what to do either like cuz he doesn't know the way the company works. So like, I got nothing. You're not getting the help you need for this. Yeah, not at all feeling pretty lost with it. And I wish there was just like a clear way to do things like this is what you should do now. And I don't see anything some\", \"completion\": \"sort of clear plan.\"}\n", "{\"prompt\": \"Yeah, yeah. But yeah, I don't I don't see a way to go about it. I mean I've so I've Okay, so this is the way I laid out in my mind. I tried talking to the people above me didn't work out the way I thought it would. I tried talking to the people below me so to speak, just lower on the before me in the process. That's what I mean. And that didn't work out which is just Jill and I talked to her and that didn't work. So like, there's nowhere else I could turn.\", \"completion\": \"The options are exhausted.\"}\n", "{\"prompt\": \"Yeah, that's what it seems like to me.\", \"completion\": \"And this is frustrating for you.\"}\n", "{\"prompt\": \"Yeah, it is. And I've been trying to wrack my brain. You know, like, what else could I do? You know, like, maybe if I could maybe if there was like, a committee or something that I could go to, you know, and be like, well, this person's not doing what they're supposed to be doing. But there's not a committee like that. Or even if there was like a person, you know, like, a resolution person or whatever, but there's nobody like that.\", \"completion\": \"There's no other avenue. \"}\n", "{\"prompt\": \"It sort of seems like to me Yeah. I mean, that's and you know, as I'm even trying to think like, I don't know, should I Write a letter to somebody maybe. But I don't even know who or what\", \"completion\": \"you thought about a letter. But who would you send it to?\"}\n", "{\"prompt\": \"Yeah. Or like just something else that I can I can do instead of going to this person though to that person that didn't work. Can I can I call somebody is there anybody else in the company that you know might handle stuff like that? But I mean, there's there's HR people, but I can't really see where they could come in. I don't know how human resources could deal with something like that.\", \"completion\": \"You don't view them as a potential solution.\"}\n", "{\"prompt\": \"No, I don't. Wondering if there's like a But there's I mean, I'm thinking now that there's gotta be something or somebody, or somewhere that I could put in, like, almost like a complaint or something like, something's out of my hands. And I don't know what to do about it, but there's got to be something. And now that I'm saying this, I'm thinking that there's got to be\", \"completion\": \"some other resource you haven't tried yet.\"}\n", "{\"prompt\": \"Yeah, yeah. I mean, now I'm trying to think back to my training, you know, initially you know, maybe there's, you know what, I think now that I'm, now that I'm thinking a little bit harder about a little bit differently about it. I'm thinking that there's like, man, I forget what they call it now, but maybe like a complaint but It's not the right word, but maybe a complaint box or like suggestions or something. And I think, if I remember correctly, those suggestions and those complaints get brought up at every staff meeting, which we have, like every other week.\", \"completion\": \"They're discussed at this regular meeting.\"}\n", "{\"prompt\": \"Yeah. And I'm thinking now, I mean, nobody really uses it. But I'm thinking like, maybe that's an avenue that I can use, you know, like, maybe that'll get brought up. And maybe that's something that that might actually work. \", \"completion\": \"This could be another option for you.\"}\n", "{\"prompt\": \"Yeah, it could be. And then if it does work, it'll get brought rather if they do read it, it'll get brought up at the staff meeting. where everybody's at my boss, my boss's boss, Jill, everybody's there. And maybe that's a way for it to come to most attention. That deadlines being missed, affect other people in ways that you don't really know about.\", \"completion\": \"So everyone will hear your complaint and maybe react in a way to help you maybe.\"}\n", "{\"prompt\": \"Yeah, I think that's, I mean, that's gotta be the way to do it. And maybe that's the best way. I really think. Yeah, I mean, after saying all that, and after going through that, I really think that that's probably the best way to do it. And if it doesn't, then I guess I can find another way. But I really think that's the best way to do it.\", \"completion\": \"You feel as though you found an option here?\"}\n", "{\"prompt\": \"Yeah. Yeah. And even if that doesn't work, then it'll be brought up. And maybe it'll allow me to talk to my boss further about it. And maybe I'll understand really where I'm coming from. But this will at least be a start to something you know, to make me a lot less stressed with deadlines and stuff in\", \"completion\": \"your first Started with all this.\"}\n", "{\"prompt\": \"Yeah. But maybe, maybe after I do that, you know, put in the complaint or suggestion. Maybe I won't be as frustrated. I mean, I'm feeling a little less frustrated now. Even thinking if there is another option.\", \"completion\": \"It feels better now as you're contemplating and another potential Avenue here.\"}\n", "{\"prompt\": \"Yeah. Yeah, that's,\", \"completion\": \"well, this might be a good place to wrap this session up.\"}\n", "{\"prompt\": \"That feels like the right.\", \"completion\": \"Move for you. Yeah. And we'll schedule See you next week. And we can pick up from there. Sounds good. All right. Cool. Next car. Thank you.\"}\n", "{\"prompt\": \"Alrght. How about you?\", \"completion\": \"I'm doing well. Thanks for asking. I understand you've had some recent difficulties that have brought you to the agency\"}\n", "{\"prompt\": \"Yeah, I lost my job.\", \"completion\": \"You lost your job?\"}\n", "{\"prompt\": \"Because I failed drug test.\", \"completion\": \"You failed a drug test.\"}\n", "{\"prompt\": \"So I have to drive golf carts sometimes for my job and I just really was not paying attention as I was driving through the parking lot and I hit a car. Then think it was a big deal. It doesn't even leave a big mark. Really. The car owner got pretty pissed about it and I found out that I did it. I got admitted to it. So I didn't want to be getting in trouble for it. So, so then they, since it was an accident, you know, I kind of hit my head a little bit to maybe take a drug test, and I had smoked some weed the night before. So I filled it and was fired.\", \"completion\": \"Were you aware that this was an accident? You'd be protesting?\"}\n", "{\"prompt\": \"Um, you know, I? I don't I didn't know that. Now. I guess they might have told me at some point, but I I probably wasn't paying attention to it or had it I wasn't prepared for it.\", \"completion\": \"So there have been consequences to losing your job.\"}\n", "{\"prompt\": \"Um, yeah, I mean, my parents are not happy. I'm not making any money, obviously. So they, they're not very happy, relying on them for gas money for it. never go anywhere, do anything with my friends ask them for money. So they're kinda, you know, pushing me to get a job and help support myself again.\", \"completion\": \"What type of work to do?\"}\n", "{\"prompt\": \"Um, I work in security, I kind of monitor parking lot, you know, take tickets, things like that.\", \"completion\": \"So, most of those employers would require a drug screen.\"}\n", "{\"prompt\": \"Yeah, that's, that's my problem. I've been trying to look for a new job. And pretty much all of them have required drug tests. So I haven't gotten a new one yet. So that's becoming a problem. So that's why i wanna i want to cut down but I haven't been able to. So I really need a job. I mean, all these things. It's kind of silly that all you know. I find it silly. It should be. Who cares if I smoke a little weed, you know, too. be illegal.\", \"completion\": \"But you think it should be illegal?\"}\n", "{\"prompt\": \"Yeah. So I mean, not causing some harm really, and hurt anyone. So So yeah, I really do need a job. So I'm here to kind of get a handle on that.\", \"completion\": \"So you want to stop using marijuana all together?\"}\n", "{\"prompt\": \"Yeah, I'm gonna have to get a job, I think No, I don't want a random drug test again.\", \"completion\": \"All right, can you tell me about your marijuana use now? Like when was the last time used?\"}\n", "{\"prompt\": \"Um, I actually say now at some friends my roommate this morning. Well, not my roommate but my friend that comes over and stays with me sometimes. And we guys did some this 'morning so.\", \"completion\": \"So recently and how about the coke like when did you start using that for how long?\"}\n", "{\"prompt\": \"long time ago, I've been using proudly for Since I mean, since I was in high school, I started that's kind of just a big part of my life. And my friends do it. My friends do. So, yeah.\", \"completion\": \"Any other drugs or alcohol or anything? \"}\n", "{\"prompt\": \"Just is just marijuana. Yeah.\", \"completion\": \"Have you noticed over time you've been using more?\"}\n", "{\"prompt\": \"Yeah, I mean you know, I, I try to cut down a little bit I'll kind of say hello, just smoke a little bit and then you know, I'm hanging with hanging out with my friends will end up just being high for a really long time. And let's just all do all night. So.\", \"completion\": \"So it's consuming a lot of time. \"}\n", "{\"prompt\": \"Yeah, yeah. Yeah. kind of always thinking about how I'm gonna get more and trying to get home again. And so it really does take up a lot of time and it's kind of a distraction. So\", \"completion\": \"you have a craving for marijuana\"}\n", "{\"prompt\": \"No, No, I guess not really.\", \"completion\": \"Now, have you had any social problems because your marijuana use?\"}\n", "{\"prompt\": \"let's say other than my work, there's the word mean, my friends I'll do it there's a problem with it. So\", \"completion\": \"are there other important activities that you miss out on because of your marijuana use\"}\n", "{\"prompt\": \"now, I mean, I don't really do a lot so I don't really miss out on much\", \"completion\": \"Are there any activities that you engage in that are more dangerous because your marijuana use?\"}\n", "{\"prompt\": \"this time Out of my basement and don't really do anything. So\", \"completion\": \"do you have any history of mental health issues or medical issues? \"}\n", "{\"prompt\": \"No. No\", \"completion\": \"Do you notice any anxiety or physical symptoms when you stop using my one?\"}\n", "{\"prompt\": \"No, I feel feel okay.\", \"completion\": \"So how motivated are you to stop using?\"}\n", "{\"prompt\": \"Part of me doesn't really want to, but it's something I have to do. You know, I need a new job and I don't want to be relying on my parents for forever. It's pretty annoying. So I'm pretty committed to it. I would say, Yeah,\", \"completion\": \"you're committed to it. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"I'm gonna get you to see a counselor here if that's okay with you.\"}\n", "{\"prompt\": \"Yeah, that'd be really helpful. be helpful.\", \"completion\": \"I appreciate you taking this time to tell me what's going on and answer my questions has been helpful.\"}\n", "{\"prompt\": \"I'm doing good. What about you?\", \"completion\": \"Yeah me too thanks for asking. I understand you've been having some difficulties that brought you in to our agency.\"}\n", "{\"prompt\": \"Yeah, I'm really worried about my drinking.\", \"completion\": \"You're worried about your drinking. Tell me about your drinking. So sometimes at work, you've been having cravings for alcohol and the other There are times when you will have a craving?\"}\n", "{\"prompt\": \"Yes, kind of at home, you know, not really doing anything for a period Hmm.\", \"completion\": \"So other than that feeling of having the craving, is there anything you do after you have a craving?\"}\n", "{\"prompt\": \"Um, yeah, sometimes I'll, I'll have a drink. And I just feel like I want to get into it.\", \"completion\": \"How much do you drink?\"}\n", "{\"prompt\": \"Like a beer or two.\", \"completion\": \"Is this when you work in a day? \"}\n", "{\"prompt\": \"No\", \"completion\": \"So when you're having cravings at work, you're not drinking there?\"}\n", "{\"prompt\": \"No, no.\", \"completion\": \"Right. So tell me about your typical alcohol consumption week.\"}\n", "{\"prompt\": \"Like Do on Fridays after work, you know, after a long week, that's kind of when I really crave it. Like, go have a drink with some friends. I'll have a drink sometimes with dinner. If I'm at a social event, kind of feel like I want to have a drink, and I don't really want to feel that way. I feel like that might be a problem.\", \"completion\": \"You're worried that the craving is indicating you have an alcohol problem?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Have you ever tried to cut down your drinking and you're unable to do so?\"}\n", "{\"prompt\": \"Um, well, I mean, usually I'm, I'm able to limit my days if I say I'll just going to go to a party this weekend. I'll have one and then Yeah, usually I can stick to it, too, I guess.\", \"completion\": \"You spend a lot of time trying to obtain alcohol.\"}\n", "{\"prompt\": \"Um, no, I, I guess not. I've I mean, I think about where I want to have a craving I think about like, when I want to have it, but I don't really spend a lot of time thinking about it or trying to get it.\", \"completion\": \"How about in terms of your responsibilities? Have you failed to uphold any responsibilities because you're drinking? Or you have any social problems because you're drinking.\"}\n", "{\"prompt\": \"Well. No, I guess not. I mean, I get really friendly when I have a drink. So I don't really think that's a problem. But you know, I guess not.\", \"completion\": \"It doesn't cause social problems. Do you find yourself giving up important activities because you're drinking instead? So thinking about it, maybe still some craving, but you're still going. You're still participating.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Are you engaging in activities that are dangerous?\"}\n", "{\"prompt\": \"Because of the drinking, no.\", \"completion\": \"Drinking and driving?\"}\n", "{\"prompt\": \"Well, no.\", \"completion\": \"There's nothing like that. Yeah.\"}\n", "{\"prompt\": \"No. I wouldn't say worse. No.\", \"completion\": \"Do you have any medical or mental health problems in general?\"}\n", "{\"prompt\": \"No.\", \"completion\": \"Do you find that you have to increase the amount of alcohol you're drinking to get the same effect?\"}\n", "{\"prompt\": \"No.\", \"completion\": \"all right, and you've been drinks you save a drink about the same amount each time you drink. Have you noticed that the effect has been diminished, like you're not getting the same effect from the alcohol?\"}\n", "{\"prompt\": \"I usually feel the same.\", \"completion\": \"Goes same way. Yeah. Have you ever noticed any symptoms when you stop drinking, like withdrawal?\"}\n", "{\"prompt\": \"What do you mean by withdrawal?\", \"completion\": \"Like when you stop using alcohol, are you finding that you're anxious, depressed, you have physical reactions like that. \"}\n", "{\"prompt\": \"No.\", \"completion\": \"Okay, Jackie, I appreciate you. Tell me about what's going on and answer my questions. If you're okay with it, I'll get you in to see a counselor. I'll get that scheduled. And we can go from there.\"}\n", "{\"prompt\": \"Okay what you guarantee that you can get you can call me and I'll guarantee I'll get myself\", \"completion\": \"What are you gonna do if I fail?\"}\n", "{\"prompt\": \"Yeah, let's go. \", \"completion\": \"So we're just going to go up the hole and to the right and then there's a room on the left. Should I go first?\"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"Come in Jasmine. This is the room. That will be Meeting in today and if you come back again, we'll be in this room again. What I want you to do first is perhaps have a look around and choose where you would like to sit. where you'd like to be. Just the big chair over there. Yeah, so when you're ready, just make your way over to the chair. And I'll close the door. And from where you're sitting now, where do you think you'd like me to be in the room?\"}\n", "{\"prompt\": \"Which chair would you like me to sit in? That's, that's okay. \", \"completion\": \"Okay. So what invite you year to look around, look around the room. Take in this new space. You've never been here before. See if there's something your eyes want to rest on or if there's anything pleasant to your eyes ever really good sticky baked around the room. Most people most time to come into new environments. We want to have a good sticky bacon. We don't and you can in here. Now imagine it's pretty tough for you to be here. Yeah. Yeah. What would help you to spend a moment here?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"What's it like to have that pillow against your tummy?\"}\n", "{\"prompt\": \"Its Nice\", \"completion\": \"Yeah. What's it like to have your hands holding tight? They're like that.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"How did you how did you get here?\"}\n", "{\"prompt\": \"My mom dropped me here here.\", \"completion\": \"She's still here.\"}\n", "{\"prompt\": \"No, she's not here.\", \"completion\": \"Is there an arrangement to pick you up?\"}\n", "{\"prompt\": \" Yeah, yeah.\", \"completion\": \" Man, you're looking at the time. So what time did you arrange for mom to pick you up?\"}\n", "{\"prompt\": \" I'm like, half an hour \", \"completion\": \"In half an hour. So notice you're looking around a little bit more now. helps a bit more with that pillow doesn't it? That was a good idea for you to put the pillow there. So how long do you think you'd like to be here? If you had a choice of how long you were going to be here with me in this conversation, how long would it be? \"}\n", "{\"prompt\": \"15 minutes, maybe another 15 minutes. \", \"completion\": \"Okay, maybe, maybe\"}\n", "{\"prompt\": \"Yeah, I feel better. \", \"completion\": \"Feel better. Yeah. You can just call mom and tell her that the first session is shorter. Yeah. Because it's enough hearts really confronting to be here. A lot of people find it confronting to come here because of the name of the agency. The issues that we may talk about in the future. It's pretty good. confronting. So just getting used to being here is a pretty big deal. And you're doing a great job. You're doing really well. Yeah. And I'm here with you\"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"You did okay. I understand you haven't been feeling too great lately.\"}\n", "{\"prompt\": \"I mean, yeah. I i've never like feeling awesome. Really. But lately I've come to my awareness. But you know, I might be wrong.\", \"completion\": \"something might be wrong in what way maybe?\"}\n", "{\"prompt\": \"Well you know it's nothing new but I have a lot of trouble sleeping Yeah, I usually go to bed early, you know, I might go a little bit late. But then I wake up always really early, like, I'll set my alarm for like eight but I always wake up at like, five or something and then I can't get back to sleep.\", \"completion\": \"You're waking up earlier than you want to.\"}\n", "{\"prompt\": \"Yes, I can't get back to sleep, no matter how hard I try. And I'm tired still during the day. I don't have a lot of energy, but it doesn't matter. It just it's hard for me to go to sleep. And it's it's been like that for a really long time. Probably since high school. But, you know, lately I'm just I realized, you know, some days are better than others, but so having a couple weeks here that really like made me feel like shouldn't talk to someone Well, my brother got married and I'm very close to him. And I was really looking forward to the wedding. And then when I when I just I mean, I didn't not enjoy it, but I just didn't have as much fun as I thought I would. And I know it's just because of my mood like that I'm always a little gloomy. You know, my sister, my brother says, I'm like, you're so like, but I was really looking like I, you know, I step out of my comfort zone. I like to try new things. And I was really looking forward to this when I used to love I love weddings, you know, and it's not that I don't love them now, but I thought I would enjoy it more than I did. And that kind of like, freaked me out.\", \"completion\": \"So so your mood, your mood, didn't elevate Like, maybe you hoped it would.\"}\n", "{\"prompt\": \"Yeah, I mean, I would have thought that I mean, I've been looking forward to this reading for a year and a half I, you know, I helped, you know, my now sister planet, and it just wasn't as fun as I wanted it to be. Or as I thought it would be, you know,\", \"completion\": \"and realizing, this is what brought in today.\"}\n", "{\"prompt\": \"Yeah, and like right afterwards, like last week. You know, it was I've more worst days than better days like I woke up early the next morning even though I had been up late at the wedding. And just sat there and thought about it and was really just upset by the whole thing upset that I couldn't be more happy. Or, you know, my brother and for me really not even for my brother just because I was happy for him. just didn't feel excited like everyone else. Everyone else around me was having such a good time and I was just\", \"completion\": \"more down.\"}\n", "{\"prompt\": \"Yeah, like I was happier than I would be if I was sitting at home by myself, but I wasn't. I wasn't like everyone else.\", \"completion\": \"All right, so you you mentioned that this is a go to one from high school. Yeah, sure. How long would that be?\"}\n", "{\"prompt\": \"Oh, I mean, I graduated in 2010. So eight years.\", \"completion\": \"So about eight years and even even feeling down has the sleeping problem for that one.\"}\n", "{\"prompt\": \"Yeah, I mean, I a little bit when I was in high school, I thought it was, you know, I was just a quirk or something about staying up late and like ours in high school, but it never Like I got better even when I you know started working out of school and stuff I mice sleep schedule never came to that normal eight hours a night like you're supposed to I don't know whatever it is, but it just never. Yeah. So sleeps always been an issue and I just like I said my brothers called me or for years just because\", \"completion\": \"you mentioned the word gloomy.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"And the low energies been a problem for that long as well.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"And you've been waking up earlier than you want.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"How about you? Do you mentioned the depressed mood? You feel down? Is that worse than a particular time of the day?\"}\n", "{\"prompt\": \"Yeah, I mean, it's worse than that in the morning. Especially when I'm just like sitting there with my thoughts. When I can't get back to sleep. It will be That and then you know we time to get ready for the day and I'll be angry and mad that it's, you know the I can't sleep and then depressed about you know that I'm like this and I'm weird and then I mean as the day goes on I forget about it a little bit and it gets a little bit better in the afternoons and nighttime I really like you know, I enjoy spending time with my family for dinner and stuff like that. So it gets better as the day goes on. But, you know, in the morning it's it's bad because I just spent hours lying there thinking about it.\", \"completion\": \"It was the morning mornings the worst.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So I'm gonna ask you some other questions related to this. You mentioned depressed mood. And you mentioned how you reacted to the wedding. How it wasn't what you hoped. Have you lost in In other things that might be fun or pleasurable.\"}\n", "{\"prompt\": \"I haven't really lost an interest in anything like I still, you know, I still seek out fun activities, and I still participate in them. And I mean, they'll make me feel better than not doing them. But it's just, I don't know, it's just I don't. I guess my response to them isn't as high as I see other people enjoying activities, and I don't, but I do enjoy them\", \"completion\": \"as much Okay. Any changes to your appetite or weight?\"}\n", "{\"prompt\": \"No one stays the same.\", \"completion\": \"How about feelings of restlessness or the opposite kind of being slowed down? I know that.\"}\n", "{\"prompt\": \"No.\", \"completion\": \"Ever feel a sense of worthlessness?\"}\n", "{\"prompt\": \"No, \", \"completion\": \"like that. How about concentration? How's that been?\"}\n", "{\"prompt\": \"Let's focus on what I need to focus on.\", \"completion\": \"You do okay with that?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Do you ever have thoughts of death or dying?\"}\n", "{\"prompt\": \"No.\", \"completion\": \"Any drug or alcohol use or medical conditions.\"}\n", "{\"prompt\": \"No\", \"completion\": \"Have you ever seen or heard things other people cannot see or hear?\"}\n", "{\"prompt\": \"No\", \"completion\": \"Have you ever had a time? You mentioned your mood is gloomy. Have you ever had a time when your mood was too happy? Like when you're excessively happy? A lot of energy?\"}\n", "{\"prompt\": \"Not really. I mean. Yeah, like there's been times where I've like gone on vacation for like a week and I've noticed that I was happier than I had been, but nothing ever more than a couple of days or a week or so,\", \"completion\": \"here been hospitalized before.\"}\n", "{\"prompt\": \"No\", \"completion\": \"Do you have feelings of hopelessness?\"}\n", "{\"prompt\": \"No.\", \"completion\": \"And how's your self esteem?\"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"Okay.\"}\n", "{\"prompt\": \"Yeah, \", \"completion\": \"pretty good. All right, Sherry. I'd like to get you in to see a counselor here at the agency. If I just take a couple days to to get you in with somebody is that okay?\"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"I appreciate you answering these questions. For me. This has been helpful.\"}\n", "{\"prompt\": \"Good, good how are you?\", \"completion\": \"I'm doing well. Thanks for asking. Last week you were talking in therapy?\"}\n", "{\"prompt\": \"Yeah. I mean, I thought a lot more about it this week after I mentioned it last week, but but Jill was telling you about Jill, a co worker. And, you know, she was kind of bothered me the past couple weeks, but really, this this past week was like the worst, right? So she's not doing her paperwork. And the thing is, is that she has to do these reports in order for me to do my reports. So if she doesn't have hers, I can't do mine. And then I can't get mine out in time for the next person to do theirs and it's a mess. The whole thing's a mess. And it's just it's annoying.\", \"completion\": \"So her work slow down, or not being efficient work is affecting your work productivity.\"}\n", "{\"prompt\": \"Yeah. Yeah, it definitely is. And it it's one of those things that like, you know, has, it gives me a bad a bad evaluation, you know, like, if I'm not in my stuff in in time, the number reflects negatively on me, you know, and it's it's all kind of she's she's the first level, you know, and then all the other levels are kind of dependent on her turning things in on time. So she doesn't, then I don't then the next person and so forth, and it makes it seem like you're not doing her job, right? Yeah. And my boss doesn't like it. my boss's boss doesn't like and so forth. You know, and I try to explain them. You know, she's the problem, but it doesn't always I don't always have the time to go up and tell them like, here's what's happening or just somehow it doesn't Now,\", \"completion\": \"you don't always get the opportunity to tell people that are important at your work about the situation.\"}\n", "{\"prompt\": \"Yeah. And that's pretty annoying too. Because, you know, it's one thing if people get mad at me, but then I'm able to tell them why I'm not doing my job, like I'm supposed to. But it's another thing for them to get mad at me. Not realizing it's not my fault.\", \"completion\": \"You know, you have an explanation for why that works.\"}\n", "{\"prompt\": \"Yeah, I do. I do. That's the thing. But I can't always get it out. You know, I can always tell the person that's has the complaint about and yeah, I mean, I've tried talking to my, my boss. And I've tried talking other people too, you know, but really hasn't gotten anywhere.\", \"completion\": \"So you're feeling stuck with this whole thing?\"}\n", "{\"prompt\": \"Yeah. Yeah, I mean, I talked to Joe a little bit about it, too. You know, and I tried to ask, I tried to kind of gently reminding her, you know, like, such and such needs to be turned in by Tuesday at 12 o'clock. I didn't want to be real abrasive, you know, but I, I tried to remind him as a polite approach. Yeah. Yeah. And it didn't didn't really seem to work because it's still happening. You know,\", \"completion\": \"your attempt to fix the problem hasn't really worked the way you want.\"}\n", "{\"prompt\": \"It really hasn't. And, and that's just, I feel like I've tried everything that I could try. You know, and even like, I came home and I was talking to a friend about it, and I was trying to think of other solutions, right. You know, I was trying to think like, what else I could do what else I could say. Who else I could talk to things like that. You know, and my friend, you know, you He was listening and stuff. He had some good suggestions, but he didn't know what to do either like cuz he doesn't know the way the company works. So like, I got nothing. You're not getting the help you need for this. Yeah, not at all feeling pretty lost with it. And I wish there was just like a clear way to do things like this is what you should do now. And I don't see anything some\", \"completion\": \"sort of clear plan.\"}\n", "{\"prompt\": \"Yeah, yeah. But yeah, I don't I don't see a way to go about it. I mean I've so I've Okay, so this is the way I laid out in my mind. I tried talking to the people above me didn't work out the way I thought it would. I tried talking to the people below me so to speak, just lower on the before me in the process. That's what I mean. And that didn't work out which is just Jill and I talked to her and that didn't work. So like, there's nowhere else I could turn.\", \"completion\": \"The options are exhausted.\"}\n", "{\"prompt\": \"Yeah, that's what it seems like to me.\", \"completion\": \"And this is frustrating for you.\"}\n", "{\"prompt\": \"Yeah, it is. And I've been trying to wrack my brain. You know, like, what else could I do? You know, like, maybe if I could maybe if there was like, a committee or something that I could go to, you know, and be like, well, this person's not doing what they're supposed to be doing. But there's not a committee like that. Or even if there was like a person, you know, like, a resolution person or whatever, but there's nobody like that.\", \"completion\": \"There's no other avenue. \"}\n", "{\"prompt\": \"It sort of seems like to me Yeah. I mean, that's and you know, as I'm even trying to think like, I don't know, should I Write a letter to somebody maybe. But I don't even know who or what\", \"completion\": \"you thought about a letter. But who would you send it to?\"}\n", "{\"prompt\": \"Yeah. Or like just something else that I can I can do instead of going to this person though to that person that didn't work. Can I can I call somebody is there anybody else in the company that you know might handle stuff like that? But I mean, there's there's HR people, but I can't really see where they could come in. I don't know how human resources could deal with something like that.\", \"completion\": \"You don't view them as a potential solution.\"}\n", "{\"prompt\": \"No, I don't. Wondering if there's like a But there's I mean, I'm thinking now that there's gotta be something or somebody, or somewhere that I could put in, like, almost like a complaint or something like, something's out of my hands. And I don't know what to do about it, but there's got to be something. And now that I'm saying this, I'm thinking that there's got to be\", \"completion\": \"some other resource you haven't tried yet.\"}\n", "{\"prompt\": \"Yeah, yeah. I mean, now I'm trying to think back to my training, you know, initially you know, maybe there's, you know what, I think now that I'm, now that I'm thinking a little bit harder about a little bit differently about it. I'm thinking that there's like, man, I forget what they call it now, but maybe like a complaint but It's not the right word, but maybe a complaint box or like suggestions or something. And I think, if I remember correctly, those suggestions and those complaints get brought up at every staff meeting, which we have, like every other week.\", \"completion\": \"They're discussed at this regular meeting.\"}\n", "{\"prompt\": \"Yeah. And I'm thinking now, I mean, nobody really uses it. But I'm thinking like, maybe that's an avenue that I can use, you know, like, maybe that'll get brought up. And maybe that's something that that might actually work. \", \"completion\": \"This could be another option for you.\"}\n", "{\"prompt\": \"Yeah, it could be. And then if it does work, it'll get brought rather if they do read it, it'll get brought up at the staff meeting. where everybody's at my boss, my boss's boss, Jill, everybody's there. And maybe that's a way for it to come to most attention. That deadlines being missed, affect other people in ways that you don't really know about.\", \"completion\": \"So everyone will hear your complaint and maybe react in a way to help you maybe.\"}\n", "{\"prompt\": \"Yeah, I think that's, I mean, that's gotta be the way to do it. And maybe that's the best way. I really think. Yeah, I mean, after saying all that, and after going through that, I really think that that's probably the best way to do it. And if it doesn't, then I guess I can find another way. But I really think that's the best way to do it.\", \"completion\": \"You feel as though you found an option here?\"}\n", "{\"prompt\": \"Yeah. Yeah. And even if that doesn't work, then it'll be brought up. And maybe it'll allow me to talk to my boss further about it. And maybe I'll understand really where I'm coming from. But this will at least be a start to something you know, to make me a lot less stressed with deadlines and stuff in\", \"completion\": \"your first Started with all this.\"}\n", "{\"prompt\": \"Yeah. But maybe, maybe after I do that, you know, put in the complaint or suggestion. Maybe I won't be as frustrated. I mean, I'm feeling a little less frustrated now. Even thinking if there is another option.\", \"completion\": \"It feels better now as you're contemplating and another potential Avenue here.\"}\n", "{\"prompt\": \"Yeah. Yeah, that's,\", \"completion\": \"well, this might be a good place to wrap this session up.\"}\n", "{\"prompt\": \"That feels like the right.\", \"completion\": \"Move for you. Yeah. And we'll schedule See you next week. And we can pick up from there. Sounds good. All right. Cool. Next car. Thank you.\"}\n", "{\"prompt\": \"good.\", \"completion\": \"I do well, thanks for asking. How'd you do this week?\"}\n", "{\"prompt\": \"Better? Well, last time we talked about that\", \"completion\": \"postponed gratification. Yeah,\"}\n", "{\"prompt\": \"that um, and I think you wanted 10 minutes for me to put it off 10 minutes. Yeah. So I did better. I think I ended up only doing like join a half instead of two I was able to put offered, I think, the 10 minutes a couple times. And then there were there was, I think one or two days where I went out for a walk because I was Tired of staring at the clock waiting for the 10 minutes to pass. So I got up, went for a walk. And then I passed one of my friends. So I ended up walking with her. And I actually didn't get back to my house for like an hour. So I kind of put it off for like an hour because then I came home and took a couple hits on\", \"completion\": \"so it sounds like you were able to maintain waiting 10 minutes to smoke marijuana. At least in most cases. It was rough.\"}\n", "{\"prompt\": \"It was rough. Yeah.\", \"completion\": \"So it was it was difficult for you, but most cases, you're able to pull off the 10 minutes. Mm hmm. That sounds like there's a few instances where you're able to hold it off longer because something else kind of Yeah, came up.\"}\n", "{\"prompt\": \"Yeah, I found I actually talked to a couple people on the phone before I knew it like half hour to come by.\", \"completion\": \"so another activity presented itself and You've forgotten with marijuana.\"}\n", "{\"prompt\": \"Kind of Yeah. Yeah. I guess I just wasn't thinking about it.\", \"completion\": \"So have your feelings about marijuana change since we last talked?\"}\n", "{\"prompt\": \"No, not really. \", \"completion\": \"Tell me about that.\"}\n", "{\"prompt\": \"I mean, it's I don't see it as a problem. It's it's legal in a lot of states now. And I mean, it's not that bad for you. It doesn't really endanger me much.\", \"completion\": \"So you still you still believe you should have the right to smoke marijuana?\"}\n", "{\"prompt\": \"Yeah, I mean, I'm not hurting anybody else. \", \"completion\": \"But at the same time, you want to go back to work. And if I remember, right, you're the person that you could go work for. I guess you know them right. Yeah, it's my uncle, your uncle, and you need to be cleaned for was about two months.\"}\n", "{\"prompt\": \"Yeah, two to three months.\", \"completion\": \"So you have kind of opposing forces here, right? You have your enjoyment of marijuana. And then you, you know, that's something you like you don't wanna give up. And you believe you have a right to do that. But then there's that job.\"}\n", "{\"prompt\": \"Yeah, I mean, my parents are pretty cool with it, like they know. But I mean, I'm at the point now where they kind of want me to move on and move out. But I don't know. I mean, I just, it'd be nice to have that job. Like, it's a really good job, but at the same time, like, I don't see why I have to sacrifice something that I like. \", \"completion\": \"So it doesn't seem fair to you. But she recognizes the reality of your situation.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So it really does come down in your instance to marijuana use or appointment.\"}\n", "{\"prompt\": \"Yeah, it's pretty accurate.\", \"completion\": \"So you're not happy about that choice. And kind of what we did with the postpone gratification was just really just ask you to wait 10 minutes and you were able to do that. And more, although it's difficult, \"}\n", "{\"prompt\": \"it's difficult.\", \"completion\": \"It's difficult for you. So I asked you to track the number of times you smoke marijuana. Did you really track that over the last week? Yeah, you remember how many times that was?\"}\n", "{\"prompt\": \" I think think I think it like 15. Okay, between 15 and 20,\", \"completion\": \"between 15 and 20. And how many times did something kind of get in the way that's something else come up in that 10 minutes span that distracted you or that you enjoyed\"}\n", "{\"prompt\": \"I'm like, almost closer to 20 times I guess, otherwise, I probably would have kept going smoke more. I mean, there were a couple times where like somebody would call me or somebody would text me and that kind of distracted me and so I was able to put it off for a little bit.\", \"completion\": \"So you can see in that 10 minutes, things can happen. Right things can happen that can help you to avoid the marijuana. Sometimes nothing does and after 10 minutes, use it. And sometimes something does kind of get in the way with a marijuana like distract you or you have another activity that you enjoy and then you didn't use. So with that in mind you found the experience rough, but was it tolerable? \"}\n", "{\"prompt\": \"Yeah, Was it bad \", \"completion\": \"was a bit Do you think for this next week? We could try postpone gratification from 10 minutes to 20 minutes?\"}\n", "{\"prompt\": \"I don't know. That seems kinda. Yeah, that seems like a longer time\", \"completion\": \"that that is definitely. That is a longer time. \"}\n", "{\"prompt\": \"I don't know about that.\", \"completion\": \"Yeah.\"}\n", "{\"prompt\": \"Maybe like 15 minutes,\", \"completion\": \"no compromises. 15 Okay, do you think you could maintain 15 minutes weighing 15? \"}\n", "{\"prompt\": \"I think I could try a little bit more than 20.\", \"completion\": \"All right, so let's go with 15 minutes, right. So 15 minutes, you know, as compared to 10. I'll give you five extra minutes that something could happen that could distract you. And you wouldn't use that instance, right. There's also, you know, to constructively use that time, you could consider alternatives like like you mentioned walking right. You could use that time and start walking. Yeah. Anything else that that you like, maybe in the past on occasion when you want to use marijuana, but she didn't have anything available? What would you do instead?\"}\n", "{\"prompt\": \"binge watch TV,\", \"completion\": \"or should it be okay, well, so perhaps in that 15 minute time period that that timer you're delaying using marijuana, you could start watching the show.\"}\n", "{\"prompt\": \"Yeah, I can do that.\", \"completion\": \"At the under 15 minutes, you might end up using marijuana or you might want to continue watching the show. So do you see kind of how it works? Like is it making sense to you the postponing?\"}\n", "{\"prompt\": \"Yeah, it doesn't make it any easier, but it's tough for you. Yeah. Yeah. No, I definitely see how helps\", \"completion\": \"And maybe if we're successful to 15? Who knows? We'll move it up from there.\"}\n", "{\"prompt\": \"Maybe we'll see how the 15 goes, see\", \"completion\": \"how it goes the 15? Yeah, I'll see how that goes. You know, I'm hoping. And I hope this kind of makes sense that there'll be a point where you will be really interfering with the vast majority of the times that use marijuana. Like because you're giving yourself that many more opportunities, the longer you wait. Right. The more minutes you wait, the more opportunities for something else to get in the way so to speak. And probably what you'll see, just like you saw this last because you're, you know, you used marijuana less frequently, just by waiting the 10 minutes. Even though you described as difficult I'm sure it was, but there were a few times where it kind of worked out\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So, I think that planning something for that time would be helpful. And try to plan something 15 minutes, even if you fully intend to beyond the 15 to go right and use, I think it's still useful plan something in there. You never know that might take you. Or you might end up walking or watching TV or doing something else that would distract you or pull you away from the marijuana use. Okay. So that's like a plan.\"}\n", "{\"prompt\": \"Yeah, I think I can give that a try. Okay\", \"completion\": \"Sounds like a plan?\"}\n", "{\"prompt\": \"Yeah, I think we can manage that.\", \"completion\": \"All right. We'll go with that. And I'll see you next week. Okay, thank you.\"}\n", "{\"prompt\": \"Well, I've been having a lot of anxiety lately.\", \"completion\": \"Anxiety?\"}\n", "{\"prompt\": \"just getting really nervous in the morning when it's time to go to work. Just like butterflies in my stomach kinda pounding heart.\", \"completion\": \"So, so you're anxious when you're getting ready to go to work. Do you know what might be causing that?\"}\n", "{\"prompt\": \"Well I noticed it a little while ago when I went to get in my car to go to work Monday morning, I was putting some stuff in the trunk and I saw some some damage that had happened to the corner from a previous car accident and just out of nowhere I started feeling nervous about driving to work.\", \"completion\": \"Right. So you, you went out to Cory so some damage reminded you of an accident. Yeah,\"}\n", "{\"prompt\": \"I was I was in an accident at the end of last year, and, you know, I didn't get hurt. There was no real damage to the car that I that I noticed. I just went on about my business I you know, didn't have any issues after the accident. And now all of a sudden, I'm Thinking about this car accident again. And I don't know where it's coming from.\", \"completion\": \"They said the exit occurred at the end of last year.\"}\n", "{\"prompt\": \"Yeah, um\", \"completion\": \"So maybe about eight months ago.\"}\n", "{\"prompt\": \"That's right. Yeah, probably around Halloween or so. \", \"completion\": \"And when did the symptoms start being anxious when you're getting ready to go to work?\"}\n", "{\"prompt\": \"I would say at least a month ago, maybe six weeks.\", \"completion\": \"And you've been having those continuously from then.\"}\n", "{\"prompt\": \"Every morning I get up I'm just really nervous about going to work and you know, have come out to get in the car and sometimes I can barely get in just thinking about been in a car accident again.\", \"completion\": \"Ever been late to work because of the anxiety?\"}\n", "{\"prompt\": \"I'm late almost every day\", \"completion\": \"almost every day. So this has been this has been a problem for you in a few different ways.\"}\n", "{\"prompt\": \"Yeah, I even called out a couple times because I was just paralyzed.\", \"completion\": \"Have you tried a thing to reduce things IE like using another car or anything else?\"}\n", "{\"prompt\": \"Well yeah, I live in a house with multiple cars. So I tried driving my mom's car one day and you know, I have the same feelings. And initially I thought it was just my car because I did notice some damage to the back of the car. I was in the bag and I was going through the trunk one day and I saw that the the core was actually pushed in. I didn't think there was any real damage and I noticed damage to the back of the car. And I was like, wow, you know, I have been seriously hurt in this accident. And that's when I started having these feelings like I just started thinking about how bad the accident could have been. So, you asked if I tried to do anything different. I tried driving my mom's car. I tried driving my dad's car, but it seems to be just driving any car, having all this anxiety.\", \"completion\": \"Right, and you're having physical distress, too? Yeah. Like you're feeling. You're feeling\"}\n", "{\"prompt\": \"physical while I do a lot of like, swelling in my chest, like really panicky.\", \"completion\": \"Or you're having dreams about the accident or anything related to the accident?\"}\n", "{\"prompt\": \"No, not really.\", \"completion\": \"Do you ever have a point when you're not asleep? Where you feel like you're kind of taken back to the time of the accident happened like a reliving it anyway? \"}\n", "{\"prompt\": \"No nothing like that. \", \"completion\": \"Do you remember the accident?\"}\n", "{\"prompt\": \"Oh, yeah, I remember it pretty well. I was waiting at a stop sign and I think the person behind me they must not have been paying attention but they rear ended me\", \"completion\": \"Who do you believe is responsible for the accident?\"}\n", "{\"prompt\": \"Nobody really. I mean, it was it was an accident. There was no real damage. You know, accidents happen all the time, just a fender bender.\", \"completion\": \"So from the time that you notice these anxiety symptoms, have you had periods where you were happy and positive emotional experiences.\"}\n", "{\"prompt\": \"I've been really down since I've been since I started having these\", \"completion\": \"The whole time you've been down or the moments where you haven't been there's been consistently down\"}\n", "{\"prompt\": \"I would say more down or down\", \"completion\": \"but but sometimes up\"}\n", "{\"prompt\": \"I can't really remember any not sure.\", \"completion\": \"How about your relationships with other people they changed from when was the anxiety started?\"}\n", "{\"prompt\": \"No, not really. \", \"completion\": \"You feel detached from people?\"}\n", "{\"prompt\": \"not detach to be like separated. Yeah. not want to be about\", \"completion\": \"not connecting with people? \"}\n", "{\"prompt\": \"No, not really like that.\", \"completion\": \"Do you have any feelings of irritability or anger outbursts or anything like that?\"}\n", "{\"prompt\": \"Nothing.\", \"completion\": \"You feel like you've been behaving more reckless way?\"}\n", "{\"prompt\": \"What do you mean by reckless?\", \"completion\": \"That you take more chances in relationships or another nothing like that you're aware of like when something surprises us, we kind of have the startle response. Jump. It's natural. Have you noticed that? responses changed? Oh\"}\n", "{\"prompt\": \"yeah have been a little a little on edge things have been like scaring me the phone ring in people knocking at the door dogs barking is kind of hit me on edge a little bit.\", \"completion\": \"And you feel like the responses more than it used to be more just the natural star response.\"}\n", "{\"prompt\": \"Yeah, yeah, that's kind of worries me a little bit that's running. \", \"completion\": \"A trouble concentrating.?\"}\n", "{\"prompt\": \"No\", \"completion\": \" Okay, Australia. staying focused has been\"}\n", "{\"prompt\": \"good in that area.\", \"completion\": \"How about troubled sleep? trouble falling asleep staying asleep?\"}\n", "{\"prompt\": \"No trouble falling asleep, but I have had trouble staying asleep. I've been waking up pretty much around the clock throughout the night.\", \"completion\": \"So you're getting to sleep Okay, falling asleep. Okay, but just having trouble staying asleep. Are you thinking of anything specific when you wake up?\"}\n", "{\"prompt\": \"Not really just maybe like thinking about going to work in the morning. But no, nothing, nothing major.\", \"completion\": \"any use of drugs or alcohol?\"}\n", "{\"prompt\": \"No.\", \"completion\": \"How about medical problems?\"}\n", "{\"prompt\": \"no\", \"completion\": \" Are there ever points from an anxiety started, that you feel kind of outside of your own body Come an unreal feeling where you're separated from your body?\"}\n", "{\"prompt\": \"No.\", \"completion\": \"How about times when you feel disconnected from the environment, like an unreal feeling about what's going on around you? \"}\n", "{\"prompt\": \"No, nothing like that. \", \"completion\": \"Jessica, I'm going to get you in to see a counselor here. If you're open to that, that's something you want to do. Yes. And I appreciate you taking the time to tell me what's going on and answer these questions. It's been helpful. \"}\n", "{\"prompt\": \" Okay, How are you?\", \"completion\": \"thanks for asking. I see that you have signed a release so I could talk to your mother and that she brought you in today. What's What's going on there?\"}\n", "{\"prompt\": \"They think I have a drinking problem. My family..\", \"completion\": \"your family thinks show drinking problem.\"}\n", "{\"prompt\": \"Yeah. So we really started this was this past weekend. They came to pick me up for my bridal shower. And I was I was drunk when they came to get me so I couldn't go and now everybody's pretty pissed at me.\", \"completion\": \"So they asked you to come into the agency.\"}\n", "{\"prompt\": \"Yeah, you know, I don't want them to hate me or anything. So I agreed to come.\", \"completion\": \"Do you believe that you have a drinking problem?\"}\n", "{\"prompt\": \"I mean, I like to drink.\", \"completion\": \"You think It's okay?\"}\n", "{\"prompt\": \"Yeah. I like I like it like drinking.\", \"completion\": \"Come on, you mind if I ask you a few questions related to drinking,\"}\n", "{\"prompt\": \"that's fine.\", \"completion\": \"So, how often do you drink now?\"}\n", "{\"prompt\": \"Pretty much every day. I drink every day on the weekends for sure. Like, during the week, I'll go to the whatever the best local happy hour is, you know, scope out what's going on. So I'll go after work and have some drinks.\", \"completion\": \"What about on the weekend?\"}\n", "{\"prompt\": \"weekend I gotta keep to myself. still drink a little whatever I have in the house, but I don't really go out a lot of weekend mostly to stay at home and yeah, drink whatever I have there.\", \"completion\": \"How much you're drinking, let's say on the weekend\"}\n", "{\"prompt\": \"it's hard to keep track of thing. Say a couple cases over maybe like two or three cases of beer throughout the weekend. If there's something on sale, you know, at the liquor store down the street, okay, I like a bottle of vodka or something to go along with it.\", \"completion\": \"All right, how about during the week?\"}\n", "{\"prompt\": \"during the week, I just stayed at the bar for a few hours maybe have like, six or seven drinks and then go home.\", \"completion\": \"Are you drinking More than you want to?\"}\n", "{\"prompt\": \"Um, I guess so. I mean, I've kind of tried to make a plan to just say on the weekends to drink some. And that hasn't really kept up because I like to go to the happy hours and stuff.\", \"completion\": \"So, so you've tried to cut down before?\"}\n", "{\"prompt\": \"yeah, it's not really happening. Not really see it happening.\", \"completion\": \"Do you have cravings for alcohol?\"}\n", "{\"prompt\": \"Um, you could say so yeah. I'm at work I want to drink and out doing stuff. I want to drink.\", \"completion\": \"So are you using exclusively alcohol or are there other drugs involved?\"}\n", "{\"prompt\": \"Right now just alcohol and all legal stuff . I was impatient. A couple times for cocaine, but I've stopped. That's not really something I want to do anymore. So\", \"completion\": \"when was the last time you're impatient?\"}\n", "{\"prompt\": \"About four months ago, five months ago,\", \"completion\": \"four or five months ago? And at that time you use cocaine.\"}\n", "{\"prompt\": \"Yeah. I was using\", \"completion\": \"And why did you stop using cocaine?\"}\n", "{\"prompt\": \"Well, I graduated from college, I was kind of a partier in college, and then I had to get a job and it's kind of now had a fear of losing my job because of the cocaine and I'd get a drug test and stuff. So that's kind of in the back of my mind with that. So yeah. I think that the treatment helped with that.\", \"completion\": \"You crave cocaine?\"}\n", "{\"prompt\": \"No, mostly just alcohol. Just\", \"completion\": \"how about Your work are you having a trouble keeping your job or your performance your job?\"}\n", "{\"prompt\": \"Um, I think I'm not doing tip top of what I could be doing but yeah, it hasn't really been a problem. I haven't been threatened to be fired or anything like that. But you know, I'll come in late every once in a while but I I sneak in so nobody notices\", \"completion\": \"any social problems because of the alcohol use?\"}\n", "{\"prompt\": \"Um, with my family kind of right now. Yeah. Not really getting along with them very well. My friends, though, when I go out them during the week where you get along fine, but they're just not really as fun as they used to be. So sometimes, yeah. Sometimes they want to do stuff and go to the movies or whatever. And the ello mad because I don't want to go I'd rather go party somewhere. So\", \"completion\": \"you have some social problems. Not so much with your friends a little bit but more with your family\"}\n", "{\"prompt\": \"more with my family. Yeah. I mean, I guess my friends aren't that happy with me but I don't think it's a huge deal. My best friend I haven't talked to in a couple days because she she is mad at me for not coming to dinner with her the other night because I look rather drunk and I want to do that. \", \"completion\": \"Have you found that you're engaging in any activities are physically dangerous because of alcohol?\"}\n", "{\"prompt\": \"Um I've gotten hurt a couple times. I mean, fallen down the steps, but I'm not calling like, skydiving or anything, you know? So I did sprained my ankle a couple months ago because I fell on the steps but Okay.\", \"completion\": \"Do you find that you have any exacerbation of symptoms you have already? Like any medical or mental health problems made worse by the alcohol?\"}\n", "{\"prompt\": \"It's a pretty healthy. Yeah, yeah.\", \"completion\": \"So did you notice the point after you started drinking when you had to increase the amount that you're trying to get the same effect?\"}\n", "{\"prompt\": \" Oh, yeah. \", \"completion\": \"When did that happen?\"}\n", "{\"prompt\": \"I think I kind of go through phases with it, you know, I'll drink a certain amount for a little while and then I'll notice the I'm not drunk anymore, so I'll have to drink some more.\", \"completion\": \"When was the last time you noticed that when you had to drink a lot more to get the same effect.\"}\n", "{\"prompt\": \"Let's say like, last weekend, you know, I was Got a couple beers in my house and the few hours have passed and I drank probably like, and 12 beers and I wasn't feeling anything. So start drinking a little faster and let us start, you know, feel a little better.\", \"completion\": \"How about withdraw? Do you have any symptoms of withdrawal when you stop drinking? Like physical symptoms anxiety?\"}\n", "{\"prompt\": \"I mean, I want some more. For sure. craving\", \"completion\": \"Ok, Jackie, are you open to seeing a counselor here at the agency?\"}\n", "{\"prompt\": \"I think that's what my mom really wants. So, so maybe they'll try it out once or twice and see what happens but I guess to make her happy.\", \"completion\": \"So you are not sure what to try it out. Yeah. I'll get you scheduled to see a counselor. I want to thank you for telling me about what's going on and for answering my questions. It's been helpful.\"}\n", "{\"prompt\": \"All right.\", \"completion\": \"I understand that you've come to counseling because you have a particular issue that's been bothering you recently.\"}\n", "{\"prompt\": \"Yeah, I've been I've been really stressed out at work. I just I'm getting to the point where it's really hard to handle things that are going on. So for work related problems\", \"completion\": \"are you okay talking about that today.\"}\n", "{\"prompt\": \"I think I need to Yeah.\", \"completion\": \"So I'd like to do in the beginning, is kind of set a plan for our meeting today, okay. And we can move off that plant if we need to, but I just like to start with that, and give us some structure to what we'll be doing. So, first, and this is something I want to co create with you, right? So your input is extremely valuable to it. I don't want to just lay it out and we follow it. I want you to be an active part of putting this together. So as I throw out some ideas, let me know if it's something that makes sense to you or doesn't. Okay? I'd like to start by having you explain in depth kind of what you're going through at work. I know it's troubling you and I want to hear that story. Then you're going to look for some patterns in the way you're thinking And see if there's something that I recognized all that something I can point out, that may help you a bit. And we'll get more to that later. And then to kind of as we wrap up with towards the end, maybe start getting some ideas of things you can do between sessions between now and we'll see you next time that can help combat these symptoms make you feel better. Okay. Does that seem like a fairly straightforward agenda? Any changes or anything you'd like to make to that?\"}\n", "{\"prompt\": \"No, I think as long as you think I can tell my whole story in enough time\", \"completion\": \"We'll see. Okay. So, you know, you just kind of tell me what's going on as you feel comfortable. And don't worry about the agenda. Okay. Just know that overall, that's kind of what I'm thinking about for the structure. Okay. And then You know, as we as we wrap up, we'll set to make an appointment next time and, and like I said, we'll end up with some ideas, I hope they can help you. So let's get started with kind of, you know, your experience with all this. So tell me about your, your job.\"}\n", "{\"prompt\": \"Okay, so I, I'm a caseworker, and you know what I do, I usually go into people's homes and, you know, talk to the families, do inspections, that kind of thing. And, you know, I've been doing it for a while now, not too long, but about five years. And overall, I like my job and everything. But just, you know, something happened at work, and it just really kind of, I just feel like, one minute, everything was fine. And now, it just feels like everything's really out of control. So, you know, I was just, you know, doing my normal job making reports and everything like that. And, you know, I made a report about this family that I felt, you know, maybe the children weren't getting quite What they needed, they seemed malnourished The house was really unclean. You know, I suspected that the parents were using drugs there, and it's just really not a good environment. And, you know, turns out that the kids were taken away. And, you know, the family. It just unlike really freaked out, you know, maybe the kids aren't doing well. They're away from their parents, even though it wasn't a great environment. I know that the kids really love their parents, and it's just, it's really, really weighing on me and it's become kind of like a really big issue at work. I guess we're like, everybody knows about it. And, you know, I just feel like I tore this family apart. And I don't know if I made the right decision. And I just, it's like, you know, I used to just, I used to be so confident in what I did. And now I just feel like I'm second guessing everything.\", \"completion\": \"This is really stressful.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So you'd like some make sure I understand. You like your job? But this, this dealing you've had with this particular family. And what happened as a result of that dealing has just really thrown you for a loop.\"}\n", "{\"prompt\": \"Yeah, it's making me not like my job. Like, I wake up in the morning. And I'm like, I should just pretend I'm sick. I don't want to go, you know, I just feel like, you know, at night, I'm more stressed out, you know, maybe I have an extra glass of wine and I just feel so on edge all the time.\", \"completion\": \"So it's really drastically changed the work experience.\"}\n", "{\"prompt\": \"Yeah. I used to enjoy going to work and you know, feel fulfilled. And now I just feel like, I do not want to go at all.\", \"completion\": \"So there's a sense of dread, anxiety. Yeah. Do you feel doubtful?\"}\n", "{\"prompt\": \"Yeah, definitely, I think anxiety more so but I definitely feel down like, you know, even on the weekends, sometimes I just wake up and I want to stay in bed and you know, I just I feel like I'm having a good time and then I remember what happened and it just brings me back to that place and I've just I don't like it. \", \"completion\": \"It's not not a good feeling\"}\n", "{\"prompt\": \"So, basically, it's been getting a little bit worse since we got married. We got married about a year and a half ago. And, you know, the the woman that I married, I thought we were both kind of independent people. And I thought that we would kind of go our separate ways or thing like we used to college, but it's kind of gotten to the point now where it's like, I just want my own personal space and I I don't want to be left alone sometimes.\", \"completion\": \"Alright, so you're looking for independence in your relationship. Now, how long have you been together? About a year?\"}\n", "{\"prompt\": \"total four or five years, married for a year and a half.\", \"completion\": \"And when Franklin Did you notice that? What you kind of think it was the problem like the independence, lack of independence? \"}\n", "{\"prompt\": \"I guess kind of once we got married after that, it seemed like, you know, we were spending all of our time together, which, you know, at first was great because we're newlyweds, you know, we love spending time together and everything, but I guess probably about, you know, six months to a year after we first got married, it's kind of, you know, progressed to the point where, you know, now it's just kind of becoming like a burden that whatever I do, she's always there with me. We're always spending every waking moment together and sometimes it's just nice to have My own personal space is freedom, you know.\", \"completion\": \"So you're looking for that freedom. Sarah, this kind of resonate with you? Can you can you tell him that? So Frank, what's it like to hear that?\"}\n", "{\"prompt\": \"It kind of Reminds me of how it used to be, you know, like, she said, we've been dating for four or five years and, you know, back then it It wasn't a problem, you know, she could go out and do her own thing I could go out and do my own thing to not have to worry about each other but now that we're spending every moment together, you know, it's just I'm always worried about her she's always worried about me and you know, when when I do get the chance to go you know, hang out with some friends or something like that. It always feels like, you know, I've pressure on me because I should be with her. She shouldn't be there with me, you know, and I feel like I'm doing the wrong thing by trying to be independent try to go do things by myself. I feel guilty. I do.\", \"completion\": \"So, Sarah, Do you sense that and, frankly, feels guilty about that? You feel rejected.\"}\n", "{\"prompt\": \"this a little bit after. So, like I said, probably the first six months to a year it was it was really good. But then, you know, reselling is kind of a burden. You know, just always spending time together and trying to make amends and try not to get into fights because we're always spending so much time together.\", \"completion\": \"So you mentioned that the six months to a year has been the same for you like was the beginning of the marriage, something different to what you have that So for you a couple months after that initial phase. So around the same time you started experiencing this difficulty in the marriage Okay, are you okay with some space?\"}\n", "{\"prompt\": \"You don't seem real certain.\", \"completion\": \"So maybe this, this idea of space isn't really something you feel will work for you. Do want to try to address Frank's concerns about the space? You seem apprehensive about it. So maybe just experiment with it, try it for one night and see what happens. So, in the year and a half, you've been married, Is there ever been a night when you've gone out by yourself?\"}\n", "{\"prompt\": \"Yeah, it's been a couple, especially earlier on, which is nice, you know, just, you know, getting to see old friends and you know, our old college friends, like, of course, we attended, you know, events together and like seeing old friends and everything like that, but there's been, there's been a few times, you know, not, not more than I can count on both my hands, but there's been a few times where I've, you know, gone out and just had, like, you know, a guy's night or something.\", \"completion\": \"Okay, and what would happened, like in terms of like between you, so,\"}\n", "{\"prompt\": \"just getting out of the house is basically the hardest part. You know, just finding a way to ensure That, you know, it'll be okay. I'm going to be back home later on in the night that she doesn't need to worry about me, you know, if I have any trouble or anything pops up that I need her help, I'll let her know. And, you know, just knowing that I love her and telling her that I love her and making sure that she knows that I'll be back. But you know, sometimes it's hard because she just gets upset when I tell her that I'm leaving and she doesn't want me to go and she would rather me stay or even take her with me. And you know, I don't want to be the only guy that shows up with my wife. You know, everybody else left their wives at home also. So I don't want to be the odd man out\", \"completion\": \"all right, so this is really an experiment that's already been tried.\"}\n", "{\"prompt\": \"tried twice. Yeah,\", \"completion\": \"yeah. Just Just a few times. Is there any reason to believe that if you try it next week, it'll be different?\"}\n", "{\"prompt\": \"That's not good.\", \"completion\": \"Don't you don't think so.\"}\n", "{\"prompt\": \"Well yeah. mean, we've been doing it, you know, the past couple months, but it seems like every time we do is you know the same result it's her getting worried about me and you know me trying to find a way to assure her that it's gonna be okay and you know that we're so married we're still in love, you know everything like that, but, you know, it's just, I really want my space and it seems like sometimes I just can't get out of her crib.\", \"completion\": \"Sir, what do you think about that? All right. So in terms of the going out, although going out with your friends wouldn't have to be on the weekend that something could happen during the week.\"}\n", "{\"prompt\": \"Yeah, absolutely. You know, a lot of my friends normally go out during the week because you know, they have their families and everything to take care of on the weekend. So, yeah, I could definitely go out tonight during the week.\", \"completion\": \"Okay, so you could agree. The both of you could agree to that as kind of terms of this behavioral experiment or weekends, you'll spend those weekends together.\"}\n", "{\"prompt\": \"I think we could try that.\", \"completion\": \"Because that was a concern you specifically brought up. How about Sarah, how about the times during the week? How do you feel about those? You feel like you'd respond better to that? Would that be a better experience? Something that you think that you could try next week. So, let's talk about when because you've gone out before and you said it was just getting out. Getting out the house that was the, the real challenge right? So walk me through. This really goes through both of you. What we through what happens when you're when you're getting ready to leave when you're planning to head out?\"}\n", "{\"prompt\": \"So you know, usually I'll go get dressed I'll let her know where I'm going you know, give her my cell phone number you know somebody else's phone number in case my phone is off. Just basically tell her what we're going to do you know whether we're going out to to a pole or you know, going to watch some sporting event or something like that. No, I would tell her what we're doing, you know, just so she knows and knows where she can find me. But then after that, it seems like as soon as I assure her of what we're doing, and when it's happening, when I'll be home, everything like that, it just seems like all the progress I made towards the front door kind of gets pulled back a little bit because like, she doesn't want me to leave, you know, I can see in her eyes that she's not very happy about me leaving her. And that kind of makes me feel guilty, you know, because I don't want to leave her alone. I want her to be more independent. I kind of want her to, you know, if I'm going out, I would like her to go out as well. You know, she says tons of friends. You know, we both have friends. We both have our social circles. And she's kind of it's frustrating when I can't go do my thing, because she's always got to be with me.\", \"completion\": \"So ultimately, after all that you you do go, but you feel feel guilty. And do you have a good time?\"}\n", "{\"prompt\": \"Most of the time, right? Do you know, sometimes I just can't get over the fact that you know, my wife at home who's upset at me, and that makes me upset. You know, it's just a matter of finding the balance between, you know, my independence and her, you know, doing her own thing because I would like her to do that as well.\", \"completion\": \"So sometimes you have a good time sometimes you don't. You're worried about Sarah being home. How about when you come home?\"}\n", "{\"prompt\": \"When I come home, usually things go back to normal. I mean, we've definitely had our exchange of words after a few times me coming back. But most of the time it goes back to normal, which you know, it's fine. We're very loving, affectionate couple. So that's awesome. But you know, most the time it's just overbearing.\", \"completion\": \"Is that how you see it Sarah, the way Frank described it? so how about one is out? Like so after after he's left? What do you What are you thinking that? Like? You're anxious something bad's gonna happen. Do you think that there's been any reason for that thinking, like, do you think there's any basis for thinking something bad's gonna happen? \"}\n", "{\"prompt\": \"Absolutely not. No, no, I love Sarah you know, the five years that we've worked together been great, you know, it's it's just where we are now as opposed to where we first were, and when we first got married, it's it's changed and you know, I would just like some independence just like to be on my own sometimes. And I guess I don't always relay that well to her and she doesn't understand why I want my space. I want to go hang out with my friends, but I've been trying to explain to her that, you know, it's, it's a two way street. It's not just all one way and so we have to work on these issues. And you know, that's why we came to you.\", \"completion\": \"Alright, so you're really frustrated by not being able to go out, go out. But you're anxious about when he goes out. So we talked about the possibility of like an experiment or you go out sounds like we might run to the same difficulties you experienced before. What can we change to increase the chances of that experiment working? So, so if you called when he was at Piedmont The answer is that's something that's normally possible.\"}\n", "{\"prompt\": \"Yeah. Yeah. Most of the time, I'm very good at responding to, you know, making sure that she knows I'm okay. Making sure that she's okay.\", \"completion\": \"So that's a compromise, you'd be willing to make. Absolutely something like that. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"You need any other reassurances from Frank, Sarah? Do you have a plan to call Frank? Like when he's out? Or is it something that you would do if you just felt the need to or Were you calling for some specific reason? Why don't you start reinsurance? Everything's going right. Okay, so that seems reasonable to you. Right? I mean, I, I guess\"}\n", "{\"prompt\": \"but at the same time, like when I'm out doing my own thing, you know, I kind of want that privacy in that, you know, just being in the moment you know, because I know when I get back home, from back with you and I'm, nothing's changed because I've always been with you like we're still married. But when I'm out with my friends, and you know, I'm getting a couple phone calls during you know, the night over the course of the night and it's having to deal with my wife and having to make sure that she knows I'm okay and everything like that it it gets a little frustrating. It's a little, I mean, frustrating\", \"completion\": \"Would that be a good compromise? It was a text or two. I guess. That's better than a phone call, right? Yeah. So not ideal, but you can see how it might decrease your anxiety a bit. Right? And maybe work toward a little bit more freedom. So that's how I can experiment you both combined to try.\"}\n", "{\"prompt\": \"Okay, so we could try and try it out.\", \"completion\": \"Alright. So it's not a perfect plan. But it's one that you know, I would hope that we could be successful with if you could, though, you're going through it, maybe track what happens, right, from your own perspective, like what you were thinking, the fact left, what you were thinking when you left, how it went, how that separation kind of was conducted. And what happened. Same thing when, while you're out how many times you texted her If you called and then what happened when he got back? Right? That's just kind of, and you can you can keep a record of those things just independently. You know, you write it down Come your experience and you write down your experience. And we'll come back next time. No matter what happens with it, we'll compare and kind of see what see what happened and how we could make adjustments to to make it work even better.\"}\n", "{\"prompt\": \"Yeah, I'm Jake's mom. I've seen you at kindy. \", \"completion\": \"That's right. That's right. We do run into each other, a fair bit at the kindergarten. So I suppose what that brings up for me is that I'm a psychologist, and there is certain boundaries that I have to uphold with my clients. And I think that we need to talk about what we're going to do about this, that we we do see each other quite often and how we're going to manage that in terms of, you know, keeping those appropriate boundaries within therapy and outside the therapy room.\"}\n", "{\"prompt\": \"Okay. Yeah.\", \"completion\": \" So how I say this, we have a few different options. The first one is that we could decide not to engage in therapy together. Given that, you know, there could be some issues when we see each other outside of therapy. Okay, how would that option sit for you? \"}\n", "{\"prompt\": \"Well, um, I guess, part of the problem for me is that I really, I feel that I really need to talk to someone about what's going on for me and I don't really, there's no one else in town I can talk to okay. \", \"completion\": \"Yeah, psycho psychology services are quite limited in this area. Yeah. Okay. So you really feel that you need the help and this is the only option that you've got. So given that that's the case. How do you think we could manage this one we do run into each other outside of the therapy rooms so that we don't cross over you know, the boundaries of therapists and clients. So if I see you at the kindergarten shall we acknowledge each other and you know, keep walking or how would you like to manage it? \"}\n", "{\"prompt\": \"No, I mean, I think I think it's good if you know if we can, like say hi and stuff, but I mean, I probably Probably wouldn't want to talk to you at kindy about what we do here in case other people hear it.\", \"completion\": \"Sure, sure. And I'm really glad that you brought that point up, because I think that, given that we will run into each other quite a bit at the kindergarten, it's fine for us to acknowledge each other, but we do need to keep the therapeutic issues that we talk here in therapy for therapy. Yeah, yeah. I'm glad that you think that it that would not be appropriate. \"}\n", "{\"prompt\": \"Yeah. Yeah. And I mean, you wouldn't, you wouldn't tell anybody other moms, would you?\", \"completion\": \"No, no, I'm, I would definitely keep it confidential, that we're in a therapeutic relationship together. Nobody else needs to yet be aware of that. Okay. \"}\n", "{\"prompt\": \"So it's kind of like, we've got therapy for in here, but then out there. We're just mums. \", \"completion\": \"That's exactly right. So if we could just keep it at you know, those things separate then I don't think we should run into any problems in therapy. Yeah, but perhaps we could check in from time to time to see you know, whether that It's becoming a problem for \"}\n", "{\"prompt\": \"Yeah, yeah. Okay. Yeah, that sounds good.\", \"completion\": \" Do you think that sounds okay? Yep. All right. So now that we've discussed that issue, yeah. Let's talk about why you've come in to talk to me today. \"}\n", "{\"prompt\": \"Im here\", \"completion\": \"you're good?\"}\n", "{\"prompt\": \"So I've been made to come in and talk to you. because something happened on the bus. And there I may have said something to somebody and they're just like, oh, you can't say that. So they actually said, we're going to take you to jail. from jail. They just called me here.\", \"completion\": \"Do you know what you're charged with?\"}\n", "{\"prompt\": \"They didn't explain anything. The government never explains anything. They just don't want me to understand what's going on because they just want to keep me out of captivity.\", \"completion\": \"The government. Do you have anyone specific?\"}\n", "{\"prompt\": \"nope, it's the entire government, entire government, higher government.\", \"completion\": \"How long have they been wanting to do this to you?\"}\n", "{\"prompt\": \"all my life. I've done this all my life. They they're always listening. They're always around. They're always there.\", \"completion\": \"always there?\"}\n", "{\"prompt\": \"always there. Like, for example, they're in the lights right now. They're listening to everything that we're talking about. So that's the reason why I really can't talk about what happened on the bus because they're just going to use that against and then it's locked me up again. I think we take more minutes.\", \"completion\": \"Even taking medications.\"}\n", "{\"prompt\": \"Yes, I take the medication, because if I don't take the medication, government comes and takes me away and puts me into a hospital where they force me the medication. And then the lights are always on and they can always hear everything that I'm saying and what I'm thinking and what I'm going to do.\", \"completion\": \"Do you know what they want to do with that information?\"}\n", "{\"prompt\": \"wanting us to take over the world, to take over the world, people in the world, of course, they want to use everything and use everything that everybody knows to use it against them so that they can actually have the world they want in that baby and make everybody pretend that they don't know what's going on. So therefore, they're using everybody's thoughts against themselves, so that the government can use it to their benefit.\", \"completion\": \"So what can you do in a situation? Well, you said the government's monitoring everything and they want to put you in jail. If you don't take your medication, do have any options. Are you stuck?\"}\n", "{\"prompt\": \"No. So when I'm home, I think I'm perfectly fine because I set up my house in my room to actually make it government proof so that nobody can actually hear see what's going on in there. So when I'm home, I'm perfectly fine.\", \"completion\": \"So one option is that being home, being home, you're safe\"}\n", "{\"prompt\": \"being home and being home I've saved my mom saved my brother's save everybody safe. And being out in the world in the world. That's a nobody safe.\", \"completion\": \"Are you safe here?\"}\n", "{\"prompt\": \"No, I told you they are employed, and they can hear everything that we're saying right now. So no, we're not safe here.\", \"completion\": \"It's just not safe here. It's not safe out in the world. At home, you're safe\"}\n", "{\"prompt\": \"at home and safe in my room, that I mean government.\", \"completion\": \"So if you could have your way you would, you would stay home most of the time all the time?\"}\n", "{\"prompt\": \"I would stay home all the time, but I can't stay home because I mean to go and see doctors and talk to people and do the things that the government needs me or wants me to do. But I don't want to do those things because she's in my thoughts and they're trying to use everybody and get sleep. I can't deal with that.\", \"completion\": \"So how how do you know that they're in the lights? Like, how did you discover that?\"}\n", "{\"prompt\": \"Everybody knows that they're in the light. It's common knowledge. It's common knowledge. Everybody knows that.\", \"completion\": \"Do you ever hear things that other people can't hear or see things that people can't see?\"}\n", "{\"prompt\": \"No, of course, everybody hears the lights talking to you. I don't know what you're talking about. Like everybody hears it. Sometimes it's a whisper. For some people. Sometimes it's a yell. And if you want to not pay attention to what the lights are saying to you, then I don't know what's wrong with you, but everybody can hear it.\", \"completion\": \"What's the sound like to you?\"}\n", "{\"prompt\": \"It sounds like a robot talking. It sounds like we need to know this information we need to what do you do.\", \"completion\": \"I'm just making some notes. Speaking some weird progress notes Does that worry you?\"}\n", "{\"prompt\": \"Yes. where your notes gonna go?\", \"completion\": \"Well, this chart will get locked in the chart room down the hall\"}\n", "{\"prompt\": \"who has access to the chart room.\", \"completion\": \"Mostly everybody works here.\"}\n", "{\"prompt\": \"Can I get a copy of your notes after you're done?\", \"completion\": \"Does it worry that there's notes?\"}\n", "{\"prompt\": \"Yes, because I might trust you. And I don't know if I do yet. But I don't trust the other people who work here because I don't know if they're working for the government, which they probably are working for the government. So they can actually have access to all of my notes and the things that you're writing down, which I don't know what they are, because you're not going to give me a copy of it yet. And I just don't trust that they can actually get that information and because they're going to use it to their advantage and they're going to give it to the government, which I can't have that. So could you please not take notes?\", \"completion\": \"I could not take notes, what kind of information and notes are you worried that the government's gonna get?\"}\n", "{\"prompt\": \"Well, because I made my room at home government proof, I think they're going to try to steal that technology when I actually create it so that they can then disrupt my room and then everybody else's rooms who are just like mine so that they can then use their mind control to then control me to do the things that they want me to do.\", \"completion\": \"So without the protection that your house offers, they could control your mind.\"}\n", "{\"prompt\": \"Correct. Without my room, and without the technology and the systems and the things that I created, then the government will be able to control everything that I do.\", \"completion\": \"All right. So can you tell me about your mood through all this, this sounds really stressful you're describing environment where the government's frequently Looking at what you're doing for the feelings are you feel sad or angry?\"}\n", "{\"prompt\": \"I feel fine\", \"completion\": \"You feel fine.\"}\n", "{\"prompt\": \"I don't really have any problem Yeah, I just I feel fine. I don't feel happy. I don't feel sad. I just, I'm just here\", \"completion\": \"kind of resigned the government's gonna do this\"}\n", "{\"prompt\": \"well, the government's gonna do what they're gonna do anyway. So it doesn't matter if I'm happy sad, pissed off angry. any of that the government's going to make me do what they want me to do anyway. So it doesn't matter how I feel.\", \"completion\": \"Are you worried that something is going to happen a similar will happen on the bus?\"}\n", "{\"prompt\": \"No, because I've learned my lesson to not say those things out loud into to talk about what the government's doing because I can't actually inform anybody else because nobody's listening to me because They're already controlled by the government because they don't have a room like I do at home.\", \"completion\": \"To avoid that in the future, because it didn't really, it didn't really work. You weren't able to, to help them understand what's going on.\"}\n", "{\"prompt\": \"While people don't understand what's going on, then that's their fault. that's their problem. They should have listened to me. And I could actually gave them the technology that they needed to actually create the room so that the government can't hear them.\", \"completion\": \"But they weren't open to that idea. \"}\n", "{\"prompt\": \"No. Quite the opposite. It is completely opposite.\", \"completion\": \"How are your family relationships?\"}\n", "{\"prompt\": \"Okay. Yeah, we live with my mom. She does that she's supposed to she doesn't go in my room because she knows that. She goes into the robots gonna mess up the technology so she stays out.\", \"completion\": \"So you get along through okay. Anybody else you have contact with? friends family?\"}\n", "{\"prompt\": \"I talk to people all the time, but they are in my head. We have conversations all the time about how we can actually make the world a better place and then how we can actually go through and then destroy the government or do good. Just pump it up.\", \"completion\": \"Jason Well, I'm sorry to hear that you're under stress. I'm glad to hear your feel like it's okay. You're not down or anxious or anything. This answer these questions for me this has been helpful. And I'm going to recommend you continue to see a counselor here if that's okay. I realize your court ordered didn't come through.\"}\n", "{\"prompt\": \"that would be good\", \"completion\": \"Well, then I'll put on the schedule. We'll set a time up front, where I'll see you. Let's say in three days. That works?\"}\n", "{\"prompt\": \"Three days works.\", \"completion\": \"Then we'll go from there. Okay. Thanks, Jason. \"}\n", "{\"prompt\": \"I'm okay,\", \"completion\": \"you're okay. Glad to hear that. Yesterday, when you're here at the agency, you took a few different tests. Remember that?\"}\n", "{\"prompt\": \"I did.\", \"completion\": \"One of the tests you took is called the SCL 90, the symptom checklist 90. Do you remember taking that test?\"}\n", "{\"prompt\": \"I think so.\", \"completion\": \"It's 90 items. And they are ranked\"}\n", "{\"prompt\": \"asked me like true and false questions?\", \"completion\": \"Not true and false are numbers that you solve.\"}\n", "{\"prompt\": \" Oh, okay. I do remember that. Okay.\", \"completion\": \"So I have the results from that test. I want to review some of those findings with you. \"}\n", "{\"prompt\": \"Okay. All right. Sure.\", \"completion\": \"So this particular instrument has a number of what we refer to as sub scales. So these are areas that are measured by the instrument, right? For example, depression or anxiety. So I'm going to review a few of these sub scales, ones where you scored a little higher than we might expect. And just review those with you and see. See what you're thinking we can talk about.\"}\n", "{\"prompt\": \" Okay, are you recording this? \", \"completion\": \"No\"}\n", "{\"prompt\": \"Are very worried about that?\", \"completion\": \"Is it what makes you think I'm recording?\"}\n", "{\"prompt\": \"Because that happens to me a lot.\", \"completion\": \"It happens to you a lot that you get recorded. \"}\n", "{\"prompt\": \"I think so. Yeah. Yeah.\", \"completion\": \"Remember the last time it happened?\"}\n", "{\"prompt\": \"You probably yesterday\", \"completion\": \"And you think you were recorded while you're taking this?\"}\n", "{\"prompt\": \"probably. Yeah.\", \"completion\": \"That sounds worrisome. That's that's a feeling you get a lot that you're being recorded.\"}\n", "{\"prompt\": \"I worry about it a lot.\", \"completion\": \"You worry about it a lot.\"}\n", "{\"prompt\": \"But you know, it's happening. That's why I worry about it.\", \"completion\": \"You're certain that's happening?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Where you're not being recorded now. I know. It probably feels like you are, but you're not. Okay. \"}\n", "{\"prompt\": \"Okay. But I appreciate you bringing up that concern with me. I think so in school,\", \"completion\": \" in school, right? I that would make sense. So, say for instance, you had a percentile rank of 65% Right percentile, that would mean that your score is equal to or higher than 65% of people that took that test. Okay, so that makes sense. So if you took a test on math or English, and you would say 75 percentile, you'd be higher than three quarters of people took the test. 75% Okay, understand? Does that make sense? I think so. Okay. If you want me to come back to that later, just let me know as I go through if it doesn't make sense, okay. So areas here on on the SCL results, or you were a bit higher than we would normally see. A one is the phobic anxiety scale. on that one, you were about 64 percentile. So your score was as high or higher. Than 64% of people who take it \"}\n", "{\"prompt\": \"to more than half the people in the population,\", \"completion\": \"more than half the number and half the people in the same situation as you in outpatient mental health treatment.\"}\n", "{\"prompt\": \"So I have more phobic anxiety than most people.\", \"completion\": \"It does seem that way. Yeah. So this construct would measure things like being afraid of going out being afraid of being a crowds. Does that connect with you? Is that seem like a fear that you have?\"}\n", "{\"prompt\": \"Yeah. Okay.\", \"completion\": \"Tell me about that.\"}\n", "{\"prompt\": \"I don't like being on public transportation. Hmm. And crowds make me nervous. If I ever have to public speak, I feel like I'm just going to pass out.\", \"completion\": \"So it does appear you have kind of phobic anxiety symptoms. So that that score today that 64 percentile. That kind of makes sense.\"}\n", "{\"prompt\": \"I kind of get that\", \"completion\": \"I want to move on to the next one, which is paranoia. On this one, you were at the 84th. percentile. So quite a bit higher.\"}\n", "{\"prompt\": \"Is that why you were recording me?\", \"completion\": \"But this, this wasn't recorded, nothing was recorded here. Understand that's a worry that you have.\"}\n", "{\"prompt\": \"Are you going to share those results with anybody?\", \"completion\": \"in your particular case, the only people will be shared with this the rest of the treatment team and anybody that you sign a release for,\"}\n", "{\"prompt\": \"but if the government asks you, you'd have to give them those results.\", \"completion\": \"There's no reason right now I did that there are certain limits to confidentiality. But in your situation here at this clinic, there's no reason I would share this information with the government or, or anybody else other than people indicated. So the rest of the people here to treat you. And if you wanted to release the results to somebody, you could sign a release I would let them have the results.\"}\n", "{\"prompt\": \"Well, I'm worried that I know people are recording me. And I think that that results shows that I know that's happening. And now, you want to make it look like that means I have a problem. When I'm just reporting what I know is true.\", \"completion\": \"Well, I assume you're worried that\"}\n", "{\"prompt\": \"no, I think that I know these things are happening. But this test says that I'm wrong to think that it makes me paranoid.\", \"completion\": \"Oh, I understand. Okay. So these things are really happening. Yeah. Right. But the test is arranged so that it's making it look paranoid when you're not exactly\"}\n", "{\"prompt\": \"Exactly. Okay.\", \"completion\": \"So that would explain why your score is elevated on the scale. Okay. Is that? Is that what you're thinking? \"}\n", "{\"prompt\": \"I do. Yeah.\", \"completion\": \"And I wanted you to know that. I appreciate you telling me that. Do you think it's possible that it's working the other way around that the test is measuring something that is actually there?\"}\n", "{\"prompt\": \"No, I don't think so.\", \"completion\": \"You don't think so. Okay.\"}\n", "{\"prompt\": \"I understand that. I'm higher than most people.\", \"completion\": \"you believe their situation is different than yours. Okay, I understand. So the last area, the last subscale I want to discuss this one global scale on discuss. Glass subscale is one that's referred to as psychoticism. And there you are at the 93rd percentile. And that's when maybe you can hear things other people hear or see things that people don't see, or have beliefs or thinking that are far outside the norm and can't be supported by evidence. They feel like that's happening to you.\"}\n", "{\"prompt\": \"Are you going to put me away?\", \"completion\": \"There's There's nothing here that would indicate that I'm gonna put you away or center anywhere. Yeah, I just really this The purpose of this is just to discuss the results to make sure you understand kind of how these inform our treatment of you. Like so we're gonna provide treatment to impart based on these results.\"}\n", "{\"prompt\": \"Sometimes I hear things other people don't hear.\", \"completion\": \"Okay, so this is a this is a score that makes makes sense to retake the test might be right.\"}\n", "{\"prompt\": \"Maybe that's true. Maybe that's true. Okay, but I am being recorded,\", \"completion\": \"but you believe you're being recorded, you're starting to that.\"}\n", "{\"prompt\": \"close to normal.\", \"completion\": \"Well, a little bit higher than we want to see.\"}\n", "{\"prompt\": \"Me I don't like to go out much.\", \"completion\": \"So at the Paranoid if that if that scale was accurate, in your estimation, your global severity might be lower, I think, yeah. Closer to the 50 percentile, I think. So, even if you were closer to the 50 percentile, you can To understand how we're concerned that your symptoms are somewhat severe, and we want to make sure we deliver treatment to address that. Sure. Is that okay?\"}\n", "{\"prompt\": \"It is. Okay.\", \"completion\": \"So I will meet with the counselor that will be treating, you're here, and I'm going to go over these scores now explain to her what you've explained to me. Okay, in terms of why you think you might have received the score. Okay, I'll go over that with her. And of course, you could discuss it with her too, and she'll have the results of this test in your chart. \"}\n", "{\"prompt\": \"Okay. Okay. She's not going to record our session.\", \"completion\": \"She, she's not going to be recording. Okay.\"}\n", "{\"prompt\": \"It does.\", \"completion\": \"Okay. I appreciate you allow me to go over this set of results with you. And I'm going to show you assigned to that counselor and we'll move forward with treatment.\"}\n", "{\"prompt\": \"I'm okay, I guess just waiting for the stitches to come out and be nice. \", \"completion\": \"Oh, what happened? Oh, God. Can you tell me a little bit more about this firefight?\"}\n", "{\"prompt\": \"kit storytime you're ready for this. So brown my girls having a fantastic time looking off on fleek and fish. And then this girl, like she has the nerve to stare at me from across the room. It gives me kind of kind of like this. And then she comes up to me, she bumps into me spills my drink. And she comes up and then she's like, a man. So I'm like, excuse me. So obviously I pushed her she pushed me kind of thing. And yeah, one thing led to another I it's a it's a blur from that point on but all I know is cops showed up. I'm here and I have this to deal with. Fantastic right?\", \"completion\": \"Well from from what I'm getting here. As you were intoxicated at that point in time, and you had a conversation with this girl, which led to the firefight, \"}\n", "{\"prompt\": \"Miss Allison or the toxic get out smashed, should have seen it. But like, this type of thing doesn't happen often. So I don't want you to be sitting here and referring me to some aka because Yo, I'm not an alcoholic.\", \"completion\": \"Okay, so it seems like you get offended and feel offended. being referred to it. \"}\n", "{\"prompt\": \"Yeah, exactly. \", \"completion\": \"Right. Yeah. All right. Well, we do have some time right now. If it's okay with you. I was wondering if we could talk a little bit about your drinking habits.\"}\n", "{\"prompt\": \" Yeah, sure. \", \"completion\": \"Sure you what is drinking do for you?\"}\n", "{\"prompt\": \"Well, you know being 25 that's what we do. Like we get together we hang out we get a couple of drinks. It's me and my girls. We do this all the time and I love this. It breaks the ice when we go socialize. So, meet new people kind of thing. You know, girlfriend circle. It's fantastic. And it definitely relaxes me after a stressful week and my weeks are so stressful as I need this, you know? So, I mean, yeah, but just so you know, I do drink responsibly and I never drink and drive and I don't intend on doing that. \", \"completion\": \"Okay, so to me, it seems that drinking is your way of relaxing with your friends. It's your way to socialize and it breaks that is right, it helps you socialize and, you know, I'm I also wanted to say that it's very responsible of you to be drinking and not driving. Thank you. How has it affected your life?\"}\n", "{\"prompt\": \"Who hasn't? Well, I mean, none of this happens and you have it because of that firefight. And he's gonna be disappointed. Sorry. I guess you could say that my relationship with Henry, it's been great, fantastic. But he says that when I drink, it's like, I'm not myself. It's like somebody who's never met before. And obviously, you can imagine the arguments, the fights, and oh my god, all that stress. It's just, I love them so much, but you know, but it's a stress and it's like, I don't forget to make it.\", \"completion\": \"So for my understanding, drinking, it helps you socialize with friends, it relaxes you. It's, you know, your way of just, you know, it breaks that ice for you. On the other hand, it's causing that a lot of arguments with you and your significant other Henry. Yeah. And it's causing a lot that all those arguments are leading to a lot of stress in your relationship, this kind of stuff.\"}\n", "{\"prompt\": \"Yeah, I mean, we're engaged in this as well. Like you put it that way, I mean, worried because what's he going to think of you later on in life? What's he going to tell our children? Oh, your mom's an alcoholic. She drank this and they got into fight. I don't want I don't want anyone to ever think of me that way. But at the same time, I mean, I don't want to quit cold turkey. I mean, you must understand how hard this is for me to even be here and talk about it. But I love him so much. I mean, I would do anything for him. And he's going to be so disappointed in me hasn't even seen him like, I don't know, how can I face them?\", \"completion\": \"This seems like a very lucky guy to have someone love him that much.\"}\n", "{\"prompt\": \"Boy, seriously, he's not gonna find anybody that loves him. As much as I do. Trust me on that is not going to happen.\", \"completion\": \"So what I'm getting here right now is that if you do want to quit, yeah, yeah. And it's just partly because this alcohol is divided into the arguments with Henry and his positive SSL relationship. Yeah. I know we spoke about earlier and I know you don't really like like the idea of it but what do you know about it? Like what's your one shed some light on that\"}\n", "{\"prompt\": \"it's a place where alcoholics go to discuss their problems and like I said, I'm not an alcoholic.\", \"completion\": \"Well, you're a different multiple philosophy life and this share the drinking stories, and everyone just kind of helps each other through this journey of being sober together. Okay? I know you don't want to join a at this point in time 10 times but hypothetically speaking, generally consider joining it maybe later on down the road.\"}\n", "{\"prompt\": \"If this is what I have to do to get my guy back and I'll do it.\", \"completion\": \"Okay, well on a scale of one to 10 being like for sure. And one being not really sure about it at all. What would you say where you are on the scale with God any? \"}\n", "{\"prompt\": \"You put it that way? Everything I told you, I would say Six, \", \"completion\": \"six. Yeah.\"}\n", "{\"prompt\": \"Well, it's all about, it's all about Henry at the end of the day, it's it matters to me if I want to keep this engagement, and I will do anything for that man. So of course, this is what I have to do in this. This is him. Let him tell you, his relationship with me. And I'm with him is so much more important to me than drunken nights at a bar.\", \"completion\": \"I love you, man. Like I said.\"}\n", "{\"prompt\": \"I'll tell him that.\", \"completion\": \"Yeah. So right now we're sitting at a six or what needs to happen. Maybe we can jump that money or nine,\"}\n", "{\"prompt\": \"um, you know, like, flexible hours, maybe that isn't even an option. Um, also, maybe there's maybe there's a place nearby somewhere like nearby My house, I'll be great. So I have to use gas because it's expensive already to go to work and it's far anyway. And I'm like, I guess, I guess it has to do with attitude as well. I don't want to sit there in a circle like this and somebody judging me because the way I look in my drinking habits and all that, so I guess I'm just looking for a good vibe, you know, I don't want to be judged or labeled.\", \"completion\": \"Now, all of these are like very understandable. I mean, it's just Of course, you want some in a meeting to be close to us. You don't have to commute so far. And yeah, we all have very busy schedules. Now the fit is very busy schedule. It definitely makes sense. And of course, the environments I mean, if you're not happy, they're just a human a learning environment. If you're not comfortable there, then it's very hard for you to you know, to be in that environment. Yeah. blotchy today, I was wondering if it's okay with you, I can give you this for sure. It's just for a median. You're really close to your location where you live, okay, and my number is also on there. Give me a call if you have any concerns. And also, I just want to thank you today for sharing me your stage of drinking. And I know it's not, you know, easy to just notice. No, it's a very sensitive subject. Yeah. So I want to thank you\"}\n", "{\"prompt\": \". Thank you for listening to me. No one's has actually sat down and talked to me about anything. I feel like you shed some light on an issue. So thank you. You're very welcome really means a lot.\", \"completion\": \"You're very welcome. And if it's okay with you, perhaps we can schedule another follow up meeting. I'd say about two weeks or so.\"}\n", "{\"prompt\": \"Great. How are you?\", \"completion\": \"I'm doing well. Thanks for asking. So you're doing great.\"}\n", "{\"prompt\": \"I'm doing awesome.\", \"completion\": \"I know your brother brought you in today and he had expressed some concerns about your mood. Do you know what that's about?\"}\n", "{\"prompt\": \"I, I think he's worrying for no reason. Because I, you know, I for the last like week and a half, I have been following my passion, which is baking. And I didn't realize this before, because I worked in an office. And I just realized that that's not what I want to do with my life. And I know what I want to do with my life now, and I've never known before. So this is an amazing feeling. And what I want to do is I want to start my own baking business. And so what happened was That a couple. Two weeks ago, my nephew had a bake sale. And I've always I've always been like baking, but I've always been like from the box or like from, you know, whatever. So I tried for the first time making brownies from scratch and they were amazing and everyone loved them at the bake sale and they sold out. And my nephew thought I was a hero, basically, I was and so now it made me realize like I could do this for a living and it would make me feel amazing and make me feel like a hero for all these people. And like my college campus would be kind of cool if I could like put up something about like delivering the bakery like the dorms or like big goods to dorms because you know, college students love that type of thing. But so anyway, so I was thinking about long story short, having this business and I would bake all these cookies and I was gonna put up flyers because I don't I'm not like at the point where I can get like an office space but I don't need an office space because I have my apartment and I have everything I need in my apartment to bake everything I need. And I can also have a BJs membership. So Go to BJs. And I can get everything I need in bulk. So like all the flour and butter and sugar and all that stuff. So it's not an issue if I just do it from my apartment. And so I was putting up flyers and trying to promote my business and has really been working on for the last week and a half, and I feel great. And it's amazing. And that's basically it.\", \"completion\": \"Alright, so you feel like, everything's kind of going your way. Hmm. And you're really excited about the new business idea. I know that your brother was a little concerned with how much you've been spending on the business idea. And he mentioned some things about different relationships you've had that are new. \"}\n", "{\"prompt\": \"Okay, so there's a couple that with that. So with the spending, like I don't think my brother recognizes that when you start a business like you need to invest in it to begin, and I understand why he's worried because like, so at work well at the office job that I had, like I got in trouble and because I obviously you need to make fires and I was like, oh, like he doesn't realize I'm frugal. I'm smart. So I was like I'll make the fires at work. And put them out of the work computer. So that I'm not having to pay like, wherever, like staples or something to go and print them out for me. So I got in trouble because it was like for personal use, and I was using like the, the work, whatever. But like that's what annoys me about it because like the new guy that I met, which is the other thing with the relationships, like this new guy is so supportive of my ideas. I met him actually in a bakery, which is like destiny. And he was so supportive when I told him about what I was planning. And actually the other guy that I was talking to before, and I've been talking to him for a while, he was kind of like my brother and was like, are you sure this is something you want to do? And like, I don't understand why you would say that someone who's obviously sure of what they want to do. Like, I know I can do it. I know that I'll be successful, like, did they not taste the brownies at the bake sale? Like they were amazing. And so that's kind of where I am and that's why my brother's worried but he shouldn't be because like I have all this played out.\", \"completion\": \"He's worried that you don't want to think this was the new relationship you don't know the guy too well\"}\n", "{\"prompt\": \"I mean, I've hooked up with him a few times, like I know him pretty well. And I don't think he understands like the connection that we have, I guess a pretty strong one.\", \"completion\": \"So your brother just doesn't. In your mind, he just doesn't get it.\"}\n", "{\"prompt\": \"No. And like, he doesn't like, pay attention to me when I talk. Like, I'll be trying to tell him about, like the bake sale and or not the bake sale. Well, a little bit about the bake sale, I can try to tell him about how successful it was. And he just thought that I was like, bragging, but I wasn't like it was genuinely, like a success. And then I tried to tell him about my business idea. And like, he's like, trying to like brush it off. Like it's not a good idea. And that's why so he just doesn't listen to me. So sometimes I try not to talk too much about it.\", \"completion\": \"Have you noticed through all this, any change in sleep patterns? \"}\n", "{\"prompt\": \"I haven't been sleeping as much but I think that's just because I'm so excited about this and like so. I've been like staying up late and waking up early and like looking at recipes, and honestly hasn't really been an issue because I haven't been tired at all. I was really The I haven't eat I felt rested. I get enough.\", \"completion\": \"Notice you do feel rested. You haven't been sleeping as much.\"}\n", "{\"prompt\": \"No\", \"completion\": \"And you clearly seem like you're in a good mood No, no sadness right now at that,\"}\n", "{\"prompt\": \"like I'm not gonna have sadness when you're following your passion\", \"completion\": \"should be doing pretty well that way. Have you ever been down or depressed?\"}\n", "{\"prompt\": \"Yeah, yeah. In the past I have been actually, not too long ago, about four months ago I was I was hospitalized because I was so down. But, you know, and I, I don't feel like that now. And I know what it feels like to be down and I don't have any of that stuff. Like I feel so much more hopeful and happy and just great with where my life is going right now.\", \"completion\": \"Do you ever feel this way before? kind of in a really good, \"}\n", "{\"prompt\": \"no\", \"completion\": \"No. Nothing like this. What do you think about all this one?\"}\n", "{\"prompt\": \"Honestly I just think it's like getting to know myself and getting to know like what I want to do which is this you know, culinary arts\", \"completion\": \"it's kind of realizing that it's kind of changed my life\"}\n", "{\"prompt\": \"for the better for like really for the better\", \"completion\": \"All right, and you mentioned before that you got some trouble at work right? How bad that turned out\"}\n", "{\"prompt\": \"pretty bad like I it was like a final written notice so if any little thing at this point could make me lose my job but I'm not too worried about it because at this point I'm putting so much time into the baking business that if something goes wrong with my like office job, like I'll have this like in I'm sure that in as short as a month like I'll, I'll be making money soon. And a lot of money because I know how much time I'm going to be putting into this how passionate I am about it. And I know that like I'll be able to make the money back that I've put into it. So I'm not worried about it\", \"completion\": \"shouldn't have to worry about that.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Any medical conditions, you know, have a drug and alcohol you're saving is anything like that? \"}\n", "{\"prompt\": \"No\", \"completion\": \"Are you seeing or hearing anything that other people can't see or hear?\"}\n", "{\"prompt\": \"No, \", \"completion\": \"no like that? Sure. So I know that you're feeling pretty well. But I would like you to see a counselor, maybe help you as you contemplate these different things we've been talking about. If you'd be if you'd be okay with talking to a counselor,\"}\n", "{\"prompt\": \"I guess that'd be fine.\", \"completion\": \"You'd be okay with that. I'll get that set up. We'll just take a moment. And I want to thank you for answering my questions. This has been helpful.\"}\n", "{\"prompt\": \"Yeah, I'm having some problems with with friends and family. relationships, I guess in general\", \"completion\": \"relationships?\"}\n", "{\"prompt\": \"Yeah, I have a lot of stuff.\", \"completion\": \"You have a lot of stuff.\"}\n", "{\"prompt\": \"Yeah. My house is is a full things and it's it's kind of embarrassing. I don't Like to get rid of things. Hmm. I worry that um, you know, when I need them or something so. So yeah. overflowing my house stuff.\", \"completion\": \"So a lot of a lot of stuff in your house. And this is affecting your relationships.\"}\n", "{\"prompt\": \"Yeah, you know, there's all this stuff is taking taking over the house, there's no room for anyone to really come over and visit me which is really become a problem. You know, you meet people and it's normal to go over to their house and have lunch or whatever. And I get really embarrassed. I don't want people to do that. I don't my family even coming over. My sister was over last week and she threw something away. She threw this newspaper away from two years ago. And I freaked out I would if I need that, you know, I those things are important to me. So that's kind of putting a strain on my relationship with my family and that way I think they're the only ones probably that would like feel brave enough to actually do something like my sister did.\", \"completion\": \"something away\"}\n", "{\"prompt\": \"Yeah, yeah, so yeah it's just it's embarrassing that I can count on my friends over look like to have my family over and I just can't it's too much \", \"completion\": \"You mentioned your your house is overflowing. How cluttered? Can you describe it? Um,\"}\n", "{\"prompt\": \"there's there's room for me to live in there. And there's a path from my front door to the kitchen. The two bedroom, two bath Sometimes it's blocked by stuff, but when things fall or whatever, are pretty much the whole house says things\", \"completion\": \"and what what type of things. You mentioned a newspaper.\"}\n", "{\"prompt\": \"Yeah, I don't like to get rid of like cards or newspapers or magazines, mail, things like that. But I've also collected things over the years. I inherited the house where my grandmother's all her stuff was in there. And yeah, I really can't get rid of that. But it has a lot of sentimental value to me. So my things have just kind of been piled up on her things.\", \"completion\": \"So you have a lot of stuff in the house. And it's congested, but you're able to move around and live there.\"}\n", "{\"prompt\": \"Yeah, I'm not freely able to move around, but you know, it works for me.\", \"completion\": \"Yeah. It'd be difficult, or it is difficult when other people come by.\"}\n", "{\"prompt\": \"Yes, yeah, they, they wouldn't really be able to be in there.\", \"completion\": \"Now, so some of these items you said you received when you receive the house? Do you ever go out and buy things or bring them in?\"}\n", "{\"prompt\": \"Yeah, I like to go shopping. I like to get the yard sales on the weekends. Kind of a deal Hunter. So if I if I see something on sale, I don't want to pass it up. If it's a good deal, man, we'll come back to it. So\", \"completion\": \"How often do you buy things?\"}\n", "{\"prompt\": \"I probably like on the weekends I go to yard sales. I usually buy a few things every weekend from the yard sales and they're such good deals so man make a trip to the mall or TJ Maxx or something once a week at least I usually buy something I need to\", \"completion\": \"just your vehicle have stuff in it now. There you go.\"}\n", "{\"prompt\": \"Yeah. So I actually picked something up that I saw. That was for sale on the side of the road on the way here was a little bedside table. So it was only a few bucks.\", \"completion\": \"Right. So you have some things you buy, you have some things that you otherwise obtain that are in the house. They're already there. And you have trouble parting with them. ever tried to throw anything out or do anything away?\"}\n", "{\"prompt\": \"people have suggested that I do that, but I just can't bring myself to that. I mean, like my sister came over, she tried to get rid of something for me. couldn't do it. It's too hard. Yeah. Just think I might need it, you know, but if I need it, if I need to look back and reference that, that newspaper that she tried to throw away, we'll have it.\", \"completion\": \"So what would you like to gain from counseling?\"}\n", "{\"prompt\": \"I would like to, I'd like to be able to get rid of things and would like not to worry so much\", \"completion\": \"So you'd like to be able to throw things out. Clear out here.\"}\n", "{\"prompt\": \"Yeah, well, a little bit of time. I don't think it's gonna happen right away. But I'd like to get there eventually to start working on it. Yeah.\", \"completion\": \"All right. I have a couple other questions. Okay. Do you have any medical problems?\"}\n", "{\"prompt\": \"No.\", \"completion\": \"Any history of mental health disorders\"}\n", "{\"prompt\": \"No\", \"completion\": \"and alcohol use us?\"}\n", "{\"prompt\": \"I drink socially with friends\", \"completion\": \"drink socially. Yeah, nothing else. \"}\n", "{\"prompt\": \"No.\", \"completion\": \"And you do okay at work?\"}\n", "{\"prompt\": \"Yeah, I love my job.\", \"completion\": \"Yeah, any problems there?\"}\n", "{\"prompt\": \"Now I work as a call receiver, the call center so I get along with everyone. Boss thinks I do a great job. So,\", \"completion\": \"okay, great. All right, Jackie. If you're okay with it, I'll get you in to see a counselor with that schedule. \"}\n", "{\"prompt\": \"Hi\", \"completion\": \"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. \"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"So basically, we're here I'm just going to talk to you for a little bit about sort of what your goals are for your life, 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 going to 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. Okay. All right. So I guess just to get started, can you tell me a little bit about yourself? \"}\n", "{\"prompt\": \"Well, my name is Laura. I'm 17 years old and I'm a senior in high school. Okay. \", \"completion\": \"And What kinds of things do you plan for your life?\"}\n", "{\"prompt\": \"Well, hopefully go to college, get, you know, good enough grades to go to college.\", \"completion\": \"That's great. Do you have a plan as to where you might want to go? Or?\"}\n", "{\"prompt\": \"I'm not sure yet. Maybe a few schools in the area I'm looking maybe to apply out of state.\", \"completion\": \"Oh, Cool. \"}\n", "{\"prompt\": \"I might go for college.\", \"completion\": \"So kind of keeping your options open.\"}\n", "{\"prompt\": \"Yeah, definitely.\", \"completion\": \"Great. And do you have an idea about what you might want to study? or?\"}\n", "{\"prompt\": \"Yeah, maybe I'm pre law.\", \"completion\": \"Oh, wow. Okay, that's exciting. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"All right, cool. What do you like to do for fun?\"}\n", "{\"prompt\": \"Well, I'm on the weekends, I like to hang out with my friends. Maybe you go to like a party or go to the mall to shop. Or if there's like a school related event, we'll go to like a football game or something like that. \", \"completion\": \"Ahmmm\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Like to have a good time ?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"And you have a lot of friends or a few close people or?\"}\n", "{\"prompt\": \" I would say like a moderate amount. I'm not really, really popular or like I have no friends. I'm like normal.\", \"completion\": \"That's a good way to be Right.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"All right. So it sounds like in general, your things are going pretty well for you. How are your grades right now? \"}\n", "{\"prompt\": \"They're pretty good A's and B's, so I'm doing okay.\", \"completion\": \"Okay, great. Well, one thing I want to ask about is, you know, different people have sort of different values or things that are important to them. They might, you know, be really close with family or really have, you know, their friends as being something particularly important. So I'm going to show you just a few things on this sheet and if you can look them are so there's things like belonging, community, cultural identity, family, friendship, modesty, religion, respect, self determination, and spirituality. Which of those do you think is sort of important to you?\"}\n", "{\"prompt\": \"Um, family, definitely. friendship and belonging.\", \"completion\": \"Okay. What's important to you about your family?\"}\n", "{\"prompt\": \"Well, I, I love them so I want them to think well And I want them to be accepting and love me.\", \"completion\": \"Okay. You have brothers or sister ?\"}\n", "{\"prompt\": \"Yeah, I have one sister.\", \"completion\": \"Okay, great. And how about friendship ?\"}\n", "{\"prompt\": \"friendship. I've grown close to many people that I care about. So I would like them to be accepting of me as well.\", \"completion\": \"Great. So being a good friend and having people who are good friends, too, is important. And then what about belonging? You mentioned that one too.\"}\n", "{\"prompt\": \"Yeah. Just a sense of like fitting in and like getting accepted.\", \"completion\": \"Yeah. Not wanting to be part of a group.\"}\n", "{\"prompt\": \"Yeah, kind of. \", \"completion\": \"Okay, great. All right. Well, one of the things I want to talk about is, you know, you mentioned that you like to go out with friends and party and that sort of thing. And I'm curious when you're at the parties, do you ever have any alcohol?\"}\n", "{\"prompt\": \"Umm not much, maybe like one or two drinks at the most. \", \"completion\": \"Okay, can you tell me a little bit about how alcohol fits into your overall social scene?\"}\n", "{\"prompt\": \"I pretty much just have a drink to just have it like so it looks like I'm drinking Even though I'm not so maybe people bug me about drinking or something,\", \"completion\": \"okay, you're kind of getting pressure from other people who are drinking and it feels easier for you to hold a drink \"}\n", "{\"prompt\": \"have one there and pretend you have it.\", \"completion\": \"Okay. And do you think that this is most weekends? Or occasionally How often do you think that you are take alchohal\"}\n", "{\"prompt\": \"one or two weekends a month. The most. No really much\", \"completion\": \"So one or two weekends a month, You're in a situation where there is alcohol? \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Okay. And what sort of situations are you in?\"}\n", "{\"prompt\": \"Well, just I guess, at a party or something, someone's house. Or even if it's not a party, like a small social gathering, maybe there'll be like a few beers around.\", \"completion\": \"So mainly just kind of hanging out with friends.\"}\n", "{\"prompt\": \"Pretty much Yeah.\", \"completion\": \"Are you ever places where there are parents around or mostly just just with the kids ?\"}\n", "{\"prompt\": \"mostly just with us, but sometimes I'll go to like a close friend's house and like I'm close to your family as well. So Well just hang out. \", \"completion\": \"And what about driving?\"}\n", "{\"prompt\": \"Like drunk driving?\", \"completion\": \"Yeah. Do you ever go anywhere in a car after you've had alcohol?\"}\n", "{\"prompt\": \" Definitely, No, I've never drunk driven. And I've never been in a car with a drunk driver.\", \"completion\": \"So that's something that you sort of made a decision about.\"}\n", "{\"prompt\": \"Because I know that's extremely dangerous.\", \"completion\": \"Okay, what do you know about how that's dangerous? \"}\n", "{\"prompt\": \"Well, alcohol definitely impairs your judgment. So, I mean, driving under the influence of alcohol can lead to like, crashes and accidents and things like that. So I rather not be in that situation. \", \"completion\": \"So you're really trying to be safe and make sure that you're not putting yourself into situations.\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"That's great. You know, it's it's tough to do sometimes. And I really commend you for being able to stick with that. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So you mentioned you pretty much will like hold a drink or maybe have a drink or two, what do you think's the most alcohol you've ever had in one day?\"}\n", "{\"prompt\": \"No more than two drinks.\", \"completion\": \"Okay. So the absolute most\"}\n", "{\"prompt\": \"Yeah, those two.\", \"completion\": \"Okay, and what kinds of things do you like about alcohol?\"}\n", "{\"prompt\": \"Um, I've never really been drunk. So I can't really say that I like that feeling or not. But it's just I mean, you're just in a good mood. \", \"completion\": \"Mm hmm. So it just kind of makes you feel relaxed.\"}\n", "{\"prompt\": \"Yeah relax\", \"completion\": \"Okay. Anything else?\"}\n", "{\"prompt\": \" Um, no, not really. Like I said, I don't drink that much. So I wouldn't be able to tell you. \", \"completion\": \"Okay. And I mean, not so good things about alcohol? \"}\n", "{\"prompt\": \"Um, definitely. Yeah. I mean, when I'm at parties and stuff, and it's getting a little later, some people that drink like drank too much, they start throwing up or they get hurt, or they're really loud and obnoxious. And that's not fun for anybody.\", \"completion\": \"So you've seen a lot of other kids Yeah, had some consequences and decided that's not for you.\"}\n", "{\"prompt\": \"Yeah, \", \"completion\": \"I got it. I can understand that. Any other things that you can think of?\"}\n", "{\"prompt\": \" No, I mean, I've never, you know, been friends with anybody. It's gotten to like a serious accident. And so it's just very like obnoxious thing.\", \"completion\": \"Okay, well, so, you know, as someone who's not 21 yet, it is underage drinking is something that's not legal, and it is something that is considered pretty risky. So I'm wondering what you think about that, just in terms of how it fits into your life?\"}\n", "{\"prompt\": \"Um, I know, it's definitely risky. I mean, I guess we still do it.\", \"completion\": \"So it's kind of something that it's just there.\"}\n", "{\"prompt\": \"Yeah It's just there.\", \"completion\": \"Okay. And I'm curious, you mentioned you know, your friends are important to you and your family's important in sort of fitting in is important to you, and how does alcohol play a role with that? \"}\n", "{\"prompt\": \"Um, well, definitely not in my family life because my parents don't really condone, okay, alcohol use. But friendships, I mean, when I'm hanging out with my friends, or we're at a party or something, there's usually alcohol involved. \", \"completion\": \"Okay. So from your family perspective, that Drinking is not something that fits very well. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"And with friends, you feel like it's easier to to hang out with alcohol. Or maybe you wouldn't have as much fun or your friends wouldn't like you as much.\"}\n", "{\"prompt\": \"I guess it means this is just there.\", \"completion\": \"Okay\"}\n", "{\"prompt\": \"so it ties in with the whole belonging.\", \"completion\": \"Well, when you think about your drinking and sort of looking forward five years or 10 years, how do you think that drinking might fit in with your life?\"}\n", "{\"prompt\": \"It probably will have a very small role, if any, in my life considering I have big plans for my future. \", \"completion\": \"Okay. Can you expand on that a little bit more? What do you mean?\"}\n", "{\"prompt\": \"I mean, I don't think I would be, you know, drinking as much or going to parties as much if I'm studying for school or in college or trying to get off school, things like that.\", \"completion\": \"Okay, so the alcohol, something that might make it harder to reach your goals?\"}\n", "{\"prompt\": \" Yeah, definitely.\", \"completion\": \"So when you're sort of looking ahead, how often do you think you might be drinking, say when you get to college ?\"}\n", "{\"prompt\": \"maybe less than I am now. I mean, I don't drink much anyway. So maybe like one drink every once in a blue moon.\", \"completion\": \" Okay, so you sort of have a plan to cut back on your drinking eventually.\"}\n", "{\"prompt\": \"Yeah definately\", \"completion\": \"how might that go?\"}\n", "{\"prompt\": \"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 bigger.\", \"completion\": \"Yeah. So you don't feel the need to make any major changes, but you feel like you could make some adjustments?\"}\n", "{\"prompt\": \"Yeah, definately that's a good thing.\", \"completion\": \"Okay. How important is it to you to make some adjustments to your drinking on a scale of 1 to 10 where one is not at all important, not something you're thinking about. And 10 is the most important thing, \"}\n", "{\"prompt\": \"maybe five or six.\", \"completion\": \"And why did you say five or six rather than like two or three?\"}\n", "{\"prompt\": \"Because it's not something I do not care about it all but it's not something that's just constantly on my mind that I want to change about myself.\", \"completion\": \"Okay. So It is something you have thought about.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"And how confident are you that you could make a change if you decide you wanted to on that same scale?\"}\n", "{\"prompt\": \"I'm pretty confident that I can, considering that I'm not really an alcohol user, per se. I'm not really into that whole scene, so it's gonna be difficult for me.\", \"completion\": \"So what number do you think you'd say?\"}\n", "{\"prompt\": \"On a scale of one to 10, If I can quit alchohol?\", \"completion\": \"Yeah\"}\n", "{\"prompt\": \"maybe like an eight or nine.\", \"completion\": \"Okay. All right. Well, kind of keeping that in mind. It sounds like you do have sort of a vague plan to make some adjustments and you're drinking at some point.\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \" And it's moderately important to you. It's something you would like to do because you have these big goals for yourself. And you actually feel very confident that you could be successful. With it, what sort of gold Do you think might be good to set for today?\"}\n", "{\"prompt\": \"Um, probably to stop. Maybe next Friday I go to I have a drink at all. \", \"completion\": \"Okay. Do you feel pretty confident that you could just stop completely?\"}\n", "{\"prompt\": \"Yeah, I mean, I can just tell my friends, my parent, my friends aren't really that pressuring. It's just like outside people that don't really know that well. So I could just tell them, Hey, I don't feel like having a drink today.\", \"completion\": \"But what might be some benefits of following through with that goal?\"}\n", "{\"prompt\": \"Definitely, I'll have like, all my senses there and I'll be aware of everything that's going on.\", \"completion\": \"Uh huh. Anything else?\"}\n", "{\"prompt\": \" Um, health concerns? I guess I know, alcohol is bad for your health. So that would be one.\", \"completion\": \"Okay. So it's, it sounds like you're actually pretty comfortable with setting a goal of not drinking anymore, at least at the next party and seeing how it goes.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Okay. Do you think it would be alright if we met again to kind of check in on how it goes and see if working out for you.\"}\n", "{\"prompt\": \"Yeah, that would be okay.\", \"completion\": \"All right, great. And then it sounds like some of the benefits you're expecting are health benefits and 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.\"}\n", "{\"prompt\": \"Right.\", \"completion\": \"Okay. Well, very good. Is there anything else that you think would be important for me to know? \"}\n", "{\"prompt\": \"How would you advise me to like get maybe my friends to stop drinking?\", \"completion\": \"Oh, that's a great question. So a lot of times, kids who are trying to cut back it's harder if their friends are still drinking. And one of the easiest things is trying to have more activities that don't involve alcohol. But of course, that's harder if you're not doing planning. So some of the things that can be useful if you're at a party say, and there's already alcohol there, and there are other kids that maybe aren't your closest friends. Some of the things that I would recommend, since you're interested Are you know, carrying around Different drink that looks like it has alcohol in it. So, you know, even carrying an empty beer bottle or beer can or, you know, if people are having a mixed drink, just having the coke, say without any alcohol mixed into it. Often having anything in your hand is a good barrier for people who are trying to offer you alcohol because you already have something. It kind of prevents them from trying to stuff something else in there. Do you think any of those things might work for you? \"}\n", "{\"prompt\": \"Yeah, for sure.\", \"completion\": \"Okay. What about in terms of talking to your friends about it? Have you thought about how you might approach with them? Or is that something else you'd like some tips about about telling them about your plan to stop drinking?\"}\n", "{\"prompt\": \"I was just planning on playing them that I don't really want to drink anymore. That was me. Know, \", \"completion\": \"your friends would be pretty comfortable with that.\"}\n", "{\"prompt\": \"Yeah, I mean, that was my closest friends for sure. \", \"completion\": \"Okay, great. Any other concerns or questions? Anything else? I go?\"}\n", "{\"prompt\": \" No, I think okay. \", \"completion\": \"Okay. So then, like I said, I'll try and see if we can meet up maybe in a few weeks and see how it's going. And then if things are going great then fantastic and if you run into any stumbling blocks and we can maybe problem solve together. \"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"Is that Okay ?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"All right. Thanks so much.\"}\n", "{\"prompt\": \"Definitely my dad. He's been on my case, like all week getting on me. It's been a real jerk in my room playing video games and talk to my friends and just barges into my room. You know, he's getting on me at dinner. He just never lets up and he's on the about, you know, getting a job get my life together. All the time. It's like, as soon as I wake up in the morning, you know, there's an email from or, you know, something, just tell me to do stuff I don't want to do. It doesn't get the, you know, I'm not feeling good. And I'm not gonna do that.\", \"completion\": \"So let me so let me interrupt you for just a second here. Make sure I understand you. You're really upset about your father getting on you this past week, right? Yeah. And it's something that we could talk about today is just something that you think we could do to help the situation out?\"}\n", "{\"prompt\": \"Yeah, we got to figure out some way to get him to back off. Okay, he's just on me. I don't maybe we can bring him in here. You know, tell them something. write him a letter, I don't know, but something that could just get him to leave me alone.\", \"completion\": \"Well, one idea would be to get him to bring him in here and get him to back off, but he's not here right now. And maybe there's some things that you can do to help him calm down or back up the situation on\"}\n", "{\"prompt\": \"He's the one being a jerk.\", \"completion\": \"Well, that may be but maybe there's things you could do to be a little more assertive with him to let him know how you're feeling? Or perhaps to calm the situation down.\"}\n", "{\"prompt\": \"I don't know. If you've got some ideas all listen, I guess. But\", \"completion\": \"okay, well, maybe we can put our heads together and come up with some strategies to deal with your dad a little bit better. All right. Is that suddenly? Is that something we could put down in the agenda then?\"}\n", "{\"prompt\": \"Yeah, no, I definitely want to talk about so how\", \"completion\": \"do I describe that then? dealing with my dad. Okay. Dealing with Dad. Is there anything else you'd like to put on the agenda?\"}\n", "{\"prompt\": \"I've been really tired lately just been sleeping a lot. Okay, last week or two.\", \"completion\": \"So I put down tired and sleep. So we have dealing with dad and tired and sleep. Which thing do you want to talk about first?\"}\n", "{\"prompt\": \"Definitely my dad.\", \"completion\": \"Okay. So we don't want to forget about the homework. So we want to make sure we put that down on the agenda. And so, you want to talk about dealing with your dad, get do the homework first. Tough on my dad do definitely with your dad. Okay. So we want to make sure we allow enough time to talk about your homework is it's important. So tell me what happened this past week with your dad.\"}\n", "{\"prompt\": \" Yeah, me too. \", \"completion\": \"Cool. Okay. So I just wanted to ask, did you receive that information pack that was sent out to you in the mail? \"}\n", "{\"prompt\": \"Yes, I did. \", \"completion\": \"Fabulous. Okay. So would you mind if we just spend a few minutes going through that together now?\"}\n", "{\"prompt\": \"Yeah, no, that's okay. \", \"completion\": \"So I guess something really important that I would like to draw your attention to first of all, is this issue here of confidentiality, okay. Basically, everything that you and I talk about together in therapy is just between you and I, however, because I am a professional psychologist, the things that we discussed, I may need to share with my supervisor, okay. \"}\n", "{\"prompt\": \"Yeah, yeah, that's all right. Will it only be with your supervisor?\", \"completion\": \" Yeah, that's right. Yep. Yeah. There are a few special circumstances though, where I may have to break confidentiality. That is if you tell me that you might be of harm to yourself or someone else. Okay. If you tell me that you've been involved in a serious crime, okay for us. Somebody else wishes to access the information that we talked about in the context of legal proceedings and they take it off subpeona I'm required to give that information then okay. But of course, if any of these things ever did come up, I would discuss these with you first. Okay, that'd be good. Okay. All right. All right. So something else I just would like to draw your attention to here as well. It's just our fee here at the clinic. Yes. Which as we discussed on the phone is $20.\"}\n", "{\"prompt\": \"Yes. And that's fine. No problems.\", \"completion\": \"Okay. And I understand from time to time that things can come up as well and that you might have to reschedule one of your appointment. We just asked that if you could provide us with about 24 hours notice beforehand shot so that gives us a chance to be able to set up another appointment time.\"}\n", "{\"prompt\": \"Yeah, yeah, that's fine. No worries. \", \"completion\": \"Okay. Did you have any other questions about anything that you read on that shape there?\"}\n", "{\"prompt\": \"Um, no. it all seems fine with me. Yeah. \", \"completion\": \"Yeah. Okay. So if you wouldn't mind just popping your signature at the bottom there. Thanks.\"}\n", "{\"prompt\": \"I haven't, I'm feeling a little nervous. \", \"completion\": \"Yeah, I can understand that it can be a bit confronting and scary The first time you come along. Yeah. So I guess, I mean, just to give you a bit of an idea about how I like to work with clients, is that I like it to be a collaborative approach so that the two of us get to work together on new problems and concerns that you're having at the moment. Okay. \"}\n", "{\"prompt\": \"Yeah. Sounds good.\", \"completion\": \"So the purpose of today's session, I guess, would be for me to get more of an understanding of what's happening for you lately. All right, and give us a chance to get to know each other a little bit more. Okay. Okay. Yeah. Yeah, that's really good. Yeah. And at the end, we can sort of have a touch base again and see how we went for today and whether we'd like to take it on from there.\"}\n", "{\"prompt\": \" Yeah, that sounds good. We'll have a better idea then. \", \"completion\": \"Yes, yeah, exactly. Yeah. Okay. So I mean, just to start off with then I guess, are there any other things that you've tried apart from coming to therapy and As some ways to help you cope with what's happening for you.\"}\n", "{\"prompt\": \"Umm not really like when I feel ya know, when I feel down like I just stay at home. Yeah, I don't really go anywhere. Yeah. or do anything I just yeah, just sort of withdraw. That's all I really done. \", \"completion\": \"Yeah. We've been really keeping it to yourself and it's quite a big step for you to reach out to to someone today.\"}\n", "{\"prompt\": \"Yeah, it is. It just got to that point where he just wanted to come in and didn't really know what to do. Yeah. \", \"completion\": \"Okay, I guess to start off with him. Would you like to tell me a little bit more about what's been happening for you? \"}\n", "{\"prompt\": \"Great.\", \"completion\": \"Great. I'm doing okay. Thanks for asking. I see that you signed a release. So I could talk to your mother and I see she took in here today.\"}\n", "{\"prompt\": \"Yeah, she brought me in \", \"completion\": \"Tell me what's going on.\"}\n", "{\"prompt\": \"Ah, she's she's not happy with me. No.\", \"completion\": \"just like how you smoke. Yeah. But\"}\n", "{\"prompt\": \"yeah, it's\", \"completion\": \"yeah You're so you're concerned. Somewhat but\"}\n", "{\"prompt\": \"yeah, yeah, I'm in love my mom, you know.\", \"completion\": \"what are you smoking house are concerned?\"}\n", "{\"prompt\": \"Just weed? No big deal. Really? I don't know why she's so upset.\", \"completion\": \"She's upset about that.\"}\n", "{\"prompt\": \"Yeah, yeah. She's been on me for a while about it. So\", \"completion\": \"are there any other drugs or alcohol or anything that you consume? Well, yeah,\"}\n", "{\"prompt\": \"I drink sometimes to drink some time. Yeah. But\", \"completion\": \"not something she's concerned with?\"}\n", "{\"prompt\": \"Well, I mean,\", \"completion\": \"Are you concerned with alcohol or marijuana?\"}\n", "{\"prompt\": \"no\", \"completion\": \"meals I guess you probably know, ask a few questions about\"}\n", "{\"prompt\": \"Yeah, sure. Okay.\", \"completion\": \"Can you tell me when you first started using it how they came about?\"}\n", "{\"prompt\": \"I think it was a my sophomore year of high school. My friends offered it to me. So now, I was kind of feeling having some anxiety. Some anxiety about starting it, but so tried it made me feel great. So my anxiety go away. So\", \"completion\": \"it took the anxiety away. Yeah. How long did you have the anxiety Before this?\"}\n", "{\"prompt\": \"Yeah. Probably in my adolescence. A couple of years. Couple years. Yeah. It wasn't anything crazy, but it affected my life a little bit. So I think it makes me feel a lot better now that it's all good. Get rid of that feeling.\", \"completion\": \"So you started. You started marijuana because a friend offered to you and because you're anxious. Yeah. And then how about from then on\"}\n", "{\"prompt\": \"now, I don't want to feel that that anxiety anymore. I don't want to have to take any pills or anything. So I've gone and just kept doing it to make me feel great. Okay. I think it's great.\", \"completion\": \"When was the last time you used\"}\n", "{\"prompt\": \"this morning\", \"completion\": \"this morning?\"}\n", "{\"prompt\": \"Yeah. Yeah.\", \"completion\": \"Did anything happen in particular that we think motivated your mother to bring in today.\"}\n", "{\"prompt\": \"No\", \"completion\": \"So what do you want to happen? Would your goal be\"}\n", "{\"prompt\": \"make mom happy but I don't really wanna stop\", \"completion\": \"in order to make her happy would you have to stop?\"}\n", "{\"prompt\": \"I guess but\", \"completion\": \"she wants you to get a job too.\"}\n", "{\"prompt\": \"Yeah, ideally she would like me to. Yeah.\", \"completion\": \"Would employment involve drug screening?\"}\n", "{\"prompt\": \"Probably some of them some some if I tried Yeah. ever really made a big effort to to look for anything.\", \"completion\": \"Not to worry about that right now.\"}\n", "{\"prompt\": \"Oh, I mean, I take every day is a new day a new chance for greatness and it's going great so far. So\", \"completion\": \"I would like to ask a few questions about marijuana use.\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"Have you ever tried to cut down\"}\n", "{\"prompt\": \"No\", \"completion\": \"Have you ever taken in larger amounts and you want it to for long periods\"}\n", "{\"prompt\": \"Yeah, I mean, you know, sometimes I'll smoke more than I usually do. I'm hanging out or you know those anxiety days or well worse smokes a more\", \"completion\": \"How much time do you spend obtaining using recovering from marijuana\"}\n", "{\"prompt\": \"A good amount of time. Yeah, I love it. So something I love to do. \", \"completion\": \"It's a big part your life\"}\n", "{\"prompt\": \"Yeah, say so. I want to do it. Yeah. So\", \"completion\": \"has it led to any social problems where?\"}\n", "{\"prompt\": \"I used to hang out my friends a little more than I do, but I have some hope like, I do. Too much\", \"completion\": \"as the marijuana use caused you to give up activity so important to\"}\n", "{\"prompt\": \"it is my important activity. Yeah.\", \"completion\": \"That's not really has the marijuana use caused any activity become dangerous?\"}\n", "{\"prompt\": \"Like what?\", \"completion\": \"Like driving law into the influence right now like that?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"That's That's dangerous.\"}\n", "{\"prompt\": \"I'm fine.\", \"completion\": \"Everybody does that. Now your mother, she drove you today. Yeah. She came when she worried that you were under the influence of marijuana.\"}\n", "{\"prompt\": \"Probably but she's kind of a little used to it I guess not used to it but she's aware of but yeah, she's Yeah.\", \"completion\": \"Do you have any history of mental health disorders?\"}\n", "{\"prompt\": \"Just some anxiety,\", \"completion\": \"anxiety about medical problems?\"}\n", "{\"prompt\": \"No.\", \"completion\": \"Do you notice that when you stop using you have physical symptoms or anxiety?\"}\n", "{\"prompt\": \"Well yeah at the anxiety when I when I stop\", \"completion\": \"what's the longest you have stopped for?\"}\n", "{\"prompt\": \"Just getting and yes, I spoke every day, so a couple hours asleep just a couple of hours throughout the day.\", \"completion\": \"So it's an every day activity for you.\"}\n", "{\"prompt\": \"Yeah, it's been that way for a while. Yeah. last couple years I would say a couple years. Yeah.\", \"completion\": \"All right, Jackie. I know that your your mom wants you to get counseling here. Are you open to it?\"}\n", "{\"prompt\": \"I don't really think I need it. But I'm sure she's once I leave here, she's gonna say I need to come back. So we'll see, I guess.\", \"completion\": \"Okay with Yeah, I'm gonna try.\"}\n", "{\"prompt\": \"Yeah. We'll see.\", \"completion\": \"All right. I'll get you scheduled to see a casserole and we'll see where that goes from after your first appointment. I think it's better right?\"}\n", "{\"prompt\": \"Yeah, yeah. \", \"completion\": \"I want to thank you for Tell me what's going on for answering my questions has been helpful. Thank you.\"}\n", "{\"prompt\": \"yeah, okay, like an outline sort of thing.\", \"completion\": \"Okay. Would it help to time the deep breathing with reviewing each one of those bullet points?\"}\n", "{\"prompt\": \"We never thought about that.\", \"completion\": \"I don't know how many bullet points you'd have in a presentation. Maybe you'd have 10 or 20. Yeah, depending on how long right so maybe you as you start to review a certain bullet point As you're trying to get it into your memory and think about it, you breathe in really deeply. And then as you continue on, you just let out that breath really slowly,\"}\n", "{\"prompt\": \"like a rhythm sort of, huh? Yeah. Can you go and do the same thing?\", \"completion\": \" I thought about it that way. I'm just thinking it'd be some way to structure. So you would, you would get in so many breaths,\"}\n", "{\"prompt\": \"something I wouldn't forget. Yeah.\", \"completion\": \"Yeah, something that kind of becomes a habit. Okay. Just make sure you keep your bullet points of length. About a few paragraphs. Yeah. But just just a few seconds each. So you can get a good deep breath and, or you could, you know, if you did have a longer bullet point, you could have obviously, several breaths, but just some rhythm that you could kind of grab on to something concrete. Yeah. Because I know that. In that moment, things are probably like you mentioned zoning out and right It becomes very easy to lose your anchors.\"}\n", "{\"prompt\": \"Yeah, exactly. And just get really foggy, almost dizzy.\", \"completion\": \"Yeah, so if you can remember, you know, for a particular bullet point that you want to take three deep breaths. And that might be something you can really have one too. Yeah. And would we kind of cut through that fogginess something could still do. Okay. When's the next presentation in that class that's coming up?\"}\n", "{\"prompt\": \"The next one, I believe is next Friday.\", \"completion\": \"Is that the next presentation you have? Like in all the classes is the one\"}\n", "{\"prompt\": \"Yeah. .\", \"completion\": \"Okay. And that's next Friday. Mm hmm. Do you know where you are in the order? Like for presenting?\"}\n", "{\"prompt\": \"Um, I think I'm actually third in this one.\", \"completion\": \"not first. And this one's how many minutes\"}\n", "{\"prompt\": \"I'm like 15 or so.\", \"completion\": \"Okay, it's a little shorter than 20 minutes. So you have about a half hour, maybe a little more, if there's time to switch out of kind of sitting there, right. And potential time where you could be anxious. Yes, but also potential time and you could be reviewing the notes your bullet points and breathing.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"And saying to yourself, that's so like, kind of self talk, that they're not really paying attention to me anyway. Right. Right. Because that might help reduce that. That anxiety. Yeah. What's one thing you could say to yourself when you're up there?\"}\n", "{\"prompt\": \"I guess I could say that, you know, in general, I do pretty well. You know, one bad grade as in going to war. Make me doesn't mean that I don't deserve to be here.\", \"completion\": \"Okay, so the sort of self talk up there could be I deserve to be here.\"}\n", "{\"prompt\": \"Maybe I've prepared enough, you know that I know that I've prepared. And I'm a good student. Okay.\", \"completion\": \"I've prepared enough. I'm a good student. I deserve to be here.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Is that something that would be helpful to write down and have as part of your notes that you can?\"}\n", "{\"prompt\": \"Yeah, I think it would actually, I can recite that.\", \"completion\": \"Yeah, internally as you because it's not long.\"}\n", "{\"prompt\": \" I think I could, it will be easy to remember. And I could just like maybe put it down on one of my note cards in front of me or something.\", \"completion\": \"And how much do you believe that those statements are true?\"}\n", "{\"prompt\": \"I think you know, sitting now, sitting here now I believe them in the moment sometimes it's a little hard to believe because I convinced myself otherwise. But I think I actually believe that that that that's true. They deserve to be in the program.\", \"completion\": \"Okay, so there's those self talk items. You believe them to be true. Yeah, but you recognize in the moment, and I want you to be aware of this. You might not believe them as much, right? But remember that, you know, we worked on them. Right? You came up with them.\"}\n", "{\"prompt\": \"Yeah. \", \"completion\": \"And you believe them now. Right? So try to keep that in your mind as you start to doubt yourself. \"}\n", "{\"prompt\": \"Yeah. It's easy. I realize it's easy to form these plans. Right.\", \"completion\": \"Then the chaos of anxiety in the words is harder. So the more tasks you can make concrete, and you can write down and you can rehearse, I think the better off you'll be. Okay. I would like to see you your presentations next Friday. Yeah, I would like to see you right before that. So be about a week. Okay for that. Do you have any questions? These are items you can rehearse still even without the presentation, the self talk and write the breathing, and of course preparing. But you have any questions between now and then you think?\"}\n", "{\"prompt\": \"I don't think so I think it makes sense. Yeah.\", \"completion\": \"Understand kind of the plan to attack that anxiety symptom\"}\n", "{\"prompt\": \"And I think you know, what you kind of suggested before, like, maybe practicing my deep breathing. Like maybe now, like when I'm calm and getting into a habit of deep breathing, like, I'm more apt to also remember it, then.\", \"completion\": \"Right. So, so good. So you have some kind of behavioral pieces. Focus on studying the breathing. And so cognitive pieces that the self talk we talked about, yeah. That you use when you're seated and use when you're at the podium,\"}\n", "{\"prompt\": \"right\", \"completion\": \"And actually presenting. Alright, good. So I'm glad we have a plan going forward. I think that you did a really good job today, helping kind of untangle this and figure out what's going on. And I appreciate that. You were able to really connect with the symptoms and the thoughts and kind of realize how they're related. Yeah. And I feel like this is something that's going to serve you well as you move through this. \"}\n", "{\"prompt\": \"Thank you.\", \"completion\": \"All right. So I'll see you in, in a week. \"}\n", "{\"prompt\": \"Okay. Thanks.\", \"completion\": \"Thanks, Hazel.\"}\n", "{\"prompt\": \"Yeah, really makes me feel really anxious. Like, what I look like and what people are thinking.\", \"completion\": \"Yeah, you said that you worry that you visibly shake.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"And are there any other things that you worry that people will notice?\"}\n", "{\"prompt\": \"I think obviously the shaking I think my hands and legs shaking and kind of going really red and sweating and just looking great. went ahead.\", \"completion\": \"So it sounds like you have quite a strong mental image of how you see yourself when you're in these social situations. Yeah. You say you go read you shake. Is there anything else that you think that you do? I mean, describe yourself. How do you think you look, when you're in these situations, just\"}\n", "{\"prompt\": \"like, I think I just looked really obviously weird and out of place and like really read and just visibly shaking and sweating and kind of not being able to communicate properly with people.\", \"completion\": \"And is there anything that you do to try and kind of defend against these things to manage these problems?\"}\n", "{\"prompt\": \"And I guess like when I'm holding the camera, I just grip onto it really, really tight, or kind of clench on my muscles and just find something that I can focus on. And to kind of try and make myself shake less and not goes red and stuff.\", \"completion\": \"So you focus on something you grip onto that Camera. Do you make eye contact with people?\"}\n", "{\"prompt\": \"No. I just tend to just look down.\", \"completion\": \"Okay, so you also avoid eye contact? Is there anything else that you do to manage the sweating For example, \"}\n", "{\"prompt\": \"I just as I like kind of looking down and like wearing all black, so it's less obvious and what kind of worrying? Yeah, just more layers and all black says you just can't tell.\", \"completion\": \"Okay What do you think would happen if you stopped doing these things? If you stopped gripping onto the camera? Or, you know, you start to make eye contact and not looking down? And what do you think would happen?\"}\n", "{\"prompt\": \"I think it would be so much worse. Yeah, I think I just would just check even more and be more anxious and look of more obviously, kind of weird and out of place.\", \"completion\": \"And what I'm thinking now is how do you feel about if we did an experiment to test out your thoughts on what would happen if you stopped doing these things? If we did a bit of a role play where we pretended to enact a situation at work, okay? And if we did this maybe twice and the first time, you do all the things that you normally do, okay and grip onto something, look down. And is there anything else that you do when you're in these situations, these work conversations to try and cope.\"}\n", "{\"prompt\": \"And I just kind of all just like fumble and like kind of just clench, whatever, whatever it is, I'm holding just really tight and just make sure I don't make any eye contact at all, just kind of get through it.\", \"completion\": \"Okay, so in the first time, I want you to do those things as much as you normally would, in fact, maybe even slightly more than you normally would. \"}\n", "{\"prompt\": \"Okay, \", \"completion\": \"and then the second time, I want you to drop doing those things all together. \"}\n", "{\"prompt\": \"Okay\", \"completion\": \"does that sound okay?\"}\n", "{\"prompt\": \"try my best.\", \"completion\": \"And do you? How would you feel about if we filmed this so you could actually see what you looked like?\"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"Do you have a camera with you that we can video on?\"}\n", "{\"prompt\": \"Yeah. And there is my phone. Okay.\", \"completion\": \"Yeah, yeah, we'll use that in just a sec. \"}\n", "{\"prompt\": \"Okay\", \"completion\": \"before we do this, then we're just going to fill out this form is because what we're doing now is an experiment. We call it behavioral experiments, see what happens when you change the way that you're behaving? \"}\n", "{\"prompt\": \"Right. Okay\", \"completion\": \"so the first column says, I need to fill out an experiment to test this thought that you have, so that our experiment is going to be that we do a conversation at work, and who should I play if you're playing yourself in this roleplay? Who should I be?\"}\n", "{\"prompt\": \"maybe like a client at work? I always have to sit down with clients before we did the shoe and kind of get to know a little bit more about what they want.\", \"completion\": \"Okay, so would it work if I was maybe having a wedding and I was hiring? \"}\n", "{\"prompt\": \"Yeah, \", \"completion\": \"wedding photographer?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"What kind of problems do you see coming up in this conversation that we have like what we see yourself doing on camera\"}\n", "{\"prompt\": \"I am shaking, like being really obviously shaking and Okay, bright red and Okay, so,\", \"completion\": \"visibly shaking. So how, how much will you be shaking if 100 is like shaking uncontrollably and zero is not shaking at all? How visibly shaking Will you be?\"}\n", "{\"prompt\": \"90\", \"completion\": \"Okay. So what was the other thing that you just said?\"}\n", "{\"prompt\": \"like I really read\", \"completion\": \"Okay, so go read.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"And how read will you go? I mean, if we look around this room\"}\n", "{\"prompt\": \"probably like the chairs.\", \"completion\": \" Okay, thanks. Hello. Yeah, you're going to be as kind of brightly pink as these chairs. Oh, yeah. Okay. So out of 100 then how how pink would you say these chairs are\"}\n", "{\"prompt\": \"90 have 100 Okay.\", \"completion\": \"What else you worried is going to happen when we have these conversations, just\"}\n", "{\"prompt\": \"worried to be fake, like say something stupid and not be able to kind of get what I'm trying to say across properly.\", \"completion\": \"Okay, and how stupid out of 100 100 is ridiculously stupid.\"}\n", "{\"prompt\": \"Probably like, similar 90. Okay, I'd say\", \"completion\": \"wow, see worried will happen when you have this conversation. What else might you see on the camera? \"}\n", "{\"prompt\": \"I think you'll probably be able to see that I'm sweating and okay.\", \"completion\": \"And how much will you be sweating?\"}\n", "{\"prompt\": \"Again, 90.\", \"completion\": \"I really think like visibly sweating down the face. Yeah. Okay, and what you think will happen the second time around when you stop kind of doing the things you normally do to cope when you maybe start to make eye contact. You're not gripping on something. \"}\n", "{\"prompt\": \"I think it will be even worse. I think Oh, yeah.\", \"completion\": \"How much worse? slightly worse, like twice as bad? \"}\n", "{\"prompt\": \"Twice as bad. Okay. Yeah.\", \"completion\": \"Okay, right. Can you give me your phone number?\"}\n", "{\"prompt\": \"Oh yeah. Should I just use this?\", \"completion\": \" And yeah, yeah, it's probably best. Okay.\"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"okay. So I was just wondering if I could talk to you about maybe doing my wedding\"}\n", "{\"prompt\": \"photography. Yeah. And what kind of kind of what kind of things you see and how you want it to be like,\", \"completion\": \"I suppose I like lots of shots of our family and our friends quite a lot of natural shots. You know, talking when they're having drinks. And\"}\n", "{\"prompt\": \"yeah. Do you want it? Like, do you kind of see it being outside? Is that something that you're interested in?\", \"completion\": \"Yeah, shots there's going to be a summer wedding. So we like I like a lot of outdoors shots and if possible, you know, if it's not raining, that would be quite nice and Yeah, quite some arty ones if that's possible.\"}\n", "{\"prompt\": \"Yeah. And yeah, that'll be. I've done quite a few things like that before. \", \"completion\": \"So, have you got anything that you could show me about your past work? \"}\n", "{\"prompt\": \"Yeah, I recently did some shoots outside kind of in like a word environment so that I could show you that maybe it would kind of help with some ideas. \", \"completion\": \"Okay, great. All right, let's do the second one now. Okay. Okay, you put down the bottle and make eye contact. Okay. Hi. So I was just wondering if I could speak to you about doing my wedding photography.\"}\n", "{\"prompt\": \"Yeah, yeah. And what kind of thing are you looking at? How do you want it to be like,\", \"completion\": \"and I'd like kind of lots of shots of family and friends and quite a lot of natural shots, you know,\"}\n", "{\"prompt\": \"okay. And are you interested in having things outside maybe and he said it was he wants to It's been natural.\", \"completion\": \"Yeah, cuz it's gonna be a summer wedding and Okay, you know, weather dependent. Of course. Yeah, it would be really great if we could kind of get lots of shots you know, outdoors. Okay. Yeah, people chatting and maybe some quite arty ones as well.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Have you got anything that you could show me about your past work?\"}\n", "{\"prompt\": \"Yeah, actually, it's kind of a lot of the things I do are outside and I'm really interested in getting natural shots. So when I could change some of my work, and we could kind of see if we could kind of develop something from that could be quite good. Okay. \", \"completion\": \"Let's pause it there. Okay. Ryan's gonna give you this back now to look up. Okay. And I just want you to watch that. Okay. And then we'll chat about it in a moment. Okay.\"}\n", "{\"prompt\": \"That's weird thing.\", \"completion\": \"So, if we just go back to the things that you predicted, then you said that you thought you were going to shake visibly shake. Could you see yourself shaking on a video\"}\n", "{\"prompt\": \"Definitely not as much as I thought. I think it's obvious that I'm obviously quite anxious, but I don't think you can tell them shaking that much.\", \"completion\": \"So you said that you were going to shake 90 out of 100? How much shaking Would you say that you saw there?\"}\n", "{\"prompt\": \"And maybe like, less than 30.\", \"completion\": \"Okay. And you said that you were going to go red, or pink as pink as these chairs? 90 out of 100. Did you notice yourself going pink?\"}\n", "{\"prompt\": \"Not really. Actually, definitely less than I thought. Yeah, not as much.\", \"completion\": \"Okay, you said that you were worried that you were going to say something stupid, you know, at 90 out of 100 Did you know yourself say anything stupid?\"}\n", "{\"prompt\": \"Not really. Yeah. Yeah, thought was gonna be a lot worse than\", \"completion\": \"actually it was. So you thought you were going to be like 90 say something that was 90% stupid. That's really quite strong. I mean, in the end did you pick up in Anything that could be maybe put that as a zero?\"}\n", "{\"prompt\": \"Maybe like, less than 10 maybe.\", \"completion\": \"And you said that you thought you were going to be sweating? Yeah. And that you're going to be visibly sweating. Did you? Did you notice yourself sweating in the end?\"}\n", "{\"prompt\": \"Not really. Definitely not as bad as I\", \"completion\": \"thought again, you thought you were going to be like night out, like seriously visibly sweating. So what what score would you actually give it in the end?\"}\n", "{\"prompt\": \"Maybe again, less than 10 I don't think you could tell at all.\", \"completion\": \"Mm hmm. You also said that you thought it was going to be twice as bad when you stop choosing your you know your normal strategies.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"What did you notice watching that video?\"}\n", "{\"prompt\": \"It was actually probably better when I wasn't doing any of those things. I think I looked a lot more natural. And I was able to say what I was trying to say. I think it just come across more personable when I'm not kind of looking down and stuff.\", \"completion\": \"okay that's all for now. Thank you so much for your time\"}\n", "{\"prompt\": \"Terrible, it would feel like, you know, I had a role in that kind of thing happening to somebody, like I was partially to blame for somebody being harmed. And that is like the exact opposite of what my job is supposed to be.\", \"completion\": \"So that would be a worst case outcome. You would be extremely upset. You're extremely upset now. While you're five out of 10 right now, but you're an eight when you're in bed in the morning. Yeah. Is it reasonable that a professional makes a mistake like that? This is the mistake of kind of missing something that normally would be caught. Is it reasonable? They continue on in the field and try to learn from that.\"}\n", "{\"prompt\": \"I don't know, I mean, I'd like to think that I guess it's not possible to make that kind of mistake, but I think that that's naive. I think it is possible. And I, I would like to learn from that, but I don't know what other people would do. Like I don't know if I would lose my job or anything.\", \"completion\": \"Right, there might be consequences for that type of error. It's not intentional, something that like many mistakes would happen due to conflict confluence of circumstances who being tired of being the end of the day, not being honest. There's mitigation there. But still, I can appreciate you would want to make that mistake either way. What would your after making a mistake like that? What would your thought be? Would you be thinking?\"}\n", "{\"prompt\": \"I would be thinking, I don't know how this will ever be better. I don't know how I'm ever gonna feel okay about what I did.\", \"completion\": \"To my extension, I'll never feel okay about what I did. Yeah. And what do you think you would do then in terms of your reaction to that thought?\"}\n", "{\"prompt\": \"I don't know. I mean, I guess ideally, I would say to myself, it's going to get better. You know, this will pass and everything but I don't know. It's just hard.\", \"completion\": \"What do you think would do to your performance?\"}\n", "{\"prompt\": \"I think I would probably Take some time off. I mean, it's just like I would be so stressed afterwards. And worried I would make another mistake because I'm so stressed out and having trouble focusing.\", \"completion\": \"So in a strange way, the anxiety, the thoughts you're having now that result in anxiety, are leaving you more at risk to make a mistake.\"}\n", "{\"prompt\": \"Yeah, I mean, I guess I never thought about it like that, although that makes a lot of sense. Like it. If I, if I just calm down and try to let it go, then I'll do my job better and I won't have that risk as much. But if I keep feeling like this, I'm not focusing and then I could make a bigger mistake because of it.\", \"completion\": \"Right, so one of the thoughts you're having now is you can't make a mistake because it would be too devastating. And that titles like this. I have a thought you're having. So it's like you can't make a mistake. And this is leaving you emotionally less prepared and probably increased risk of making a mistake.\"}\n", "{\"prompt\": \"Hi Dr. Grande, about the same.\", \"completion\": \"About the same ?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"what was going on ?\"}\n", "{\"prompt\": \"Well, it might be a little worse had you know, I've been talking about my problems with the perks. The past couple of times I've seen you and I don't know I think at work, they might be starting to notice a little bit.\", \"completion\": \"They might be starting to notice that you're under the influence of the Percocet?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Could before I remember when we talked, it seemed like you felt safe in that No one was gonna find you out.\"}\n", "{\"prompt\": \"Well, yeah, because when I take them, I feel normal. Like, it makes me feel like I can function. And I feel normal. But like, definitely last week, my coworker in the cubicle across the way was she was looking at me, she was just looking at me really funny and, and then also, I've been having a little bit of trouble with the numbers. I'm just not. I'm not on my game the way I used to be. And I know that there is a connection to the drugs.\", \"completion\": \"So in terms of concentrating, focusing?\"}\n", "{\"prompt\": \"yeah, yeah, definitely. It's hard to focus but if I don't do it I don't know. I mean, I can barely get out of bed. I can I don't know, I'm completely what to do \", \"completion\": \"And this is tough for you. The Percocet makes you feel normal. I would talk about this before. Yeah, it used to give you high, but not anymore.\"}\n", "{\"prompt\": \"No, right. It is not fun.\", \"completion\": \"But it makes you feel normal.\"}\n", "{\"prompt\": \"Right.\", \"completion\": \"And we've talked about the detox options.\"}\n", "{\"prompt\": \"Oh god no.no no no, \", \"completion\": \"it's not something that you want. So really, what's changed to make things more difficult is that you're worried that your coworkers are on to you. Right. And it's your performance in terms of focusing on on your accounting work has been compromised as well. \"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"is that right ?\"}\n", "{\"prompt\": \"Yeah. And when you put it that way, she's definitely noticed it and she talks to so it's not like she's if she thinks something's up. With me, she's going to keep it to herself. So that would be the reputation piece and then also, the quality of my work. I know it's, it's not the same, it's a lot harder for me to produce what I used to.\", \"completion\": \"And you're afraid that's going to be noticed as well?\"}\n", "{\"prompt\": \"Yeah, for sure. But I can't take detox, there's it's just not an option.\", \"completion\": \"Alright. Let's talk about I want to do some scaling work. I want to talk about the importance of this change to you know, cuz we've been talking about this change for a while\"}\n", "{\"prompt\": \"that change, like giving up the Percocet. \", \"completion\": \"Yeah. Let's talk about, let's just talk about the importance of it though. So just focus on that one narrow piece. Okay, we're just we're just talking about how important it is. So on a scale of one to 10, with one being not important at all, and 10 being extremely important. How important is it to you that you that you can make this change? Can you make this change?\"}\n", "{\"prompt\": \"See, I go back and forth. I don't know that it's that important. Well, if I lose my job, that would be horrible. So maybe it is pretty important. I mean, it's important that I keep my job. It's really important that I keep my job, and then it keeps my reputation.\", \"completion\": \"Well, so it's important that you keep your job and that importance, in a sense now appears to be tied to the importance of not using Percocet. They've been tied together a little bit, right.\"}\n", "{\"prompt\": \"Yeah, because to get out of bed, yeah. Okay.\", \"completion\": \"So if you if you if you had to pick a number one to 10, or 10 is extremely important. How important is it to you to make the change?\"}\n", "{\"prompt\": \"7 8 7.\", \"completion\": \"7 so fairly important.\"}\n", "{\"prompt\": \"Alright, eight. I mean, I got to keep it up.\", \"completion\": \"You have to keep it up?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So let's talk about another construct. That's important.\"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"I want to talk about confidence. So using that same scale, how confident are you that you can beat the Percocet?\"}\n", "{\"prompt\": \"That's what I've been trying to do for how long have I been coming in here?\", \"completion\": \"About about six months now.\"}\n", "{\"prompt\": \"I've tried I mean, I have really tried. I know I can't I don't I don't. I don't think I can do it.\", \"completion\": \"So it was in the one to 10 scale. What do you think you would be?\"}\n", "{\"prompt\": \"Like 0 1 I can't. I've been trying.\", \"completion\": \"So very low confidence, nope really no confidence. You have no confidence. You have no confidence that you can change and it's very important to you that you do change. So this is a real bind the trend. \"}\n", "{\"prompt\": \"Yeah, it's pretty depressing.\", \"completion\": \"You mentioned that one of the reasons your confidence is low is because you tried over the last six months and working with me and you've not been successful at stopping the Percocet use.\"}\n", "{\"prompt\": \"I'll leave here swearing to myself. I'm done. You know that next week I'm going to come in and I'm going to tell you that I didn't use at all and then like before, I'm in bed. I've already taken some you know that night.\", \"completion\": \"So it's easy to see where the low confidence rating comes in. Based on your experiences the last six months. How about other times when you've been able to make a tough change? If you look through your, your past and different experiences, has there been any other occasions where you have been successful, beating something like this and making a tough change?\"}\n", "{\"prompt\": \"Well, yeah, I mean, I used to I used to with the gambling I guess, I I used to hit Delaware Park, you know, on a regular basis and spent a lot of money and my husband was pretty upset about it and I had a really hard time stopping that. \", \"completion\": \"So that was those tough that was. Would you say that you felt addicted to gambling?\"}\n", "{\"prompt\": \"We Oh yeah, definitely.\", \"completion\": \"And it was painful to stop. Are you happy that you did stop?\"}\n", "{\"prompt\": \"Oh, God, I would never want to go back to that. Yeah.\", \"completion\": \"So when you were in the middle of that addiction of gambling, right, how likely to seem that you would be able to stop back then?\"}\n", "{\"prompt\": \"Yeah, that's that's a really good point. I didn't think that I was going to be able to say probably about a to two or three. \", \"completion\": \"So there's some parallels here between what happened with the gambling and with what's happening now the Percocet.\"}\n", "{\"prompt\": \"I didn't think about it that way. So I really didn't think I could do it then and it's been, you know, a couple years since I've even been in a casino.\", \"completion\": \"So you would say you were successful at beating that addiction?\"}\n", "{\"prompt\": \"Yeah, definitely.\", \"completion\": \"Definitely success, so what happened? \"}\n", "{\"prompt\": \"It's so different. It's different. It's so different. Oh my god. Let's talk about that. Just like I just find myself popping them in my mouth. You know.\", \"completion\": \"So the mechanism is different. Like for the gambling, you'd have to drive to the casino to drive Delaware Park. \"}\n", "{\"prompt\": \"Right\", \"completion\": \"You'd have to have money\"}\n", "{\"prompt\": \"Right, Right. \", \"completion\": \"Whereas the the percocets so easy. Yeah that you get them for my friends.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"And it's a lot easier to consume and Percocet than to get in your car and make the time and so the mechanism is different.\"}\n", "{\"prompt\": \"Okay\", \"completion\": \"But wonder if there's any similarities with this? Well, with the success and the potential success, meaning you you thought that you could never stop gambling, you think that you could never get through detox?\"}\n", "{\"prompt\": \"I didn't think about detox, but you're right. It was miserable in that period when I first stopped kind of casino and I felt that really strong urge to go. And I made it through that, my husband was amazing.\", \"completion\": \"You husband was supportive?\"}\n", "{\"prompt\": \"Oh yeah, he was really great. He would sit with me he would talk me through it. We go to movies sweet, you now he was really encouraging. Probably be really happy to see me stop using these Percocet too.\", \"completion\": \"So as you reflect on your confidence, and this is not something you necessarily need to do right now. It's probably important to consider that you were successful before in the past. All the circumstances were different. \"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"But you gained too high from that gambling.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"that was it was addictive?\"}\n", "{\"prompt\": \"Right\", \"completion\": \"and and you beat it and it and it was hard it was challenging but you also have a supportive husband. Would you have your support your husband if you tried to stop Percocet?\"}\n", "{\"prompt\": \"Oh, yeah. Yeah. He He's really, you know, upset, by the way, and I'm taking them and he's really worried about me losing the job. I don't see why he wouldn't be able to help me in the same way, I guess.\", \"completion\": \"Well, since this since stopping is important to you, but your confidence is low. But this might be a good area to kind of process which is, you know, you do have the supports in place, and you have successfully defeated addiction before. So it's something to consider, as you weigh, you know, I know that detox is something you've expressed really clearly that you're not a big fan of and I can appreciate your reasons. At the same time, get support, you don't lose your job. So, let's do this. Let's, between now and when I see you next, maybe reflect on some of the strengths and supports and the past successes you've had. \"}\n", "{\"prompt\": \"Okay\", \"completion\": \"And see if we can accurately factor those into this equation. Right as you're processing through and and considering a very tough decision. So it makes sense?\"}\n", "{\"prompt\": \"I can definitely do that. Yeah.\", \"completion\": \"So we'll pick up next week there. And I really appreciate you coming in today.\"}\n", "{\"prompt\": \"Thanks a lot.\", \"completion\": \"Thanks, you\"}\n", "{\"prompt\": \"guess Okay.\", \"completion\": \"Okay. I understand you've had some recent difficulties that have brought you in here today.\"}\n", "{\"prompt\": \"Oh, yeah. Well, my physician, I've been seeing her meeting with her. She suggested I come. CEO. So\", \"completion\": \"why do you think she did that?\"}\n", "{\"prompt\": \"Um, well, I'm sick, I think. So, we've been running some tests and things and she, she couldn't find anything. So she thought maybe I should come talk to you. I guess maybe my concerns are coming from somewhere else. I think she's That's what she thinks. But I don't know. Maybe whatever illness I have is making me feel this way.\", \"completion\": \"So you believe you have a physical illness?\"}\n", "{\"prompt\": \"Yeah, I just I just know there's something not right.\", \"completion\": \"And your physician has run a series of tests.\"}\n", "{\"prompt\": \"Yeah. We've done like blood work and all the scans and everything. She said she didn't pay anything, but I just I know there's something\", \"completion\": \"something. There's something there. So what was her other than coming to Sydney? What was her suggestion for treatment? So she ran tests? She didn't find anything.\"}\n", "{\"prompt\": \"Yeah, she didn't. She didn't have anything for me.\", \"completion\": \"So she's saying there's no physical illness?\"}\n", "{\"prompt\": \"Yeah, that's what she says. I'm\", \"completion\": \"I'm not sure.\"}\n", "{\"prompt\": \"And I think she's missing something. So\", \"completion\": \"how long have you been If that you had a physical illness,\"}\n", "{\"prompt\": \"um,\", \"completion\": \"So about a year ago, you went to her. She started running tests. And there was no findings of a disorder.\"}\n", "{\"prompt\": \"No, she hasn't found anything yet\", \"completion\": \"Was it just one disorder that you thought you had? Or have there been several,\"}\n", "{\"prompt\": \"um, you know, I kind of started with with Ms. I read some things about about that and how people just people my age to they've had it and they don't even know that they have it and then all of a sudden their life is changed by it. So I was concerned about that. And then I guess after for some tests and things Kind of, I guess, start to think maybe it wasn't that and it was something else. I missed. I think it's cancer. That's one of the bigger scale. Yeah. You know what, even though I don't really have some of the symptoms, you know, can just lie in you and you have no idea. And just one day, you know,\", \"completion\": \"your physicians, physicians run tests for all these disorders who thought you had? We think\"}\n", "{\"prompt\": \"he Yeah, yeah. But, I mean, what if that test that I took a year ago? What if it didn't show up on that because it hasn't gotten that severe yet. And now it is. \", \"completion\": \"So I see you're worried. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So you saw the physician for the first time regarding this a year ago. Did you have anxiety or worry before that?\"}\n", "{\"prompt\": \"No, just just worried that started. got that feeling that was sick. So I was just what I was worried about, but nothing other than that.\", \"completion\": \"But you were you were worried about the illness. Nothing else though. Do you have any physical symptoms?\"}\n", "{\"prompt\": \"No. \", \"completion\": \"do you find yourself checking often? To see if you have physical symptoms?\"}\n", "{\"prompt\": \"Yeah, yeah. I've read a lot of stuff a lot of different people's stories on the internet to check the symptoms and kind of add subtract of that. Make sure I'm not having anything that they list. So\", \"completion\": \"are you active on the internet forums where they discuss illnesses So,\"}\n", "{\"prompt\": \"yeah, yeah, I read a lot of people's stories on there about how they had maybe one symptom, but they didn't really think anything of it, you know, and then they have a severe diagnosis. So I'm just I'm worried I'm gonna miss something, you know, so I check a lot and check to make sure.\", \"completion\": \"So you read you read the form Satya post.\"}\n", "{\"prompt\": \"Yeah, yeah. About my concerns, and sometimes people get a little frustrated with me. They're not very nice. Tell me about that. Just because I'm not really experiencing anything. They think that I don't have anything to worry about. And they keep telling me but I think I do have to worry about I just have this feeling that there's something wrong.\", \"completion\": \"What would you like us to hear that the agency\"}\n", "{\"prompt\": \"I would just like to feel comfortable that I am not sick. You know, I don't I don't want to worry anymore, but I really think I am. There's something wrong. So\", \"completion\": \"yeah, you're worried you have a physical, a physical health disorder. Are you worried? Do you have a mental health disorder?\"}\n", "{\"prompt\": \"Maybe some people have said that\", \"completion\": \"you're worried about that.\"}\n", "{\"prompt\": \"It's a little concerned that I might be feeling a little extra worried. Maybe that's a symptom of the whenever illness.\", \"completion\": \"So concern that the worry could be a symptom of a physical illness.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So again, what would your what would your goal be here? What do you want? What do you want to change? through counseling?\"}\n", "{\"prompt\": \"I guess my worry it doesn't make me Feel good?\", \"completion\": \"You want to worry? worry less? \"}\n", "{\"prompt\": \"yeah. Yeah. I don't want to be. I don't want to be until later.\", \"completion\": \"So you have you've had Maury for at least a year, specifically about being physically ill. There's been no findings of physical illness, but you're still worried about him. And you might be a little worried that you're, you have a mental health disorder.\"}\n", "{\"prompt\": \"Yeah, I think something might be off.\", \"completion\": \"And you want to be able to stop worrying about the physical health disorder? All right. Are you worried right now that you have physical health disorder?\"}\n", "{\"prompt\": \"Oh, yeah.\", \"completion\": \"What disorder Do you think you might have now\"}\n", "{\"prompt\": \"um, Cancer, I think some part of my body that is worried that it's spreading.\", \"completion\": \"And you've been tested for this by your physician.\"}\n", "{\"prompt\": \"Yeah, yeah. But you know, sometimes tests don't find things. So\", \"completion\": \"are you ever reassured when you get negative test results back when I said there's there's nothing going on.\"}\n", "{\"prompt\": \"Now I'm just I think they might have missed something. No, my doctor or by my family physician, she just she's really frustrated with me because she won't even see me anymore. Honestly. She's not very nice when I go in. But I want to do those tests again.\", \"completion\": \"You want to rerun tests? \"}\n", "{\"prompt\": \"Yeah, I'm gonna look again.\", \"completion\": \"All right. So you're open to counseling here.\"}\n", "{\"prompt\": \"Yeah, yeah, I think maybe you can help a little bit and find out what's wrong and what's going on.\", \"completion\": \"Would you be okay. sigh release so that I could talk to your physician?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So I'll get you scheduled now schedule you either way, whether you want sign release or not. But that's just something I think might be helpful for me to better understand what's going on. But I'll get you in to see a counselor. Oh, just take a couple days. We'll get that worked out now. Okay, great. Thank you. \"}\n", "{\"prompt\": \"yeah its okay\", \"completion\": \"The GP sent me a letter telling me a little bit about what's been happening. That's been having some difficulties since birth for some of you weeks ago. Tell me a little bit about what's been happening from your\"}\n", "{\"prompt\": \"it's been really difficult. I've been really struggling. And I don't know why. I don't know why. This should be a really wonderful time for me and it's something that I've been looking forward to\", \"completion\": \"But it hasn't. It hasn't been a good time.\"}\n", "{\"prompt\": \"I could never have imagined that it would be like this. It is not what I thought it would be like, \", \"completion\": \"what has what has it been like for you?\"}\n", "{\"prompt\": \"I'm just not feeling how I think I'm meant to feel. It's difficult sometimes, to me to actually do what I'm meant to do. As a mother I, and it just feels so wrong. I'm\", \"completion\": \"so wrong?\"}\n", "{\"prompt\": \"This isn't how I meant to be. I feel like I'm just meant to love looking after him and taking care of him, but he doesn't feel it's just not feeling that way. And sometimes it's even hard to want to. \", \"completion\": \"It's meant to be feeling this\"}\n", "{\"prompt\": \"Yeah. And this is something that we've been trying so long for and it's Just been so important for both of us.\", \"completion\": \"These this thing that has been so important, and now that it's, it's here, now that's happened. It's different to the way that you imagined \"}\n", "{\"prompt\": \"slightly different. I thought that I kind of blossoming and just love Detroit and I do love him. It's not that I don't you know, it's not that I don't love him. It's not that I don't want to do this, I do it. This is part of me that is just really struggling.\", \"completion\": \"Please tell me a little bit more about that part that's struggling.\"}\n", "{\"prompt\": \"It's really difficult to even talk about because it's like, not meant to feel this way. But there's this part of me that would just not like to get out of bed. In the mornings, I just want to sleep. I don't want to do anything. \", \"completion\": \"Just want everything to go on?\"}\n", "{\"prompt\": \"It's really hard to admit because I can't imagine that anybody else could understand what this feels like it, it feels unnatural, almost that kind of relief to say it out loud.\", \"completion\": \"And this is the place that you can say what needs to be said.\"}\n", "{\"prompt\": \"Yeah. Yeah. That is part of me that almost feels angry with all the stuff I've got to do, and I don't feel like I'm getting the support that I need. And it's really difficult. I feel like I have to do it all myself.\", \"completion\": \" So, feeling as though it's all on you. You're going to deal with it all the time. \"}\n", "{\"prompt\": \"Yeah, and it's Huge it's like this little little boy that just needs me to be there. I'm struggling to be there and until want to be there even. So it's really overwhelming. Mm hmm.\", \"completion\": \"By yourself with\"}\n", "{\"prompt\": \"my partner, John's Bay like, he tries, but I think he is getting frustrated with me, too. He's sensing that. I guess he had expectations of how I would be and how we would be and how this would be and I think that he's disappointed in me. And then that doesn't help and so then I sort of feel like I have to do it to prove that I am okay and that I am kind of holding it all together. And I do love these. \", \"completion\": \"So trying to keep a mask up. Trying to seem as though it's okay.\"}\n", "{\"prompt\": \"Yeah. You caught him. To know how I feel I'm I feel like I'm a bad mother already.\", \"completion\": \"But it's painful. It's a painful feeling.\"}\n", "{\"prompt\": \"I've been tried so hard to have this child to have wanted and it's always been talking about and planning for so long and it means so much to john as well. And I'm just it's just, it's just not happening. either of us thought and I really wanted to, it's hard because I wanted to but\", \"completion\": \"so at this point, and it's six weeks, they've been a really rough. Six weeks feels to me like really rough. Having waited so long to have this child gone through the birth and understand from a GPM pump was a somewhat difficult birth if it wasn't from I thought it was. So from the very start, it hasn't been as you thought.And now you're at that point where the reality is the reality of this baby. It sounds to me that there's a struggle going on for you. But a struggle that you're feeling very much alone with\"}\n", "{\"prompt\": \"Yes. Yeah, definitely. I think today was really helpful.\", \"completion\": \"Good. That's fantastic. Well, I guess if we wind up now, and then meet again, next week. Yeah.\"}\n", "{\"prompt\": \"Yeah, yeah. But um, did I did I tell you actually, that I had an argument with my mom on Thursday. Oh, really? Yeah. Yeah. It was a really, really big one. Yeah, I am. Yeah. I mean, what happened was basically that mom, mom, she was just getting really angry at me for Dave again, because you know, we've been going out for three months and it's time I've told you before. Really, really, really doesn't like him.\", \"completion\": \"Ohh really?\"}\n", "{\"prompt\": \"Yeah. And she was, she had to go in for the drugs again. And then she was saying, you know that I can do so much better. And she was just, you know, like, Oh, I really screaming at me and I had to take all of that and, you know, people were just going around in circles in circles. And it was really, really not not very, not very good that I had listened to her saying that.\", \"completion\": \" Yeah, I can imagine so he has been really upset by that.\"}\n", "{\"prompt\": \"Yeah, I was because, you know, she. Well, you know, that I mean, I really like Dave, I think that is really good. And, and, and, and I would, I would, I would, I would, I would like to keep on seeing him but that she disapproves of him. And I find it really hard. It's just proof of him.\", \"completion\": \"Yes, I can see that really causes you more anxiety as well that this is happening and yeah, you feel criticized by your mom and perhaps torn a bit between your mom's view and David? Yeah, I do. You talk to him.\"}\n", "{\"prompt\": \"While she doesn't, she doesn't want me to talk to him. about it because she doesn't want him to know that she doesn't like him. And then you know, he doesn't really like her as well, because she thinks he thinks that she's a snob. And so it's really hard. You know, I just feel like I'm sort of, sort of in the middle and like in between the two of them. Yeah. But\", \"completion\": \"so felicity. I'm very pleased that you didn't have a panic attack last week. Yeah. And and so are you. Yeah. And I'm hoping that the work that we did today, in looking at a couple more techniques of how you can manage the anxiety has been helpful to you.\"}\n", "{\"prompt\": \"Yeah, I think I'll be able to give it a practice this\", \"completion\": \"week. Good. And we've discussed your homework. Yes. So expert welding perhaps if we wrap up for today.\"}\n", "{\"prompt\": \"All right. What did it do? I tell you that I had an argument with my mom on Thursday.\", \"completion\": \"No,\"}\n", "{\"prompt\": \"yeah, an argument with mom and it was really bad because she was just yelling, yelling, yelling in your with about Dave. I've told you about Dave before because she doesn't like Dave and she was having a got me for the drug. You know, cuz he takes the drugs and she was just yelling at me because she doesn't like that he takes the drugs, but the student doesn't understand that. I mean, I just want to be with you. And so but because she doesn't like him see, you know, sister, she was yelling at me about that on Thursday,\", \"completion\": \"I can see that this is very upsetting for you. felicitated is an issue that you've raised before. So I'm wondering whether we should decide that for next week, we'll start to discuss these issues that you're having with your mom so that we can work out a plan when we've got our next session. How would that be? \"}\n", "{\"prompt\": \"Well, this one, this one, I mean, the argument was, when she was saying she was saying to me that I should leave him. And she was saying, you know, that I could do a lot better and that I really shouldn't be with him. And I should just leave she was saying, but you know, and then she wouldn't let me you know, because I wanted to talk to him about it, and she wouldn't let me talk to him about it. And because I really don't like each other, I just I'm really sort of stuck in the middle.\", \"completion\": \"And I can see that that's a really big issue. So I think we definitely will put this on a number one agenda for next week. Okay. And so We'll work on a theme because this is clearly very important to you. Yeah. And I think that we're going to need a good chunk of time to be able to help you to resolve some of these issues with your mom. I can't How about during the week on? In addition to the other homework you have, you have to think about what the issues are that you would like to raise with me next week about this.\"}\n", "{\"prompt\": \"Okay. All right. So we can spend, we can spend most the next session talking about it.\", \"completion\": \"It sounds like that's going to be a very important thing to do, because I can see how distressed This makes you feel. Okay, ready? \"}\n", "{\"prompt\": \"Yeah. Yeah. All right. Okay.\", \"completion\": \"Okay. So we'll meet again, same time next week. Thanks Felicity.\"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"I know when we spoke last time, you had some goals you want to talk about this time? You're ready to do that?\"}\n", "{\"prompt\": \"I need to Yeah, yeah.\", \"completion\": \"What do you have in mind?\"}\n", "{\"prompt\": \"I just keep thinking about you know, losing this weight and I just really want to do it. I just I just can't get there and I don't know why. too frustrated. Its ridiculous\", \"completion\": \"frustated Trying to lose the weight. Now you'd said before that you had a specific number of pounds of specific amount of weight to lose. You still have that in mind?\"}\n", "{\"prompt\": \" I would like 20 pounds 20 pounds. I mean, I would like more but I, I've tried to do more in the past and I don't even get past couple of days. So I can do 20 that would be great.\", \"completion\": \"Right, and you tried before? And what do you think got in the way?\"}\n", "{\"prompt\": \"I don't know. I guess it wasn't convenient. You know.\", \"completion\": \"Yeah.\"}\n", "{\"prompt\": \"Just like something always gets in the way, you know, and then I lose focus. I'm not very good at staying focused on stuff like that.\", \"completion\": \"Loss of focus. So you start trying to lose the weight and your focus gets disrupted.\"}\n", "{\"prompt\": \"And I forget and then I make you know, spaghetti casserole for six people and then I eat a lot of it and that's carbs and cheese and fat and then I, you know, will eat with my kids don't eat and then it's just like I forget that I'm supposed to be making healthy choices.\", \"completion\": \"Alright, so you know, how to lose weight. And you know, you can lose weight. But your focus is a little off when you're trying and that's causing the problem. Could we break that goal of losing 20 pounds down into smaller units? Like say, five pounds\"}\n", "{\"prompt\": \"Do you think?\", \"completion\": \"It's just something you can do.\"}\n", "{\"prompt\": \"I am so busy\", \"completion\": \"for once a week.\"}\n", "{\"prompt\": \"I probably do once a week\", \"completion\": \"You mentioned the loss of focus is one problem. How about motivation, you feel motivated to move through all those steps like five pounds and five pounds and so on.\"}\n", "{\"prompt\": \"Right now, yes. I think I would need something to keep me going. You know, week to week,\", \"completion\": \"a little bit of that something extra to help you stay motivated.\"}\n", "{\"prompt\": \"Yeah. Like, when your kid does \\\\their homework early, you can give them a special treat for dessert like that helps, you know, keep it going.\", \"completion\": \"Okay. So some sort of activity or item that you enjoy, that you could reserve for when you reach that goal of say that the first five pounds\"}\n", "{\"prompt\": \"I would love I mean, I've just been so embarrassed, you know,\", \"completion\": \"All right. Do you have the activity or item in mind? We could put in place as something you could reward yourself with?\"}\n", "{\"prompt\": \"Like after the first five pounds?\", \"completion\": \"Well, there's a few ways we could do it. We could do that. So you reach five pounds. And then you can give yourself that reward work could be for something you do every day. If that day you're successful in eating the way you want, he would you think would motivate you more?\"}\n", "{\"prompt\": \"Maybe something every day.\", \"completion\": \"Yes, you know, each and every day as you're trying to lose weight. You're aware. When that day comes to close if you had a successful night, they were a less than successful day, right? If you have a successful day, then you could engage in an activity or receiving items that we work out in advance that, you know, would motivate you.Right? \"}\n", "{\"prompt\": \"And that could be, you know, maybe watching like a favorite TV show. Okay, you know, because I don't watch TV at night, because I'm so busy cleaning up and everything. Maybe I could just take some time for myself, because I did something good. You know, I just watch a TV show.\", \"completion\": \"So let's let's do that. On a day, you know, towards the evening. When you know, you have had a successful day and by what time would you know, in the evening?\"}\n", "{\"prompt\": \"Probably as I'm preparing dinner, if I prepare food dinner, or if I prepare fun food for my kids, but I don't eat it like chicken nuggets and french fries and stuff.\", \"completion\": \"Let's say some Okay, say so by 7pm at that point in terms of the day being successful or less than successful, you know, okay, right at 7pm, you're aware. And at that point, if you have met your call, then you have a you have a TV show that you maybe it's recorded on a TV or something you would watch, okay? And if you were not as successful you would write. So I'd be like something to keep you motivated about the day because you really want to watch that show. Right? A lot of fun. Do you think that structure, that kind of behavioral strategy would give you enough motivation to have successful days so it's process?\"}\n", "{\"prompt\": \"I don't know honestly, but it would probably be the way right now\", \"completion\": \"And this is something you could also track. Right? You could write down days that are successful days or lessons less than successful. And we could look at if there's any patterns, maybe weekends are harder, because they're easier or something where we can identify days that have maybe more triggers or we're less motivated.\"}\n", "{\"prompt\": \"Yeah, I didn't think about that. Because right every day would be different.\", \"completion\": \"Okay, there's the potential for every day to be different with what you're exposed to, and what temptations in terms of different foods, what your schedules like maybe for busier things easier. So we can We can look at those different patterns. And we can add levels to this plan. Okay, but for now we'll go with the TV show that you'll watch sometime after seven, seven, you evaluate how you did, sometime after that. watch the show, okay? That's like a plan. \"}\n", "{\"prompt\": \"So that's leading up to the five pounds. Right? Right. Okay,\", \"completion\": \"day by day, okay, this and five pound increments, okay, four times to get to your goal. 20 pounds. Okay. Sounds good. So far. So, we'll give that a shot. And we'll take a look at the pattern that emerges, support everything. I say, write everything down. Okay, probably at around seven is a good time. When you know kind of day ahead, write down kind of what happened that day and whether you've had success or not. And bring that in. I'll see you again week. So give us I'll give you seven, seven days to work with. Okay? And we'll look at that log of events. And we'll reevaluate each week.\"}\n", "{\"prompt\": \"So I could start tonight\", \"completion\": \"starts tonight, okay.\"}\n", "{\"prompt\": \"All right.\", \"completion\": \"So we'll give that a shot and I'll see it a week.\"}\n", "{\"prompt\": \"Actually, not quite. I don't know what's been happening but between last school year and this year, all of a sudden I'm getting these phone calls from his teacher saying that he's not paying attention in class. They think he has ADHD all of a sudden. I mean, I don't know where this is coming from. But this is not the same kid I had a year ago.\", \"completion\": \"Okay, so sounds like there's a little bit more going on that and some more worries that you wanted to talk about. So perhaps it makes sense that, that we take a few minutes and then I chat with you, and then I'll spend a few minutes with Sam. Sure. It'll be great. Okay, Sam, do you want to go in, hang out in the waiting room for bed and I'll come find you in a few minutes. Go ahead, honey. So tell me about Sam and the issues that he's having in school.\"}\n", "{\"prompt\": \"Well, he's like a totally different kid and not in a good way. All of a sudden, this year, I've been getting calls three, four times a week from his teacher, the principal. They're saying things like he's acting out in class. He's having little kind of angry spurts. All of a sudden, he's not doing his homework, which is completely new to me. His grades are slipping. I mean, he used to be like, 70s 80s 90s kids. Now he's getting 60s. So this feels like\", \"completion\": \"a real diversion from last year real change from last year. Oh, totally like night and day. Okay, so it sounds like there's been some problems at home. So I'm going to ask you some screening questions that I asked all the parents, some of them might fit for you. And some of them may not probably take about five minutes, and we'll just go through them together. Sure, let's do it. So why don't we start with how you're doing?\"}\n", "{\"prompt\": \"Um, honestly, I'm getting by. I mean, I think you know, Darrell and I got divorced last year. He's somewhere out in BC God only knows where.\", \"completion\": \"So is he seeing Sam at all, or?\"}\n", "{\"prompt\": \"I think they Skype maybe once every couple months, but he's really not been in contact. And he's not been sending the money that he promised he would. So we're not thrilled with him right now.\", \"completion\": \"So has that meant that finances have been tight or?\"}\n", "{\"prompt\": \"Yeah, I mean, I was kind of counting on the child support to come in. You know, things are tight with three people household and then For almost since long, Darren's been gone. My mother has also moved in with me. She, you know, as you get older, she's starting to get a little bit more dementia. Some people just stick their parents in a home but I was the good daughter and I decided to take her into mind.\", \"completion\": \"So lots of changes, lots of things going on. Yeah. And how do you feel like you're managing with all that?\"}\n", "{\"prompt\": \"I mean, some days are obviously better or worse than others it's been a lot of changes like you said, I mean, I'm not getting enough sleep I'm things are tight financially.\", \"completion\": \"Emotionally, how have you been doing them and managing things are \"}\n", "{\"prompt\": \"you know sometimes very stressful, like if my mother has an episode or when I get called from school, but like, I don't think I'm really like depressed or anything, it just it's kind of day to day thing.\", \"completion\": \"So there are ever any times that you're not managing well, like you're not good at able to get out of bed or do the things that you need to do in a day.\"}\n", "{\"prompt\": \"There's a couple mornings that I sleep in, but it's really like I still kind of get by I get everything done I need to like, I know it's kind of a tough time right now but I don't feel like it's gonna be hopeless forever. Hopefully.\", \"completion\": \"So some struggles but yeah, okay. Do you ever cope with using drugs or alcohol?\"}\n", "{\"prompt\": \"No, I mean my mother used to drink but I tried to be really aware of not using that as a crutch.\", \"completion\": \"So then no drinking at all at home?\"}\n", "{\"prompt\": \"no drinking and I definitely don't want drugs in the house for the kids. So none of either.\", \"completion\": \"What about making sure that Sam and your little one have what they need in terms of winter coats or food or or those sorts of things?\"}\n", "{\"prompt\": \"I I'm doing the best I can you know, like, we haven't gotten a chance to get winter coat shopping yet. His from last year still kind of it It's not great but it's solution for now.\", \"completion\": \"So he's wearing his coat from last year. Yeah. Do you have a sense about is that hard because of finances are there other reasons\"}\n", "{\"prompt\": \"mostly finances but I mean kind of time too like to get everybody out the door to go grocery shopping or go clothes shopping. It's a big ordeal. Right? I mean, I know. We didn't pick up everything he wanted her back to school this year either. It would be easier to add a few extra dollars in a few extra hours.\", \"completion\": \"Right. So Sam's not always having the things that he needs right now then.\"}\n", "{\"prompt\": \"I guess not exactly. No.\", \"completion\": \"Yeah. And what about you know food or you deserve food in the fridge? Are you able to put food on the course\"}\n", "{\"prompt\": \"I mean, we have the bulk foods were membership. So when we do get out I let Sam pick out things he likes to make, you know, macaroni stuff for sandwiches, cereals. That way, you know sometimes he makes himself breakfast in the morn. before school or dinners,\", \"completion\": \"And what kinds of things does Sam have for dinner?\"}\n", "{\"prompt\": \"Like I said, like he'll do macaroni. You know, sometimes it's not great, but I'll do like the fruit or, you know, sometimes some snack food, sometimes more comprehensive meals, I guess.\", \"completion\": \"I was what would you say he does? Is he cooking? Or are you cooking or both?\"}\n", "{\"prompt\": \"I guess kind of a mix of both. To be honest, like,\", \"completion\": \"So with all the stress in the house, has there been any times that people have kind of gotten really upset with Sam or yelled at them or said mean or hurtful things to him?\"}\n", "{\"prompt\": \"Not really. I mean,\", \"completion\": \"And what about how his discipline handled in your house? Has anybody ever spanked or hit or physically hurt Sam in any way?\"}\n", "{\"prompt\": \"No, never. I mean, I used to give him timeouts when he was younger, but\", \"completion\": \"What about sexual abuse? Has anyone touched Sam in a sexual way or an inappropriate way? Excuse me? Yeah, that's a hard question to hear for lots of people. But I asked everybody that question,\"}\n", "{\"prompt\": \"so no, no, never. I I would never let that happen to my child. Okay.\", \"completion\": \"So, so he's been safe from sexual abuse or from sexual appropriate touch. Okay. So how do you think Sam's doing in his close family relationships do you think Sam's feeling loved And supported.\"}\n", "{\"prompt\": \"I mean, I know I guess I haven't really been around for him as much as I'd like to be obviously, I do the best to let them know we know how much I care for him. Sometimes we have a little bit more money, I can get him something nice that he wants. You know, I've heard him kind of, he's kind of a thought that Oh, you love the baby more than you love me. But that's that's obviously not true. I love both my kids.\", \"completion\": \"So what do you think he would say if he was here? And I asked him if he felt loved.\"}\n", "{\"prompt\": \"I'd hope he'd say yes.\", \"completion\": \"There's some doubt?\"}\n", "{\"prompt\": \" I mean, like I said, like I'm\", \"completion\": \"You mentioned that there was some some some difficulties with your mom.\"}\n", "{\"prompt\": \"Well, she's lived with us for the past year or so. She was diagnosed with dementia so she has days where she remembers Everything and days where she started to slip more and more. And she just she's very judgmental very opinionated. She has the way she likes things. And\", \"completion\": \"has there been any time that your mom has become physically aggressive in the home?\"}\n", "{\"prompt\": \"No, never.\", \"completion\": \"And what about her relationship with you? How is she managing or how are you managing together with her in the home?\"}\n", "{\"prompt\": \"Some days are definitely better than others. She like, I guess you could say I kind of tried to check her behavior when she was getting a little bit\", \"completion\": \"And Has it ever come to physical blows between the two of you?\"}\n", "{\"prompt\": \"No, no just arguments here and there.\", \"completion\": \"And when you mean arguments how intense are those arguments getting?\"}\n", "{\"prompt\": \"Like we raise our voices I mean, it's I'm doing the best I can here\", \"completion\": \"Is it ever it's never come to physical blows?\"}\n", "{\"prompt\": \"No, never. I'd have to take some other action if that happened.\", \"completion\": \"And that, that that intensity, is that kind of like arguing or is it like yelling, screaming and door slamming or people throwing objects?\"}\n", "{\"prompt\": \"I guess you could say we've gotten pretty loud. I mean, she'll go and kind of slam things in her room. You know, I'm, I obviously I wouldn't ever let her hurt the kids.\", \"completion\": \"And where are Sam and the baby when these things are happening?\"}\n", "{\"prompt\": \"Sam will usually go and hide in this room, maybe turn this music up. You know, Lee's sometimes napping in the crib in the playpen, I guess to be totally honest, I do lose my patience and scream more than I'd like to but\", \"completion\": \"so it sounds like there's kind of a lot of tension and, and, and arguing in that relationship. How often would you say that that's happening that it comes to that kind of arguing and yelling place?\"}\n", "{\"prompt\": \"I guess like a few times a week.\", \"completion\": \"Can one sort of last question what has anyone in your family been in prison or in jail?\"}\n", "{\"prompt\": \"No, never. \", \"completion\": \"Okay. So thank you very much for sharing all of that. I'm just going to recap. Sounds like there's been a lot of stressors and lots of change over the last year. Yeah. Sam status moved away, which is kind of created some changes in finances, which have led to, maybe not always having the food or the clothing that you've needed or that Sam has needed. You've got, your mom has moved in, and there's some stress and tension and arguing that's happening in that. And you've also told me that maybe all of these stressors and stuff have contributed to Sam not feeling as loved or as cared for. On the other hand, it sounds like you're managing emotionally and that you're not using any drugs or alcohol. You have told me that there are no concerns regarding physical, emotional or sexual abuse. For Sam and his life, and that nobody in your family more in Sam's life has gone to prison. So I think you're right there is likely a connection between kind of what's happening for Sam in school and the difficulties that he's starting to have with all of these stresses and changes at home. So I'm going to book a follow up appointment for you and Sam to come in. And at that time, we'll talk about some of the ways in which I might be able to help or develop a plan together.\"}\n", "{\"prompt\": \"Sounds Sounds good. Thank you. Okay.\", \"completion\": \"All right. So make sure you make an appointment on your way out to come back in as soon as you can. Okay.\"}\n", "{\"prompt\": \"And you said you wanted to see Sam for a bit as well.\", \"completion\": \"Yeah. You gotta see Sam right now. And then when when I'm done, just make sure on the way that you talk to reception about making another appointment. Okay. All right. Exactly. Last All right. Okay. Thanks. \"}\n", "{\"prompt\": \"Yes, why not? \", \"completion\": \"Okay. Tell me about your friends.\"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"you start with high school,\"}\n", "{\"prompt\": \"okay. Well,\", \"completion\": \"what behavior do you think? Did that?\"}\n", "{\"prompt\": \"I guess my gambling and my promiscuity? Um, you know, like, for instance, well, I mean, this one friend from high school was were really close. And I ended up getting with her boyfriend when they were together. But I mean, people forgive each other, like, what's the big deal, and she couldn't get over it. And then the other my other friend got mad at me for that because they slept with their boyfriend, but I was drunk. And, I mean, I was gambling that night. So really, who cares, but I don't know. And then I would post on Facebook and just constantly post Just about different guys or that it was gambling and that it was winning. You know, I didn't I think it turned some people off, I guess but I don't know why it was it was just having a good time.\", \"completion\": \"And was this all back in high school?\"}\n", "{\"prompt\": \"No, this was like, just this couple PAST COUPLE\", \"completion\": \"Oh, recently\"}\n", "{\"prompt\": \"Oh, yeah. I because they were my friends in high school have through the years they kind of just killed off so.\", \"completion\": \"So so you have a good number of friends in high school because of certain occurrences. You don't have as many now?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"About how many close friends would you say you had? back in high school?\"}\n", "{\"prompt\": \"There was like eight of us and a group of girlfriends\", \"completion\": \"And how about now?\"}\n", "{\"prompt\": \"I don't have any of those friends.\", \"completion\": \"How many close friends do you have?\"}\n", "{\"prompt\": \"I don't I don't I don't really have any close friends. I mean, just acquaintances. Really? I kind of just like doing it that way better.\", \"completion\": \"Sure. Yeah. How many acquaintances?\"}\n", "{\"prompt\": \"Men or women, like just friends? Or how many would for friends?\", \"completion\": \"I haven't met.\"}\n", "{\"prompt\": \"For men. There's, there's there's a lot like 10 that I see\", \"completion\": \"fairly regularly.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Can you describe to me your relationship with these? These 12 acquaintance?\"}\n", "{\"prompt\": \"Um, well, the women at work like I usually just tell them about like my fun, you know, times that I'm like gambling and meeting men and you know them buying me things and me buying them thinks I'm winning all this money. And then I usually go back to work and tell them that You know, I don't have any money left because I used it all, you know, first, because I'm gambling second because I want to show off for the guys and just the thrill of it. So that's just usually what I talk to them about. And the men usually are just that I encounter a while gambling or shopping or when I'm drinking, and I could just meet them just at you know, the the blackjack table or whatever. I could just leave them there. Or just online.\", \"completion\": \"So you mentioned social media before, can you tell me about your interaction on social media?\"}\n", "{\"prompt\": \"I'm actually enjoy social media a lot. Yeah. Yeah, I think it's, it's great. It's a great outlet, especially when you have a lot of ideas and you just want to get it out there. And I think that it's really great for me to express my ideas and stuff like that. I'm just going through and so I use it. A lot. Hold on. I do. Yeah. And especially when I'm out like, I mean, I don't know if you're familiar with like, like Facebook and tweeting or Twitter. Like on Facebook, I mean, I, I'll post, like every, I would say every 10 minutes when I'm out. I just will post about, like, my night, or just a cool idea I had about just starting a business or anything like that. Yeah, and I'll post a lot. And like Twitter, it's pretty much like every two minutes because it's super fast. So I'll do that, like every two minutes when I'm out.\", \"completion\": \"So a lot of people follow or read the posts?\"}\n", "{\"prompt\": \"Oh, they do. A lot of people doing some people think oh, that's a great idea. And then like, you know, an hour later, they're just like, hurry. Like, is everything okay? Like, are you fine? You know, I quickly unfriend them. Because they're not like following what I'm saying. And then I have people that unfriend me because they don't like them post thing all the time, but really that's what it's there for. And it's there for me to express myself. And if they can't handle it, then well\", \"completion\": \"how about I want to ask you about interests like sports, music, the arts, television, you have any you mentioned social media seems like an interest and the other interests\"}\n", "{\"prompt\": \"like hobbies like interests. I like shopping. I love shopping. Going away. I like vacationing in nice places. I'm\", \"completion\": \"how about talents? Do you have particular talents?\"}\n", "{\"prompt\": \"talents?\", \"completion\": \"shootout for meeting people and having\"}\n", "{\"prompt\": \"like, charismatic Yeah, okay. Yeah.\", \"completion\": \"Any other talents? Like Tell me about?\"}\n", "{\"prompt\": \"Not really.\", \"completion\": \"So, anything regarding social relationships, like your friends interest, talents, social media, anything you want to tell me on this before we move to the section\"}\n", "{\"prompt\": \"now that, that I just like to have a good time, and I just want people to understand that. Yeah. So that's it really\", \"completion\": \"you feel like people, like people you mentioned that would see you on social media or your acquaintances, do you feel like they understand you?\"}\n", "{\"prompt\": \"you know, because they've all friended me, so I guess they don't understand me. They just don't get it. You know, which sucks but\", \"completion\": \"all of them or there's some that?\"}\n", "{\"prompt\": \"there's some like that I'm still friends with but the you know, I mean, the just people that I went to high school with our college they have all in front of me, but as far as like this acquaintances You know,\", \"completion\": \"do you have any friends that\"}\n", "{\"prompt\": \"I do.\", \"completion\": \"I want to thank you for helping me complete this section of the intake. And if you're okay, we'll move on to the next section.\"}\n", "{\"prompt\": \"it is good, how are you?\", \"completion\": \"I'm doing well. Thanks for asking. What's been going on this last week?\"}\n", "{\"prompt\": \"Um, I've just been feeling like kind of in a rut. I mean, I've been looking for a job and hadn't really gotten anywhere and then the I had a drink the other night. And I just felt like that like me not having a job and going out and having that drink. Like I just, it wasn't deserved, and I just felt like such a loser because I should have that was the time that I should have been at work. If I had a job and instead I was at the bar drinking. So I had one drink, and then Ellen two Do another because then I just felt worse. And I figured I had one. So come on.\", \"completion\": \"So how much should you drink in total?\"}\n", "{\"prompt\": \"I think I lost track after four or five.\", \"completion\": \"But How long had it been since you had a drink? before that?\"}\n", "{\"prompt\": \"I did really well. I it was, I think like three weeks,\", \"completion\": \"three weeks or so. She did really well. And then you had you had one drink. And that just made you feel like you weren't successful.\"}\n", "{\"prompt\": \"I felt like a loser felt like a loser.\", \"completion\": \"And you feel that kind of led to drinking some more. So you had a rough time with things?\"}\n", "{\"prompt\": \"Yeah, yeah.\", \"completion\": \"what now\"}\n", "{\"prompt\": \"I mean, now I just kind of I don't I'm afraid to go back like I'm afraid to go out with, like some friends. They invite me out to dinner. But I know there's alcohol. And\", \"completion\": \"is that where you were when that first strike? was out with friends?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So there's a few things going on. We've talked in the past, right about separating the behavior from the person. Right? So, behavior is what we do, not who we are. You remember those discussions? And correct me if I'm wrong with sounds like I'm using different words than you use. But it sounds like when you had that first drink, you're kind of ashamed that you had a drink and you had it during the time when you would have been working.\"}\n", "{\"prompt\": \"Yeah, that's pretty accurate.\", \"completion\": \"That's pretty accurate. All right. So taking yourself kind of back to that moment. All right, we we had that first. That first drink like you finished that first drank What was your What was your thought at that at that moment?\"}\n", "{\"prompt\": \"Just like shameful. Like I did really, really well. And then here I was. I just finished a drink and I knew I wanted another one. \", \"completion\": \"Okay, so shameful is kind of like the feeling. But the thought is I did really, really well. Right? So that's what your thinking was. I did really, really well. And what? was that the end of the thought, or was that was there more before you had that next trick?\"}\n", "{\"prompt\": \"I guess just I was doing well. And then I had a drink and I just felt like an awful person. So I figured what was the hurt Having more\", \"completion\": \"sort of sequence would have been you had to drink. You felt shameful. At the same time you're thinking that you were doing really well. And then just really, as you said before, you just felt like a loser. And then you decided, might as well just have the second drink. So another thought might be that, like, I might just have a second drink.\"}\n", "{\"prompt\": \"Yeah, \", \"completion\": \"yeah. So you can see others some thoughts and some feelings at work. right as you finish that first drink was a fairly quick, but those thoughts feelings fairly. occur fairly quickly after the drink.\"}\n", "{\"prompt\": \"Yeah, absolutely. As I was finishing and then finished,\", \"completion\": \"so right away, you regret it and that regret As you thought about it, don't might as well just just continue drinking now, because you kind of blew it.\"}\n", "{\"prompt\": \"I already messed up, I might as well keep going. \", \"completion\": \"Okay. And that's a common cycle to fall into. And you had three weeks, we hadn't had a drink prior to that. So let's, let's look at this. Let's try to separate the behavior from the self a little bit. If you had if you had a friend who was in the same predicament, right, you had a history of using alcohol and then at three weeks, without any alcohol use, and then their behavior was to have a drink. What would you think of them?\"}\n", "{\"prompt\": \"I think that they had a rough day or something was to happen where I mean, it's just wondering,\", \"completion\": \"I had a rough day one drink, and what would you think of their behavior? How would you categorize that behavior?\"}\n", "{\"prompt\": \"That's just they made a mistake.\", \"completion\": \"So not ideal, depending on their point of view, maybe a little irresponsible.\"}\n", "{\"prompt\": \"Yeah, I think irresponsible,\", \"completion\": \"irresponsible, but you wouldn't necessarily characterize them as a bad person. \"}\n", "{\"prompt\": \"No.\", \"completion\": \"But their behavior was a bit of responsible.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"You know, in terms of like the recovery plan, which would be to not drink. But when you apply that same example examination to your own situation, how do you characterize yourself after you had that first drink?\"}\n", "{\"prompt\": \"It was my mistake it was in it. It makes me a worse person for doing it.\", \"completion\": \"So you see how you're you're being a little bit quite a bit rougher on yourself. Like your your evaluation of yourself is, is fairly harsh. You mentioned loser earlier and ashamed. Whereas you wouldn't necessarily evaluate someone else that way. How would you evaluate your behavior? How would you How would you judge your behavior taking that first drink?\"}\n", "{\"prompt\": \"shameful. I mean, irresponsible, which is bad overall.\", \"completion\": \"So, so bad, irresponsible, shameful. Is there a way to separate that behavior in terms of in terms of your thinking, the way you evaluate it from yourself, like are you into behavior? together a meshed or can you be separated?\"}\n", "{\"prompt\": \"I think we could be separated But it, it feels like we're like I am that behavior\", \"completion\": \"in that moment. It's very congruent for you.\"}\n", "{\"prompt\": \"Yes, \", \"completion\": \"the shame matches the behavior to behavior matches shame. Like it's there one at that moment. Mm hmm. But really, logically, rationally, you're you, Ryan, your identity and values and your behavior, something you do. But in the moment, it's hard for you to see that. Mm hmm. Looking back on it now is are you able to see the distinction between what people do and what they are?\"}\n", "{\"prompt\": \"Yeah I mean, just because you have one drink doesn't make you a horrible person and\", \"completion\": \"no, certainly not. And you were, you were clean for three weeks, and you had one drink. So really, your behavior was a slip. Right It was and irresponsible in relationship to your goals, I suppose. But still a slip. And you could have stopped. But that shame got ahold of you. Right. I thought, well, now I've done it. I blew it. Yeah. So with that mentality, you kind of set yourself up for drinking more. So, I think this is important because we've seen this cycle like where you have weeks of sobriety, and then we'll drink a bit and then have weeks as writing. And I'm wondering if part of the difficulty you're facing is you're not coping with the slips as just slips\"}\n", "{\"prompt\": \"okay.\", \"completion\": \"You're allowing them to be gateways into a lot more drinking than the slip. Does that make sense? That That's pretty accurate. And you see how the shameful feelings kind of just interfere with the behavior that you really want that's really consistent with their goals, which would be to not continue drinking. \"}\n", "{\"prompt\": \"Mm hmm.\", \"completion\": \"Another piece of this too is the association associating with friends who drink, you're putting yourself in a treacherous situation. Again, that's a behavior. Right? That doesn't make you one way or the other. It's a behavior. How would you judge that behavior going out with friends?\"}\n", "{\"prompt\": \"I don't know. I mean, difficult because I like being around those people. But I guess it would be it's risky.\", \"completion\": \"risky, okay. It's a risky behavior. And what does it make you Who are you? Because you do that behavior. Like how do you feel about yourself? When you take that risky, behavior, \"}\n", "{\"prompt\": \"guilty, \", \"completion\": \"okay So you have guilt when you go out with your friends. And then you have shame if you drink. And both, in this case, both emotions that kind of point you in the direction of more drinking. So part of this behavioral strategy here is to avoid the circumstances like to recognize that's a risky behavior, which you have. And the other part would be to deal more effectively if you do slip away, right. Does that does that separation of what we do and who we are? makes sense to rationally?\"}\n", "{\"prompt\": \"kind of\", \"completion\": \"feels a little unnatural, though.\"}\n", "{\"prompt\": \"Yeah. Yeah.\", \"completion\": \"So maybe, as you're confronting similar situations in the course of the next week, You could be aware of behaviors that might put you at risk, and try to try to separate your identity from that behavior. So, so just judge the behavior. Okay. Right. And don't don't pass any judgment on yourself. So that makes sense.\"}\n", "{\"prompt\": \"Kind of Yeah.\", \"completion\": \"It might help you to. Since it's a little tough to because right now, the feeling and the judgment, retro twined. Right. It might help to write down when these things happen, and kind of write down like, like one row for this is how I judge this behavior. But I'm thinking about doing and this is how I judge myself. So if you see a lot of self judgment, that might be a clue that you're falling into a cycle a little bit,\"}\n", "{\"prompt\": \"Okay\", \"completion\": \"where you're making decisions based on that emotion instead of a rational judgment and behavior.\"}\n", "{\"prompt\": \"Okay, \", \"completion\": \"that helped a little bit.\"}\n", "{\"prompt\": \"Yeah, I think that would probably be beneficial.\", \"completion\": \"So that'll be our plan going forward. Until next week is note document your judgment about your behavior, any judgment you may have about yourself. Right, and there's some insight that can be gained there. Right. Kind of distinguish the two and making those and try to use that evidence before making a decision to might put you in a risky spot. \"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"Sound like plan?\"}\n", "{\"prompt\": \"Yeah, I think I can try that.\", \"completion\": \"Okay, good. I'll see you next week. And we'll see how you did with those goals.\"}\n", "{\"prompt\": \"Good.\", \"completion\": \"What's been going on?\"}\n", "{\"prompt\": \"Been a little anxious about a shopping habit that I have\", \"completion\": \"talk about that?\"}\n", "{\"prompt\": \"Yes, Well, I have to buy everything in pairs or in twos. And if I only have one thing I won't buy it I'll put it back or I'll look around the store for another thing so that I have two things to buy.Y\", \"completion\": \"So when you go into store, if you just have one thing you want to buy one item you went there for you will buy a second item or even more just Second,\"}\n", "{\"prompt\": \"sometimes it can be more as long as it's reached the minimum of two.\", \"completion\": \"So you have to leave having purchased a minimum of two, right? Or if you can't find something else, you won't buy it at all. Exactly. So So zero would also be acceptable.\"}\n", "{\"prompt\": \"Zero would be acceptable.\", \"completion\": \"But one, \"}\n", "{\"prompt\": \"no, no, no, I can't do just one guy can't do one. Okay. Now, it's got to be two or more.\", \"completion\": \"And what happens that has ever been the occasion where you've only purchased one thing?\"}\n", "{\"prompt\": \"I can't really remember one. I'm sure there has been but I can't really remember one.\", \"completion\": \" So for all this period of time, you have successfully either purchase nothing, or two or more items.\"}\n", "{\"prompt\": \"Oh, yeah. I have to it's very anxiety producing if I don't know\", \"completion\": \"how anxiety producing\"}\n", "{\"prompt\": \"it, I just feel like something bad will happen. If I don't keep it to two or more.\", \"completion\": \"You know, what would happen? give a specific.\"}\n", "{\"prompt\": \"Well, for example, like my family would be in a car accident, or I would hit deer or you know, get fired from my job.\", \"completion\": \"So something really, really bad will happen. This is hurtful for you. This is causing you pain. \"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"And this would happen. This would really happen on any shopping trip where you just want one thing you'd be reminded, so if you went in wanting more than one thing, it's not a problem, right?\"}\n", "{\"prompt\": \"It's if I only really need one thing And then I can't just buy that one thing that I need.\", \"completion\": \"Alright, so how often does this happen? Where you are in a situation where you want to make a purchase of just one item? And you have to you have to change because the anxiety \"}\n", "{\"prompt\": \"daily,\", \"completion\": \"daily?\"}\n", "{\"prompt\": \"yeah, because I mean, if I go grocery shopping or if I go clothes shopping or for any kind of money transactional thing, you know, which I would encounter daily pretty much it happens\", \"completion\": \"I would like fill up your car gasoline.\"}\n", "{\"prompt\": \"Oh then oh bipac accom.\", \"completion\": \"So it has an effect that level two.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So you're thinking it almost like the number of transactions has to be more than one. I mean, it has to be two or zero.\"}\n", "{\"prompt\": \"Yeah, I guess so. Yeah. No. Or vitamins or number of transactions? Yeah. Because see if I get gas, then I have the gas in my car. That's the thing.\", \"completion\": \"That's one transaction and one thing and one thing, okay. And then. Okay, so that's one product, right? And you need another product. Right? So you really can't feel your car without going inside the station. Store.\"}\n", "{\"prompt\": \"NO\", \"completion\": \"So it doesn't matter that there's more than one gallon going in, is because it's the same product. \"}\n", "{\"prompt\": \"Exactly. Yes.\", \"completion\": \"So I could see now this, this would be more of a daily thing. You said, Right. Yeah. Because at first I was thinking daily. That's a lot of individual shopping trips, but it applies to all transaction. \"}\n", "{\"prompt\": \"Exactly. Yeah. I did really realize that that way. But it does. Yeah. Yeah.\", \"completion\": \"So this is a fairly significant source of anxiety for you.\"}\n", "{\"prompt\": \"Yes, it is. It does. Pr I get, you know, like, builds up in me and I feel it.\", \"completion\": \"So let's talk about that. And help me to understand this better. So let's say that you went to a convenience store, and just had one thing in mind, what might be a potential item that you would gum? gum, right? So you want to go in and you just want to buy a pack of gum. That's all you really want. That's why you stopped at the store. \"}\n", "{\"prompt\": \"Right\", \"completion\": \" So you go in, you have any thoughts? Now we talked in the past about automatic thoughts, these thoughts just kind of come in, right. So are there any thoughts in there happening when you're walking into the store?\"}\n", "{\"prompt\": \"Yeah, I start. I start with what do I need? Why am I here? You know, I need a pack of gum. And then it's instant anxiety that what else am I gonna get? What else can I get to make it the two?\", \"completion\": \"All right. So the thought is What else can I get? Yeah, like this one, the past will be two has to be two. It has to be two. That's not that's Yeah. So that's also possible more demanding. Yeah. So it has to be.\"}\n", "{\"prompt\": \"Yeah. So I guess the first thought is what else? What else do I have to get? Yeah. And then so jumps right\", \"completion\": \"to the anxiety. So is the anxiety\"}\n", "{\"prompt\": \"It starts going down. Okay,\", \"completion\": \"so it's really gradually\"}\n", "{\"prompt\": \"Yes, but it is really it is really Yes. Once it completely gone. When I'm done that\", \"completion\": \"Alright, so you so really the the worst anxiety would be approaching the store entering in that moment of uncertainty. When you don't know the second Yeah,\"}\n", "{\"prompt\": \"absolutely. All right.\", \"completion\": \"Okay. So if you could relieve that anxiety, that would be one of your goals. \"}\n", "{\"prompt\": \"That would be fantastic. Fantastic.\", \"completion\": \"All right. So let's think about this way. Do you? Do you know the reason that you do this? You have any guesses?\"}\n", "{\"prompt\": \"I would guess that. I mean, we've talked about you my dad had some bad experiences I had I sound awful. Yeah, they've, they were difficult. So I wonder if that's not somehow linked to this behavior somehow. Being impossibly\", \"completion\": \"Alright. So you've been through some really tough times to put it mildly. And what You're afraid of if you only buy the one item? Is something safety related happening?\"}\n", "{\"prompt\": \"Yes. Yes. Like the car accident or the Yes. Safety. Definitely my personal safety or my family's safety.\", \"completion\": \"And I guess security like the\"}\n", "{\"prompt\": \"security Yeah. And yeah, security.\", \"completion\": \"So safety and security. They're at risk for you.\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"When you don't follow this role, the rule and I will Yeah. So if we think about it in terms of the cognitive model, we talked about the core beliefs and the intermediate beliefs, which are the attitudes and assumptions expectations, so the core belief here the only thoughts when it might be\"}\n", "{\"prompt\": \"well, now that you said that, or you know, pointed out those safety security issues, I didn't really realize that but it is. Maybe that just that I'm not okay, I'm not\", \"completion\": \"I'm not okay. I'm not safe. I am vulnerable,\"}\n", "{\"prompt\": \"vulnerable. Yeah, I'm vulnerable. Am I an exposed? exposed to danger to?\", \"completion\": \"Sure at risk? Yeah.\"}\n", "{\"prompt\": \"That's my rule.\", \"completion\": \"And then when a situation presents itself, which would be an impending transaction. That's the situation we talked about how the situation blends together. With that, in this case rule that intermediate. So when they come together, what's that automatic thought?\"}\n", "{\"prompt\": \"When the situation and\", \"completion\": \"trends potential transactions approaching you, and you handed me a belief I need to buy everything\"}\n", "{\"prompt\": \"in tears. What else am I getting in?\", \"completion\": \"And then what's the behavior? That is a product of that automatic thought of I do you buy the second item? Yeah. And the feeling is the feeling of falls.\"}\n", "{\"prompt\": \"that follows that purchase of\", \"completion\": \"well, the follows on Mac thought, oh, anxiety, anxiety, and then what's the feeling that follows the purchase? Yeah. Relief relief. Alright. So can you see how the mechanism what's happening to you could be explained one explanation through through the cognitive load\"}\n", "{\"prompt\": \"there much it didn't sit very well.\", \"completion\": \"Alright. So let's talk about the rule of the Rule of Two. Now we, we, we talked before, we're talking about cognitive therapy, about useful and less than useful thoughts, right? functional and less functional or dysfunctional. thoughts. Do you think that sitting here now, not so much necessarily in the store? I know that's probably a different thought process. But talking with me now, do you see a causal connection between purchasing two items and a safety or security breach?\"}\n", "{\"prompt\": \"Yeah. I mean, there's no I recognize you recognize your Work and stuff that it's not. It doesn't make sense. It's not a useful, a useful thought maybe\", \"completion\": \"it's not a useful in this case thought munei useful intermediate belief.\"}\n", "{\"prompt\": \"Yeah, yeah.\", \"completion\": \"So you recognize that you appreciate that. There is not a link between Elio purchasing here. And in either direction, though, right meaning, so you realize that, that if you buy to, this doesn't necessarily keep you safe either. So you can't introduce safety or the process of risk of being unsafe, you can't introduce risk or safety through your transacting behavior.\"}\n", "{\"prompt\": \"That's very true. Yeah.\", \"completion\": \"Does that make sense?\"}\n", "{\"prompt\": \"Yeah, it does. It really does. I Can't it doesn't make what you're saying makes sense. But it doesn't make sense to introduce safety or either side of the point.\", \"completion\": \"So do overs or rest are not influenced by your behavior.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"But that's not what your mind is telling you. That's not what your thoughts are telling you. That's logical. And you can sit here with me. And it's not easy to say, but you can say, Yeah, I don't see a link.\"}\n", "{\"prompt\": \"Yeah, I don't see a link, but I know what I feel and what I feel is that impending doom, if you will.\", \"completion\": \"So let's talk about that moment. So in this moment, maybe a little anxious now, but you can kind of see how, right you can't protect yourself or cause harm to yourself or anyone else. By buying to or failing to buy to write in the store, or wherever you make the transaction, different story. So you have, let's, let's go a different direction. I talked about how you walk into a store, and you think, well, I get those the phone, right? And you end up getting something else. Yes, the anxiety then kind of goes away. And we'll come up the next time that happens. But it's a way it's gone for that moment. So, I want you to kind of stay with me as I go through another scenario. And you maybe have figured out what I'm going to do here, but\"}\n", "{\"prompt\": \"I need it in your scenario. Okay.\", \"completion\": \"So maybe GM isn't the ideal example but you see my right yeah. See, you go into the now you go to the store, you realize you only have enough resources to make the one transaction and you really want it so zero is not. So, now walk me through the thoughts and the feelings\"}\n", "{\"prompt\": \"what I would normally do or what I\", \"completion\": \"would think would happen\"}\n", "{\"prompt\": \"I would panic. I mean not panic, like break down or something, but I mean it would be very, very stressful if I absolutely had to get that item. Um, I would probably try to scrape change out of my car, but I know we're not going there now. Yeah, no stay there. But um, I would be very, very difficult.\", \"completion\": \"Could you do it?\"}\n", "{\"prompt\": \"I'm physically capable of doing it. Okay.\", \"completion\": \"And that is one level of being able. But how about in terms of your thinking? And your feeling?\"}\n", "{\"prompt\": \"I could do it, I could do it. I could get through it.\", \"completion\": \"And what would happen? How much anxiety with you experience and with the anxiety fade off?\"}\n", "{\"prompt\": \"It will fade off? I think. I mean, it would have to, I would imagine, so it would fade. I think it would take a longer period of time to fade than if I had just gotten even now seeing here, but even if I had just gotten another item, okay, the world is going to be safe for another five minutes. We're good. How much you're feeling right now? very anxious, right? Yeah.\", \"completion\": \"Are you worried is the kind of anxiety where you're worried that something catastrophic is gonna happen? Okay, so even talking about a transaction of one can lead to anxiety connected to this safety and security. \"}\n", "{\"prompt\": \"Yeah. Yeah.\", \"completion\": \"So you can you can trigger that without a transaction even pending.\"}\n", "{\"prompt\": \"Yeah. Yeah.\", \"completion\": \"really scared sitting here.\"}\n", "{\"prompt\": \"Yeah. Yeah.\", \"completion\": \"is unbearable the anxiety of men's embarrassment?\"}\n", "{\"prompt\": \"Yes, it's bearable, it's bearable, \", \"completion\": \"but does it hurt stuff?\"}\n", "{\"prompt\": \" Yeah, it's hurt me feel bad.\", \"completion\": \"What do you feel is gonna happen with seeing xiety about\"}\n", "{\"prompt\": \"your scenario of having to having to get only one item or having only having the resources for one item and\", \"completion\": \"Okay, so it's not a safety and security. It's a it's a concern about going through and buying one item on the rule. Those two Yeah, yeah. And I'm talking about breaking the rule. \"}\n", "{\"prompt\": \"I know it's terrifying. This this this skin for you.\", \"completion\": \"Because so you're anxious about that. And you're also anxious about the consequences of that.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So the anxiety you're experiencing right now in this moment with me, I want you to be mindful that, guys keep that in your awareness and let me know if that changes. just interrupt me if you need to. It's not.\"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"So it might get worse. It might get better. So, is there something on your mind that you need to buy within the next couple of days?\"}\n", "{\"prompt\": \"Yes. coffee, coffee.\", \"completion\": \"That's a transaction of one.\"}\n", "{\"prompt\": \"Yes, so I'll get something.\", \"completion\": \"Okay, right. Yeah. understandable, but what if, what if I challenged you to behavioral Experiment. Okay, can you guess what that might be?\"}\n", "{\"prompt\": \" To buy one coffee? In scenario two,\", \"completion\": \"to buy one to buy one cup of coffee? And then I don't know where to buy the coffee, but leave? Yeah, wherever it is leave. So what are the possible things that could happen? Knowing that logically you can connect it to a safety thing, and you might be anxious about that. And that's real, that anxiety is real. But knowing that the event isn't prevented or caused by exactly the transacting behavior. Let's go through what happens. So you buy the coffee. You're really anxious. Right? up to it, you're anxious to go into driving there either.\"}\n", "{\"prompt\": \"I would have a lot more anxiety. But I would really have to talk myself through that.\", \"completion\": \"Would it go away?\"}\n", "{\"prompt\": \"I believe it was the anxiety, I believe.\", \"completion\": \"So it'd be more painful experience to buy the one.\"}\n", "{\"prompt\": \"Yes, yeah.\", \"completion\": \"But it wouldn't actually harm you.\"}\n", "{\"prompt\": \"Oh, yeah. No, not at all.\", \"completion\": \"But it would cause you more internal anxiety.\"}\n", "{\"prompt\": \"Exactly.\", \"completion\": \" So what would happen if you did again,\"}\n", "{\"prompt\": \"I would hope that it would be less anxiety. Could be, could be\", \"completion\": \"repeated 100 times.\"}\n", "{\"prompt\": \"It could be I would get old. I think the anxiety would get exhausted.\", \"completion\": \"So really, what you're doing is you're conditioning you'd be conditioning yourself right to, to to surviving just buying the one item. I have a lot more money financial advantages to it certainly. And there'd be a you know what I hope is a freedom advantage which is the freedom to buy any number of miners, the next so what what scenario of purchasing i know i i asked for the coffee example I mean I asked one thing you're going to buy the coffee, but what what scenario could you see yourself being most likely to fall through this? I don't know if the coffee is the optimal situation for that behavior experiment maybe I guess it would there be another item that would be easier to actually fall through like for example, the gasoline because you'd get your car by the gasoline and you leave. Yeah, that would be easier for you. You will be tempted by the other I\"}\n", "{\"prompt\": \"wouldn't have to walk through the coal to the store, right or to the, the door of the\", \"completion\": \"wood. That'd be easy. It'd be, you know, might be\"}\n", "{\"prompt\": \"That would be much easier. Okay.\", \"completion\": \"So we will, we will consider that kind of a step in a direction that would result in fewer symptoms. Yeah, that would be wonderful. And maybe another step in the future if we get there. So it goes with us, but it would be to go into the store and buy one but let's not let's not do that. Okay. Let's stick with the gasoline.\"}\n", "{\"prompt\": \"Okay. I feel more confident about that.\", \"completion\": \"You feel like you could succeed with that. Yeah, experiment.\"}\n", "{\"prompt\": \"We'll see when we actually get there, but yes, I would like to. I feel like I could actually try that. More so than the coffee. So\", \"completion\": \"are you afraid with the coffee that you might just end up buying too? Okay.\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"So how's your anxiety now?\"}\n", "{\"prompt\": \"I feel better than I don't have to just buy one cup of coffee.\", \"completion\": \"Okay, so that was a stressor.\"}\n", "{\"prompt\": \"But I feel it's it's miles. But but okay. But it was.\", \"completion\": \"But mostly because the experiment that we're talking about somewhat easier\"}\n", "{\"prompt\": \"And because I think like the insight that you gave me on, I hadn't connected the safety security, I hadn't connected all the dots. So that was very helpful.\", \"completion\": \"So one of the we talked about before, what do I mag thoughts like adaptive responses, right. So as you're trying to kind of push through this experience of just feeling car, you're going to have those thoughts still come up. And the adaptive response could be something like, Well, I'd like you to design it or work with me and design it. But could be something like, I know this will actually have a consequence in the real world. Yeah, I realized this is just how responding internally doesn't take away the anxiety, necessarily. It might, but it will help you maybe get through that process. Yeah. Yeah. Does that make sense? Yeah, absolutely. There's a few things I'm asking you to do. Right. One is to just buy gasoline needed and only by gasoline. And at the same time when those thoughts come up to respond to them with the adaptive responses to compare the two.\"}\n", "{\"prompt\": \"Yeah, gotcha. \", \"completion\": \"Apparently got it. Right. So I know this won't have real consequence. In reality, that could be one. And if you have any others, you know, you can apply to as well as apply them. I know that I can tolerate the anxiety. Yeah, seems like you've tolerated for a long time. It's not pleasant. It's not what you want. But you can tolerate.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"And maybe another adapter response would be, this is painful for me. But if I can be successful here, if I can get rid of things,\"}\n", "{\"prompt\": \"yeah. The longer term picture Yeah.\", \"completion\": \"And keeping your island moving up to coffee and other other behavioral goals. Like that. Yeah, that makes sense.\"}\n", "{\"prompt\": \"I like that a lot.\", \"completion\": \"So we're kind of attacking anxiety from a lot of different angles here. Okay?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So do you do believe that you can succeed with this idea?\"}\n", "{\"prompt\": \"Yeah, I do. It's been a long time. But I that I mean, the behaviors and the thought processes have been in place for a long time. So I think it'll be a challenge but i think you know, it's time\", \"completion\": \"Yeah. So well, that can be very Positive so that you know what I detected there was, you're ready to challenge the six idea. Right? Like, I would like to take the devil's courage. Yeah, yeah. So you're ready to say I've had enough. And you can see a clear path of behavior that can help you get through it and you're ready to take the anxiety on. That can be a positive adaptive response, right? Like being assertive and saying, almost like you're talking to the anxiety in a way okay, right, but I'm not gonna let you beat me this time. That's what you'd be saying to the anxiety.\"}\n", "{\"prompt\": \"I like that one. Yeah.\", \"completion\": \"So, make a note of all these right? And you can use the same one more than once. You can mix them up, whatever works for you. Okay, but keep applying them as needed through the whole process into your home, your is your no more risk to go by. It's great. Yeah. Cuz it because I think once you get home really, that's, that's the completion of only participating that one transaction right, you've left and go back to restarting the cycle. So right. you've, you've permanently recorded just buying the one thing. Yeah, so that's a victory. Yeah. That'd be a huge victory. So I don't know if you know the status of your gas tank right now. Do you foresee needing to get gas between now and next week?\"}\n", "{\"prompt\": \"Oh, yeah, you do? need to do that. Yeah.\", \"completion\": \"So if you could try that out. And if you could record kind of in the moment, like after it's over the experience in terms of your feelings, different stages, that would be helpful. \"}\n", "{\"prompt\": \"Alright, thanks. How are you?\", \"completion\": \"I'm doing okay. Thanks for asking. I understand you've been having some symptoms that have been bothersome to you.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Can you tell me about those?\"}\n", "{\"prompt\": \"Yeah. Um, for about the last six months or so, I have have this position at work where I have to make a weekly presentation to other managers about 10 people. And I, every time I have to do this, I lose it.\", \"completion\": \"You lose it every time you have to make a presentation. Yeah. Tell me what would involve losing it.\"}\n", "{\"prompt\": \"Um, I, you know, I'm usually one of the last people to go and you know, as just keeps going more and more and more and more nervous. You know, it's it starts where I feel, I feel like butterflies in my stomach. And that just becomes more intense. I start to just sweat all over. I feel if my face is turning red, my palms get really, really sweaty and you know, constantly wiping them on my on my pants, and my heart. It just feels like it's going to just beat right out of my chest. And then I just I can't, I can't\", \"completion\": \"very it's very distressing. So So tell me about the nature of this meeting that's leading to this. This anxiety. So you said it was a you had to make a presentation about the structure of it.\"}\n", "{\"prompt\": \"So there's, there's about 1010 people, the the executive director and then the the man have different programs and and we all have to do just kind of like a weekly update report. So none of it's very detailed, you know, just a maybe a few minutes each person to go around and just update everybody else on what's going on. And all the different programs. We all take turns\", \"completion\": \"or how long do you have to speak?\"}\n", "{\"prompt\": \"It's usually just a few minutes, maybe five at most 10 almost or something, you know, major going on in my program.\", \"completion\": \"When when in the course of like with this meeting occurring? When do you start to feel nervous?\"}\n", "{\"prompt\": \"Oh, the day before?\", \"completion\": \"The day before? Yeah. Yeah. So the day before the meeting, you start to have similar symptoms, different symptoms. What do you feel\"}\n", "{\"prompt\": \"Yeah, I start to I start to feel nervous. Usually the day before is when I'm pulling together in my notes, I make like a look a few bullet points on stuff that I want to present that I think as relevant and so the day before, when I'm preparing that I start to feel nervous. And then usually last through the rest of the day into the evening, I usually don't sleep well. That night and then by the time I get into work, I'm, you know, that's usually when I'm, you know, feeling you know, really nervous by by the time I get into the meeting, I'm pretty much panicking.\", \"completion\": \"panicking as the meeting starting,\"}\n", "{\"prompt\": \"yeah.\", \"completion\": \"So, at the meeting, everybody takes a turn, and does this brief presentation. And tell me what's happening as with your, your feelings as they're moving around. It's like if you sit at a table or Yes, as they're moving around the table and then coming closer to you.\"}\n", "{\"prompt\": \"I I'm just becoming more and more terrified. My like, I just I feel like I'm being just drenched in sweat. I'm, I'm breathing faster I and I feel like everybody notices. I feel like everybody can hear me breathe. I feel like everybody can hear my heart beating, that it's just so loud that it's like, any minute everybody's gonna look at me and say what is wrong with you?\", \"completion\": \"They're gonna notice you.\"}\n", "{\"prompt\": \"Yeah. And and there have been times, especially recently really, you know, it's, like I said, I mean, this has been going on for at least six months, but especially recently I feel like I've had to, like run out of the room. I couldn't tell you. Yes, I have. I've ran out and couldn't. I couldn't go back in. I tried and my my hand hit the doorknob to go back in the room and I walked up. Good. No,\", \"completion\": \"there's too much anxiety.\"}\n", "{\"prompt\": \"Yeah, I felt okay. You know, in the hallway and then when I tried to go back in the room, it's Everything justright back up again. \", \"completion\": \"Yeah. So, so you would push that door open, they would all be looking at you. They would wonder why you left. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So you just wrote out the meeting somewhere else. And did anybody notice after?\"}\n", "{\"prompt\": \"You know, after a few weeks in a row of running out, yeah. You know, my boss was like, I realize you didn't make your presentation and, you know, I just I made up an excuse, like, I got a phone call or I didn't feel good or, you know, I stumbled through some excuse, but I feel bad because I mean, this is my job. And I want to do my job. And I mean, how I've lived with this, I feel like forever, you know, because I, I had a terrible time making presentations in high school. I had a terrible time making presentations in college. And here we are again, and I try to be a professional and have a career and make a life. I can't, because I can't perform my job. I want to do my job. I like my job.\", \"completion\": \"This is this is frustrating for you.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Have there been times where you've fled the room? And then since then you haven't.\"}\n", "{\"prompt\": \"There was one time, actually the very first time I ran out. And I didn't go back and nobody noticed. And then the second time, that following week, I started to feel that way again. And then two of my co workers to the other managers actually started to get into a fight. One of them wanted more money for their program for something or other and the controller was like, No, we have no money you can't have it's a nonprofit, so there's no money. And it was it was like getting really intense. And I don't know what it was. I just, I was fine.\", \"completion\": \"Something about that intense interaction changed how you're feeling distracted you something like that.\"}\n", "{\"prompt\": \"Yeah, I guess it just, I don't know. It just didn't I, I felt I felt fine. I felt normal.\", \"completion\": \"So from from that meeting on like till now, have you been able to stay in for eight other meetings? No. She had to leave because of the intensity of the symptoms. \"}\n", "{\"prompt\": \"Yeah, I've there been a couple times where actually I've I've I've purposely gone in late hours that I've had car trouble and a habit and I've just gone in late or I've actually just called in sick for the day. There was twice I sent somebody else in my place, saying that, you know, when I was sick, but I mean, it gets noticed.\", \"completion\": \"Yeah, and you're having you're experiencing symptoms. When you go Avoid that interaction the room to right because you don't feel good about letting them down or\"}\n", "{\"prompt\": \"no, no, I want to do my job. I really like my job. I really do. And I like where I work. And I like the people. But the thought of making these presentations every week just terrifies me. And I don't want my boss to regret putting me in this position. I don't want to disappoint him. I mean, I know he took a big chance, you know, putting me in this position. You know, I don't have a lot of experience doing this. And there were, you know, potentially there could have been other people that were better qualified, but you know, he chose me. I don't want to let him down. And I feel like I am every week with this meeting.\", \"completion\": \"So it's this meeting, really, you're in your situation where if you go and attend the meeting, you're going to end up leaving it because of the anxiety. If you don't attend it, Have these concerns about the performance in your shops? You're kind of stuck. You're kind of stuck, right? Yeah. Any other symptoms that you think may or may not be related to this intense anxiety? \"}\n", "{\"prompt\": \"Um, I guess I mean, I'm not sleeping the night before the meetings. I, I have started to drink a little bit to try and take the edge off. A friend of mine has said before that it's something that she's done to, to help when she's nervous. And so I've, I've tried a shot or two before going into my meeting and \", \"completion\": \"have any effect on\"}\n", "{\"prompt\": \"I'm probably not a good effect. I mean, I was I was able to sit through the meeting, but everybody kept asking if I was okay. So I got up on the Yeah, I really feel like they weren't. And of course, I was very I didn't want anybody to get close to me because I think it's going. Yeah. I just, I was too scared to do that, again.\", \"completion\": \"Any sadness or anything like that?\"}\n", "{\"prompt\": \"I'm miserable. Every time I think about, you know how much I must be disappointing my boss. I just I feel so I just feel terrible.\", \"completion\": \"Throw it down.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Sasha, I know it's been tough going through all this and the symptoms have been tough for you. We'll get you scheduled in here to get treated a couple days. We'll get you in a couple days. And you can start working with a counselor to address these symptoms. I appreciate you spending this time with me it was helpful to get a better understanding of what you're going through. Thanks.\"}\n", "{\"prompt\": \"Yeah, well, I was referred to by my GP, right. They referred me to you because. Well, my wife thinks I'm drinking too much.\", \"completion\": \"I see, do you think you're drinking too much?\"}\n", "{\"prompt\": \"Well, I\", \"completion\": \"Right? Maybe we can just explore that a little bit more. Yeah. How much would you say you drank in a day? Now?\"}\n", "{\"prompt\": \"Yeah. Oh, It has crept up over the years. Well, I suppose if I'm, if I'm honest. Yeah, I drink about a bottle of vodka a day\", \"completion\": \"about bottle of vodka. And how long have you been drinking that much for?\"}\n", "{\"prompt\": \"Well, as I say it's crept up on for Few years now,\", \"completion\": \"a few years, can you make it a more specific two years? Three years? Five years?\"}\n", "{\"prompt\": \"Well, I mean, as I say, it's crept up. I mean, initially, I just used to have a couple of drinks after work, right? Because I got a pretty responsible job. And I just found the drink calmed me down, you know. And then I got more responsibility, and I found a bit more alcohol helped me so. Yeah, yeah. So drinking about it.\", \"completion\": \"Okay, so you'd say of about the last two years three. Okay. And do you drink anything else apart from vodka?\"}\n", "{\"prompt\": \"Yeah. After work, I normally go to the pub and have two to four pints of bitter or lager.\", \"completion\": \"Right. Okay. And would that be every day?\"}\n", "{\"prompt\": \"Yeah. Well, especially, you know, Monday to Friday when I'm working. But at weekends, I normally go down the local pub At lunchtime,\", \"completion\": \"right and how much is a few?\"}\n", "{\"prompt\": \"Okay, and about two to four. Right.\", \"completion\": \" Okay. And then so on a weekday I've got about you take about you have about two to four pints afterwards and then you come home and drink about a bottle of vodka. Yeah, well,\"}\n", "{\"prompt\": \"no, well, no, I don't come home and drink a bottle of vodka. I drink a drink during the day. So when you drink drought when I'm working mind, you know when you're working lunchtime, okay, when I'm at work,\", \"completion\": \"when do you start drinking during the day? On an average day,\"}\n", "{\"prompt\": \"when after I'm up and dressed and have me breakfast.\", \"completion\": \"Right. So after breakfast, and again, when did that start?\"}\n", "{\"prompt\": \" Couple years ago, a couple of years ago. \", \"completion\": \"Okay. And what about the weekends at the same at the weekend? And would you drink you go to the pub at lunchtime at the weekend? Would you drink more than a bottle of vodka during the day or the weekend? No. It'd be about the same. Okay, and then the rest regular time when you drink more than what you tell me. \"}\n", "{\"prompt\": \"No.\", \"completion\": \"Okay, so And is it just beer and vodka? Or do you drink wine?\"}\n", "{\"prompt\": \"No, no. We used to drink wine my wife used to when we had an evening meal together. Sometimes we had a bottle of red or a bottle of white together. half a bottle. But since she started complaining that she thought I was, you know, really shoving it down my throat. She sort of nailed on the head. So don't do that anymore.\", \"completion\": \"Then would you say you have to drink more to get the same effect from the from the alcohol?\"}\n", "{\"prompt\": \"Same common,\", \"completion\": \"some common effect? Do you have days where you don't drink or periods where you don't drink? When was the last time you had that?\"}\n", "{\"prompt\": \"A few months ago now. When she really had a go at me and I thought to myself, well, maybe I'll give it a try. Again. It wasn't the first time but um\", \"completion\": \"for how long did that last for\"}\n", "{\"prompt\": \"about three days\", \"completion\": \"and it In that time did you experience any? any physical feelings at all?\"}\n", "{\"prompt\": \"Dude, I mean, I was shaking. very shaky. I got I was on edge all the time. I was not working properly, and I was sweating. And I just felt absolutely lousy. Yes. take time off work. No, I didn't take time I couldn't do I didn't dare take time off work. I just said I had a bit of a cold, right. But I thought to myself, well, I can't carry on like this. And so I had a couple of largers on the work. And that made that made you feel better on the straight and narrow.\", \"completion\": \"Did you ever feel? Do you ever get those similar sorts of feelings in the morning when you wake up?\"}\n", "{\"prompt\": \"Yeah, \", \"completion\": \"you do. And what happens yet when you have a drink in the morning that makes you feel better? Does, right? Yeah. If you don't have that drink in the morning, what happens\"}\n", "{\"prompt\": \"over the time I get to work I just feel. Again, I feel pretty shaky and very on edge. And as I say I don't touch it when I'm at work. Got a pretty responsible job. And I do, as I said, Don't touch it at work,\", \"completion\": \"and you work as a bank manager.\"}\n", "{\"prompt\": \"I do\", \"completion\": \" Okay. Has anyone has anyone commented apart from your wife about your drinking? Have you ever had any more serious health problems from your drinking? Have you ever seen a doctor or had sometimes people get loss of memory or Fitz Shams? Very serious shakes, they need to go into hospital.\"}\n", "{\"prompt\": \"He does some blood tests.\", \"completion\": \"And did that show anything?\"}\n", "{\"prompt\": \"It wasn't too good.\", \"completion\": \"Right?\"}\n", "{\"prompt\": \" And then I because of my you know, my wife friend to leave me basically. That's what got me to see the GP. Oh, he did some blood tests. And he said your liver, you know, told me I've got to cut it down a bit. What did he say about a room and he said he was going to refer me to somebody to talk about it.\", \"completion\": \"Right. Okay. And how did you feel about that?\"}\n", "{\"prompt\": \"Well, I wasn't exactly over the moon when he suggested it. But um Well, I suppose you know if it's a choice of coming to see you, and then or my wife leaving me. I came to see, I don't want to lose her.\", \"completion\": \"So I can see that it's had quite an impact at home. Yeah, well, but outside the home, how's your drinking affected jobs or anything else? My job about relationships other than your wife with family friends? Well, any other serious consequences? Yeah,\"}\n", "{\"prompt\": \"I have to go to family dues dragged along there. But I mean, I don't I mean, I avoid mixing with my work colleagues socially. I find that bores me, because if I'm in the pub with them, I've tried it once and I found I needed a drink and you know, I thought, well, I'm going to put my foot in it if I carry on like this. I left early, and I just make excuses. I don't I don't socialize with them anymore.\", \"completion\": \"Okay, thanks for coming to talk to me today.\"}\n", "{\"prompt\": \"Tom, Tom Beckwith \", \"completion\": \"And which hands you normally write? Right? Right hand would be all right to ask you some questions about your memory.\"}\n", "{\"prompt\": \"2017\", \"completion\": \"What season of the year is this?\"}\n", "{\"prompt\": \"Winter\", \"completion\": \"What is the date today?\"}\n", "{\"prompt\": \"The 16th\", \"completion\": \"what day of the week is this?\"}\n", "{\"prompt\": \"Tuesday?\", \"completion\": \"What month is this?\"}\n", "{\"prompt\": \"January\", \"completion\": \"Can you tell me what country we're in?\"}\n", "{\"prompt\": \"the United States.\", \"completion\": \"What County are we in?\"}\n", "{\"prompt\": \"Wilmington.\", \"completion\": \"What city are we in?\"}\n", "{\"prompt\": \"Wilmington.\", \"completion\": \"What is the name of this building?\"}\n", "{\"prompt\": \"the Graduate Center.\", \"completion\": \"What floor of the building are we on?\"}\n", "{\"prompt\": \"First floor\", \"completion\": \"I'm going to name three objects. After I've set them, I want you to repeat them back to me. Apple table, Penny \"}\n", "{\"prompt\": \"Apple table penny\", \"completion\": \"Remember what they are. Because I'm going to ask you to name them again in a few minutes.\"}\n", "{\"prompt\": \"WORLD.\", \"completion\": \"Now, spell it backwards. \"}\n", "{\"prompt\": \"DLORW\", \"completion\": \"What were the three objects I asked you to remember?\"}\n", "{\"prompt\": \"Apple table Penny\", \"completion\": \"What is this called?\"}\n", "{\"prompt\": \"Watch\", \"completion\": \"What is this called?\"}\n", "{\"prompt\": \"Pen.\", \"completion\": \"I would like you to Repeat the phrase after me. The phrase is no ifs, ands, no buts. \"}\n", "{\"prompt\": \"No ifs, buts or ants\", \"completion\": \"read the words on this page. Then do what it says.\"}\n", "{\"prompt\": \"Close your eyes.\", \"completion\": \"Take this paper in your right hand. Fold the paper once with hands and put the paper down on your lap.\"}\n", "{\"prompt\": \"I've been working still on the fear of leaving the home for extended periods of time like vacation. And it's been a little harder recently because I have this plan trip with a friend of mine coming up in a few months and that's kind of been weighing on my mind.\", \"completion\": \"Whereas the trip to?\"}\n", "{\"prompt\": \"Georgia\", \"completion\": \"how long way\"}\n", "{\"prompt\": \"she wants to go like six days Yeah, I'm not sure with work and school and everything I can make the full six days and plus I'm a little nervous to go that long.\", \"completion\": \"So that's a long time for you.\"}\n", "{\"prompt\": \"It is yes.\", \"completion\": \"So when did you discover this trip was going to be\"}\n", "{\"prompt\": \"actually last Just a few days ago, she messaged me and said, Hey, you want to go with me and we'll go golfing and swimming. I love golfing. Like, I know I want to go. But I just had these just a little nervous about leaving\", \"completion\": \"a little nervous? So when she made that call, \"}\n", "{\"prompt\": \"I was just a couple days ago, was the first thought he had kind of I can't go that long. That was my first thought. That's, that's too long. But he was like, wow, this would be great. I want to go down there golfing so bad and get away from the cold weather. So I mean, my immediate thought was no, not that long. But yes, I'm gonna go.\", \"completion\": \"Alright, so so to kind of conflicting thoughts, right. So one, one is like, never go that long, six days, way too long. And the other one is that would be enjoyable. You enjoy that? \"}\n", "{\"prompt\": \"Absolutely.\", \"completion\": \"Yeah. So which way you're leaning right now.\"}\n", "{\"prompt\": \"I want to go to go for six days. Maybe just like a long weekend\", \"completion\": \"3, 4 days?\"}\n", "{\"prompt\": \"two would be ideal but the idea of it two three days Yeah.\", \"completion\": \"So what we think is causing this worry about being gone more than two days?\"}\n", "{\"prompt\": \"I don't know. I mean, I've always as a late teenager in my 20s I've always had just nervous to leave home I don't as much as I love being home I love to travel to and you know, do different things. It's just, I guess I'm just afraid something to happen when I'm not around.\", \"completion\": \"Not to you're afraid something will happen to your, your house or,\"}\n", "{\"prompt\": \"well, I have pets so we're about them. My parents are getting older, so I worry about them. Mainly, like my immediate family, mainly, I guess my dad, because he's had a history of heart attacks and then my pets that's such as for something to happen, I will be there.\", \"completion\": \"And how about when you were younger? You said this Problems found for was the same thing, the same thing. So mostly family and now some pets,\"}\n", "{\"prompt\": \"my pets then to see if that's\", \"completion\": \"yes, your feelings are there fighting one another. Absolutely. And right now the feeling the thought anyway, have you know I would like to go on the trip. is winning But the fear thought was kind of dragging, dragging you down. Yeah. So what's the sensation of anxiety here?\"}\n", "{\"prompt\": \"Yeah, I get anxious. Yeah, my heart gets feels like it's heavy my chest feels heavy and I just all these thoughts go through my mind like, you know, I know my parents um I can watch my pets but they may not take care of them like I would I don't know it's just I mean that you know they've always will take care of all my no but they'll miss me and they might tear my house up I don't all these thoughts in my mind that seem crazy to me.\", \"completion\": \"So it seems like an endless stream of worries. Yeah. Surrounding family and pets. And what might happen. So really, that's that's it, right? This is what might happen. It's the uncertainty, right? So is anything ever happened?\"}\n", "{\"prompt\": \"No, no\", \"completion\": \"Okay. So so far all worrying. And anxiety really hasn't paid me dividends.\"}\n", "{\"prompt\": \"Yes. And now that I'm older when I was younger, I probably wouldn't like it overnight. But now that I'm older yes, I do I just say, I got to live my life and they'll be okay. I just try to tell myself they're in good hands. If something happens somebody Oh, call me but then I feel like oh, but I want to be hours away. I'm a plane ride away. And then I get thinking about that, but I do go. \", \"completion\": \"But you didn't in the past\"}\n", "{\"prompt\": \"no\", \"completion\": \"So something changed. What changed?\"}\n", "{\"prompt\": \"I don't know.I really\", \"completion\": \"right? So not sure what change but used to not go, now you do go. So when you're down there, or wherever you go in the trip, you're feeling better, like you're enjoying yourself. But you're also worried at the same time.\"}\n", "{\"prompt\": \"Not too well. Once I get there, I'm usually okay. Maybe the first night I get a little worried. And then maybe when I'm getting ready to come home, I'm like a little anxious, I'm ready to get home to make sure everything's okay.\", \"completion\": \"And the rest of the time.\"}\n", "{\"prompt\": \"I'm usually Okay. I'll get some alcohol involved. So he kind of limits my anxiety. But once I get into like playing the golf and all that, I really do allow myself to enjoy it. It's just it seems like it's going and coming. That's\", \"completion\": \"alright, so the problem really isn't when you're there. The problem is now leading up to it and maybe just the first half day, your day when you're there, and maybe the last half day or two there.\"}\n", "{\"prompt\": \"It's like a plane. Like I don't have a problem, right, like flying out. But it's the thinking like, while I'm waiting for the plane like, Whoa, what if we What if a terrorist is on there? What if we crash? I'll think about all that before, but once I'm there and on the plane is right, take off. I'm fine. I'm completely fine. not anxious. It's leading up to the actual event that makes me anxious.\", \"completion\": \"I suppose anticipation. So that's that's the worst part. All right, so the period between now when you leave, it's gonna be the worst part. \"}\n", "{\"prompt\": \"Yes, \", \"completion\": \"but she'll probably stock up.\"}\n", "{\"prompt\": \"Probably. But I'll have changed my mind probably a dozen times before actually say yes.\", \"completion\": \"And when you do go on Twitter.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"something could happen. Certainly sure. But it Hasn't so far\"}\n", "{\"prompt\": \"I don't know. I try not to think that for\", \"completion\": \"alright, so you'll, you'll return?\"}\n", "{\"prompt\": \"Yeah. Still doesn't stop me from worrying when I get these trips planned.\", \"completion\": \"Yeah, so the probabilities of it really doesn't. That doesn't alleviate the Worry, worry still there. Right. Even though you know the worry is probably going to transition to enjoyment and looking forward to that that doesn't \"}\n", "{\"prompt\": \"No not at all\", \"completion\": \"that doesn't leave anything at all.\"}\n", "{\"prompt\": \"like I gotta get my house cleaned up and make sure my animals or everyday have enough food and I preparing to leave.\", \"completion\": \"Preparing is productive, right? Yeah, that makes sense. Yeah. Well, how would the thoughts see you feel more connected to the warring?\"}\n", "{\"prompt\": \"Probably like, like, I want to, I want to say, I don't know I really it's kind of a word. Like I want to, like I can't say bye Not to my parents or I can't, you know, say bye enough to my pets like I feel like I like I don't I don't know, I don't really care. That's, I guess part of the problem. I don't know what I'm connecting it to.\", \"completion\": \"So if you don't tell them goodbye enough time.\"}\n", "{\"prompt\": \"Yeah, I don't know, maybe I sound so.\", \"completion\": \"Oh, it sounds like maybe if you don't say if you don't say goodbye enough times and settled that, that you'll feel guilty if something happens maybe that you regret it \"}\n", "{\"prompt\": \"maybe.\", \"completion\": \"so that so that's the focal point of this thing's night in some way. Right?\"}\n", "{\"prompt\": \"Let me go for a few days.\", \"completion\": \"And the way you start to let go is when you tell them\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So So what do you find yourself doing? You say goodbye and then then leave and then come back? Or\"}\n", "{\"prompt\": \"do I just finally say, bye? I'll talk to you later love you. You know, I'll check in when I land or whatever and then that's it. Then it's like, I just have to try to breathe and just put those thoughts behind me. Because once I say it, it's like, Okay, that's it. I'm gone.\", \"completion\": \"But you're but your thoughts are still coming thoughts are still come in and say, You should have said, goodbye one more time.\"}\n", "{\"prompt\": \"No. I just know that doesn't come to my mind\", \"completion\": \"that you didn't say goodbye well enough.\"}\n", "{\"prompt\": \"I don't know.\", \"completion\": \"The property was the property of saying goodbye. This you feel like you're not doing well enough.\"}\n", "{\"prompt\": \"Maybe it's just the fact that I'm leaving. I shouldn't leave. say that, you know, maybe I feel like I maybe it's just the guilt of leaving.\", \"completion\": \"So the act of leaving itself Leave shoot guilty. And what are you guilty of?\"}\n", "{\"prompt\": \"Not being there if something happens.\", \"completion\": \"So abandon\"}\n", "{\"prompt\": \"maybe\", \"completion\": \"for a short time neglecting them for a short time.\"}\n", "{\"prompt\": \"Probably maybe I did feel a little guilty.\", \"completion\": \"And now you're in more of a caregiver role than you were then.\"}\n", "{\"prompt\": \"Maybe a little bit I mean, I've always been. I'm the youngest of mine, me and my sister, but my parents have always looked up to me to be the responsible one and make sure everything's taken care of so I probably kind of loud myself. To take on that role of the caregiver moreso or be at the more responsible one of the two.\", \"completion\": \"So to be the responsible one, there needs to be guilt when you leave, I guess\"}\n", "{\"prompt\": \"maybe I should stay home and be responsible person and they don't make me feel guilty. They say go have a good time. Your baby's ugly. Okay, we'll take care of what I mean. I know they're in good hands. That's that's what's makes it so difficult. I know they'll be okay. But I just feel like a probably shouldn't go.\", \"completion\": \"So there's not another person driving the skill towards you. That's me. Just coming in from the side.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So if I, if I leave, well, I'm responsible. And if I leave, something bad will happen. And that'll be on me.\"}\n", "{\"prompt\": \"Now when they're to fix it, or take care of it or make it better, like I put it on somebody else that have to do with that. Yeah.\", \"completion\": \"So fear of being caught as irresponsible.\"}\n", "{\"prompt\": \"Maybe Yeah.\", \"completion\": \"And you could be a few left to just take you a day's travel or whatever, however far away. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Right. So yeah, but that's that's still doesn't help relieve anxiety now when you come back, because \"}\n", "{\"prompt\": \"no, not really. Because it's like, I want immediate access. Like, I want to be able to be right there within minutes if they need me.\", \"completion\": \"Have you ever taken a trip that was like within\"}\n", "{\"prompt\": \"I mean, not it's not as bad but yeah, there's back there. Stay with us. For an overnight there's some of the way up sometimes I'm thinking I should just stay home. Or I could be right in the same town sometimes that if I'm, I wake up at five in the morning, I just get up and go home because I just get really start feeling really anxious and I want to be home.\", \"completion\": \"So the closer you are, it helps a little bit, it sounds like a good part of the anxiety is still there. So it really doesn't matter where you go. It's the fact that you're not home. The fact that you're not able to fully be responsible in the way that you view it.\"}\n", "{\"prompt\": \"When I work 12 hour shifts and I have to work the overnight I will most of the time Take my break and go there between the chuck on Pima Benson.\", \"completion\": \"So at 20 that's a long shift. So a 20 hour shift. At what point do you become anxious when did when you start to notice those thoughts?\"}\n", "{\"prompt\": \"Probably usually like six, seven hours into it just depends like now it's getting dark so when it kind of gets dark and If I don't leave the light on or something, I get a little anxious. I feel like I need to go home and leave the light on and, you know, just let my pets know I'm coming back kind of weird, but I know they miss me. And then but if I'm busy, then I don't really think about it. So if you know if I'm busy at work, doing something I don't really think about until I stop what I'm doing right, slow down and I'm thinking, wow, I got 10 more hours or eight more hours. Sometimes I go home, sometimes they don't. Sometimes it's worse than others.\", \"completion\": \"Right So if you're busy at work, the same reality exists, meaning your pets are alone. But the way you're responding to it is different. Yeah, you're less anxious.\"}\n", "{\"prompt\": \"Maybe because I know I'm close. I can get there. I know I'm in control. We'll be able to go there.\", \"completion\": \"Well, I'm buddy let's say not at work, let's say when you're on the vacations in those days in the middle when you're enjoying yourself. Is that a distraction like the more you enjoy yourself the last year\"}\n", "{\"prompt\": \"yeah.\", \"completion\": \"But the same reality exists there alone. So really, it's your way ofwhich way of viewing things that's leading to anxiety. It's not necessarily what's actually happening.\"}\n", "{\"prompt\": \"It's my perception,\", \"completion\": \"your perception of what's happening. What could happen. I guess in this case, not so much what is happening is what you worried. could could \"}\n", "{\"prompt\": \"definitely, \", \"completion\": \"because nothing's happened yet.\"}\n", "{\"prompt\": \"No, not yet.\", \"completion\": \"So, how many? Well, there's I guess there's a few different. There's a few different issues here. Right? How many vacations you take a year.\"}\n", "{\"prompt\": \"I don't really take long vacations I've taken only I've only taken like two week long vacations ever. For like, five, six days, and I was fine. Well, same anxiety when I was younger. And now it's more like long weekends or you know a night here or there I don't really take long vacations but probably maybe three or four times a year I'm like go away overnight versus just not just a friend's house like an actual vacation where I go into the city or something\", \"completion\": \"sort of small proportion of the time so just looking in terms of probabilities you risk is very low because you're not quite that much. But the other issue is that even at work you're still having the same feelings and even for short trips you're still have the same feelings. So you're really limiting things xietymuch of the time\"}\n", "{\"prompt\": \"Yeah, '\", \"completion\": \"it's been this way for years\"}\n", "{\"prompt\": \"probably since a teenager and he hasn't stopped me I've always where every now I work more than ever I'm the more it doesn't stop me from working the kind of overtime working three jobs doesn't stop me and but I mean, like I said in as a teenager early 20s it did I would just be like, on my way out somewhere to go stay the night my boyfriend was like, Nope, I can't do it not to come home. But now that doesn't happen. And may not I may not go for a week long vacation, but I'll go for a few nights.\", \"completion\": \"So you're functioning?\"}\n", "{\"prompt\": \"Oh, yeah. '\", \"completion\": \"Approved. Yeah, he's actually pretty good. working a lot sounds like\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Because this uncomfortable anxiety. This is painful for you.\"}\n", "{\"prompt\": \"Yeah, I mean, it doesn't like so it doesn't really seem to stop me from working obviously, because I work it's just the leading up to leaving for work or\", \"completion\": \"going on vacation. Alright, so let's say\"}\n", "{\"prompt\": \"Well think about making sure I have everything I need for work, you know, don't have, I usually take my dinner.\", \"completion\": \"Do you feel less anxious when you With those prevention, okay, so that helps. Right? So physically preparing your house so that your pets are safer that helps you. So what else is going through your mind so you do that right you take all the precautions you can to keep them safe and prepare your dinner for work and everything. So what's the next thought?\"}\n", "{\"prompt\": \"Just gotta go to work. I just think about I'll come home later. You know if I get a break. I mean usually I do especially if I do the overnight as I got downtime, so run home and check on and then I'm off to work and then I kind of forget about it. And then I said some lights is burned out not every night I come home and check off but some nights I just get started feel anxious and get thinking about them and I go on the trip.\", \"completion\": \"So every time when you felt anxious and you wanted to check on them, but you couldn't leave \"}\n", "{\"prompt\": \"for now from out working with clients. Yeah, so what\", \"completion\": \"happens then terms of thinking and feeling?\"}\n", "{\"prompt\": \"I don't dwell on it because my focus is with the client. So it just kind of think about it, I need to get home but you know, and I just focus back on the client, I don't let it overwhelm me or\", \"completion\": \"Well, just so it doesn't change your function, but society has their anxiety associated with\"}\n", "{\"prompt\": \"it goes away. I mean, I want what I'm thinking about, but then it goes away.\", \"completion\": \"Alright, so depending on what you're thinking about, that can change the level of anxiety you're experiencing.\"}\n", "{\"prompt\": \"there's something or Yeah.\", \"completion\": \"Okay, so there's that is the that is the thought you're having something like that\"}\n", "{\"prompt\": \"about older cats. I mean, he's really old something cool. You know what if, you know he's, something's happened to hell I mean, I don't honestly thinking I'm dying, but I think you know what he needs because he has he's really old. So I do think about him.\", \"completion\": \"I still have that you have that thought like,\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"So you can see the power of thinking and all this right. So the reality of your cat's health and well being hasn't changed the way you view it, as change the way you think about it. So we talked about before this idea of the adaptive response, right? So the thoughts you're having now that lead to the anxiety, we believe could lead to anxiety. They're automatic, right? They're just popping in your head. Right? It's triggered by certain things, like getting ready to leave for work and, and being at work while and look at the time and realizing something. We have the cats, right. But that's an automatic that just comes without, like, you can't necessarily stop right?\"}\n", "{\"prompt\": \"just comes naturally when I'm getting ready to leave.\", \"completion\": \"Then the anxiety is right there. So the adaptive response, we also call self talk. That's, that's a thought that you can give that you can create consciously. Right? You can think to yourself, so it's not automatic. It's not an adjustment of an automatic thought. It's a thought that you can deliberately think Almost like repeating a sentence that you've memorized, you can at will choose to do that. That makes sense. So I want to make sure I draw the distinction. Some thoughts just pop in. Other thoughts you deliberately, like, when we found is if you have a thought that you deliberately think we call the adaptive response. It can counter the feelings caused by the automatic thoughts, essentially. \"}\n", "{\"prompt\": \"You're challenging, you're disputing that automatic thought, this be my own thoughts.\", \"completion\": \"You're just spinning your thoughts. Yeah. So, you know, and I want you to work with me to develop these adaptive responses. I want you to have most of the site all the sites you want and because I think that you can develop ones that are useful to you, but just to give an example when you haven't thought that You know, the older cat can be sick, right? And adaptive response could be or could be wide, wide variety of thoughts, but one could be it's not likely. Right? Like, you know, or if it is likely that you know, he'll probably be okay. If it's a he or she, okay? He'll probably be okay till I get home. Another adaptive response could be it would be sad and unfortunate something happened. But I have my work responsibilities and at some point I have to leave the cats alone.\"}\n", "{\"prompt\": \"I do tell them that I tell them thank them and I feel like them that well does someone want sometimes I run from me when I try to kiss them goodbye. And I'm like, Oh, no, what I have to go to work because you will have to eat. I know it sounds silly, but I do tell him that and then I kind of thinks it does. Most things. I think I didn't realize that's kind of what I was. But I do do that sometimes.\", \"completion\": \"So you're actively responding.\"}\n", "{\"prompt\": \"Yeah, but I didn't realize that's what I was doing. But yeah, I do say that to myself to them. Yeah.\", \"completion\": \"Well, I think that's a productive, adaptive response. I mean, you know, you're right. If you don't, if you don't earn income, then they'll have worse problems. \"}\n", "{\"prompt\": \"Yeah, I can't take care of them being left alone. \", \"completion\": \"So really good working. You're, you're being more of service to them and protecting them more so\"}\n", "{\"prompt\": \"Yeah, that's true. I never thought of it that way.\", \"completion\": \"So that might be one adaptive response you may want to consider applying when you have this, this feeling of anxiety\"}\n", "{\"prompt\": \"and then there's times I think, you know, they're just cats are probably the last to go on.\", \"completion\": \"So they're not striking you as anxious when you get home.\"}\n", "{\"prompt\": \"Yeah. Well, sometimes sometimes sometimes after a 12 hour shift, yes, I have one of them. She won't show me let me sleep the first hour, she literally were around again and stuff. And I take it and she's mad because I've been gone, but she's fine.\", \"completion\": \"She continues to survive, despite being perhaps upset with you for leaving. So that could be another adaptive response that they may be enduring a mild stressor. But sometimes they're asleep when you get home. So \"}\n", "{\"prompt\": \"yeah, that's true.\", \"completion\": \"how bad could it be for them?\"}\n", "{\"prompt\": \"Yeah. And they don't know. I'm worrying or anxious. They could care less like they don't believe no, it's not bothering them. I mean,\", \"completion\": \"yeah, I mean, their level awareness clearly different than than yours. Right. So yeah, I mean, that's another good adaptive response that, you know, much higher level awareness, whereas you're not sure that Have any awareness that you're experiencing anxiety? Or maybe a little bit with a one cat who runs or think they do? \"}\n", "{\"prompt\": \"And that's just an animal person but I think they do but yeah, I probably give them think they have more feelings than what they probably really do. But they're my kids I treat them as kids my kids are all gods are important too. Yeah,\", \"completion\": \"absolutely. So it's understandable that you would be anxious and have concerns and but it also seems like you did make preparations to elevate their chances of having a successful experience right being okay.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So you implement behaviors that are practical and that I've worked in making the house safe and keeping the plants away from them and so I think one route here if you're okay with it would be to use work as like the first point I know you have the trip. I know that's, that appears to be causing more anxiety than thinking the worst But you have more chances? Well, one way you have more chances to test out these step responses at work because it's more or less a daily thing, right? five days a week, or whatever it is. So some of those adaptive responses that we kind of worked on together, right? You could apply those. And you know, think about that the responses are not always short. Right? The automatic thoughts could be short. It can even be images, do not necessarily even complete sentences, right? Like maybe have an image of your cat in an unfortunate situation. So it's not necessarily spelled out in English, like a sentence, but adaptive responses. Well, they could be images too, but the ones I'm talking about are really sentences that you're repeating back consciously to yourself. So it's important to have them prepared and ready to go. So I often ask clients To kind of write them out and have them available. So that when that thought comes about, and it seems like you're pretty good at identifying, you know, what thoughts are triggering anxiety you would read eventually would have to read because you've memorized initially you'd read the automatic thought I mean, the upside of the adaptive response and that would counter the deal on that thought. Okay, might not the first time might not the second time but over time we believe it and I found that it changes how often and how intense to aback thoughts come in. Conscious thinking, adaptive responding, does that make sense?\"}\n", "{\"prompt\": \"That's us. Because like I said, I kind of said these things to myself anyway, I just didn't realize that's what was probably lessening the anxiety because I do say that things those things to myself pretty frequently when I say I have to go to work, or else you guys won't be able to take care of didn't even dawned on me that that's\", \"completion\": \"you've already adapted Yeah, you've already used cognitive behavioral techniques, in a way to reduce anxiety. So what we're really doing is just expanding and formalizing what you've already been doing to achieve some success.\"}\n", "{\"prompt\": \"That makes sense. Definitely, yes.\", \"completion\": \"So, if you could, between now and next session, write down some of the adaptive responses that we discussed the ones you've already used and, and then work to identify the automatic thoughts at work, and then come up, work to identify them, and then consciously repeat those, those that the responses back when you have those thoughts, okay, so you're really repairing self talk, adaptive responses, with the automatic thoughts, that thought comes right? And then you have the adaptive response. And you're repeating it, you know, it's an internal, you're pitting and just thinking it unnecessarily odds out loud, although, that would surely be okay to not know, your coworkers, you know, respond something like that.\"}\n", "{\"prompt\": \"Sorry. No. I mean, I've threatened to put a camera in the house. So I can like, there's a thing you can, you can remote access to your house, and there's a button your animal can push and call you. And I've talked to him at work. I'm like, Well, my cat calls me y'all. I really thought about it seriously, that I could check one that would lessen my anxiety would have to go home, I could just look in and see what they're doing. I have thought that some of my co workers know I can't worry about them. So yeah, they would help support me and not be so anxious. Probably.\", \"completion\": \"Yeah. And and putting in a security type measure. You could lessen anxiety, or it could create anxiety,\"}\n", "{\"prompt\": \"but make it worse,\", \"completion\": \"and I don't know which, you know. So I think if you're okay with it, we'll start with the adaptive responses. \"}\n", "{\"prompt\": \"Yeah, I'd rather do that. \", \"completion\": \"See how that works out. And we have other options. Putting security systems in such to shy out in the future if necessary. Let's try the adaptive responding. Then trying to keep track of how well it works for you like, what your what your thoughts and feelings were. After you applied it,\"}\n", "{\"prompt\": \"should I like try to measure my level of anxiety? Absolutely. Okay.\", \"completion\": \"Yeah. So you know, maybe like a one to 10 with 10 being the worst, okay, and measure it when you first had that experience of it. I'm pretty sure you can measure fairly accurately, you've experienced it for a long time. You suffer with it for a long time. And then after applying the adapter response, especially after a few minutes, applying a few times, maybe shoot for ones, see what it is that and note that, again, the beginning of might not see much of a change at all. Right? So be persistent with it. Okay. Give it a chance to work and see how it does. Okay. We'll start there and we'll kind of review how you do that. And then we'll work toward the things Analyze the bigger stressor right? And we'll see what we can do in terms of planning adaptive responses for that. Okay. So a good plan. Yes.\"}\n", "{\"prompt\": \"It was okay, I guess.\", \"completion\": \"Yeah. Just okay.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"All right. Okay, so I want to refresh your memory and I've got my notes here. Do you mind if I refer to my notes? \"}\n", "{\"prompt\": \"okay\", \"completion\": \"yeah.\"}\n", "{\"prompt\": \"Yeah, I wasn't in the mood.\", \"completion\": \"I'm wondering what you could have done in the world.\"}\n", "{\"prompt\": \"I'm not sure what I could have done.\", \"completion\": \"And so because of the not exercising, did it make any difference in your marijuana usage this week?\"}\n", "{\"prompt\": \"Yeah, it was used a bit more.\", \"completion\": \"Okay. Okay. So how would you tie those two things together By not running?\"}\n", "{\"prompt\": \"I think the mix when I'm not exercising, generally I would turn to the more usage.\", \"completion\": \"Yeah, yeah. So when you reflect back now on last week, and the rain coming down, and it was cold, I'm wondering if there was a way that you could change your perception about that, such that it wouldn't stop you from running. What do you think?\"}\n", "{\"prompt\": \"Yeah To change the perception above, maybe wear a rain jacket or something.\", \"completion\": \"Mm hmm, that would be a great idea. That would be an excellent idea.\"}\n", "{\"prompt\": \"Well, I tried to stay away, but I didn't. I still saw some of them.\", \"completion\": \"So it was it was difficult to cut them out of your life? Last week?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"And you tell me more but what was difficult about it,\"}\n", "{\"prompt\": \"the stuff that they think something badly of the I didn't want them to think You know, avoiding the raising.\", \"completion\": \"So you did it sounds like you didn't want to hurt their feelings.\"}\n", "{\"prompt\": \"Yes\", \"completion\": \"by them thinking that you were going to avoid them.\"}\n", "{\"prompt\": \"yes\", \"completion\": \"And so as a result of this what what happened?\"}\n", "{\"prompt\": \"Well, I just ended up going to see them and then hanging out.And, yeah.\", \"completion\": \"So because you were worried about them thinking that you were trying to avoid them, you ended up using marijuana. Is that correct?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"And I'm wondering how you could do that differently this week.\"}\n", "{\"prompt\": \"Well, I could, I suppose I could just try hard enough to go and see you guys.\", \"completion\": \"And what would that involve trying harder not to go see them?\"}\n", "{\"prompt\": \"Hmm.\", \"completion\": \"Yeah. Sometimes it is that simple is just making that commitment. yourself and just drawing the line. And do you have any friends that do not use marijuana that you could kind of associate with?\"}\n", "{\"prompt\": \"Yes i do, I don't feel that often, but I could, I could start to see that more. \", \"completion\": \"Okay. How about motivated on a scale of one to 10? Would you say you are to kind of reignite friendships with people that don't smoke pot?\"}\n", "{\"prompt\": \"Three.\", \"completion\": \"Okay. So you're still, you're still a little iffy about you about whether you want to associate with those friends again, but I have to ask you, Bruce, what do you what made you say three instead of one?\"}\n", "{\"prompt\": \"Well, because I know for all, so I feel like I need to, I think I should start doing something about it.\", \"completion\": \"I think that's great insight that you're able to see that moving towards The friends that don't smoke pot and making the effort to do that is actually going to enhance your life incredibly. And when you associated with the friends that didn't smoke pot in the past, what kind of things did you do?\"}\n", "{\"prompt\": \"Like what what kind of things activities and things?\", \"completion\": \"Yeah. Was it fun to be with them?\"}\n", "{\"prompt\": \"Yeah, it was fun. Yeah, we just mostly are like doing some outdoor activities, maybe just sort of get some pressure kind of thing. Usually it's not so like, you know, there's more. They tend to do more healthy activities, I would say.\", \"completion\": \"So you can recall living a healthier life then and having fun outdoors and basically having a healthier life overall, without using the pot.\"}\n", "{\"prompt\": \"Yeah You're right there. It could be I might take my mind off of it.\", \"completion\": \"Sometimes it's good to remember having those good times with the friends that didn't smoke the pot because it makes you realize that you don't really need it. And I think that's a great, I think that's a great idea.\"}\n", "{\"prompt\": \"Was I really had a lot of second thoughts. I was worried about commitment and that kind of thing. So I didn't feel like that was the right the right idea.\", \"completion\": \"Okay, so you had some second thoughts about that. You're excited about it and last week's session, but after you had a chance to reflect upon it, you kind of realized that it wasn't getting a dog was not the best Thanks for you, \"}\n", "{\"prompt\": \"a lot of commitment and a lot of time that I just don't have the motivation to be putting in.\", \"completion\": \"I think that's wise to recognize that right up front, I'm given the research on pets any kind of pet, and how it helps people sustained from alcohol and drug usage. I'm wondering if there is another option that you might consider. \"}\n", "{\"prompt\": \"Maybe. What do you have in mind?\", \"completion\": \"I'm thinking, do you like pets that aren't don't require such a commitment?\"}\n", "{\"prompt\": \"That's a good idea. I didn't think about that.\", \"completion\": \"Because a dog is the dog is a large commitment.\"}\n", "{\"prompt\": \"Yeah. You know, there's all kinds of animals, snakes or fish or something.\", \"completion\": \"Hey, snakes ! fish, that would definitely be a star these animals that you like. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \" All right, I think it's important that you have an animal that you like and that you can relate to. Alright, so in the final goal was to find and join a support group for people that were trying to be abstinent from marijuana. How did you make out with that?\"}\n", "{\"prompt\": \"I look into it. But like, I went to the first the first meeting, and I just felt like, like, those people were bought on the barrel and I was just not I just didn't fit in with that crowd where they are not in that place.\", \"completion\": \"So you made the effort to go and you went\"}\n", "{\"prompt\": \"I couldn't, I just didn't want to stay.\", \"completion\": \"And so you didn't stay the whole time.\"}\n", "{\"prompt\": \"Right.\", \"completion\": \"And so you left early because you felt you didn't feel and you they were the bottom of the barrel and you're still higher functioning.\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"I can definitely understand I'm wondering if there is any purpose for you joining some sort of support group to help you. what Do you think?\"}\n", "{\"prompt\": \"See there could be some positive. I just don't I don't I just don't see it that much at this point.\", \"completion\": \"And what might be some positives that you would get out of the support group?\"}\n", "{\"prompt\": \"Well, I would, I would probably be able to relate to people in the same kind of situation. And maybe it's just a positive to be able to have connection with people like that. I'm not sure.\", \"completion\": \"So you're you're saying that the past of being in a support group would be that you'd get a chance to relate to other people who are on that same journey, and to have connections with other people. And again, I can send you information that will show you that that just these two items alone are incredibly helpful for not only decreasing or being abstinent from pot, but from increasing the feel good hormones in your body, the connection and the relating to other people. It might be similar when you were younger, you had mentioned last week that you were a hockey player. And so you had support that was sort of like the team was sort of like a support group. I'm wondering if you could relate to people in head connections and wondering if you could see a support group as a team.\"}\n", "{\"prompt\": \"Yeah, it would probably be the same kind of situation like Essentially, people in a support group are all there for the same goal. So it's kind of like in hockey. Very important there to win. Mm hmm.\", \"completion\": \"And do you remember when you were playing hockey, how it felt to be encompassed in that team? \"}\n", "{\"prompt\": \"Yeah, it was good. \", \"completion\": \"It gave. And that's because of those good feeling hormones that come in neurotransmitters that come throughout your body when you have those connections. So how committed do you think you are? If I were to send you a list of support groups? So you could try out some others? Where there weren't the bottom of the barrel? As you say, there? how committed Do you think that you would be trying out at least two of them this coming week?\"}\n", "{\"prompt\": \"Probably eight, or 10. Yeah.\", \"completion\": \"Wow. What made you say an eight rather than a four, five was just\"}\n", "{\"prompt\": \"a team analogy, I think is a good analogy.\", \"completion\": \"So you thought How you remembered. You remember how you felt when you were on the team and how it gave you that sense of connection?\"}\n", "{\"prompt\": \"Yeah. And also, you know, I don't have to be the mean, if, if I think of it as a team, maybe I would be like the star on the team, because I'm not quite so bottom of the barrel. Maybe\", \"completion\": \"I love that analogy. Good thinking. It's thinking, Bruce. That's excellent. Wow. Well, just to summarize, today, you came in, you had made some progress, but you had some stumbling blocks. You have decided that whether it's rain or shine, you're going to run anyway, because you're going to have you raincoat and you're going to embrace more of your positive friends rather than the friends that are not such a good influence on you and getting a pet rather than getting it Dog, you're going to look into getting a snake or what was the other thing? \"}\n", "{\"prompt\": \"Oh, fish. Yeah.\", \"completion\": \" Okay. And in terms of a support group, I will send you a list of support groups. And you feel that on a scale of one to 10, that you're about an eight, and actually carrying through and trying out two of these support groups, because of the hockey team analogy. Great job. So overall, how would you rate today's session? \"}\n", "{\"prompt\": \"It was good, very good.\", \"completion\": \"And if we were to put it on a scale of one to 10,\"}\n", "{\"prompt\": \"eight\", \"completion\": \"out of eight. All right, we did get in if we did an eight.\"}\n", "{\"prompt\": \"All right, \", \"completion\": \"way to go.\"}\n", "{\"prompt\": \"Thanks.\", \"completion\": \"All right. Thanks\"}\n", "{\"prompt\": \"Yeah, I would not to call it difficulty. \", \"completion\": \"No. What would you call it?\"}\n", "{\"prompt\": \"My husband? I'm having a little bit of trouble with anger or something like that. But to me, it's like,\", \"completion\": \"so your husband believes you're having some trouble with anger.\"}\n", "{\"prompt\": \"My husband thinks so. But to me, I'm just fine. He's just a yellow little here and there and, and but he's a man. He's get over it. He's bigger than me stronger than me. I got Look, it's the way I get my point across. That's what I gotta do sometimes.\", \"completion\": \"I see you have a, you feel like you have a relational style that doesn't match what he he wants, like you're, you're yelling and he's not liking that\"}\n", "{\"prompt\": \"it's how you communicate. If he's not happy with it, that's about it. He's gonna have to deal with it.\", \"completion\": \"Can you tell me about the the yelling?\"}\n", "{\"prompt\": \"He says this all the time. But to me, it's what I do. If I want him to take the trash out. I tell him to take the trash out. He says I yell at him, we get into a fight over it. Just an argument over it. Nothing serious. But he says it's for everything I do. Getting the kids ready to school for school. He says I yell at the kids. He says, If I can't make anything simple, I can just make a simple request. He says I have to yell at him. I have to start a fight. I say should man up.\", \"completion\": \"So you don't feel like you have a problem with yelling or anger or anything?\"}\n", "{\"prompt\": \"I don't think it's a problem. No. It's just\", \"completion\": \"the way you Guess the way I am? has been causing you vague. It's been causing some, some trouble with your husband. Any other trouble?\"}\n", "{\"prompt\": \"Oh, mainly with the husband. You know, I almost got into an argument with the neighbor but we dealt with it. She told my husband, he agreed with her and well, he sent us get help.\", \"completion\": \"Alright, so it's caused you some difficulties that way.\"}\n", "{\"prompt\": \"To me, it's not a difficulty for him. It's more of a difficulty for him than it is for me.\", \"completion\": \"Sure, really here today because he's asked you to come\"}\n", "{\"prompt\": \"I am here. He's my husband. So I respect him. I want to make him happy. So I said I'll go\", \"completion\": \"Alright, but Sure. You're really not convinced that you\"}\n", "{\"prompt\": \"I don't see it as a problem.\", \"completion\": \"Yeah?\"}\n", "{\"prompt\": \"he's more of a problem than I am.\", \"completion\": \"He's convinced you're not.\"}\n", "{\"prompt\": \"I don't think no problem. I don't think I have a problem. He says it's all the yelling and I need help. And he's talking about do something about us. Alright, fine. I'll see about\", \"completion\": \"who would your relationship be a little easier without the yelling?\"}\n", "{\"prompt\": \"For him? It would be I guess, but it I think maybe we could try it. I don't know. But it's taught but it's what I do.\", \"completion\": \"Can you tell me about some of the events that you think lead to the yelling?\"}\n", "{\"prompt\": \"He doesn't get what I'm trying to say. It could be something as he wants to do it his way we could be driving. Alright, No, honey, I said we want to go this way. Oh, wait, why are you going that way? No flow. And then we get into a fight in the car. Or okay, honey, that's not how you do two dishes. We started as simple as that. No, you wash out. No, that's not how you do dishes. It could be something like that. We get into an argument. It's just over two simplest things.\", \"completion\": \"And then the argument. How do you find the distribution of like, Who's yelling? Or is it mostly you yelling? Are you both yelling?\"}\n", "{\"prompt\": \"I feel like I have to get my point across. But he's not 100% innocent and messy. And I'm like, it's not my fault. I wouldn't have to yell if you listen to the first time.\", \"completion\": \"Do you ever find yourself planning to get into an argument or is it more spontaneous?\"}\n", "{\"prompt\": \"spontaneous, want to plan to get into anargument with him? \", \"completion\": \"Just kind of happens when\"}\n", "{\"prompt\": \"If he would listen. And we want to be fine so much. Things are fine when he listens. But then he says, I don't know what it is the moment I try to tell him something. It's just it just gets to me.\", \"completion\": \"And that's what leads to the\"}\n", "{\"prompt\": \"we just start yelling just start fighting.\", \"completion\": \"alRight so this has been causing you some Distress with that relation.\"}\n", "{\"prompt\": \"our relationship could be better, if you will listen more, but yes.\", \"completion\": \"Do you have any medical conditions?\"}\n", "{\"prompt\": \"Nope.\", \"completion\": \"Do you ever use drugs or alcohol?\"}\n", "{\"prompt\": \"No, not not not alcoholic or drug addict, right? If you try to say that No,\", \"completion\": \"nothing like that? Do you have any other mental health history I should know about like, depression or anxiety?\"}\n", "{\"prompt\": \"I am as healthy as a horse.\", \"completion\": \"Do want to see a counselor here to work on the anger yelling.\"}\n", "{\"prompt\": \"If it will make him happy. I told him I would see a counselor so I will see a counselor.\", \"completion\": \"Okay. So, if you're okay with it, I'll set you up with an appointment to see a counselor here. And they should see within a couple of days and you can get started.\"}\n", "{\"prompt\": \"I guess I'm okay with it.\", \"completion\": \"Thanks, Stephanie.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Can you tell me about what's been going on?\"}\n", "{\"prompt\": \"Yeah. For the past, past, maybe a couple weeks, I guess few weeks. I have these morning meetings once a week at work, and I have to make a presentation. And every time I go to present, it's my turn and I start getting. Start getting really nervous.\", \"completion\": \"Start getting really nervous. So your morning meeting at work. And so does each person at the meeting present in like, a row?\"}\n", "{\"prompt\": \" Yeah, yeah, we all take turn,\", \"completion\": \"they'll take turns. And when you start to feel nervous, when it's your time to talk or before or after that, and now\"}\n", "{\"prompt\": \"I'm usually the guy at the start of the meeting, because I know I'm gonna have to, there's about 10 of us and I always seem to be one of the last few to go like, like six or seven, kind of in line to present\", \"completion\": \"says around 10 people at the meeting. Yeah. And and as luck would have it, you tend to be toward the end. So can you describe what's happening say for the beginning of the meeting, in terms of what you're experiencing?\"}\n", "{\"prompt\": \"Hmm. Sowhen I walk in, I'm usually okay and you know, say good morning to everybody and then my my boss calls means order. And that's usually when it starts, like kind of starts like, maybe like butterflies in my stomach kinda. And then after he makes his report, and then it just starts going around the room and my heart starts to be faster, my palms get sweaty, and I just, I just start to feel really nervous. I've realized that I might be kind of I start to tune out some of the other presentations. Because I, I start to become focused on how I'm feeling.\", \"completion\": \"And I focused focused on the physical sensation being nervous and the mental sensation and you're not really hearing what they're saying.\"}\n", "{\"prompt\": \"Yeah, \", \"completion\": \"they're saying, \"}\n", "{\"prompt\": \"Yeah, \", \"completion\": \"all right. So go on. So So these you have these physical symptoms, this nervousness, what happens and \"}\n", "{\"prompt\": \"yeah By the time it it's my turn to present I start. I just, I'm almost like just almost shaking. Yeah, I noticed that my hands are a little little off. And so keep my hands down, like in my lap and just that. I don't want anybody to see them shaking like that. And I have a paper in front of me that I just kind of read from. But when I start reading my my voice is a little shaky, and I kind of stutter and tripped over my words. And I just I feel like I'm not making good presentations and then it's not looking good to my boss.\", \"completion\": \"So, so in the moment when you're when it's your turn to present, you're still feeling that same nervousness like that doesn't that doesn't go away at all. And you're trying to hold your body kind of still. Like like almost a cube control. \"}\n", "{\"prompt\": \"Yeah, \", \"completion\": \"yeah. And then your voice This kind of sounds like crackly or breaking up as you're trying to read from like, bullet points like wanna? \"}\n", "{\"prompt\": \"Yeah, \", \"completion\": \"like an outline?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"What happens when you have read the last read last point?\"}\n", "{\"prompt\": \"Well when I'm done it's it takes a little bit for everything to calm down. But I I'm, then I'm consumed by the idea that my boss thinks I did a terrible job and that he's, you know, he's regretting putting me in this position and that I can't make good records or you know that I didn't report the right stuff the right information to him and and so, it doesn't really go away. It just it's almost like my mind is shift someone I'm anxious about.\", \"completion\": \"Alright, so then the nervousness that's stronger feeling of nervousness that goes away, is replaced by a more general feeling. nervousness about how your how your boss will think of you. Yeah. Because of the presentation quality. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Because as you're presenting and kind of staying still and your voice is crackling, he's picking up on that. And you're aware of that. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"How How long have you noticed? This, these symptoms that appear in this way.\"}\n", "{\"prompt\": \"Um, when you when I was an undergrad in college, I had to make some presentations from time to time, and I would get nervous when I would make the presentations. And I just, I mean, most people are afraid of public speaking so like half out that maybe that's what it was. So you know, just doing a presentation in front of like 30 something people and so it didn't really didn't really bother me letters. I figured it was just normal and always got you know, decent grades. On my presentation so it never really bothered me. So I really feel like it's only been an issue in the last few weeks.\", \"completion\": \"The last few weeks is when you notice that we had we had some nervousness before presenting in college but you just kind of thought of it as normal generally impair your ability to present an effect your grades or anything right. Do you have any other symptoms that you think may be related or even unrelated to what's going on?\"}\n", "{\"prompt\": \"Um I'm not sure if it if it has any bearing. My my mom, she, she I know she doesn't like to speak in public. And I used to talk to her about how I feel nervous about making presentations. School and, you know, shoots Oh, you can buy it on. It's tiny. And, you know, so I don't know if that means anything.\", \"completion\": \"So whatever you have going on, you think that maybe, maybe she has that going on to \"}\n", "{\"prompt\": \"maybe\", \"completion\": \"the same, same set of symptoms, at least. Yeah. I mean, I've asked her, you know, I've told her about this. And she hasn't been in a situation where she's had to, to do this kind of presentations, like in a small group like this. And so I don't, I can't compare it to that. But I mean, she has said that she's gotten nervous before. Any feelings of sadness or anything like that?\"}\n", "{\"prompt\": \"Yeah, like after I do after I make the presentation at work, and then I do start feeling really sad. You know, like I said, because then I feel like my boss isn't satisfied with my performance and that he's gonna regret his decision to give me this position. And so yeah, it definitely makes me sad. I feel disappointed in myself.\", \"completion\": \"Do you have any substance use going on alcohol, anything else?\"}\n", "{\"prompt\": \"And now I have a drink every now and then it's very very rare\", \"completion\": \"and in these I know this is something recent for you but in these meetings so far, has the nervousness ever caused you to leave the room before they came around to your turn?\"}\n", "{\"prompt\": \"No, no, I've I've managed to control it, I guess to where I can stay there. Like I said, I've kind of zoned out some times when other people have been presenting and I feel bad about that too because I feel like they have important information to share with me and I should give them the same respect of paying attention but I'd become focused on on on what's going on inside like my heart eating and the you know, my hands and so I can't I zone out on them sometimes, but But no, I I pushed through it and I do my presentation.\", \"completion\": \"Are you ever worried about what they're thinking about? She mentioned what your boss could be thinking about you ever worried about what the other workers at the table thinking about?\"}\n", "{\"prompt\": \"Yeah, times cuz I feel like you know I'm the newest member of the management team and so I feel like they're kinda like what is up with this chick? I can't she get it together but you know there's there's been one person who's been really supportive and you know, she's been like, Hey, you did great today and great information and things like that. So that kind of helps me feel better. But I guess at the end of the day to me, it's really my boss's opinion that matters because he's my boss.\", \"completion\": \"Have you ever felt you mentioned you're nervous at the beginning of the meeting? Have you ever felt nervous? well in advance of the meeting,\"}\n", "{\"prompt\": \"I'm when I'm preparing Like that morning to go to work, and that's one of those like, Okay, I got this meeting at nine. And I start to think about I like on my way into work and but I don't, I don't start feeling anything until I'm actually in the room.\", \"completion\": \"So have you noticed nervousness, fairly intense? Pretty much only at these meetings. It's been bothering you for a few weeks. something new, something a little frightening for you. We'll get you set up with treatment. I'll get you in to see somebody in next few days. If that works for you. \"}\n", "{\"prompt\": \"Yeah, that'd be great. \", \"completion\": \"And I appreciate you spending this time with me. It's been helpful.\"}\n", "{\"prompt\": \"Thank you.\", \"completion\": \"Thanks, Sasha.\"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"Okay. Yeah. I know when we met last time for your intake. You were concerned about some presentations that you had to give at school. Yeah. And you want to talk about that today?\"}\n", "{\"prompt\": \"Yes. So, in school. I am in school for teaching. And we have to give presentations a lot as you can imagine, on different things and So it's something that's recurring. And what happened was, I gave a really bad one one time. My way of presentation. Yeah, I wasn't feeling very well. And I gave, I think I was just really tired from studying all night and I gave a really bad presentation. And then like now ever since, like when I've tried to give subsequent presentations, I'm just so nervous, and I'm up there like sweating and like starting to forget what I'm gonna say. And I'm just like, a fear of, of getting up there and having to get a presentation because I feel like I'm gonna bomb it.\", \"completion\": \"Alright, so was there a time for like, recently when you had to give presentations?\"}\n", "{\"prompt\": \"Yeah, I mean, like, before and earlier in my life, I'm towards the end of my degree. So you know, throughout program I have.\", \"completion\": \"How would you consider those?\"}\n", "{\"prompt\": \"pretty well, I mean, I consider myself a pretty good student. So normally I do pretty well, it seemed to, you know, come out of nowhere.\", \"completion\": \"So this presentation you gave with that received a poor score, maybe it was just an isolated incident.\"}\n", "{\"prompt\": \"Yeah, like I was saying I wasn't feeling very well.\", \"completion\": \"But that experience has still led to a lot of things anxiety with subsequent presentations,\"}\n", "{\"prompt\": \"oh, yeah. Like, I'm worried about my grades suffering as a result. And you know how long well I'm going to do.\", \"completion\": \"All right. So, would it be okay if we kind of step through the whole process of giving a presentation\"}\n", "{\"prompt\": \"Sure. All right.\", \"completion\": \"Just before I start with that, is this something that leads to anxiety? Like right now or other times are really just in that moment when you're presenting?\"}\n", "{\"prompt\": \"Mostly. It's most intense in that moment. And like maybe like leading up to it, like in preparation that I know that this is going to happen. Like, I always know when I'm going to present like, it'll be like the teacher will say, Oh, well, you know, your this Thursday, someone else's next Thursday. So the closer it gets to that event, the more anxious I am, like in anticipation.\", \"completion\": \"Okay, so you start feeling anxiety. A few days before presentation?\"}\n", "{\"prompt\": \"Yeah, I would say a few days mostly. \", \"completion\": \"When does it start to get really distressing for you?\"}\n", "{\"prompt\": \"like two days before or one day before that? I'm like, Oh, my gosh, like, Am I ready? Like what if I mess up? You know what if Get a bad grade all these like what ifs.\", \"completion\": \"Okay, so would you be okay if we step into this process and kind of break down the steps of the presentation? Alright, so let's so what's one of the classes you're taking now?\"}\n", "{\"prompt\": \"early childhood,\", \"completion\": \"So let's say you have a presentation in that class a few days from now. I just have just a normal presentation. Yeah. All right. So, Let's now move to two days out, where you would start to feel a little anxiety about it. Yeah. What's going through your mind at that two day out point?\"}\n", "{\"prompt\": \"Um, I would say like, Am I prepared enough? Like, did I do enough?\", \"completion\": \"All right. So your thought is, did I do enough preparation?\"}\n", "{\"prompt\": \"Yeah. Which leads to maybe I did is what I'm really thinking like, I'm not prepared enough as I should be.\", \"completion\": \"So that's that's the thought you're having 40 hours before the presentation. I'm not prepared enough. And kind of thinking about that thought. And what happens afterward? Do you have a reaction like any type of emotional, affective, affective reaction to that?\"}\n", "{\"prompt\": \"So at that point, I'm usually like, more like anxious, maybe like irritable a little bit. Mostly.\", \"completion\": \"And that goes substantially unchanged that feeling for how long?\"}\n", "{\"prompt\": \"I'm like The day before it like kind of gets more intense when I'm like nitpicking like, well, I forgot this or I didn't forget this and, you know, remembering what happened last time when I didn't do so well and worrying about my grade, like more thoughts pop in my head of things that I forgot or what if sort of things.\", \"completion\": \"Right, so the same type of thought just more intense, more intense and the feeling is also more intense.\"}\n", "{\"prompt\": \"I was a nurse for 44 years.\", \"completion\": \"Okay. And it was up that kept you very busy.\"}\n", "{\"prompt\": \"It did it did. It wasn't just that I had five children and I helped my husband run of post office. So I was working 70 hours a week in those days because I did two nights night duty they were 12 hour shifts separated. And and then I worked in the shop. So several jobs. So for five years I did that so that was you know, and looked after the children in the house in that year.\", \"completion\": \"Any now that you retired, you do do any voluntary work or\"}\n", "{\"prompt\": \"Yeah, I've got involved with things around the church with visiting the house bound and taking them out and things like that. And I still am one of my daughters decided to get me a job as a transport passenger assistant for special needs. On the many buses that go around needs. Yeah. So they were desperate for them. And she said, you'll be good at that mum. So that was signed you up. She signed me up. Because she worked. She was the manager. So I did that until I was 77. And I also did they 11 weeks of the stewarding for the abrsm music exams.\", \"completion\": \"Yeah. And Have you always been like that?\"}\n", "{\"prompt\": \"Yeah, yeah.\", \"completion\": \"Do you Have a lot of social support.\"}\n", "{\"prompt\": \"Yes, I do. Yeah. Yeah. Well, even more so now now that the children have press gang me into Facebook and WhatsApp. Wow. I mean, it's just, it's just full on around the world now, you know?\", \"completion\": \"You international? Yes, yes. Yes. And I believe that you are an Airbnb host.\"}\n", "{\"prompt\": \"Yes I do. Yeah. So the world comes to me that way. Excellent.\", \"completion\": \"Do you enjoy that?\"}\n", "{\"prompt\": \"And then I'm Facebook friends when they go home apparently in China and Brazil and Rome, and invitations to visit.\", \"completion\": \"And you said you've got grandchildren and great grandchildren. Do you think that intergenerational contact is important?\"}\n", "{\"prompt\": \"Very important.\", \"completion\": \"Why?\"}\n", "{\"prompt\": \"Because you when you bring up children, you haven't time to see the world through their eyes. Or even really listen to them because you're too busy and preoccupied, but then grandchildren come along and more importantly now great grandchildren and seeing the world fresh through these new eyes is just it's quite mind blowing actually. So I've learned a lot. In the old days, grandchildren used to learn the grandparents knee but nowadays it's the grandparents learning at the grandchildren's knees now definitely Oh, yes.\", \"completion\": \"Yes. And do you think it also benefits them to spend time with people of different different generations different ages?\"}\n", "{\"prompt\": \"Well, as I said they don't see it use age you see, yeah, which is very releasing. Because Well, it just is, you know, after the my generation the way I was brought up, to be seen and not heard and to sit in the parlor with a all these old people. And now, money going around flipping parks, you know, they adventure things and they're saying, Come on the slide with us and all this, you know, which I do. Which I do, I don't turn anything down. That's the secret.\", \"completion\": \"not turning things down. Yeah.\"}\n", "{\"prompt\": \"Just always say yes. Yes. Good philosophy, except drugs, try everything. Try everything once.\", \"completion\": \"What's your view on nutrition and kind of, you know, having a healthy diet?\"}\n", "{\"prompt\": \"I think I think the younger generation stress on it too much, far too much. When when do you think that if my generation are living to be 100 and we were brought up with dripping sandwiches, maybe With marbling in blah, etc, etc, full cream milk, all the rest of it. Why get stressed out? You know, just eat everything in moderation and enjoy life for goodness sake.\", \"completion\": \"Yeah. I quite like that phiosophy How do you minimize the effects of stress? Do you have any, you know, did you have any techniques or if something stressful happens? Is there anything particular that you do?\"}\n", "{\"prompt\": \"gin and tonic Oh, okay. I've got a very good thing if I'm really cross with somebody, and I'd really like to speak my mind to them. I'm very good at writing letters. I don't send the letter to them. But I do write it down and get it out of my system. And I keep it in a drawer in case one day, I might need to plunk it down in front of them. But it's You know, it's off, it's out of my head. And if I need to go to the doctor about anything, I will write down what I want to say to him, because I don't believe they listen to you all the time, especially a woman, if it's a man, Doctor, but you know, whichever they think, Oh, god, it's her again, you know? So I think, put this down and smile at him. He's got to read it.\", \"completion\": \"I think you're in your 70s. Do you enjoy being in your 70s? What was your favorite period of you know, in life? If you can, if there's an answer to that?\"}\n", "{\"prompt\": \"No, there isn't. You should just enjoy every day as it comes and not get hung up about age. Yeah, because I'm surrounded by 90 year olds now. And honestly, they're like, nine years old. We have the biggest laughs and they do the silliest things and you know, we feel as if we've been set free from actual age You know, you're a mother set an example to the children, right? Oh, you're a daughter, you know?\", \"completion\": \"So do you think it makes a difference? kind of moving on from those responsibilities kind of times of life. So when you when you are looking after your children? Is that what you mean by you feel a sense of relief later?\"}\n", "{\"prompt\": \"Yes. Because you're not, no one's judging you. Except that you're hanging around too long. But apart from that, yeah, no, it's it's good. I mean, I was brought up by a Victorian father who was a bank manager. And it was always just remember who I am in this town. You know, they were somebody in those days. You're my children. And, and then I went to a convent grammar. Just remember who you are girls, your convent grammar school girl, you know, so it didn't leave much to send it It didn't leave much pressure to Yeah. Yeah. So yeah, there's all these pressures as you're going through life. So it's nice to be and my husband died in his 50s so I had to reinvent myself, which was scary. Very scary after being a wife and mother all those years but my goodness me,\", \"completion\": \"I think it was either earlier this year or last year you did something quite big for a stranger.\"}\n", "{\"prompt\": \"Oh, the kidney donation? Yes. In February.\", \"completion\": \"This year. Yes. You donated a kidney to a stranger.\"}\n", "{\"prompt\": \"Yeah, gentlemen, I believe Yeah.\", \"completion\": \"Wow. How did you decide to do that? We'll find out about that. And then\"}\n", "{\"prompt\": \"I found out on Facebook, okay. Don't ask me what the heading was but I'm already like most people donated after death. You know everything. I mean, I'm leaving my body to leave medical school as well, which hasn't pleased one of my daughters, but there you go. How can we agree with you? You're still hanging around? She said. So. So yes, so some of them were for it. And some of them, some of them weren't\", \"completion\": \"and haven't going through the transplant the operation is quite a big thing to go through.\"}\n", "{\"prompt\": \"And I think all last year, I was doing tests, you know, everything from psychological tests to all the physical tests, and brain scans and everything scanned.\", \"completion\": \"Yeah,\"}\n", "{\"prompt\": \"it was, it was better than 1000 mile service. And I thought, well, I'm doing this for the right reasons. I know that, but who knows, they might find something totally wrong with me. And that's the way I found out so it's a win win situation, I believe. Yeah. And you know that if they do accept you, and I was the oldest one that they've ever had this and it'll last 20 years. Apparently, a kidney can last 20 years. That Yeah, that was good. Yeah. So So win win\", \"completion\": \"I, I think I've asked most most things on my list that I wanted to talk about, is there anything that you think that I've missed that is worth covering in terms of the theme of living well for longer?\"}\n", "{\"prompt\": \"Well, I think if you can do something for somebody else for whatever reason, however tiny the comeback to yourself is, is just huge. But as long as you don't look for that comeback, but it just, it just is Yeah. And it also consolidates the reason why you're still alive that you know that you're not just taking up space on the planet. And that, you know, you should do something nice in January hopefully, tanden, Parrish Don't for Alzheimer's. So that's the plan we're animating\", \"completion\": \"right? To raise money for ALzheimer's without shame this tandem jump out of a player. \"}\n", "{\"prompt\": \"Yeah. Wow. Yeah. Yeah, that should be good. not to take life so seriously right? Well, one You don't know how long you're here four and two nobody's that important to you know, the world you're not the center of the universe for goodness sake, you know, so just get on with things and it's like, I feel sorry with Facebook, you know, if they don't get enough likes, you know, it was ruin the day some people well, this is all false. It smoke and mirrors. One thing a friend did say to me that was very important and very proudly was saying that I now own my own house, you see? And she just laughed and she said, Do you think it really? night? Yes. You know? Oh, you taking it with you? Oh, yeah. She said if you don't own anything, she said it's smoke and mirrors all of it. Yeah, and it's true, isn't it? Yeah. So just laughing get over there.\", \"completion\": \"Thank you.\"}\n", "{\"prompt\": \"Hi, Thank you.\", \"completion\": \" So I don't know how much you know already about sort of my role here and why you're even here. So I thought I'd start by telling you a little bit about myself. Basically, my job is to meet with all of the students I meet with everybody about once or twice a semester, and just talk with you a little bit about how things are going different behaviors that you might be engaging in thinking about any changes you might want to make for your life. If you decide that you do it's not my job to change you. I couldn't even if I wanted to. That's not my role at all. It's really to help you think about, you know, how things are going for you and how you might like making changes or moving forward. That sound okay ?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"All right. So why don't we start by you telling me a little bit about yourself?\"}\n", "{\"prompt\": \"Sure. Um, As you know, I'm Andrea. I am a junior. I'm in the marching band. I played a ceter sacks. \", \"completion\": \"Oh\"}\n", "{\"prompt\": \" I'm also in the band geek. I play you know, in the Wind Ensemble in the jazz band, things like that.\", \"completion\": \"Wow. You really are involved in music.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"When did you start?\"}\n", "{\"prompt\": \"I started playing about 10 years ago, actually. \", \"completion\": \"Wow.\"}\n", "{\"prompt\": \"Yeah, I started on the violin first and then I went on explored a little with the piano clarinet. Finally found the center sacks.\", \"completion\": \"Yeah, very cool. Y've always wanted to be good at music. Alright, so it sounds like you're in band and a few other musical ensembles, any other hobbies you have or things you like to do for fun.\"}\n", "{\"prompt\": \"Um, you know, just hanging out with my friends or go to the beach, things like that.\", \"completion\": \" It's kind of everyday, sort of thing ?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"Tell me a little bit about your family.\"}\n", "{\"prompt\": \"Well, I have one older brother. He's about eight and a half years older than me, my parents and I have a Dog.\", \"completion\": \"Cute. What kind of dog ?\"}\n", "{\"prompt\": \"It's a golden retriever\", \"completion\": \"Oh, nice.\"}\n", "{\"prompt\": \"big boy.\", \"completion\": \"Very funny. All right, and how are things going in school for you? \"}\n", "{\"prompt\": \"Pretty good. Grades have been pretty alright. Still like 3.7 ish.\", \"completion\": \"Okay, great. So you're doing well? What sorts of goals do you have for after college or after high school?\"}\n", "{\"prompt\": \"I'd like to, you know, I'd like to, of course graduate high school, hopefully go to a nice Ivy League school\", \"completion\": \"Ohh Alright.\"}\n", "{\"prompt\": \" or I mean, that might not happen. And then I'd like to go on become a doctor, study psychology, you need to come in psychiatrist or something.\", \"completion\": \"Okay. You have some pretty big dreams. It's great. It's really exciting to think about that and be looking forward to the future and those things.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"All right. Well, one thing I'm going to ask you about is, you know, different people have sort of different things that they really value in their life, whether it's, you know, their cultural identity or their family or their friends or job or hobbies, things like that. Here's the little sheet that goes through just some basic values that might be more or less important to certain people like belonging or sense of community. Again, cultural identity or family, friendship, modesty, religion, respect, self determination and spirituality. So when you think about yourself, which of these are kind of most important to you in terms of your life?\"}\n", "{\"prompt\": \"Um, I think a sense of community and belonging.\", \"completion\": \"Okay.\"}\n", "{\"prompt\": \"I think those two and respect, respect.\", \"completion\": \"Okay,\"}\n", "{\"prompt\": \"Yeah, well, I think community and belonging I kind of related them. You know, I said I was in the marching band, I really, you know, I really enjoy being in like that team setting of, you know, being with other people and all working toward together towards that one goal. And then in terms of Respect I, I kind of view that as one of like, my major, like roles, like I really do think respect is important and to respect myself and respect those around me.\", \"completion\": \"Okay.\"}\n", "{\"prompt\": \"I placed great importance to them.\", \"completion\": \"Okay, great. So sort of being a part of a group and being a part of a team gives you a sense of belonging, like you said, sort of a sense of purpose. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"And then the respect is really sort of all encompassing, not just authority, but respecting yourself, respecting your teammates or your bandmates and other people around you.\"}\n", "{\"prompt\": \"yes.\", \"completion\": \"Okay, that's great. All right. Well, one of the things I want to talk to you about sort of relates to belonging and your friends, so What kinds of things do you like to do when you get together with your friends?\"}\n", "{\"prompt\": \"Um, sometimes if you just you know, go to the movies go to the beach, like I said, or sometimes we just get together at someone's house, play some board games and hang out.\", \"completion\": \"And when you're hanging out with friends, Is there ever alcohol involved.\"}\n", "{\"prompt\": \"Yeah, sometimes,\", \"completion\": \"okay, can you tell me a little bit about how alcohol fits into sort of your social scene?\"}\n", "{\"prompt\": \"Well, it's mostly just for for parties or party settings is kind of to get things going and get everything loosened up, as they say,\", \"completion\": \"Mm hmm. And so when you go to parties, most of the time, there's alcohol there.\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"Okay. And how often do you think you would say you're drinking?\"}\n", "{\"prompt\": \"I'd say I'm on a not busy month, for instance, I'd say about like, two weekends out of the month to three. \", \"completion\": \"So about half the time you're drinking and half the time you're not.\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"Can you tell me what's different about the days when you choose to drink versus not to drink?\"}\n", "{\"prompt\": \"The days that we drink are mostly like I said, they're parties. So it's more of that whole partying and dancing and, you know, having everyone have fun and then when we don't, it's a lot more relaxed. It's a lot more hanging out playing board games, watching the movie.\", \"completion\": \"so it really depends on what the activity is whether or not alcohol is there.\"}\n", "{\"prompt\": \"Yeah, definitely.\", \"completion\": \"Okay? And do you notice a big difference? Or can you tell me about the difference in your enjoyment level at, say a party versus the night you're playing board games?\"}\n", "{\"prompt\": \"I think of them as as different. I think, you know, night in playing board games and things, it's meant to be relaxing. So it's nice to have like that kind of breather. Versus with a party. It's a lot more energetic. It's a after at all, it's very draining. Mm hmm. But in the moment, it's quite fun to dance and have fun.\", \"completion\": \"Okay, so they're sort of pros and cons. \"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"Okay. What are the things that you like about drinking or like about alcohol?\"}\n", "{\"prompt\": \"Um, it's, you know, when we drink, we we tend to have more fun because I guess we're not, you know, everyone's drinking together. We're a lot more loosened up and relaxed, and not really thinking about stresses or things like that. But it can be when it's too much drinking it can be, can be obviously bad. \", \"completion\": \"Okay. So sort of in the too much drinking or at times, can you tell me some of the less good things are not so good things about alcohol?\"}\n", "{\"prompt\": \"A lot of times, it'll make make people stupid. Yeah, you know, people make dumb decisions and things like that we usually try to be as safe about it as possible. So we'll like sleep over a friend's house. And, you know, we're not driving and it's mostly within our friend group. So we're not worried about strangers putting weird things in our drinks. But um, definitely some of the ideas people can have when they're stupid when they're drunk and can be really stupid.\", \"completion\": \"Okay So you're trying to, like you said, not engage in really dangerous activities. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"You're trying to stay put you're not driving or trying to stay with people that you trust. But yeah, it sounds like there's still some some things happening. \"}\n", "{\"prompt\": \"Sometimes Yeah.\", \"completion\": \"can you tell me a little bit about that?\"}\n", "{\"prompt\": \"Well, I especially don't like it whenever me or one of my friends like we drink too much, and we have like throwing up or things like that. I don't. That's not fun. \", \"completion\": \"Yeah. Throwing up is never fun.\"}\n", "{\"prompt\": \"Yeah, its not.\", \"completion\": \"And how often do you think that happens?\"}\n", "{\"prompt\": \"For me that's happened to me once. It was the first time I ever drank. And it was, it was a lot. I didn't know what I was doing. I was mixing all kinds of weird things. And just kind of taking anything anyone gave me. That didn't end well. But after that, I haven't, but I do have friends that that still do sometimes. So I'll end up like having to take care of them or something and it kind of puts it down on my on my fun. \", \"completion\": \"Uh huh. Okay, so on the one side, some of the fun things associated with alcohol are people are just more relaxed, sort of carefree. Let loose a little bit more. On the other hand, there's a little bit more, I guess. Planning involved because you have to make sure that you're doing it safely or as safe as you can. And then there can be some other consequences like throwing up or even if it's not you that sometimes you're stuck. Your fun is sort of ruined when you're stuck dealing with a friend who drink too much. Okay, and the other not so good things about the alcohol,\"}\n", "{\"prompt\": \"people can get a little sloppy, I guess, like they're all loose, like, with people and corners doing things that should be done in private.\", \"completion\": \"That kind of stuff. So you're kind of stuck being exposed to things.\"}\n", "{\"prompt\": \"Yeah, got it. \", \"completion\": \"All right. Well, you mentioned a couple times that you've made a few decisions to try and limit the dangerous aspect of the drinking. Why did you make those decisions?\"}\n", "{\"prompt\": \"I just I you know, have an aunt who is an alcoholic. So I, I see, like the issues that are involved in I've seen movies and things I know that junk drives is an issue. So I, you know, I want to be as safe as possible in those terms and be in a setting where like, we can let loose but still be safe, like someone's house or parents at home or something. But so I like I know that there are dangers involved. And I guess I want to limit that and still be able to have fun, \", \"completion\": \"okay. It sounds kind of similar to your, your value of respect to so on the one hand, you the drinking maybe helps with the belonging community to start. If there's too much, then it sort of defeats the purpose.\"}\n", "{\"prompt\": \"right.\", \"completion\": \"And then with the respect, one of the things you mentioned, is really wanting to respect yourself and not sort of cross boundaries, not sort of cross lines. How do you think that the drinking fits in with that ?\"}\n", "{\"prompt\": \" in terms of what, in terms of respect?\", \"completion\": \"Yes.\"}\n", "{\"prompt\": \"I think, well, in a way, I do think that drinking is probably a form of disrespect to my own body because I'm not putting things I'm putting things And then that shouldn't be there. Okay. And then, but in terms of highways, I am respecting myself I am, I'm respecting myself by like, trying to stay in someone's house and like trying to limit my drinking. So I don't get to that blacked out like that calling up and everything and try to, you know, let loose but still be in control of my behavior. So I'm not going to go to some random person I may into I don't know where to do. I don't know what and things like that. \", \"completion\": \"Okay. So you're sort of looking for that balance? \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"How much you can drink to have some of the positive benefit, but not crossover. Okay. And what have you come up with at this point? Do you have sort of a limit that you stick to or ?\"}\n", "{\"prompt\": \"I usually will I start off by making sure that I make my own drink so I know what's in it and how much isn't it so that way I control how much I drink. So I'll usually just, you know, get one of those. cups and then make one drink. And then I'll try to make it last as long as possible. And I'll be like, Alright, this is my one drink, and I'm good. And that way, I still have something in my cup. So people aren't going to be like, oh, here have some more like, No, I'm good. I have mine. And I'll still be, you know, having some to like, let loose a little.\", \"completion\": \"And do you feel like that's working pretty well for you? Or do you sometimes exceed that limit? Or, or what do you think ? \"}\n", "{\"prompt\": \"for the most part, it works pretty well. Because like I said, people, you know, if people come asking you trying to pressure me, I'll be like, No, I'm good. I have, you know, I still have some, like, I'll get some later and then never end up getting anything. But sometimes they'll be like, hey, let's take a shot and everyone's gathered around like the kitchen or something ready to take a shot. And then at that point, I'll be like, Oh, well, maybe I can take one more. And that's when I start, you know, falling into, too much. \", \"completion\": \"So a portion of the time it's working well for you and another portion of the time you Maybe you, like you'd like to make some adjustments to make it a little smoother. Okay, so kind of thinking along those lines, how important is it to you to make some changes or make some adjustments to your drinking to sort of fit with your values and your goals for yourself.\"}\n", "{\"prompt\": \"I'd like to make sure that I, you know, in terms of respecting myself, my body, I'd like to, you know, try to drink less, okay, like a, you know, it is nice to let loose and have fun, but I'd also like it to be so, you know, I'm not damaging my body and I, like my liver doesn't work by the time I'm like, 22. And, you know, have my friends on board with a similar mentality so we can kind of work at it together as a group as a community. \", \"completion\": \"Uh huh. So kind of combined goals.\"}\n", "{\"prompt\": \"Yes\", \"completion\": \"Okay. So you're you have a goal. It sounds like actually cutting back on your drinking. How important is it to you to work on that goal on on a scale of one to 10 Where one is not at all important. And 10 is it's the most important thing right now.\"}\n", "{\"prompt\": \"I'd say about like, like a six or seven. Oh, like to work on it. But, you know, if I get around to it I get around to if I don't I don't. Hmm. \", \"completion\": \"Well, why'd you say six or seven rather than like a four? \"}\n", "{\"prompt\": \"Um, because I still think it's, it's important. Uh huh. I still you know, like I said, I don't want my body try especially going to med school like I know how things affect your body and also affect your, your social and your schoolwork and things like that. I know that once I get to college, it's not it's not gonna gonna work out being you know, drinking every weekend and then like, trying to wake up early and go to school, take an exam, like, I know, that's not that's not feasible. It's not a good idea.\", \"completion\": \"Yeah, looking ahead. You can't keep drinking this way and reach the goals that you have for yourself. Okay. Well, how confident are you that you could cut down if you wanted to, I think on that same scale from one to 10\"}\n", "{\"prompt\": \"I think if I made the decision that I was going to for sure, then I think definitely like a 10 I know I can.\", \"completion\": \" Oh, wow. Okay, why do you say 10? \"}\n", "{\"prompt\": \"It's just because I know that once I make the decision, I know I can do it. Uh huh. making the decision in the first place.\", \"completion\": \"okay, and so you mentioned, you know, quite a few reasons why you would like to cut down. Have you thought at all about how you might go about doing that.\"}\n", "{\"prompt\": \"Um, I'm thinking of maybe like, trying to convince my friends without sounding you know, dorky or something, be like, Hey, you know, let's just stay in today. Like, let's not go out or something. Or just be like, Hey, I'm not like, I'm not gonna drink today. And then even if my friends do like being okay with them, drinking around, not doing it and then then being okay with me, drinking, me not drinking and then doing whatever they want.\", \"completion\": \"So sort of Trying to plan more activities that don't involve alcohol, and then also trying to participate in activities without drinking yourself or maybe even drinking less than you're drinking. Okay. Does that sound like a goal you want to work on now or ?\"}\n", "{\"prompt\": \"I think so I think it's, it's very feasible. I think it's possible.\", \"completion\": \"Okay. So I guess we'll talk about less alcohol activities. I'm just making some notes to myself and then maybe reducing the amount of drinking that you're doing if alcohol is involved. Okay.\"}\n", "{\"prompt\": \"I think so. That's good.\", \"completion\": \"Does that sound like something you'd like to do?\"}\n", "{\"prompt\": \"Yash\", \"completion\": \"Okay. Well, I really appreciate you spending the time talking to me and you know, it sounds like you have a lot of really good goals for yourself really ambitious goals and going to medical school, and You know, becoming a psychiatrist or some some other form of physician, you're really looking forward to doing well in school so you can get there. And it sounds like you have a pretty active social life and a lot of friends who you feel probably would be supportive even if you cut down on alcohol. And that, you know, there's a lot of benefits you see both to your body in your health, your school performance, and even some of the social stuff in terms of feeling a sense of belonging without having to deal with some of the gross consequences of drinking too much. \"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"So yeah, you know, it really sounds to me like you have a good plan in place. And as long as you're willing and interested in meeting again, I'd be very excited to be able to talk with you about how it's going.\"}\n", "{\"prompt\": \"Yeah, I like it.\", \"completion\": \"Alright, great, so I'll plan to see you then in a few more weeks.\"}\n", "{\"prompt\": \"Okay. All right.\", \"completion\": \"Okay. So I'm going to read a series of questions and ask you to do some different things. And this will just take a few minutes. Okay. All right. So what is today's date?\"}\n", "{\"prompt\": \"I think it's the 10th\", \"completion\": \"10th. What is today's year?\"}\n", "{\"prompt\": \"2016\", \"completion\": \"what is the month?\"}\n", "{\"prompt\": \"It's January is 2017 into January.\", \"completion\": \"What day is today?\"}\n", "{\"prompt\": \"It's the 10th.\", \"completion\": \"Can you also tell me what season it is?\"}\n", "{\"prompt\": \"Christmas.\", \"completion\": \"Can you also tell me the name of this clinic?\"}\n", "{\"prompt\": \"I saw it when I came in. I don't remember.\", \"completion\": \"What floor Are we on?\"}\n", "{\"prompt\": \"red\", \"completion\": \"What city are we in?\"}\n", "{\"prompt\": \"Dover, Dover.\", \"completion\": \"What County are we in?\"}\n", "{\"prompt\": \"Dover County.\", \"completion\": \"Dover County? What state Are we in?\"}\n", "{\"prompt\": \"Delaware.\", \"completion\": \"So, I'm going to test your memory. I want to read these three words. And I want you to repeat them back to me.\"}\n", "{\"prompt\": \"Okay. All right.\", \"completion\": \"Ball, flag. Tree. Can we get those back?\"}\n", "{\"prompt\": \"Um, ball, frog.\", \"completion\": \"Let me do that again. Okay. Ball, flag and tree.\"}\n", "{\"prompt\": \"Ball flag and tree.\", \"completion\": \"All right. I want you to remember those because I'd ask you to repeat them again later on.\"}\n", "{\"prompt\": \"Okay. All right.\", \"completion\": \"Can you begin with the number 100 and count backwards by seven?\"}\n", "{\"prompt\": \"Okay, so 100 193\", \"completion\": \"continue\"}\n", "{\"prompt\": \"85 79 72 65\", \"completion\": \"Okay, that's good.\"}\n", "{\"prompt\": \"Thank you.\", \"completion\": \"Can you spell the word world backwards?\"}\n", "{\"prompt\": \"LR no\", \"completion\": \"Right? I want you to name the three words that I asked you to remember a few moments ago.\"}\n", "{\"prompt\": \"Fall\", \"completion\": \"Okay, let's take that was it Can you tell me what this is? \"}\n", "{\"prompt\": \"A watch a watch. \", \"completion\": \"Yeah. Can you tell me what this is?\"}\n", "{\"prompt\": \"Pen\", \"completion\": \"I'm going to say a phrase. I'd like you to repeat it back to me exactly as I say. Okay, all right. phrase is No ifs, ands, or buts.\"}\n", "{\"prompt\": \"No if and buts\", \"completion\": \"Are you right handed or left handed?\"}\n", "{\"prompt\": \"right handed.\", \"completion\": \"I'd like you to take this piece of paper from me in your right hand. fold the paper in half and put the paper on the floor. Okay\"}\n", "{\"prompt\": \"Can only fold it with my right hand.\", \"completion\": \"You can use both\"}\n", "{\"prompt\": \"Just anything?\", \"completion\": \"any any complete sentence\"}\n", "{\"prompt\": \"I'm gonna have to, you know, hear what my coworkers have to say about what's going on. I might make another mistake. Who knows if I'm going to find out that something terrible happened to these kids when I go back to work? I guess a lot of stuff like that.\", \"completion\": \"So looking into one I'm going to make a mistake. That kind of connects to what we were talking about before it says the uncertainty, you're not sure of your own skills and you're afraid of an error that's going to be costly. So when you think that thought, I'm gonna make a mistake, so this is when you're, when you're in bed before you start your day, and you have that thought, what happens right then?\"}\n", "{\"prompt\": \"I feel more anxious. You know, I think about like, what could happen to somebody else if I make a mistake, like kids going to the wrong home or, you know, not being with their parents when their parents you know, we're not doing anything wrong. And I just feel really like overwhelmed and it gets hard to breathe and I just want to go back to sleep and not have to face anything.\", \"completion\": \"So there's emotional consequences. And then the behaviors. You don't want to get out of bed.\"}\n", "{\"prompt\": \"And then a lot more lately because I have trouble getting out of it.\", \"completion\": \"When you're staying in bed, are you under more thoughts coming up? So this is really weighing on you. And he was edified these thoughts that seem to be connected with feelings that are unpleasant, and behaviors are unpleasant, but also maybe not useful.\"}\n", "{\"prompt\": \"Yeah, they're keeping me from getting the work and stuff like that.\", \"completion\": \"So we have a reference point for later on as we continue counseling. I'd like to scale this problem like maybe on a scale of one to 10, where 10 represents feelings that are nearly unbearable, right? And one not really a problem. How do you feel on that scale? Where do you rate yourself right now?\"}\n", "{\"prompt\": \"Right now in this moment, probably like a five. Around the middle. Yeah, like I'm really stressed out but I not like when I'm in bed, like I can't get out of bed, that kind of thing.\", \"completion\": \"How would you rate yourself when you're in bed before you go to work? \"}\n", "{\"prompt\": \"Probably like an eight.\", \"completion\": \"So an eight sometimes nine, right now five, so still not feeling great. Have you had to pick an emotion of standing out above the rest in anxiety, sadness, sense of dread. What would be the worst right now?\"}\n", "{\"prompt\": \"Right now probably anxiety.\", \"completion\": \"So five, on a scale 10 inside is really standing out more\"}\n", "{\"prompt\": \"Thank you.\", \"completion\": \"Hi. How are you today?\"}\n", "{\"prompt\": \"I'm feeling fine.\", \"completion\": \"You're feeling good. It was great. All right. So, before we go into our session, let me tell you about myself. First, my name is Rashia Fauzia and people usually call me Rashi and you can call me by that name. And today I'm going to be your counselor for this session. Okay. Yeah. Okay, so one more thing I need to let you know is that everything that we're going to be sharing between the both of us is going to be confidential. So you don't have to worry about telling me all your stories.\"}\n", "{\"prompt\": \"Yes, fine. Yeah, taking some notes. \", \"completion\": \"Okay. See if that's clear. Now to begin this session. Maybe you can tell me about yourself.\"}\n", "{\"prompt\": \"Okay, so my name is Anya, and I'm 20 years old. I'm currently my sixth semester at Emory University. And we just came back from my exchange to manager in the Netherlands.\", \"completion\": \"Well, that's great.\"}\n", "{\"prompt\": \"Okay. So ever since I got back from my exchange semester Actually, I've been feeling kind of anxious about graduating later than my friends because of the exchange semester itself. Because I need to take some extra subjects and that means I need to take an extra semester too. So the biggest possibilityis that I'm going to be left behind from all of my peers. So, that kind of make me anxious and yeah, I'm kind of butterflies at the back.\", \"completion\": \"Okay, so you're saying that you're feeling anxious and you're worried that that you're going to be left behind by your friends? The fact that they're in their graduate before you. So what is exactly bothering you is that you know, you think your friends are gonna all gore or the things that you need to catch up with some subjects that you left for your exchange program?\"}\n", "{\"prompt\": \"Well, yeah, oh, the first one is because that I'm not ready yet to be left with all my friends, and then also because if I need to take an extra semester then it also means that I need to pay an extra tuition for the semester, right?\", \"completion\": \"Oh, I see. Okay. Are you paying your tuition for yourself? Or is anybody supporting you?\"}\n", "{\"prompt\": \"Well, no, my parents paid for me.\", \"completion\": \"Okay. Your parents? \"}\n", "{\"prompt\": \"Yeah. And that's why I feel bad for them to so that they have to pay for my tuition or a nice dry semester when actually it should be done in this like in my semester, but it's taken me years. Okay.\", \"completion\": \"But but does your parents know that they are has to pay another extra semester?\"}\n", "{\"prompt\": \"Um, no, I haven't. \", \"completion\": \"You haven't tell them?\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"Do you think you will tell them?\"}\n", "{\"prompt\": \"Yeah, I think probably I should tell them. \", \"completion\": \"Yeah. And how do you think they will react to like, how can you think?\"}\n", "{\"prompt\": \"Well I don't think they will be mad or something, I think. I think they will be just fine with paying for another semester, but it's just that I feel I feel bad for them \", \"completion\": \"Yeah, yeah, I understand. Okay. So, um, regarding tuition fee, you already know, you already aware that your parents are using that they're not going to be you know, taking it very seriously and you know, that they're gonna be just fine. That they have to be another extra semester for you. Okay, so relating to The thing that you mentioned before, what about now you're conditioned that you have to catch up with some of the subjects that you left behind for your exchange program. Are you doing okay with catching up with the subjects?\"}\n", "{\"prompt\": \" Well, yeah, actually, I I don't have any particular difficulties in catching up with the subjects. And yeah, I think I'm doing just fine. \", \"completion\": \"You're doing just fine. All right. Okay. So from the story that I've heard from you, what I get is that your parents have no burden that they have to pay another extra tuition for one extra semester for you. Yeah. And that you're also catching up with your subjects just fine. There's no problems. Right. Yeah, that's true. Okay, and one more question. What about your thesis preparation?\"}\n", "{\"prompt\": \"Well, actually, for this semester, I already taped This is preparing some Yeah. And I am done writing my first chapter.\", \"completion\": \"Okay. All right. That's, that's great. So you've, you've started out pretty well. So you already finished your first chapter. Mm hmm. Okay, so now summarizing, from all the stories that I've heard, the only issues I think that you're anxious and you're worried that you're going to be left behind by your friends. Yeah. And if I may suggest you I think you can, you know, write down the things or like make lists, the things that you've been done great during your seven year bachelor degree. Yeah, yeah. Cuz you know, right all year because you're, you went for an X Change program, and that's something to be proud of. You don't have to worry about you know, you have to catch up with the subjects and stuff because you can great jobs. You will On an exchange program, and maybe other friends that are going to be graduating soon be don't have the same experience as you are. So it's something that he has to be happy about. Okay. And maybe regarding your thesis preparation, if I suggest you you can make a timeline for your preparation so that you can visualize really about your exact plan towards graduating. So maybe it can also help you graduate faster. You know, it's possible. Yeah. Yeah. Like you can make. Maybe this month, I'm going to be I mean, you're going to be finishing chapter one and then go on until the last chapter. Does that sound good? No. Yeah,\"}\n", "{\"prompt\": \"I think that's a great idea.\", \"completion\": \"Yeah, yeah. So do you have any other questions regarding our session today,\"}\n", "{\"prompt\": \"I don't know. I don't think so\", \"completion\": \"Okay, that's great. Okay, so what I want you to do for the next session of our counseling, maybe you can already make the list of things that you've been doing great University in your bachelor degree. And also the second thing, you can make your timeline for your a thesis preparation. And then on the next meeting, you can show that to me, and then we can discuss whether that actually will help you really senior, you know, anxious anxiety and worried about your graduation. Okay. Yeah. Does that sound good? Yeah, I think that that's a great idea. All right. So thank you so much for today's session. Yeah. Yeah. Yeah. Thank you. So we'll meet again on the next meeting.\"}\n", "{\"prompt\": \"I mainly just drink whenever I'm at parties or whenever somebody hands me a beer i'll i'll take sips every now and then. But it's not something that I feel hovers around my life.\", \"completion\": \"It's kind of a social thing for you not like a major priority. Yeah. How much do you think you're drinking?\"}\n", "{\"prompt\": \"I guess I would say like every other every other weekend, maybe every every two weeks. On occasion, maybe There's a basketball game going on or a football game I'll have a beer just to drink with my boys. But other than that, I don't really see it as much of a of a problem.\", \"completion\": \"So you're drinking maybe half the time depending on what's going on that weekend.\"}\n", "{\"prompt\": \"Yeah, I guess you can say that.\", \"completion\": \"Well, how would you describe the difference between weekends when you drink versus ones when you don't?\"}\n", "{\"prompt\": \"When I'm not drinking, I'm usually more like, involved in doing like more productive things like I I try and do more schoolwork whenever I have the time or whenever I like I can go workout or something just to like, when whenever I'm drinking, I devote my time to just letting loose and having fun and just relaxing with friends. Okay,\", \"completion\": \"so you you feel like you get more stuff done on weekends. When Don't drink, but maybe you don't feel like you can relax as well.\"}\n", "{\"prompt\": \"Yeah, I mean, I, whenever I'm drinking, I know that I'm devoting time to, to not doing other things. So I try and make it so that I don't allow myself to pile on so much work. So I try and, like get work done before, but I know that drinking gets in the way of productivity. So I try and minimize that as much as possible.\", \"completion\": \"You're trying to be responsible and get your stuff done. Yeah. Knowing that the drinking is gonna make it harder. Yeah. Okay. And it sounds like are you getting everything done or some stuff sort of slipping when you drink?\"}\n", "{\"prompt\": \"Yeah, I guess when I drink some things do slip a little bit. But just because like when I'm drinking, I'm, I'm not really focused on what I have to do. I'm focused on the moment and just enjoying the time that I have at that time. And it's really something that I just it's something of an like a pleasure givers like and enjoying a joint enjoyment type of thing.\", \"completion\": \"What are the things you enjoy about the drinking?\"}\n", "{\"prompt\": \"Just the way that it, it's sort of like liberates you and makes you it makes you feel like a more confident, more energetic person that you don't feel like yourself you feel like a different version of yourself. And it's something that you it, it's just empowering to a degree.\", \"completion\": \"Okay. So you feel liberated or kind of more confident in some ways? Yeah? Okay, are there any not so good things about drinking.\"}\n", "{\"prompt\": \"Um, whenever I drink too much, I sort of lose control of myself and I I just like the aftermath of whenever I drank too much or whenever my friends mixed drinks and it just has a harmful effect on my body. That's probably one of the major drawbacks that I had from drinking.\", \"completion\": \"What kinds of things happen?\"}\n", "{\"prompt\": \"I mainly when when I puke or it's just the the feeling that I get in my stomach, if I drink too much is just very overwhelming.\", \"completion\": \"Like you notice in your body, how much do you think is the most you've ever drank in one time?\"}\n", "{\"prompt\": \"Wow, I would say probably at a friend, one of my friends had a birthday party recently. And he wanted to let loose was it was just the all the guys were together and they had a couple of friends over and it just turned into one big party and I just I lost it. I drank way too much I would say like probably a bottle or two and just some beers along the way. I got to a point where I lost count\", \"completion\": \"that was out of the ordinary For you to discount, what's a more typical amount that you drink?\"}\n", "{\"prompt\": \"I don't let myself drink more than three or four beers on a given night. Just because I know I'm, I've gotten to the point where I sort of know my limit. But I kind of flirt with my limit just to see how far I can go. And I think that that sort of is very dangerous to play with fire, but I want to see how far I can go. Just so I know not to go that far.\", \"completion\": \"Got it. So you're you're sort of testing and pushing it in. Yeah. And sometimes crossing that limit and having some of the consequences that you mentioned.\"}\n", "{\"prompt\": \"Yeah, just so I know how it feels now so that later on when this The situation is more drastic and more out of control. I know what I can do and where am I limit is it you?\", \"completion\": \"Well, kind of along those lines Looking ahead, you know, five years from now, what do you see as a goal for yourself\"}\n", "{\"prompt\": \"in terms of career wise, in terms\", \"completion\": \"of what do you think you'll be doing in five years,\"}\n", "{\"prompt\": \"and I would love to be. I would love to travel, I would love to see the world for what it is. And I've always seen pictures and videos of how the world is, but I've never really experienced that, like, I've always wanted to travel to Europe or, or China or something or someplace like that. So I can really experience the world that we live in.\", \"completion\": \"So getting a full experience is really important, too. It sounds like throughout your life, you know, you talked about wanting to make the most of your high school experience. And now you're looking at how you can enrich your life in other ways. How do you think drinking too much would fit into, you know, being able to experience life to its fullest?\"}\n", "{\"prompt\": \"I guess it could interfere with allowing myself to feel the effects of living life to the fullest. But I wouldn't want to tamper with drinking too much. Like, often, just because I'm I know, I've seen the consequences that drinking has on people and I know that I would never want to get to a degree where I need to drink constantly, every single day. I don't want to ever get to that point. \", \"completion\": \"Okay. So just to kind of summarize what you've told me so far, you're you're drinking pretty regularly, but you are trying to limit yourself you feel like three drinks maybe is probably the maximum that you can drink before you're having some of these negative consequences. And you feel better if you limit yourself to three or less,\"}\n", "{\"prompt\": \"yeah, feel more in control\", \"completion\": \"and then kind of looking ahead. You don't want to Find yourself being someone who's drinking all the time or someone who feels out of control with their drinking that you've seen that maybe in other people's lives, and it's not appealing to at all. And and you do have some big goals for your life that you want to achieve, that drinking too much could also interfere with. So where do you think you want to go from here with with regard to your drinking?\"}\n", "{\"prompt\": \"Maybe now that I know, my limits to an extent, I kind of don't want to push it. So, so much. Now that I know what I can do and where I can go. I would like to mitigate that as much as possible. I just want to I want to have fun being me. But I don't want me to be influenced by alcohol. So much. Like I want to live the sober life to an extent, but I know that alcohol is just gonna tamper with it.\", \"completion\": \"So for right now It feels like a reasonable goal for you would be to sort of limit your drinking and make sure you're, you're stopping three, for example, or maybe even limiting the number of times that you're drinking.\"}\n", "{\"prompt\": \"Yeah. And like not, like not drinking, like in the mornings or just just strictly for social purposes like not just to not have it around, like, I don't want to have it like in my fridge, if my parents have it. I don't want to I don't want to have to deal with it. \", \"completion\": \"Okay. What do you see as some benefits to that?\"}\n", "{\"prompt\": \"benefits and\", \"completion\": \"sticking to those limits?\"}\n", "{\"prompt\": \"I guess I could definitely be, I could live a more fulfilled life to an extent like I could possibly be more productive, more efficient in my work and where I can possibly be in the next few years of my life. And I think that by not drinking, I will definitely have a better effect on my life.\", \"completion\": \"Yeah, I think taking steps to limit and cut back on your drinking is a really good idea. And I really appreciate you taking the time to talk with me about it and being open and honest question. You know, if you don't mind, I would like to talk to probably about this in a couple weeks or a couple months and just kind of check in how things are going. Right. All right. Sounds good. \"}\n", "{\"prompt\": \"Yeah, I've been feeling really low and I think I might be depressed. \", \"completion\": \"You think you might be depressed? Have you ever felt this way in the past?\"}\n", "{\"prompt\": \"I mean years ago I you know, felt had some of these similar things. But I didn't really think about it much and I mean, it's gone on for like, I've been feeling this way for like a month. And, you know, I I think something's wrong.\", \"completion\": \"having any feelings of sad sadness, hopelessness?\"}\n", "{\"prompt\": \"Yeah,\", \"completion\": \"yeah?\"}\n", "{\"prompt\": \"Yeah. I haven't been able to sleep.\", \"completion\": \"trouble sleeping?\"}\n", "{\"prompt\": \"This has been going on for a month. Yeah\", \"completion\": \"Have you noticed a change in your ability to experience fun or pleasure?\"}\n", "{\"prompt\": \"I haven't really thought about it. But I mean, I still have fun sometimes. I just noticed that most of my\", \"completion\": \"most time you're sad, but you still have fun. Have you lost an interest in pursuing things that are fun?\"}\n", "{\"prompt\": \"No, I mean, I still try, you know, you know, to distract myself. Like if I noticed that I'm like, just feeling really low and or like, even if I can't sleep At night, like I'll do go do something that I like doing. You know how to pass the time?\", \"completion\": \"Any change in your appetite or weight in the last couple weeks?\"}\n", "{\"prompt\": \"Yeah, I mean, I haven't really been eating that much. And I've actually lost a few pounds. Yes, three pounds. Yeah.\", \"completion\": \"And you mentioned the sleep disturbance not been sleeping as much as you'd like to?\"}\n", "{\"prompt\": \"Correct. It's really hard for me to fall asleep. And sometimes I'll just lie there for hours at night and it's, you know, awful focused, and I'm tired all day, because I didn't sleep at night. And when I get home and it's time for bed again, I still can't fall asleep.\", \"completion\": \"So that's been affecting your energy level?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Do you feel restless or the opposite kind of slowed down and having either one of those feelings.\"}\n", "{\"prompt\": \"No, not really like that\", \"completion\": \"have been having any feelings of worthlessness?\"}\n", "{\"prompt\": \"No.\", \"completion\": \"like that?\"}\n", "{\"prompt\": \"no, I mean, like not really no, like, I don't feel worthless. I just you know, I just I'm still sad. I don't know why I'm sad. \", \"completion\": \"How about your concentration level any changes there?\"}\n", "{\"prompt\": \"Yeah, it's it's hard to concentrate at work and, and in general even at home because I just am so tired. not sleeping and tonight I just get distracted by like, you know, like, I'll be over, come with emotion and I out of nowhere, like it's hard for me to pay attention to what I'm doing. If I'm getting distracted by those thoughts.\", \"completion\": \"Have you been having any thoughts related to death or dying?\"}\n", "{\"prompt\": \"Nothing like that. No.\", \"completion\": \"So these symptoms you've been describing, have been causing limitations in your functioning in what areas\"}\n", "{\"prompt\": \"what work at home to I want to play with my cat I usually like my cat for like an hour every night, just because I'm at work all day but I haven't I've been having trouble like even doing that. Yeah, so I would say and then even like my relationships to like my social life, it's been affecting it.\", \"completion\": \"Any drug or alcohol use?\"}\n", "{\"prompt\": \"NO\", \"completion\": \"How about any medical conditions?\"}\n", "{\"prompt\": \"Nothing\", \"completion\": \"see or hear things other people can't see or hear?\"}\n", "{\"prompt\": \"No.\", \"completion\": \"Has it ever happened to you?\"}\n", "{\"prompt\": \"No. Never\", \"completion\": \"do you feel now recently wherever you're at a state where you're cheating too happy, like had a lot of energy and \"}\n", "{\"prompt\": \"like make mania,\", \"completion\": \"like mania? Yeah. Nothing like that. Ever. Has there been any major event in the last month? Or maybe before that did you think might be causing this\"}\n", "{\"prompt\": \"nothing Nothing's in there significance happened to make me feel this way\", \"completion\": \"other than you think would cause depression. Sherry, I'm going to get you in to see a counselor here. Just take a couple days to get you in. Is that okay? I want to thank you for answering these questions. For me. This has been helpful.\"}\n", "{\"prompt\": \"I'm okay,\", \"completion\": \"you're okay. Glad to hear that. Yesterday, when you're here at the agency, you took a few different tests. Remember that?\"}\n", "{\"prompt\": \"I did.\", \"completion\": \"One of the tests you took is called the SCL 90, the symptom checklist 90. Do you remember taking that test?\"}\n", "{\"prompt\": \"I think so.\", \"completion\": \"It's 90 items. And they are ranked\"}\n", "{\"prompt\": \"asked me like true and false questions?\", \"completion\": \"Not true and false are numbers that you solve.\"}\n", "{\"prompt\": \" Oh, okay. I do remember that. Okay.\", \"completion\": \"So I have the results from that test. I want to review some of those findings with you. \"}\n", "{\"prompt\": \"Okay. All right. Sure.\", \"completion\": \"So this particular instrument has a number of what we refer to as sub scales. So these are areas that are measured by the instrument, right? For example, depression or anxiety. So I'm going to review a few of these sub scales, ones where you scored a little higher than we might expect. And just review those with you and see. See what you're thinking we can talk about.\"}\n", "{\"prompt\": \" Okay, are you recording this? \", \"completion\": \"No\"}\n", "{\"prompt\": \"Are very worried about that?\", \"completion\": \"Is it what makes you think I'm recording?\"}\n", "{\"prompt\": \"Because that happens to me a lot.\", \"completion\": \"It happens to you a lot that you get recorded. \"}\n", "{\"prompt\": \"I think so. Yeah. Yeah.\", \"completion\": \"Remember the last time it happened?\"}\n", "{\"prompt\": \"You probably yesterday\", \"completion\": \"And you think you were recorded while you're taking this?\"}\n", "{\"prompt\": \"probably. Yeah.\", \"completion\": \"That sounds worrisome. That's that's a feeling you get a lot that you're being recorded.\"}\n", "{\"prompt\": \"I worry about it a lot.\", \"completion\": \"You worry about it a lot.\"}\n", "{\"prompt\": \"But you know, it's happening. That's why I worry about it.\", \"completion\": \"You're certain that's happening?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Where you're not being recorded now. I know. It probably feels like you are, but you're not. Okay. \"}\n", "{\"prompt\": \"Okay. But I appreciate you bringing up that concern with me. I think so in school,\", \"completion\": \" in school, right? I that would make sense. So, say for instance, you had a percentile rank of 65% Right percentile, that would mean that your score is equal to or higher than 65% of people that took that test. Okay, so that makes sense. So if you took a test on math or English, and you would say 75 percentile, you'd be higher than three quarters of people took the test. 75% Okay, understand? Does that make sense? I think so. Okay. If you want me to come back to that later, just let me know as I go through if it doesn't make sense, okay. So areas here on on the SCL results, or you were a bit higher than we would normally see. A one is the phobic anxiety scale. on that one, you were about 64 percentile. So your score was as high or higher. Than 64% of people who take it \"}\n", "{\"prompt\": \"to more than half the people in the population,\", \"completion\": \"more than half the number and half the people in the same situation as you in outpatient mental health treatment.\"}\n", "{\"prompt\": \"So I have more phobic anxiety than most people.\", \"completion\": \"It does seem that way. Yeah. So this construct would measure things like being afraid of going out being afraid of being a crowds. Does that connect with you? Is that seem like a fear that you have?\"}\n", "{\"prompt\": \"Yeah. Okay.\", \"completion\": \"Tell me about that.\"}\n", "{\"prompt\": \"I don't like being on public transportation. Hmm. And crowds make me nervous. If I ever have to public speak, I feel like I'm just going to pass out.\", \"completion\": \"So it does appear you have kind of phobic anxiety symptoms. So that that score today that 64 percentile. That kind of makes sense.\"}\n", "{\"prompt\": \"I kind of get that\", \"completion\": \"I want to move on to the next one, which is paranoia. On this one, you were at the 84th. percentile. So quite a bit higher.\"}\n", "{\"prompt\": \"Is that why you were recording me?\", \"completion\": \"But this, this wasn't recorded, nothing was recorded here. Understand that's a worry that you have.\"}\n", "{\"prompt\": \"Are you going to share those results with anybody?\", \"completion\": \"in your particular case, the only people will be shared with this the rest of the treatment team and anybody that you sign a release for,\"}\n", "{\"prompt\": \"but if the government asks you, you'd have to give them those results.\", \"completion\": \"There's no reason right now I did that there are certain limits to confidentiality. But in your situation here at this clinic, there's no reason I would share this information with the government or, or anybody else other than people indicated. So the rest of the people here to treat you. And if you wanted to release the results to somebody, you could sign a release I would let them have the results.\"}\n", "{\"prompt\": \"Well, I'm worried that I know people are recording me. And I think that that results shows that I know that's happening. And now, you want to make it look like that means I have a problem. When I'm just reporting what I know is true.\", \"completion\": \"Well, I assume you're worried that\"}\n", "{\"prompt\": \"no, I think that I know these things are happening. But this test says that I'm wrong to think that it makes me paranoid.\", \"completion\": \"Oh, I understand. Okay. So these things are really happening. Yeah. Right. But the test is arranged so that it's making it look paranoid when you're not exactly\"}\n", "{\"prompt\": \"Exactly. Okay.\", \"completion\": \"So that would explain why your score is elevated on the scale. Okay. Is that? Is that what you're thinking? \"}\n", "{\"prompt\": \"I do. Yeah.\", \"completion\": \"And I wanted you to know that. I appreciate you telling me that. Do you think it's possible that it's working the other way around that the test is measuring something that is actually there?\"}\n", "{\"prompt\": \"No, I don't think so.\", \"completion\": \"You don't think so. Okay.\"}\n", "{\"prompt\": \"I understand that. I'm higher than most people.\", \"completion\": \"you believe their situation is different than yours. Okay, I understand. So the last area, the last subscale I want to discuss this one global scale on discuss. Glass subscale is one that's referred to as psychoticism. And there you are at the 93rd percentile. And that's when maybe you can hear things other people hear or see things that people don't see, or have beliefs or thinking that are far outside the norm and can't be supported by evidence. They feel like that's happening to you.\"}\n", "{\"prompt\": \"Are you going to put me away?\", \"completion\": \"There's There's nothing here that would indicate that I'm gonna put you away or center anywhere. Yeah, I just really this The purpose of this is just to discuss the results to make sure you understand kind of how these inform our treatment of you. Like so we're gonna provide treatment to impart based on these results.\"}\n", "{\"prompt\": \"Sometimes I hear things other people don't hear.\", \"completion\": \"Okay, so this is a this is a score that makes makes sense to retake the test might be right.\"}\n", "{\"prompt\": \"Maybe that's true. Maybe that's true. Okay, but I am being recorded,\", \"completion\": \"but you believe you're being recorded, you're starting to that.\"}\n", "{\"prompt\": \"close to normal.\", \"completion\": \"Well, a little bit higher than we want to see.\"}\n", "{\"prompt\": \"Me I don't like to go out much.\", \"completion\": \"So at the Paranoid if that if that scale was accurate, in your estimation, your global severity might be lower, I think, yeah. Closer to the 50 percentile, I think. So, even if you were closer to the 50 percentile, you can To understand how we're concerned that your symptoms are somewhat severe, and we want to make sure we deliver treatment to address that. Sure. Is that okay?\"}\n", "{\"prompt\": \"It is. Okay.\", \"completion\": \"So I will meet with the counselor that will be treating, you're here, and I'm going to go over these scores now explain to her what you've explained to me. Okay, in terms of why you think you might have received the score. Okay, I'll go over that with her. And of course, you could discuss it with her too, and she'll have the results of this test in your chart. \"}\n", "{\"prompt\": \"Okay. Okay. She's not going to record our session.\", \"completion\": \"She, she's not going to be recording. Okay.\"}\n", "{\"prompt\": \"It does.\", \"completion\": \"Okay. I appreciate you allow me to go over this set of results with you. And I'm going to show you assigned to that counselor and we'll move forward with treatment.\"}\n", "{\"prompt\": \"I'm good. But um, there has been visual, you know, we will work out like my motivation. Sure. Kind of, it's kind of related to that. Um, so I'm in school. And every few weeks we have like papers to write. And I know I know what I know I can do it. It's just actually sitting down and doing it\", \"completion\": \"ok will tell me about the papers.\"}\n", "{\"prompt\": \"Well, they're usually about five pages long. And I just, I just look at it and like, it's five pages. But I'm like, okay, so I go sit down. You know, on my computer. I'm like, Alright, I'm starting references. So I get, I start off good. I do the references. But then it's like, I get sidetracked. tracked so easily. And then I end up killing like two hours, checking the news checking and then it goes to my phone and then just looking at recipes and then it gets really off topic and then I realized I haven't done anything.\", \"completion\": \"Alright, so you, you have a five page paper, you sit down to work on it. You have the references, you get that part taken care of that then sounds like you kind of wander off a little bit. \"}\n", "{\"prompt\": \"Oh, big time. \", \"completion\": \"Yeah. Okay. And then what happens after you are done wandering a little bit?\"}\n", "{\"prompt\": \"I get kind of annoyed with it. And then I'm like, Well, you know, I've already you know, it's already 90 time I'll try to do it tomorrow. And then, you know, either tomorrow doesn't happen or the same thing happens. And it's just and then I end up rushing right at the edge of, you know, that's due tomorrow and getting all these five pages done. It's really hard for me\", \"completion\": \"So you are you're finishing assignment on time. So the promise of lateness\"}\n", "{\"prompt\": \"No, I, I get it done. \", \"completion\": \"You get done?\"}\n", "{\"prompt\": \"It's just all at the last minute.\", \"completion\": \"So it's really the how the time breaks out isn't working out well for you.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"You'd rather not be doing it at the last moment.\"}\n", "{\"prompt\": \"No, I mean, I try not to. I mean, I set time aside to go sit down. I'm like, Alright, you know, we're gonna start on this paper. Then sidetracked. I'm watching TV. I'm on my phone. I'm on some other website.\", \"completion\": \"So these so these activities that you're engaging in between when you start the work and before you start writing, also regarding the references before you start writing. You said check an email. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"And other kind of sounds like unplanned small activities.\"}\n", "{\"prompt\": \"Yeah. I mean, there's small things that keep My attention but it's not where my attention needs to go.\", \"completion\": \"These aren't particularly engaging activities like something you need to do. No at that moment.\"}\n", "{\"prompt\": \"No I mean, I look up you know, right I started one reference and then who this article looks cool who this article you know next thing I'm know I'm researching octopuses or something.\", \"completion\": \"So like distracted,\"}\n", "{\"prompt\": \"yeah distracted like at work.\", \"completion\": \"And then there's a moment you kind of catch yourself and realize you haven't really started writing.\"}\n", "{\"prompt\": \"Yeah, but it's like two hours late\", \"completion\": \"is too late. Yeah, so you're consuming time there. Alright. So you have a few different levels of activity. Here you have the paper, which it sounds like you're okay writing but you're you're maybe not highly motivated to write. \"}\n", "{\"prompt\": \"Okay, \", \"completion\": \"but you seem to be getting the references done. Okay.\"}\n", "{\"prompt\": \"Yeah, I mean, I get some references done. Okay.\", \"completion\": \"You collect the material, and then the writing part. That's the difficult part. And then you have these behaviors. In the middle, which you enjoy doing a little, but they're not something that\"}\n", "{\"prompt\": \"I mean, they're not something I'm like am jumping for joy about it's just something to to procrastinate. So I don't have to do my paper. And I don't think that I you know, I'm not like, Oh, I need to check my email so I don't have to do my paper. It's just, Oh, I should check my email. Oh, I should check my phone. Oh, I haven't done this one Oh, I haven't seen this in a while.\", \"completion\": \"But these behaviors still fulfill purpose they they do delay the writing of the paper.\"}\n", "{\"prompt\": \"Yeah, that's true. \", \"completion\": \"You may not be fully aware of that in a moment. But then you kind of become aware of that later that that's the purpose that those behaviors accomplished was that they kept you distracted from writing. Alright. So the the writing of papers and activity, that's a behavior that's something you're not really looking forward to. What's the behavior That was an activity that you really do look forward to, you know, think about and some level of engagement is there.\"}\n", "{\"prompt\": \"Well, there is this new TV show out that they just started a new season. And I have it all recorded, like 24 episodes. But I can't find time to watch it. But I'm really, you know, I've seen the first season I'm so interested in it. And I'm can't wait to see the next one. I guess that that would that's, I guess what makes me really happy right now.\", \"completion\": \"So so you're excited about this television show and you how you have the episodes already recorded. And maybe one of the reasons you can't find the time is because the time you're using between the two parts of writing this paper.\"}\n", "{\"prompt\": \"Yeah. I mean, this paper is taking me a lot longer than it should.\", \"completion\": \"Right. So let's let's try this. When you when you do write to paper, you're really writing it. The writing part, not the preparing part, but the writing part kind of all at the end. Right, getting it done this the night before it's due. All right. So I want to try a couple different behavioral strategies here. Okay. And these might be similar to what we tried before working with motivation. One is I think that it might be helpful and I want you let me know if I'm right here to break if it's a five page paper to break it up into more than one night. Because right now, functionally, at least a lot of what you're doing on the last night, okay. would be a more comfortable pace like Like, for example, how long does it take you to write one page?\"}\n", "{\"prompt\": \"out an hour, hour and a half?\", \"completion\": \"So around an hour to an hour and a half? You can complete one page. Edited proof read?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Okay. So it would take about five days. To complete the whole paper, if you did an hour and a half each day, an hour to one I haven't checked. Okay. But how much time do you have from when the papers assigned to when it's due?\"}\n", "{\"prompt\": \"They give us about a week and a half to do,\", \"completion\": \"I guess around 10 days. Yeah.\"}\n", "{\"prompt\": \"Um, I guess around six o'clock, like, because then I'm already done eating home from work. And I've kind of de stressed already. Six o'clock looks like a\", \"completion\": \"pretty good time. So if you could work without distraction, you would be done by around 730 at the latest with this one page.\"}\n", "{\"prompt\": \"Yeah, what the one page Okay, so\", \"completion\": \"no distractions. Just one page. Yeah. All right. So let's talk about the the episodes, the TV episodes that you want to watch. Okay? How long are they,\"}\n", "{\"prompt\": \"they're an hour to an hour, okay?\", \"completion\": \"And once a time that you could watch those, you get the maximum enjoyment out of watching, like no distractions, I guess, \"}\n", "{\"prompt\": \"I guess around eight o'clock because that's when I'm you know, started getting ready for bed and starting to like really relax. And, you know, my husband's home by that time and we can watch it together. He loves the show too.\", \"completion\": \"Okay. So eight o'clock, so really good time for you to maximize\"}\n", "{\"prompt\": \"married. And that's a great,\", \"completion\": \"you know, that's a great motivator for you. And I want to try to use it as a motivator. Kind of like a reward. Okay, so I'd like you to try to do is when you start, like when you get all these papers assigned when the five, five page papers, pick the five nights that you want to work on it. Okay, it could be Monday through Friday or whatever works for you. \"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"All right, clearly within the 10 day window, though, all right, so five days within the 10 day window, do you have to turn in and then set that time at six o'clock is when you're going to start because that's a good time for you to work.\"}\n", "{\"prompt\": \"So let's keep thinking about that when I feel like I'm getting off track.\", \"completion\": \"Yeah, that's sure.\"}\n", "{\"prompt\": \"Yeah. and not have to stress right at the end.\", \"completion\": \"Yeah. And not waste that time in the middle. Yeah. Right. That's, that's really eating more time and your show takes\"}\n", "{\"prompt\": \"I see where you're gonna. Absolutely.\", \"completion\": \"Does this make sense to you understand kind of,\"}\n", "{\"prompt\": \"yeah, you know, that helped me power through and not do things unrelated by you think well, if I get this paper done This page doesn't need to watch my show later.\", \"completion\": \"And I think that's a that's a helpful way to think about it. And that's, that's the cognitive part of this. So this is a kind of this is a behavioral strategy because we've talked about these in the past, right? This is behavioral strategy, the cognitive pieces, when you find yourself wandering, I think you have to detect that. And you I think you have some level awareness that's happening. Yeah, you have to detect that and say, I want to watch my show, and we're looking forward to it. \"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"And that's your motivation to move through the paper. And then you know, when eight o'clock comes, okay.\"}\n", "{\"prompt\": \"All right, that sounds like a plan. All right.\", \"completion\": \"Very good. So let's try that for. I'll see again in roughly two weeks.\"}\n", "{\"prompt\": \"Yep. All right. Thank you. So a few weeks.\", \"completion\": \"All right. Thank you. Thanks.\"}\n", "{\"prompt\": \"I'm good. HOw are you?\", \"completion\": \"I'm doing well. Thanks for asking. So you're here at the agency today to seek counseling services?\"}\n", "{\"prompt\": \"Yeah. My boss sent me over.\", \"completion\": \"your boss said, Sure?\"}\n", "{\"prompt\": \"There was this issue with a couple of the people that couldn't relate to my ideas and my boss solid has been kind of, you know, not working super well. So she wanted me to come over and talk about\", \"completion\": \"she wants you to come over and talk about your relationship with your coworkers?\"}\n", "{\"prompt\": \"Um, I think more just so that, you know, my ideas were just kind of higher than what they could really Understand, so maybe learn how to like how to talk to other people so that they can understand me.\", \"completion\": \"Okay, what would you mean by higher, like, your ideas\"}\n", "{\"prompt\": \"are higher, you know, just a little bit more intelligent, you know, I'm just at a level that other people can't always reach to, you just, you know, like just a little bit higher, sometimes a lot higher, but just on this team, they just couldn't understand, you know, my language or what I was saying, and it couldn't see the vision that I had.\", \"completion\": \"Okay, so they were unable to reach your level of expression for this was like a project you're working on? And your boss recognized this difference, and thought that, that the counselor may be helpful. Yeah?\"}\n", "{\"prompt\": \"Yeah. Yeah. Um, I think it's good, you know, so that my boss is happy that I went, but I think it could also be useful in the sense of, you know, other people are jealous of me a lot, and they just can't really relate to me. So it might be, you know, great to learn how to relate, you know, like, kind of understand what they're going through at their level.\", \"completion\": \"Again, you stay at their level. So are you meaning again, that they're kind of below you with skills?\"}\n", "{\"prompt\": \"yeah, they're just they haven't they haven't accomplished as much they have, you know, they don't know as many people, they're not hanging out with those prestigious ranks, you know, they haven't been educated to the quality that I have been. So they just sometimes it's hard for them to understand where I'm coming from, or you know, what I can see happening.\", \"completion\": \"Okay, so counseling can help you bridge that gap to go to communicate more effectively.\"}\n", "{\"prompt\": \"Yeah, so I think you know, so I can even better you know, I'm here but I want to be like here.\", \"completion\": \"When you say you're here at the first level,\"}\n", "{\"prompt\": \"maybe like a seven but I want to like blow it out. The park, you know, like if 10 is here, I want to be higher than that. \", \"completion\": \"How would you plan on accomplishing that?\"}\n", "{\"prompt\": \"Well, you know, I'm always getting recruited for these really prestigious classes and to speak places and people are always calling I'm a really large social media presence when people are constantly asking me for advice, you know, just about everything, because, you know, I've just accomplished so much that I can really help people because I just, you know, I've just been really lucky to just be good at so many things.\", \"completion\": \"Okay, so it sounds like you're you have a lot of stress.\"}\n", "{\"prompt\": \"Yeah, yeah.\", \"completion\": \"And maybe, from your understanding that people were just getting jealous because you seem to succeed in so many things.\"}\n", "{\"prompt\": \"Yeah. You know, like, sometimes people just, it's hard to admit that you're just not as good or like you can't do it. Maybe you don't want to admit that I think I make them uncomfortable because I can.\", \"completion\": \"So calcium help you to relate to them in a way that so how would they have a more productive way? How would they describe you? You know, given this level of difference on this, you're talking about how would they describe you, if I were to ask them, if I could ask them. Could you describe sample?\"}\n", "{\"prompt\": \"Would they say? I think they would say that I have a lot of people that look up to me that I'm excellent at my job that, you know, like, I should really be vice Vice President, if not president, but I mean, I don't own the company. But I should really have a more significant position. that a lot of the presentations that are happening that I could probably do, but they don't want to, you know, other people need opportunities, but it would, it would be clear for everyone if I just did them.\", \"completion\": \"Would It be easier?\"}\n", "{\"prompt\": \"Yeah, you know, easier, better, more people. It would just be it would be a great presentation if I did it. So we'll just cut away all the other stuff.\", \"completion\": \"All those stuff. That's what your coworkers would include?\"}\n", "{\"prompt\": \"Yeah,\", \"completion\": \"yeah. Things that maybe detract from them.\"}\n", "{\"prompt\": \"Right. Like if you know, if I was doing the sales pitches, we could blow it out of the park. I mean, we'd be multimillionaires by now. So You know, it would get rid of all that, you know, the grunt work type of stuff, if I just did it myself,\", \"completion\": \"does it frustrates you that you're not calling for every task? \"}\n", "{\"prompt\": \"You're not recognized sometimes, but I've gotten really good at reminding people that they shouldn't be calling on me for every task. Because I'm, you know, sometimes you just have to show them, you know, I'm better than that person, or I could do it better. And I'm really good at that type of communication. So I've been able to secure a lot of positions that weren't given to me at first, because they realize like, Oh, she's better at it. So they can see your talent. \", \"completion\": \"So they recognize you most of the time. \"}\n", "{\"prompt\": \"No I mean most of the time. Yeah\", \"completion\": \"How long have you been with this particular employer?\"}\n", "{\"prompt\": \"Um, maybe like six months, six months, maybe? Eight months. Okay.\", \"completion\": \"Can you tell me about the job you've had prior like what happened there?\"}\n", "{\"prompt\": \"an AI algorithm. They, so I got it, I got it to a really, you know, large leadership position. And then, you know, the other VP couldn't really see, see what I was going for. She couldn't relate to me and she, you know, she, she wasn't from the same type of like collegiate backgrounds that was kind of an issue. So I just outgrew what they had to offer. And then this company came in and made this tremendous offer with the you know, it was just, it was just fantastic. So I just had to make a move that was more strategic for me. And you know, that I could that I could even reach more. You know, I didn't I didn't want to be satisfied there.\", \"completion\": \"You want to you want to shoot higher. You want to accomplish something greater?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"more. So more stuff. You've already achieved some level of popularity.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Alright, so your last ploy or the one before the place you work now, you just outgrew that. Can you tell me how that interaction went? Like? Did you quit? Or did they encourage you to leave? Like, what happened to kind of the last moments of that job?\"}\n", "{\"prompt\": \"Um, well, I mean,\", \"completion\": \"So you initiate it and you quit. At the same time. They had a few issues with type issues they have.\"}\n", "{\"prompt\": \"They just said I you know, I talked too much or something like that, or I think there was an issue with somebody I was working with or something. But it was really it was another situation that just didn't. We just we weren't, we weren't communicating well, but in the end I had to do what was best for me. So because afterwards they were calling me and trying to get me back, but I was already here so that I wasn't gonna go back there.\", \"completion\": \"So I have to quit the pursuit you to come\"}\n", "{\"prompt\": \"yet for them again. Yeah. Which I told them was gonna happen.\", \"completion\": \"You predicted that when you left\"}\n", "{\"prompt\": \"Yeah, it was like you're gonna you're gonna miss me cuz I'm the reason this company is flourishing.\", \"completion\": \"So what did you tell them when they offered you\"}\n", "{\"prompt\": \"the chargeback that I was had gotten a phenomenal job and it was way better and that they lost it and they could just deal with it.\", \"completion\": \"So you rejected them at that point, okay.\"}\n", "{\"prompt\": \"Yeah. And I, you know, I want to make my boss happy, but I feel like it would be good. You know, I don't want to make people feel bad because they're inferior to me. And because they're not as successful. So if I could learn how to even talk with them so that I'm not, you know, so they don't feel bad about themselves.\", \"completion\": \"It's your boss putting, I mean, she encouraged you to come here today. Is she putting any pressure on you? Like, is this something that's strongly encouraged mandatory?\"}\n", "{\"prompt\": \"I think it's strongly encouraged. I think she has a promotion for me in mind. So it's probably just to set me up for that.\", \"completion\": \"So she's trying to help you for the future. Another advancement. So Sam, I'm going to get you on the calendar is to see a counselor open later this week. Is that work for you? okay? That does. So I'll get you set up for that. I really appreciate you taking the time with me it was helpful origin to see a counselor and we'll go from there. \"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"Tell me about that.\"}\n", "{\"prompt\": \"Well, I was in a car accident about a month and a half ago. And I've just been having these, these issues that are preventing me from doing the things I'm used to doing.\", \"completion\": \"Tell me about the accident.\"}\n", "{\"prompt\": \"Well, I was on my way home from work, and I was sitting at a stop sign and waiting for my turn to go. And as I proceeded through the stop sign, a car just came in blew through and hit me on the side and pushed me straight through the stop sign.\", \"completion\": \"Were you hurt?\"}\n", "{\"prompt\": \"I am not not too bad, too bit scary though. It was very scary.\", \"completion\": \"And when When was this?\"}\n", "{\"prompt\": \"This was about a month and I guess maybe two months ago?\", \"completion\": \"About two months ago?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"Right. And when did the symptoms start?\"}\n", "{\"prompt\": \"shortly after. I've been I've been feeling feeling pretty bad for about about a month or so.\", \"completion\": \"Get some of those feelings.\"}\n", "{\"prompt\": \"I've had a lot of anxiety especially when it comes to getting in my car and going places are just getting really overwhelmed with fear. just scared that I'm going to get into another car accident.\", \"completion\": \"You, you are still driving?\"}\n", "{\"prompt\": \"Not Not a lot, not a lot.\", \"completion\": \"It's not driving a lot, but you're able to drive. But when you do drive, there's a lot of anxiety, a lot of fear. \"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"Are you more aware of what's going on? around you?\"}\n", "{\"prompt\": \"Definitely. I think um, I would say over aware I can't. Sometimes I can't even focus on where I'm going because I'm just paying attention to all the drivers on the road, just, you know, making sure that I don't get hit again.\", \"completion\": \"Not sure you're, you're driving with more awareness of what's going on around you. anxious and irritability.\"}\n", "{\"prompt\": \"Yes, yes. A lot more than than usual.\", \"completion\": \"Tell me about that.\"}\n", "{\"prompt\": \"Well, I have to Dogs and I love my dogs and just lately everything they do just gets on my nerves you know just barking walking. I mean everything just and I don't know where it has come from I've never been like that with them before but they they just they bothered me so much that I don't even want them around sometimes.\", \"completion\": \"Have you since the accent recessive symptoms started Have you had positive feelings like happiness joy?\"}\n", "{\"prompt\": \"Now everything just depresses me anymore. Everything. Nothing seems to be going right at all.\", \"completion\": \"not since the symptoms started. Do you know how when it's Something surprises you. And you're startled, right? That's natural for everybody. Have you noticed that that startle response is different now,\"}\n", "{\"prompt\": \"after the accident? It is everything startled me just you know, a knock at the door or the phone ring in or any kind of a job here just kind of scares me out of my skin.\", \"completion\": \"So that's, that's more so than it would would have in the past.\"}\n", "{\"prompt\": \"Yeah, I've never been like that before\", \"completion\": \"is there changes in your concentration?\"}\n", "{\"prompt\": \"I can't seem to focus on anything. I'm in school. And when I have readings to do for school, I just, I get so distracted. I have to close the book and do something else. I can't. Yeah, I definitely can't focus when it comes to my schoolwork.\", \"completion\": \"So when you're having trouble concentrating? What kind of thoughts are you being distracted toward\"}\n", "{\"prompt\": \"if I have somewhere to go on things About You know, getting in the car and driving and you know the possibility of being in another accident I just a lot of my thoughts seem to focus on one being in my car and just the accident I can't seem to shake that.\", \"completion\": \"So tried to kind of push the thoughts aside and then they're still there.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"in trouble sleeping.\"}\n", "{\"prompt\": \"I'm somewhat I don't have any trouble getting to sleep but I have trouble staying\", \"completion\": \"to wake up several times a night.\"}\n", "{\"prompt\": \"yeah\", \"completion\": \"How about your relationship with other people you feel there's the same distance or do you feel closer or more detached\"}\n", "{\"prompt\": \"well My mom is probably the person I'm closest to. And I haven't really wanted to spend a lot of time with her anymore. I'm really just staying in the house and just stay into myself.\", \"completion\": \"about dreams, a change in dreams like the events of the accident come up.\"}\n", "{\"prompt\": \"Well, one one night there was this dream that stuck out to me. I was driving home from work. And I was just about to get on the highway. And I heard sirens coming. And I stopped to see where the sirens were going and they got closer and closer to me and they seem to surround me and I was like, wait, what's going on? And I woke up and I was like, Oh my gosh, what I you know, I was I felt like I was right back there. In that moment where I was in a car accident and the police responded to the accident but it was so much more intensified. Like, you know, I've never had a dream like that before.\", \"completion\": \"And when you woke up It sounds like you were alarmed not want to stress was Does that ever happened when you weren't asleep and said like a dream? Have you ever had a moment where you're kind of back in the car accident? You know in the cars accidents happening, like it feels like you're really back there\"}\n", "{\"prompt\": \"maybe once or twice but not sure\", \"completion\": \"do have any medical problems?\"}\n", "{\"prompt\": \"No\", \"completion\": \"nothing going on. And the use of drugs or alcohol,\"}\n", "{\"prompt\": \"No\", \"completion\": \"nothing like that. Do you remember all the details of the accident? Or do you feel like there's pieces of memory that are missing?\"}\n", "{\"prompt\": \"I really can't remember the details. I just know about him. I don't know. I don't. I can't remember back to what happened. And people keep asking me and I just, I can't remember at all. Really what happened.\", \"completion\": \"So some memory loss surrounding that.\"}\n", "{\"prompt\": \"Yeah, definitely.\", \"completion\": \"Do you ever have or, or since the symptoms have come on? Do you ever feel like you're not really yourself, you're separated from yourself kind of unreal experience or you're separated from the world, either one of those. Feel like that. Okay. Jessica, based on our conversation here, I'm going to set you up to see a counselor if that's something you're open to. And I want to thank you for taking the time to tell me what happened and answer my questions. It's been very helpful. \"}\n", "{\"prompt\": \"Thank you.\", \"completion\": \"Thanks.\"}\n", "{\"prompt\": \"Besides My bad grade? Not a whole lot.\", \"completion\": \"Right. So to be safe to say that a lot of that thought of I'm not good enough is kind of based on your feelings of anxiety.\"}\n", "{\"prompt\": \"Yeah. Which are really intense like panic almost in the moment.\", \"completion\": \"Yeah so in a way you're believing With the anxiety will lead you to believe.\"}\n", "{\"prompt\": \"Yeah, definitely. \", \"completion\": \"But in the bright light of scrutiny, there are a lot of facts to support the worst case, which is you don't deserve it. How about evidence that refutes that you're not good enough?\"}\n", "{\"prompt\": \"I would say that, you know, I was accepted into the program. Like there's kind of like, a pretty rigorous sort of testing and stuff, which I passed, to get interviews and such to get into the program. So I did that. Like I said, I'm a pretty good student, all considering, you know, before this kind of flick was happening.\", \"completion\": \"Okay, so you've got through a rigorous process to become a student You're doing well. You mentioned before, just the one bad grade right? Okay, so if you have friends in this program, right, if one of them came to you with this, this balance of, you know, one bad grade and some anxiety, yeah, versus passing, you know, rigorous standards and doing well, otherwise, what advice would you give them?\"}\n", "{\"prompt\": \"I mean, now that you're kind of like talking about it, like, you know, this or that sort of thing. It makes sense. I would probably say that, well, you seem to be doing pretty well so far. You know, that anyone evaluating would look at all of the cumulative how you're doing your performance, rather than that one grade\", \"completion\": \"would you feel comfortable giving advice to yourself?\"}\n", "{\"prompt\": \"I think I tried to sometimes, but my anxiety symptoms kind of like really, like you were saying, your anxiety tells you sort of I think I can think that but I think my anxiety symptoms are such in the moment that it's really hard. You know, and I'm replaying what happened before in my head anticipation predicting will happen again.\", \"completion\": \"So, so let's look at the the thought and the feeling. If you had to rate the percent that you believed this thought, this belief that you are not good enough to be in the program, like right now right now, yeah, but here with me. How much of your mind believes that that's true?\"}\n", "{\"prompt\": \"I would say like, you know, a two or three like not very, I don't believe it very much right now because You know, I'm not presenting and it's just you and I not like a group full of people. So that pressure is not there here.\", \"completion\": \"So right now you're really not buying the idea that you're not good enough.\"}\n", "{\"prompt\": \"Yeah, that is correct \", \"completion\": \"So now let's move to let's say right in the near the end of presentation when that anxiety is there, and the classmates that could be looking at you, it could be negatively evaluating you because you're worried about how much do you believe that thought then?\"}\n", "{\"prompt\": \"I don't feel really confident. In that moment. It feels very real. Like, like any moment, they're gonna kick me out. Like, I'm just not doing well. I'm stuffing.\", \"completion\": \"Yeah. really intense. So would you think that you were a more accurate evaluator of what's true or not. Now, or when you're in that state of anxiety,\"}\n", "{\"prompt\": \"definitely now that anxiety that, you know, heart rate and sweating is not there.\", \"completion\": \"So this evaluation, the percent that you believe that true, this evaluation is more accurate?\"}\n", "{\"prompt\": \"Yes, I think so.\", \"completion\": \"And how much time in any given day would you spend kind of in a mood right now, or you can evaluate accurately?\"}\n", "{\"prompt\": \"I would say, you know, when I'm not at risk of presenting, like, I feel like I spend the majority of my time, like, it's not something I worry about all the time, just leading up to and then mostly that day,\", \"completion\": \"okay. So the, so you're able to evaluate the way you are now, the vast majority of the time, right? There's a limited amount of time when you're not when there's A lot of motions going through, right? And at those times, you're maybe a little less reliable,\"}\n", "{\"prompt\": \"right. Like my judgment is clouded.\", \"completion\": \"However, in that moment you still, those thoughts are strong, right? \"}\n", "{\"prompt\": \"Yes, very troubling. \", \"completion\": \"Even though it's a small percentage, it's intense. And you kind of carry that around a little bit.\"}\n", "{\"prompt\": \"Yeah. Exactly.\", \"completion\": \"So I can see why this is frustrating for you.\"}\n", "{\"prompt\": \"Yeah. Well, I mean, I've been drinking a lot more than usual, but it's kind of just part of my life. But I don't know, I think there is an increase. So it's, that's worrying me a little bit.\", \"completion\": \"so you feel like you're, you're drinking more than usual. How much are you drinking now?\"}\n", "{\"prompt\": \"I'm gonna go out with my friends a couple nights a week. Then about once or so we go out with my co workers. So yeah, maybe three, four nights a week,\", \"completion\": \"three or four nights a week? \"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"And how much are you drinking each time to go?\"}\n", "{\"prompt\": \"Um, you know, kind of depends on who I'm with. But usually when I go out my friends on the weekend, I'll stay for a pretty long time. I mean, I think the problem is when we're going out during the week with my co workers, you know, I'll stay longer than I want to, and then when I have to get up in the morning, it's kind of like I should have gone check out a little earlier, but now they're all out with me. So when I get there, they understand.\", \"completion\": \"Alright, so do you know how much alcohol you consume in the time period. Do you know how much you're actually drinking?\"}\n", "{\"prompt\": \"Each night we approximately I used to drink, like, maybe two beers an hour, but they really like to party so and I was trying to keep up with him. So, friends, yeah. And so I've been drinking like a shot with the beers I have. So maybe like three or four drinks an hour.\", \"completion\": \"So do you find that you need to drink more to get the desired effect?\"}\n", "{\"prompt\": \"Um, yeah, you know, everyone else is getting to that level. So I feel like I need to keep up with them. And usually before I would get that from maybe one or two drinks. So now, I've been working a little bit more, I think,to get there. \", \"completion\": \"Have you made any attempts to cut down on consumption?\"}\n", "{\"prompt\": \"You know, at the beginning of the week, I'll kind of say I'm only going to go out twice this week. But then they invite me and I'm like, Well, I don't want to miss out or my, my friends, you know, it's my show my social time during the week, so so I usually go, they don't really stick to the plan. So that's kind of been a little frustrating, but I know it's still good.\", \"completion\": \"It's okay. So, I want to talk about the time you spend using alcohol. Are you are you okay with the amount of time you mentioned that you're using for longer periods? But are you okay with? Or is that something that's distressing you?\"}\n", "{\"prompt\": \"Um, I think I could probably be doing better things with my time, but it's not a huge problem. I think a lot of people do it. So you know.\", \"completion\": \"Do you find that you have a craving for alcohol?\"}\n", "{\"prompt\": \"Yeah, yeah. I would say like, one of the work just Ready to get finished so I can go go to happy hour with my co workers or, you know, from just kind of at a barbecue or something with family. Think about how I want to be here. So yeah, great things, but no, everyone kind of does that. Like I could go for a beer right now.\", \"completion\": \"So you're thinking about it, but you also like feeling the craving.\"}\n", "{\"prompt\": \"Yeah, yeah, yeah. Yeah.\", \"completion\": \"You mentioned work, you're having trouble with responsibilities at work or any other area?\"}\n", "{\"prompt\": \"No, my work life has been pretty going pretty well. I haven't missed work because of it or anything like that. So because of the drinking.\", \"completion\": \"Have you had any social problems due to the alcohol?\"}\n", "{\"prompt\": \"No, I think my social life is actually great because of it. You know, hang out with my friends and you'll get along really well. So that's my social time.\", \"completion\": \"All right. So no social problems. \"}\n", "{\"prompt\": \"Yeah, no problems.\", \"completion\": \"Have you had to give up any important activities because of the alcohol use?\"}\n", "{\"prompt\": \"activities? Well, usually the important activities involve drinking so that I haven't given up important activities that don't involve drinking. But that's been pretty easy because there's usually alcohol at that point.\", \"completion\": \"You haven't missed any important activities. How about engaging in activities that are physically dangerous?\"}\n", "{\"prompt\": \" Because I'm also involved now and I'm usually pretty safe. Yeah. So\", \"completion\": \"Do you have any medical or mental health history?\"}\n", "{\"prompt\": \"Um, well, like when I was a kid, I was diagnosed with I think, maybe ADHD or something like that, but I think I teachers were annoyed by me because I was just like, damn good time. So but that's why Got an issue lately\", \"completion\": \"some issue now? Has any medical problem or mental health problem become worse because of alcohol?\"}\n", "{\"prompt\": \"Um No, I started drinking after that so not now it's not become an issue with that.\", \"completion\": \"So you mentioned the alcohol use. Has there been any drug use?\"}\n", "{\"prompt\": \"No, not with my drinking or anything you know, typical teenage smoking marijuana and stuff when I was younger, but I don't anymore so.\", \"completion\": \"So it's just alcohol?\"}\n", "{\"prompt\": \"Yeah, just alcohol.\", \"completion\": \"All right. When you stopped drinking, do you have any physical symptoms or anxiety any symptoms of withdrawal?\"}\n", "{\"prompt\": \"No. usually feel fine afterwards. I can go a few days without okay.\", \"completion\": \"Okay, so that's not a problem. All right. Jackie, open to Receiving counseling services or agency? \"}\n", "{\"prompt\": \"Yeah, let's see why it would hurt anything. I don't really need it but it was okay with trauma,\", \"completion\": \"I think okay, okay. All right. I'm gonna get you scheduled in to see a counselor. I want to thank you for telling me about what's going on for answering my questions. It's been helpful.\"}\n", "{\"prompt\": \"if I go to work I'm going to make a mistake,\", \"completion\": \"So if I go, I'm going to make a mistake. And then we talked about your reactions being late. Worry, anxiety. So what we'd like to do when we identify on that felt like that is what's called self talk. And it first this may seem a little odd, right? So you have this thought that comes through it can be an image to the thought image. But it's cognitive in nature. And I can't make a mistake, like, I'm going to make a mistake. I'm going to make a mistake. That's your thought. And the self talk. This is like a rehearsed statement that you literally say to yourself, which again, I get to that seems so odd The first time I do it. So really, you're talking to yourself But over time, we believe if you can keep applying the self talk strategy that you will eventually change the outcome, the reaction and change the underlying belief. Okay? It first though it's going to seem quite foreign to you. Tell me how you how you're processing this now. \"}\n", "{\"prompt\": \"So I mean, what am I supposed to say to myself?\", \"completion\": \"It's a good question. We'll work on that. And that's what we can do now. Let's take a look at some self talk. So some adaptive responses so they can build. So I'm going to make a mistake. That's the automatic thought that's directly leading. Seems to be to feeling supported dread, and physically not getting work on time. Has there ever been times when you've had that thought? And you went to work on time still? \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"What was different about those times?\"}\n", "{\"prompt\": \"I guess I told myself, I have to get to work on time because if I don't, it's going to be even worse. If I make a mistake, and I'm late that it just, you know, it compounds and I guess I would tell myself, it's gonna be okay. You just have to get through this day. \", \"completion\": \"Alright, so when you do that, in essence, you are applying self talk. Okay. All right. So that's, that's really the same thing except you probably didn't have a label for it. And when you apply that it seems to work. So the message you're kind of sending yourself now you're telling yourself is I'm going to make a mistake still. But if I'm late for work, I'll be worse. So there's a little bit of positive and negative in here. Right self talk doesn't have to be all positive self talk needs to be, I think when anything realistic and sometimes realistic includes a little negativity. I'd rather focus on the more positive elements as we build this as possible though, so that's pretty good self talk you have now let's work on refining it a little bit to maximize its benefit.\"}\n", "{\"prompt\": \"Well, it worked for like a day or two, but then the power went out. So then my alarm clock stopped working. And then I kinda started sleeping in again.\", \"completion\": \"I thought that might happen. So I made this sign for you. It'll help you remember to set the alarm.\"}\n", "{\"prompt\": \"Oh, I did get out to the park.\", \"completion\": \"How did that go?\"}\n", "{\"prompt\": \"didn't go so well. I don't have enough clean clothes and I felt really uncomfortable. This thing is really hard, man. Like why bother?\", \"completion\": \"Well, that's why I bought you these. We can put your dirty clothes in To the hamper. And your clean clothes, you can fold them up and put them into this bin.\"}\n", "{\"prompt\": \"That's cool. Okay,\", \"completion\": \"Well last time we talked about how you forget to take a shower, so I brought you this hygiene basket because remember if you become overwhelmed, if you keep it here by the bed, it'll remind you to take a shower and you can carry it with you.\"}\n", "{\"prompt\": \"I think I could use a shower. I want to go have one.\", \"completion\": \"I'll put the calendar up for you and also put this picture I love up here by the bed. Well, guess what? I got you a container so you can put all your meds in. If you fill it up for each day, and keep it by your bed with a glass of water. It will remind you to take your pills\"}\n", "{\"prompt\": \"I'm gonna go take that shower now.\", \"completion\": \"Sounds good. I'll put up your calendar.\"}\n", "{\"prompt\": \"I don't know. I mean, I guess none technically none that have been something I've gotten trouble for anything like that. Sometimes it's hard to tell because you know, you don't always hear from people afterwards. You can't really tell was it a mistake or not. But I guess none that it had like any major consequences.\", \"completion\": \"So none, but there might be a few small ones that you've just never found out about. So Less than a 10th of a percent days you come in probably very small, really, really small. The probability of a statement that you're making being true, is pretty low. The seventh thought rather, I'm going to make a mistake. Probably not supported by the evidence.\"}\n", "{\"prompt\": \" Yeah, I guess that's true. \", \"completion\": \"So, the automatic thought is not accurate and not useful. I just got a couple strikes against it. But it is the thought you're having so let's deal with it. I'm going to make a mistake. So what could you tell yourself as the first part of that adaptive response, which acknowledges that fear that's realistic, that acknowledges that fear of making a mistake\"}\n", "{\"prompt\": \"I guess like it Everybody makes mistakes.\", \"completion\": \"Everybody makes mistakes. I could make a mistake today, but it's unlikely that that also be accurate. So everybody makes mistakes. I could make a mistake, but it's probably not gonna happen. Rather than I'm going to make a mistake. So you're going to have that automatic thought either way, likely for a while until you start to apply these adaptive responses. So this is what we're working on is your response. So everybody makes mistakes, I could make a mistake probably not going to happen. And will could be a next part, which is realistic, but also positive. That can help get you past the reaction of being late morning.\"}\n", "{\"prompt\": \"I'm a good caseworker and I need to do my job so I can help other people and it's going to be okay.\", \"completion\": \"Okay, so there's a few few elements in there. It's going to be okay, I need to do my The job I help people all those all those are true So applying as you know even as you say this year with me as you say, it's gonna be okay I need to my shop. What are we actually having right now?\"}\n", "{\"prompt\": \"I mean it feels a little better but it's hard you know so I felt still feel like it's dangerous I might make a mistake but I guess it helps a little bit\", \"completion\": \"Can you see yourself being able to in the moment and I realize this is difficult but in the moment of having that on that thought and that word come in. Can you see yourself applying this self talk?\"}\n", "{\"prompt\": \"Yeah, I think I probably will because now it will be hard to have those thoughts and not think of you . Okay, I need to calm myself down a little bit.\", \"completion\": \"And you've already used self talk on your own before even knew about these?\"}\n", "{\"prompt\": \"Yeah. It did help in the past.\", \"completion\": \"A lot of the corsage to some of the effectiveness of this is based on your ability in that moment to take a step back and follow the training. Right, just like many professionals, professionals depend on their training to help them make the correct intervention correct decision. So think of this kind of like something you've learned in the training. This is a self talk. It's pre packaged, it's ready to go. You can even have it written down. Okay? Doesn't have to be short. It can be like a paragraph, or more if you want as a matter of following the protocol. Once you have the automatic thought, it's easy to descend into worry and fear. You're just looking too quick to grab a moment in there. Apply this treatment strategy. Does that make sense? Sometimes it's likely Well, most of the time, I think you would you would be able to do this. Sometimes you probably won't as important in those moments to not get discouraged. Right. So you can have a self talk for that to write something like Dr. Crowley said it was likely that once a while I wouldn't build do this.\"}\n", "{\"prompt\": \"it's not gonna work every time.\", \"completion\": \"Make sense?\"}\n", "{\"prompt\": \"Yeah, that makes a lot of sense.\", \"completion\": \"So it's the chaos of life, right in the chaos of emotions that sometimes interfere. the more times you have success, that that seems to be tied with a better chance of improving and reduction of symptoms, but allow yourself failures. Well, it's what I would expect from anybody trying to untangle all these feelings and thoughts. There's not gonna be a perfect connection between that automatic thought and applied self talk. Okay, so be easy on yourself as soon as you can,\"}\n", "{\"prompt\": \"that makes sense because like, if you could just flip a switch you I would only have to have one therapy session.\", \"completion\": \"It'd be good shape, right? so it's a little more difficult than that. But overall, this these strategies are fairly straightforward. And you can definitely learn them and you can definitely do them. I want you to have that confidence. It's, it's normal to have mistakes occur. And to not always do it as you need to as you want to, but in the end, overall, you should be able to be able to apply them and actually It'll get easier in the future to develop your self talk for different thoughts. Okay?\"}\n", "{\"prompt\": \"Hi. How are you doing today?\", \"completion\": \"I'm good. How are you?\"}\n", "{\"prompt\": \"I'm doing well. Thanks for asking.\", \"completion\": \"I saw you last time a week ago. And I know you've had some concerns with employment working on employment. The first before we get into that I wanted to check in and see how you're doing emotionally. I know from last week, on a scale of one to 10 you said you were suffering from depression at about seven. Yeah. How is it today?\"}\n", "{\"prompt\": \"It's been it's been up and down. I think today, it's probably a seven again. But you know, I've been back down to a nine lately. I guess maybe I feel a little better because I'm coming here. And I know, we'll get to talk about it a little bit. But I guess you know, last time we were talking about me trying to get a job and live full time job. And I think I just realized last week that it's really hard for me to work full time right now. You know, I'm doing the part time thing with the work program, and they want us to do volunteer work in the afternoon, if we haven't found a full time job by a certain week. And I just, you know, just thinking about it, and I just don't think I can do that. I just don't think I can work for eight hours every day. It's just too much.\", \"completion\": \"So you're having some concerns about full time work and that level of energy, you'd have to exert that commitment. Alright, so we'll be okay today, if we kind of structured, what we're going to do sure for for this session. So, if it's okay with you, I'd like to talk about that. Okay. All right and and get some more details about kind of what's going on this week and your feelings surrounding that. And we touched on this a little bit in the last session. But I'd like to talk about kind of your core beliefs, your central beliefs that might be contributing some of these feelings of depression. Yeah. And then, for the last part, we'll work on like we did before, interventions to try to help you with with what's going on at work and with your depressed mood. And we can make changes to this as needed. I just want to start with an outline that we can, we can have going in okay. So make sense. Okay. Anything you want to add or take away from that?\"}\n", "{\"prompt\": \"No, I mean, that makes sense.\", \"completion\": \"Okay. So, tell me a little bit more about what's going on with the work.\"}\n", "{\"prompt\": \"Well, I mean, I don't really know why it is. I know I'm always tired because I just I have so much trouble sleeping, as I told you before. It's just It doesn't matter how tired I am, I can't sleep, but it's just I go, I go in the morning, you know, eight to noon, but then in the afternoon, it's just like, it's so hard to keep going on. It's just such a long amount of time. And I just feel like, I don't know if I can really do it. And especially in the winter, you know, if you work eight hours, by the time you get out of work, it's dark out and it just makes my depression so much worse.\", \"completion\": \"So, the latter part of the day is more of a struggle for you.\"}\n", "{\"prompt\": \" Yeah, a lot of hard work day.\", \"completion\": \"So getting up in the morning and getting to work on time. You do okay with that.\"}\n", "{\"prompt\": \"It's hard. It's hard, but I feel like I'm better at that. I'm better at it. I'm already up anyway. So, you know, I know I gotta get up. I gotta do what I have to do.\", \"completion\": \"So the work program you're in now, you work in the morning?\"}\n", "{\"prompt\": \"Yeah. \", \"completion\": \"What hours are you there?\"}\n", "{\"prompt\": \"Eight to noon.\", \"completion\": \"And there's some work you have to do in the afternoon.\"}\n", "{\"prompt\": \"Well, yeah, since I've been there for what is it eight weeks. And I haven't found a job yet. They want us to volunteer in the afternoon and they find us our own place of volunteer. So that's good. I don't have to find that myself. But I guess they want to get you used to doing something for eight hours a day and maybe you have something to put on your resume. And guess what? have like a big gap in your resume that doesn't look good either. So haven't been able to say a work tear even though I didn't make money. But just thinking about it, it's so exhausting. And you know, I get out of the work program and I think if I did go to, I can barely make it home. It's just so all I want to do is go home.\", \"completion\": \"Thinking about it's exhausting. Can you tell me what type of thoughts you're having?\"}\n", "{\"prompt\": \"I just don't think I can do it. Like, I just don't think I'm the kind of person that can work eight hours a day. And it just makes me feel like what's the point like, I'm going to work eight hours a day.\", \"completion\": \"I don't think I can just there's just too many hours.\"}\n", "{\"prompt\": \"but they've been going better. Yeah, they have good I did call a friend. And we had lunch. I'd seen this guy in two or three years and it was good to see him when we contacted again and agreed we maybe have lunch. From time to time, that'd be good. And I got back in the kitchen, I made this pretty good soup. It's an asparagus potato soup that sounds very it's it's really good to chop up the asparagus and the potatoes and one small onion and boil them and then use a blender to give it a real nice texture, texture a little bit like split pea soup, sounds good without a split pea and so on. feeling some better. \", \"completion\": \"That's good. That's good. Charles, I'm proud of you for taking the initiative. Because I know it's been difficult in the past and you've really championed the things we've talked about, and I'm really proud of you for that. One thing you didn't mention was the woodworking shop that we've talked about in the past is that has that been?\"}\n", "{\"prompt\": \"Well, that's still a mess. Okay, in fact, it's a it's a it's it's a big mess. It's such a mess that I really can't get in there and do any work. I haven't done that for some time. Okay. Every surface every why we got to work benches and\", \"completion\": \"Kinda Okay, well as we've talked about in the past, it's really difficult to get started on some things that we've avoided for quite some time. So, like in the past, let's brainstorm. Try to figure out how we can get some some movement in the woodworking shops. That sound good. Sure. Okay, so so one thing we've discussed in the past, Charles is extremely important is what you're thinking about as you're going into the woodworking shop. So, what are your thoughts? When you are viewing or looking at the woodworking shop? What do you think?\"}\n", "{\"prompt\": \"Well, when I stand there in it, and I feel helpless, I mean it. It's hopeless, it seems to me that okay, just get it back in shape again.\", \"completion\": \"Okay, so let's explore that. So. So what's the evidence that it's hopeless to do some work in the woodworking shop?\"}\n", "{\"prompt\": \"Well, just the mess that it is. I mean, that how disorganized and\", \"completion\": \"Okay, so it sounds like you're saying then it's disorganized. And it's a mess. So how do you feel when you think about the woodworking shop that way?\"}\n", "{\"prompt\": \"hopeless, okay, I think just\", \"completion\": \"Okay. So it prevents you from actually getting things done is what you're saying? Yes. Okay. Which makes sense because if I thought about it that way to Charles, it would be hard for me to initiate any kind of action because if I view it as overwhelming, then I'm probably They're not gonna do anything, which makes sense. So, so what do you think is an alternative way to view the woodworking shop? That would actually be helpful? What's another way?\"}\n", "{\"prompt\": \"Well, if I could get one workbench cleaned off, okay, I would have some space to work on.\", \"completion\": \"Okay, that's a really good start.\"}\n", "{\"prompt\": \"Well, I could make some things that I've been thinking about making for some time. Okay, I kind of have the plans in my head. Okay. I've thought about a medieval, kind of small medieval catapult for my grandson. And maybe Boomerang made out of really nice laminated wood, that would be cool. And so I could get one or both of those built, perhaps.\", \"completion\": \"Okay? And what would that lead to? If you get those things built? What would you have to do anything with those things?\"}\n", "{\"prompt\": \"Well, if I if I built those, I would have to get in the car and drive for hours today. Okay, my grandkids where my grandkids are and to give them the, the toys, okay, and show them how it works and have shown how to throw the boomerang.\", \"completion\": \"So it sounds like there's a lot of benefit then to clearing out a bench and moving tools which would lead to you getting things done, especially things that would involve your grandkids so you'd be able to see them and spend time with with them, you'd feel better about going to do that. But you'd also feel better about the woodworking shop in general that basically what you're saying would Yeah, okay, sure. But as we've talked about in the past, Charles, I know that it still takes steps to get there. Right? That wouldn't change overnight. So I think one useful strategies for you and I to work on a step by step plan that would get us to the place of you being able to drive for hours to see your grandkids. So how about we talked about the first step, which sounds like would be to just move things off one bench? Does that sound right?\"}\n", "{\"prompt\": \"Yeah, that Yeah, one.\", \"completion\": \"Okay. That sounds great.\"}\n", "{\"prompt\": \"Though.\", \"completion\": \"So let's talk about that. Then let's let's sketch out what each day would look like so that we won't won't feel overwhelmed like we did in the past. So let's talk about each day and how we would sketch out each day Does that sound good?\"}\n", "{\"prompt\": \"I would say maybe like judging.\", \"completion\": \"Okay, so the grades a concern.\"}\n", "{\"prompt\": \"Yeah but I figured I could do better on the subsequent one but when people are have this opinion of you I feel like that doesn't go away as quickly\", \"completion\": \"What would it mean? If they they thought you were anxious during that presentation?\"}\n", "{\"prompt\": \"I guess I worried that they would think I'm anxious because I don't know what I'm doing or I don't belong there. \", \"completion\": \"So if they notice your anxiety, then they think you don't belong in that level\"}\n", "{\"prompt\": \"Yeah. Like, I don't deserve to be in that program.\", \"completion\": \"If they don't recognize those symptoms, they wouldn't think that, do they?\"}\n", "{\"prompt\": \"they might write that maybe they think that's why I'm anxious or that's why I'm not doing well.\", \"completion\": \"Well, how do you feel about your abilities and status in the programming room?\"}\n", "{\"prompt\": \"I think you know, typically, I'm one of the top students in my program, and I've seen two Get the concepts pretty well. It's just when I have to demonstrate those concepts or demonstrate via, like a presentation or something, that I'm worried that, you know, maybe I'm an imposter or something, but so I start to question myself. But I think in general that, you know, I'm a pretty good student before this. And I'm doing pretty well in the program.\", \"completion\": \"So you're a good student, you recognize that you have this one area where you don't feel like you do a great job. That's presentations. In terms of grade, you really only had one bad presentation. But grades aside, you're anxious. And you're worried your classmates are gonna pick up on them.\"}\n", "{\"prompt\": \"Yeah, exactly.\", \"completion\": \"Okay. So if they thought you were us were imposter. So if they thought you were imposter to say that that was something they actually believe because of what's been happening. What would that mean? What would it mean to your classmates that you were an imposter?\"}\n", "{\"prompt\": \"I don't know. Maybe I am. Maybe I don't deserve to be there.\", \"completion\": \"You don't deserve to be there.\"}\n", "{\"prompt\": \"like maybe I shouldn't be in this program. I think they should just drop out.\", \"completion\": \"So if they believe you're an imposter based on these physical symptoms, like anxiety and mood that means to you anyway, that that means you shouldn't be on there.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"What's it feel like to say that\"}\n", "{\"prompt\": \"Depressing I feel like I've worked really hard. You know, to get through atleast halfway through my program. And it really hurts to think that that will be true.\", \"completion\": \"Just think this whole time you really been given faking Do you really belong there?. So I'd like to move a little bit into evaluating evidence. So in this kind of therapy, we like to look at what, you know, what we're feeling and what we're thinking, and what's we can see what's observable around us. And, you know, that becomes evidence and then we analyze it, evaluate it, okay. You're worried at some level. You're worried that you don't deserve to be where you are right now. Yeah. That you're not good enough. To be a student in this program, yeah, programming. What evidence supports that belief that you're not good enough?\"}\n", "{\"prompt\": \"Now that I'm thinking about it here, I mean, there's not a ton to support. But in on that day, I can think of all sorts of, you know, things to tell myself\", \"completion\": \"what's going on that day.\"}\n", "{\"prompt\": \"So maybe like I'm not prepared or because I'm messing up on the presentation that I'm going to get a bad grade and you know, if I can't speak in front of people, how am I going to speak in front of kids as a teacher, you know, one day that it will translate to something else. I can't get past this.\", \"completion\": \"So even if you survived the program, somehow you might be bad at your job\"}\n", "{\"prompt\": \"Hello\", \"completion\": \"Let's see today and this evening. So, tell me a little bit more about why you're here.\"}\n", "{\"prompt\": \"Umm one of those I have anger issues and find Myself mad all timme and now trouble over. People can't handle it. So have to come here.I don't want to be here, but yeah.\", \"completion\": \"Well, what is your objective? What do you want this today?\"}\n", "{\"prompt\": \"Umm I mean, I know probably I am angrier than the average person. So many people do a lot Thanks to me. \", \"completion\": \"maybe manage that a little bit better. Yeah. Okay. Tell me is it schooling your game as at home your friends, so tell me about\"}\n", "{\"prompt\": \"this is my friends Of course, most definitely at home my momm. We fight almost every day at school and it ties with the teachers so detention and stuff like that.\", \"completion\": \"So, before we get into this a little bit, I'm going to tell you a little bit about your brain. Okay? we ever heard of the amygdala?\"}\n", "{\"prompt\": \"No\", \"completion\": \"Yeah. When you get to high school, you're gonna know about this in advance, but you're gonna learn about this medical science. So your amygdala Like right here at the base of your brain back here And it's known as the alarm center, saying think about pulling alarm, you know, an alarm is going off in your brain. And that alarm, normally it indicates fight or flight or freeze So makes you want to fight, fight back, right, It makes you want to freeze, just kind of pain free don't let you do or flight which means get out of there, you know, get away. All right. So that's kind of what your brain that's the largest mess kind of your brain. So let's think about some situations when you're in these angry situations and let's let's let's just kind of step through them. So give me an example. really specific of maybe two The alarm is going off and you are really angry.\"}\n", "{\"prompt\": \"I'm definitely a fighter.\", \"completion\": \"Okay, you're a fighter. Alright.\"}\n", "{\"prompt\": \"Because a second to finish today, my mom she it's coming into this dress, which I was going to do. I just wanted to show it and just kept going I mean to do it and I didn't like the way she was yelling at me. And I just wanted to do like I was gonna do she was super sad about it. \", \"completion\": \"Mm hmm.\"}\n", "{\"prompt\": \"So I mean, it just pissed me off. I started yelling at her, go yell at me. And then a little brother came in it's just the whole family. And I don't want to see yell at me and I don't know details. Let us know by the Potomac wall.\", \"completion\": \"Okay.\"}\n", "{\"prompt\": \"Yesterday\", \"completion\": \"okay, there's just yesterday. Okay. All right. So situation mom asks you to do something. You're kind of in the middle of something to get pestering you and yet you started yelling she started yelling starts escalating. you punch a wall.\"}\n", "{\"prompt\": \"yeah\", \"completion\": \"Okay. You got that situation Tell me about a situation at school.\"}\n", "{\"prompt\": \"Near Amiga your alarm says center is like going off to me now, sometimes just looking at saying Let's be nice to see the senses add to\", \"completion\": \"Hmm.\"}\n", "{\"prompt\": \"And then I mean it's such a point teacher. So a 10 asleep in class. Can't help it. cannot show up calm call me out. Put in a whole class. Just quickly, Matt and I are going back and forth saying stuff because of cussing her out. And that's why I had to go to. \", \"completion\": \"Okay. So you're in class teachers calling you out, and you're angry and cursing.\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"Okay. Okay. Good example. Is there any time when there's anxiety that's happening before the anger comes out? Like, um, maybe. Yeah, if you ever get anxious for us kind of freeze for years or more of a reactive of a fight of a last year. Have a get it out. \"}\n", "{\"prompt\": \"That's kind of hard to get it out.\", \"completion\": \"Okay. Okay.\"}\n", "{\"prompt\": \"Okay. Okay.\", \"completion\": \"Good. All right. Well, I want you to, um, it's kind of helpful, I think, to understand a little bit about what's going on in your brain. And then you can maybe help monitor it, help control it help manage it a little bit better. Okay. So let's, um, I'd like to take you through an example of something it's called, And it's a way of it's kind of it's called wise mind, okay? You're, you're trying to be very conscientious about what's going on around you. how you're feeling, and how you're going to react to risk being instead of just reacting whenever That's off, you're gonna think about it, name it, and then react. And hopefully, maybe we can get a little bit of more control on anger, reactions come in.\"}\n", "{\"prompt\": \"Okay, all right. Okay. So going to do that,\", \"completion\": \"okay. Well, you know what I was saying? Knowing that you need that, just saying, I need that. That's a really big step. It really is. Some people don't even acknowledge that they need it, don't want to acknowledge it, don't care to acknowledge it. And they're not going to really get any not not going to change. But you're here. Maybe you don't want to be here, ut I'm hearing you say that you want to make a change. And that's really huge. Because I think you want things to be different for yourself. It sounds like I mean,\"}\n", "{\"prompt\": \"yeah, but also switch people. It's something okay. \", \"completion\": \"Okay. All right. Well, there's a desire that I see, And I appreciate that, And that's great. And there are lots of different techniques for this. And I'm just going to offer one today. And then you can practice it all week, and then we talk next week, we'll kind of see how you are with that and it's not working for you, we'll make modifications might change this, okay? Okay. And this is a technique where you can do it at school, at home, and only takes about one minute. Sometimes we don't have a lot of time. You know, it's great when you can take 15 minutes to calm down, maybe you're going to bed at night and you're doing something that makes you calm down and it's quiet a lot of time. In the heat of the moment, we don't have a lot of time. All right, when you feel that anger rising, there's not a lot of time, alright?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"It happens a lot. Okay. This little procedure is called stop s t o p Alright, it's a little acronym s t o p. So S T O P. So it means the first the S is to stop. So, for example, you're watching TV, and your mom says, I was can you do this just please. Alright. right then and there, you're gonna say, Okay, stop. And then you're gonna take a breath. Okay, you're gonna breathe in, deeply, you're gonna be down. Just like take two deep breaths and think about your breathing. Breathe in and breathe out. Okay? So the T is for take a breath. All right, take a breath. All right. And when you're taking a breath, think about you know, your, your brain releases a lot of oxygen. So when you're breathing in, you're breathing oxygen into your lungs, gets into your blood gets to your brain. You're getting a lot of oxygen, your brain which really helps you think better. Alright, Breathing in and lot of oxygen right there. All right, the O means observe what is going on around you right now. All right. so in this situation, your mom asked you to do the dishes. You're watching the program. All right. Like to finish the program, I think I heard you say, and then you're going to do the dishes. That's how you would like it might not be how mom like it. But you might be able to, if you can kind of get observe the situation and how you're feeling. A little man, mom just asked me to do this. And she's seen him like watching the show here. Alright, so you're observing how you're feeling? All right, watching the show. I'm getting frustrated that she's asked me to do this right now, observe it, name it, claim it and say, okay, that's how I'm feeling right now. All right. So you're just aware you're observing the situation and how you're feeling okay. And then so the O is for observe and the P is for proceed, that means move forward. But something that's going to benefit you that's going to be positive that's going to work for you. You're not your mom is not working for you?\"}\n", "{\"prompt\": \"No\", \"completion\": \"get you in trouble. Get your hand in the wall, you might get hurt. Moving forward Yon and your mom's not working for you too. Well, is it? Okay? So we're going to proceed with something that's going to work for you. In this situation, you have an idea that might work for you.\"}\n", "{\"prompt\": \"Just talk to her but it's so hard to talk to without stopped and I wouldn't be like quite so mad. So Now it's\", \"completion\": \"a good idea though, it's a good thought it might be worth a try to say, and maybe it's more, instead of telling her to do it later saying, Mom, okay, 10 more minutes with this show. There's two more minutes. I'm really interested in this show. And I just finished the 10 more minutes, and then I will do the dishes, kind of put it in a question. So, you know, instead of you know, say, I'm gonna do it later say, I just got 10 more minutes and I really want to finish the show. Is it okay if I just do the dishes as soon as in 10 minutes when I finish the show? Does that sound like something that maybe\"}\n", "{\"prompt\": \"that's what I said before, but it's kind of fun. \", \"completion\": \"Yeah, yeah, I hear that.Well, I'm glad you acknowledge that. That's really good. So let's step through that one more time. s t o p. s is for?\"}\n", "{\"prompt\": \"stop\", \"completion\": \"Yeah. All right, stop. Before you react Before you respond in anger You're gonna stop. What's the T?\"}\n", "{\"prompt\": \"Take a breath\", \"completion\": \"Exactly, Take a breath in action into your brain. So you can think clearly, rationally, Take two big breaths. Three, maybe. O?\"}\n", "{\"prompt\": \"Observe\", \"completion\": \"observe what's going on? What's going on my body? My my thoughts was this situation You know? How am I feeling right now?Name it, Claim it, Okay. This won't finish All right, and then what's the P?\"}\n", "{\"prompt\": \"Proceed\", \"completion\": \"proceed, That's right. Proceed. How am I gonna go forward in a way that's gonna be helpful to me or good for me or benefit me? Right? So what? What in that situation was the P going to be? Was the proceed going to be how you're going to proceed?\"}\n", "{\"prompt\": \"Whose problem my mom might raise\", \"completion\": \"Yeah, yeah, in a calm voice ask her soon as this program is over, can I do it? Man, I really want to finish this then I promise you I'll do the dishes as soon as this program is over.\"}\n", "{\"prompt\": \"Keep yourself calm\", \"completion\": \"Yeah, there you go. Again, in that situation. Very good. You're getting what you want. She's gonna get what she wants. It's a great compromise. Yeah. worth a shot. worth a try?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Okay. Yeah, you know, it takes a lot of time to make a change, really does. You've been doing it one way for a long time. And it takes a lot of time to do something different. So I want you to be patient with yourself. I want you to try this every day. All right, if you can kind of make notes. For me, as we can talk about next week, like on Monday, I had a fight with my mom, I tried it, it didn't work. On Tuesday, I find my mom, it works a little bit, you know? And when you The more you do this, the better you're going to get. And the more it's going to benefit you. All right, the more it's gonna benefit you.\"}\n", "{\"prompt\": \"Absolutely, right. It's just the way you talk with each other. Stop and proceed\", \"completion\": \"you're right, You're right, Because they're a certain way in the house. And it's going to be Yeah, be patient with yourself and realize this is going to take some time. Okay. Let's think about at school, a situation if you want to take that one situation at school too. Okay, say you're in history class, history, human history don't get during your history class and she's calling on you, Right? This is when you get angry. Is that not correct about that? \"}\n", "{\"prompt\": \"yeah\", \"completion\": \"Now she asking you So is she saying okay Alyssa can you answer this question, is that what she's calling or she's saying Alyssa wake up because you're asleep. What is your truth?\"}\n", "{\"prompt\": \"Yeah I think so\", \"completion\": \"okay. Okay. Okay. All right. So let's kind of step through this stop process with that. Alright, teachers gonna ask you what somehow to tell us about that. All right? Instead of what's the normal reaction for you, your alarm going off, what's the normal reaction for you?\"}\n", "{\"prompt\": \"I don't lots of teacher\", \"completion\": \"Okay, all right. You're gonna try to stop. All right. You're gonna take a breath, two breaths. You're gonna say, Alright, how you feel at that point? She's embarrassing me. What else is going on? \"}\n", "{\"prompt\": \"Okay, okay, anger.\", \"completion\": \"She knows I know, She's just trying to test me. She knows I don't know the answer because honestly, you should call. Okay?\"}\n", "{\"prompt\": \"it's frustrating.\", \"completion\": \"Right? kind of tired of it. So you're naming that, alright, frustrated, you know, she doesn't answer by me. Okay? You're, you're observing what's going on in the situation, But how are you going to proceed in a positive way? All right, instead of y'all And getting sent out of the room? Can you think of a way that might benefit you more? That might be to your advantage. Getting out of the room and going down the hall is not helping you too much. So what's a way you can proceed? you're frustrated. You are maybe a little bit embarrassed, maybe don't know the answer. What's what can you do instead of yell at that teacher and get angry at her with the other thought maybe?\"}\n", "{\"prompt\": \"I don't know.\", \"completion\": \"Okay. Well, that's, that's the truth. You might know or may not know if that's true. You can say just simply that I don't know then she's gonna go to somebody else, right?\"}\n", "{\"prompt\": \"Maybe Yeah\", \"completion\": \"that'd be the hope that she goes to somebody else. But for you, you won't be sent out of the room. You won't be getting in Trouble, you won't be in ISS for the day\"}\n", "{\"prompt\": \"yeah\", \"completion\": \"one objective is not for you in school is for you to get to the next grade. Get the next grade in that classroom, learn a little bit so you can get to the next grade. \"}\n", "{\"prompt\": \"Yeah I want to\", \"completion\": \"yeah, that's good. You got a desire to do that. So, this procedure is kind of only takes 45 seconds or so, for you to stop. Take a few breaths, observe what's going on, kind of name your emotions, okay, and this and this and this, however, don't want to respond with angry words or yelling or cursing because it's not going to benefit me, you know, trying to make a change here. I'm going to figure out what is my best tool to proceed that's going to help me you know, work out arrange with mom or just tell her that you don't know, okay?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"And again, be patient with yourself because this type change takes a while. Yeah, yeah. Are you willing to maybe practice this once a day, every day, it can either be at home or it can be in the classroom this next week?\"}\n", "{\"prompt\": \"Yeah if something comes up.\", \"completion\": \"Okay. Just try it and see how it works. And if this I have a lot of tricks up my sleeve, so if this one isn't working, we can modify or we can try something else but try to set it in and we'll just kind of talk about it next week and just kind of see how it's going. Okay. Thanks for coming in.\"}\n", "{\"prompt\": \"Thanks\", \"completion\": \"Appreciate you want to make change and willing to do something\"}\n", "{\"prompt\": \"I'm good,\", \"completion\": \"doing good.\"}\n", "{\"prompt\": \"yeah\", \"completion\": \"I'm going to ask you some questions and give you some problems to solve. Please try to answer them as best as you can. Okay. What year is this?\"}\n", "{\"prompt\": \"It is 2015\", \"completion\": \"Okay. What season of the year is this?\"}\n", "{\"prompt\": \"It is beach season.\", \"completion\": \"beach season ?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"What is the date today?\"}\n", "{\"prompt\": \"Tuesday\", \"completion\": \"what day of the week is this?\"}\n", "{\"prompt\": \"Tuesday\", \"completion\": \"What month is this?\"}\n", "{\"prompt\": \"It is may\", \"completion\": \"Can you tell me what country we are in\"}\n", "{\"prompt\": \"America.\", \"completion\": \"What County are we in?\"}\n", "{\"prompt\": \"We are in Kent County, Kent County.\", \"completion\": \"What city are we in ?\"}\n", "{\"prompt\": \"New Castle.\", \"completion\": \"What is the name or the address of this building?\"}\n", "{\"prompt\": \"We are at Wilmington college.\", \"completion\": \"What floor of the building we at?\"}\n", "{\"prompt\": \"Two\", \"completion\": \"I am going to name three objects. After I've said them, I want you to repeat them back to me.\"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"Apple, Table, Penny\"}\n", "{\"prompt\": \"Apple, Table, Penny\", \"completion\": \"remember what they are, Because I'm going to ask you to name them again in a few minutes. \"}\n", "{\"prompt\": \"Okay\", \"completion\": \"Now I'm going to give you a word and ask you to spell it forward and backward. The word is world. First, Can you spell it forward?\"}\n", "{\"prompt\": \"U O R D\", \"completion\": \"Now, can you spell it backward\"}\n", "{\"prompt\": \"D O O U\", \"completion\": \"What were the three objects I asked you to remember?\"}\n", "{\"prompt\": \"Apple, Table And, um, I don't remember the last. \", \"completion\": \"Okay. What is this called?\"}\n", "{\"prompt\": \"That's your watch.\", \"completion\": \"What is this called?\"}\n", "{\"prompt\": \"A pencil\", \"completion\": \"I would like you to repeat a phrase after me. The phrases is no ifs, ands, or buts.\"}\n", "{\"prompt\": \"No If no and no buts\", \"completion\": \"I would like you to read the words on this page. I'm going to hold up. Then do what it says.\"}\n", "{\"prompt\": \"Close Your eyes.\", \"completion\": \"Okay. Are you right handed or left handed.\"}\n", "{\"prompt\": \"I'm right handed, \", \"completion\": \"right handed ?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"I want you to take this paper in your right hand. Fold the paper once with both hands, and then put the paper down in your lap. \"}\n", "{\"prompt\": \".....\", \"completion\": \"Okay, thank you. All right, if you could pick up the notebook with a piece of paper. I would like you to write any complete sentence on a piece of paper for me, me.\"}\n", "{\"prompt\": \"Any?\", \"completion\": \"Huh hmm\"}\n", "{\"prompt\": \"Okay\", \"completion\": \"Can i see the sentence? Okay. Here's the drawing. Please copy the drawing on that same piece of paper.\"}\n", "{\"prompt\": \"This is really hard, I got it.\", \"completion\": \"You got it ?\"}\n", "{\"prompt\": \"Kind of.\", \"completion\": \"Thank you Ayesha. I appreciate you participating in that assessment.\"}\n", "{\"prompt\": \"my clinical psychologist has told me that I needed to see someone. I thought I didn't need to see someone because there was nothing wrong with me. I just had a heart disease. And I, my heart disease had got so severe and I was just tired and there was no one that could make it better. By listening to me or talking to me, the only thing I thought that could heal me was heart surgery. And when he suggested that I see someone, it didn't seem to make sense. But because I was so depressed, so far gone, I, my husband through my husband, I thought I try and just take a chance and just listen to someone or let someone Listen to me, because I wasn't sure what it entailed. I've never been to a clinical psychologist before. So to me as a clinical psychologist was a shrink, you must have had something seriously wrong with your brain that you needed to see a clinical psychologist, and I didn't need to see one. But when I did Mita and I realized that not being able to make up my mind by Waiting for surgery for heart surgery. I'm putting my name down on the list. I needed someone to help be accepted in order to get surgery done, because I didn't want to get surgery done and she listened to me and to the way I felt and what was making me whoa, hold back on surgery and what made me feel the way I did. And funnily enough, as a woman, you tend to feel that you can cry on someone else's shoulder. But for the first time, just letting my emotions out to her. She helped me cry and by me speaking to her, it helped me see myself from the inside. If that makes sense. I then I began to understand why I had to get heart surgery done wasn't because I was tired but I had my family and everyone that went through the road with me of suffering was mad so I needed to get it done. And then eventually I did put my name down on the list not knowing it would be done so quick because asked was just supposed to take me six to eight months to get heart surgery done. But when I started seeing my clinical psychology, I understood it, I put my name down and I got my surgery done in 30 days time. So it sounds like part of the clinical psychologists role with you is to help you to make your decision around whether to get surgery or not. Yes. But you also said that you were quite depressed at the time was the CBT helpful for your depression as well, it helped because then, instead of crying and holding things back emotionally, it helped me let things out. And by letting things out, it helped me understand what I was feeling because most of the time we bottle things up, we never let them out or we never talk to each other, or other people. So when we bottle stuff up, it makes it harder for us to figure out ways to solve problems. Sometimes it can be a little problem and we turn it into a big problem because we just don't communicate with other people or talk things over to make it easier to understand. And she helped me understand and I saw her before surgery right through my heart surgery and after heart surgery, and she helped me. By then by the time I started with heart surgery, I'd lost myself confidence. I was so depressed, I was so withdrawn. But after I had heart surgery, and I carried on seeing her, she helped me gain my confidence back again. She helped me gain my trust again, she helped me see that there was something worth loving for again. And a lot of times when I think of the things that are needed for me, it brings tears to my eyes and makes my heart swell up because I didn't know another person could do that for you. By just listening to you, you know, like when we go to mom when you got a problem and you think no one can understand, but my mom can because she knows what I'm coming from. But it's not to say that clinical psychologists are like that. But it's just the way they listen to you. Just having that someone that can listen to you and just be there and be still be quiet and let you express yourself. That's how and help you find out what problems are that you've got and help you solve those problems if they can.\", \"completion\": \"Was there anything about the CBT, in particular, that you found was helpful for you?\"}\n", "{\"prompt\": \"Dr. Penny was there with me every step of the way. With all the problems that I had, she helped me Show me that there's an easier way to solve everything and not make a big problem out of everything. There's always someone every step of the way that stayed to help if you need a helping hand. And that's how I in by the time I'd finished therapy with her, I found out that clinical psychologists are not just strings. They are people like us and they do feel like us and it's so much easier. To speak to someone when you're having problems because we all do in our lifetime breakdown sooner or later. If you don't have to be mentally ill, you can be in a car accident, any any problems in the home is something you can even have a death in the family that you can break down with. And you need somebody just to hear you how you feeling, because we all assume that somebody else naturally knows what I'm feeling or thinking. But it's not that way. We all have different\", \"completion\": \"whether any drawbacks to going for CBT\"}\n", "{\"prompt\": \"in the beginning, I didn't. I didn't have any drawbacks going for CBT because I was so severely depressed, I needed it. And I found that they were people all around that would help me so there was nothing. The only thing that was stopping me was me.\", \"completion\": \"Sounds like it was a good experience for us. If you go Any advice that you would want to offer anyone who is thinking now about going for CBT?\"}\n", "{\"prompt\": \"good. How are you?\", \"completion\": \"doing? Well, thanks for asking. I'd like to ask you some questions about your memory. Listen carefully. I'm going to say three words. You say them back after I stop reading. Here they are milk, sensible before. Now repeat those words back to me. \"}\n", "{\"prompt\": \"Milk, sensible and before. \", \"completion\": \"Now keep those words in mind. I'm going to ask you to say them again in a few minutes. Okay? What day is today?\"}\n", "{\"prompt\": \"Monday\", \"completion\": \"what is the year\"}\n", "{\"prompt\": \"2015\", \"completion\": \"What is the season?\"}\n", "{\"prompt\": \"Summer. still hot.\", \"completion\": \"What is the month of the year?\"}\n", "{\"prompt\": \"September\", \"completion\": \"What is the day of the week?\"}\n", "{\"prompt\": \"Monday\", \"completion\": \"What is the date?\"}\n", "{\"prompt\": \"The 14th\", \"completion\": \"where are we now?\"}\n", "{\"prompt\": \"in your office\", \"completion\": \"What is the state?\"}\n", "{\"prompt\": \"Delaware\", \"completion\": \"What is the county?\"}\n", "{\"prompt\": \"New Castle\", \"completion\": \"what is the city?\"}\n", "{\"prompt\": \"Smyrna\", \"completion\": \"What is the name of the building?\"}\n", "{\"prompt\": \"I didn't know it had a name. Okay.\", \"completion\": \"What type of building is it?\"}\n", "{\"prompt\": \"A school.\", \"completion\": \"What floor Are we on?\"}\n", "{\"prompt\": \"The second\", \"completion\": \"what were those three words I asked you to remember?\"}\n", "{\"prompt\": \"Milk. cup. Book. Okay.\", \"completion\": \"Now I'd like you to subtract seven from 100 then keep subtracting seven from each answer until I tell you to stop. What is 100 take away\"}\n", "{\"prompt\": \"92\", \"completion\": \"keep going\"}\n", "{\"prompt\": \"85\", \"completion\": \"keep going\"}\n", "{\"prompt\": \"79\", \"completion\": \"Keep Going\"}\n", "{\"prompt\": \"72\", \"completion\": \"keep going.\"}\n", "{\"prompt\": \"And 64 \", \"completion\": \"Okay, good. What is this?\"}\n", "{\"prompt\": \"Your eye\", \"completion\": \"And what is this\"}\n", "{\"prompt\": \"your ear\", \"completion\": \"Now I'm going to ask you to repeat what I say. Ready? It is a lovely, sunny day, but too warm. Now you say that\"}\n", "{\"prompt\": \"is a lovely sunny day and it's warm.\", \"completion\": \"Listen carefully, because I'm going to ask you to do something. Look at these pictures and point to the circle. Then point to the square. And then point to the triangle. Please do what this says to do. Okay. You'll find a piece of paper diala for you before using that blank piece of paper, please write a sentence. I see it. Thank you.\"}\n", "{\"prompt\": \"Okay\", \"completion\": \"Please copy this design, you can hold on to that. Good Kathleen, that's the end of the test. I want to thank you This was very helpful. \"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"And before we go over any of that I really wanted to find out from you how things are going and what you're concerned about.\"}\n", "{\"prompt\": \"Well, I mean, I'm, I'm curious about them because I haven't been very well, right. I haven't been very, very well. I've been last week I threw up some blood. \", \"completion\": \"Is that the first time that's happened?\"}\n", "{\"prompt\": \"Yeah, the first time. I mean, I threw up blood last weekend then. Again, yesterday. So there's something bad going on. I know there's something bad going \", \"completion\": \"What do you think is going\"}\n", "{\"prompt\": \"what cancer right I think I probably have cancer i'm not i'm not doing very well I just look headaches and I was just\", \"completion\": \"let's try to figure some of this out. Okay. When you said you were throwing up blubbery, throwing up bright red blood and was it like little spots, big spots?\"}\n", "{\"prompt\": \"It was a it was almost filling a toilet wasn't that much. I wasn't like that it was enough that I could see it in the toilet, and I was throwing up.\", \"completion\": \"And did did you have any other symptoms?\"}\n", "{\"prompt\": \"Well, I was feeling sick. So and I had headaches and I, you know, I've got,\", \"completion\": \"what time of day was this? \"}\n", "{\"prompt\": \"I have headaches a lot\", \"completion\": \"throughout the day, throwing up the blood\"}\n", "{\"prompt\": \"that was in the morning and then again, the other time it was sort of later in the day, but I you know, I also wake up in the middle of the night and I'm just covered in sweat. I know that's another cancer thing.\", \"completion\": \"Look, I can understand why you're worried. All right, because throwing up Blood is scary, and waking up soaked in sweat in the middle of the night. That doesn't feel right either. Let me ask you a couple of questions that might help explain things. When did you have your last drink?\"}\n", "{\"prompt\": \"Actually, just before I came here,\", \"completion\": \"okay, so that was earlier this morning. All right, what did you have?\"}\n", "{\"prompt\": \"I had orange juice and I had some vodka in it. It's the only thing actually that like steadies me enough to get out the door. I don't ever go out that often. But right now,\", \"completion\": \"so tell me how it helps you.\"}\n", "{\"prompt\": \"It's just studies me studies me like I'm, you know, I'm shaking all the time. I'm just like,\", \"completion\": \"So over the course of the day, in order to study yourself in order to feel calmer. How many drinks do you end up having?\"}\n", "{\"prompt\": \"Five? Hmm, maybe\", \"completion\": \"singles or doubles?\"}\n", "{\"prompt\": \"I don't measure\", \"completion\": \"right. So is it mainly vodka\"}\n", "{\"prompt\": \"Sometimes if I'm feeling really like my stomach is really upset, I'll drink cider. So that's its cider or vodka because\", \"completion\": \"and you ever get that feeling in the morning that some people describe that they wake up feeling so edgy. They need a drink to calm down. Yeah. It's like the only thing that works for me. Anything that works, too. So in the past week, do you think you've been drinking more?\"}\n", "{\"prompt\": \"In the last week? Not so much in the last couple of weeks maybe?\", \"completion\": \"Hasn't been daily. Oh, yeah. Right. So the longest you've gone without a drink in the last month would be how long?\"}\n", "{\"prompt\": \"I don't know. Actually. I mean, I don't know. I've got you know, I've got a lot going on. Right. Yeah. So my, my sister is in Boston, she's got cancer and I know like I should be calling her and I can't do that. My mom is really sick and she's horrible, and I'm the only one that Who can go see her? And I go see my mother and she just yells and screams at me and she's got this email and it's just\", \"completion\": \"so for all of those things, the alcohol helps.\"}\n", "{\"prompt\": \"Yeah, yeah.\", \"completion\": \"Yeah. And does it ever happen sort of by the end of the day, that you have trouble the next day remembering what happened?\"}\n", "{\"prompt\": \"I guess. I mean, I, you know, my days don't differ that much. But I, you know, I'll fall asleep in front of television and then I'm not seeing lots of people so I you know, there's not big events in my life that I would be remembering. I just, you know, especially now that I'm feeling so not well, that I yeah, there's not much that I would have to remember\", \"completion\": \"having that. Have you tried it all to cut down on your drinking?\"}\n", "{\"prompt\": \"I did. I did. You know, I had a boyfriend who you know, was Sort of casual coming over and, and he, he basically said he couldn't be with me anymore because I drink too much. And so I tried. I tried. I was like, Well, yeah, and then he left. So who cares, right? I mean, right?\", \"completion\": \"You find yourself feeling feeling guilty about the alcohol.\"}\n", "{\"prompt\": \"I feel guilty about my sister, right? I feel guilty that I can't like I just can't. I can't even call her like I can't. Right. So if I, if I could pull it together than I could,\", \"completion\": \"because what I understand from what you're telling me is that the drinking helps meet a certain need for you, in terms of trying to hold things together with all this stuff going on, and meets a need in terms of trying to keep you calmer. But at the same time, it's getting you into trouble. It's getting into trouble in terms of relationships, but it's also the most likely act explanation for why you've been throwing up blood isn't why the lab results that I've got are consistent with an amount of alcohol that's too much for your body to handle. Really, really, and that means, ideally, that we're going to work together to find a way to do something about it.\"}\n", "{\"prompt\": \"Okay,\", \"completion\": \"okay. What's been going on?\"}\n", "{\"prompt\": \"I just been dealing with so much anger that I'm having difficulty controlling in my everyday life a\", \"completion\": \"lot of anger. Yeah. Can you give me some examples?\"}\n", "{\"prompt\": \"Like for instance, I go to the dry cleaner, the pickup my fiance's uniforms, and the lady had them like ball bag together and I mean, I could have easily just asked her because she separate them. But I begin to yell caused a big commotion because I was so frustrated and angry. She actually was about to call the police escort me out. And I don't think I'm even allowed to go back to the driveway anymore.\", \"completion\": \"So quite a bit of anger. \"}\n", "{\"prompt\": \"Yeah. My neighbor's dog was barking late at night. I know my neighbors when they can't control that. But I get into a huge fight with my neighbors argument. We're not speaking at the moment and it's just raw uncomfortable. But, I mean, I feel bad now that it's over with none. I thought about it. And I just don't know why I was so upset that the dog was work.\", \"completion\": \"Right. So from your perspective, it doesn't seem to make sense why he got so angry. \"}\n", "{\"prompt\": \"No, I just it's been going on for some time. Now. I just get little things just I just explode. So i don't know why\", \"completion\": \"did anything change around the time that I started?\"}\n", "{\"prompt\": \"Nothing that I can really think of just when I'm overwhelmed. I have so much to do. I kind of just break down and just become extremely upset with everything around me.\", \"completion\": \"Alright, so you're getting upset you have some anger any other time that you're feeling angry\"}\n", "{\"prompt\": \"when I go to the go workout at the kickboxing class I'm like the go all out like I use that as like a release. I'm punching the bags of shame before I actually had hurt my wrist last week. I just go all out in there and my trainer kind of notices like are you okay? And I'm like it's just relief kind of gained all the anger I had been out so.\", \"completion\": \"Alright, so that experience for you. You feel like you're releasing more energy than maybe the other people in the game can wait\"}\n", "{\"prompt\": \"You are way more I'm like loud, I'm sweating bullets. I'm just going all out like extremely angry.\", \"completion\": \"Alright, so the in recent memory, your anger has increased, but it's still not really clear what's going on. that's causing the anger.\"}\n", "{\"prompt\": \"Not really I just feel like frustrated does have so much going on at the moment. So it's kind of like just feel overwhelmed, I guess not take it out.\", \"completion\": \"You feel busy, like in your daily life, like a lot of responsibilities?\"}\n", "{\"prompt\": \"Yes, a whole lot\", \"completion\": \"and what kind of things you're doing.\"}\n", "{\"prompt\": \"Mainly, mainly take care of home does not mean I don't I don't work or anything. So I kind of just take care of home and, you know, with the kids and everything, it's just a lot. So\", \"completion\": \"see a lot of responsibilities in the home.\"}\n", "{\"prompt\": \"Guess all of the responsibilities all It feels like all of them? Yeah.\", \"completion\": \"What type things are you doing?\"}\n", "{\"prompt\": \"I'm cooking, I'm cleaning. Now I have to earn all of my husband's uniforms and get everything ready for him. I had to make sure I cook breakfast I had to make sure I pick lunch. I had to make sure I have dinner ready income I had to help the kids with their homework. I just have so much going on like it's constant, catering, catering, catering, cater and it feels like I just really don't get a break or any other help is just made every day.\", \"completion\": \"You're doing everything and has always been this way.\"}\n", "{\"prompt\": \"Not always but it seems it's been like this for some time.\", \"completion\": \"Okay. Where you're really just doing everything in the home.\"}\n", "{\"prompt\": \"Everything.\", \"completion\": \"I want to ask you Can I ask you or mention a few words? Right? I would like you to, if you're okay with this exercise, tell me the first thing that comes to mind like and you can buy say a word, you can offer several responses. But try not to invest a lot of thought into the response more just what occurs to you. Oh, but does that make sense? \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"All right. So the first word is\"}\n", "{\"prompt\": \"structure, responsibility. repetition,\", \"completion\": \"repetition. All right. Let me give you another word, relationship.\"}\n", "{\"prompt\": \"conflict, power struggle. disagreements.\", \"completion\": \"Let me offer you another word work.\"}\n", "{\"prompt\": \"Independence, freedom able to express creativity.\", \"completion\": \"Good, alright. How about another word here? Power\"}\n", "{\"prompt\": \"of constant struggle extremely controlling.\", \"completion\": \"So do you see any themes and in the words that you provided back\"}\n", "{\"prompt\": \"Seems like everything is like really controlled and structured, \", \"completion\": \"controlled and structured? What's the source of that controlling structure? Is there a source of it?\"}\n", "{\"prompt\": \"A lot of it may come from my fiance. Now that I'm thinking about it.\", \"completion\": \"Somebody told me you're thinking,\"}\n", "{\"prompt\": \"because I feel that he doesn't give me the freedom or the ability to do a lot of the things that I would like to do like work, and I think he should help more with the kids around the house and do things and I shouldn't have to do everything. And I feel like that's probably why I'm so frustrated because I felt that I don't have any help. It's like I'm single, and I'm doing everything on my own. So this project where the bulk of my frustration is coming from\", \"completion\": \"So as you're telling me this and you're explaining kind of that relationship with your fiance What are you feeling?\"}\n", "{\"prompt\": \"I'm feeling angry and disappointed. Like I don't really know if I want to further anything because well it'd be like this forever just like angry, frustrated\", \"completion\": \"is a similar to the anger that you've been experiencing recently. Like at the dry cleaner places.\"}\n", "{\"prompt\": \"It's far worse than it but it's like I think that's where why I'm always so upset and angry.\", \"completion\": \"Serious thinking that maybe that relationship or something part of that relationship is what's really causing the anger.\"}\n", "{\"prompt\": \"Yeah, cuz I feel alone at the same time completely. Like I'm not in a fair relationship is like I'm in control and I don't have freedom to do anything. I don't have help and it's just it's laying a lot of stress on me.\", \"completion\": \"So is this is your talk about this do you feel like this is new information you're kind of realizing something that you didn't realize before\"}\n", "{\"prompt\": \"it because honestly, I kind of I never really focused on that aspect of it. I kind of just thought that's the way it should go. And I just thought I was angry because I just hate bad deeds. I've never really looked deep into it because I try so hard to make everything in my family, right. So I kind of really don't pay attention, I kind of ignore it. But now that I'm thinking and pointing out different things, than into how I really feel.\", \"completion\": \"So you feel this, this kind of big moment in terms of awareness.\"}\n", "{\"prompt\": \"Definitely because I don't think I would have like I said, I think I'm kind of try to hide it and really don't focus much on it because I want things to be perfect. So they got a kind of ignore it.\", \"completion\": \"Okay, so maybe through this session, you develop more insight about what's contributing to the anger.\"}\n", "{\"prompt\": \"Yeah, definitely. Cuz I would just go off for no reason at all and just later to think about like, why did I even do it?\", \"completion\": \"But But this source of anchor, this relationship, you recognize this is maybe more causal or more contributing? Yeah. Where's the other objects of your ad? If you weren't really sure,\"}\n", "{\"prompt\": \"I wasn't sure at all. Why. But with that, I definitely could see the reasons why.\", \"completion\": \"All right, chess move. I feel like we've made some progress here. And I'd like you to between now and next session, if you're comfortable with it, kind of reflect on what themes have maybe come to the surface, what informations may have been revealed to you a little bit. And we can pick up there and explore this further with the anger issue. So that's like a good plan.\"}\n", "{\"prompt\": \"Yeah, definitely. Definitely. It's good.\", \"completion\": \"Well, I appreciate you coming in today, and I'll see you in week. Okay. Thank you.\"}\n", "{\"prompt\": \"Nice, \", \"completion\": \"I understand you've been having some recent difficulties.\"}\n", "{\"prompt\": \"I think with the cups.\", \"completion\": \"There's some involvement with the place\"}\n", "{\"prompt\": \"It was so blown out of proportion. Stupid neighbors were having a party. I'm trying to get sleep. It's like, you know, 1011 I'm trying to why now they're having a party. I go over there, you know, at the door through the door. Yo, I'm trying to get sleep. Bring it down some no response. So I let myself in. With little forest by myself in there. I'll just confirm who's ever there who's having this party. Everybody's just like, everybody's ignoring me. So I just go over take the stairs. Are you open the window, throw it out the window. Then there may have been people walking by. This woman swear she was walking by says I almost I almost hit her. But to me that she called cops.\", \"completion\": \"So what story are you on?\"}\n", "{\"prompt\": \"Maybe third floor,\", \"completion\": \"third floor. So you threw the stereo out the window. And\"}\n", "{\"prompt\": \"it was nowhere near that woman. She was way across the street but she says almost rehearsal.\", \"completion\": \"She called whom?\"}\n", "{\"prompt\": \"she called the police said I was out of control and then the people from the party had a nerve to go down. When the cops got there and they agree with her they said came they sound broken and I just came in But anyway, Mesa other stereo and then the police are Brenton and put me in jail and they're threatening to press charges and now it's just ugly but it's blown out of proportion. \", \"completion\": \"You feel it's blown out proportion?\"}\n", "{\"prompt\": \"Yes. Is anything\", \"completion\": \"like this happened before?\"}\n", "{\"prompt\": \"Not with the police or anything\", \"completion\": \"how about anything were you found your anger? Strong?\"}\n", "{\"prompt\": \"Well, maybe there was the time it was my daughter. She's 16 years old. You know how teenagers are? They don't listen. She wasn't listening. She has a smartphone brand new smartphone she got for Christmas, you know out of my money from my pocket. Brand new smartphone got for Christmas up here. Hello Is tuffrey homework. Did you do your homework? She says Gavin on the phone. Not listening. Took the phone. Throw it out the window. Broke shattered. Yeah.\", \"completion\": \"How long ago was this with a thumb four five months ago for five months. All right. So do you find that you're angry often.\"}\n", "{\"prompt\": \"I want to say I'm angry often. I just think is if people did what I wanted them to do what I wanted to do them to do it I have gone in be so upset as much\", \"completion\": \"so you find yourself upset on occasion\"}\n", "{\"prompt\": \"on occasion but again it's just if people would listen I don't know if it was last year your before 101 it was like it was one of those Thanksgivings and just my whole family's around you know Thanksgiving much about our cooking dinner. Busy all in the kitchen. Everything's hot when I've got this whole warming meal me. My brother's there, his family's there. You know, my husband's family's there. Everybody's there. Everybody's time to eat. Everybody's time to eat. I think this football game is more interested in my food. I spent all day making this. So it's like, you know, just went to TV. Thought about my brother. He's 45 years old. He should be listening you know? But just throw it on the ground Smash. Now you will with us to their screen for a little bit got it all that felt so good get it up so their screen they're all staring but you they\", \"completion\": \"do you feel like you plan to throw the TV or just something came up in the moment\"}\n", "{\"prompt\": \"man just happen yeah planner i think but just I just want them to eat you know\", \"completion\": \"there's more more of a spur of the moment thing spurred\"}\n", "{\"prompt\": \"a moment completely spurred a moment because our center \", \"completion\": \"hey it got their attention, the TV in broken so so this has your anger and some of your behaviors caused some recent trouble with the law. That's why you're here. Everything like I says\"}\n", "{\"prompt\": \"there's no need for police No need.\", \"completion\": \"For now they're involved and you feel like counseling may be helpful.\"}\n", "{\"prompt\": \"If I want to keep my job, yes, I can't go to jail. I'm like, I can't face any charges. I can't do that. So counselor would be helpful in that regard. I don't see it as a problem.\", \"completion\": \"You don't see the anger as a problem?\"}\n", "{\"prompt\": \"Oh, see what everybody's talking about. My husband says, I have these anger issues. My kids say, throw a temper tantrum like a two year old. But I will say I will see it. You're just gonna say it. I don't see it.\", \"completion\": \"Do you have any history of medical problems? mental health problem? Do you ever use drugs or alcohol?\"}\n", "{\"prompt\": \"No, nothing like that. Okay.\", \"completion\": \"So it seems like you are open to the idea of counseling, like to get your schedule going, our counselors, I get you in a couple days if that works. Ready to work. I appreciate you answering these questions. has been helpful and I'll get you set up with the counselor.\"}\n", "{\"prompt\": \"Im here\", \"completion\": \"you're good?\"}\n", "{\"prompt\": \"So I've been made to come in and talk to you. because something happened on the bus. And there I may have said something to somebody and they're just like, oh, you can't say that. So they actually said, we're going to take you to jail. from jail. They just called me here.\", \"completion\": \"Do you know what you're charged with?\"}\n", "{\"prompt\": \"They didn't explain anything. The government never explains anything. They just don't want me to understand what's going on because they just want to keep me out of captivity.\", \"completion\": \"The government. Do you have anyone specific?\"}\n", "{\"prompt\": \"nope, it's the entire government, entire government, higher government.\", \"completion\": \"How long have they been wanting to do this to you?\"}\n", "{\"prompt\": \"all my life. I've done this all my life. They they're always listening. They're always around. They're always there.\", \"completion\": \"always there?\"}\n", "{\"prompt\": \"always there. Like, for example, they're in the lights right now. They're listening to everything that we're talking about. So that's the reason why I really can't talk about what happened on the bus because they're just going to use that against and then it's locked me up again. I think we take more minutes.\", \"completion\": \"Even taking medications.\"}\n", "{\"prompt\": \"Yes, I take the medication, because if I don't take the medication, government comes and takes me away and puts me into a hospital where they force me the medication. And then the lights are always on and they can always hear everything that I'm saying and what I'm thinking and what I'm going to do.\", \"completion\": \"Do you know what they want to do with that information?\"}\n", "{\"prompt\": \"wanting us to take over the world, to take over the world, people in the world, of course, they want to use everything and use everything that everybody knows to use it against them so that they can actually have the world they want in that baby and make everybody pretend that they don't know what's going on. So therefore, they're using everybody's thoughts against themselves, so that the government can use it to their benefit.\", \"completion\": \"So what can you do in a situation? Well, you said the government's monitoring everything and they want to put you in jail. If you don't take your medication, do have any options. Are you stuck?\"}\n", "{\"prompt\": \"No. So when I'm home, I think I'm perfectly fine because I set up my house in my room to actually make it government proof so that nobody can actually hear see what's going on in there. So when I'm home, I'm perfectly fine.\", \"completion\": \"So one option is that being home, being home, you're safe\"}\n", "{\"prompt\": \"being home and being home I've saved my mom saved my brother's save everybody safe. And being out in the world in the world. That's a nobody safe.\", \"completion\": \"Are you safe here?\"}\n", "{\"prompt\": \"No, I told you they are employed, and they can hear everything that we're saying right now. So no, we're not safe here.\", \"completion\": \"It's just not safe here. It's not safe out in the world. At home, you're safe\"}\n", "{\"prompt\": \"at home and safe in my room, that I mean government.\", \"completion\": \"So if you could have your way you would, you would stay home most of the time all the time?\"}\n", "{\"prompt\": \"I would stay home all the time, but I can't stay home because I mean to go and see doctors and talk to people and do the things that the government needs me or wants me to do. But I don't want to do those things because she's in my thoughts and they're trying to use everybody and get sleep. I can't deal with that.\", \"completion\": \"So how how do you know that they're in the lights? Like, how did you discover that?\"}\n", "{\"prompt\": \"Everybody knows that they're in the light. It's common knowledge. It's common knowledge. Everybody knows that.\", \"completion\": \"Do you ever hear things that other people can't hear or see things that people can't see?\"}\n", "{\"prompt\": \"No, of course, everybody hears the lights talking to you. I don't know what you're talking about. Like everybody hears it. Sometimes it's a whisper. For some people. Sometimes it's a yell. And if you want to not pay attention to what the lights are saying to you, then I don't know what's wrong with you, but everybody can hear it.\", \"completion\": \"What's the sound like to you?\"}\n", "{\"prompt\": \"It sounds like a robot talking. It sounds like we need to know this information we need to what do you do.\", \"completion\": \"I'm just making some notes. Speaking some weird progress notes Does that worry you?\"}\n", "{\"prompt\": \"Yes. where your notes gonna go?\", \"completion\": \"Well, this chart will get locked in the chart room down the hall\"}\n", "{\"prompt\": \"who has access to the chart room.\", \"completion\": \"Mostly everybody works here.\"}\n", "{\"prompt\": \"Can I get a copy of your notes after you're done?\", \"completion\": \"Does it worry that there's notes?\"}\n", "{\"prompt\": \"Yes, because I might trust you. And I don't know if I do yet. But I don't trust the other people who work here because I don't know if they're working for the government, which they probably are working for the government. So they can actually have access to all of my notes and the things that you're writing down, which I don't know what they are, because you're not going to give me a copy of it yet. And I just don't trust that they can actually get that information and because they're going to use it to their advantage and they're going to give it to the government, which I can't have that. So could you please not take notes?\", \"completion\": \"I could not take notes, what kind of information and notes are you worried that the government's gonna get?\"}\n", "{\"prompt\": \"Well, because I made my room at home government proof, I think they're going to try to steal that technology when I actually create it so that they can then disrupt my room and then everybody else's rooms who are just like mine so that they can then use their mind control to then control me to do the things that they want me to do.\", \"completion\": \"So without the protection that your house offers, they could control your mind.\"}\n", "{\"prompt\": \"Correct. Without my room, and without the technology and the systems and the things that I created, then the government will be able to control everything that I do.\", \"completion\": \"All right. So can you tell me about your mood through all this, this sounds really stressful you're describing environment where the government's frequently Looking at what you're doing for the feelings are you feel sad or angry?\"}\n", "{\"prompt\": \"I feel fine\", \"completion\": \"You feel fine.\"}\n", "{\"prompt\": \"I don't really have any problem Yeah, I just I feel fine. I don't feel happy. I don't feel sad. I just, I'm just here\", \"completion\": \"kind of resigned the government's gonna do this\"}\n", "{\"prompt\": \"well, the government's gonna do what they're gonna do anyway. So it doesn't matter if I'm happy sad, pissed off angry. any of that the government's going to make me do what they want me to do anyway. So it doesn't matter how I feel.\", \"completion\": \"Are you worried that something is going to happen a similar will happen on the bus?\"}\n", "{\"prompt\": \"No, because I've learned my lesson to not say those things out loud into to talk about what the government's doing because I can't actually inform anybody else because nobody's listening to me because They're already controlled by the government because they don't have a room like I do at home.\", \"completion\": \"To avoid that in the future, because it didn't really, it didn't really work. You weren't able to, to help them understand what's going on.\"}\n", "{\"prompt\": \"While people don't understand what's going on, then that's their fault. that's their problem. They should have listened to me. And I could actually gave them the technology that they needed to actually create the room so that the government can't hear them.\", \"completion\": \"But they weren't open to that idea. \"}\n", "{\"prompt\": \"No. Quite the opposite. It is completely opposite.\", \"completion\": \"How are your family relationships?\"}\n", "{\"prompt\": \"Okay. Yeah, we live with my mom. She does that she's supposed to she doesn't go in my room because she knows that. She goes into the robots gonna mess up the technology so she stays out.\", \"completion\": \"So you get along through okay. Anybody else you have contact with? friends family?\"}\n", "{\"prompt\": \"I talk to people all the time, but they are in my head. We have conversations all the time about how we can actually make the world a better place and then how we can actually go through and then destroy the government or do good. Just pump it up.\", \"completion\": \"Jason Well, I'm sorry to hear that you're under stress. I'm glad to hear your feel like it's okay. You're not down or anxious or anything. This answer these questions for me this has been helpful. And I'm going to recommend you continue to see a counselor here if that's okay. I realize your court ordered didn't come through.\"}\n", "{\"prompt\": \"that would be good\", \"completion\": \"Well, then I'll put on the schedule. We'll set a time up front, where I'll see you. Let's say in three days. That works?\"}\n", "{\"prompt\": \"Three days works.\", \"completion\": \"Then we'll go from there. Okay. Thanks, Jason. \"}\n", "{\"prompt\": \"Yeah, I have this case. You know recently where it's a single dad, the mom passed away and I go in and check on him and his son, you You know, things are going well, but, you know, I think the dad has a hard time so it's not like it was before when the mom was there. Not that I wasn't there before that but you can just tell that like, things are a little different. But you know, obviously, my decision is that things are going well for the kid, you know, they're gonna he's gonna stay there. Dad is stable, but I just worried like, is the dad under too much stress? Is he really taking care of the kid as good as you know, what if he's just cleaning up the house and doing the right things on there while I'm not there? You know, does he have the energy to take care of his kid? Or is everything really the way I it appears? Or is there more going on? I just don't know.\", \"completion\": \"Right. So you're handling it to the best of your ability. But there's still these these thoughts that are coming out. Kind of encouraging you to second guess your judgment?\"}\n", "{\"prompt\": \"Yeah. And it's like, I can't let it go. Like, I saw him like two weeks ago. And I still wonder if I have other cases like that. It's like, they're all running through my head. And I have these thoughts like, Did I do the right thing? Can I do the right thing?\", \"completion\": \"Maybe what if, what if the worst happens?\"}\n", "{\"prompt\": \"And I didn't see it. Like, what if something terrible happens? And I should have known better.\", \"completion\": \"So it speaks back to your competency as a professional again. So that's, that seems to be court this. I think Here are several things you talk about seem to connect back to. Are you capable to be in this field? And should you be trusted?\"}\n", "{\"prompt\": \"Yeah, definitely.\", \"completion\": \"So coming back to thinking there are errors and thinking that all people make. And when these errors become repetitive and you can kind of see them applied in more than one areas of his life. We refer to that as a cognitive distortion. Okay? It's not bad or good. It's just how people think. It's just patterns that people fall into. And there are several different cognitive distortions, there's several patterns that we kind of see. come up often in this work, right as a counselor, wondering, in the situation where you're thinking, the worst possible outcome is unbearable, or likely or both. If you may be really focusing and emphasizing on that, to the exclusion of other evidence that suggests you've made a good decision. I see you're really focused on the negative outcome, the worst possible and maybe even unlikely outcome. And maybe not weighing all the evidence with the same weight, like you're putting more weight on the negative pay, that kind of makes sense.\"}\n", "{\"prompt\": \"Yeah. I mean, I think that that's probably true. Because before I felt fine, and now I just feel like everything's falling apart and not that much has changed. And so it kind of makes me think that that's probably what's going on, but I don't know how to change that.\", \"completion\": \"This is frustrating for you. Yeah. The self doubt is worrying.\"}\n", "{\"prompt\": \"I am okay, how are you? \", \"completion\": \"I'm doing well. Thanks for asking. How things been going ?\"}\n", "{\"prompt\": \"They've been alright.\", \"completion\": \"Last time we were talking. It sounds like you're still having some difficulty with the quizzes. Mm hmm. Is that still the case?\"}\n", "{\"prompt\": \"Yeah, it's still. It's still panic when I take them. They're still panic. \", \"completion\": \"Can you tell me about the process of taking the quizzes? I know we tested on a little bit before.\"}\n", "{\"prompt\": \"Okay. So I'm going to class I'm fine. I sit down to take the test. I'm fine. The test is in front of me question one. I'm not going to get that answer.\", \"completion\": \"So you're looking down so you take these quizzes in class?\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"like a paper pencil ?\"}\n", "{\"prompt\": \"Hmm hmm\", \"completion\": \" Okay, with other students around you.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Alright, is the is having other students around distracting you ?\"}\n", "{\"prompt\": \"No, what has happened in previous online classes is the same.\", \"completion\": \"So it's, you're pretty sure it's the quiz itself and not some external.\"}\n", "{\"prompt\": \"Hmm yeah.\", \"completion\": \"Okay. So it was paper and pencil you seated in the room. Rooms relatively distraction free.\"}\n", "{\"prompt\": \"Yeah, yeah, everybody's quiet.\", \"completion\": \"And you're looking down at really the first item on the on the quiz and what's happening? What's happening that as you look down, you read that first item. What's happening at a thought we'll start a thought level What's happening? What are you thinking?\"}\n", "{\"prompt\": \"I'm thinking, I'm reading the question and I'm thinking oh my god, there's Okay, there's four. Okay? So it's got to be it's got to be one of them. And I am not going to pick the right one. I'm gonna think I pick the right one and it's going to be the one that the second choices and I am not going to pick the right one.\", \"completion\": \"Okay, so your thought is that you're going Gonna get, you're gonna select the wrong response, and therefore get that quiz item. Wrong. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"How about behavior? Like, do you notice anything physically going on? As you're thinking about that quiz item and how you're going to get you call\"}\n", "{\"prompt\": \"to my palms are probably sweaty, like I'm probably a little tense.\", \"completion\": \"a little tense ?\"}\n", "{\"prompt\": \"Yeah. That's really is.\", \"completion\": \"So it could be is that this thought of, I'm going to get this item wrong is leading to these uncomfortable feelings, the physical feelings. All right. So what happens when you answer item one, like you don't know if you have a right or wrong immediately, right because it's a paper and pencil. So you answer item one and you move on to item two. What happens then?\"}\n", "{\"prompt\": \"starts all over again. I'm already like well, I already got the first one wrong and now my I chances are higher getting this one wrong.\", \"completion\": \"So if you like it, because you because you thought that you got the first one wrong. That's your chances again a cycle on one wrong actually increase.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Okay.\"}\n", "{\"prompt\": \"If I get one to one wrong the whole test gonna to be wrong.\", \"completion\": \"Have you ever had a quiz that you've taken where you were confident that you got the first item right?\"}\n", "{\"prompt\": \"I'm sure I have I can't remember any.\", \"completion\": \"But eventually you're going to come to one item that your doubts about ?\"}\n", "{\"prompt\": \"Yes,\", \"completion\": \"right.\"}\n", "{\"prompt\": \"Inevitably it happens.\", \"completion\": \"There's gonna be one that's maybe a little more difficult or difficult for you. So it seems like what you're saying is that when you reach that item where you have that thought, from from that point on the next item is, is more difficult because you're having a similar thought Does that pattern continue? \"}\n", "{\"prompt\": \"throughout test? Yes.\", \"completion\": \"So explain to me what like, let's just go with the example, the first item like, because just just to keep it more simple. So you have the first item. And that didn't work out for that thought, right? The second one your thought was, I have even greater chance of missing. So what happens after you respond to that second item?\"}\n", "{\"prompt\": \"It just compounds, I just start I feel worse than worse as the quiz as I continue.\", \"completion\": \"That's awful. So it's an awful feeling for me.\"}\n", "{\"prompt\": \"Yeah right.\", \"completion\": \"So by the time you get to item five or six ?\"}\n", "{\"prompt\": \"I'm convinced I'm, it's over. I've gotten to zero if it's Yeah, if isn't the first I've gotten to zero I've gotten a bad grade.\", \"completion\": \"Right. So that's what's on your mind.\"}\n", "{\"prompt\": \"Uhh hmmm mm\", \"completion\": \"And how are those physical symptoms? Are they the same different or new symptoms ?\"}\n", "{\"prompt\": \"if it like if it's, if it like starts early at the beginning of the test? To my heart's like pounding at this point, but I still have a sweaty palms. I'm still like, tensing. \", \"completion\": \"So it really just gets mentally and physically more unpleasant for you.\"}\n", "{\"prompt\": \"Mm hmm. Yeah.\", \"completion\": \"So when you just when you're saying panic, the panics really occurring a few items in after you have the first one that you thought you've missed.\"}\n", "{\"prompt\": \"Mm hmm.\", \"completion\": \"And this has been happening for a while, as you described, right?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Well, how about your grades? How have you actually been doing on the quizzes?\"}\n", "{\"prompt\": \"I've been a pretty solid B student.\", \"completion\": \"Umm hmm.\"}\n", "{\"prompt\": \"So and I feel I wish I did better. I wish I got A's but I mean, these are fine. But when I take this because it's not it doesn't. I don't know how it translates.\", \"completion\": \"About your study habits if you consider yourself effective and studying ?\"}\n", "{\"prompt\": \"I've tried I've taken workshops on studying I've, I, I think I'm pretty effective at studying I've found what doesn't work. So, I try to study by reading the chapter is taking outlines reviewing flashcards, which has, I think the best results but\", \"completion\": \"Okay, so your study habits are good. And your quiz scores are good. But you're still having these distressing thoughts and these uncomfortable physical sensations when you take the quizzes? \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Is that about right?\"}\n", "{\"prompt\": \"Yeah, that's absolutely right.\", \"completion\": \"So really, you don't necessarily need your performance to change. You just you just need to your thoughts and feelings and behaviors to change. Yeah. So how you how you're reacting to the quizzes maybe.\"}\n", "{\"prompt\": \"Yeah, cuz I get B's like I said so Yeah.\", \"completion\": \"And B is good.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So Alright, so I want to take you back to the moment when you're looking at the first slide. Let's go back to that for a second. Okay. So you're taking a quiz. And you're having those thoughts surrounding the first item, which will not mistaken the automatic thought we talked about this right with cognitive behavioral therapy. Go on Mac thought is that I'm, I'm not going to get this one right.\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"or something to that effect ?\"}\n", "{\"prompt\": \"right.\", \"completion\": \"What does that mean to you?\"}\n", "{\"prompt\": \"It means once I don't get that, right, I'm not Getting in anything else, right, okay\", \"completion\": \"Alright So with that thought means to you is that you're going to miss that item and then you're going to miss all the rest of it. So you're, you're going to fail the whole quick whole thing. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So looking at that, almost, let's call that an intermediate belief, right? It's more of a rule or an expectation, right? What does that mean to you?\"}\n", "{\"prompt\": \"It just gets worse. If I fail the quiz, then I'm like, Oh my god, I'm gonna fail the panel, I am going to fail the course and that's gonna affect my GPA.\", \"completion\": \"So just keep stacking other other beliefs. So you're gonna fail the course. And we're gonna fail the final rather than then the course. So a few failed the course. What does that mean to you ?\"}\n", "{\"prompt\": \"not going to graduate.\", \"completion\": \"You're not going to graduate ?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So we've moved from failing the quiz if we just look at the meaning, right? To fail on the final to fail on the course, and now to not graduating. So if you didn't graduate, what would that mean to you?\"}\n", "{\"prompt\": \"I can't I can't be a teacher. I can't do what I want to do.\", \"completion\": \"So your chosen location to be a teacher would be not possible.\"}\n", "{\"prompt\": \"Right.\", \"completion\": \"Right. So we go a step further and say, What would it mean to you if you couldn't be a teacher?\"}\n", "{\"prompt\": \"I don't know who I'd be at that point. That's what I always saw as my career. So I don't know what my future would look like at that point. Without that.\", \"completion\": \"So if you were to phrase it, and kind of think back as we to the CBT techniques and the kind of conceptualization uncovered. If you're to phrase as an if statement. What would you? What would you be if you couldn't be a teacher? what that make you?\"}\n", "{\"prompt\": \"I am a person who didn't make it. I'm a person that failed. Like we said earlier.\", \"completion\": \"I'm a person who didn't make it. I'm a person who failed. So in a way, you're saying, I'm a failure. \"}\n", "{\"prompt\": \"Hmm.\", \"completion\": \"Right.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Is that close?\"}\n", "{\"prompt\": \"Yeah, Its fine. \", \"completion\": \"So remember, we talked before about core beliefs, and how these core beliefs drive these intermediate beliefs which combined with situations like in your case, taking quizzes to form these automatic thoughts. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"so one of your core beliefs may be that, that you're a failure. You may believe that.\"}\n", "{\"prompt\": \"Okay\", \"completion\": \"Does that seem like something that you've said to yourself before or thought before?\"}\n", "{\"prompt\": \"And think about it like that until we did the step up to it now, but I, I can relate to that.\", \"completion\": \"Mmm hmm\"}\n", "{\"prompt\": \"Because a lot of times, I do feel like, Oh, I'm not gonna be able to do this. Because it's me, I won't be able to do it.\", \"completion\": \"Not because it's challenging or difficult, but something to do with you. \"}\n", "{\"prompt\": \"Hmm yeeah.\", \"completion\": \"Right. So that's what I call like the you're personalizing ?\"}\n", "{\"prompt\": \"Right\", \"completion\": \"So you're saying to yourself, at a variety of levels. I'm going to be unsuccessful? I'm going to....doe that make sense. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Do you think that's what's happening?\"}\n", "{\"prompt\": \"It must be because like I said, I study I got good grades. I've been tested years ago, I don't have ADHD anything intrinsic that would prohibit me\", \"completion\": \"So you're able to focus and calm.\"}\n", "{\"prompt\": \"Yeah,\", \"completion\": \"well, \"}\n", "{\"prompt\": \"yes, I can do all of that. But when it comes to it, I'm like, I can't do it.\", \"completion\": \"So, somewhere, somewhere is this dis core belief? And it's possible that it has something to do with you believing that you are a failure. unsuccessful? \"}\n", "{\"prompt\": \"I don't think they would see the connection. I think it would be like, well, you do well in school, I don't understand.\", \"completion\": \"So they wouldn't believe that you're a failure ?\"}\n", "{\"prompt\": \"No\", \"completion\": \"you may believe it ?\"}\n", "{\"prompt\": \"Yeah. I guess, Yeah.\", \"completion\": \"And similarly, if you had a classmate that was in the same situation, and and you know, struggled with these disturbing thoughts and feelings and behaviors during quizzes, how would you evaluate them?\"}\n", "{\"prompt\": \"I guess I'd say the same thing that my family would say like you're gonna look at the evidence, you're not a failure.\", \"completion\": \"And you evaluate that they weren't a failure.\"}\n", "{\"prompt\": \"Right.\", \"completion\": \"But If it was yourself. You're being a little more harsh.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Which isn't uncommon.\"}\n", "{\"prompt\": \"Okay\", \"completion\": \" So, there's a few levels at which I think we can go after this. What I'll call a problem, but really, it's a series of thoughts and beliefs. Okay. The first is that the comic at the ground level, and that's when you are taking the quiz. And you have that automatic thought that says, I'm going to miss this item. \"}\n", "{\"prompt\": \"I'm not going to get it right.\", \"completion\": \"Yes, I'm not gonna get it right. So that's your thought, I'm not going to get it right.\"}\n", "{\"prompt\": \"Ahmm hmm\", \"completion\": \"And these situations, I like to encourage clients to apply what's called an adaptive response or self talk. So it's a it's a noun. If you're in a quiz in a quiet classroom, it wouldn't literally be self taught. \"}\n", "{\"prompt\": \"Right, right.\", \"completion\": \"But it's a thought that you were consciously applying. So the other thought that's automatic,\"}\n", "{\"prompt\": \"Right\", \"completion\": \"that just pops in your head, right. \"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"This one would be one that you deliberately think\"}\n", "{\"prompt\": \"and make myself.\", \"completion\": \"So what could you think to yourself that would be a counter to that automatic thought that you're having, that you're gonna get that item wrong ?\"}\n", "{\"prompt\": \"I guess that in my past quizzes like, chances are I, I have a good chance of getting it right.\", \"completion\": \"Okay, so just looking at the probabilities based on your past performance, even though I'm thinking I'm going to get it wrong\"}\n", "{\"prompt\": \"right.\", \"completion\": \"Chances are, I'm going to get it wrong,\"}\n", "{\"prompt\": \"right. Somehow I still have a B so.\", \"completion\": \"So you are getting most of them. Right.\"}\n", "{\"prompt\": \"Right. So I have a good chance.\", \"completion\": \"So I like that adaptive response. Right. Do you think that makes sense for you?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"I think you did well, there. So the next time you're taking a quiz I want you to apply that adaptiv response.\"}\n", "{\"prompt\": \"Okay\", \"completion\": \"that this takes work. Right. So this automatic thoughts gonna come upon you. And then before you know it, you're gonna have that feeling. \"}\n", "{\"prompt\": \"Yeah, right. \", \"completion\": \"physical symptoms.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Discuss the sweaty palms. Right. And the feeling of I think you mentioned\"}\n", "{\"prompt\": \"Yeah, yeah.\", \"completion\": \"So don't let it discourage you those symptoms Come on so quickly.\"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"Right. There is an intervening thought and you've identified it. Right. So, you will have an opportunity, most likely to apply that automatic thought at some point. But the first few times it might be a little rough. \"}\n", "{\"prompt\": \"Yeah, testing QA. \", \"completion\": \"I guess the nice thing about a quiz is, I mean, how many items are on these quizzes? \"}\n", "{\"prompt\": \"15\", \"completion\": \"So you have a few different chances to apply the adaptive responses. Right,\"}\n", "{\"prompt\": \"right. It's more than one.\", \"completion\": \"Yeah. So you know, you'd like to get on the first time where you have that on I thought we identified on that thought, but if you don't No big deal. Right? So, you know, later on maybe it takes them two or three. And then you might remember, hey, I have this\"}\n", "{\"prompt\": \"Yeah. Oh, wait, supposed to be thinking that.\", \"completion\": \"Yeah. And my hope is that as you apply this adaptive response more and more, you can reduce the probability that that automatic thoughts going to come in. \"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"So that's one level that I want you to, to go after it. Does that make sense?\"}\n", "{\"prompt\": \"It does. I think I can do that.\", \"completion\": \"That's how many feel like you could you could do at the other level, I guess you'd call this a deeper level, but it's all really, you know, in your brain, right? It's just this core belief.\"}\n", "{\"prompt\": \"right.\", \"completion\": \"Okay. And why use the word deeper is because we think of core beliefs as more stubborn, but they don't change as easily.\"}\n", "{\"prompt\": \"right\", \"completion\": \"as automatic thoughts might. I'd like you to and this is really just more selection, reflect on the evidence or evaluate the evidence that supports and refutes this idea that you were unsuccessful that you're a failure. \"}\n", "{\"prompt\": \"Okay\", \"completion\": \"Right. I think cognitively, you kind of understand that you're not. Right. But another sense, you feel like you are right. \"}\n", "{\"prompt\": \"Right.\", \"completion\": \"So in a way cognitively you're\"}\n", "{\"prompt\": \"there's that discrepancy.\", \"completion\": \"Right. Right. There's, there's a little bit of both. \"}\n", "{\"prompt\": \"Mm hmm. Yeah, \", \"completion\": \"you can tell me that, your family would say that's not the case. But you still\"}\n", "{\"prompt\": \"right on paper, Technically, I would. I'm not. But I still, I guess, feel that way.\", \"completion\": \"There's a part of you that still feels that way. There's a part of you that still believes that cognitively. There's also a part of you that thinks through that says that's that's not accurate.\"}\n", "{\"prompt\": \"Right.\", \"completion\": \"So I want you to weigh the validity of that core belief.\"}\n", "{\"prompt\": \"Okay\", \"completion\": \"Right. And actually, I think that this is helpful to write down evidence that that would support it. Right. And that's certainly something to note. But also, and this is really more important evidence that refutes it. evidence that runs counter, \"}\n", "{\"prompt\": \"right, \", \"completion\": \"but record both, and we'll meet next time and we'll look at the evidence evaluated.\"}\n", "{\"prompt\": \"Yeah, we can do that.\", \"completion\": \"So those two, those two steps you feel like you're comfortable with and they make sense to you.\"}\n", "{\"prompt\": \"Yeah, they do. Yeah, I definitely think I can do those. \", \"completion\": \"When's the next time you'll be taking a quiz?\"}\n", "{\"prompt\": \"Think next week\", \"completion\": \"next week?\"}\n", "{\"prompt\": \"yeah\", \"completion\": \"Okay, I know how these quizzes oftehn? \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"All right. So we'll set up a session for next week. Let's try to get towards after your next quiz.\"}\n", "{\"prompt\": \"Okay\", \"completion\": \"So we'll have that to talk about. I think that's the next area to make. It sounds like the next area. It'd be good to try and make progress.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Seems like that's what you want to work on.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So We'll go from there. So I'll set up an appointment for just to have that quiz. Tried to adapt the response and try evaluating evidence. Quickly.\"}\n", "{\"prompt\": \"Yes, \", \"completion\": \"does that sound good ?\"}\n", "{\"prompt\": \"Yes, I can do that. \", \"completion\": \"All right. I will set the appointment up and I appreciate you coming in and working through this.\"}\n", "{\"prompt\": \"I'm fine. Thanks. Well, strange feeling strange for this, but okay.\", \"completion\": \"Yeah, it's something really different for you.\"}\n", "{\"prompt\": \"Umm hmm I have I've not done this before.\", \"completion\": \"Well, why don't you tell me a little bit about what brings you here today?\"}\n", "{\"prompt\": \"I'm not even sure I am I heard about this place and that you work with women who are having trouble with a relationship and are confused. And so I thought I'd give you guys a call. And so I'm, thank you so much for taking the time to see me.\", \"completion\": \"So you're, you've heard a little bit about the program here. Would it help if I just explained a little bit about what what my role might be today?\"}\n", "{\"prompt\": \"Yeah, yeah, cuz I don't know what to do.\", \"completion\": \"What I want to reassure you of is that I'm not here to try and tell you anything that you might need to do or to try and give you advice or information at all. I'm here to help you in whatever way is useful to you to sort out what what's going on and what if anything you'd like to do differently. So this is really up to you. What you would like to explore today, how does that sound?\"}\n", "{\"prompt\": \"That sounds really hard because I'm not sure I'm very good at sorting things out myself. Yeah. Yeah.\", \"completion\": \"So right now you're feeling a little overwhelmed with everything that's going on, and you're not even sure where to start.\"}\n", "{\"prompt\": \"Yeah, that's a good way to put it. I'm kind of confused about what to do next. And I have a little baby at home, so I don't I can't think anyway, most the time.\", \"completion\": \"Yeah. So now anything any kind of decisions you make, or anything that you do affects both you and and the baby. \"}\n", "{\"prompt\": \"Mm hmm. And, and my boyfriend affects him. Which is why I guess I guess I'm here to talk about him and me and the baby and what we're, you know, how we work together.\", \"completion\": \"Well, I if you're interested or you're willing, why don't you tell me a little bit about your story?\"}\n", "{\"prompt\": \"I don't know where to start. He and I had been together for about a year. And I got pregnant right away and we just had this baby a little while ago. And and before that I was working. And he and I, you know, we're on and off here and there, we get invites and he disappears for a while then he comes back. That's kind of what the ears look like. And I just been getting more and more confused on what to do and recently he did something really that didn't even look like him. He looked like a different person and it freaked me out and freaked the baby out. And quite honestly, it freaked him out too. He didn't he said he didn't know what happened and he felt he said he felt out of control.\", \"completion\": \"So the in the history of the relationship over this year, it's kind of been in and out in a way and there have been Some incidents where you've had some arguments and then separated for a while and gotten back together but it does sound like something pretty significant happened that sort of freaked everybody out. All all of you the baby and you and him and, and was kind of scary. \"}\n", "{\"prompt\": \"Mm hmm. Yeah, he came home. I was a friend come over a man friend, he doesn't like me to have men friends came over to help me with my resume, because I'm starting to think about going back to work. And he had a weird look in his eye and so I kind of, you know, we sped up and I kind of let my friend leave but soon as after right after he left he he kind of just got this dark, scary look and he pushed me onto the ground and and it was just different than anything that ever happened to me or us together and He just got this weird kind of like he was possessed by something. And he said he didn't, he would never do that again. He's he's really good daddy. And he really helps us out a lot.\", \"completion\": \"So in a way it doesn't, it didn't even really make sense to you or to him, because on the one hand, He's really good. Good with you and good with the Father. I mean, good with your child. And on the other hand, it was just like, what is this something really different?\"}\n", "{\"prompt\": \"Yeah. Yeah. And he's, he's, he really helps us out. And I didn't know what to do with that. So that's why it's, I guess that feeling that I have had since that happened has prompted me to call somebody to figure out what to do.\", \"completion\": \"What are your thoughts right now about some of the options out there for you to do if, if anything, what are what are you thinking about? \"}\n", "{\"prompt\": \"I haven't talked anybody for for a year really\", \"completion\": \"gotten pretty isolated ?\"}\n", "{\"prompt\": \"Yeah. Yeah, I haven't my parents live pretty far away and, and I guess he's kind of a boyfriend kind ofI guess the words jealous. He just really cares about us. And so I haven't had a chance to really talk to people about what some ideas would be that will. What could I do, I used to work and I was kind of looking forward to working again. He's he's sort of made it clear that I don't need to work because he's going to take care of us he brings home diapers and gives us some money when he's around and so we really don't need it most the time.\", \"completion\": \"So you had been kind of thinking about maybe going back to work and doing doing some of that on your on your own and, and yet He, he doesn't really he's expressing that he liked to be able to take care of you. And, and when he's there, he does take care of you. \"}\n", "{\"prompt\": \"Yeah, yeah. Yeah, it does take care of us. He's, uh, he's he makes sure that I have enough money for, you know, the basic needs in the house and he pays the rent and, and you know, but when I when he's gone and I run out of money, it just kind of that's when I think cut it. Just wish I could take a little bit by myself. I just not sure how to go about doing that.\", \"completion\": \"Does that leaves you in a real bind when you're, you're there and you don't have what you need?\"}\n", "{\"prompt\": \"And I yeah, and I don't know who to talk to about that. I try to call him sometimes and make up you know, and say sorry for the fight that we had and sometimes that works and sometimes it doesn't.\", \"completion\": \"So you've kind of find yourself when you're in that bind, trying to find ways of, of getting getting what you need.\"}\n", "{\"prompt\": \"Yeah. Yeah. So I don't know how to do this. I mean, I don't know what to do next. Not very good at it.\", \"completion\": \"I just want to say we can go over some things that are potential to talk about to really focus on that might help you. But I just want to let you know that this is, I really appreciate how hard this is to be able to talk about it. And it's it's not an easy situation, and you're definitely not alone. And I really appreciate your willingness to talk about it.\"}\n", "{\"prompt\": \"Thanks. It's really hard to\", \"completion\": \"Yeah I know. There are lots of different things that we can talk about that are that that many women in very similar situations find themselves and things that we can talk about and focus our conversation on that might help you just sort of sort out and Figure out what if anything that you want to do differently or how to what your next step might be?\"}\n", "{\"prompt\": \"okay\", \"completion\": \"And and some of those that we work with are like talking about the relationship, you've mentioned a few things about your, your relationship and how it kind of goes in and out and it's can be really good and, and then he can be gone for a while and just sort of sorting some of that out about where you are with that. We can certainly talk about resources about the resources in the community that may be there for you, or in terms of your own understanding. But also if you if you are in need of additional help, we can talk about those. We can talk about safety planning. I mean, one of the one of the important things is to try and help you find a way to make sure that you feel good about keeping yourself and in your baby safe. And we can talk about that. We can talk about finances. You mentioned that you were thinking about going back to work but that you were relying on him right now. We can certainly For that a little bit more, taking care of yourself which,\"}\n", "{\"prompt\": \"yeah, right. \", \"completion\": \"Yeah, yeah, for many, many new new moms that's hard under any circumstances to find a way to take care of themselves and keep themselves healthy. So that's certainly something we can talk about. And also just the whole issue about taking care of your child and, and your, your mothering your parenting, how you might, how you might focus on that and in this situation, or there might be something else that you feel is really important to deal with right up front. Just to start with, what do you think?\"}\n", "{\"prompt\": \"Well, it's, it's funny as you're showing me this, I I've been thinking, all I've been doing is focusing on the baby and being a good mom and and, and yet, I'm also trying to think about getting a job and I don't know how those two fit together. And even as I'm just saying that out loud. I'm not even talking about taking care of him. Which is weird that I'm not even when I look at this these circles I am looking at mothering and children and finances and that seems to be important yet I'm spent I spend so much time thinking about him all the time and right now I'm not\", \"completion\": \"so maybe you spend a lot of time already thinking about your relationship and really struggling with what what it means and where it is. And now you're kind of think well, maybe I think about some other things and see where I might go with those.\"}\n", "{\"prompt\": \"These things if the job and taking learning how to be a better mother and might be a might help the relationship so that might be\", \"completion\": \"so might be a way that focusing on how you might be able to take care of yourself get get a job or look at the possibility of doing that and the same time trying to incorporate you're taking care of your child that those things might help you um Free you up to figure out then what to do about the relationship?\"}\n", "{\"prompt\": \"What to do about the relationship? Yeah, what to do about the relationship? I'm not sure what to do with a relationship.\", \"completion\": \"Yeah. You know, you're the only one that that really will know about that about the dealing with the relationship about what, when the timing is right for any decision that you make one way or the other.\"}\n", "{\"prompt\": \"I don't even know what to think about that. I don't know how to. Yeah, I don't feel like I've been making any decisions. \", \"completion\": \"Yeah. Well, and it sounds like you'd like to think about making some decisions in other areas. And, and when you think about that, is that right? Would you like to focus a little bit on just the possibility of getting a job? If that's something you'd like to talk about? \"}\n", "{\"prompt\": \"Yeah. And how to balance that with being a mom at the same time, because that sounds really hard.\", \"completion\": \"Well, you mentioned earlier that you had kind of been thinking about going back to work when after the baby was born, what what thoughts do you have about how you might go about balancing that? And and in thinking about thinking about that, what have you thought about?\"}\n", "{\"prompt\": \"Well, I guess I think initially that I would need his help more, he would need to help take care of the baby. He doesn't do that. Now. So I don't know. And it be kind of scary that I don't know what that would look like. So I would have to find some other help to get to be able to go to work even just part time, so I could get some childcare or something. Yeah. \", \"completion\": \"So you might have to explore some other options for the child care and in other ways of taking care of the baby so that you would be feel okay about going back to work?\"}\n", "{\"prompt\": \"Yeah. Yeah. Somebody I trusted. Yeah. And I'd have to figure out just the timing of that and a job that would fit a schedule where I could still breastfeed and help her with her naps and make sure I'm there for bedtime and all those important times, but make enough money that it was worthwhile to, to do it. Yeah, to be out and working and paying somebody. That sounds like a lot.\", \"completion\": \"It really does sound, though, like you, you're really deeply committed to taking care of your child and providing the kind of structure and, and, and things the basic needs and really taking care of your child at the same time. \"}\n", "{\"prompt\": \"Umm Mm hmm. It's very important to me. I didn't I didn't think I was I wanted to have children. And then we did so. I would like him to be a daddy in that. Wow. Just well as I was thinking about him not being around as the daddy and I'm not really sure what to do with that. But the baby the baby is the most important thing right now.\", \"completion\": \"Right\"}\n", "{\"prompt\": \"I didn't realize that I've spent so much time thinking about him all the time. And when we can hear back and does he love us? And why the heck did he do that that weird thing and why does he care about these other things that he cares about?\", \"completion\": \"Like being jealous, not wanting you to have friends?\"}\n", "{\"prompt\": \"Yeah, why does he. And it has nothing to do with what I'm thinking about now, which is the baby and\", \"completion\": \"but it's, we've mentioned that a couple times now that it that it sort of surprises you, the way you're thinking about it in the way you're approaching it. Like you're recognizing we're seeing that you've spent a lot of time really agonizing over over the relationship and, and why things are happening in the relationship or what it really means you've spent a lot of time there. That kind of surprises you that you might be thinking about it differently\"}\n", "{\"prompt\": \"agonizing I guess that's what I've been doing. I feel like I've just been hoping and wishing and it seems like all my focus is always so when the baby's crying and I'm worrying about him and and and so the baby crying is just it's hard, but but if just now talking about it letting go of worrying about it feels kind of freeing that I could actually think about why the baby's crying as opposed to why why is he not returning my calls? or Why did he give me that look, when I you know, talked about getting a job and things like that it's not so interesting. \", \"completion\": \"So you're realizing to how much it really takes to focus attention on on the baby. And to be able to Do it and it's like I it's hard to do both. It's hard to really think about doing both.\"}\n", "{\"prompt\": \"I need his help with that. Yeah, I don't need to be worrying about him too.\", \"completion\": \"Hmm\"}\n", "{\"prompt\": \"I don't understand what safety planning means.\", \"completion\": \"Well, one of the things that we we look at is trying to help people who are in a situation similar to you where, where there might be some where there might be some fear about something that could that might happen, or you know, and I know you said he had indicated that he wouldn't do it again. But sometimes it really helps people to feel to have some plans in place for what you would do if anything came up and how to get you and your baby safe, if that's what needs to happen.\"}\n", "{\"prompt\": \"So if he kind of got that weird look in his eye again, which actually I've seen before, but he just never really did anything like this before.\", \"completion\": \"He just went farther this time?\"}\n", "{\"prompt\": \" Yeah. Okay, so like, if I recognize if I saw that look What to do? \", \"completion\": \"Yeah, yeah. And, and, and sometimes that ties in with, you know, there might be places that you can go to get saved, there might be steps that you can take to, to really keep yourself safe or make sure that the baby's safe for people to call or think just things that you can do based on what your life is like and what you what resources you have available to you. Is that something you're interested in really exploring?\"}\n", "{\"prompt\": \"Sounds kind of freaky to think that I would have to keep myself safe from somebody that says he loves me and you know, love the baby. Sounds a little strange.\", \"completion\": \"Some ways it just seems like it shouldn't have to be that way.\"}\n", "{\"prompt\": \"No, shouldn't have to be that way. But I didn't expect him to do what he did either. So That kind of came out of nowhere\", \"completion\": \"really took you by surprise. It's something that you're just trying to figure out where, how does this fit and what it what does it mean? And what do I do with it? What what how do I how do I respond to this? \"}\n", "{\"prompt\": \"Yeah, it doesn't seem real. So I guess, thinking about thinking about that kind of makes sense ahead of time.\", \"completion\": \"Yeah. Well, let me see if I if I got it all and then we can make some decisions about where to move from here or how to take the next step with that. I want to make sure I understand a little bit about your situation. \"}\n", "{\"prompt\": \"Okay\", \"completion\": \"And this first of all, this is the first time you've come in. This is the first time that you've had something that really happened, this incident that happened where he pushed you really prompted you to to take some steps because it scared you and you you are wanting to protect yourself and your baby. You Really want to protect the baby, you have this relationship that's been cut off and on and but he's been very supportive and helpful in terms of giving you meeting your basic needs and the baby's basic needs and wants to take care of you and, and there are times when it's really good. And there are times when you've been less sure and this is this incident has also made you to kind of think about that some of the ways that you've been thinking about or thinking about it now kind of surprises you but you're looking at thinking about the possibility of maybe working it out to go back to work a little bit so that you can have more financial independence, if you will, or be able to take care of yourself at the for those times when you need to. And you're starting to toy with the idea of maybe it might be useful to have a really good plan to keep yourself safe. Did I kind of get it all\"}\n", "{\"prompt\": \"that yeah, that kind of captures it all. Yes. Yeah. I don't know. I don't know where to start. But I guess that's why I'm talking to you. \", \"completion\": \"Yeah.Yeah. So maybe we can, we can take that next step in and when when when we get together again and we can do that we can just take the next step and start looking at some planning for both of those in both of those areas for keeping yourself safe and, and for, you know, looking at the possibilities because there are options and resources out there should you choose to make the decision to go back to work, there are some options for you.\"}\n", "{\"prompt\": \"So there's like a good somebody can help me work on my resume or something like that.\", \"completion\": \"There are other options for for a variety of things and we can make some have some discussions about that.\"}\n", "{\"prompt\": \"Okay. Okay. Does that sound That sounds good. Okay, nice. \", \"completion\": \"Well, I really appreciate again, you're coming in today, and we will follow up with this conversation and in it, you you will have it hopefully to give you what you needed to make any decisions that You need and again they are your decisions about what if anything you want to change and what your next step is. \"}\n", "{\"prompt\": \"Thank you. I think I'll go get my baby from childcare and well, should we make another appointment or something? \", \"completion\": \"Yes, let's make another appointment.\"}\n", "{\"prompt\": \"I'm doing okay\", \"completion\": \"just okay?\"}\n", "{\"prompt\": \"Well, I know we've talked before about me thinking about suicide and I'm starting to think about it, you know, like a little bit stronger than before, I think a little bit more clearly.\", \"completion\": \"So, can you can tell me a little bit more about that?\"}\n", "{\"prompt\": \"Um, well, one we've talked before, I've had the feelings and the thoughts of suicide, but now it's kind of starting to like I'm thinking about it more often. I'm thinking about a little more clearly and that's alarming to me. \", \"completion\": \"Do you want to die?\"}\n", "{\"prompt\": \"Yeah, I will. Yeah, sometimes\", \"completion\": \"sometimes?\"}\n", "{\"prompt\": \"Um, I mean, you know, sometimes I know, It would be scary to try it and my husband would be so hurt, but at the same time, I want to end this. I want to end the feeling that I'm having depression. Yeah. \", \"completion\": \"Okay. Do you have any plan as to how you would end your life if you decide to do that?\"}\n", "{\"prompt\": \"I mean, I know if I wanted to that we have pills in the cabinet. So it wouldn't be that hard, I could just take the bottle and \", \"completion\": \"just same pills that you prescribed for depression?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Do you feel like you're going to carry out that plan?\"}\n", "{\"prompt\": \"No, I mean, part of it. That's why I'm nervous because like, I'm worried that I might, but at the same time, You know, I'm afraid to so sometimes I think that I might and sometimes I think I won't. I don't want to but sometimes I get scared that I will.\", \"completion\": \"Today you're a little worried that you will, or you're a little closer to it then than usual. We've talked about this before in the past, you've come in, you've had kind of that same plan to pills and the thoughts and what what stops you those times was stuck in the past.\"}\n", "{\"prompt\": \"In the past, I thought, this will get better. I just have to keep trying, I thought what will my husband feel when I'm gone and my family, my parents, my brother and sister I thought that this is as bad as it can get. It has to get better eventually. But now I'm just starting to feel like I don't think it's gonna get better.\", \"completion\": \"Alright, so there's times before when you had the same feeling, right? You felt just as bad as you feel now really down hopeless. What happened a few days after that, after the thoughts suicide went away. What was your outlook on life that?\"}\n", "{\"prompt\": \"I mean, I feel I feel a little better. You know, and then I'd say to myself, that was silly, you know, I don't want to do that. I don't, I don't want to end things. You know. It's It's too rash. But you know, it's starting to feel like a permanent problem.\", \"completion\": \"So if you feel like this time these suicidal thoughts are markedly different than what you've experienced before.\"}\n", "{\"prompt\": \"I wouldn't say markedly but I would say they're different. They're a little they're stronger,\", \"completion\": \"more intense?\"}\n", "{\"prompt\": \"yeah\", \"completion\": \"When you think about this, these feelings on before we talked about I know this relationship surrounding relationships, the same thing this time?\"}\n", "{\"prompt\": \"I mean, I guess that has something to do with it, I guess. It's just like when I look to everything, like everything that could be good or everything, just everything like life, my relationships, the future I just look at it and I see despair. I just see everything going wrong. And I just don't see how it could get better. I just don't see it\", \"completion\": \"in a sense of hopelessness?\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"So this time is different because you feel it's very less situational, less tired of relationships and more, Well, philosophical, you're looking at your outlook and you're saying it's not gonna get any better. What's the point going on? So this is a little bit new territory for you. How long we've been feeling this way with the intensity right now?\"}\n", "{\"prompt\": \"Probably a week, maybe a little less\", \"completion\": \"What was prevented you from hurting yourself those last week?\"}\n", "{\"prompt\": \"I'm afraid to do it. I'm just scared. It's like It's like jumping off a diving board. Like you get up to the edge and you stand there, that's where that\", \"completion\": \"Have you made any gestures to harm yourself? Like if you went and grabbed the pills or went to the medicine cabinet looks at the pills, anything like that. \"}\n", "{\"prompt\": \"Sometimes I look at them, look at them. \", \"completion\": \"Don't think further than look at them?\"}\n", "{\"prompt\": \"Well, I mean, so I have to take them. It's my prescription. So when it's time I start thinking about it. Like it's more I think about my like, the ideations come even more because it's like a trigger like I'm thinking about the pills. So I go to the cabinet, and I get my pills and I and I take the, the one that I'm supposed to, but I just look at the bottle and I kind of stand there and I just think Instead of putting the bottle back, I could take it with me.\", \"completion\": \"And what do you end up doing?\"}\n", "{\"prompt\": \"It takes a while but I put it back. It's It's scary. Like I look into the bottle and I'm afraid because dying is scary, but \", \"completion\": \"and how about the pain that you would cause husband and the rest of your family?\"}\n", "{\"prompt\": \"Yeah, I don't want to do that. \", \"completion\": \"You don't want that?\"}\n", "{\"prompt\": \"I don't. I don't. I don't want my husband to find me, I don't want him to feel like this is his fault. I don't want him to be sad that I'm gone. I don't want him to feel like I feel.\", \"completion\": \"And when relatives of somebody that committed suicide, hear about the suicide? Who do they blame? \"}\n", "{\"prompt\": \"Yeah. It's not it's not their fault. And I know that they wouldn't be able to get over it and I know that they'll be thinking about how bad I felt they'll have to know what it really felt like for me.\", \"completion\": \"So I know this is a tough time right? But the good news is you're here talking to me about it. Right? Now you're talking about it. I'm gonna guess that you want to do something for bad to feel better. Are you gonna carry out your plan or you're gonna hurt yourself?\"}\n", "{\"prompt\": \"I don't want to\", \"completion\": \"are you going to?\"}\n", "{\"prompt\": \"No, I think I think if I can just remember what it'll be like for them. That'll keep me from doing it. You know, it's the times that I forget to think about how they're going to feel that I get closer to the edge. But when I remember, you know, like, It upsets me to think about what it'll be like for them. So if I can remember to think about that and it'll help me not do that. But I think having the pills there in the cabinet like that is a big temptation for me.\", \"completion\": \"Okay, so can we can we do this? Your husband's at home? Right. You mentioned you take two pills once a day?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Before for bed?\"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"Can we would you be willing to sign a release so I can talk to him. He can hold on to those pills. Just give you the pill each night take one and I will that be okay?\"}\n", "{\"prompt\": \"Yeah, I think I think that would be a good idea.\", \"completion\": \"Is there anything else in the medicine cabinet or anywhere else in the house to give you a danger to?\"}\n", "{\"prompt\": \"I think, I think yeah, I think it would be a good idea to just make sure that everything that was in the medicine cabinet\", \"completion\": \"all the tools?\"}\n", "{\"prompt\": \"yeah.\", \"completion\": \"Would he be willing to do that?\"}\n", "{\"prompt\": \"Right. Yeah, I think, yeah, I think that he would be willing to do that. He doesn't. He wants me to get through this. \", \"completion\": \"Okay. If I get release for the talk you might , sign it?\"}\n", "{\"prompt\": \"Yeah. Oh, I'll do that. \", \"completion\": \"Okay. Are you familiar before, are you familiar with this concept we talked about before contracting for safety, or the prior time. So, you've been the state similar to this. Can you promise me that you're going to not hurting yourself.\"}\n", "{\"prompt\": \"I can Yeah, I can do that. At least until next week when we meet again, I promise.\", \"completion\": \"Let's be a little certain that okay, sets up that for a more. \"}\n", "{\"prompt\": \"Okay, yeah, we can definitely do that I can do that.\", \"completion\": \"I know this is a rough time trying to appreciate how rough it is for you. I want you to keep in mind how you felt after the times before. Now you do tend to pull out of this. And you look back at a lot differently. But in the moment, it's hard to see that. That doesn't necessarily make this any easier. But if you can hang on to we can get through this cycle of depression. You'll probably have a different outlook. If history is any evidence. Does that make sense? \"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"All right. So what do you have planned for us today?\"}\n", "{\"prompt\": \"Um, you know, I'm just gonna go home. My husband will be home. work and have dinner, watch TV.\", \"completion\": \"So, are you gonna be alone anytime between when you leave here and when you come and see me anymore?\"}\n", "{\"prompt\": \"Um, yeah, I'll probably be home for a little while in the morning, but I have to work so I won't have, you know, I'll be busy.\", \"completion\": \"Okay, if these feelings intensified, or you do feel you're gonna act on them, which promised to call me and kill me call 911 \"}\n", "{\"prompt\": \"Yeah, I'll do that. Okay.\", \"completion\": \"I'm gonna get that release so you can talk to your husband. And then see it for a few minutes or so point for more. All right.\"}\n", "{\"prompt\": \"Thank you\", \"completion\": \"Thanks, Joe.\"}\n", "{\"prompt\": \"I am doing alright, I guess.\", \"completion\": \"Thanks for coming in for the Cintiq. I know you've gone through the screening process at your agency before. Yeah, they ask you variety questions like there are 40 questions. Like your social security number, date of birth, other information they need to carry out billing and different administrative functions. But the purpose of this intake today is much different. I'm gonna be asking much more personal questions. \"}\n", "{\"prompt\": \"Okay\", \"completion\": \"Specifically related to things that happening in your life and your symptoms. You're comfortable with them?\"}\n", "{\"prompt\": \"Sure.\", \"completion\": \"Okay. Before I get started with the first section, I want to talk a little bit about confidentiality. When you see a counselor for treatment, the communication that you have with that counselor is confidential, but there's this big asterisk next to the word confidential. Okay. And I want to explain to the certain circumstances under which confidentiality might be broken. \"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"So, so let's start at, everything's confidential. And then I'll explain the exceptions to you, like make sense. \"}\n", "{\"prompt\": \"Sure.\", \"completion\": \"Okay. The probably the largest exception. One of the most frequently used exceptions is if you sign a release, for me to break confidentiality, this is not uncommon. For example, if you want me to talk to your physician because a physical condition or medication you're taking could be affecting your mood. \"}\n", "{\"prompt\": \"Okay\", \"completion\": \"you might sign a release that allows me to communicate with your physician. Oftentimes, the physician will require the same thing. So that should be two releases, okay, one that he or she keeps, and one that I keep. Okay. Similarly, if you have a family member, that you want to bring in for a session, because somehow it might be related to what's going on with you, you would have to sign a release. If you did That I then could communicate with that family member. \"}\n", "{\"prompt\": \"Oh, okay. \", \"completion\": \"Does that make sense?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"Even though releases have to be in writing to be in effect, except in extreme circumstances, you can discontinue release at anytime I call an agency and tell them that you want your release canceled. So say that, you know, I have no reasonably this is the case. Let's say you have a family member that comes in and there's a session and it goes, Okay. But then your relationship with that family member breaks down at a point. And now you think well, I don't want them calling in and being able to talk to your counselor. All you have to do is call in and the administrative staff will cancel that. \"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"If you do that, that's fine. But also next time you see me Tell me and I'll double check and make sure that it's been cancelled in your chart. Does that make sense? \"}\n", "{\"prompt\": \"Umm yeah\", \"completion\": \"Okay. Another exception to confidentiality is what's called cognitive care, meaning you're here at agency and you're seeing me, but a lot of other people work here and have some investment or duties related to your care. For example, somebody has to follow the charts. Somebody has to do the billing. There's a director to this agency, right, that has an interest in your care as well. So I'm permitted to speak to those individuals about things that we talk about. I only do so to the extent that I need to, for example, from talking to a person in billing, I'm not going to tell them about deep dark secrets you may have in your life, history or something, right. I'm going to talk about what they need to know which is usually what type of insurance does she have? Or is there a change in insurance is coming or something like that kind of questions are asking me aren't typically a personal nature. And if they were, I wouldn't answer them. However, with the director of the agency, that would be a different level of disclosure. Does that make sense? Because they're a clinical and they're a clinical person.\"}\n", "{\"prompt\": \"So you can tell them my deep dark secrets,\", \"completion\": \"I could, I generally would try to avoid that \"}\n", "{\"prompt\": \"good.\", \"completion\": \"But if you know there's a a treatment team meeting, and your particular case was being discussed, then, you know, other clinicians and the director would have access to information now they're bound by the same rules of confidentiality, but I'm bound by okay. We do this because it promotes good care. \"}\n", "{\"prompt\": \"That makes sense\", \"completion\": \"So we have information that you voluntarily release, right cognitive care another exception is if I have reason to believe that you're going to harm somebody. It's called a tarifs of duty. Right? It's a duty to warn. So again, I imagine this is why. I know this is unlikely in general. And your specific case, I imagine it's unlikely. But if you were to tell me that you were going to harm somebody, and then you left this office, I would have to contact them and warn them that you're on your way to harm. Again, this wouldn't involve disclosing a family secrets and all kinds of diagnoses. This would just be Hey, Kelly coming out to harm you. Okay, and I'm warning you, and you should probably do something about that, like call the police or flee. \"}\n", "{\"prompt\": \"Okay. That's not gonna happen.\", \"completion\": \"Yeah, I think again, I want to cover these things. They're oftentimes not used, but that's one of those rare things that has happened in the past, I don't imagine having by one time about it anyway.\"}\n", "{\"prompt\": \"Okay. Okay.\", \"completion\": \"Another exception to confidentiality is if I believe that, in general, you're a danger to yourself or others, meaning without a specific target in mind, you're, I feel that I have evidence to support that you're going to be a danger to someone else or the public in general, or a danger to yourself. I have to and I have the ability to, an authority to take steps to prevent you from harming yourself or somebody else. I'll only disclose what information I need to to prevent you from harming yourself or somebody else. \"}\n", "{\"prompt\": \"Okay, that makes sense. \", \"completion\": \"And the same would apply in the case if you had been threatened harm somebody else.\"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"So I want to emphasize at this point, that if you tell me that you have suicidal thoughts or homicidal thoughts, that doesn't necessarily mean law enforcement or inpatient facilities are going to be involved. Okay, we can talk about it. And a lot of people, especially if they have any type of depression, have suicidal thoughts. It's extremely common, and homicidal thoughts are actually fairly common as well. Rarely are they acted upon, but they're common thoughts. So I want you to feel free to discuss those without fear that I'm just going to reach up the phone and call the police because that's not gonna be the case. But if there's a clear threat, and I'm really worried then I will act and all this is actually to protect you and the public.\"}\n", "{\"prompt\": \"Okay\", \"completion\": \"The the another exception to confidentiality is if you provide information to me that leads me to believe a child or an elderly person is being abused. Now, interestingly, with this exception, it doesn't matter if you're the abuser or not. You could tell me about your neighbor, and how on your way to therapy, you saw that person abused their child tben I will actually report that. And again, I'm just giving the information they need to try to prevent any harm to the child or does it make sense? \"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"Okay, and the last thing exception and confidentiality would be and this is very rare, but it can happen. So I want to tell you about it. If for some reason, during the course of this therapy or even after this therapy has terminated, you get involved with the civil legal system in the criminal legal system, and a judge orders me to disclose information from your chart or from our experiences, okay. Technically, a judge can do that, and I'll have to follow his or her orders. Before I would make a such disclosure, I would certainly make my case to the judge, that I don't want to make that disclosure and try to restrict that disclosure as much as possible. But in the end, it's important to know that I don't have the power to make the final decision, it would be in the hands of a judge. Again, this happens very rarely, but I do on but you know, there's an exception to confidentiality. \"}\n", "{\"prompt\": \"Okay. Okay.\", \"completion\": \"Do you understand all those as I'm describing to you?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"And you have any questions about any of those?\"}\n", "{\"prompt\": \"No. So, like, if I told you that I was feeling really sad, and I thought about killing myself, you're not gonna?\", \"completion\": \"we're gonna have a discussion about that. Yeah, I'm not gonna, okay. I don't have the authority actually to lock anybody. Yeah, all I could do is to, well, the first thing I would do is assess the seriousness, and we'll try to work out some sort of safety plan that we can both be happy with. Okay, and that keeps you safe. But in terms of the extreme, whereas you said, Look, I really, you know, I'm going to harm myself and I'm going to do it soon. And here's I'm going to do it. My recourse would be to call law enforcement and they have a variety of options that are available to them. Of course, one is taking into an inpatient facility or something like that. Sometimes they arrive in Scituate is changed by then all kinds of possibilities. That's really a move of last resort. That's not going to be my first call. My first or my first action, my first action is going to be communicating with you and seeing where we are. And it's not unusual that clients have suicidal ideation to some degree for many sessions in a row. Right? \"}\n", "{\"prompt\": \"Okay, so that's not unusual\", \"completion\": \"no, particularly with any type of depressive disorder, or even just feelings of depression that don't rise to that diagnostic level. It's not uncommon to have passive suicidal ideation, like maybe wishing that you wouldn't wake up the next day or something. That's a lot different than you telling me that you have a plan to harm yourself and that you're going to do it. Does that make sense? \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Any Other questions about those limits of confidentiality.\"}\n", "{\"prompt\": \"No, its pretty clear\", \"completion\": \"If you're ever at a point where you're unsure, you don't remember what they are, of course, they're included in the information received screening, and there's a sheet that had them on there. But feel free to ask me about them. Right. And I'll be happy to clarify any points, anything that you might have forgot from now until that point, and I'll be happy to explain it again. \"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"All right. So let's move to the next step. Let's go with you\"}\n", "{\"prompt\": \"check.\", \"completion\": \"I'm going to be asking you questions from a wide variety of domains. subject matters, like relational history, emotional history. So certain areas, you may want to talk about more than others and I'll make a note of that. But I don't want to get too in depth in terms of any therapy at this point, because this is me trying to collect data. This is like a data collection stage. So this sets the framework and structure for what we're doing later on part of it. But I understand that some of the topics I bring up you may want to expand upon. So if that happens, I'm probably just going to point you back toward what we're doing. But I'll make a note here to make sure we cover later. Kind of makes sense?\"}\n", "{\"prompt\": \"Sure\", \"completion\": \"Okay, ready, get started. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"All right. What brings you in to our agency? What's been bothering?\"}\n", "{\"prompt\": \"Well, I guess it's really well, I've been feeling kind of down and But really what it is, I think it's work. I'm not, I'm not getting along very well with my boss and some of the other women at work, and it's kind of embarrassing, but it's not the first time that this has happened. And I'm starting to feel like there's something wrong with me\", \"completion\": \"So you're saying you're a little down, but you're also having some relational difficulties with people that you work with.\"}\n", "{\"prompt\": \"Yeah, and maybe more than a little down. Like I'm feeling pretty good right now. But I've been pretty sad.\", \"completion\": \"Okay, we'll talk about that some more. \"}\n", "{\"prompt\": \"Okay\", \"completion\": \"Any feelings of anxiety?\"}\n", "{\"prompt\": \"I think a little bit But yeah, like, like being worried, huh?\", \"completion\": \"Worried nervous on edge, anything?\"}\n", "{\"prompt\": \"Well, I'm kind of a worrywart. So yeah, I'm always pretty worried.\", \"completion\": \"So I'm going to ask you some questions, call this a symptom checklist. Many of these likely will not apply to you. I like to cover everything in the section, regardless. Okay. So as I touch on a topic, like the first one is memory loss. Okay. As I touch on a topic, let me know if it's happening currently. If it's happened, or if you've noticed it in the last 30 days, if it's ever happened, okay, so we have current last month or so three days ever happened or if it's never happened, \"}\n", "{\"prompt\": \"okay\", \"completion\": \"right. If you need me to remind you those four categories, just let me know\"}\n", "{\"prompt\": \"Alright\", \"completion\": \"so current last three days ever happened or never happened. Okay, so we'll start with memory loss. Have you having memory loss currently? Or the last three days or ever?\"}\n", "{\"prompt\": \"No, I mean, there's some things I can't remember from my childhood, but I think that's kind of normal. \", \"completion\": \"Yeah. any substance related problems or issues?\"}\n", "{\"prompt\": \"No. Never Well, maybe when I was like a teenager\", \"completion\": \"you tell me it happened?\"}\n", "{\"prompt\": \"Well, I was, I was at the university and well, I mean. I didn't like drink or party too much, you know, but one time the campus police raided this party where I was and they caught me. I just had like, a nickel bag on the way. And they actually brought me down to the station was like taken to the police. But like nothing came of it. \", \"completion\": \"Okay. And we'll talk about any type of legal problems later on. So there's been some substance related issues, but nothing doesn't sound like it's it's troubling now.\"}\n", "{\"prompt\": \"Oh, no, I mean, I drink and stuff, but it's not. Okay.\", \"completion\": \"We'll talk about that a little bit. When's the last time you had a drink?\"}\n", "{\"prompt\": \"Yesterday.\", \"completion\": \"Have you ever had any withdrawal symptoms?\"}\n", "{\"prompt\": \"Nope\", \"completion\": \"Have you ever heard term auditory hallucinations? It means when somebody hears things that other people can't hear. you've ever had that happenvi?\"}\n", "{\"prompt\": \"No\", \"completion\": \"vsualizations are the same thing except for seeing. They're seeing things who have not seen?\"}\n", "{\"prompt\": \"No, not I mean, maybe when I was high college once, but yeah.\", \"completion\": \"Have you ever felt like or been told that you have any type of delusions or paranoia?\"}\n", "{\"prompt\": \"No\", \"completion\": \"Nothing like that. Okay. Have you ever felt like your thoughts are disorganized?\"}\n", "{\"prompt\": \"No\", \"completion\": \"You mentioned you're feeling little down, Have you ever felt Really up, we call manic. Like they have a lot of energy and don't sleep for days at a time anything like that.\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"How about racing thoughts? in general, is your mood fairly stable? Or does it ever go from one extreme to the other? Does that ever happen? We call that lay bottom mood.\"}\n", "{\"prompt\": \"Yeah, I get really sad. I don't think I don't get happy right after or anything like that.\", \"completion\": \"Okay. How about irritability?\"}\n", "{\"prompt\": \"Yeah, if you ask my husband probably, but not really, more than anybody else.\", \"completion\": \"Have you ever had trouble with sleeping?\"}\n", "{\"prompt\": \"Yeah, sometimes\", \"completion\": \"When's the last time you had trouble sleeping?\"}\n", "{\"prompt\": \"Well, you know, sometimes when I get really sad sometimes I'll go you know, sometimes I'm slipping a ton, but then sometimes, you know, I find it hard to sleep. So when was the last time? I don't know. It was like, as probably in this spring a couple months ago.\", \"completion\": \"ever find yourself having obsessive thoughts or compulsive behaviors/\"}\n", "{\"prompt\": \"Like, worry, like when they get worry\", \"completion\": \"like repetitive thoughts, creating anxiety or behaviors you just can't seem to stop doing\"}\n", "{\"prompt\": \"No\", \"completion\": \"You mentioned some some sleep problems have a problem nightmares.\"}\n", "{\"prompt\": \"Not significantly.\", \"completion\": \"Okay. have very high trouble with the amount of food you eat, like, too little food, too much food, anything like that?\"}\n", "{\"prompt\": \"Yeah. I mean, sometimes I overeat something Well, I I haven't been my husband's been concerned lately. He says I'm not eating enough.\", \"completion\": \"You feel like you're not eating enough.\"}\n", "{\"prompt\": \"Probably because I am not hungry.\", \"completion\": \"This has been a problem recently and currently a food banks problem gone.\"}\n", "{\"prompt\": \"Well, not like a believer that I just just I don't want to. I don't feel like the energy to get up and eat. I'm not interested.\", \"completion\": \"Just interested in food. Okay.\"}\n", "{\"prompt\": \"I Have an appetite.\", \"completion\": \"Okay. All right. So do you feel like you are now or have been a danger than anyone else?\"}\n", "{\"prompt\": \"No\", \"completion\": \"Okay. Have you ever had suicidal thoughts?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Well, we'll touch on that a little later on. how about suicidal plan, ever plan have an attempt or So some occasional thoughts?\"}\n", "{\"prompt\": \"Yeah. Maybe Plan A long time ago,\", \"completion\": \"a long time ago?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"What was the last suicidal thought?\"}\n", "{\"prompt\": \"Last week\", \"completion\": \"Have you ever harmed yourself? called self mutilation for example, cutting?\"}\n", "{\"prompt\": \"No\", \"completion\": \"We have talked about dangerousness you said never been in danger. Have you ever had any homicidal thoughts?\"}\n", "{\"prompt\": \"like killing people?\", \"completion\": \"Hmm\"}\n", "{\"prompt\": \"No\", \"completion\": \"have you ever been violent? Like have a violent outburst or something like that?\"}\n", "{\"prompt\": \"But like, yell at my husband? but No, no, no.\", \"completion\": \"fine\"}\n", "{\"prompt\": \"I mean, it happens like every now and then.\", \"completion\": \"It's a rare?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Okay, so I've completed symptom checklist. Obviously, there's some areas in here we'll talk about a little later on, too. But it gives me a good overview of kind of what's going on on one page. So I want to switch gears a little bit to recall trauma screening. \"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"All right. So I'm gonna ask you, have you ever been exposed and the following incidents on the list different types of incidents? Okay. Just because you say yes, doesn't necessarily mean there's a trauma associated, but still important for me to doubt if this had happened to. Have you ever been involved in a motor vehicle accident?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"How about a fire\"}\n", "{\"prompt\": \"yeah\", \"completion\": \"work accident?\"}\n", "{\"prompt\": \"No\", \"completion\": \"you've been the victim of a crime?\"}\n", "{\"prompt\": \"yeah yeah\", \"completion\": \"we'll come back to that. If you're having any kind of weather related trauma like the fall, tornado or flood or anything\"}\n", "{\"prompt\": \"No\", \"completion\": \"ever have flashbacks?\"}\n", "{\"prompt\": \"No\", \"completion\": \"have been physically abused?\"}\n", "{\"prompt\": \"No\", \"completion\": \"You don't seem quite sure on that?\"}\n", "{\"prompt\": \"Well I don't know if it was physically abused, my mom would smack me and stuff.\", \"completion\": \"How often that happen?\"}\n", "{\"prompt\": \"Not that often like you know, maybe a couple times a year\", \"completion\": \"Hoe about about sexual abuse?\"}\n", "{\"prompt\": \"Never\", \"completion\": \"how about a traumatic loss like seeing somebody die in front of you or something like that?\"}\n", "{\"prompt\": \"No\", \"completion\": \"And domestic violence, we sort of talked about that and you're saying you mostly argue, any physical components were there\"}\n", "{\"prompt\": \"No.\", \"completion\": \"Okay. So can you tell me a little bit about the motor vehicle accident?\"}\n", "{\"prompt\": \"Yeah, um, well, my husband and I were just on our way to the movies one night and somebody rear ended us at a red light. Yeah, it was like the airbags were deployed? So\", \"completion\": \"those who might do to shake up about it now?\"}\n", "{\"prompt\": \"No\", \"completion\": \"How about the you mentioned you're a victim of a crime. Tell me briefly about that?\"}\n", "{\"prompt\": \"Oh yeah, I left my car in Philadelphia. We went to the symphony and it was on the street and came back and they stole my radio, my car radio CD player thing.\", \"completion\": \"And have that result like what was the result of that?\"}\n", "{\"prompt\": \"Oh, they actually, my husband called the police right away and it they, they recovered it. They got it a couple days later they got my radio\", \"completion\": \"Does your car repair?\"}\n", "{\"prompt\": \"Yeah yeah, the insurance took care of the repairments and stuff. It was kind of a hassle but okay.\", \"completion\": \"So I appreciate answering those questions related to potential trauma and I switch gears a little bit into substance abuse. I know you touched on this earlier a little bit, You mentioned the sound like involvement with the law about the marijuana so at one time, you used marijuana. How long did you use marijuana for?\"}\n", "{\"prompt\": \"To be honest I do it Occasionally, I mean, not all the time.\", \"completion\": \"How about alchohol?\"}\n", "{\"prompt\": \"I'd say, you know, I have a couple glasses of wine and dinner a couple nights a week.\", \"completion\": \"That's correct?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Have you ever found yourself in any trouble because of alcohol use like do you lie or being so intoxicated that you did something you regretted anything like that?\"}\n", "{\"prompt\": \"Ah, Barris myself were in a restaurant, One time. I got a little bit loud\", \"completion\": \"Due to alcohol?\"}\n", "{\"prompt\": \"Yeah, I have a few too many. Not happy about it, but Just one time\", \"completion\": \"do you think you have a problem with alcohol?\"}\n", "{\"prompt\": \"No\", \"completion\": \"If you had to stop using entirely Would you be able to?\"}\n", "{\"prompt\": \"Yeah. Yeah. I mean I don't want to\", \"completion\": \"but you could?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"How about befor the marijuana same thing?\"}\n", "{\"prompt\": \"Oh, yeah. That's so yeah. Just every now and then.\", \"completion\": \"And the other substances you like Tell me about?\"}\n", "{\"prompt\": \"well, like experimented in college a little bit, like track speed and cocaine a couple times, but I really like that \", \"completion\": \"and no use since then?\"}\n", "{\"prompt\": \"No\", \"completion\": \"All right. Have you ever been treated for substance abuse?\"}\n", "{\"prompt\": \"No\", \"completion\": \"So let's switch gears again to gambling. Have you ever gamble?\"}\n", "{\"prompt\": \"Yeah, yeah.\", \"completion\": \"Tell me about that.\"}\n", "{\"prompt\": \"Yeah. Um, well, I went with my husband on a business trips to Las Vegas one time. And you know, we'll go to Atlantic City, you know, maybe. Well, I guess we've been there. Well, once a year, not quite once a year.\", \"completion\": \"Okay. Can you tell us about your experience when you have gone? From Sure. gambling and what happened?\"}\n", "{\"prompt\": \"Um, well, I mean, mostly I like to go to see the shows. And then others I'll say, yeah, we're going to spend a certain Money, and we take that much and then when that's done, that's done. \", \"completion\": \"Okay. So you feel you have a gambling problem.\"}\n", "{\"prompt\": \"No\", \"completion\": \"Okay. All right. Thank you. I want to switch gears again, I want to talk about any previous treatment history have ever seen. a counselor, a type of mental health clinician, or a psychiatrist? Anybody like that before?\"}\n", "{\"prompt\": \"Yeah, I did. I saw a counselor a few years ago.\", \"completion\": \"Do you remember what year?\"}\n", "{\"prompt\": \"it was that like 2010\", \"completion\": \"How long did you see the counselor?\"}\n", "{\"prompt\": \"It wasn't that long. She was kind of I wasn't that impressed. You know, maybe maybe two months.\", \"completion\": \"So what what happened of course that too much?\"}\n", "{\"prompt\": \"Well, I just wasn't wasn't that comfortable with her. She just seemed, I don't know how to describe it. Like, I didn't have a lot of confidence in her. She's seen really, She didn't seem very sure of herself. She seemed really like insecure herself. And I kind of felt like I wanted to take my problems to this person. Like, I don't know how to explain it and just it didn't feel very effective and\", \"completion\": \"Okay, can you tell me how you terminated treatment? Did you cancel appointment and that was it or did you have obsession where you wrap things up with them?\"}\n", "{\"prompt\": \"No, I just stopped going \", \"completion\": \"stop going?\"}\n", "{\"prompt\": \"Yeah. I missed an appointment and then I didn't call to reschedule.\", \"completion\": \"So it sounds like the reason that you didn't continue treatment was you didn't feel the counselor Really wasn't doing that great job felt secure and confident.\"}\n", "{\"prompt\": \"Yeah, she didn't get me or understand. Yeah. I didn't know how it was gonna help me anyway.\", \"completion\": \"It's not uncommon throughout the course of someone's treatment, that they're treated by a counselor, mental health clinician, they don't quite become in sync with like this. That's not uncommon. Like, like you've recognizing that, perhaps she didn't understand you quite well. That's not uncommon. But what I like to do in our counseling relationship is if you feel that's the case, if you communicate that to me, and we can talk about that\"}\n", "{\"prompt\": \"oka Yeah.I appreciate that.\", \"completion\": \"Was there any other mental health treatment you've ever received? Either inpatient, outpatient?\"}\n", "{\"prompt\": \"Yeah, in college after that thing happens. I did they wanted me to see the counselor there and when you know, like Two or three times\", \"completion\": \"after the onset of marijuana?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"so it kind of got mandated?\"}\n", "{\"prompt\": \"Yeah, exactly. I like went to a group. And I talked somebody they asked me a bunch of questions like that and then I saw someone one other time.\", \"completion\": \"I'm going to switch gears again and move to the next section. Are you still okay to continue?\"}\n", "{\"prompt\": \"Thank you.\", \"completion\": \"Thanks for coming today.\"}\n", "{\"prompt\": \"Can you briefly tell us what services as a Adelaide counseling practice had to provide? So what role do counselors play in the provision of those services?\", \"completion\": \"Okay, they app counselors provide services to clients all over LA. And they provide the city offices with offices in the western suburbs. But we also allow our counselors to go to the residents of our clients and my boss is no boss. Yeah. And that that's working out to be beneficial because a lot of clients don't feel comfortable coming to places where they can be still saying.\"}\n", "{\"prompt\": \"So what do you see as being the skills and knowledge that arpc graduates have demonstrated in the delivery of places?\", \"completion\": \"Yeah, I feel that there's an amazing amount of information that comes from the AAPC diploma. We constantly use many of the articles and the actual forms that were used in the studies throughout the diploma, for instance, the personality profile that really helps our clients To understand what the personalities are and how that can be within a relationship, we also use the five types of conflict, don't see in the readings that allows us to explain to clients that there's different types of conflicts and how they can upset a relationship. So we use a fair amount of the information that came out is that one that really helps benefit our clients. \"}\n", "{\"prompt\": \"Okay. So how does the skills that our students have benefit at Adelaidey counseling practice?\", \"completion\": \"It's a benefit because they're there. They're all unique in their sorry, they're all uniform. When it comes to what Adelaide counseling practice needs, we like to know that we have uniformity in our counselors. And we know that the AAPC can offer that because we've all learned the same base units and then when it comes to the actual majors, that Some of the staff that we have taken on, they can also add to the fall of the year for the service of\"}\n", "{\"prompt\": \"the Advanced Study majors in conjunction with a diploma is an additional benefit.\", \"completion\": \"Absolutely.\"}\n", "{\"prompt\": \"Excellent. And kinda would you consider continuing to source positions for your projects practice with graduates on iopc?\", \"completion\": \"Without a doubt, yeah, there we haven't had any issues with the people that we've taken on board. They've all been professional and well educated and fantastic with our clients.\"}\n", "{\"prompt\": \"Excellent. Thank you. Is there anything else you'd like to add about course, all the students have registered?\", \"completion\": \"I truly believe that this course amongst others that I've resource before I didn't give the actual diploma has to be the most in depth to have actually seen, even to the point where I'm now doing a psychology degree and I don't believe that with the psychology degree would have the confidence to counsel clients because it doesn't actually show you how to practice, whereas the diploma shows you exactly how to practice. \"}\n", "{\"prompt\": \"So the confidence to actually work with clients face to face comes from during the deployment.\", \"completion\": \"Absolutely. Thank you.\"}\n", "{\"prompt\": \"Well, thank you very much for your time today. \", \"completion\": \"Thank you, Carol.\"}\n", "{\"prompt\": \"No, I'm still feeling the same. just just just a little frustrated at the moment. That's all.\", \"completion\": \"What is it the frustation like for you?\"}\n", "{\"prompt\": \"It's just tight feeling that I have I just experienced, it's difficult to put into words but just it just doesn't feel good.\", \"completion\": \"So let's shift it to body where in your body you feel this type feeling?\"}\n", "{\"prompt\": \"I think it's, it's in my chest. \", \"completion\": \"So that's a hot area, feeling around the heart. And what is there in that heart and you pay attention to that, that area in your heart? What What do you find? What sort of thing?\"}\n", "{\"prompt\": \"Yes, it's just really just a compressing feeling. \", \"completion\": \"I noticed that you have been saying it when you talked about your feelings. And I would like to suggest if you can say instead of being it, and see what happens in your body so go ahead\"}\n", "{\"prompt\": \"You actually want me to say, okay, yes. My chest feels very tight. I feel very frustrated, angry, angry.\", \"completion\": \"So that's what's coming up frustration, anger. So what are you doing this moment with your anger as you said to me right here to chest this moment?\"}\n", "{\"prompt\": \"just accepting it\", \"completion\": \"once you accept that anger inside you, what else do you do with that anger having accepted?\"}\n", "{\"prompt\": \"it's it's just noticing you're saying it again.\", \"completion\": \"Use the word Hi. It's a thing that to acknowledge this is, you know, something out there, we do a lot Something very strong. So it's a safe way to put it. But if you say I feel angry,\"}\n", "{\"prompt\": \"I feel angry.\", \"completion\": \"But who do you feel angry at?\"}\n", "{\"prompt\": \"My ex husband\", \"completion\": \"You ex husband?\"}\n", "{\"prompt\": \"Hmm, yup\", \"completion\": \"Sandra, having just explore some of your feelings around the situation you have, I'm going to suggest that you speak to Jeff on an empty chair. This may be a little uncomfortable. But it helped me to facilitate a process where I become an observer, and you'll be in dialoguing with a party that you are actually having to deal with. And I'll be facilitating for you the process and then pointing out some of the things that we could do to change process okay. It's been Jeff and your imagination that the massive Jeff we're here. I'll bring a chair. Okay. Welcome, Jeff. I mean I welcome Jeff. And, and there's Jeff. Imagine his face looks like how you remember him and bring him in and your fantasy. And then when you're ready to just say whatever comes to you at that moment, this moment spontaneous.\"}\n", "{\"prompt\": \"Jeff, I feel very frustrated about the situation that you have left me and the children in. I think you understand how hard it is at times and the things that I have to explain to them about about this situation. It bothers me that you don't go out of your way to spend extra time with the children and I really believe that in the future, they, they will come to, to really resent that and, and not look at you as as their father, I, I honestly can't understand why you don't want to spend more time with them. And irrespective of what's happened between between us and and you moving on and, and so forth. I just don't think that that your children and my children should really suffer in that way. we'd like them to have as as normal a life as possible and, and be able to, to be with both of their parents and why you know what is so important rather than them wanting to be with them. It's it's just very hard. \", \"completion\": \"Okay. Okay, so there's a kind of question you understand why this happened, etc. Right? So what next thing we'll do, you'll sit over there, and you will be Jeff and see what Jeff can answer to you as to where he is at. That maybe a little bit difficult But let's do a dialogue as if he were he's not here anyway. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So we'll, we'll be having a dialogue between Jeff, imaginary Jeff, and you in the present here and now. Okay. And what is what is he saying? I know they're the hurts and frustration a but any appreciation that he still cares for these children as a father.\"}\n", "{\"prompt\": \"I really don't have any appreciation for that because the reason the reason that you've given that you're busy, like I'm busy in my life and I still give our children priority, they still take precedence in my life. And I just don't think that that, that that's right \", \"completion\": \"Actually what kind of father you should be for the children?\"}\n", "{\"prompt\": \"You should be proactive in wanting to save them. And I wouldn't mind if you wanted to see them more than then what we have agreed is there are times when when you Want to do something spontaneous and and see then then then feel free to contact us and, and see if it's okay.\", \"completion\": \"Sounds like a very good idea. Good offer you Jeff, are you prepared to take that off for the kids sake? Its great go your way what's what's going on here? The contracts happening okay. Seems Parties seem to be agreeing began to agree to something important. That's the children. So children will not suffer, they will actually benefit from that agreement, if you two can really, really come to a mutual agreement to what, how we're going to take care of the children. Because the thing no matter how, in my view, no matter how people live together as a couple separate together, the contract life countries, I'm still my father to my children as a mother as much as we could only get that anger out frustration out, we can come to an agreement as to how we're going to work together and even if you don't, they don't live together. We would live for the with the kids they'd be happy. Does that make sense to you?\"}\n", "{\"prompt\": \"Yes. This is in a counseling session. And He hasn't really participated in informing his contract.\", \"completion\": \"But you hear that this happened for you. And you've done it. So is there something that the now you have that you can begin to negotiate with him, no matter how he is? Because there's now a new realization that the children need that. Father and Mother. How's that for you? \"}\n", "{\"prompt\": \"Yeah, maybe I just need to let him know that And just extend the invitation of having more time out there. Yeah. Yeah,\", \"completion\": \"you're good at that. You're very good. Who's watching you working here? You're very good at creating contracts and very clear about what you want. And it's a question of how you can the two parties can get to that agreement together. What do you think?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"Great, because that's, this is a rehearsal for what's going to happen.\"}\n", "{\"prompt\": \"Wilmington, Delaware \", \"completion\": \"and how about which city and state you were raised in?\"}\n", "{\"prompt\": \"Wellington\", \"completion\": \"Okay. Do you speak any other languages other than English\"}\n", "{\"prompt\": \"Spanish not fluently but pretty well, pretty well.\", \"completion\": \"Tell me who raised you?\"}\n", "{\"prompt\": \"My parents\", \"completion\": \"biologic parents?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"At any point during childhood, have you ever raised by anybody else temporarily? \"}\n", "{\"prompt\": \"No. My grandmother lived with us for a little while but middle school or high school but\", \"completion\": \"can you tell me briefly what your life was like growing up.\"}\n", "{\"prompt\": \"Yeah, it was pretty normal childhood I guess. My mom was, she was angry, angry person, but it was, you know, my two sisters and me and my parents and we didn't want for anything. My parents loved us pretty much. And you know, we went to good schools. My mom, you know, my mom was pretty angry. Well, at least towards me\", \"completion\": \"not so much toward you?\"}\n", "{\"prompt\": \"my sisters now. I mean sometimes. My sisters in my dad she was like Angry in general. I guess I got the most of it. couldn't think, I don't know. I was wondering if is connected to my boss and the women at work? I don't know. That's kind of why I'm here. And it happened, you know, in the neighborhood too the women in the neighborhood after we moved to this new neighborhood, and I'm really feeling like, it's me and groups of women. And it's there. I don't know. I don't know you're the expert. But you asked me what my what my childhood was like, and, like, I can't complain. I wasn't like abused i like i said i was hit sometimes but that was the way you know, I was hit more than my sisters for sure because I was the oldest. My sisters were I was the oldest, my middle sister was I don't know if you want this to answer your question or no\", \"completion\": \"No, please go on\"}\n", "{\"prompt\": \"Okay. My sisters were perfect. You know, my my middle sister was she always got good grades. She did exactly what my parents wanted. She was the one like She'd wake up by herself several hours before school started and get herself already make herself breakfast you know. She was just always a good girl And I mean, I wasn't bad at all but I don't now\", \"completion\": \"So the family dynamic you're speaking about when did that change or hasn't changed?\"}\n", "{\"prompt\": \"It hasn't changed.\", \"completion\": \"What age should you move out of your parents?\"}\n", "{\"prompt\": \"college\", \"completion\": \"should be at around 19\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"Okay, we talked about this a little bit earlier about how your, your experiences when you're young. How are you disciplined as a child\"}\n", "{\"prompt\": \"you know, yelling my mom yelled a lot. Like I said she didn't hold back from you know, smacking my face or pulling my hair like that. When I was younger when I got older, she didn't do it as much. You know I could kind of push her away But it wasn't, you know, Yeah, that was it or other than that.\", \"completion\": \"He didn't get involved in the discipline component.\"}\n", "{\"prompt\": \"No, I mean, that was mom.\", \"completion\": \"I want to move on now to relationship history. So I going to switching gears a little bit again. You mentioned you're married. Have you been married before?\"}\n", "{\"prompt\": \"No\", \"completion\": \"and he is supportive of that?\"}\n", "{\"prompt\": \"Yeah. He It was kind of his idea. At first I thought I thought he was right. And I want to try it again.\", \"completion\": \"At some point and I don't know this yet, but at some point, if appropriate, He'd be willing to come in for a session with you?\"}\n", "{\"prompt\": \"Definately\", \"completion\": \"How long have you been married?\"}\n", "{\"prompt\": \"15 years.\", \"completion\": \"and Where do they live? Like what do you?\"}\n", "{\"prompt\": \"with my husband and me\", \"completion\": \"every day?\"}\n", "{\"prompt\": \"yeah\", \"completion\": \"I think you mentioned earlier you've ever had traumatic loss, you haven't lost a child.\"}\n", "{\"prompt\": \"No\", \"completion\": \"Can you describe your relationship with your children to me?\"}\n", "{\"prompt\": \"Yeah, it's a good relationship. Well, I, I try. I said when I had kids, I was not gonna be like my mom. So I don't know and I don't let my husband yell at them. So my relationship with my kids is hugely important to me. We always spend a lot of time as a family we vacation together. We have family game nights. I help them with their homework. toddler years were tough. You know, that was challenging for us, but we got through that\", \"completion\": \"into round school?\"}\n", "{\"prompt\": \"Yeah, yeah.\", \"completion\": \"You mentioned you have a daughter I know you talked earlier about your relationship with your mother. Do you see any of that? What happened there playing out between you and your daughter?\"}\n", "{\"prompt\": \"Not really, because I try so hard I mean I get mad sometimes I can feel myself flare up and but I don't know, I don't I don't think so. \", \"completion\": \"Okay. Anything else abut you told me what Tell me\"}\n", "{\"prompt\": \"well a couple of years ago when I was kind of in one of these periods, my son's teacher, he was in second grade at the time and she said she was concerned about him that he was kind of hanging out away from the other kids. She thought he might be depressed is what she said. So we took him to see somebody a couple times, but he was okay. He's okay now \", \"completion\": \"he's okay now?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Had you worried a bit though?\"}\n", "{\"prompt\": \"Yeah. In situation.\", \"completion\": \"I'm going to switch gears again. Are you still come from moving forward?\"}\n", "{\"prompt\": \"I am doing all right\", \"completion\": \"doing all right?\"}\n", "{\"prompt\": \"Yeah, I'm feeling a little bit, I'm feeling a little bit better,\", \"completion\": \"a little better and even down for a while what's going on?\"}\n", "{\"prompt\": \"I just feel like everything's gonna be okay.\", \"completion\": \"This is unusual for you because usually, when I come in, you come in and talk to me cut down or depressed, something changed recently.\"}\n", "{\"prompt\": \"I just I feel like I found the solution and I just, I know what I'm going to do. So I don't, I'm not really worried about my depression. So I guess I'm feeling a little bit better about it. \", \"completion\": \"Can you tell me about the solution you found for your question?\"}\n", "{\"prompt\": \"Yeah, I you know, I know. We've talked Before I think that I'm gonna that I am gonna commit suicide.\", \"completion\": \"You want to commit suicide? You know how you'd do that?\"}\n", "{\"prompt\": \"Yeah, I have some pills in my house in the medicine cabinet, and I'm going to take those.\", \"completion\": \"When do you plan on doing this?\"}\n", "{\"prompt\": \"Probably a couple days from now. I have some things to get an order. I want to, you know, arrange things and make sure that, you know, everything's in order and then, and then I'll do it.\", \"completion\": \"What kind of things to to arrange?\"}\n", "{\"prompt\": \"Um, you know, I want to make sure that all the documents my husband's going to need that they're in a place that he can find them. Not going to tell him but I want you know, I don't want to make things more difficult for him and just that kind of thing. You know what I mean? Like, make sure that everything's in order so that when I'm gone, everybody has what they need.\", \"completion\": \"So Jill, you've been seeing me for almost a year now and you know, by telling me this, that I'm gonna act to stop you. But I'm gonna try to stop you from killing yourself. \"}\n", "{\"prompt\": \"Mm hmm. Yeah, I mean, I want to do it. I think in the end, it's, it's what's going to make things better. But I guess there's still a part of me that doesn't want to die doesn't want to do that to my family. So I guess I'm telling you, because you know, I'm not 100% resolved, and I guess I wanted to talk it over.\", \"completion\": \"You seem pretty serious, though, about your timetable in your plan.\"}\n", "{\"prompt\": \"Yeah. I mean, you know, it's like, when you plan to go on a weekend trip, you're pretty sure you're going to go but if the weather's bad, you might not so I think, you know, I'm pretty sure.\", \"completion\": \"Is there anything that can stop you?\"}\n", "{\"prompt\": \"Um, I don't know. I don't. I think I mean, I feel pretty sure about it.\", \"completion\": \"Do you feel like it's the depression or something else that drove you to this decision?\"}\n", "{\"prompt\": \"I feel like I feel like, um, it's just, you know, the same old things that I was worried about before, you know, the depression and, and, you know, my relational issues my job, like the stuff that, that gets me down, and, you know, it just clicked and it was like, you know, I've thought about it before, but like, I I feel like I'm gonna feel better. I feel like it's just gonna, it's gonna, I'm gonna feel better so.\", \"completion\": \"as you said, it's a solution. \"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"I know we've, we've talked about this issue in the past, right? And when you've come in feeling this way, kind of resolved harming yourself. We sent you over to the hospital. I know that's not your favorite place. But when you go there for however long it's been usually what five days come out feeling a lot better. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Do you feel like this time would be different?\"}\n", "{\"prompt\": \"Well, I feel like in the past, you know, I've I've been thinking about killing myself seriously, but now, I'm not as scared of it. So I don't really want you to put me in the hospital because then I won't be able to do it. And before I was scared, so I wanted you to put me in the hospital. But now I just want to get it over with and so I really don't want you to do that.\", \"completion\": \"So like I say, a part of you saying that. You don't want me to stop you. But yeah, you came in here and you told me, so part of you seems to you maybe not quite sure.\"}\n", "{\"prompt\": \"I guess, I guess there's, there'll always be a part of me that's a human, you know that that's scared to die. And I care about you, you know, we, I know you're my counselor, but like, we've had a relationship and we talked about these kinds of things. And I, I felt like I owed it to you to, you know, be honest with you about how I was feeling because we've had that relationship in the past. And so I guess I guess I came here because because of that, and because I felt like I just wanted to talk it over. You know, before I did it, because, you know, I come to you to talk about what I'm thinking and so I felt like this would help me. Like gain the final clarity that I needed.\", \"completion\": \"hasn it helped you gaining clarity?\"}\n", "{\"prompt\": \"I don't know, I guess. I guess I see that you're saying that like, I really need to go to the hospital. I guess I was hoping a little bit that you would be happy for me that I was feeling better. But I think that you want me to go to the hospital. So I don't know. It makes me think about whether it's the right decision. You know,\", \"completion\": \"mean a suicide?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Sometimes and you know, you've been with me, like I said about almost a year now and you've been depressed much that time. And it's not unusual. When somebody thinks they found a solution to depression, even if that solution something that I am against, like suicide, that their their mood would become elevated because you see an end to pain. There's other things we can do and have done the past, try to get you out of pain. \"}\n", "{\"prompt\": \"But we have done them in the past and I didn't feel better and now I am feeling better. So you know I I just want you to accept that.\", \"completion\": \"But I'm not going to it's my obligation with it I'm happy to fulfill to try to keep you alive. I've seen you this way before and I know it may not seem this way now but when you came out from a suicidal thoughts and feelings you did well for weeks, sometimes months at a time. You're seeing really just the darkest when you're in the \"}\n", "{\"prompt\": \"Yeah, but I'm feeling better now.\", \"completion\": \"Temporarily, because you feel you found the end to the pain which I understand. I mean, Understand you feeling better, but you're feeling better because you plan on killing yourself. And we've talked about how devastating that would be to your family, right? your friends.\"}\n", "{\"prompt\": \"I am torturing them with my sadness, I'm just making their lives miserable. I don't understand how it's gonna help them for me to stay alive. You know, I'm worth more, they can have my life insurance. And, you know, I won't make them suffer anymore.\", \"completion\": \"So your logic is that if you end your life, you'll freed them from having to deal with\"}\n", "{\"prompt\": \"Yeah. And feels like the right thing to do\", \"completion\": \"And as you know, I mean, you've signed releases, I've talked to your husband, your parents, they've repeatedly said that, despite sometimes the challenge of dealing with depression, they would much rather Have you alive, Why would they say that?\"}\n", "{\"prompt\": \"I think that they're scared of the pain of losing me, but I know that they'll feel better eventually.\", \"completion\": \"So they'll feel good over the grief?\"}\n", "{\"prompt\": \" Yeah,\", \"completion\": \"I understand.\"}\n", "{\"prompt\": \"And I think that they'll understand that I needed this.\", \"completion\": \"You know, I've been doing this for a while. Right. I think we've come to have a good relationship. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"And I would hope that I've earned your trust and you value my opinion. We'll do something that I know about suicide. You open to hearing it?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"There's a lot of ways that people die. Right. And it's, it's really what eventually will happen to us all. It's hard for me to imagine way more devastating than suicide. Meaning when somebody dies of an illness, or a car accident or any other type of tragic accident, people grieve, right? But there's usually not a blame assigned to that mean they don't feel guilty. Does that make sense? \"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"They feel sad because they've lost the person, but they don't feel responsible for that person's death. Suicide is different, when somebody commits suicide, their family and friends feel responsible. They have no answers to all the questions that they have. They could never get an answer.\"}\n", "{\"prompt\": \"I'm gonna write them a note and tell them everything and tell them it's not their fault because it's not their fault and I just want them to be happy without me.\", \"completion\": \"So you believe the note will take away all that pain?\"}\n", "{\"prompt\": \"No, but I think that it will help them realize that they shouldn't feel guilty, like you're saying\", \"completion\": \"it'll mitigate that pain?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Okay. I can tell you from experience that notes, notes don't really help. If anything, it's another artifact that they can agonize over. I know it's hard to see from your perspective, because you're kind of resolved to this and you feel stuck in the pain you want now, but they will miss you and they will agonize for the rest of their lives, because they've lost you. And it's a it's a special horrible type of agony that comes with feeling responsible for causing someone's death. I know you don't want that.\"}\n", "{\"prompt\": \"I just don't know why you can't let me feel better.\", \"completion\": \"I know it's frustrating. I know it's hard to understand. The times when you've gone to the hospital before, you have felt better. Your outlook was completely different, not 100%. But it was completely different when you came out. I mean, you're still a little down, but nowhere near the depression we'd want to hurt yourself. Is it possible if you go to the hospital this time, you could come out feeling better again?\"}\n", "{\"prompt\": \"yeah, It's possible.\", \"completion\": \"I'm gonna make arrangements to get you out of the hospital. I know. I know you don't. And we've had this conversation before. Right? I realized that, you know, you're not happy with some of the conditions there. But you usually talk finally about the groups. Right? You usually do well in the groups. And typically, well, every time right, every time you've been in the hospital, you've come out feeling better. I know it's not what you want to hear. I know you want me to be happy that you're gonna enjoy life, but that would make me happy. That would make anybody happy. I know you think it would make you happy. But I can tell you it's not the answer. I'd like you to go voluntarily through this process. Will you do that?\"}\n", "{\"prompt\": \"Ok Lets go\", \"completion\": \"All right. I'll go make those arrangements and we can show you. Okay?\"}\n", "{\"prompt\": \"Okay?\", \"completion\": \"Why don't we start by just having you tell me a little bit about yourself?\"}\n", "{\"prompt\": \"Okay. My name is Laura. And I'm 17 and I'm a senior in high school.\", \"completion\": \"Okay, and what do you like to do for fun? \"}\n", "{\"prompt\": \"Mostly just hanging out with my friends and stuff on the weekends, things like that.\", \"completion\": \"And when you and your friends are hanging out, where do you go ?\"}\n", "{\"prompt\": \"Boardgames, go to party, yeah, it's school related, maybe like a game or two or go to the mall, like to shop or go to the movies or something. And that night, maybe like a party or something someone's throwing. \", \"completion\": \"Okay, and what kinds of hobbies do you have? \"}\n", "{\"prompt\": \"Um, I like to read. And I like to go outside and like take walks and like hike and stuff. I'm very outdoorsy. \", \"completion\": \"So. Oh, cool. What are your plans for after high school? \"}\n", "{\"prompt\": \"Well, I plan to apply to college and maybe you know, have a good career and something like that. Hopefully. \", \"completion\": \"That's great. What do you think you'll Study ?\"}\n", "{\"prompt\": \" Well, I'm looking into journalism maybe pre law. \", \"completion\": \"Oh great, which is a little different. But yeah, that's great. That's a really good goal. \"}\n", "{\"prompt\": \"Yeah, thanks.\", \"completion\": \"It's hard work to get into law school. Are you doing well in school? What kind of grades you get?\"}\n", "{\"prompt\": \"I'm doing okay. I'm getting mostly A's and B's so I'm pretty good.\", \"completion\": \"Okay. Okay. What classes are you not getting A's and B's in?\"}\n", "{\"prompt\": \"Um, I think all my grades are in A's and B's \", \"completion\": \"Oh, yeah. Okay. And do you know where you're going to apply to college?\"}\n", "{\"prompt\": \" I'm not sure yet. But I'm looking into schools like in the area, so maybe, I don't know, maybe I'll leave home or something.\", \"completion\": \" Okay, cool. And in what made you just add maybe last school or journalism?\"}\n", "{\"prompt\": \"Um, well, I'm definitely not a math or science person. So I started off by there that I started looking at careers that maybe I would like so. \", \"completion\": \"Okay, great. Sounds like you have like you said, really good goals and you're working hard in school. You said that when you're going out with your friends, you like to hang out and shop and stuff like that and also go to parties. So, do you drink alcohol?\"}\n", "{\"prompt\": \"Not really, maybe one or two drinks at a party at the most.\", \"completion\": \"Okay, And how often do you think you drink?\"}\n", "{\"prompt\": \"Maybe like, once or twice a month at the most Yeah. Possibly.\", \"completion\": \"So that's actually kind of a lot of drinking then.\"}\n", "{\"prompt\": \"Yeah, I guess you can say that. \", \"completion\": \"Okay. What do you think's the most you've ever had ?\"}\n", "{\"prompt\": \"just two drinks at a party at the most I don't I don't like to drink a lot. I don't getting drunk is not something that appeals to me. So I just have like a drink in my hand. So my friends won't bug me about not drinking. I just like to look like I'm actually doing something most. A lot of the time. I don't even drink at all. So\", \"completion\": \"but you've been drunk before?\"}\n", "{\"prompt\": \"No, not really. Maybe tipsy but not like, drunk. \", \"completion\": \"Okay. So the most you've ever, ever had is two drinks in a day ?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Okay, interesting. So do you know all the bad stuff about alcohol?\"}\n", "{\"prompt\": \"Oh, yeah. Yeah.\", \"completion\": \"Okay. So one of the things that you know, is really important to talk to teenagers about is drinking and driving. So you know, that's actually a really big problem. And even around here we have kids die every year from getting in a drunk driving accident. So that's something that you really need to make sure you're not doing. All right. Have you ever done that? Have you ever ?\"}\n", "{\"prompt\": \"No, never drunk, driven and been in a car with a drunk driver, \", \"completion\": \"Okay. How much do your friends drink?\"}\n", "{\"prompt\": \"I mean, I have some friends that drink some more than others, like my close group of friends don't really drink as much because I'm not really interested in that but I know that there are people that drink a lot more\", \"completion\": \"What about at these parties are going to Are there other kids there who are drinking a lot?\"}\n", "{\"prompt\": \"Yeah, there are kids that drink a lot. More than I do, definitely. \", \"completion\": \"And do you hang out with them ?\"}\n", "{\"prompt\": \" Not really closely. Like, I know who they are. And I'll say hi, but not, they're not really like close friends of mine.\", \"completion\": \"So, you know, even just hanging out around kids who are drinking a lot actually puts you in a lot more risk. Did you know that? \"}\n", "{\"prompt\": \"Yeah, that makes sense. \", \"completion\": \"Yeah. So there, I mean, a lot of the other dangers of drinking like, not just car accidents, but you can have other accidents, you know, people, you know, will fall or, you know, break things, or a lot of people actually end up breaking their bones and ending up in the emergency room because they've been drunk and fallen down or, you know, as a girl, it's really important to that you're careful because you could be sexually assaulted. \"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"You know, especially if you've been drinking then, you know, you're at a lot more risk because the guy can take advantage of you. Have you thought about that? \"}\n", "{\"prompt\": \"Yeah, yeah, I have. That's one of the main reasons I don't like to drink that much. \", \"completion\": \"And then You know, people get in fights more often when they've been drinking to. Also, you know, there have been a lot of kids even at this school have gotten in trouble because they were drinking and so and took pictures with their cell phone and put it up on Facebook and then their parents find out or a school finds out and you know, we have a no tolerance policy here about drugs and alcohol and really can get you into trouble and could put your whole college career in jeopardy. Have you thought about that?\"}\n", "{\"prompt\": \" Yeah, definitely. \", \"completion\": \"But you're still drinking?\"}\n", "{\"prompt\": \"Yeah, I mean, I guess it's the thing to do at a party so.\", \"completion\": \"So, I mean, do you think it's the thing to do if you want to be an attorney?\"}\n", "{\"prompt\": \"I'm definitely not that's why I don't try to drink that much. Just make it look like a kind of.\", \"completion\": \"Okay. Hmm. So, I mean, I guess what we need to do then is kind of talk about some goals for how to be safer. Obviously, you shouldn't be drinking at all. What do you think about that?\"}\n", "{\"prompt\": \"I definitely agree. I know that there are some other risks involved in alcohol other than the ones you mentioned, like health wise and things like that. So I agree that alcohol may not be the best thing. \", \"completion\": \"Mm hmm. So do you think you can quit?\"}\n", "{\"prompt\": \"Um, yeah. I mean, it's not like a really big part of my life so.\", \"completion\": \"Okay, so I'm gonna write down then that you've decided to quit. \"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"And that's going to be your goal. And that's great. You know, that's really why we're here is to talk about that and make sure that you come to that decision. So, I guess Can you quit this weekend then? \"}\n", "{\"prompt\": \"Yeah, yeah, definitely. I'll just don't have a drink. \", \"completion\": \"Okay. And then what about your friends who are still drinking ?\"}\n", "{\"prompt\": \"I really can't control what they do, but I'll definitely try to get my closest friends to maybe Stop, like I will. \", \"completion\": \"Okay, and what if they won't? \"}\n", "{\"prompt\": \"Well, then I guess I'll just try to hang around them less or something or try to find things for us to do that don't involve alcohol, like a party, anything.\", \"completion\": \"Yeah, probably if your friends won't quit drinking, you should just find new friends.\"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"Because, you know, the problem is if they're drinking, they're gonna pressure you into drinking and then you're gonna feel awkward and you know, you're gonna be stuck and not know what to do and really just be better off probably without them. If they if, if they're the kind of people who are going to keep drinking, they're probably not a good influence. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"And then then you'll be better set for college too, because, you know, the issue is, you're getting good grades now, but when you get to college, it's a lot harder. And, you know, if you're needing really good grades to get into law school, which you will need, then you really can't be distracted by alcohol.\"}\n", "{\"prompt\": \"Yeah, definitely. \", \"completion\": \"Okay, so um, that's great because it pretty much covers all the stuff that I think I needed to go over with you. Let's see, I guess we didn't talk about what would happen if your parents found out you were drinking ?\"}\n", "{\"prompt\": \"they would be pretty upset. Yeah, they don't really condone alcohol. So\", \"completion\": \" okay, so yeah, just another reason why you probably need to just quit then. Okay, yeah. Okay, so, like I said, I'm gonna write down here that you've decided to quit. And you know, I'm gonna be meeting with you again probably next semester sometime so we can kind of check in and make sure that, you know, that's still going well and you're still not drinking and hanging out with any people who are drinking. Is there anything else you'd like to talk about while you're here ?\"}\n", "{\"prompt\": \"No, I think I'm good. \", \"completion\": \"Okay. Any questions?\"}\n", "{\"prompt\": \"No\", \"completion\": \"Okay, you're sure. Okay. All right. Well, that's probably it then you can head back to class and thanks for coming in \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"I think that was you'd come in after, after the relationship ended. Is that right?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Okay. Okay. Can I just check of the bandage to open up a second down there?\"}\n", "{\"prompt\": \"Yes\", \"completion\": \"Okay, okay. How have you been Jane since we last saw ?\"}\n", "{\"prompt\": \"crap, I mean I just can't I just can't believe that he's gone. \", \"completion\": \"Right. And this is Your boyfriend, Mark, is that right?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Okay. Okay. How long have you two been together?\"}\n", "{\"prompt\": \"I mean, it's only a couple of weeks. But, you know, think seems to be going really, really well. I don't understand. I can't believe he is just gone. \", \"completion\": \"Right. What was it that happened Jane to bring, bring that relationship to an end?\"}\n", "{\"prompt\": \"Well, like I said, because it was going so well, you know, I asked I asked him to move in, right. And he said that he didn't want to. And we ended up arguing and getting into big fights And then he said he was going and you know, I begged him not to, but you know, he still went anyway.\", \"completion\": \"So was it after he had gone that you cut?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Right. Can you tell me a bit more about what happened when you cut?\"}\n", "{\"prompt\": \"Well he's gone, I just felt so I just couldn't bear the pain anymore. \", \"completion\": \"Right\"}\n", "{\"prompt\": \"And my voices which is incessant, And I just you know just want to get rid of all the pain all the voices and so you know just, you know just cut myself.\", \"completion\": \"And did that help with the pain and the voices?\"}\n", "{\"prompt\": \"Yeah, yeah, just yeah, I mean you took the pain away and tonight was just something about seeing blood really its fine. I just made it feel better.\", \"completion\": \"So, with the cutting is this something that you've, you've done before\"}\n", "{\"prompt\": \"I am doing this since I Was teenager.\", \"completion\": \"Right. Okay. And it sounds like there are times when you do it when it it helps.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Right\"}\n", "{\"prompt\": \"and takes the pain off.\", \"completion\": \"Right. And are there any downsides to the cutting?\"}\n", "{\"prompt\": \"Well, yeah, I mean, it's been painful I suppose the main things. My arms and legs are a mess. \", \"completion\": \"Right. Okay. Okay. And you mentioned Jain voices, And I know you've spoken to doctors about them before. \"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"but can I just ask you a few more questions about and please, if that's okay. Okay, can you tell me? How long is it that you've been hearing the voices?\"}\n", "{\"prompt\": \"That since I was a teenager as well.\", \"completion\": \"And do you know other is, how many voices are there or who they are?\"}\n", "{\"prompt\": \"I don't know who they are. It's mainly my stepdad.\", \"completion\": \"Right.\"}\n", "{\"prompt\": \"He just tells me how dirty I am and right. How horrible I am.I don't know sometimes it's my mom as well.\", \"completion\": \"What kind of things Does your mom say?\"}\n", "{\"prompt\": \"I think maybe she says about things in my life.\", \"completion\": \"Right. Okay. And how often is it that you get these voices\"}\n", "{\"prompt\": \"out there all the time Yeah, generally the sort of sitting there butAnd then you sometimes the louder than others and it's like the other night, the mice will have been in the room. \", \"completion\": \"Right. Did you think they were in the room?\"}\n", "{\"prompt\": \"No, I mean, I know that they're not there But it's like they're just so loud in my head.\", \"completion\": \"So can I just clarify that other voices seem as though they're inside your head? Or was it like my voice coming through your ears?\"}\n", "{\"prompt\": \"No. So inside inside your head, yeah\", \"completion\": \"okay. Okay. Okay. And am I right in thinking that they they trouble you more at times when you get stressed out?\"}\n", "{\"prompt\": \"Yeah, right. \", \"completion\": \"Okay. Okay. Can I ask you a few more general questions about how you are in your mood? How, how would you say that you, you feel generally kind of in yourself.\"}\n", "{\"prompt\": \"Most of the time, it's not just like being me.\", \"completion\": \"Sounds as it can be very difficult sometimes. It sounds like you've used cutting in the past to help are there any of the things that you do to help when you feel really bad.\"}\n", "{\"prompt\": \"Drinking, smoke few spliffs now and then so much now, in the past I don't know, I just had a funny thing about food, you know it's all i binge and then just throw it back up again. \", \"completion\": \"Okay, and that was in the past, but but not recently.\"}\n", "{\"prompt\": \"I haven't done it recently.\", \"completion\": \"And can I ask Jane, it sounds like when you cook the other night, you were doing it, sort of to kind of get rid of the pain. Can I just clarify where you're doing it to try and kill yourself.\"}\n", "{\"prompt\": \"No.\", \"completion\": \"Okay. Have there ever been times in the past when you have tried to kill yourself?\"}\n", "{\"prompt\": \"late teens, then around when it was 19 I don't know. It just got to a point where I didn't want to be anymore. So I took some tablets\", \"completion\": \"So that was in your late teens and at the time you took the tablets because you wanted to be dead. Is that right?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"Okay. Okay, but you've not wanted to be dead since that time in your late teens? \"}\n", "{\"prompt\": \"No.\", \"completion\": \"Okay. Can I ask a few more general questions about your home situation? Who is it Is it is there anyone at home with you?\"}\n", "{\"prompt\": \"Well my daughter used to live with me, okay But right now she is gone to live with her dad now\", \"completion\": \"Right? So she's gone to live with her dad that quite recently\"}\n", "{\"prompt\": \"a year ago\", \"completion\": \"and what was what was that about?\"}\n", "{\"prompt\": \"she just couldn't cope with the fact that I was cutting myself might run into friends. She knew it was happening. And I suppose I suppose one of the big things as well as relationships I have\", \"completion\": \"the relationships you had?\"}\n", "{\"prompt\": \"Hmm\", \"completion\": \"Can you tell me a bit more about that?\"}\n", "{\"prompt\": \"Like the one we just had with Mark, you know, starts off being great. And then I got, I got really scared, really scared that they're gonna leave and then turns into a fights and they end up leaving anyway. \", \"completion\": \"Right. And it sounds like your daughter struggled with that.\"}\n", "{\"prompt\": \"Yeah, I mean, I suppose she didn't whether she was coming out going really\", \"completion\": \"Okay. Well, there are lots of relationships like that. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Okay. You've seen Jane a few people in the past you've seen a couple of psychiatrists and a couple of counselors. As anything that anyone's done for you before been particularly helpful.\"}\n", "{\"prompt\": \"I've been crap was Philip being passed from pillar to post.\", \"completion\": \"So you've not found anything that people have done particularly helpful in helping you to manage your relationships and your cutting and the things that seem to go wrong for you.\"}\n", "{\"prompt\": \"Its llike nobody's listening to me, You know, I think you're the only person who's actually sat and listened to what I've got to say,\", \"completion\": \"what do you think it would be worse? Given that this this has been such a long standing problem clearly does get gets in the way, quite a lot of aspects of your life. Do you think it would be worth us? meeting again one more time, and perhaps having a think together about how the service could best support you with this?\"}\n", "{\"prompt\": \"What do you mean one more time? Can I see you, you know, properly. \", \"completion\": \"Well, the way that we work here in this department is that we we see people once or twice and try and think with them about the best place for them to be and then refer them on to the most appropriate parts of the service. So it wouldn't be usual for me to see. See you more than once or twice Strain\"}\n", "{\"prompt\": \"Yeah like I said, You're the only person that's listened to me.\", \"completion\": \"I know it's very difficult to open up to people and I know that you have opened up here today and it can feel quite hard that you're not going to continue to see me but it is the way that we work here is to pass you on to somebody who is perhaps a bit more appropriate for your needs Jane. So would it be okay for me to book you in to come back and see me say next week for a second appointment and we can perhaps have a think of where to go from there.\"}\n", "{\"prompt\": \"It's good to see you.\", \"completion\": \"Yeah. How are you?\"}\n", "{\"prompt\": \"I'm doing okay. And you know, things have been settling down a bit, I think.\", \"completion\": \"Yeah, the last time we saw things were pretty chaotic and hectic when you were being released from the hot discharge from the house. for about a week ago,\"}\n", "{\"prompt\": \"yeah, yes, \", \"completion\": \"your how's your injury?\"}\n", "{\"prompt\": \"It's it's pretty pain, you know, had a lot of pain in it. I've been kind of trying not to take too much pain medication and just kind of trying to keep busy and focus on things that are happening. I've been busy with my church duties and with my kids \", \"completion\": \"you even trying to stay fit.\"}\n", "{\"prompt\": \"Yeah, yeah, it's been hard to think about myself when I have so many other things that are more way more important than me to deal with.\", \"completion\": \"How are your kids doing?\"}\n", "{\"prompt\": \"They're doing okay, you know, the little ones were pretty kind of stressed out when I first got home and they were a little unsure of themselves and what was going to happen but the older the older kids have helped out quite a bit. So I think they're pulling together.\", \"completion\": \"Imagine that there's some you know, period of readjustment and healing and sadness or as in It sounds like also just trying to get things done. \"}\n", "{\"prompt\": \"yeah, I mean, my motto is just to keep moving, you know, moving as fast as I can, trying to get, you know, keep the house clean and be good, you know, with my duties with my church and trying to keep the kids focused on their activities and not to be too focused on what's happening in me and Paul's life because you know, there's nothing they can do about that. \", \"completion\": \"Mm hmm. So here, you're taking care of a lot of people, your community, your kids, all the while trying to take care of yourself. That's a lot. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"I really appreciate you showing up today given how much you have on your plate and how much you you have going on. Well, you know, last time that we met you had talked about how important it is for you to do what you can to keep your kids and yourself safe. And I was wondering if you'd be interested in talking a little bit more about that today? Or perhaps if there's something else that you would rather talk about\"}\n", "{\"prompt\": \"No, I, you know, I made time today to talk about this. I think it's really important to try to figure something out things got very out of hand there. And so it's, it's, I'm looking forward to thinking about what what things I can do.\", \"completion\": \"So, so you were scared. It sounds like you were scared. \"}\n", "{\"prompt\": \"It was terrifying. I mean, we police were called, you know, we ended up having to call the police. And Paul was arrested and spent some time in jail. I had Child Welfare folks crawling all over my house and my mom was upset and neighbors were all being nosy and gossiping. And it's, it's it was just very scary.\", \"completion\": \"So so a lot of things were turned upside down. And when you say it was scary, I hear you saying on some level was scary for you and your your safety but it also sounds like it was scary because all these other variables or elements were put in motion that were disruptive,\"}\n", "{\"prompt\": \"right? I mean, it was, you know, we had people come into the house calling and you know, checking in, are you okay? Or can you get a restraining order and my mom was trying to get me to move in with her and you know, it's just too many, you know, too many cooks in the kitchen.\", \"completion\": \"So a lot of people have some ideas about what you should be doing. '\"}\n", "{\"prompt\": \"Yeah, yeah, so I'm just really I'm not I'm not gonna do that. I'm not gonna get a restraining order. I'm not gonna call the police. It's no he knows where I live. \", \"completion\": \"so say more about that say more about why you why you don't want to call the police or you don't want to get a restraining order.\"}\n", "{\"prompt\": \"They were they were throwing him on the ground. They were holding his arms behind his back and They have their guns and you know that kind of you never know what the police are going to do to a black man. You never know whether he's going to make it to the jail safely. So I was I was terrified for him. And then the next day, you know, Child Welfare call in the house.\", \"completion\": \"It sounds like that was a very scary experience in moment for you.\"}\n", "{\"prompt\": \"Yeah. Because I'm a good mom.\", \"completion\": \"And given that experience, you're it sounds like you're part you're maybe not as inclined to think about calling the police again. \"}\n", "{\"prompt\": \"Yeah, no, no, I've told my mom that that's, you know, that's a last resort. And that I'm going to be meeting with some folks and thinking about other options.\", \"completion\": \"And that's what you'd like to talk about today the alternatives to calling the police.\"}\n", "{\"prompt\": \"Absolutely.\", \"completion\": \"Well, what have you thought about so far? What other ideas do you have about what you might do? In a serious moment where you're scared\"}\n", "{\"prompt\": \"Mm hmm.\", \"completion\": \"For your your well being and that of your kids ?\"}\n", "{\"prompt\": \"I think I'm most afraid. You know that something might happen that will be really crazy and really out of control. And so I've been thinking about what kinds of things I could do if things are crazy and out of control. And I've just thought about maybe talking to somebody or talking to my minister about it was came to my mind because he's somebody who we've talked to before.\", \"completion\": \"Okay.\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"So, your minister, someone that you're thinking about talking to a little bit about what's going on in your relationship? What are your thoughts? What would you What would you say to your minister, what would you like to tell your minister?\"}\n", "{\"prompt\": \"I'm really, I'm really interested in telling him more of the truth of what's happening in my relationship he doesn't know about He has no idea that Paul has threatened to kill me. And then he's starting to kill himself and the children. He knows we've had some marital problems, some financial problems. He knows that Paul's had some drinking problems. So there's some of that, but he doesn't know about him threatening to kill us or that he's been hitting me or his rages. So I feel like, you know, that it's time to tell them, you know, tell him some of that stuff.\", \"completion\": \"You feel like you've been keeping some significant information from your what would be some reasons why you would tell him these things, what might be some advantages or reasons to do that?\"}\n", "{\"prompt\": \"He's been helpful before, he's really helped us a lot. we've, we've had counseling with him over the last five years, numerous times. And he has been very helpful to someone that you trust someone that you have a relationship with, and he's been helpful in what ways is he been helpful? You know, I think Paul respects him as a man. And I think he cares about Paul. So he's not you know, my mom and my dad and my friends. They they're they're really bordering on hating Paul. And they don't. I don't feel like they have any objectivity when it comes to working with him that my pastor has some objectivity. And I think he cares about Paul,\", \"completion\": \"it sounds like your pastors able to see him as a whole, complicated human being in the same ways that that you do perhaps that there's this side of him that's scary and that you don't like and then there's this other aspect of him that you, you really do appreciate. And you feel like your pastor would likely be able to do that as well. What would be another reason to talk to your pastor, in addition to this being someone you trust, and that Paul might listen to what would be another \"}\n", "{\"prompt\": \"I don't think that he's going to likely go storming into, you know, our pastor's house, Paul. That Paul won't You know, he's gonna he'll he comes back in at my mom's door and he goes, you know, storming over to my girlfriend's house. But he's not likely to do that. Yeah, I don't think you will.\", \"completion\": \"So so. So your pastor's home actually might be a physically safe place for you all to go?\"}\n", "{\"prompt\": \"Right..to cool off\", \"completion\": \"Hmm\"}\n", "{\"prompt\": \"Because things got so out of control and crazy, you know, and and that's not going to happen again. \", \"completion\": \"So you've said that a few times now that things got so out of control and crazy. Tell me tell me a little bit more about how what that was?\"}\n", "{\"prompt\": \"you know, you know, my eldest son got involved. My arm was was, was harmed and things were broken. He threatened to kill me and he threatened to kill all of us. And I had to call the police and I had to, you have people coming into my house, tromping through my house, grabbing Paul hurting him. You know, he called me from jail and how can you do this? You know, what have you done? You know, I felt like what have I done? How can I do this? \", \"completion\": \"Right. So so not only was it so scary in the heat of the moment where you feared for your life and the life of your children, but afterwards, it was scary as well, because of all the things that\"}\n", "{\"prompt\": \"all that Fallout.\", \"completion\": \"Yeah. So so. So going to your pastors talking to your pastor, possibly seeing if his house might be a place that you could run to temporarily might be something to explore and those are advantages. Are there any disadvantages, like what would be some possible disadvantages to talking to your pastor about what's been going on in your relationship?\"}\n", "{\"prompt\": \"that Paul will know, you know, if he finds out that I've talked to our minister about this? You know, I have no doubt how angry he will be.\", \"completion\": \"So this could really be a trigger a significant trigger?\"}\n", "{\"prompt\": \"Yes, he finds out about it.\", \"completion\": \"So that's a little bit of a difficult situation. Yeah. As you think about this particular part of a safety plan, on the one hand, there's potentially some real advantages and positives to speaking to your minister. And at the same time, there's this possible significant risk. When you think about, you know, the pros and the cons in this situation, what do you what do you make of that? What do you Where do you go with that?\"}\n", "{\"prompt\": \"It's, it's a risk I'm willing to take, you know, I have thought about this. And it was, you know, things got so out of control. And I feel like it's time to do something different and to think about how we're going to do this differently.\", \"completion\": \"You're, you're really concerned. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"And a part of you is really worried about the next time. And you appreciate that there are some risks involved in some of the safety planning. And you also feel like it's a risk that you're, you're willing to take given what is at stake. And really, it sounds like you feel like your life and your children's lives maybe at stake.\"}\n", "{\"prompt\": \"You know, I think that things can't continue the way that they are. I have to figure out something that's going to work for me and for my kids and for Paul.\", \"completion\": \"Would it be right with you if I offered just a suggestion or a thought something to think about in terms of kids and safety planning is something that I know other moms in a similar situation similar to yours have done and that is, sit down and have a conversation with their kids about identifying a safe person to either call or run to in the moment When things are if, if things get really crazy and out of hand, I'd be curious to hear what your thoughts are about doing that with your kids.\"}\n", "{\"prompt\": \"I think my oldest, my oldest son, that would be a really helpful thing for him because he wants to know what he can do. He wants to do something he's always jumping in. That's how I got hurt in the first place because he was jumping in. So helping him identify something that he can do that will keep us safe and to keep him safe would would be a great idea.\", \"completion\": \"Yeah, you so you see this perhaps as a way of kind of not pulling him out of a violence situation, but having him turn away from a violent situation as opposed to turn into it without done.\"}\n", "{\"prompt\": \"Yeah, he's becoming a man now, too. He, he needs to have an option of what he can do to keep his family safe. \", \"completion\": \"Yeah. And as he's becoming a man and thinking about how to protect you, you're also really concerned about protecting him and keeping him safe. And I've heard you identify a few things that you're thinking about doing or would like to do. And things that you feel like you actually do have control over. Last time we talked to you, you were very clear about the fact that you can't control Paul, when he's in his fear and his rage and being violent. And what I've heard you very clearly say that you want is to figure out what you can control. You can't control him, but there are some things you have control over and specifically for you that is maybe talking to possibly a safe person, your minister. \"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"And having that conversation to see if that might be a safe person in place to go to and, and then the other pieces may be having a conversation with your oldest child, at least about who to call in the moment. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"And I confident Vanessa that you will be able to put a plan together that will work for you and your family and I'm here to support you in any, any way that I can. And if it's at all helpful, I'd be happy to follow up with you in a few days and see if you feel the need to talk about it some more.\"}\n", "{\"prompt\": \"Thank you I'd ppreciate that.\", \"completion\": \"Thanks for your time.\"}\n", "{\"prompt\": \"yeah.\", \"completion\": \"How can I help you today?\"}\n", "{\"prompt\": \"I'm sorry, I might be wasting your time a bit, but I can't. I'm not sleeping very well. I'm just exhausted. And just wondered if you could give me something anything to help me sleep some sleeping tablets.\", \"completion\": \"Okay. It really helped me if I could ask a few more questions about how you feeling? Yeah, maybe symptoms and then we can sort of see how it can help you with that'd be okay.\"}\n", "{\"prompt\": \"Yeah, I think yes.\", \"completion\": \"So why don't you tell me a bit more about what's brought you here today?\"}\n", "{\"prompt\": \"Umm but a year ago my husband were split up and since I was coping very much. I'm just tired all the time. And kids, job just punch him very well. I can't sleep. \", \"completion\": \"Okay, why don't we just look at one of those things at a time. Tell me a bit more about you say having trouble sleeping.\"}\n", "{\"prompt\": \"I just lie awake at night. I don't know what it is but just seems to go on and on and on the night. No, I must have got sleep in the morning. I just feel so dreadful.\", \"completion\": \"Okay, and you have problems with your apetite.\"}\n", "{\"prompt\": \"Yeah, I make the kids dinner but I can't eat\", \"completion\": \"And what's about sort of life in general you kind of lost you get up and go?\"}\n", "{\"prompt\": \"Sorry, I don't understand \", \"completion\": \"you get up and go you your energy levels are low.\"}\n", "{\"prompt\": \"Yeah, I used to enjoy swimming with the kids and stuff but I just want to be on my own and composite I just in a very moment moment as well. I just so exhausted really.\", \"completion\": \"Can you just came back to sleep? Can you tell me a bit more about that? How much sleep Are you getting each night?\"}\n", "{\"prompt\": \"So just a lie awake and think about him and her together Things that we used to do and I Just wake up exhausted.\", \"completion\": \"Sounds like your lack of energy and lack of sleep and lack of appetite. Seems to me that thing that seemed to really get you down.\"}\n", "{\"prompt\": \"I'm just a mess. Just not coping, I'm just exhausted.\", \"completion\": \"You say you're a mess.\"}\n", "{\"prompt\": \"I just, you know, I just need some sleep. \", \"completion\": \"Okay. It would be helpful for me just to sort of find out a bit more about home life or work life and ask a few questions in that area. Would that be okay?\"}\n", "{\"prompt\": \"Yeah, it's fine. sorry.\", \"completion\": \"So do you work?\"}\n", "{\"prompt\": \"I work in a Job Center gets a bit stressful at times. We've got seasons So many people of course that's why I stressed\", \"completion\": \"I've got some patients who work in the same environments very high pressures\"}\n", "{\"prompt\": \"Yeah. Some mornings I just can't be bothered to get out of bed and it's some that's worry makers are finding the second its not record is that it's not like me\", \"completion\": \"and who else is at home with you?\"}\n", "{\"prompt\": \"I've got two kids one girl one boy how Rich It is his youngest is Steven I am Marie she's kind\", \"completion\": \"Do they get to their their father much?\"}\n", "{\"prompt\": \"No, we can't be bothered. No, he's got a new family doesn't see them at all. They're very good kids\", \"completion\": \"must be quite hard on both you and them.\"}\n", "{\"prompt\": \"Its very difficult but cant get any help or support. My mom, she's, she's wonderful, but she has arthritis. So she, you know, she does what she can.\", \"completion\": \"Does she live locally?\"}\n", "{\"prompt\": \"Yes. Just round the corner and she picks kids up from school. And yeah, she's she's an angel.\", \"completion\": \"What about you? What about your hobbies and things you enjoy?\"}\n", "{\"prompt\": \"I used to enjoy going to the cinema, my friends, even line dance and we used to go down to the little line dancing. But that's been a while ago. Nobody wants that misery around, do they and I'd rather be on my own now. \", \"completion\": \"Well I know you've you're not a doctor but you must have had thoughts about what's causing all these feelings that you thought about about these these type of things\"}\n", "{\"prompt\": \"I guess I was on automatic pilot when he first left or I guess that's why I'm in the state I am now I don't know could Arizona kids I don't know but I suppose that's why I keep going down I just feel everything's useless I can't sleep. You know,\", \"completion\": \"what tends to bother you the most Is it the sleep or the your appetite or the energy or sleep coping with the kids asleep.\"}\n", "{\"prompt\": \"Just feel if I had a bit more energy that could just have something just to, you know, help me out with them so I can do the normal things\", \"completion\": \"that was gonna be really well I'm going to ask next. I mean, what are your thoughts about how he could help you today? \"}\n", "{\"prompt\": \"Well, I just thought with sleeping tablets I thought they might help.\", \"completion\": \"Would it be a good idea perhaps if we think about all the options available to you and then decide which which ones may be best for you\"}\n", "{\"prompt\": \"okay. Are there any other options,\", \"completion\": \"we might have heard of some of the talking therapies, being able to sit down and talk with us, sort of a trained counselor about about your feelings and about what's been happening.\"}\n", "{\"prompt\": \"Well, that will hekp my sleep. Well, let me be able to cope the next day to sleep.\", \"completion\": \"It may help you deal with some of your feelings. I take on board about the thoughts about using a sleeping tablet. I think that could be another option. Obviously, when the concerns we have is that we don't want to have you on sleeping tablets for a long period of time because their issues about becoming dependent on them and reliant on them. We can use them for a short period of time, say, for a week to help you get back into a bit more of a normal sleep. \"}\n", "{\"prompt\": \"Yeah. That sounds good to me.\", \"completion\": \"What's about those the two options as option the counselor, or perhaps sleeping pills?\"}\n", "{\"prompt\": \"counseling, Chair counseling, I'd like I mean, I just feel if I had some sleeping tablets, I might just Just give me a spare really, and I'm quite happy with the counseling as well.\", \"completion\": \"Okay, so you'd like to try both. I think that that sounds a good idea. Would you be happy to the counselor here at surgery? \"}\n", "{\"prompt\": \"Yes. That'd fine\", \"completion\": \"Okay, so I can organize that I can speak to her and ask her to contact you to make an appointment. It also be really helpful for me as well, if you could complete one of our heads questionnaires.\"}\n", "{\"prompt\": \"Most question perhaps question.\", \"completion\": \"Sorry. It's a short questionnaire just asking some questions about your feelings and it'll help me to find out. If there's any more help, I can give you an annex, see if that's okay. From what you've told me today, I mean, it sounds really for the last 12 months or so you've felt really low. Since split from you, your husband.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Your sleeps not being good. your appetite is not being good.\"}\n", "{\"prompt\": \"I am mess\", \"completion\": \"is sounds to me. Self esteems taking a real not because I certainly think the help we can give you with some counts in which we have a counselor that comes here in the surgery that will be it'll be a benefit to you. And then we'll try the short course of sleep tablets to try and get you back into a state sleep pattern.\"}\n", "{\"prompt\": \"Okay\", \"completion\": \"maybe I can see you in about two, three weeks time. And I don't want you to think that you have to sort of manage all this by yourself. I mean, that's why we're here. We're here to, to help and support you. \"}\n", "{\"prompt\": \"Yeah. Okay.\", \"completion\": \"Let me do the prescription then.\"}\n", "{\"prompt\": \"Thank you\", \"completion\": \"So that's gone to reception as you can catch up on the way out.\"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"And I'll give you one of the heads question as well.\"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"Complete that before we see you next time.\"}\n", "{\"prompt\": \"Okay. Thank you, doctor. Thank you for seeing me\", \"completion\": \"Okay, see you next time. \"}\n", "{\"prompt\": \"Thank you.\", \"completion\": \"Okay, bye bye.\"}\n", "{\"prompt\": \"Hi\", \"completion\": \"So I understand that you refer to her by your GP because you've been feeling quite down recently.\"}\n", "{\"prompt\": \"Yeah, I thought I should. I've been feeling quite bad for quite a while. So I thought maybe it's time to see someone about it because I don't want to feel like this anymore.\", \"completion\": \"Okay, so from your notes, I saw that you saw the GP about three months ago and how long have you been feeling down all together?\"}\n", "{\"prompt\": \"And quite a few months before that as well, actually, but it's gotten pretty bad these past few months. So that's kind of why I came.\", \"completion\": \"Okay, so as it got worse since you saw your GP?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"okay so tell me I'm How are things at the moment?\"}\n", "{\"prompt\": \"Like kind of started just feeling a bit low and about things but I don't know Just recently I just can't really be bothered to do anything at all I kind of find it hard to get motivated for things and I want to buy I really want to be better but it's just kind of reaching the head now I just want to do something about it.\", \"completion\": \"Okay, so you said that you're feeling really down really sad? Yeah. And you feel like you haven't got any motivation. Are you okay? \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Okay, and you haven't got any motivation, but it sounds like you put in quite a lot of pressure on yourself to try and feel a bit better.\"}\n", "{\"prompt\": \"Yeah, I just, it's kind of hard as well because there's not really anyone to talk about so I just kind of stay on my own trying to I don't like to think about it. But\", \"completion\": \"so you say you've been, you've been in quite isolated. There's not many people around. \"}\n", "{\"prompt\": \"Yeah, no one I can talk to about it. Don't put less than on stand anyway.\", \"completion\": \"Okay, so I'm just going to try and find out a little bit more about you. So I understand that you're an English student at Uni. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"And you live away from home with some friends. Is that right?\"}\n", "{\"prompt\": \"Yeah, I live with friends.\", \"completion\": \"Okay, so you don't live any far from the Uni. But you say you feel like University friends, but you don't feel like you can talk to them?\"}\n", "{\"prompt\": \"Yeah, I mean, they're lovely. I, I get on really well with them. But I didn't know I recently whenever they want to go out or stuff, I just, I don't want to bring them down. I can't, they don't understand what I'm going through. They kind of they don't make fun of how I feel, but they don't really understand what it's like. I don't want to go out with them and bring them down.\", \"completion\": \"Okay, so it sounds to try and hide the way you're feeling from them. \"}\n", "{\"prompt\": \"I guess I mean, it's easier to hide it than to try to explain it all the time when no one really wants to know.\", \"completion\": \"Okay, so it sounds like you've been feeling down, you've been feeling unmotivated. You feel like you want to be better, but actually, it sounds like you felt like you can't reach out for help. You can't speak speak to anybody. \"}\n", "{\"prompt\": \"No, I don't really talk to my parents about it.\", \"completion\": \"Okay, I'm just gonna go back in time a little bit, I suppose, I'm just wondering when when did all of this start? You said it's been going on for quite a few months. \"}\n", "{\"prompt\": \"Yeah. I guess kind of started, When I was actually when I was revising for my exams. I guess the stress. I put a lot of stress on myself. I think I've always wanted to do well for me, and I guess my parents, so the stress of exams, and it was, was kind of hard because my parents were going through trouble time that\", \"completion\": \"Okay, so this would be like last March last April?\"}\n", "{\"prompt\": \"Yeah, I think so\", \"completion\": \"Around that time, so about six months if and it sounds like a lot was happening so you had a lot of uni pressure on and you said that your parents were having marital problems? \"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"Okay, and it sounds like that was a real shock to you.\"}\n", "{\"prompt\": \"Yeah, I guess it was hard as well because I wasn't doing well at uni it I guess I just felt a bit guilty. I know it sounds silly, but I felt like maybe if I could do better than they would get better but it just was really happening.\", \"completion\": \"Okay, so it sounds like you were trying to work hard and be more successful because you thought that that would make them happier and try and fix things. \"}\n", "{\"prompt\": \"Yeah, I wanted to make them feel better, but it just kind of terrified me like\", \"completion\": \"How did it backfire?\"}\n", "{\"prompt\": \"It just ended up with them getting worse and I've just been feeling worse since then.\", \"completion\": \"Okay, so after the summer, after the exam period, and how did that exam period go for you in the end? \"}\n", "{\"prompt\": \"Not very well.\", \"completion\": \"Okay, there's an awful lot of pressure to put on yourself, you suppose \"}\n", "{\"prompt\": \"Its just annoying because I know, I should have done better. And I just didn't and I guess I beat myself up a lot.\", \"completion\": \"So you say, I know, I know, I should have done better. I mean, I suppose that hearing it from my perspective, I'm thinking it sounds like you had an awful lot going on. At the time. It'd be understandable, absolutely, that you wouldn't do as well as normal. I suppose. I'm just wondering if you have very high standards for yourself.\"}\n", "{\"prompt\": \"Maybe more than other people. My parents have always kind of taught me not in a loving way, I guess but But you should do your best, but also get the best and I agree with that. I think that's the right thing to think. But when I don't do that, I don't know, annoys me a lot. I worried that it annoys them.\", \"completion\": \"So it sounds like you feel you should always do your best. Yeah. And that there is any kind of exceptions for that?\"}\n", "{\"prompt\": \"no.\", \"completion\": \"Okay. So I can, I can see that that was a really difficult time for you and that was when your mood started to get lower. And things are still quite bad now. I mean, what's the situation with your parents at the moment?\"}\n", "{\"prompt\": \"I think it doesn't sound good. I don't really talk to them a lot, but I don't think they're going through very good. I don't like to talk to them about it because it just makes me feel worse. But I don't think it's getting any better.\", \"completion\": \"The may be this summer ?\"}\n", "{\"prompt\": \"A fair little bit Yeah\", \"completion\": \"and how was that?\"}\n", "{\"prompt\": \"Not very fun. No, it was quite tense all the time. stressed me out more than relaxed me over the summer.\", \"completion\": \"Okay. Okay, so it sounds like quite a lot has been happening you've been feeling very low you've had uni pressure on, and we've had problems with your parents marriage and sounds like you feel that you can't really reach out to anyone mate, you can't understand we can't really reach out to your parents right now. You can't really confide in your friends. So I suppose I'm just wondering if you can tell me a bit more about how you've been feeling. I mean, say this past week.\"}\n", "{\"prompt\": \"Really not good to be honest. Actually, If I don't have to do that, I don't really leave the house or get out of bed. I just I can't find the motivation for the things I used to join. I used to love doing sports or going out and now I just prefer that lie in bed and not really do anything. Okay, I missed a few lectures this week that I should have gone to.\", \"completion\": \"Right. So I suppose I'm just wondering and let's see if we can think about one thing, say a lecture on, what kind of thoughts do you have about going to a lecture before it happens?\"}\n", "{\"prompt\": \"I don't really see the point anymore. If, if I can't do as well as I should be doing, then what's the point in putting myself in those positions? I can't be bothered anymore to try it just stresses me out more than I need to.\", \"completion\": \"Okay, so it sounds like the kind of thoughts you've got in your head are, it's pointless, and it's not worth it. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Do you have any other thoughts in your head when you're just at that point before you go to the lecture?\"}\n", "{\"prompt\": \"Like I said, No, I I don't really even deserve to be here. If I can't do well enough. I feel these other students are doing well and doing better and want to be there. I don't know why I'm here even you need to be.\", \"completion\": \"So it sounds like you feel like you're not as good as other people here.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Okay. I'm just as far as Okay, if I take notes as we go through is just, I'm trying to, I guess understand what you're telling me and it helps me to write it down and I'll share this with you later. Okay, so it sounds like those are those are some quite negative thoughts to have. You're kind of saying, you know, it feels like it's pointless, It's more effort thaaftern it's worth. And I don't deserve to be here. I mean, when you have those thoughts, how do you feel?\"}\n", "{\"prompt\": \"Very unworthy. Probably will be the best way to put it kind of I didn't know lower than normal. It makes me think about all the Things I should have been doing better.\", \"completion\": \"Okay, so what you described that you said, I'm unworthy, I should be doing lots of things better. And those are kind of what I would call thoughts Actually, I suppose I'm trying to understand what it feels like in your gut. What kind of emotions do you feel happier? Do you feel sad? What kind of emotions you're feeling when you have those thoughts?\"}\n", "{\"prompt\": \"Sad not happy with. I have kind of anger and frustration as well.\", \"completion\": \"Okay. I just when you kind of tell me this, and I know this is quite heavy topic. But you're kind of laughing and I suppose I wonder a little bit of your a bit. You know, how do you feel about having these emotions? Talking about these emotions? \"}\n", "{\"prompt\": \"Yes. embarrassed. I've never yet talked about it, So it's quite uncomfortable to be in this situation.\", \"completion\": \"Well, you're doing a great job because I know I know that this can be difficult. Okay, so it sounds like some of the thoughts you're describing are, it's pointless, it's more than it's worth. I don't deserve to be here. I'm unworthy. And those kind of thoughts. It sounds like they just flit through your mind. And then he's kind of describing different emotions that those lead to kind of screaming sad, anger, frustration, embarrassed. What about in your body? What happens? How do you feel kind of physically?\"}\n", "{\"prompt\": \"I used to be, I think from those emotions very wound up very kind of stressed all the time. Recently, it's just a lot more draining than anything, just quite lethargic and can't be bothered anymore. And it's, my body reflects that. But then when I try and sleep I just can't seem to have a satisfied by sleep. It's really, really frustrating.\", \"completion\": \"So it sounds like this is affecting, it's draining you of your energy, like, like your body can't be bothered. I think that's a really good way of describing it. And you're noticing sleep problems as well. And then what do you do? So this is so we're back to the point before the lecture. So you start having these thoughts, these emotions, and you know your body, I guess it sounds like those thoughts quite draining. So be draining your energy, what then happens what you do next?\"}\n", "{\"prompt\": \"kind of focus on the negative thoughts when I probably should not think about them, but I focus on them and then I don't really want to do anything gonna stay in bed or\", \"completion\": \"So you think even more about those kind of warnings that you have to do a bit of dwelling any say in bed. And it sounds like you don't, you haven't tried speaking to your friends about it. Okay, and then after you've done that, so after you've not gone to the lecture, you've stayed in bed, you kind of spent time As you said, focusing on those those thoughts, those negative thoughts, how do you feel after that to feel better? Or do you feel worse?\"}\n", "{\"prompt\": \"I guess I felt slightly worse, but then a bit numb in a way, kind of once you've felt bad because I do feel tired all the time, I just try and push it out. And then you don't really think about anything. And it's almost nicer that way than to keep focusing on how much you're getting wrong and how much you can't do stuff. Sometimes it's better just to not think about it at all.\", \"completion\": \"So it sounds like in some ways, it's a bit of a relief to do that, But in other ways, maybe you think it might make things worse,\"}\n", "{\"prompt\": \"what?\", \"completion\": \"I wondered if we could spend just a couple of hours minutes talking about your weight\"}\n", "{\"prompt\": \"You're joking on you, aren't you. I mean, look, I've made time in my day to come here. I'm kept in your waiting room for 45 minutes. Yeah, it's not acceptable. You know, I make an appointment time for 10. I expect him to start at 10. Not quarter to 11.\", \"completion\": \"Right. And you so you're busy enough?\"}\n", "{\"prompt\": \"Yeah, I've got other things to do. I've got to do I've got clients to coming in. \", \"completion\": \"Yeah, you know, and it wasn't necessarily easy for you to make the time to come down. And you had to wait in the waiting room. And now are raised the subject of wait. \"}\n", "{\"prompt\": \"Yeah, I mean, Okay, fair enough. I've got to have my blood pressure, medication change, but I really haven't got time to talk about my weight. I mean, you know, I'm aware of my weight. I'm aware of the problems and I'm also aware of the solutions. So I don't really need a discussion. It's just I've got too much to do at the moment, you know,\", \"completion\": \"right. And so it's, it's, it's been a bit of a rush for you coming in. And I'm sorry about the wait in the waiting room. \"}\n", "{\"prompt\": \"It's been it's bad for me, you know\", \"completion\": \"Yeah, that's and that's not easy for you because you, you'd like to go really soon. And here I am asking you to spend just a couple of minutes with me.\"}\n", "{\"prompt\": \"Yeah. But basically, I've got things to do. I got back to the office. I've got a pile of work that I've got to deal with. And every time every moment of my day, it means I have to work in the evening or weekends, it counts. When you're self employed. You haven't got a choice.\", \"completion\": \"Exactly, exactly. It's up to you. Just a couple of minutes.\"}\n", "{\"prompt\": \"Well, I'm here now so yeah, okay. If it's a couple of minutes, yeah\", \"completion\": \"I promise. Okay. I want to, I want to simply ask you how you feel about it?\"}\n", "{\"prompt\": \"About what what? Losing weight? Well, obviously I want to Yeah, I mean, who doesn't? I mean, I'm aware that I'm over my body weight, but know that it's causing problems. I mean, obviously, I get out of breath. If I have to do something about Harry and I realize that I'm on this blood pressure. Right. And maybe that's probably contributing to it.\", \"completion\": \"Right. So you can see the links between your weights and your health. And you'd like things to be.\"}\n", "{\"prompt\": \"Yeah. I mean, there are other things, but I mean, yeah, the weight is a, something I would like to get hold of you get on the handle,\", \"completion\": \"you'd like to, if you could.\"}\n", "{\"prompt\": \"Yeah, I mean, I know the theories of bit of exercise on a regular basis, a balanced diet. But unfortunately, because of my lifestyle, because of being self employed as an accountant, it's finding the time to exercise but also finding the time to sort of think, Okay, I'm going to go shopping for this, that and the other. Yeah, prepare a meal. Yeah, with me. It's very often \", \"completion\": \"ready meals and that sort of thing?\"}\n", "{\"prompt\": \"Yeah, yeah. Food on the run, you know, grazing.\", \"completion\": \"Let me see if I can summarize what you've said. And then we'll see what next and you lead a busy life. Yeah, you run a business. And you've got a lot to do. Yeah. And you're, you're aware of the of the links between your health and your weight. And you are concerned to some extent about that. And ideally, it sounds like you'd like to do something about it. It's just that your life is busy and rushed. And you tend to use convenience foods in order to get the work done.\"}\n", "{\"prompt\": \"Yeah. I mean, I, to certain extent, because of my lifestyle. Food is just fuel. Yeah. Yeah. You know, because I'm juggling all these balls, and I don't want to drop any,\", \"completion\": \"I get it, I get it. And so if you could fit it in, you would like things to be different, but that's not so easy. Okay. Can I suggest that you come back and see me in a couple of weeks time just to chat about this?\"}\n", "{\"prompt\": \"Okay, I'm up for that. But it's going to be the same problem of A finding time and B if I make an appointment. I don't expect to be kept waiting for half an hour, whatever. Because it's\", \"completion\": \"exactly I tell you what my Be a nice solution is if you come down first appointment, and I give you an appointment at 830. And then there'll be absolutely no waiting. And the purpose of that of that visit will be to have a look at how you really feel about how you could move forward and somehow fit in a more healthier lifestyle into the busy work like that you've got\"}\n", "{\"prompt\": \"all maybe have a look at my schedule, see whether anything can be arranged, or I can pass something on to some and so like, so it's not a wasted interview. So I can come in and say, okay, I've looked at my schedules, I've looked at things\", \"completion\": \"good good and see if you can fix it up and also give some thought to what we've talked about.\"}\n", "{\"prompt\": \"Hey, I am doign well. How are you ?\", \"completion\": \"I am not doing bad, Thanks for asking. I'd like to give you an assessment to test your thinking and memory. Is that right? \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So I'll be asking you a series of questions. If you could just answer them to the best your ability that'd be great.\"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"Okay. What is today's date?\"}\n", "{\"prompt\": \"The 26th\", \"completion\": \"What is today's year?\"}\n", "{\"prompt\": \"2015\", \"completion\": \"What is the month?\"}\n", "{\"prompt\": \"May\", \"completion\": \"what day is today ?\"}\n", "{\"prompt\": \"Tuesday\", \"completion\": \"Can you also tell me what season it is?\"}\n", "{\"prompt\": \"Summer\", \"completion\": \"Can you tell me the name of the building that we're in right now?\"}\n", "{\"prompt\": \"Wilmington University.\", \"completion\": \"What floor, are we on?\"}\n", "{\"prompt\": \"The first floor?\", \"completion\": \"What city are we in?\"}\n", "{\"prompt\": \"Newcastle\", \"completion\": \"What County are we in ?\"}\n", "{\"prompt\": \"Newcastle.\", \"completion\": \"And what state are we in ?\"}\n", "{\"prompt\": \"Delware\", \"completion\": \"Okay. I'm going to ask you to memorize few objects. So read them to ask you to repeat them back to me. The objects are ball, flag and tree. Can you give those back to me ?\"}\n", "{\"prompt\": \"ball, flag and tree.\", \"completion\": \"Thank you. I would like you to begin with the number 100 and count backward by seven and continue to do so until i try to stop.\"}\n", "{\"prompt\": \"94 88 70 65 53\", \"completion\": \"That's good. Thank you. I would like you to spell the word world backwards.\"}\n", "{\"prompt\": \"D L O R W\", \"completion\": \"Can you recall the three words I read to you few minutes ago?\"}\n", "{\"prompt\": \"ball, Flower tree. \", \"completion\": \"Thank you.\"}\n", "{\"prompt\": \"hmm\", \"completion\": \"Can you tell me what this is?\"}\n", "{\"prompt\": \"the pen\", \"completion\": \"I'm going to read a phrase to like you to repeat it back to me. The phrase is no ifs, ands, or buts. Repeat that back to me.\"}\n", "{\"prompt\": \"No ifs, ands or buts.\", \"completion\": \"Are you right handed or left handed?\"}\n", "{\"prompt\": \"Right hand.\", \"completion\": \"I'd like you to take this paper in your right hand, fold in half and then put it on the floor.\"}\n", "{\"prompt\": \"......\", \"completion\": \"Thank you. I'm gonna hold up a sign. As instructions I'll point to it. I'd like you to follow those instructions.\"}\n", "{\"prompt\": \"......\", \"completion\": \"Thank you. On the left side chair, you'll find a clipboard if you could retrieve that.\"}\n", "{\"prompt\": \".....\", \"completion\": \"spaced toward the bottom. Like you to write a sentence ?\"}\n", "{\"prompt\": \".....\", \"completion\": \"Thank you. You'll see on that same paper, there's an image in the same area wrote that sentence. Can you copy that image form?\"}\n", "{\"prompt\": \"....\", \"completion\": \"Good, thank you.\"}\n", "{\"prompt\": \"This has been helpful. I want to thank you for participating.\", \"completion\": \"Thank you.\"}\n", "{\"prompt\": \"yes.\", \"completion\": \"Hi, I'm PJ Daniels. Sorry, let me wash my hands.\"}\n", "{\"prompt\": \"Call me, Dorothy.\", \"completion\": \"Oh, thank you. That's the next thing I was going to ask you. So Dorothy, the nurse mentioned to me that you wanted to talk about your care is but what's going on?\"}\n", "{\"prompt\": \"Five days ago, I was admitted to emergency. And they treated me by putting this tube down my throat. And I tried to, to tell them and gesture at them that I don't want this tube down my throat. And I just hope that never happens again.\", \"completion\": \"Okay. No, I totally understand that. I mean, that is quite a scary thing to go through. And I think we do need to talk about this more, and I'm glad that you've asked it. Talk to me about this. So I had a little bit of a look through your charts. I think I understand why they did it. But did anybody explain it to you?\"}\n", "{\"prompt\": \"Well, not really. And because I was gasping for air and in the state I was, but I'll tell you what, I'm really worried that this won't happen to me again. I don't want that to be anymore. I'm, I'm okay to to pass this. \", \"completion\": \"Absolutely. And you know what? There's no right answer when it comes to deciding on things that are aggressive, like the two, we really want to know what the patient values in terms of, you know, things that are that invasive, and so absolutely will respect whatever it is that you want. But I do need to find out a little bit more about you in terms of what is your understanding of what brought you into hospital.\"}\n", "{\"prompt\": \"Well, I have congested Part failure. And I guess there was water in my lungs and stopping me from breathing properly. So I was living in my soul, the ambulance brought me in to the emergency. So they that was how they were treating me.\", \"completion\": \"So you pretty much showed up to emergency. And very quickly they put that tube down.\"}\n", "{\"prompt\": \"That's correct.\", \"completion\": \"Did anybody ask you if you were okay with that?\"}\n", "{\"prompt\": \"Well, I tried to gesture to them that I don't want the tube but\", \"completion\": \"they didn't quite pick up on that.\"}\n", "{\"prompt\": \"I guess not. And, you know, I've had that three times already. I don't want to go through with\", \"completion\": \"the two you've had.\"}\n", "{\"prompt\": \"Yes. I don't want it anymore.\", \"completion\": \"Okay. And so so you have congestive heart failure, and it sounds like you've got a breathing problem. Yes. And do you know why they would have put the tube down. Do you know what they were trying to do?\"}\n", "{\"prompt\": \"I guess because I was short of air. I had a hard time breathing, right? So they tried to, like, I'm going to use the word save me.\", \"completion\": \"Right. So it sounds like you understand that. I mean, usually we only put a tube in. If that was the only thing we could do to save you. Most of the time of congestive heart failure. We'll give some medications. Have you heard of lasix? Or furosemide? No, okay. It's a medication will often give if someone is in heart failure, but if someone is really sick, and then we don't think we have time to give it that's the time we would think of a breathing tube. haven't had a chance to look through the chart, but it would suggest to me you were pretty close to dying when you came in.\"}\n", "{\"prompt\": \"I I guess so. But I'm okay with dying. Okay. You know, like I says, I've lived a good life and if it If the good Lord says that it's my time, I'm okay with that. And you wouldn't put it to\", \"completion\": \"No, my know already what I'm hearing from you. Exactly. I'm just gonna say exactly what you've said, sounds like you've lived a good life. You've been through this a few times, you know exactly what it involves. And if I could paraphrase to you quality of life is more important than quantity at this stage. Is that correct?\"}\n", "{\"prompt\": \"That is correct. And, but you know, what, doctor? How can I be assured that my wishes are respected, so I don't get this tube down?\", \"completion\": \"That's an excellent question. So first, I did want to answer your previous question, based on what we're talking about. Absolutely. I agree with you that it is your wish, and we will respect that wish that we're not going to put a breathing tube down again. And then of course, your second question, which is great, as well as how do we make sure this doesn't happen? So what I'm going to do after our conversation, and I do have a few more questions, To ask you but after conversation, I write a note documenting what we talked about that we talked about the breathing too. And your reasons for why you don't want it, which of course makes sense to me. And then what I do is I document a short form called goals of care. And I just so it's a really easy way for everyone to look at the form and in two seconds, I know exactly what you want, we will give you a copy of that to take home. But I find that's not usually enough. What we also do, what I do is I tend to when you leave hospital, dictate a note to your family doctor. And that notes actually available online for anyone who might see you in any emergency department in Alberta. And in that note will very clearly state you and I have this conversation and you really didn't want the breathing to so I reassure you, we'll do everything we can to make sure people understand you don't want that to Okay.\"}\n", "{\"prompt\": \"All Thank you. I'm I was so concerned about that and yes, I I think I will rest now because like I say, that was a horrendous experience. And he says it won't happen again.\", \"completion\": \"Okay. I do want to ask you just a few other questions related to this. Go ahead. And the first question might sound a little off putting, but I sort of have to ask it anytime someone is changing the kind of therapy they want. We do have to ask, how was your mood? How are you feeling?\"}\n", "{\"prompt\": \"I'm I'm feeling fine. My mood is fine. I have no no problems.\", \"completion\": \" Okay, excellent. And how are you feeling overall about life before you came into hospital? Like when you're healthy as healthy as you can be? Say a few weeks ago?\"}\n", "{\"prompt\": \"I think I am enjoying life. Okay. Yes, I am enjoying life to the to the best I can. \", \"completion\": \"Okay, great. Yeah. And then other related questions, we did talk about the two that we wouldn't put it in. But again, we want to make sure we know everything that you might want or not want. Okay? So if we had to give you medications to get your breathing better, is that something you'd be willing to have?\"}\n", "{\"prompt\": \"Certainly, Oh, yes. Oh, look at medication, just not the intubation.\", \"completion\": \"Okay. And then usually along the lines with the intubation when people don't want the intubation, we often also want to know, if a nurse were to walk into the room and find just by bad luck, you would pass away or if someone just found you at home, who had passed away. Would you ever want people pushing on your chest and giving you shocks trying to bring you back to life?\"}\n", "{\"prompt\": \"No, no, no, I like I said, the good Lord knows when it's my time.\", \"completion\": \"No, and that'll make sense to me with no breathing.\"}\n", "{\"prompt\": \"Yes, and I have no problems with that.\", \"completion\": \"There are some other things we can do. That's not a breathing tube, but they're a little aggressive. And one is have you ever heard of bipap?\"}\n", "{\"prompt\": \"I don't think so.\", \"completion\": \"It's a mass that really pushes air into you. It's a little uncomfortable, but nothing as bad as a breathing tube. Maybe hard to answer this question, because you don't know what that is. But to have any thoughts on that, if you were really sick if we were to try just a mask, and we would do it just as long as you were okay with it and comfortable at the time,\"}\n", "{\"prompt\": \"would it be for a long time?\", \"completion\": \"Now, usually, most times with bipap? It's only about two to six hours for most patients.\"}\n", "{\"prompt\": \"Yeah, that would be okay with me. Okay. And if\", \"completion\": \"we had to put large IVs and lines into your wrist and stuff, and take you to the intensive care unit. Again, we wouldn't do breathing too, but this is just to watch you closely.\"}\n", "{\"prompt\": \"Yeah, I would be okay with that. Yes, yes. It doesn't sound invasive to me.\", \"completion\": \"Okay.\"}\n", "{\"prompt\": \"No, I just needed to be reassured that that it won't happen again. And and yeah, I'm, I know that on my chart. It's there. Yes, yes. And that's all I need to hear because I was concerned. Okay. \", \"completion\": \"I do want to say that this is not set in stone, in the sense that if you ever change your mind, we can have the conversation again. But if we don't hear from you, this is what will go with no breathing to no registered in the heart. I just want you to know that in case anything were to change,\"}\n", "{\"prompt\": \"okay. So if I change my mind, I can I will talk to you. \", \"completion\": \"Absolutely.\"}\n", "{\"prompt\": \"I don't think I'll change.\", \"completion\": \"I don't think you will either. But it's just nice to see that you're aware of that. Okay. Um, honestly, I mean, there's some other questions. I tend to ask people when I don't know them. Well, just kind of routine stuff. Okay. And maybe we'll just quickly go through it go your medical history is the heart failure Anything else?\"}\n", "{\"prompt\": \"Um, that's it. I'm beginning with an ass but I can't remember what it is.\", \"completion\": \"Okay, that's okay. We can usually we have it written down. Yeah, your medications. I think I saw you're on aspirin and two jocks and I think two others. Do you happen to know or have them written down?\"}\n", "{\"prompt\": \"You don't want I always carry this paper with me because I can't remember the name. So okay.\", \"completion\": \"Oh, so you are on the water pill? The furosemide. Okay, \"}\n", "{\"prompt\": \"yes.\", \"completion\": \"And. Okay, great. Yeah. Um, any allergies? \"}\n", "{\"prompt\": \"No.\", \"completion\": \"Okay. And I won't ask but anything that runs in your family, given your age, they told me you're 70 Is that correct? \"}\n", "{\"prompt\": \"That is correct.\", \"completion\": \"Yes. And I do have to ask the following Questions completely unrelated to what we're talking about. That's okay. Do you smoke at all?\"}\n", "{\"prompt\": \"No, I don't \", \"completion\": \"drink any alcohol.\"}\n", "{\"prompt\": \"No, no. \", \"completion\": \"Okay. And this will be sound crazy, but I have to ask any street drugs, illegal drugs, anything like that?\"}\n", "{\"prompt\": \"No, I never had the opportunity\", \"completion\": \"to test any over the counter herbals In addition to these.\"}\n", "{\"prompt\": \"No, I don't take any of those. \", \"completion\": \"And where are you living right now.\"}\n", "{\"prompt\": \"I'm living in a convalescent home for the last six months. I used to live in my own home. And six months ago, I'm moved to a convalescent home.\", \"completion\": \"Okay. And how do you feel about that? That changed six months ago.\"}\n", "{\"prompt\": \"I would really prefer my own home. But just trouble with my breathing sometimes, right?\", \"completion\": \"So you feeling better about being in that place now? A new home\"}\n", "{\"prompt\": \"It's okay. Okay, I really have to adjust. Like I say, if I had my druthers, I'd go back but I guess I have to learn to adjust to this right. Okay.\", \"completion\": \"So I think I sort of have all the information I need to make sure that your wishes are respected. Just one last time. Anything else you want to talk about today?\"}\n", "{\"prompt\": \"Oh, you answered my question. I was so worried about this tube. \", \"completion\": \"Okay. All right. Well, it's very nice to meet you and Stone.\"}\n", "{\"prompt\": \"Well, that's fine.\", \"completion\": \"Would it be all right handy for you to tell me a little bit about what's been going on?\"}\n", "{\"prompt\": \"Well, you're gonna think it sounds stupid, but my housemates are working for MI5 \", \"completion\": \"Right.\"}\n", "{\"prompt\": \"And they're doing stuff to my brain.\", \"completion\": \"Okay, that must be very difficult for you.\"}\n", "{\"prompt\": \"Yes\", \"completion\": \"How long has this been going on for Andy?\"}\n", "{\"prompt\": \"about two months,\", \"completion\": \"right And how did you first work out this is what was happening?\"}\n", "{\"prompt\": \"I came one time and the move the move the TV to do so I just I knew that,\", \"completion\": \"um, what was it that you knew at that moment? \"}\n", "{\"prompt\": \"That they work for MI5\", \"completion\": \"right. Okay. Okay. So it's been going on a couple of months.\"}\n", "{\"prompt\": \"Yeah, this new lecture started in May. And he works for MI5, right. Basically drafted me asked me to sin against me,\", \"completion\": \"okay. Okay. Now I've noticed a couple of times while we've been talking to you sort of look around you into the room as if you checking for something could ask you what's happening at those times.\"}\n", "{\"prompt\": \"Well, I can, I can hear him talking about.\", \"completion\": \"Who is it You can hear?\"}\n", "{\"prompt\": \"My housemate\", \"completion\": \"Right. So that you recognize it as their voices?\"}\n", "{\"prompt\": \"Yeah, I can I can hear him all the time.\", \"completion\": \" Right, How many voices Can you hear Andy?\"}\n", "{\"prompt\": \"there's three of them.\", \"completion\": \"Okay. And do they sound real, Like my voice sounds talking to you now?\"}\n", "{\"prompt\": \"Yeah, it's hard. It's it's slick. I can I can hear him with a knot here.\", \"completion\": \"so when they're not in the house with you?\"}\n", "{\"prompt\": \"Yeah, it's like, yeah, like they're in the other room.\", \"completion\": \"Okay. Okay. And can you hear what they're actually saying?\"}\n", "{\"prompt\": \"Yeah, the talking about me, they always talking about me. They're always commenting on everything I'm doing.\", \"completion\": \"Can you give me an example of what they would say?\"}\n", "{\"prompt\": \"Like, if I'm packing my bags or to do something, they'll be do comment on that, like you left the house now.\", \"completion\": \"Okay. Okay. Anything else? Do they ever talk to each other Perhaps about you?\"}\n", "{\"prompt\": \"Yeah, that's what I mean. And now the know, the sort of the sort of tweak that I know about them right and the same I come I'm making trouble and that kind of soul man. \", \"completion\": \"Okay. Okay. What about actually talking directly to you in the way that I'm talking to you now? Does that ever happen Andy?\"}\n", "{\"prompt\": \"yeah\", \"completion\": \"Okay, so you've been you've been hearing the voices of your housemates Have there been any other changes have there been any changes perhaps to the way you're thinking? Sometimes people tell us that they thinking changes in some way. So for example, they might feel that they're getting thoughts put into their head that aren't their own. had any experiences like that?\"}\n", "{\"prompt\": \"Yeah. I do think things that that are me like okay to put in thing putting stuff in my brain it's not it's not me. It's not I'm not thinking\", \"completion\": \"so different thoughts in your brain.\"}\n", "{\"prompt\": \"Yeah. It's stupid stuff as well as I do. The other day, I was just suddenly just started thinking about some woman in Coronation Street and I watched him cry. \", \"completion\": \"It's not your kind of thing normally, right? \"}\n", "{\"prompt\": \"They're not my thought.\", \"completion\": \"Right. Okay. And do you have any idea how that that's happening who is responsible?\"}\n", "{\"prompt\": \"It's MI5, It's this chip of they pur in my head and I can Feel it all the time.\", \"completion\": \"Okay. So you're getting thought put into your brain that aren't your own? What about a different sort of experience? What about the experience that somehow other people are able to know what you're thinking even though you haven't actually told them?\"}\n", "{\"prompt\": \"Nothing like that. Just putting stuff in my head\", \"completion\": \"And can I just check on it as well? That you're not getting the experience when your thoughts just stop all together? Like you have no thoughts left.\"}\n", "{\"prompt\": \"If anything, there's too much in there. I wish I could unplug it. \", \"completion\": \"Okay. Okay.\"}\n", "{\"prompt\": \"Get this thing out of my head.\", \"completion\": \"You mentioned this, this chip or this device in your brain, you want to tell me a bit more about that.\"}\n", "{\"prompt\": \"Well, it's it's a tracking device so they know where I am all times in there. I could I could feel it moving around rotating\", \"completion\": \"You can feel the physical sensation in your breain\"}\n", "{\"prompt\": \"yeah\", \"completion\": \"okay. Okay, that must be very difficult for you\"}\n", "{\"prompt\": \"I don't know why they're doing this to me. I've done nothing wrong.\", \"completion\": \"Okay. Can I just check Are there any problems Andy with the rest of your body any changes in sensation or any bits that feel different in any way?\"}\n", "{\"prompt\": \"I feel fine. I'm not ill or anything. I just thing on my head.\", \"completion\": \"It sounds like a very difficult time for you. Can I ask you Andy, how are you coping with all this? How's it affecting you? \"}\n", "{\"prompt\": \"Well, I know we live in my room much. So have to wait till they go out and I get out to bring food but they have been doing stuff to my food.\", \"completion\": \"Okay, what do you think's happening to your food?\"}\n", "{\"prompt\": \"they're poisoning it.\", \"completion\": \"Okay, are you actually eating much at the moment? \"}\n", "{\"prompt\": \"No.\", \"completion\": \"Okay, and with all this happening and this says that you don't feel very safe I've got that right. Okay, haveyou felt the need to know to take steps to protect yourself in any way? \"}\n", "{\"prompt\": \"Well I've got a knife, okay. And a baseball bat Is this just in case the came in my I room.I don't want to hurt anyone. I feel like I've got to protect myself. It's like cornering me to do this\", \"completion\": \"right. Okay. Have you felt the need to use either the knife or the baseball bat so far to take it out with you for protection?\"}\n", "{\"prompt\": \"No, no, I don't want to get caught. Just in my room.\", \"completion\": \"Okay. Has it ever got so bad Andy that you felt the need to hurt yourself or even kill yourself as the only way out the only way of coping with it?\"}\n", "{\"prompt\": \"I saw about getting some pills but I couldn't leave the house. I can't \", \"completion\": \"even when you say getting some pills, that'd be to take an overdose of tablets?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"but you've not actually done anything about that so far? right?\"}\n", "{\"prompt\": \"yeah\", \"completion\": \"Okay. In the past have you ever had any problems either with your temper or getting into fights being aggressive either with your housemates or anybody else?\"}\n", "{\"prompt\": \"I'm not that kind of person. I don't want to I don't want to hurt anyone. They Just drive me into this.\", \"completion\": \"And can I just check again you've not been in trouble with the police or anything like that.\"}\n", "{\"prompt\": \"No never\", \"completion\": \"Okay. With all this that's going on. Is there any way at the moment Andy That you feel safe?\"}\n", "{\"prompt\": \"At my parents house\", \"completion\": \"right. Okay. And have you seen much of your parents recently?\"}\n", "{\"prompt\": \"Yeah. I don't want to drag them into this I don't want my five known about.\", \"completion\": \"And throughout this last couple of months when you've had all these worries, have you ever worried that your parents might in some way be involved in this conspiracy?\"}\n", "{\"prompt\": \"I thought about it but no.\", \"completion\": \"Okay. Okay. Can I just check out a couple of background things with you, Andy, your general health is that okay Generally fit and well? \"}\n", "{\"prompt\": \"Yeah. No ill, there's nothing wrong with that. It's just this thing in my head.\", \"completion\": \"And you're not on any regular medication from your own doctor at this stage.\"}\n", "{\"prompt\": \"Don't take any.\", \"completion\": \"Okay. What about other drugs And by that I'm meaning alcohol cannabis pills, Anything else?\"}\n", "{\"prompt\": \"I don't I don't drink much alchohol.\", \"completion\": \"Right. Okay. And what about drugs like cannabis?\"}\n", "{\"prompt\": \"Is this moment No,\", \"completion\": \"I think it's important I hear about this is wouldn't be something we'd be discussing with your mom.\"}\n", "{\"prompt\": \"Likely weed\", \"completion\": \"Would that be regularly to most days?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"And how much would you be spending on weed?\"}\n", "{\"prompt\": \"10 buck.\", \"completion\": \"Okay, so you have a 10 buck lesson you have a day of weed any other drugs? I'm thinking in particular things like speed or or pills.\"}\n", "{\"prompt\": \"Bit of a speed.\", \"completion\": \"Okay. Its on a regular basis Andy?\"}\n", "{\"prompt\": \"late the weekend.\", \"completion\": \"Okay, when was the last time I didn't even had any speed\"}\n", "{\"prompt\": \"for a week ago\", \"completion\": \"Okay, any other drugs at all? \"}\n", "{\"prompt\": \"No. it's not. It's not the drug right? This is doesn't matter how my face I get this. Constantly. Yes. always there.\", \"completion\": \"Okay, I guess the reason I was checking I think we've picked up on is sometimes when people are having the kinds of experiences that you are they find if they take certain drugs, it could make things feel a lot worse. I just wanted to check. that hadn't been your experience.\"}\n", "{\"prompt\": \"No\", \"completion\": \"Okay, okay. Appreciate from what you're saying, You're really very worried about this MI5 conspiracy and that that's the cause of the difficulties that you're having at the moment. I just wanted to check with you Do you think it could be due to anything else? And I mean, I've obviously met other people who've had similar experiences, and sometimes they're extremely stressed, some people might be mentally unwell, and it's worth it whether any of these things might be relevant to you at the moment.\"}\n", "{\"prompt\": \"No, because I'm not ill. \", \"completion\": \"Alright.\"}\n", "{\"prompt\": \"It's them and I've read books on this as well. I don't the government know about the them to know that they do this to loads of people. I don't know how they can get away with it. I have done nothing wrong, I don't know why they're doing this to me. \", \"completion\": \"Okay. Sure, I think I can appreciate that. I guess what I'm wondering is whether you think there's anything that someone like me might be able to do to help you as a doctor that sometimes meeting with someone like a psychiatrist or having medication or for some people even coming into hospital for a short time might be helpful. Do you think any of those things would help you at the moment?\"}\n", "{\"prompt\": \"I don't know. I mean, I want to hear really, because someone warmer, tried to. I don't want to worry about I've tried to talk to her about it. She doesn't understand she doesn't really believe me. I mean, do you believe me? \", \"completion\": \"Well, I certainly believe that you're having a really difficult time at the moment, I guess I'm not too sure about is what's causing this and I'm, I'm less sure this is due to MI5 is what I'm wondering, is it perhaps you're not as well as you might be at the moment. I mean, we've been through a lot of questions And what I'm thinking is we need to try and come up with a way of supporting you through this Someone drink cuz I know your mom is I think she's waiting in the waiting room might be a good chance now to get your mum in and then perhaps the three of us can put our heads together, have a bit of a discussion about where to go from here and try and think of getting you some some proper support. Would that be alright if I got your mum in?\"}\n", "{\"prompt\": \"Okay, \", \"completion\": \"okay, if you want to sit there then I'll just get your mum okay.\"}\n", "{\"prompt\": \"I'm well how are you?\", \"completion\": \"I'm doing well. Thanks for asking. It's nice to meet you. I'm glad you could come into the agency. Could you tell me what brings you here today? Um, well,\"}\n", "{\"prompt\": \"I am here now because I was caught stealing money.\", \"completion\": \"All right. So you you ordered by a court?\"}\n", "{\"prompt\": \"Yeah,\", \"completion\": \"yeah. Mm hmm when?\"}\n", "{\"prompt\": \"about a month ago\", \"completion\": \"A month ago.\"}\n", "{\"prompt\": \"like diagnosing,\", \"completion\": \"like diagnosing. Is that okay with you?\"}\n", "{\"prompt\": \"Sure.\", \"completion\": \"So how old are you now?\"}\n", "{\"prompt\": \"25\", \"completion\": \"All right. So you say about a month ago, you got us in trouble. Can you tell me what happened there?\"}\n", "{\"prompt\": \"Well, I stole money from a friend of mine. And\", \"completion\": \"You need the money.\"}\n", "{\"prompt\": \"This was a friend\", \"completion\": \"How things stand between you and your friend now.\"}\n", "{\"prompt\": \"Well, She turned me in. So we're no longer friends.\", \"completion\": \"No longer friends. All right.\"}\n", "{\"prompt\": \"Well, basically when I was younger, I got I used to get into a lot of fights.\", \"completion\": \"This day,\"}\n", "{\"prompt\": \"my family.\", \"completion\": \"remember doing it? Ah,\"}\n", "{\"prompt\": \"yeah, I remember doing it. Yeah.\", \"completion\": \"How old are you in that happen? Remember?\"}\n", "{\"prompt\": \"12 years old.\", \"completion\": \"Will you ever treated for that, like, that type of mental health treatment?\"}\n", "{\"prompt\": \"Oh, no\", \"completion\": \"Are you aware of any diagnosis that you've been given related to mental health in the past? No, no. So you got into the sounds like a fairly serious fight when you were 12. And you're 25 now can tell me what's happened in terms of the other problems between 1215\"}\n", "{\"prompt\": \"I guess the usual I mean, I enjoy And got into some drugs and would use and do stuff like that. So\", \"completion\": \"any other thefts or or assaults? Right?\"}\n", "{\"prompt\": \"I mean yeah. So kept getting into fights and stuff but yeah, I think my last real fight was when I was about 20. So yeah.\", \"completion\": \"All right. And how much danger were the people that you were fighting?\"}\n", "{\"prompt\": \"Yeah, yeah.\", \"completion\": \"How many times did that happen to you seriously hurt somebody\"}\n", "{\"prompt\": \"probably every fight that I ever gotten into so many I don't have a number\", \"completion\": \"Can you explain what happened? Like what what caused the fight?\"}\n", "{\"prompt\": \"So the one girl, she just, I felt looked at me wrong and I didn't like it. So I punched her in the mouth and continued to do so until she was on the ground and then I still continue to do so.\", \"completion\": \"What are your feelings about that?\"}\n", "{\"prompt\": \"She deserved that.\", \"completion\": \"Because of the way she looked at you, hmm.\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"Do you ever have any feelings of guilt or remorse of that?\"}\n", "{\"prompt\": \"No.\", \"completion\": \"Have you ever apologize to the people that were hurt?\"}\n", "{\"prompt\": \"I'm apologize but just to appease people so that I didn't get into any more trouble.\", \"completion\": \"Also somebody situations, apologizing was kind of required.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So you apologize to them that you didn't really mean it. Or\"}\n", "{\"prompt\": \"I think I didn't mean he didn't mean it. It was just to get out of trouble and go on myself.\", \"completion\": \"you're successful in getting into trouble\"}\n", "{\"prompt\": \"Absolutely. Yeah.\", \"completion\": \"You say that kind of with a little pride is something to take pride in.\"}\n", "{\"prompt\": \"Yeah, yeah.\", \"completion\": \"Being able to travel.\"}\n", "{\"prompt\": \"Yeah. I mean, wouldn't you?\", \"completion\": \"So that's like something you look as like a skill that you have?\"}\n", "{\"prompt\": \"Absolutely. Yeah.\", \"completion\": \"Have you ever fought like the theft type activities you ever felt any guilt or remorse there?\"}\n", "{\"prompt\": \"No.\", \"completion\": \"Kind of same thing,\"}\n", "{\"prompt\": \"same thing. They, I mean, they had more money than me, so why not? They probably would have done the same thing to me. So I did it to them before they could do it to me.\", \"completion\": \"Were you ever the victim of a crime?\"}\n", "{\"prompt\": \"Now, I am smarter than most people so I can probably I can one up people. So, okay.\", \"completion\": \"Do you feel the trick good in working with people like in terms of social skills?\"}\n", "{\"prompt\": \"I mean, getting what I want.\", \"completion\": \"So you're effective at managing relationships to go to one?\"}\n", "{\"prompt\": \"Yeah. All right.\", \"completion\": \"How would you describe your mood? Most of the time\"}\n", "{\"prompt\": \"now, I guess I can get a little irritable,\", \"completion\": \"though irritable. How often does that happen?\"}\n", "{\"prompt\": \"few times a week.\", \"completion\": \"Does that irritability ever lead to or has ever led to some of the aggressiveness? Yeah.\"}\n", "{\"prompt\": \"You're more likely to be aggressive when you've been in trouble for a while. Yeah.\", \"completion\": \"What was the last time you were involved in a physical fight?\"}\n", "{\"prompt\": \"So that was round 20.\", \"completion\": \"About five years ago? Yeah. \"}\n", "{\"prompt\": \"yeah\", \"completion\": \"One type of things I'm\"}\n", "{\"prompt\": \"stealing\", \"completion\": \"so the\"}\n", "{\"prompt\": \"Ah, I'm not sure. Not sure.\", \"completion\": \"You have a job?\"}\n", "{\"prompt\": \"Yeah. Well, I did. \", \"completion\": \"Tell me about your work performance and experience there.\"}\n", "{\"prompt\": \"Well, you know, I show up when I need to most of the time and do what I have to do.\", \"completion\": \"You show up most of the time.\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"We are. How is your employer described as employee.\"}\n", "{\"prompt\": \"I mean, I'm pretty good at doing what I do. But I guess my boss would like me to be there more.\", \"completion\": \"alright, so in terms of your feelings about missing work? How many jobs have you had?\"}\n", "{\"prompt\": \"Six\", \"completion\": \"okay. Tell me about it\"}\n", "{\"prompt\": \"They wanted me and they tried to get me to conform, I feel and I'm just not a conformist. God doing things your own way. Yeah.\", \"completion\": \"What do you want to gain of treatment here?\"}\n", "{\"prompt\": \"I just want to get out of trouble.\", \"completion\": \"You're in trouble now. And you'd like to get out trouble.\"}\n", "{\"prompt\": \"Okay. Thank you.\", \"completion\": \"Thank you.\"}\n", "{\"prompt\": \"Sure.\", \"completion\": \" So, are there any substances that you currently use?\"}\n", "{\"prompt\": \"I drink a bit.\", \"completion\": \"Can you tell me how often you drink?\"}\n", "{\"prompt\": \"I guess it's it's more than a bit. I would say. I have probably three drinks today.\", \"completion\": \"And what are you drinking?\"}\n", "{\"prompt\": \"beer\", \"completion\": \"To know what size\"}\n", "{\"prompt\": \"the bottle says there's there's 3\", \"completion\": \"three bottles of beer a day.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"And how much time does To take you to consumers,\"}\n", "{\"prompt\": \"Hardly a couple of hours.\", \"completion\": \"So, every day, three beers and about two hours. Yeah. Does that do anything to you? In terms of your mood or feeling? Hmm,\"}\n", "{\"prompt\": \"it just kind of helps me unwind after a long day of work relaxes me.\", \"completion\": \"So it's relaxing for you.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Has it ever gotten you into any type of trouble?\"}\n", "{\"prompt\": \"Hmm, there is a one time that I, my my friends and I kind of gotten to fight after I had been drinking. And we almost stopped talking because of it, but we were able to work it out. But I almost lost friends ever before.\", \"completion\": \"All right, is there any other areas where it might disrupt functioning?\"}\n", "{\"prompt\": \"Sometimes it's hard to get up and get to work the next morning After I've had, if I drink it like later in the day, it's hard to get up and get to work on time the next morning. So I've been late a couple times.\", \"completion\": \"So, three, three bottles of beer, pretty much every day,\"}\n", "{\"prompt\": \"pretty much every day,\", \"completion\": \"whichever is the time when you've consumed more or less than particular day.\"}\n", "{\"prompt\": \" And not typically during the week, but sometimes I'll drink more on the weekends.\", \"completion\": \"And how long have you been drinking alcohol?\"}\n", "{\"prompt\": \"I guess I started when I was around 17.\", \"completion\": \"Yeah. Was that you mentioned beer. Have you ever consumed any other type of alcohol\"}\n", "{\"prompt\": \"I've tried wine and shots before but I always kind of just gravity more towards the beer back toward beer. Yeah.\", \"completion\": \"Any other substances you use currently\"}\n", "{\"prompt\": \"on on the weekends as well all all smoke some pot with my friends like Saturday night,\", \"completion\": \"When did you first start using marijuana?\"}\n", "{\"prompt\": \"That was probably a couple years ago when I first started college\", \"completion\": \"about two years ago.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"On the weekends, sometimes other times\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"mostly on the weekends, occasionally during the week. Has it ever led to any trouble or change the function? \"}\n", "{\"prompt\": \"I am not, I mean, on the weekends, no, because I don't really have anywhere to be. But sometimes during the week if I, if I again, kind of like the alcohol if I smoke it too late again, it's hard to get up in the morning and get to work on time and my boss is really starting to get irritated with me how often I've been late. Not that I'm like, super late, but I'm late enough.\", \"completion\": \"Have you ever tried to cut down on the substance use?\"}\n", "{\"prompt\": \"Um, I've tried to cut back on the alcohol before. That a year ago I try. I was, like, started when I started this job that I have now. I tried to cut back when I first started. And I was able to get down to like two, one or two beers instead of three. But then the job got stressful and I got comfortable, I guess and started drinking more again.\", \"completion\": \"So you think perhaps the alcohol use is connected to the stress with your job?\"}\n", "{\"prompt\": \"I yeah, I would say it's definitely connected.\", \"completion\": \"Have you ever been annoyed by people that perhaps criticize your substance use?\"}\n", "{\"prompt\": \"Yeah, my family can be critical of they don't really know about the marijuana but they can be critical of my alcohol use.\", \"completion\": \"That bothers you.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Have you ever felt bad or guilty about your substance use?\"}\n", "{\"prompt\": \"Right. I felt guilty. Was my mom because it upsets her so much sometimes, like I'll feel guilty about how my son has to be upsets her but and sometimes I feel bad like if I have a fight with my friends if I'm not calm I'll feel bad the next day about getting into an argument with them cuz usually over something silly\", \"completion\": \"Have you ever had to drink or use drugs first thing in the morning to study your nerves or to lessen the effects of the hangover?\"}\n", "{\"prompt\": \"Um, I'd say on the non during the week but on the weekends when I'll drink a little bit more sometimes I'll have like, just a little bit like if I drink Saturday night have a little bit Sunday morning to get going.\", \"completion\": \"So on occasion that happens. Yeah,\"}\n", "{\"prompt\": \"I wouldn't say it's often but on occasion.\", \"completion\": \"So, Alcohol, Marijuana, two substances you currently use. Can you tell me about substances used in the past?\"}\n", "{\"prompt\": \"I'm at a party one time I tried ecstasy but I didn't like it. I ended up not really hanging out with those people anymore. So it wasn't an issue\", \"completion\": \"just the one time. Yeah, just the one time.\"}\n", "{\"prompt\": \"I'm in high school, my friends. A lot of my friends were smokers. So I smoke cigarettes, but it kinda it just made me feel sick. And I never really liked very much didn't really do anything for me.\", \"completion\": \"So that didn't last she just continued.\"}\n", "{\"prompt\": \"Yeah. All right.\", \"completion\": \"Any other substances or just those two?\"}\n", "{\"prompt\": \"Just those two that I'm currently using and then just the smoking in the ecstasy.\", \"completion\": \"Do you have a family history of substance use?\"}\n", "{\"prompt\": \"My grandfather? My mom claims that my grandfather was an alcoholic.\", \"completion\": \"Any other history?\"}\n", "{\"prompt\": \"No, not that I'm aware of at least\", \"completion\": \"before I moved to the next Section of the intake. While we're still talking about substance use, is there anything else you want to add in the comments you want to make about the section? \"}\n", "{\"prompt\": \"Because I think that covers it.\", \"completion\": \"So covered pretty well.\"}\n", "{\"prompt\": \"Yeah. All right.\", \"completion\": \"I appreciate you answering these questions. And if you're okay, I'm going to move from the section and move to the next section. The intake okay.\"}\n", "{\"prompt\": \"I'm good,\", \"completion\": \"doing good.\"}\n", "{\"prompt\": \"yeah\", \"completion\": \"I'm going to ask you some questions and give you some problems to solve. Please try to answer them as best as you can. Okay. What year is this?\"}\n", "{\"prompt\": \"It is 2015\", \"completion\": \"Okay. What season of the year is this?\"}\n", "{\"prompt\": \"It is beach season.\", \"completion\": \"beach season ?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"What is the date today?\"}\n", "{\"prompt\": \"Tuesday\", \"completion\": \"what day of the week is this?\"}\n", "{\"prompt\": \"Tuesday\", \"completion\": \"What month is this?\"}\n", "{\"prompt\": \"It is may\", \"completion\": \"Can you tell me what country we are in\"}\n", "{\"prompt\": \"America.\", \"completion\": \"What County are we in?\"}\n", "{\"prompt\": \"We are in Kent County, Kent County.\", \"completion\": \"What city are we in ?\"}\n", "{\"prompt\": \"New Castle.\", \"completion\": \"What is the name or the address of this building?\"}\n", "{\"prompt\": \"We are at Wilmington college.\", \"completion\": \"What floor of the building we at?\"}\n", "{\"prompt\": \"Two\", \"completion\": \"I am going to name three objects. After I've said them, I want you to repeat them back to me.\"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"Apple, Table, Penny\"}\n", "{\"prompt\": \"Apple, Table, Penny\", \"completion\": \"remember what they are, Because I'm going to ask you to name them again in a few minutes. \"}\n", "{\"prompt\": \"Okay\", \"completion\": \"Now I'm going to give you a word and ask you to spell it forward and backward. The word is world. First, Can you spell it forward?\"}\n", "{\"prompt\": \"U O R D\", \"completion\": \"Now, can you spell it backward\"}\n", "{\"prompt\": \"D O O U\", \"completion\": \"What were the three objects I asked you to remember?\"}\n", "{\"prompt\": \"Apple, Table And, um, I don't remember the last. \", \"completion\": \"Okay. What is this called?\"}\n", "{\"prompt\": \"That's your watch.\", \"completion\": \"What is this called?\"}\n", "{\"prompt\": \"A pencil\", \"completion\": \"I would like you to repeat a phrase after me. The phrases is no ifs, ands, or buts.\"}\n", "{\"prompt\": \"No If no and no buts\", \"completion\": \"I would like you to read the words on this page. I'm going to hold up. Then do what it says.\"}\n", "{\"prompt\": \"Close Your eyes.\", \"completion\": \"Okay. Are you right handed or left handed.\"}\n", "{\"prompt\": \"I'm right handed, \", \"completion\": \"right handed ?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"I want you to take this paper in your right hand. Fold the paper once with both hands, and then put the paper down in your lap. \"}\n", "{\"prompt\": \".....\", \"completion\": \"Okay, thank you. All right, if you could pick up the notebook with a piece of paper. I would like you to write any complete sentence on a piece of paper for me, me.\"}\n", "{\"prompt\": \"Any?\", \"completion\": \"Huh hmm\"}\n", "{\"prompt\": \"Okay\", \"completion\": \"Can i see the sentence? Okay. Here's the drawing. Please copy the drawing on that same piece of paper.\"}\n", "{\"prompt\": \"This is really hard, I got it.\", \"completion\": \"You got it ?\"}\n", "{\"prompt\": \"Kind of.\", \"completion\": \"Thank you Ayesha. I appreciate you participating in that assessment.\"}\n", "{\"prompt\": \"Hello\", \"completion\": \"Let's see today and this evening. So, tell me a little bit more about why you're here.\"}\n", "{\"prompt\": \"Umm one of those I have anger issues and find Myself mad all timme and now trouble over. People can't handle it. So have to come here.I don't want to be here, but yeah.\", \"completion\": \"Well, what is your objective? What do you want this today?\"}\n", "{\"prompt\": \"Umm I mean, I know probably I am angrier than the average person. So many people do a lot Thanks to me. \", \"completion\": \"maybe manage that a little bit better. Yeah. Okay. Tell me is it schooling your game as at home your friends, so tell me about\"}\n", "{\"prompt\": \"this is my friends Of course, most definitely at home my momm. We fight almost every day at school and it ties with the teachers so detention and stuff like that.\", \"completion\": \"So, before we get into this a little bit, I'm going to tell you a little bit about your brain. Okay? we ever heard of the amygdala?\"}\n", "{\"prompt\": \"No\", \"completion\": \"Yeah. When you get to high school, you're gonna know about this in advance, but you're gonna learn about this medical science. So your amygdala Like right here at the base of your brain back here And it's known as the alarm center, saying think about pulling alarm, you know, an alarm is going off in your brain. And that alarm, normally it indicates fight or flight or freeze So makes you want to fight, fight back, right, It makes you want to freeze, just kind of pain free don't let you do or flight which means get out of there, you know, get away. All right. So that's kind of what your brain that's the largest mess kind of your brain. So let's think about some situations when you're in these angry situations and let's let's let's just kind of step through them. So give me an example. really specific of maybe two The alarm is going off and you are really angry.\"}\n", "{\"prompt\": \"I'm definitely a fighter.\", \"completion\": \"Okay, you're a fighter. Alright.\"}\n", "{\"prompt\": \"Because a second to finish today, my mom she it's coming into this dress, which I was going to do. I just wanted to show it and just kept going I mean to do it and I didn't like the way she was yelling at me. And I just wanted to do like I was gonna do she was super sad about it. \", \"completion\": \"Mm hmm.\"}\n", "{\"prompt\": \"So I mean, it just pissed me off. I started yelling at her, go yell at me. And then a little brother came in it's just the whole family. And I don't want to see yell at me and I don't know details. Let us know by the Potomac wall.\", \"completion\": \"Okay.\"}\n", "{\"prompt\": \"Yesterday\", \"completion\": \"okay, there's just yesterday. Okay. All right. So situation mom asks you to do something. You're kind of in the middle of something to get pestering you and yet you started yelling she started yelling starts escalating. you punch a wall.\"}\n", "{\"prompt\": \"yeah\", \"completion\": \"Okay. You got that situation Tell me about a situation at school.\"}\n", "{\"prompt\": \"Near Amiga your alarm says center is like going off to me now, sometimes just looking at saying Let's be nice to see the senses add to\", \"completion\": \"Hmm.\"}\n", "{\"prompt\": \"And then I mean it's such a point teacher. So a 10 asleep in class. Can't help it. cannot show up calm call me out. Put in a whole class. Just quickly, Matt and I are going back and forth saying stuff because of cussing her out. And that's why I had to go to. \", \"completion\": \"Okay. So you're in class teachers calling you out, and you're angry and cursing.\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"Okay. Okay. Good example. Is there any time when there's anxiety that's happening before the anger comes out? Like, um, maybe. Yeah, if you ever get anxious for us kind of freeze for years or more of a reactive of a fight of a last year. Have a get it out. \"}\n", "{\"prompt\": \"That's kind of hard to get it out.\", \"completion\": \"Okay. Okay.\"}\n", "{\"prompt\": \"Okay. Okay.\", \"completion\": \"Good. All right. Well, I want you to, um, it's kind of helpful, I think, to understand a little bit about what's going on in your brain. And then you can maybe help monitor it, help control it help manage it a little bit better. Okay. So let's, um, I'd like to take you through an example of something it's called, And it's a way of it's kind of it's called wise mind, okay? You're, you're trying to be very conscientious about what's going on around you. how you're feeling, and how you're going to react to risk being instead of just reacting whenever That's off, you're gonna think about it, name it, and then react. And hopefully, maybe we can get a little bit of more control on anger, reactions come in.\"}\n", "{\"prompt\": \"Okay, all right. Okay. So going to do that,\", \"completion\": \"okay. Well, you know what I was saying? Knowing that you need that, just saying, I need that. That's a really big step. It really is. Some people don't even acknowledge that they need it, don't want to acknowledge it, don't care to acknowledge it. And they're not going to really get any not not going to change. But you're here. Maybe you don't want to be here, ut I'm hearing you say that you want to make a change. And that's really huge. Because I think you want things to be different for yourself. It sounds like I mean,\"}\n", "{\"prompt\": \"yeah, but also switch people. It's something okay. \", \"completion\": \"Okay. All right. Well, there's a desire that I see, And I appreciate that, And that's great. And there are lots of different techniques for this. And I'm just going to offer one today. And then you can practice it all week, and then we talk next week, we'll kind of see how you are with that and it's not working for you, we'll make modifications might change this, okay? Okay. And this is a technique where you can do it at school, at home, and only takes about one minute. Sometimes we don't have a lot of time. You know, it's great when you can take 15 minutes to calm down, maybe you're going to bed at night and you're doing something that makes you calm down and it's quiet a lot of time. In the heat of the moment, we don't have a lot of time. All right, when you feel that anger rising, there's not a lot of time, alright?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"It happens a lot. Okay. This little procedure is called stop s t o p Alright, it's a little acronym s t o p. So S T O P. So it means the first the S is to stop. So, for example, you're watching TV, and your mom says, I was can you do this just please. Alright. right then and there, you're gonna say, Okay, stop. And then you're gonna take a breath. Okay, you're gonna breathe in, deeply, you're gonna be down. Just like take two deep breaths and think about your breathing. Breathe in and breathe out. Okay? So the T is for take a breath. All right, take a breath. All right. And when you're taking a breath, think about you know, your, your brain releases a lot of oxygen. So when you're breathing in, you're breathing oxygen into your lungs, gets into your blood gets to your brain. You're getting a lot of oxygen, your brain which really helps you think better. Alright, Breathing in and lot of oxygen right there. All right, the O means observe what is going on around you right now. All right. so in this situation, your mom asked you to do the dishes. You're watching the program. All right. Like to finish the program, I think I heard you say, and then you're going to do the dishes. That's how you would like it might not be how mom like it. But you might be able to, if you can kind of get observe the situation and how you're feeling. A little man, mom just asked me to do this. And she's seen him like watching the show here. Alright, so you're observing how you're feeling? All right, watching the show. I'm getting frustrated that she's asked me to do this right now, observe it, name it, claim it and say, okay, that's how I'm feeling right now. All right. So you're just aware you're observing the situation and how you're feeling okay. And then so the O is for observe and the P is for proceed, that means move forward. But something that's going to benefit you that's going to be positive that's going to work for you. You're not your mom is not working for you?\"}\n", "{\"prompt\": \"No\", \"completion\": \"get you in trouble. Get your hand in the wall, you might get hurt. Moving forward Yon and your mom's not working for you too. Well, is it? Okay? So we're going to proceed with something that's going to work for you. In this situation, you have an idea that might work for you.\"}\n", "{\"prompt\": \"Just talk to her but it's so hard to talk to without stopped and I wouldn't be like quite so mad. So Now it's\", \"completion\": \"a good idea though, it's a good thought it might be worth a try to say, and maybe it's more, instead of telling her to do it later saying, Mom, okay, 10 more minutes with this show. There's two more minutes. I'm really interested in this show. And I just finished the 10 more minutes, and then I will do the dishes, kind of put it in a question. So, you know, instead of you know, say, I'm gonna do it later say, I just got 10 more minutes and I really want to finish the show. Is it okay if I just do the dishes as soon as in 10 minutes when I finish the show? Does that sound like something that maybe\"}\n", "{\"prompt\": \"that's what I said before, but it's kind of fun. \", \"completion\": \"Yeah, yeah, I hear that.Well, I'm glad you acknowledge that. That's really good. So let's step through that one more time. s t o p. s is for?\"}\n", "{\"prompt\": \"stop\", \"completion\": \"Yeah. All right, stop. Before you react Before you respond in anger You're gonna stop. What's the T?\"}\n", "{\"prompt\": \"Take a breath\", \"completion\": \"Exactly, Take a breath in action into your brain. So you can think clearly, rationally, Take two big breaths. Three, maybe. O?\"}\n", "{\"prompt\": \"Observe\", \"completion\": \"observe what's going on? What's going on my body? My my thoughts was this situation You know? How am I feeling right now?Name it, Claim it, Okay. This won't finish All right, and then what's the P?\"}\n", "{\"prompt\": \"Proceed\", \"completion\": \"proceed, That's right. Proceed. How am I gonna go forward in a way that's gonna be helpful to me or good for me or benefit me? Right? So what? What in that situation was the P going to be? Was the proceed going to be how you're going to proceed?\"}\n", "{\"prompt\": \"Whose problem my mom might raise\", \"completion\": \"Yeah, yeah, in a calm voice ask her soon as this program is over, can I do it? Man, I really want to finish this then I promise you I'll do the dishes as soon as this program is over.\"}\n", "{\"prompt\": \"Keep yourself calm\", \"completion\": \"Yeah, there you go. Again, in that situation. Very good. You're getting what you want. She's gonna get what she wants. It's a great compromise. Yeah. worth a shot. worth a try?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Okay. Yeah, you know, it takes a lot of time to make a change, really does. You've been doing it one way for a long time. And it takes a lot of time to do something different. So I want you to be patient with yourself. I want you to try this every day. All right, if you can kind of make notes. For me, as we can talk about next week, like on Monday, I had a fight with my mom, I tried it, it didn't work. On Tuesday, I find my mom, it works a little bit, you know? And when you The more you do this, the better you're going to get. And the more it's going to benefit you. All right, the more it's gonna benefit you.\"}\n", "{\"prompt\": \"Absolutely, right. It's just the way you talk with each other. Stop and proceed\", \"completion\": \"you're right, You're right, Because they're a certain way in the house. And it's going to be Yeah, be patient with yourself and realize this is going to take some time. Okay. Let's think about at school, a situation if you want to take that one situation at school too. Okay, say you're in history class, history, human history don't get during your history class and she's calling on you, Right? This is when you get angry. Is that not correct about that? \"}\n", "{\"prompt\": \"yeah\", \"completion\": \"Now she asking you So is she saying okay Alyssa can you answer this question, is that what she's calling or she's saying Alyssa wake up because you're asleep. What is your truth?\"}\n", "{\"prompt\": \"Yeah I think so\", \"completion\": \"okay. Okay. Okay. All right. So let's kind of step through this stop process with that. Alright, teachers gonna ask you what somehow to tell us about that. All right? Instead of what's the normal reaction for you, your alarm going off, what's the normal reaction for you?\"}\n", "{\"prompt\": \"I don't lots of teacher\", \"completion\": \"Okay, all right. You're gonna try to stop. All right. You're gonna take a breath, two breaths. You're gonna say, Alright, how you feel at that point? She's embarrassing me. What else is going on? \"}\n", "{\"prompt\": \"Okay, okay, anger.\", \"completion\": \"She knows I know, She's just trying to test me. She knows I don't know the answer because honestly, you should call. Okay?\"}\n", "{\"prompt\": \"it's frustrating.\", \"completion\": \"Right? kind of tired of it. So you're naming that, alright, frustrated, you know, she doesn't answer by me. Okay? You're, you're observing what's going on in the situation, But how are you going to proceed in a positive way? All right, instead of y'all And getting sent out of the room? Can you think of a way that might benefit you more? That might be to your advantage. Getting out of the room and going down the hall is not helping you too much. So what's a way you can proceed? you're frustrated. You are maybe a little bit embarrassed, maybe don't know the answer. What's what can you do instead of yell at that teacher and get angry at her with the other thought maybe?\"}\n", "{\"prompt\": \"I don't know.\", \"completion\": \"Okay. Well, that's, that's the truth. You might know or may not know if that's true. You can say just simply that I don't know then she's gonna go to somebody else, right?\"}\n", "{\"prompt\": \"Maybe Yeah\", \"completion\": \"that'd be the hope that she goes to somebody else. But for you, you won't be sent out of the room. You won't be getting in Trouble, you won't be in ISS for the day\"}\n", "{\"prompt\": \"yeah\", \"completion\": \"one objective is not for you in school is for you to get to the next grade. Get the next grade in that classroom, learn a little bit so you can get to the next grade. \"}\n", "{\"prompt\": \"Yeah I want to\", \"completion\": \"yeah, that's good. You got a desire to do that. So, this procedure is kind of only takes 45 seconds or so, for you to stop. Take a few breaths, observe what's going on, kind of name your emotions, okay, and this and this and this, however, don't want to respond with angry words or yelling or cursing because it's not going to benefit me, you know, trying to make a change here. I'm going to figure out what is my best tool to proceed that's going to help me you know, work out arrange with mom or just tell her that you don't know, okay?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"And again, be patient with yourself because this type change takes a while. Yeah, yeah. Are you willing to maybe practice this once a day, every day, it can either be at home or it can be in the classroom this next week?\"}\n", "{\"prompt\": \"Yeah if something comes up.\", \"completion\": \"Okay. Just try it and see how it works. And if this I have a lot of tricks up my sleeve, so if this one isn't working, we can modify or we can try something else but try to set it in and we'll just kind of talk about it next week and just kind of see how it's going. Okay. Thanks for coming in.\"}\n", "{\"prompt\": \"Thanks\", \"completion\": \"Appreciate you want to make change and willing to do something\"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"How do you currently spend your day?\"}\n", "{\"prompt\": \"Um, well, right now, and before I came in I guess I go to work in the morning and then I come home at about 430 and take care of the kids. Get them from aftercare and then we'll have dinner, I'll make dinner and help them with their homework, My husband and I watch a TV show or something and then go to bed.\", \"completion\": \"That's a fairly typical day for you.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"What do you do for fun?\"}\n", "{\"prompt\": \"Well, lately not a lot. I mean, I used to love reading, movies. I love to make jewelry but not in a while.\", \"completion\": \"Why don't you think you enjoy those things? Now as much as you did?\"}\n", "{\"prompt\": \"Ah, I don't have as much energy as I used to. I come home from work. I'm drained, just dealing from dealing with that whole situation. And then getting the kids and homework and it's like, can be a nightmare. I mean, they have good grades, and they generally just get right into it. Sometimes it's a struggle. And frankly, I've been kind of down on myself lately because I just want to come home from work and get into bed. And I don't want to cook, and I don't want to do homework with them. And even when my husband wants to watch TV, or something, you know, a lot of times I'm asleep already. And kind of feel bad about that. Like, maybe I'm not as good of a mom as I used to be or as good of a wife. \", \"completion\": \"Do you think that this change in your mood is related to what you're talking about before with the problems at work and the relationship there. You feel like it's all tied together?\"}\n", "{\"prompt\": \"Probably. Yeah. I don't know.\", \"completion\": \"You know, which came first? Like what you're describing here with the not having much energy or the difficulty at work?\"}\n", "{\"prompt\": \"I didn't think about I think, well, I've been like this before. But yeah, it was after things started getting really bad at work. I just, I'm, like drained when I come home. You know, and I don't want to think about it. If I just go to sleep. I don't have to think about it. I don't have to deal.\", \"completion\": \"Who are the most important people in your life? And before you answer that, I'm going to guess that you're Husband your kids for occlusion so outside of them unless they're not but it sounds like oh yeah, but outside of them because we are talking about them. Who are the most important people in your life? \"}\n", "{\"prompt\": \"My sisters, my dad, my mom, my best friend although I haven't talked to her really long time.\", \"completion\": \"How long?\"}\n", "{\"prompt\": \"Well, she's texting me but we haven't like gotten together in like six months or something.\", \"completion\": \"So all the people you just listed when you have difficulties problems when things aren't going well do you feel like you can talk to these people?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"Okay, I'm going to switch gears again. I want to talk about spirituality. Can you describe any spiritual you might have and how they affect your life?\"}\n", "{\"prompt\": \"Well, I believe in God, I pray Actually, I this is was kind of funny. I was praying the morning before I decided to call the agency because I was feeling like such a bad mom. You know, for playing in bed so much. You know, my husband and I talked. So, I believe in God, I think God takes care of me. \", \"completion\": \"Okay, Are you affiliated with any religious institution?\"}\n", "{\"prompt\": \"I was raised Roman Catholic. But I haven't been deterred in a couple of years.\", \"completion\": \"Can you describe to me how socio or social cultural influences like your values, beliefs and culture have affected your life?\"}\n", "{\"prompt\": \"Well, what I learned in Sunday school, you know, it helped me to be a better person to treat people well. My parents used to talk about giving back to the community growing up you know when I was in Carl scouts, giving back to the community, trying to pass that on to my kids,\", \"completion\": \"Do you identify with a particular ethnicity?\"}\n", "{\"prompt\": \"Italian American\", \"completion\": \"Italiam American ?\"}\n", "{\"prompt\": \"Yes,\", \"completion\": \"that influenced your life anyway?\"}\n", "{\"prompt\": \"Well yeah, I guess I take pride in my culture. Maybe not so much growing up, but now but now. Yeah.\", \"completion\": \"Okay, I'm going to switch gears again. I want to talk about your educational history. can tell me your highest level of education?\"}\n", "{\"prompt\": \"Yeah, one year of graduate school\", \"completion\": \"one year of graduate school?\"}\n", "{\"prompt\": \"yeah\", \"completion\": \"And when was the last time you attended a school?\"}\n", "{\"prompt\": \"16 years ago. I dropped out when we got engaged.\", \"completion\": \"Okay. So if you went to graduate school, I'm going to assume that you have a bachelor's of some type. Yeah. What's your degree in?\"}\n", "{\"prompt\": \"in history?\", \"completion\": \"Anything else in terms of like special training or education you have?\"}\n", "{\"prompt\": \"No.\", \"completion\": \"Did you enjoy school?\"}\n", "{\"prompt\": \"Yes, very much\", \"completion\": \"You ever envision going back to school?\"}\n", "{\"prompt\": \"Yeah, I think when the kids are a little older. get sad about not finishing my degree.\", \"completion\": \"The graduate degree?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Okay. Do you have any military history?\"}\n", "{\"prompt\": \"No\", \"completion\": \"Now I want to talk about your employment history. Okay. Okay. So you mentioned that talk about how it currently spend your day that you work your full time?\"}\n", "{\"prompt\": \"I do.\", \"completion\": \"What type of company you work for?\"}\n", "{\"prompt\": \"I work for a bank\", \"completion\": \"and what do you do for them?\"}\n", "{\"prompt\": \"I am teller\", \"completion\": \"Okay. How long you been there\"}\n", "{\"prompt\": \"10 years now.\", \"completion\": \"You enjoy the work?\"}\n", "{\"prompt\": \"It's not that challenging.\", \"completion\": \"Not not that difficult?\"}\n", "{\"prompt\": \"yeah\", \"completion\": \"Are you in any danger of losing your job? Because what's going on with you now?\"}\n", "{\"prompt\": \"Now? No, I'm not in danger of losing my job, but I'm not happy. I'm not happy there.\", \"completion\": \"So they've been your employer for last 10 years. You just have one job right now, right?\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"Okay. Who is your player prior to that?\"}\n", "{\"prompt\": \"I worked for another bank.\", \"completion\": \"How long were you there?\"}\n", "{\"prompt\": \"Six years.\", \"completion\": \"And what did you do for them?\"}\n", "{\"prompt\": \"Same thing.\", \"completion\": \"And why did you leave that bank?\"}\n", "{\"prompt\": \"we relocated\", \"completion\": \"was that also easy as you Described\"}\n", "{\"prompt\": \"oh yeah\", \"completion\": \"any work history prior to that?\"}\n", "{\"prompt\": \"I waitress at graduate school and in college\", \"completion\": \"a few different places?\"}\n", "{\"prompt\": \"Yeah, yeah. One place in college on in graduates school \", \"completion\": \"Okay. All the work you've done what type of work you enjoyed the best?\"}\n", "{\"prompt\": \"That's a good question. None of it really I liked it when I was in school best. I don't like work.\", \"completion\": \"See, you don't feel satisfied. I wanted to hear what you'd prefer or to your education or anything like that.\"}\n", "{\"prompt\": \"But just the thought of going out there and looking for another job or changing fields, I really don't know what I have to offer. It just seems I have to do the resume. I don't even know how to begin.\", \"completion\": \"So seems daunting.\"}\n", "{\"prompt\": \"Yeah. Like, right now i feel all I can do to get in there to work and get home and take care of the kids. \", \"completion\": \"So you're tired with your time with your child right now. So you thought of going through all the effort of finding something new. It's intimidating. We touched on this area earlier. I'm going to shift gears again to legal involvement. You mentioned some legal history when we were going through the symptom checklist. And if I remember correctly, it sounded involvement marijuana and paid when you're in college.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Police were called what happened that night?\"}\n", "{\"prompt\": \"Well, my friends and I, I guess we were having a party in the common area of the dorm, and I guess we got too loud. There are some professors living in the dorm. They call Campus Security, Campus Security came and I was found with a bag on me and I ended up down at the police station my other friend to the two of us were down there but you know, it didn't really amount to too much. It's it's hard to remember the whole night because I was pretty wasted but it really sort of got brushed over me.\", \"completion\": \"You mean the offense like, you know, I have a criminal record.\"}\n", "{\"prompt\": \"No, no, no, it was expunged. That's not on my record. I don't have a record.\", \"completion\": \"Does it ever caused you problems?\"}\n", "{\"prompt\": \"No. No, it's embarrassing, but that's about it.\", \"completion\": \"So as we get Near the end of this intake, and we move toward the regular sessions, you know, the the 53 minutes sessions or however long you know, they'll be that you would typically think of anything of therapy. Right? We will talk about goals on off during those sessions. Okay, those meetings in detail in an actually completed treatment plan that include your goals and objectives to meet those goals. But before we get into that detailed plan, and we'll actually take the better part of a session to review that and built that treatment plan. I'd like to get a general idea of your goals. Now I kind of know what you're wanting to describe. I have an idea of your presenting problems. What are your What are your general goals with therapy?\"}\n", "{\"prompt\": \"I say, Well, I'd like to be able to get along better with other women. I just like to feel better overall, you know? I honestly don't know I thought it was them. And then I started thinking, well maybe it's me because it happened to the other place at work too kind of the same and like I said, with the women in the neighborhood I'd also like to be able to be a better mom. Like I said, I spend lot of time in bed lately. I'm not that great of a mom or wife. I'm pretty boring. I Just asleep a lot.\", \"completion\": \"Can you remember a time when you didn't feel this way?\"}\n", "{\"prompt\": \"Yeah. Like, even last year.\", \"completion\": \"even last year?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"okay\"}\n", "{\"prompt\": \"Yeah, I mean, it still wasn't great at work. But you know, it was uncomfortable. I'd say with my coworkers it's really escalated. But you know, that other part at home it wasn't. It wasn't as hard. I was gonna have more energy.\", \"completion\": \"Okay, tell me about your strengths. What do you do? \"}\n", "{\"prompt\": \"Umm Well, normally I am a good mom. I love my kids. I'm a very good parent in terms of disciplining them not being the way my mom was, you know, I want them to know they're loved as really important that they know they are loved. My kids know that they are loved. And my strikes I'm smart, creative when I have the energy, mysisters think I'm funny. My friends thinks I could cook.\", \"completion\": \"good cook, do you think you're funny?\"}\n", "{\"prompt\": \"Um, I never really thought I was but last year a lot of people were telling me I was not now.\", \"completion\": \"Things have changed markedly on that in that department?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"Wow, that's a lot of strengths. So we're almost done with intake today. Right? We'll be starting the regular sessions later starting next week. \"}\n", "{\"prompt\": \"Okay, nice. \", \"completion\": \"You can set that appointment up front. Okay. We'll find something that works for your scheduling and for mine. Before we wrap up, you remember earlier in the intake, you mentioned that you had some suicidal thoughts within the last 30 days, such indicated and I told you that we will come back to that. So, I want to touch on that briefly before we break for the day. Can you tell me about the suicidal ideations that you're having? \"}\n", "{\"prompt\": \"Well, it's not really like I'm picturing Am I gonna get a gun blow my brains out or anything like that. It's more like when I get home from work and I'm lying there I want to go down you know, play hearts with my kids or something like that and I just I can't do it. I just want to turn the lights out and I do and go to sleep. I think like if I just went to sleep right now didn't wake up tomorrow. You know, how bad would that be?\", \"completion\": \"So kind of a passive suicidal thinking process. You don't have any intent to harm yourself? Or any plan to harm youself.\"}\n", "{\"prompt\": \"No No\", \"completion\": \"Are you sure?\"}\n", "{\"prompt\": \"yeah.\", \"completion\": \"Okay. There's a term we use in counseling called contracting for safety. Right? What that means is that you can essentially Promise me that you're going to be safe. You know, at least in our next session, but really it's for the foreseeable future. Right. So can you contract for safety?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"What would you do if these suicidal thoughts started become more pronounced? Let's make a plan around that. I'm not predicting or hoping to take will and I don't have any reasonably they will, but I want to be prepared. I want you to be prepared just in case sometimes have these thoughts that kind of imagine that sometimes you're not thinking about them at all and other times are a little stronger. So if they get if they get stronger, if there's a market change in them, Okay, so it comes less passive and more. You start thinking about a plan or something like that. Tell me what you would do?\"}\n", "{\"prompt\": \"I guess I can call my sisters okay\", \"completion\": \"You said you can call call your sister or your husband and say they weren't available as we've kind of move up, like to the plan.\"}\n", "{\"prompt\": \"I can call my best friend. Yeah, even though like we haven't talked in a long time, I could call her anytime. It's like, No Time passes. \", \"completion\": \"All right. Those are all good good ideas. Say you weren't successful at that level because you couldn't get ahold of those individuals. And the thoughts were persisting What else could you do what other remedies to have available to\"}\n", "{\"prompt\": \"Don't know\", \"completion\": \"I think that that's a good place to start family supports. And usually that works out fairly well, because you typically get a hold of one of those people. If let me say this if the suicidal thoughts changed dramatically, to where you feel in danger for your life like you, you're really seriously contemplating it. Yeah. All right, call 911.\"}\n", "{\"prompt\": \"Okay, okay.\", \"completion\": \"Less than that though, meaning they just get a bit worse. Use your supports. You can try and get ahold of me if I'm available. I'll get back to you. And if I'm not available, they might feel attracted to a counselor here that is. But again, if for some reason, every remedy attempt is unsuccessful. You can't get through. You can always go directly to an inpatient facility. Right? or call 911. does seem like relatively extreme measures, but losing your life would be more extreme. \"}\n", "{\"prompt\": \"TRUE\", \"completion\": \"But I want to emphasize most of the time getting in touch with family and getting supports around you House a lot. Okay, so the first call 911 would only be if it's if it really gets dramatically worse from where it is now. Okay, that makes sense. \"}\n", "{\"prompt\": \"Yes, sure. \", \"completion\": \"Last thing I want to talk to you about before we have our first session is I want to Well, I want to thank you for coming into that. Right. And I know that I know that these intakes are relatively dry. I mean, you're talking I'm writing when I'm taking down information. It's very helpful for me, though, for your treatment later on. But I realize it's not the traditional understanding most clients have counseling. \"}\n", "{\"prompt\": \"Yeah, right\", \"completion\": \"Just supplying data to the counselor all the time, right? We'll get to the I guess you could say quote unquote, real sessions when we start next time. But I want to thank you for being patient through this process. It really will help us to get more valuable you to get more value out of those sessions. \"}\n", "{\"prompt\": \"All right.\", \"completion\": \"And I want to encourage you, I know that from what you said in the intake, that you're feeling down, if like you're relating well to your coworkers, it's it appears that you're disappointing yourself and how you're relating to your children and your husband. Like, not a good mom, not a good spouse. All all these thoughts are understandable in the context of being down or maybe depressed, right? If that's what's going on, it sounds like that is what could be going on. \"}\n", "{\"prompt\": \"Ok\", \"completion\": \"We'll figure it out as we, as we move through and work toward a diagnosis. But as you commit to therapy, and as you come in for counseling regularly, I hope that these symptoms would improve. And oftentimes they do, obviously, I can't guarantee it, but oftentimes they do. So I want to, I want you to recognize that it's a value to be hopeful, and to look forward to good things. And to realize you take a big step by coming here today. And it was difficult and it wasn't easy by answering all these questions rehashing all these things. And the work of counseling itself is challenging times. But I do think it's worth it. If it has a good chance it does, of improving how you feel. So I want to applaud your commitments that encourage you to attend the first session and attend every session and really work through this process. Do you have any questions for me before we end today?\"}\n", "{\"prompt\": \"Umm No, I don't think so.\", \"completion\": \"If you should have any questions to rise, I know for me, I always think of the best questions after I leave. You know, if I'm in an environment where I'm supposed to ask questions, and somebody says that, it's always when I get my car that I remember them. Yeah. So if that happens to you, feel free to give me a call and leave a message. And I'll be happy to get back to you with an answer as soon as I can. So I look forward to seeing you next week then. \"}\n", "{\"prompt\": \"Okay, good. \", \"completion\": \"Thanks again\"}\n", "{\"prompt\": \"I am okay, I gues\", \"completion\": \"Just okay ?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"I'm going to ask you some questions and give you some problems to solve. Please try to answer them as best as you can. What year is this?\"}\n", "{\"prompt\": \"2014\", \"completion\": \"2014?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"What season of the year is this?\"}\n", "{\"prompt\": \"summertime\", \"completion\": \"summertime ?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"What is the date today?\"}\n", "{\"prompt\": \"10th may\", \"completion\": \"May 10th ?\"}\n", "{\"prompt\": \"yeah\", \"completion\": \"What is the day of the week?\"}\n", "{\"prompt\": \"Thursday\", \"completion\": \"What month is this?\"}\n", "{\"prompt\": \"May\", \"completion\": \"Can you tell me what country we're in?\"}\n", "{\"prompt\": \"Delaware.\", \"completion\": \"What County are we in?\"}\n", "{\"prompt\": \"Delaware.\", \"completion\": \"What is the name or the address of this building?\"}\n", "{\"prompt\": \"Umm I guess\", \"completion\": \"What floor of the building are we on the\"}\n", "{\"prompt\": \"bottom floor\", \"completion\": \"bottom floor ?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"I am going to name Three objects. After I've said them, I want you to repeat them back to me. Apple, Table, Penny, can repeat them back to me?\"}\n", "{\"prompt\": \"Penny\", \"completion\": \"let me go again. Apple, Table, Penny \"}\n", "{\"prompt\": \"Apple. Table. Apple.\", \"completion\": \"Let me try again. Apple Table Penny\"}\n", "{\"prompt\": \"Apple Table Penny.\", \"completion\": \"Okay, good. Remember what they are? Because I'm going to ask you to name them again in a few minutes. Now I'm going to give you a word and ask you to start it forward and backward. The word is world. First, Can you spell the forward ?\"}\n", "{\"prompt\": \"Can you say that again ?\", \"completion\": \"the word is the world.\"}\n", "{\"prompt\": \"W U R A D\", \"completion\": \"Now, can you spell it backward?\"}\n", "{\"prompt\": \"What word in ?\", \"completion\": \"The word in world ?\"}\n", "{\"prompt\": \"D R W\", \"completion\": \"Okay. What were the three objects I asked you to remember.\"}\n", "{\"prompt\": \"Table World World\", \"completion\": \"Okay What is this called?\"}\n", "{\"prompt\": \"bracelet\", \"completion\": \"bracelet ?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"What is this is called ?\"}\n", "{\"prompt\": \"marker.\", \"completion\": \"I would like to repeat a phrase after me. The phrases, no ifs, ands or buts\"}\n", "{\"prompt\": \"no if, ands, or buts.\", \"completion\": \"I want you to read the words on this page and do it like this.\"}\n", "{\"prompt\": \"....\", \"completion\": \"Thank you. Are you right handed or left handed.\"}\n", "{\"prompt\": \"Left handed\", \"completion\": \"you're left handed\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"Take this paper in your left hand. Fold the paper once with both hands and put the paper down on your lap. Okay. You pick up the notebook besides you. Can you write any complete sentence on a piece of paper for me?\"}\n", "{\"prompt\": \".....\", \"completion\": \"Okay. hang on to the pen there. Here's a drawing. Please copy this drawing on that same piece of paper\"}\n", "{\"prompt\": \"....\", \"completion\": \"copied on the same piece of paper. Yeah sure.\"}\n", "{\"prompt\": \"Take a look at\", \"completion\": \"That concludes this assessment. Sandra. I want to thank you for your participation.\"}\n", "{\"prompt\": \"Hi Dr. Grande, about the same.\", \"completion\": \"About the same ?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"what was going on ?\"}\n", "{\"prompt\": \"Well, it might be a little worse had you know, I've been talking about my problems with the perks. The past couple of times I've seen you and I don't know I think at work, they might be starting to notice a little bit.\", \"completion\": \"They might be starting to notice that you're under the influence of the Percocet?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Could before I remember when we talked, it seemed like you felt safe in that No one was gonna find you out.\"}\n", "{\"prompt\": \"Well, yeah, because when I take them, I feel normal. Like, it makes me feel like I can function. And I feel normal. But like, definitely last week, my coworker in the cubicle across the way was she was looking at me, she was just looking at me really funny and, and then also, I've been having a little bit of trouble with the numbers. I'm just not. I'm not on my game the way I used to be. And I know that there is a connection to the drugs.\", \"completion\": \"So in terms of concentrating, focusing?\"}\n", "{\"prompt\": \"yeah, yeah, definitely. It's hard to focus but if I don't do it I don't know. I mean, I can barely get out of bed. I can I don't know, I'm completely what to do \", \"completion\": \"And this is tough for you. The Percocet makes you feel normal. I would talk about this before. Yeah, it used to give you high, but not anymore.\"}\n", "{\"prompt\": \"No, right. It is not fun.\", \"completion\": \"But it makes you feel normal.\"}\n", "{\"prompt\": \"Right.\", \"completion\": \"And we've talked about the detox options.\"}\n", "{\"prompt\": \"Oh god no.no no no, \", \"completion\": \"it's not something that you want. So really, what's changed to make things more difficult is that you're worried that your coworkers are on to you. Right. And it's your performance in terms of focusing on on your accounting work has been compromised as well. \"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"is that right ?\"}\n", "{\"prompt\": \"Yeah. And when you put it that way, she's definitely noticed it and she talks to so it's not like she's if she thinks something's up. With me, she's going to keep it to herself. So that would be the reputation piece and then also, the quality of my work. I know it's, it's not the same, it's a lot harder for me to produce what I used to.\", \"completion\": \"And you're afraid that's going to be noticed as well?\"}\n", "{\"prompt\": \"Yeah, for sure. But I can't take detox, there's it's just not an option.\", \"completion\": \"Alright. Let's talk about I want to do some scaling work. I want to talk about the importance of this change to you know, cuz we've been talking about this change for a while\"}\n", "{\"prompt\": \"that change, like giving up the Percocet. \", \"completion\": \"Yeah. Let's talk about, let's just talk about the importance of it though. So just focus on that one narrow piece. Okay, we're just we're just talking about how important it is. So on a scale of one to 10, with one being not important at all, and 10 being extremely important. How important is it to you that you that you can make this change? Can you make this change?\"}\n", "{\"prompt\": \"See, I go back and forth. I don't know that it's that important. Well, if I lose my job, that would be horrible. So maybe it is pretty important. I mean, it's important that I keep my job. It's really important that I keep my job, and then it keeps my reputation.\", \"completion\": \"Well, so it's important that you keep your job and that importance, in a sense now appears to be tied to the importance of not using Percocet. They've been tied together a little bit, right.\"}\n", "{\"prompt\": \"Yeah, because to get out of bed, yeah. Okay.\", \"completion\": \"So if you if you if you had to pick a number one to 10, or 10 is extremely important. How important is it to you to make the change?\"}\n", "{\"prompt\": \"7 8 7.\", \"completion\": \"7 so fairly important.\"}\n", "{\"prompt\": \"Alright, eight. I mean, I got to keep it up.\", \"completion\": \"You have to keep it up?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So let's talk about another construct. That's important.\"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"I want to talk about confidence. So using that same scale, how confident are you that you can beat the Percocet?\"}\n", "{\"prompt\": \"That's what I've been trying to do for how long have I been coming in here?\", \"completion\": \"About about six months now.\"}\n", "{\"prompt\": \"I've tried I mean, I have really tried. I know I can't I don't I don't. I don't think I can do it.\", \"completion\": \"So it was in the one to 10 scale. What do you think you would be?\"}\n", "{\"prompt\": \"Like 0 1 I can't. I've been trying.\", \"completion\": \"So very low confidence, nope really no confidence. You have no confidence. You have no confidence that you can change and it's very important to you that you do change. So this is a real bind the trend. \"}\n", "{\"prompt\": \"Yeah, it's pretty depressing.\", \"completion\": \"You mentioned that one of the reasons your confidence is low is because you tried over the last six months and working with me and you've not been successful at stopping the Percocet use.\"}\n", "{\"prompt\": \"I'll leave here swearing to myself. I'm done. You know that next week I'm going to come in and I'm going to tell you that I didn't use at all and then like before, I'm in bed. I've already taken some you know that night.\", \"completion\": \"So it's easy to see where the low confidence rating comes in. Based on your experiences the last six months. How about other times when you've been able to make a tough change? If you look through your, your past and different experiences, has there been any other occasions where you have been successful, beating something like this and making a tough change?\"}\n", "{\"prompt\": \"Well, yeah, I mean, I used to I used to with the gambling I guess, I I used to hit Delaware Park, you know, on a regular basis and spent a lot of money and my husband was pretty upset about it and I had a really hard time stopping that. \", \"completion\": \"So that was those tough that was. Would you say that you felt addicted to gambling?\"}\n", "{\"prompt\": \"We Oh yeah, definitely.\", \"completion\": \"And it was painful to stop. Are you happy that you did stop?\"}\n", "{\"prompt\": \"Oh, God, I would never want to go back to that. Yeah.\", \"completion\": \"So when you were in the middle of that addiction of gambling, right, how likely to seem that you would be able to stop back then?\"}\n", "{\"prompt\": \"Yeah, that's that's a really good point. I didn't think that I was going to be able to say probably about a to two or three. \", \"completion\": \"So there's some parallels here between what happened with the gambling and with what's happening now the Percocet.\"}\n", "{\"prompt\": \"I didn't think about it that way. So I really didn't think I could do it then and it's been, you know, a couple years since I've even been in a casino.\", \"completion\": \"So you would say you were successful at beating that addiction?\"}\n", "{\"prompt\": \"Yeah, definitely.\", \"completion\": \"Definitely success, so what happened? \"}\n", "{\"prompt\": \"It's so different. It's different. It's so different. Oh my god. Let's talk about that. Just like I just find myself popping them in my mouth. You know.\", \"completion\": \"So the mechanism is different. Like for the gambling, you'd have to drive to the casino to drive Delaware Park. \"}\n", "{\"prompt\": \"Right\", \"completion\": \"You'd have to have money\"}\n", "{\"prompt\": \"Right, Right. \", \"completion\": \"Whereas the the percocets so easy. Yeah that you get them for my friends.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"And it's a lot easier to consume and Percocet than to get in your car and make the time and so the mechanism is different.\"}\n", "{\"prompt\": \"Okay\", \"completion\": \"But wonder if there's any similarities with this? Well, with the success and the potential success, meaning you you thought that you could never stop gambling, you think that you could never get through detox?\"}\n", "{\"prompt\": \"I didn't think about detox, but you're right. It was miserable in that period when I first stopped kind of casino and I felt that really strong urge to go. And I made it through that, my husband was amazing.\", \"completion\": \"You husband was supportive?\"}\n", "{\"prompt\": \"Oh yeah, he was really great. He would sit with me he would talk me through it. We go to movies sweet, you now he was really encouraging. Probably be really happy to see me stop using these Percocet too.\", \"completion\": \"So as you reflect on your confidence, and this is not something you necessarily need to do right now. It's probably important to consider that you were successful before in the past. All the circumstances were different. \"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"But you gained too high from that gambling.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"that was it was addictive?\"}\n", "{\"prompt\": \"Right\", \"completion\": \"and and you beat it and it and it was hard it was challenging but you also have a supportive husband. Would you have your support your husband if you tried to stop Percocet?\"}\n", "{\"prompt\": \"Oh, yeah. Yeah. He He's really, you know, upset, by the way, and I'm taking them and he's really worried about me losing the job. I don't see why he wouldn't be able to help me in the same way, I guess.\", \"completion\": \"Well, since this since stopping is important to you, but your confidence is low. But this might be a good area to kind of process which is, you know, you do have the supports in place, and you have successfully defeated addiction before. So it's something to consider, as you weigh, you know, I know that detox is something you've expressed really clearly that you're not a big fan of and I can appreciate your reasons. At the same time, get support, you don't lose your job. So, let's do this. Let's, between now and when I see you next, maybe reflect on some of the strengths and supports and the past successes you've had. \"}\n", "{\"prompt\": \"Okay\", \"completion\": \"And see if we can accurately factor those into this equation. Right as you're processing through and and considering a very tough decision. So it makes sense?\"}\n", "{\"prompt\": \"I can definitely do that. Yeah.\", \"completion\": \"So we'll pick up next week there. And I really appreciate you coming in today.\"}\n", "{\"prompt\": \"Thanks a lot.\", \"completion\": \"Thanks, you\"}\n", "{\"prompt\": \"Oh, that's a lot but all right.\", \"completion\": \"A lot of information there.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"All right. Let's start with. Can we start with your parents and tell me what you feel comfortable? Tell me about them?\"}\n", "{\"prompt\": \"Well, my father was incarcerated when I was four for drug trafficking.\", \"completion\": \"Drug trafficking.\"}\n", "{\"prompt\": \"Yeah. And he died a few years ago from a stroke.\", \"completion\": \"How many years ago,\"}\n", "{\"prompt\": \"about three years ago\", \"completion\": \"It would age was he when he passed away. To be\"}\n", "{\"prompt\": \"honest, I don't even remember. I don't really talk to him.\", \"completion\": \"How much your mother\"}\n", "{\"prompt\": \"My mom is crazy.\", \"completion\": \"Tell me about that.\"}\n", "{\"prompt\": \"Um, when I was in high school, and I would still live with her. Sometimes I would come home and there was no running water. There was no electricity, there was no nothing. She had gambled the money away. We've had several times where I've had to hide the cars, in fear of them being repossessed. And I couldn't take it after a while and I moved out when I was about 16 She calls me every now and then sometimes for money sometimes to talk, really talk to her about.\", \"completion\": \"So, how would you describe the quality of your relationship right now?\"}\n", "{\"prompt\": \"Not good. Not good.\", \"completion\": \"It sounds like there's not much communication.\"}\n", "{\"prompt\": \"Not anymore. No, no, she's tried but I refuse to speak to her.\", \"completion\": \"Do you know if your father mother, either one has any history of mental illness?\"}\n", "{\"prompt\": \"Um, my mom was diagnosed as bipolar. Um, my father, I don't know much about him. I know he had a problem with anger to\", \"completion\": \"you remember that?\"}\n", "{\"prompt\": \"Yeah, I do.\", \"completion\": \"So that's your father and your mother. have any siblings?\"}\n", "{\"prompt\": \"I have an older sister and a younger sister.\", \"completion\": \"Two sisters?\"}\n", "{\"prompt\": \"Well, my older sister pretty much raised me and my younger sister. Since mom was never around and dad was in jail. I love her to death.\", \"completion\": \"This is your older sister,\"}\n", "{\"prompt\": \"my older sister.\", \"completion\": \"How about your younger sister?\"}\n", "{\"prompt\": \"My younger sister. Um, we don't talk very much. She doesn't want to talk to me. She says I'm a bad influence. \", \"completion\": \"a bad influence on?\"}\n", "{\"prompt\": \"her on her, her her friends. I think she's kind of stuck up. I mean,\", \"completion\": \"we're actually think that\"}\n", "{\"prompt\": \"does she think she's better than me? Just because well She went to college. Well, good for you.\", \"completion\": \"All right, so it sounds like a positive relationship. Kind of admire your older sister. Is that right?\"}\n", "{\"prompt\": \"Yeah, I love my older sister.\", \"completion\": \"And her relationship with younger sister is a little bit different. I mean,\"}\n", "{\"prompt\": \"I love her too. And I can deal with her in small doses, but that's pretty much it.\", \"completion\": \"How often you communicate with each one?\"}\n", "{\"prompt\": \"My older sister I talked to you, like almost every day. Um, you know, she's always there to know shoulder to cry on or, you know, if I'm in a bind, and I need some money, she's always willing to help me out. She can watch the kids if I need to go somewhere. If she's, she's my rock. younger than I mean, we talked maybe every other week. Let us know what each other is up to. Maybe we'll go to dinner.\", \"completion\": \"So, quite a bit closer to your older sister than younger sister. Any mental health history with either sister.\"}\n", "{\"prompt\": \"Um, my older sister was depressed and has a lot of anxiety when she was young, because she dealt with more of my dad that I did\", \"completion\": \"Okay. So does your older sister or your younger sister for that matter? know that you're? You're here?\"}\n", "{\"prompt\": \"Oh, my older sister does my older sister I haven't spoken to her this week yet. \", \"completion\": \"So are you planning on telling her?\"}\n", "{\"prompt\": \"Yeah, I don't see why not. Maybe it'll kind of humanize her a little bit. Like, I'm not as bad as person She thinks I am\", \"completion\": \"Do you feel a need to make a positive impression on them?\"}\n", "{\"prompt\": \"No, but I think sometimes it's easier. It's easier. It's easier. You're not being the bad sister.\", \"completion\": \"That's how you believe you're viewed.\"}\n", "{\"prompt\": \"Yeah. by her by her.\", \"completion\": \"All right. How about grandparents?\"}\n", "{\"prompt\": \"My dad's family they don't really know about.\", \"completion\": \"Any mental health history that the grandparents are aware of.\"}\n", "{\"prompt\": \"I mean, the one grandma that was still alive, she had like some kind of dementia or something and then all timers dementia\", \"completion\": \"How about aunts, uncles, cousins? Hey babe. No,\"}\n", "{\"prompt\": \"I had a lot of cousins. A lot of cousins in and out of the house at various points in the even in the day, sometimes I leave for school, there'd be a certain set of cousins. They're coming from school completely different set.\", \"completion\": \"have contact with them? Um,\"}\n", "{\"prompt\": \"do like social media and stuff. I mean, they're all spread out over the country now. But, you know, I keep in contact with them as much as I can.\", \"completion\": \"about children?\"}\n", "{\"prompt\": \"I have two children.\", \"completion\": \"Okay, tell me about them. \"}\n", "{\"prompt\": \"Um, they are the loves of my life.\", \"completion\": \"which sister\"}\n", "{\"prompt\": \"my older sister she watches them when I'm off okay\", \"completion\": \"so.\"}\n", "{\"prompt\": \"you want to kindergarten and the other in\", \"completion\": \"the second grade you mentioned when can you gardens a son\"}\n", "{\"prompt\": \"She comes home with like they have like not the merits but like well referrals. She likes to be kind of a pushover. Not pushover but like a bully at school or boy. I've gotten several calls from the principal and our teachers saying she pushed another kid Oh, get another kid asked if he could have A piece of paper and she yelled and screamed. You know, she comes home and I feel I'll yell at her. Do you like this? Do you like me yelling at you? Why would you yell at somebody else?\", \"completion\": \"This problem worry, behavior.\"}\n", "{\"prompt\": \"Well, yeah, I mean, I got in trouble in school too. When? I mean, not when I was her age. I was kind of better at school when I was in her age, but I don't want to go down the same path.\", \"completion\": \"Sure, a little worried about that. Yeah.\"}\n", "{\"prompt\": \"Um, I see them. I mean, why I work so I don't see the one on there. They go to daycare, but sometimes if I like go out to a party or something where I know some stuff that's gonna be there or there's parties over at my house where I know some stuff that's going to be there. I dropped off with my sister.\", \"completion\": \"When you say stuff to so clear, you mean drugs.\"}\n", "{\"prompt\": \"Yeah. drugs, alcohol. Yeah, I'd rather my kids not see me like that. So I say,\", \"completion\": \"so you're protecting them from that. Oh yeah yeah\"}\n", "{\"prompt\": \"doing okay,\", \"completion\": \"dude, okay. Yeah, I understand you're here to receive counseling services.\"}\n", "{\"prompt\": \"My boss sent me here, your boss sent you here.\", \"completion\": \"What's going on with you and your boss?\"}\n", "{\"prompt\": \"Ah, that's not even between me and my bosses. I'm a good worker at my job. I get everything done on time, but they're calling me inflexible and perfectionist.\", \"completion\": \"So who's who's calling you in flux for perfectionist?\"}\n", "{\"prompt\": \"Well, my boss has called me that.\", \"completion\": \"I've had several coworkers. There was a recent incident where somebody wanted to change days with me, but I told them the schedules that I'm supposed to be here on Wednesday. You can't change it. That's the it's right there like a white. I work Wednesday, you can't change that.\"}\n", "{\"prompt\": \"Well, they wanted to change. And I really don't agree with that. If they needed a certain day off, they need to go through the order of command and ask for a day off.\", \"completion\": \"And they didn't do that. Instead, they asked us which day\"}\n", "{\"prompt\": \"and then they called me inflexible because I got upset about it.\", \"completion\": \"In what ways you get upset?\"}\n", "{\"prompt\": \"Well, I told them, I said that irresponsible that they didn't think ahead that they wanted to change with me. I am there at a certain time. I'm there from eight in the morning till five in the afternoon. I take my lunch at 12 o'clock. That is my Wednesday. That's always been my Wednesday. I don't know why they want to upset that.\", \"completion\": \"Alright, so that upsets you. And that upset them that whole incident? Yes. Anything else that your boss may have as a reason for\"}\n", "{\"prompt\": \"they call me a perfectionist because I like the things done by the book, which I think makes me a great worker, because I get everything done. You know, on deadlines, not before, not after, right on the deadline. And everything is just exactly, you know, everything's filed. Everything's organized. And some people like to, you know, take a file online, you this to fill out a report and it's there. It's in the file. You can't touch it, you can't move it. That's where it needs to be.\", \"completion\": \"So you need to self fairly well organized as employee.\"}\n", "{\"prompt\": \"Oh, absolutely. Yeah, absolutely. Like,\", \"completion\": \"you mentioned you there from eight to five. and take your lunch from 12 to 1230.\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"How many days in the last say, three months? Have you been late left early?\"}\n", "{\"prompt\": \"Oh, 000. You know, on there, eight to five, eight o'clock in the morning to five, I wake up at six. I get ready. I leave for work at seven. I get there at eight. Every, the whole day has a schedule. And I meet that schedule. And it's the best thing for me.\", \"completion\": \"So this is this is frustrating for you that your coworkers can understand where you're coming from.\"}\n", "{\"prompt\": \"I just don't get it. You know, I'm doing everything by the book by the Vols. And I'm in trouble somehow. Something's wrong with me because I do it right I do it the right way. And that's wrong somehow, and I don't get it.\", \"completion\": \"Have you ever had to work in a, like a group like team with any of your coworkers?\"}\n", "{\"prompt\": \"They've made me but I don't like it. Because I know the way we need to do things. If we're given a project, okay? It starts with A, B, C, D, and then no, everybody wants Oh, let's do c o, d, and then F. No, no, no, no, A, B, C, D, there is no deviation from that. And then they get mad at me.\", \"completion\": \"So, working in groups hasn't worked out too well for you.\"}\n", "{\"prompt\": \"Not really, not less. People listen to me.\", \"completion\": \"So in instances where people listen to how have things worked out,\"}\n", "{\"prompt\": \"if I oversee everything, I still get on uncomfortable because, you know, they're out of my sight. I don't know what they're doing. Sometimes, you know, I have to watch person, you know, one person, other persons over there. I don't know what they're doing. And if it's not done, right, it's not done right. And that's bad.\", \"completion\": \"Can you tell me anything about Sure. mood in general, in terms of Have you felt sad or anxious or anything like that recently?\"}\n", "{\"prompt\": \"No particular I get, I guess I feel anxious sometimes when things aren't going the way they need to go. Because then it puts off the whole day. And that does, I guess I would, I would consider that, you know, anxiety because if it's not going the right way, one thing goes wrong, the whole day is thrown off. And then now I have to deal with that. Now I have to adjust my whole schedule, environment, and that has caused me anxiety, even by men, even by a minute\", \"completion\": \"So if you're, if your day is not going the way you planned for it to go, you're feeling some anxiety from that. Absolutely. No. Does your employer ever have like, unscheduled meetings or anything like that that happens\"}\n", "{\"prompt\": \"that he does, he will schedule some, some unscheduled meetings. And I've, I've commonly I've tried to call me approach him and say, you know, there's a meeting, we need to know about it. You know, I need to schedule my day around the meeting. He wants scheduled meeting at 1220. And I told him, I'm at lunch 12 to 1230. Why do you think that's appropriate? I mean, sometimes I feel like I'm the only smart person there and the only person who knows how this needs to run.\", \"completion\": \"She has some different stressors at work.\"}\n", "{\"prompt\": \"I presume sort of my home like burying meat, you know, if you go into my home, everything's nice. Everything's where it needs to be. I have my meals scheduled out, I have a nice little calendar. Everything's, you know, planned, you know, Thursday's chicken Fridays, tamales and so on and so forth.\", \"completion\": \"So your home life's a bit like your work life in terms of being organized.\"}\n", "{\"prompt\": \"That's the right way to do it.\", \"completion\": \"Do you ever in terms of your home life ever collect anything?\"}\n", "{\"prompt\": \"Yeah, I do. \", \"completion\": \"Do keep them in your home.\"}\n", "{\"prompt\": \"receipts receipts? Well it says to keep it. I mean, I've always known you have to keep receipts. You don't know when you're ever going to have to prove that you purchase something or when you have to return something.\", \"completion\": \"So what percentage of the receipts that you're given Do you think that you keep all of them\"}\n", "{\"prompt\": \"every single one I get very upset if I don't me if I go to McDonald's, or food fast food place, I want everything. I'm\", \"completion\": \"gonna ask you some some questions. Boom, come back to work, kind of regarding your work schedule.\"}\n", "{\"prompt\": \"I wash my hands before eat after I eat\", \"completion\": \"Do you ever find yourself like having washed your hands and then going back and washing them several other times?\"}\n", "{\"prompt\": \"No, there's there's no need to do that. Nobody do that. No, you wash your hands 30 seconds. That's it. That's all you need to do.\", \"completion\": \"Do you have any particular concerns about germs or anything like that?\"}\n", "{\"prompt\": \"I try to keep me but I don't particularly know.\", \"completion\": \"Have you ever found yourself in a situation where touching something repeatedly like a doorknob or operating a light switch? Seems to lower your anxiety like repeatedly doing that?\"}\n", "{\"prompt\": \"Not at all. Now that seems like a waste of time.\", \"completion\": \"That's that'd be inefficient.\"}\n", "{\"prompt\": \"Yeah, yeah, there's no need to do that. How about\", \"completion\": \"double checking, for example, light switches or to make sure the doors are locked. I made\"}\n", "{\"prompt\": \"sure my doors are locked. The first time Okay,\", \"completion\": \"so check but just the one time\"}\n", "{\"prompt\": \"well I do it. Well, you know, when I come in the door, lock the door. That's it. Okay.\", \"completion\": \"So what do you think the solution here is your your employer sent you in for counseling. Like the change,\"}\n", "{\"prompt\": \"he wants me to be more flexible to not get as upset if there is an unscheduled meeting, if somebody says switch shifts with me. I don't really understand it, but I'm in trouble at work. So I have to look into what\", \"completion\": \"you like your job.\"}\n", "{\"prompt\": \"I do like my job. I like being able to have everything I need, you know, somebody calls for something, you know, oh, it's right here. Somebody call somebody else right here. I love it. It's like a machine.\", \"completion\": \"Right? So you like your job you like how you able to be organized there. But there's some conflict with co workers and your boss you want to you want to try to work that out.\"}\n", "{\"prompt\": \"I guess I mean, I don't want to lose my job. And if this is a problem, the right thing to do would be to come speak to you\", \"completion\": \"not to open to attending counseling sessions and take a look at what's going on here.\"}\n", "{\"prompt\": \"Absolutely, if my boss requires that my boss requires that then that's the right thing to do.\", \"completion\": \"I want to appreciate you answering my questions and spin very helpful. We'll get you on the schedule to see a counselor here. I take about a week and we'll go from there.\"}\n", "{\"prompt\": \"Okay, so in a week. All right. Thank you.\", \"completion\": \"Thanks.\"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"How do you currently spend your day?\"}\n", "{\"prompt\": \"Um, well, right now, and before I came in I guess I go to work in the morning and then I come home at about 430 and take care of the kids. Get them from aftercare and then we'll have dinner, I'll make dinner and help them with their homework, My husband and I watch a TV show or something and then go to bed.\", \"completion\": \"That's a fairly typical day for you.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"What do you do for fun?\"}\n", "{\"prompt\": \"Well, lately not a lot. I mean, I used to love reading, movies. I love to make jewelry but not in a while.\", \"completion\": \"Why don't you think you enjoy those things? Now as much as you did?\"}\n", "{\"prompt\": \"Ah, I don't have as much energy as I used to. I come home from work. I'm drained, just dealing from dealing with that whole situation. And then getting the kids and homework and it's like, can be a nightmare. I mean, they have good grades, and they generally just get right into it. Sometimes it's a struggle. And frankly, I've been kind of down on myself lately because I just want to come home from work and get into bed. And I don't want to cook, and I don't want to do homework with them. And even when my husband wants to watch TV, or something, you know, a lot of times I'm asleep already. And kind of feel bad about that. Like, maybe I'm not as good of a mom as I used to be or as good of a wife. \", \"completion\": \"Do you think that this change in your mood is related to what you're talking about before with the problems at work and the relationship there. You feel like it's all tied together?\"}\n", "{\"prompt\": \"Probably. Yeah. I don't know.\", \"completion\": \"You know, which came first? Like what you're describing here with the not having much energy or the difficulty at work?\"}\n", "{\"prompt\": \"I didn't think about I think, well, I've been like this before. But yeah, it was after things started getting really bad at work. I just, I'm, like drained when I come home. You know, and I don't want to think about it. If I just go to sleep. I don't have to think about it. I don't have to deal.\", \"completion\": \"Who are the most important people in your life? And before you answer that, I'm going to guess that you're Husband your kids for occlusion so outside of them unless they're not but it sounds like oh yeah, but outside of them because we are talking about them. Who are the most important people in your life? \"}\n", "{\"prompt\": \"My sisters, my dad, my mom, my best friend although I haven't talked to her really long time.\", \"completion\": \"How long?\"}\n", "{\"prompt\": \"Well, she's texting me but we haven't like gotten together in like six months or something.\", \"completion\": \"So all the people you just listed when you have difficulties problems when things aren't going well do you feel like you can talk to these people?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"Okay, I'm going to switch gears again. I want to talk about spirituality. Can you describe any spiritual you might have and how they affect your life?\"}\n", "{\"prompt\": \"Well, I believe in God, I pray Actually, I this is was kind of funny. I was praying the morning before I decided to call the agency because I was feeling like such a bad mom. You know, for playing in bed so much. You know, my husband and I talked. So, I believe in God, I think God takes care of me. \", \"completion\": \"Okay, Are you affiliated with any religious institution?\"}\n", "{\"prompt\": \"I was raised Roman Catholic. But I haven't been deterred in a couple of years.\", \"completion\": \"Can you describe to me how socio or social cultural influences like your values, beliefs and culture have affected your life?\"}\n", "{\"prompt\": \"Well, what I learned in Sunday school, you know, it helped me to be a better person to treat people well. My parents used to talk about giving back to the community growing up you know when I was in Carl scouts, giving back to the community, trying to pass that on to my kids,\", \"completion\": \"Do you identify with a particular ethnicity?\"}\n", "{\"prompt\": \"Italian American\", \"completion\": \"Italiam American ?\"}\n", "{\"prompt\": \"Yes,\", \"completion\": \"that influenced your life anyway?\"}\n", "{\"prompt\": \"Well yeah, I guess I take pride in my culture. Maybe not so much growing up, but now but now. Yeah.\", \"completion\": \"Okay, I'm going to switch gears again. I want to talk about your educational history. can tell me your highest level of education?\"}\n", "{\"prompt\": \"Yeah, one year of graduate school\", \"completion\": \"one year of graduate school?\"}\n", "{\"prompt\": \"yeah\", \"completion\": \"And when was the last time you attended a school?\"}\n", "{\"prompt\": \"16 years ago. I dropped out when we got engaged.\", \"completion\": \"Okay. So if you went to graduate school, I'm going to assume that you have a bachelor's of some type. Yeah. What's your degree in?\"}\n", "{\"prompt\": \"in history?\", \"completion\": \"Anything else in terms of like special training or education you have?\"}\n", "{\"prompt\": \"No.\", \"completion\": \"Did you enjoy school?\"}\n", "{\"prompt\": \"Yes, very much\", \"completion\": \"You ever envision going back to school?\"}\n", "{\"prompt\": \"Yeah, I think when the kids are a little older. get sad about not finishing my degree.\", \"completion\": \"The graduate degree?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Okay. Do you have any military history?\"}\n", "{\"prompt\": \"No\", \"completion\": \"Now I want to talk about your employment history. Okay. Okay. So you mentioned that talk about how it currently spend your day that you work your full time?\"}\n", "{\"prompt\": \"I do.\", \"completion\": \"What type of company you work for?\"}\n", "{\"prompt\": \"I work for a bank\", \"completion\": \"and what do you do for them?\"}\n", "{\"prompt\": \"I am teller\", \"completion\": \"Okay. How long you been there\"}\n", "{\"prompt\": \"10 years now.\", \"completion\": \"You enjoy the work?\"}\n", "{\"prompt\": \"It's not that challenging.\", \"completion\": \"Not not that difficult?\"}\n", "{\"prompt\": \"yeah\", \"completion\": \"Are you in any danger of losing your job? Because what's going on with you now?\"}\n", "{\"prompt\": \"Now? No, I'm not in danger of losing my job, but I'm not happy. I'm not happy there.\", \"completion\": \"So they've been your employer for last 10 years. You just have one job right now, right?\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"Okay. Who is your player prior to that?\"}\n", "{\"prompt\": \"I worked for another bank.\", \"completion\": \"How long were you there?\"}\n", "{\"prompt\": \"Six years.\", \"completion\": \"And what did you do for them?\"}\n", "{\"prompt\": \"Same thing.\", \"completion\": \"And why did you leave that bank?\"}\n", "{\"prompt\": \"we relocated\", \"completion\": \"was that also easy as you Described\"}\n", "{\"prompt\": \"oh yeah\", \"completion\": \"any work history prior to that?\"}\n", "{\"prompt\": \"I waitress at graduate school and in college\", \"completion\": \"a few different places?\"}\n", "{\"prompt\": \"Yeah, yeah. One place in college on in graduates school \", \"completion\": \"Okay. All the work you've done what type of work you enjoyed the best?\"}\n", "{\"prompt\": \"That's a good question. None of it really I liked it when I was in school best. I don't like work.\", \"completion\": \"See, you don't feel satisfied. I wanted to hear what you'd prefer or to your education or anything like that.\"}\n", "{\"prompt\": \"But just the thought of going out there and looking for another job or changing fields, I really don't know what I have to offer. It just seems I have to do the resume. I don't even know how to begin.\", \"completion\": \"So seems daunting.\"}\n", "{\"prompt\": \"Yeah. Like, right now i feel all I can do to get in there to work and get home and take care of the kids. \", \"completion\": \"So you're tired with your time with your child right now. So you thought of going through all the effort of finding something new. It's intimidating. We touched on this area earlier. I'm going to shift gears again to legal involvement. You mentioned some legal history when we were going through the symptom checklist. And if I remember correctly, it sounded involvement marijuana and paid when you're in college.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Police were called what happened that night?\"}\n", "{\"prompt\": \"Well, my friends and I, I guess we were having a party in the common area of the dorm, and I guess we got too loud. There are some professors living in the dorm. They call Campus Security, Campus Security came and I was found with a bag on me and I ended up down at the police station my other friend to the two of us were down there but you know, it didn't really amount to too much. It's it's hard to remember the whole night because I was pretty wasted but it really sort of got brushed over me.\", \"completion\": \"You mean the offense like, you know, I have a criminal record.\"}\n", "{\"prompt\": \"No, no, no, it was expunged. That's not on my record. I don't have a record.\", \"completion\": \"Does it ever caused you problems?\"}\n", "{\"prompt\": \"No. No, it's embarrassing, but that's about it.\", \"completion\": \"So as we get Near the end of this intake, and we move toward the regular sessions, you know, the the 53 minutes sessions or however long you know, they'll be that you would typically think of anything of therapy. Right? We will talk about goals on off during those sessions. Okay, those meetings in detail in an actually completed treatment plan that include your goals and objectives to meet those goals. But before we get into that detailed plan, and we'll actually take the better part of a session to review that and built that treatment plan. I'd like to get a general idea of your goals. Now I kind of know what you're wanting to describe. I have an idea of your presenting problems. What are your What are your general goals with therapy?\"}\n", "{\"prompt\": \"I say, Well, I'd like to be able to get along better with other women. I just like to feel better overall, you know? I honestly don't know I thought it was them. And then I started thinking, well maybe it's me because it happened to the other place at work too kind of the same and like I said, with the women in the neighborhood I'd also like to be able to be a better mom. Like I said, I spend lot of time in bed lately. I'm not that great of a mom or wife. I'm pretty boring. I Just asleep a lot.\", \"completion\": \"Can you remember a time when you didn't feel this way?\"}\n", "{\"prompt\": \"Yeah. Like, even last year.\", \"completion\": \"even last year?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"okay\"}\n", "{\"prompt\": \"Yeah, I mean, it still wasn't great at work. But you know, it was uncomfortable. I'd say with my coworkers it's really escalated. But you know, that other part at home it wasn't. It wasn't as hard. I was gonna have more energy.\", \"completion\": \"Okay, tell me about your strengths. What do you do? \"}\n", "{\"prompt\": \"Umm Well, normally I am a good mom. I love my kids. I'm a very good parent in terms of disciplining them not being the way my mom was, you know, I want them to know they're loved as really important that they know they are loved. My kids know that they are loved. And my strikes I'm smart, creative when I have the energy, mysisters think I'm funny. My friends thinks I could cook.\", \"completion\": \"good cook, do you think you're funny?\"}\n", "{\"prompt\": \"Um, I never really thought I was but last year a lot of people were telling me I was not now.\", \"completion\": \"Things have changed markedly on that in that department?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"Wow, that's a lot of strengths. So we're almost done with intake today. Right? We'll be starting the regular sessions later starting next week. \"}\n", "{\"prompt\": \"Okay, nice. \", \"completion\": \"You can set that appointment up front. Okay. We'll find something that works for your scheduling and for mine. Before we wrap up, you remember earlier in the intake, you mentioned that you had some suicidal thoughts within the last 30 days, such indicated and I told you that we will come back to that. So, I want to touch on that briefly before we break for the day. Can you tell me about the suicidal ideations that you're having? \"}\n", "{\"prompt\": \"Well, it's not really like I'm picturing Am I gonna get a gun blow my brains out or anything like that. It's more like when I get home from work and I'm lying there I want to go down you know, play hearts with my kids or something like that and I just I can't do it. I just want to turn the lights out and I do and go to sleep. I think like if I just went to sleep right now didn't wake up tomorrow. You know, how bad would that be?\", \"completion\": \"So kind of a passive suicidal thinking process. You don't have any intent to harm yourself? Or any plan to harm youself.\"}\n", "{\"prompt\": \"No No\", \"completion\": \"Are you sure?\"}\n", "{\"prompt\": \"yeah.\", \"completion\": \"Okay. There's a term we use in counseling called contracting for safety. Right? What that means is that you can essentially Promise me that you're going to be safe. You know, at least in our next session, but really it's for the foreseeable future. Right. So can you contract for safety?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"What would you do if these suicidal thoughts started become more pronounced? Let's make a plan around that. I'm not predicting or hoping to take will and I don't have any reasonably they will, but I want to be prepared. I want you to be prepared just in case sometimes have these thoughts that kind of imagine that sometimes you're not thinking about them at all and other times are a little stronger. So if they get if they get stronger, if there's a market change in them, Okay, so it comes less passive and more. You start thinking about a plan or something like that. Tell me what you would do?\"}\n", "{\"prompt\": \"I guess I can call my sisters okay\", \"completion\": \"You said you can call call your sister or your husband and say they weren't available as we've kind of move up, like to the plan.\"}\n", "{\"prompt\": \"I can call my best friend. Yeah, even though like we haven't talked in a long time, I could call her anytime. It's like, No Time passes. \", \"completion\": \"All right. Those are all good good ideas. Say you weren't successful at that level because you couldn't get ahold of those individuals. And the thoughts were persisting What else could you do what other remedies to have available to\"}\n", "{\"prompt\": \"Don't know\", \"completion\": \"I think that that's a good place to start family supports. And usually that works out fairly well, because you typically get a hold of one of those people. If let me say this if the suicidal thoughts changed dramatically, to where you feel in danger for your life like you, you're really seriously contemplating it. Yeah. All right, call 911.\"}\n", "{\"prompt\": \"Okay, okay.\", \"completion\": \"Less than that though, meaning they just get a bit worse. Use your supports. You can try and get ahold of me if I'm available. I'll get back to you. And if I'm not available, they might feel attracted to a counselor here that is. But again, if for some reason, every remedy attempt is unsuccessful. You can't get through. You can always go directly to an inpatient facility. Right? or call 911. does seem like relatively extreme measures, but losing your life would be more extreme. \"}\n", "{\"prompt\": \"TRUE\", \"completion\": \"But I want to emphasize most of the time getting in touch with family and getting supports around you House a lot. Okay, so the first call 911 would only be if it's if it really gets dramatically worse from where it is now. Okay, that makes sense. \"}\n", "{\"prompt\": \"Yes, sure. \", \"completion\": \"Last thing I want to talk to you about before we have our first session is I want to Well, I want to thank you for coming into that. Right. And I know that I know that these intakes are relatively dry. I mean, you're talking I'm writing when I'm taking down information. It's very helpful for me, though, for your treatment later on. But I realize it's not the traditional understanding most clients have counseling. \"}\n", "{\"prompt\": \"Yeah, right\", \"completion\": \"Just supplying data to the counselor all the time, right? We'll get to the I guess you could say quote unquote, real sessions when we start next time. But I want to thank you for being patient through this process. It really will help us to get more valuable you to get more value out of those sessions. \"}\n", "{\"prompt\": \"All right.\", \"completion\": \"And I want to encourage you, I know that from what you said in the intake, that you're feeling down, if like you're relating well to your coworkers, it's it appears that you're disappointing yourself and how you're relating to your children and your husband. Like, not a good mom, not a good spouse. All all these thoughts are understandable in the context of being down or maybe depressed, right? If that's what's going on, it sounds like that is what could be going on. \"}\n", "{\"prompt\": \"Ok\", \"completion\": \"We'll figure it out as we, as we move through and work toward a diagnosis. But as you commit to therapy, and as you come in for counseling regularly, I hope that these symptoms would improve. And oftentimes they do, obviously, I can't guarantee it, but oftentimes they do. So I want to, I want you to recognize that it's a value to be hopeful, and to look forward to good things. And to realize you take a big step by coming here today. And it was difficult and it wasn't easy by answering all these questions rehashing all these things. And the work of counseling itself is challenging times. But I do think it's worth it. If it has a good chance it does, of improving how you feel. So I want to applaud your commitments that encourage you to attend the first session and attend every session and really work through this process. Do you have any questions for me before we end today?\"}\n", "{\"prompt\": \"Umm No, I don't think so.\", \"completion\": \"If you should have any questions to rise, I know for me, I always think of the best questions after I leave. You know, if I'm in an environment where I'm supposed to ask questions, and somebody says that, it's always when I get my car that I remember them. Yeah. So if that happens to you, feel free to give me a call and leave a message. And I'll be happy to get back to you with an answer as soon as I can. So I look forward to seeing you next week then. \"}\n", "{\"prompt\": \"Okay, good. \", \"completion\": \"Thanks again\"}\n", "{\"prompt\": \"Okay, how are you? \", \"completion\": \"I'm doing well. Thanks for asking.\"}\n", "{\"prompt\": \"Yes, um, I would like to be able to kind of I've been feeling a little depressed and I would really like to be able to reduce those depressed you know, the depression.\", \"completion\": \"So reduce feelings of depression. Yes, that'd be a cool okay. Yes. So Sounds like a good goal. So what objectives what tasks Do you think that you could do? That would help you to feel less depressed?\"}\n", "{\"prompt\": \"I guess maybe some sort of physical activity, maybe like walking. I like to be outside. So maybe walking could be one. Okay.\", \"completion\": \"Have you had a plan before we have walked regularly?\"}\n", "{\"prompt\": \"You know, I used to. I did. And it was, it was, it was a it would give me some relief, because I was I was able to clear my mind whenever I was walking. And so I Yes, yes, I've had success with walking before.\", \"completion\": \"So Walking has worked before.\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"And you notice that you're walking less since you've had a first impression. I\"}\n", "{\"prompt\": \"really haven't been doing too much of anything I've just been kind of at home doing homework, stressing out over doing getting homework done. Because I'm, you know, back in school, and it's been so stressful and overwhelming. You know, like I said, it's just kind of gotten me in this little funk, this depressed mood. So\", \"completion\": \"since you're on the topic of homework, which is something you think you can do there, you mentioned that it's stressful and overwhelming. And that sounds like the type of feelings that are related to depression sometimes. Mm hmm. Do you find that kind of being stressed about homework is?\"}\n", "{\"prompt\": \"Yeah, because you know, is there's so much work to be done and sometimes a good you know, several assignments. Do And at the same time, and I find myself rushing to get assignments and and, you know, it can just be a little daunting. It's just overwhelming sometimes. So yeah. And I don't know, maybe if I spaced that out and, you know, took, you know, did some time management or something like that I don't know, to kind of help me\", \"completion\": \"feel like maybe you're starting the homework late compared to when it's due.\"}\n", "{\"prompt\": \"Yeah, yeah.\", \"completion\": \"That's the feeling maybe of overwhelmed.\"}\n", "{\"prompt\": \"Yes, I would say that.\", \"completion\": \"So, yeah, you're right. It sounds like this is just an organizational thing, right. So if you if you can space it out where you kind of start your homework earlier, and do it in small bits, okay. Instead of me waiting more or less the last minute, right. That would reduce the mean likely, I would think reduce some of the stressed feelings of being overwhelmed.\"}\n", "{\"prompt\": \"I'm sure it would you sure would.\", \"completion\": \"So one, make that your sec objective then so you have the walking, okay. And then you'll have trying to space out the homework. \"}\n", "{\"prompt\": \"Okay, that sounds doable\", \"completion\": \"sound good. All right.\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"What other objectives might work?\"}\n", "{\"prompt\": \"Let's see.\", \"completion\": \"that worked in the past for you.\"}\n", "{\"prompt\": \"You know, it was something that I enjoyed doing. And right now I feel like I'm not doing any of the things that I've enjoyed doing because I've been so busy doing work doing homework, so I think that would probably help.\", \"completion\": \"So it's a good break from thinking about stressing about this you put it to homework\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"It has kind of come in the singing parts fun for it sounds like but also there's a social component seems like\"}\n", "{\"prompt\": \"Yes, it is. It is. Enjoy access to enjoy singing, and, you know, I enjoy the people that I was saying with and we will go and hang out together, go to different, you know, like jazz clubs or events, you know, different bands that were playing it you know, it'll just be nice. It's fun. I love music. So I love listening to it and I love you know, singing. So making music. So that was great. I think that would be a good goal.\", \"completion\": \"You seem to kind of light up a little when you talk about singing.\"}\n", "{\"prompt\": \"Yes, it's I I just love it. I enjoy doing it. And I just haven't had a chance to deal with lightning.\", \"completion\": \"so far. This is justmaking the time.\"}\n", "{\"prompt\": \"Yes, yeah. Yes.\", \"completion\": \"Good. All right. So we'll make that the third objective. So we have walking and kind of organizing your homework differently. And then singing and that, that socializing, it's the companies that, that singing that's great. So three objectives is good. I try to get to four. If you have one. Is there a fourth objective that you can think of something else that you've associated with not feeling depressed when\"}\n", "{\"prompt\": \"I used to absolutely love going to the beach and visiting with my aunt. And so that's two things. The beach. I love the beach because it's soothing. It's company. And I, my, she's just such an awesome person and she's always pouring into me and I just love spending time with her. So she lives down to pitch.\", \"completion\": \"Yes, she does. Okay, so this seems like a good, good objective to Yes. So you're suggesting maybe visiting her more often?\"}\n", "{\"prompt\": \"Yes. Again, just at home doing homework, and I haven't gone to visit her in a while. And the thing is, she only lives like an hour away. So it's not a it's not right. No, it's not. So that's like a, you know, a trip I couldn't do on a Saturday. Take a break and go down there and spend some time with that will be I think that will be helpful.\", \"completion\": \"So again, kind of kind of getting away from the school stressors. Just take taking a break from it for a day. Yes. And then also spend time with somebody that you enjoy spending time with. Good. Good. All right. So I want to go through each one of these. And just make sure that we're kind of meeting all the criteria for an objective, which I think we can do, but these are all specific, which is good. Do you feel these are all achievable? These are things you can do. I think so. Yeah. Yeah. Well, someone that knew done in the past, right, \"}\n", "{\"prompt\": \"right.\", \"completion\": \"So now we have the specific and the achievable. I don't want to get too personal and more tricky, which is making it measurable. I like to do here. I don't want to be overly prescriptive in terms of objectives. I want you to decide. But I want to see We can quantify, in some manner, how often you'll be able to do these different things or how, you know, quite like a homer but to think about the spacing would be the quantity but, but first with the walking. So in a given week, say what's realistic for you in terms of getting out and walking? How many times?\"}\n", "{\"prompt\": \"Um, maybe I can start out with twice a week, twice quickly.\", \"completion\": \"Okay. Do you have two particular days in line days for your responsibilities aren't too great. You have that opportunity?\"}\n", "{\"prompt\": \"Maybe we need to start with one day a week.\", \"completion\": \"Okay. Let's go one day, one time, one time a week. Let's talk with one and then we'll see what happens.\"}\n", "{\"prompt\": \"Okay, \", \"completion\": \"so what day of the week are you thinking?\"}\n", "{\"prompt\": \"About Monday?\", \"completion\": \"Consider a window of opportunity you see on Monday.\"}\n", "{\"prompt\": \"It is. Yeah. Plus, it just kind of, I think, no, no. How about Wednesday? \", \"completion\": \"Wednesday?\"}\n", "{\"prompt\": \"Yes. Wednesday, middle of the week. Stress from work and school and yes, Wednesday. Sounds good.\", \"completion\": \"Once you have a particular time range, you like to walk a few times a day,\"}\n", "{\"prompt\": \"like 6:30.\", \"completion\": \"That's a good time for you. As the time you can get out of house,\"}\n", "{\"prompt\": \"yes, off work. And give me a little bit of time to get home and change and out the door. Because if I, if I make it too late, I'm not going to go\", \"completion\": \"6:30 is kind of a good, that's a good time. Yeah. 630 good. So we'll start with that objective. The Walking Every Wednesday at 630 for every amount of time are comfortable with. So, the homework is a little trickier, right? This is about spacing it out. Okay? So the homework assignments, they're stressing you out. How much time did they take? Last few few questions. How much time do they take to complete? Generally? Like an hour? So\"}\n", "{\"prompt\": \"it depends on the assignment.\", \"completion\": \"If you had the average of\"}\n", "{\"prompt\": \"the average two hours\", \"completion\": \"let's go to worst case, let's go two and a half hours just to cover code worst case will generally be the worst case.\"}\n", "{\"prompt\": \"Maybe it depends, because\", \"completion\": \"when we get three, \"}\n", "{\"prompt\": \"yeah, the second\", \"completion\": \"two to three hours, okay. And then how much time do you have when it's assigned to when it's due usually\"}\n", "{\"prompt\": \"Maybe a couple of weeks.\", \"completion\": \"A couple weeks. Yeah.\"}\n", "{\"prompt\": \"I get distracted. So a little distracted. So it's, you know, I start reading and I'll fall asleep or I get distracted by something. And then before you know it, the time is gone. And I'm rushing at the end to get it shown up to try and get it all done.\", \"completion\": \"So I was ready to do the work to ease into the last Okay, yeah, I could see how that would be stressful. what day of the week isn't usually a Sunday.\"}\n", "{\"prompt\": \"On Tuesdays on Tuesdays.\", \"completion\": \"So you have Tuesday, and then you have another Tuesday and the week after that, you have three hours of work. And those two weeks.\"}\n", "{\"prompt\": \"shipping. Okay?\", \"completion\": \"Yeah, will be the first day and time but kind of like when you specified Wednesday 630 that's gonna be a walking time, right right at the time, and you can start the homework because the first time\"}\n", "{\"prompt\": \"I'm come back from my walk on Wednesdays.\", \"completion\": \"How long do you foresee\"}\n", "{\"prompt\": \"Well, normally only half an hour.\", \"completion\": \"So to get some time to decompress and round Alright, so from eight to nine on Tuesday, or Wednesday, on Wednesday, you'll get the first third of the homework. And then and then just stop. Okay, that'd be that'd be done for the night. Okay. All right. That's some big plans. How about that second hour?\"}\n", "{\"prompt\": \"I'll get started.\", \"completion\": \"Thursday, so it's just one day apart.\"}\n", "{\"prompt\": \"Yeah, that's due Thursday.\", \"completion\": \"Oh, do come Thursday. Yeah. an hour. Yes. And what hour do you have in mind?\"}\n", "{\"prompt\": \"Thursday's\", \"completion\": \"So but 7070 so one night, Wednesday be at nine o'clock. And then on Thursday, seven nine was two hours. Seven days. Sorry. Okay. So now just the last hour remains\"}\n", "{\"prompt\": \"Sunday, Sunday\", \"completion\": \"through Sunday. Okay. So you you want to get everything done from Tuesday to Sunday night? Yeah, the rest of that time off. Yeah. Okay. Okay. Sure that's achievable. That seems like you're, you're getting a lot in there, but you think you can do it?\"}\n", "{\"prompt\": \"I can try. Okay. Yeah,\", \"completion\": \"that sounds good. All right. What time Sunday,\"}\n", "{\"prompt\": \"Sunday around five\", \"completion\": \"to five to six, five to six.\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"And I'm assuming it won't run over because we kind of have to be on the high side, but if it did, I would be able to go five to seven So that's kind of like, yeah, flexible time there. Yes. So what would that feel like to get your homework done?\"}\n", "{\"prompt\": \"But it would be a relief.\", \"completion\": \"Okay. So, and there's a potential backup plan I see in here is that if something happens on Sunday, where you need more time, and you don't want to stress, you still have that Wednesday after you walk bacon. Yeah. So that could be like your, your backup. Yes, that makes sense. Yes. Because you still have another six days to have done after that. Right. All right. So all those seem realistic and achievable.\"}\n", "{\"prompt\": \"It does.\", \"completion\": \"Every so many Fridays.\"}\n", "{\"prompt\": \"every friday\", \"completion\": \"So, so this is this isn't every Friday commitment. Right, this thing?\"}\n", "{\"prompt\": \"Yeah. But one Friday is generally it's maybe\", \"completion\": \"about two hours, two hours. So two hours every Friday. There's something really enjoyed though. So and it sounds like you look forward to it. Yeah. So Friday, two hours, I guess. Yes. afternoon or evening. Evening. Okay.\"}\n", "{\"prompt\": \"Yeah, I mean, if I if it was something that came up that I really had to get done is not like I can't not go. So it won't be managed, right?\", \"completion\": \"Yeah. Good. Okay. So that was the last objective this is. This is I guess about a whole day commitment, right? Because you go to the beach, it's an hour drive, so you probably wouldn't want to go down for just a few hours. More like the whole day, would they?\"}\n", "{\"prompt\": \"That would be more like a Saturday. But of course, it wouldn't be every Saturday.\", \"completion\": \"So how many times and say a month, like once? Once a month? Okay. So you go down on Saturday morning and come back?\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"That's something to look forward to. Yes. Is that something that would be okay, in terms of like, because on Friday night, potentially, you'd be out. Right and then Saturday.\"}\n", "{\"prompt\": \"Yeah, if I, if all those Saturdays that I know that I'm going I could not be out too late on that.\", \"completion\": \"Okay, that's a good idea. So you kind of make sure you restrict how long you stay out? Yes. When you know that Saturday is coming\"}\n", "{\"prompt\": \"or not go at all, that's fine. Either way,\", \"completion\": \"just take a break that time. Yes. Restore. All right. So that's four separate objectives. And what I want to do since I've kind of made a lot of specific notations here, I want to take a moment just take a break, and print this up for you. Okay, we'll work on the rest of your goals next time but I want you to have this so you can get started on it right away. So before I print these up as a changes you want to make\"}\n", "{\"prompt\": \"um, I would like to try that\", \"completion\": \"And if it doesn't work, can we tweak? Oh yeah, we can always make changes. Maybe certain things will work really well. It Certain things, we'll have to take off the list altogether, maybe substitute something else. Yeah, we can, we can make edits to it the whole time you're here. Okay, we can just make a document that changes as as needed. But if you think it's a good starting place, I'll go and print this up as it is, and give you a copy and we can resume with today's session. And then next time I see in a week, or call the rest of the treatment plan. Beside the plan, yes. Thanks, Allison. \"}\n", "{\"prompt\": \"No, I am feeling a lot better now. It was a stupid thing to do. I'm not going to do it again.\", \"completion\": \"I'm still really concerned about you and I need to know that you're going to be safe when you leave here. I need you to fill out the safety plan to ensure that you have strategies in place to cope when you're feeling down.\"}\n", "{\"prompt\": \"I don't really feel like filling out a plan. I don't I don't need a plan.\", \"completion\": \"Well, I think that you do need a plan. You obviously needed a plan last night when you swallow that whole bottle of pills. And I want you to fill out the safety plan to ensure you have strategies in place in case you feel like this. Again, it's a condition of your discharge.\"}\n", "{\"prompt\": \"I really don't want to\", \"completion\": \"this is really concerning for me Steph, perhaps you need to be admitted.\"}\n", "{\"prompt\": \"Fine, I'll fill up the plan.\", \"completion\": \"So Steph I know you probably want to get out of here and go home and that you don't want to be admitted. It must have been a really scary experience for you. I want you to know though that anytime you're feeling unsafe or at risk of harming yourself. You're always welcome to come back to the emergency department. I'm wondering what you think might have been helpful for you. If this happens again?\"}\n", "{\"prompt\": \"I don't I don't think it'll happen again. I was feeling really down, but I don't really want to die.\", \"completion\": \"Must have been a really hard experience to go through. Yeah, I'm wondering if you think it would be helpful to have some kind of plan in place or some strategies if by chance you feel like this again? What do you think might be helpful for you to think about or to do if you did feel like this again?\"}\n", "{\"prompt\": \"I guess I could have called someone.\", \"completion\": \"Oh, so that's a good idea. Who do you think you might have called?\"}\n", "{\"prompt\": \"maybe my aunt Jenny, She's great. She's really easy to talk to. \", \"completion\": \"So it's good. You have someone in your life that you can talk to. What do you think stopped you from calling her last night?\"}\n", "{\"prompt\": \"it was so late. I didn't want to Call at like three in the morning, it would have woken her and my uncle and all of my cousins up and they probably just be mad.\", \"completion\": \"So you're worried about disturbing them. I imagine that your aunt Jenny probably would have been okay with you calling her and given the circumstances and how you were feeling. Do you think you'd be okay with maybe having a conversation with her about her being an emergency contact for you?\"}\n", "{\"prompt\": \"I don't know.\", \"completion\": \"I'm wondering maybe if I could bring your dad in right now. And we could maybe all talk about this together.\"}\n", "{\"prompt\": \"Yeah, that's okay. \", \"completion\": \"Okay.\"}\n", "{\"prompt\": \"I guess I'm okay. How are you?\", \"completion\": \"I'm well, thanks for asking. So you sau you doing okay, what's going on?\"}\n", "{\"prompt\": \"I'm definitely no better than last week. When we talked. I mean, it's been I had some major binges this week. and I don't even honestly know why we're bothering to talk about it. Because I've been down this road before.\", \"completion\": \"Umm hmm\"}\n", "{\"prompt\": \"I should just, I should just like give up and buy some momos and, you know, just resign myself to the pack. I'm going to get fat and I'm going to stay bad.\", \"completion\": \"Tell me about some of the foods that you've been eating that have been kind of leading to this problem for you.\"}\n", "{\"prompt\": \"brownies, brownies, brownies, brownies. And well, that's what got it started. You know, I was great the first half of the week and of staying away from the sugar away from the flour. I signed a stay at home from school, you know, hurt his head. He wanted to bake brownies with my son. Okay, let's bake brownies. So then we eat the whole pan and we bake two more pans. And then it didn't just stay the brownies, you know? Went out like hamburgers, french fries, candy, you know, stopped in wah wah on the way up. It's disgusting. I can't I didn't want to tell you how Because it's disgusting, and the clothes aren't fitting. It's just really, really sad.\", \"completion\": \"You've had a rough week ?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So, let's talk about for a second. I'd like to the kind of your relationship to this problem. How do you how do you view this problem?\"}\n", "{\"prompt\": \"It's disgusting. It's like it's slavery. Food owns me.\", \"completion\": \"So the so the food is in control of this situation?\"}\n", "{\"prompt\": \"sounds ridiculous when you say it like that, but that's what it is.\", \"completion\": \"It's in control ?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"Alright. So, now I want to ask you a couple of questions about the importance and the confidence of changing clearly, you have some desire to change or we wouldn't be be here. \"}\n", "{\"prompt\": \"Oh my god, I would love to Yeah.\", \"completion\": \"So if you're looking at a scale of one to 10, one was, it's not important to change and 10 was extremely important change. This is just how important it is for you to curtail your eating 10 times very important to you.\"}\n", "{\"prompt\": \"Yeah, it's very important\", \"completion\": \"very important. Okay. So what if I asked the same question except this time? You're confidence. So, one is you're not confident, all you can change, but 10 you're very confident you could change.\"}\n", "{\"prompt\": \"I could probably change for half a day. I've done it. And sometimes if I'm lucky, I'll get a week. But overall?\", \"completion\": \"overall yeah\"}\n", "{\"prompt\": \"it's impossible. Like you want a number at zero.\", \"completion\": \"So it's below the below the scale of one to 10 this is\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"so you can have no confidence at all.\"}\n", "{\"prompt\": \"I've tried it. I know. I mean, it's like beating my head against the wall.\", \"completion\": \"So, on one hand you'd like to, you'd like to stop the eating, It's important to but on the other hand, you don't believe you can do it. \"}\n", "{\"prompt\": \"I can't do it.\", \"completion\": \"You can't do it?\"}\n", "{\"prompt\": \"I can't.\", \"completion\": \"it can't be done. Have there been any other changes you have been able to make, say in the last few years that have been positive.\"}\n", "{\"prompt\": \"I stopped biting my nails.\", \"completion\": \"So you had some small successes in terms of making changes.\"}\n", "{\"prompt\": \"Yeah. Yeah.\", \"completion\": \"What do you think makes the this thought I'll just refer to as the food problem so much more powerful ? So much more difficult to tackle?\"}\n", "{\"prompt\": \"I wish I know. I mean, there's so many things it's it's everywhere.\", \"completion\": \"The food is everywhere?\"}\n", "{\"prompt\": \"It is everywhere. I mean\", \"completion\": \"You mentioned before that brownies were the culprit for this last week.\"}\n", "{\"prompt\": \"brownies, Hershey bars, Hershey Kisses, Yeah, chocolate.\", \"completion\": \"You enjoy chocolate?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Okay. How about other foods that could be contributing the problem? Maybe you don't enjoy as much as chocolate.\"}\n", "{\"prompt\": \" Oh, potato chips. French fries. Mexican food. What else? Cheese?\", \"completion\": \"Definitely any of the types of candies ?\"}\n", "{\"prompt\": \"start naming Skittles, cherry Starburst basically any candy.\", \"completion\": \"Pretty much any candy?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So of the candy, so I want to focus just on the candies. Okay, and not to the foods just for now. The thought of like I introduced the idea of stopping eating chocolate. How would you react to that? \"}\n", "{\"prompt\": \"Not gonna happen.\", \"completion\": \"That's not gonna happen? All right,\"}\n", "{\"prompt\": \"I would love for it to happen.\", \"completion\": \"right, But that's not gonna happen ?\"}\n", "{\"prompt\": \"I can just tell you I don't even want to pretend.\", \"completion\": \"So you know that for sure. How about the let's, let's go, for example with the Skittles. What if I introduce the idea of stopping the consumption of Skittles?\"}\n", "{\"prompt\": \"Just the Candy Skittles ?\", \"completion\": \"Just Just that one candy. Yeah.\"}\n", "{\"prompt\": \"Why bother that? Like, can I not eat Skittles? Is that what you're saying? Like,\", \"completion\": \"you could. It's up to you whether or not but if I introduced that idea of stopping the consumption of Skittles, how would you react to that?\"}\n", "{\"prompt\": \"I don't really understand why.\", \"completion\": \"Well, it represents a change in the direction that you want to move.\"}\n", "{\"prompt\": \"But if I stopped eating Skittles, I'm still going to eat brownies I'm still going to eat. Yeah,\", \"completion\": \"we know we know that scenario that you know, you can't really make a change right now from what you're saying. Like that's the idea of stuffing chocolate is not going over well, with you\"}\n", "{\"prompt\": \"no, it's not gonna happen.\", \"completion\": \"and that's fine. But the idea of stopping Skittles\"}\n", "{\"prompt\": \"Its fine.\", \"completion\": \"that doesn't seem as daunting?\"}\n", "{\"prompt\": \"No.\", \"completion\": \"Would you agree still on, say the 110 scale that it's important to stop Skittles?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Okay.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"How confident are you you could not eat ?\"}\n", "{\"prompt\": \"it's kind of funny now you're talking about it, I've sort of wants Skittles more. But, you know, I like from now till next week when I come in here, I'd say like I am 99% confident I could not eat Skittles and it would not be a major problem.\", \"completion\": \"So this is a change that you think you could accomplish.\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"Even though you're not sure it'll actually contribute to solving the larger problem. We know that that's something that that's an area where you don't really see a change as as likely\"}\n", "{\"prompt\": \"If I don't eat Skittles, this week or even for the rest of my life, is it going to solve my problem? No, but will I do it? If that's what you want me to do? Yeah, that's fine.\", \"completion\": \"Well, I would hope it's something that that you would want to do. I mean, what I want is one thing, what you want is really important here. Is this something that mean your Skittles, part of the problem? \"}\n", "{\"prompt\": \"Yeah, \", \"completion\": \"small?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"Alrigh. No pun intended, right. But it's a small part of the problem, but you'd agree it's still part of the problem. \"}\n", "{\"prompt\": \"Yeah, sure.\", \"completion\": \"Not a huge change. But it's one that we can work on.\"}\n", "{\"prompt\": \"Alright\", \"completion\": \"And we want you to be able to, you know, genuinely buy into the goal. I mean, if you don't think it's important, we can talk about other areas of change.\"}\n", "{\"prompt\": \"No, I guess I see what you're saying. I mean, if I'm gonna be completely honest with you, I Well, that's what I'm paying you for. Right? So I don't think it's gonna work. I'll just tell you that \", \"completion\": \"right. You think you could stop eating Skittles, but you don't think it's gonna solve the larger problem or lead to?\"}\n", "{\"prompt\": \"Exactly.\", \"completion\": \"But that's what we have to work with right now. Because the larger problem is not something you mean the way you put it is it has control.\"}\n", "{\"prompt\": \"Yeah. Yeah.\", \"completion\": \"So if I introduced the idea of stopping brownies, \"}\n", "{\"prompt\": \"no, no, no, sorry.\", \"completion\": \"So let's let's go after the change that we can achieve in this case. You know, it's not perfect. It's not ideal, but it's what you can do. you saw the plan so suffer so for this week so you can week for this week just Just continue eating Skittles. \"}\n", "{\"prompt\": \"Now Skittles alright\", \"completion\": \" And let's see, let's see how we do with that change.\"}\n", "{\"prompt\": \"So that seemed to make sense.\", \"completion\": \"Yeah.\"}\n", "{\"prompt\": \"So work with that and I'll see you again week.\", \"completion\": \"Thanks.\"}\n", "{\"prompt\": \"Okay\", \"completion\": \"And there are a number of questions here and a number of sort of different anger dimensions. And I think the place we're going to start is if you look at all the questions that you answered, it comes up with something called a total score, which is just kind of looking at everything together. And when we look at the total score, you scored quite high actually scored in a range that we would sort of call the 99th percentile, which means Yeah, which means that your anger is at Level greater than 99% of the population of men your age\"}\n", "{\"prompt\": \"You kidding me?\", \"completion\": \"No, that's kind of high. Kind of hard to hear it that way. Its kind of surprise you?\"}\n", "{\"prompt\": \"Yeah. Well, I didn't, I didn't think I was gonna read that high. When I figured a lot of people who was in my category that have, I would have figured out probably in about a 60% 75, just a little above average. Wow, that's way up there.\", \"completion\": \"It's a little bit high. And it might indicate that that really anger does get you in trouble at times in terms of relationships and closing. So you've recognized that\"}\n", "{\"prompt\": \"I've always recognized that I've seen it, try to deny a lot of times, but then I recognize it that I'm going to say that I know I have issues. \", \"completion\": \"Okay. So this kind of just highlights that and puts a number on and it sounds\"}\n", "{\"prompt\": \"so that's where the studies have been done.\", \"completion\": \"Yeah, right. Exactly. Kind of comparing how you answered the question to, to the general population of folks of your age Because you're really you're sort of in the top 1% of scores\"}\n", "{\"prompt\": \"I've gotten a lot of serious problems I mean the same thing that they do to me I do to them. A lot of times I'm surprised especially in the environment I live in that I haven't gotten shot shows that the kilcher I mean that I should definitely have happened and I'm surprised it hasn't\", \"completion\": \"because getting angry saying things to people not thinking things through can really put you at risk\"}\n", "{\"prompt\": \"Umm I'm just counting the same as it's been for the last few months. I'm not getting any better. I'm still feeling pretty down.\", \"completion\": \"Well, from last week when you talked to me kind of talked about your situation, getting injured on the job, and if you're losing your job, you kind of get to where you didn't want to do anything and sleeping a lot. Its Very hard on you And so I had to take that inventory and turn all those questions, kind of scored that and in fact do pretty severe depression. So I thought we might do today, if it's okay with you is there's a therapy I'd like to try with you to kind of address your depression. It's called cognitive behavioral therapy. If you've ever heard that, \"}\n", "{\"prompt\": \"I think I may have heard the name.\", \"completion\": \"Okay. Okay. I'll describe it a little bit to you, see if we can kind of work on that therapy to kind of help your depression and I'm thinking this might impact a lot of areas in your life. Getting to work and relationships and stuff and you kind of focus on the depression right now. And then I'd like to drift off talked about that in some situations where you're feeling depressed, if we can want to give you some tools maybe to take home this week, to kind of Talk about the situation's of your depression and thoughts and feelings and stuff. And then and then so next week, we can have some concrete. So think about that. Some of you that we do that today\"}\n", "{\"prompt\": \"I will try anything.\", \"completion\": \"Right? That's, that's a big part of it. Your willingness to try This is a big key part in cognitive behavioral therapy because you're willing to, to do work to get better. Let me tell you a little bit about the cognitive behavioral therapy sometimes called CBT, just initials, and it takes an individual situation that's happening with individual, a thought that automatically comes into the mind of an individual, how it makes them feel, and then how they respond because of that feeling. Okay, so we'll take an example why Tell me about the last time that you were feeling depressed.\"}\n", "{\"prompt\": \"Let's see probably this morning,\", \"completion\": \"okay. What was going on this morning?\"}\n", "{\"prompt\": \"You know, I just woke up. I think it was like 10 o'clock or so and just couldn't get out of bed.\", \"completion\": \"Alright you Woke up and couldn't get out of bed. What's the first thought that came into your mind?\"}\n", "{\"prompt\": \"I think at first I thought, you know, why would I get out of it? There's no reason for me to get out of bed. Life's gone. I don't really have many friends anymore don't have a job. What's the point of getting out of bed this morning.\", \"completion\": \"How do you you feel about yourself?\"}\n", "{\"prompt\": \"worthless I guess. I don't really even matters and you feel really, really bad and worthless\", \"completion\": \"because of that feeling, what would you do? Were you able to get out of bed or just stayed in bed? \"}\n", "{\"prompt\": \"I stayed in bed until I came here, okay.\", \"completion\": \"Let me congratulate you for getting out of bed and coming here today that's a big step.\"}\n", "{\"prompt\": \"Thank you\", \"completion\": \"You often have those feelings when you're depressed of worthless?\"}\n", "{\"prompt\": \"Yeah, I'd say most of the time That's how I feel. That's what causes \", \"completion\": \"typically Is your response to that feeling stay in bed or?\"}\n", "{\"prompt\": \"I mean. Yeah, I mean, if I'm in bed at the time, then yeah, I won't get out. And I mean, sometimes we'll be on the couch and start thinking they don't like that and then I'll just move on just lay there.\", \"completion\": \"Let me ask you, Tommy Can you remember a time when you weren't depressed?\"}\n", "{\"prompt\": \"Yeah, I mean, before the accident at work, okay Lots of times. It's been found that my kids,\", \"completion\": \"tell me a little bit about those times when you can remember before the accident when you weren't experienced Some depressing.\"}\n", "{\"prompt\": \"I mean, I'd be lying in bed in the morning, my kids would run jumping, want me out and kind of irritate me a little bit, but I mean, I love having them do that. Get up and make pancakes and have big long breakfast and if there's on the weekend, then we go do something fun, like go to the park or go see a movie or something like that.\", \"completion\": \"Knew how you felt back then? How did you feel when those activities were going on?\"}\n", "{\"prompt\": \"And I just felt good, just not fear. I felt loved by My kids and I love them. It's just great just felt good.\", \"completion\": \"It kind of feel like the opposite of worthless. I mean, they needed you and you felt good and you felt loved and engaged in their life.\"}\n", "{\"prompt\": \"Yeah, absolutely.\", \"completion\": \"So sometime when you have these worthless feelings of not being able to get out of bed, do you think it would help you to think about times when you felt pretty good about yourself? \"}\n", "{\"prompt\": \"Yeah. Yeah, I guess I've never tried that. Yeah, it'll work to try to try that. \", \"completion\": \"So maybe when you feeling down, can't get off the couch. Can't get out of bed. I think of some times when it was different for you, you were in a different situation. But you certainly didn't feel this way. And you didn't feel loved engaged Important party.\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"What about when you were working? How do you feel about yourself at work?\"}\n", "{\"prompt\": \"Well in our factory and we make car parts and stuff, I felt like doing something. I was making parts that were going to color which then someone would use used to try to their job to drive their families. So I felt like I was doing something like I had a purpose when the accident happened, and I lost that And that's when I started to feel worthless.\", \"completion\": \"I am glad you can still feel or remember some times when you felt that you did have a purpose, and you felt loved and valued. And I know with depression, it's hard to get up and get out of bed. That's some of the. A lot of people will say, you know, if I'm going to wait till I feel better, and then I'm going to get up and I'm going to get out of bed and then I'm going to do a lot of time with depression, which you actually have to do. You have to get up out of bed and do something, and then you feel better. I know it's kind of hard to do that with these feelings that you're feeling right now. \"}\n", "{\"prompt\": \"Yeah, I mean, if that makes sense as you said \", \"completion\": \"and sometimes it's helpful to have something scheduled or planned right now in your in your life tell me some things that you might enjoy doing. Might could think about be worth getting out of bed in order to do?\"}\n", "{\"prompt\": \"I would say to my wife and kids, that's really an option right now. I'm always loved fishing. Yeah, Always. Always enjoyed doing that.\", \"completion\": \"When was the Last time you went fishing?\"}\n", "{\"prompt\": \"It was a long time ago. I mean, way before the accident\", \"completion\": \"Are you recovered enough from accident in which you could go fishing sad it that reality, something that you could do?\"}\n", "{\"prompt\": \"Yeah, I mean, I think I could. \", \"completion\": \"Okay, great. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So fishing is something that that with Are there any other activities or meeting with people? Nice remind me Is your wife out of town and the kids so it's a little bit more difficult to maybe see them on a regular basis. Okay, other activities besides fishing that might enjoy doing or being with people or things you enjoy doing? When you pleasure?\"}\n", "{\"prompt\": \"I used to get together my buddies and they usually had like a cookout or something in somebody's house and watch football or sit around and talk. Yeah, we always and we all had family. So that was kind of we'd all get together. Get away for a little bit.\", \"completion\": \"That's something that might be able to be planned or you might be able to have a get together with at least one if it's not the whole group, you know, one or two old buddies.\"}\n", "{\"prompt\": \"Yeah, I mean, I think I think we could do that. I mean, I just hadn't talked to me recovered. After the accident since I've been feeling so down, I haven't really made any effort with them at all. And they kind of tried it first, but then I just never followed up with any\", \"completion\": \"Okay\"}\n", "{\"prompt\": \"I guess I might not be willing to try.\", \"completion\": \"That's another good suggestion. As far as what do you Is there an activity you should do even by yourself either playing an instrument or listen to music or exercising or watching movies or something that gives you pleasure that you don't necessarily need. I mean, fishing is a good way you don't really need anybody else for but just thinking in case your bodies were busy, I'm thinking of another thing you might want to do that brings you pleasure.\"}\n", "{\"prompt\": \"Um, I mean, working out was all the something that I did.\", \"completion\": \"and how that make you feel?\"}\n", "{\"prompt\": \"Well, during the workout, I always felt really good afterwards. Like I've done something. Working out, definitely get a lot out of okay.\", \"completion\": \"And those are some good suggestions of things that you might want. It's your product To start out slow and scheduling some things, it's nice to have, if you can, something on your agenda every day in order for you to get a bit for it might be a workout, it might be going fishing. It might be calling a buddy to schedule something or might be hanging out with the friend. Okay. So, Tom, I'd like your goal this next week and you can you can write it on this piece of paper right here kind of kind of journal about it you know, put the date and go ahead and put I'd like you to have some. When you can first talk about maybe when you're in bed and can't get out. You can write about your thought the automatic thoughts coming into your mind you know, in bed. My automatic thought is ?\"}\n", "{\"prompt\": \"no reason you get out of bed.\", \"completion\": \"Okay, No reason to get out of bed. Man very Use the word worthless, whatever that automatic thought that comes in your mind, write that down, and then write down how that makes you feel. \"}\n", "{\"prompt\": \"Okay\", \"completion\": \"And then you mentioned often your action or your that response to that feeling is just to stay in bed. All right. So I'd like for you to go ahead and log those emotions when those situations occur, you know that the situation, the thought, the emotion and your reaction to it, good. Another thing I'd like you to do is, if you can schedule one event today, alright, that you would enjoy doing. And it couldn't be a phone call doesn't have to be getting that and give yourself a break, know that this is going to be difficult. And you're going to start out slow, and you're going to work up to it, but just one event a day. \"}\n", "{\"prompt\": \"Okay\", \"completion\": \"Now, I want you to log in as well. You know, whether it is I called my kids, or I called my buddy to schedule something or I went to work out all right. And also we'd like you to write down how you felt about yourself. After you did that after the phone call, how you felt about yourself after the workout, how it makes you feel, all right after you got together with your buddies, alright, so go ahead and document this progression, and then log, the different activities that's here, and then we'll talk about it next week. We can talk about what's you know, these automatic thoughts, and then any of these activities and if any of these activities are actually helping\"}\n", "{\"prompt\": \"Okay\", \"completion\": \"you might take a while time you have to be patient with the process. Be patient with yourself and, and other other people. I mean, you mentioned a while ago that your buddies you know, they they tried connecting with you and it was difficult to party. Glad that you're wanting to be engaged as well. Something That you Can do this week?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"feel overwhelming Or?\"}\n", "{\"prompt\": \"Um, no. I mean, I feel good about that. I mean, just gonna be different. But whatever I need to do right now. \", \"completion\": \"I think that's a big part of this, the willingness to try. The patience, process will take time one step at a time we can talk about and see what's working, and what's not working, and we can make changes on it. But it I think this CBT really helps you think about, you know, what's going on and why am I feeling this way, you know, identifying the thoughts in your mind and While I might be thinking of this, and while I'm reacting because of this, and you might even write your emotion and say, yesterday, I felt, you know, my feeling of worthlessness on a scale from one to 100 was 90. But today, it's actually 80. And maybe next week, it might be 70. So you want to add a particular number to associate your, your association with that feeling of worthlessness if you want to kind of put a value on it, you know, and we can kind of see how that adjusts with time. might be helpful.\"}\n", "{\"prompt\": \"Yeah. Sounds like it would be helpful.\", \"completion\": \"We will talk about that next time\"}\n", "{\"prompt\": \"All right. How about you?\", \"completion\": \"I am doing Okay. So, um, how have you been doing today? How's your week been? \"}\n", "{\"prompt\": \"It's been Okay.\", \"completion\": \"Um, so in our last session together, we talked about your lack of confidence. Do you feel like you might be progress on that?\"}\n", "{\"prompt\": \"I mean, I've been journaling, like you said\", \"completion\": \"Good, good.\"}\n", "{\"prompt\": \"That's been kind of helping. I feel like they're still I mean, it has improved slightly.\", \"completion\": \"So, when you say you've been journaling, were you able to when you had a negative thought, or you know, sometimes situation, negative thought, were you writing down a negative thought?\"}\n", "{\"prompt\": \"Yeah. Not an addict. Well, mistakenly, he told me, okay,\", \"completion\": \"and you were able to make it a positive thought.\"}\n", "{\"prompt\": \"Yeah, I mean, I tried to do that. It helped some, but is any improvements better, But I think maybe just to keep doing it. But I was more aware of how they realized how\", \"completion\": \"So do you remember kind of what what we discussed last time about how CBT works?\"}\n", "{\"prompt\": \"Umm a little bit, Not exactly, but I just remember how my thoughts are causing things. \", \"completion\": \"So would you comment review before we actually get into the session?\"}\n", "{\"prompt\": \"Yeah, Yeah.\", \"completion\": \"Okay. So how it goes is like a cya situation or an event happens. You have a thought, Okay. And what kind of last time it was your lack of confidence? And it could be like, I'm not good enough. But that was your your thought process last time, correct? \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"And then so when you have a thought you have an emotion. Last time you were saying how it made you feel bad about yourself, you felt incompetent. And then your behavior issue where you lash out at others and remain. So do you feel like that you kind of understand that? \"}\n", "{\"prompt\": \"Yeah, yeah.\", \"completion\": \"So I know last time I said, we talked about your lack of confidence. So for example, I know you mentioned that you also were having problems with using marijuana and depression. You had problems with depression. And you also had anger issues. And out of those, which one do you think you ought to put up to discuss today? \"}\n", "{\"prompt\": \"Probably angry. I feel like that's the biggest problem.\", \"completion\": \"Okay. Coming over about driver issues.\"}\n", "{\"prompt\": \"I mean, it's not like I'm just like an angry person that just like snaps in any light, but I getdefensive I guess. I'm very defensive. And she lashed out, but I've never I've lashed out my child summary. It's usually always my husband\", \"completion\": \"can you telll me about the last time you lost your anger?\"}\n", "{\"prompt\": \"we were unloading groceries, and I actually had just had my hair done and cut in color. And I was so excited. I thought he was gonna love it, you know? And he looked at it, and he of course, paid, how much money did it cost?\", \"completion\": \"yeah, things are kind of expensive.\"}\n", "{\"prompt\": \"So total, you know, would have been $60 and he told me that, you know, we've been struggling with money. Lately a little bit, and then I didn't need to spend that much money and that selfish and\", \"completion\": \"Okay, so now what I'm writing down here is kind of like what we talked about how there's no family situation, you know thought and you have an emotion. So I know like what you were just saying the event or the situation was that you got your hair done and that he was angry about that.\"}\n", "{\"prompt\": \"Yeah. Okay. He was yeah he was just saying mean things\", \"completion\": \"okay okay. Now what did you in that moment when he was being mean what was now how youfelt but what was your actual thought when he was saying all that stuff?\"}\n", "{\"prompt\": \"I'm selfish. You bought them selfish, okay? Yeah. Initially Yeah, that was that was it is right. That was selfish when you actually thought selfish, guilty, guilty and sad angry, angry, very angry that he made me feel about what I was doing that way I'm going forward he said that and then once he said that,you know he put that thought in my head and it made me angry.\", \"completion\": \"Okay So when he when when he was getting mad at you and then telling you you're selfish and you felt substrate got yourself I'm selfish and then you got angry. What did you do after you get angry?\"}\n", "{\"prompt\": \"Yeah, smack.\", \"completion\": \"Okay, okay.\"}\n", "{\"prompt\": \"Yep\", \"completion\": \"There was physical contact there.\"}\n", "{\"prompt\": \"Yeah, I hit him upside his head. Okay. I mean, I felt that afterwards didn't need to. It's just also mad that right? Yeah. Hey, you feel that way? Uh huh. I just lashed out. Okay.\", \"completion\": \"So when he when he has these, he kind of gets upset at you for certain things like this. How do you think you could change from the smacking him to having a more calm and positive response?\"}\n", "{\"prompt\": \"I think if I was able to get the same thing,\", \"completion\": \"how do you think you might be able to do that?\"}\n", "{\"prompt\": \"Umm\", \"completion\": \"Like, this is how we would do it with CBT we would change your thought. So what He gets upset with you and calls you selfish. You start to feel selfish.\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"So how could you not feel selfish? Even if you changed your thought?\"}\n", "{\"prompt\": \"Yeah, I mean if I never even thought that I was selfish then I would have been angry.\", \"completion\": \"So do you think you're selfish?\"}\n", "{\"prompt\": \"Maybe the time I did die and I felt like awful but now like he says the wording for money but we're really not one might want to pay our bills or I want to do things i mean he's just kind of like a cheap person. We have plenty of money to we're not hurting at all and I do not feel confidence I don't think it was selfish to make myself feel prettier you know? But I think people do have their selfish tendencies.\", \"completion\": \"So I'm hearing you say is you don't think you're selfish at all.\"}\n", "{\"prompt\": \"Oh, I mean, I'm Selfish actuation you don't know if you're being selfish? I really, I really don't know if I had gone and bought a whole new wardrobe with it, but man, I just did my hair. And he had pizza real estate agent. They had sold a big house that week, so we had enough money for me to afford it. Okay,\", \"completion\": \"so instead of thinking I'm selfish, what could you actually think?\"}\n", "{\"prompt\": \"I deserve this and then how me sometimes\", \"completion\": \"I deserve this?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"I mean, who doesn't deserve something every now and then. Right? \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Okay, so if you were thinking I deserved that. That was your thought when he was getting angry. He thought no, I'm sorry. This How do you think that would actually Make you feel what kind of emotion would you feel at that point? I drives you so confident?\"}\n", "{\"prompt\": \"Yeah, confident in my decision. I would still feel real sad that paint off But I don't think it would be to the level that it was thought was selfish.\", \"completion\": \"So if you felt competent about your decision, because you actually changed your thought, do you think that would in turn change your behavior instead of you actually get an angry you would think there's no need for this?\"}\n", "{\"prompt\": \"Yeah, I think it would help me realize that that's his issue and not mine\", \"completion\": \"Right. So how do you think you'd actually behave them?\"}\n", "{\"prompt\": \"walk off, okay or he will be able to This is kind of what I'm wanting to get to, as well be able to suppress it and No, man He didn't deserve for me to hit him. He didn't. He said something that upset me, but no one deserves that.\", \"completion\": \"Right. So maybe I'm so thinking also that you're selfish when he's getting my back. Could you do you think maybe you could say to yourself instead of me, he just doesn't understand and maybe I need to tell him that I do deserve this. And explain it to him that this makes me feel good about myself. \"}\n", "{\"prompt\": \"Yeah, yeah, I could try that. \", \"completion\": \"Because, you know, you know, you're not selfish. It's just something that makes you feel good. \"}\n", "{\"prompt\": \"And I think also, he understood why I did it. Because I mean, he knows that I have some subconscious issues, but I don't think he realizes how bad it was or why I got my hair cut encasing it as she said the most girly things you never asked me feel better about myself, you know, not be as well. Okay. Which goes back to this precedent. So Right. Okay.\", \"completion\": \"So do you think in like in the next coming week that you could actually change your thoughtsin targeted change how you feel?\"}\n", "{\"prompt\": \"I could try yeah\", \"completion\": \"Yeah, okay. Okay. Okay, since we talked about your angry sheets, I know you were saying last time that you were also having problems with depression and you're also having marijuana use and either one of those would you want to discuss? Or I mean, would you like to discuss your you know, your anger issues further\"}\n", "{\"prompt\": \"I like to talk about the depression.\", \"completion\": \"Okay. What do you think triggers your depression, what makes you depressed?\"}\n", "{\"prompt\": \"Umm well My son kind of at the age where he has only been involved in Why, and kind of always been the housewife And he's been he's always been my wife. You know, I did everything with him on my daughter's practices, but his mom is a boy, that is not mommy's little boy anymore. And so now he's kind of growing up and doing his own thing and then\", \"completion\": \"How old is your son?\"}\n", "{\"prompt\": \"He's 14.\", \"completion\": \"Okay. So the interesting age\"}\n", "{\"prompt\": \"Yeah. And so he's kind of coming in a little man who said that he probably offended but like, I don't know if that's where it comes from. honor that that's here lately. You know, I'm used to being at home and I stay with friends and I call myself a lot, or he doesn't like for me to call more. No more kisses and you know And I know that it's normal, but it still makes me feel really depressed.\", \"completion\": \"Okay. Okay. So the situation here is that your son doesn't want to be involved with you as much.\"}\n", "{\"prompt\": \"Yeah, no, he's just grown up. \", \"completion\": \"Okay And have you know, what do you think to yourself when he doesn't want to talk to mom anymore? He doesn't want to be mom. He's out doing his own thing.\"}\n", "{\"prompt\": \"No, I mean like It does freak, I was checking on a football player. You're gonna believe it but bigger and bigger. And he he says taking on your dog and he got upset at me because he felt like I was getting in this business and trying to mommy you know, we're not just trying to make sure that he was going to be able to make it there on time that he had all the clothes necessary. And I asked him if he needed a rod and things like that. I just felt like I was betting in this business. And it just made me feel like I'm not needed anymore.\", \"completion\": \"So when you What is your exact thought though when when this stuff happens?\"}\n", "{\"prompt\": \"do not feel good about it\", \"completion\": \"Yeah, that's hard. When you when you've always been needed before?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"I fee like what kind of motion you are feeling?\"}\n", "{\"prompt\": \"Like sad I was really sad.\", \"completion\": \"In turn, what did you What did you do in that situation? \"}\n", "{\"prompt\": \"Umm I don't know\", \"completion\": \"Okay. Do you think you use the marijuana also because you're pressed?\"}\n", "{\"prompt\": \"Yeah. Yeah, I've never used it before, I mean, it just started like when when I started to feel sad. So yeah. \", \"completion\": \"Okay. So and what are you saying for me if I'm wrong is that, you know, your son doesn't want to be involved anymore. You don't feel like you're needed. That's what you say to yourself and that makes you feel sad and lonely. And then in turn you use marijuana.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So, you don't want to do you want to use marijuana?\"}\n", "{\"prompt\": \"No, I mean, I don't want my son, If he ever found out like, I would be getting employment. \", \"completion\": \"Okay, that's okay. So what what I kind of want you to do for the for the next session is kind of what we were continuing what we were doing last week, you know, how you journaled and when you have a negative thought that you changed it to a positive thought. And then in turn, you solve it like, how it could change your behavior.\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"So do you think you could do that again?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Like when Tom such as when your son, you know, it's kind of goes along around you think instead of I'm not eating and stuff like am I eating more thinking, you know, he's growing up that's good appraised of you know, a son that is active and, and who is enjoying life? And then how does that make you feel if you actually thought to yourself? \"}\n", "{\"prompt\": \"I mean, yeah, I mean, that might make me feel better. Yeah, \", \"completion\": \"you know, because he's probably in a good place and active and social one good person because of you. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So that would make you happy I would think. And then no. Maybe then you could, you know, have a different behavior do something different. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Okay. So journaling. Does that sound good?\"}\n", "{\"prompt\": \"I'm doing all right. not doing too bad. How are you doing Dr. Grande ?\", \"completion\": \"Not bad. Thanks for asking. What brings you in?\"}\n", "{\"prompt\": \"Um, so my girlfriend saw your ad in the paper. And she saw like out of some of the things that you work on one of them is smoking cessation and it bothers her that I smoke. Um, so she has been nagging me for like weeks to come in and talk to you. So I figured I would just kind of come in just so she would stop bugging me about it.\", \"completion\": \"So you came into therapy today? Because your girlfriend pressured you?\"}\n", "{\"prompt\": \"Yeah, I mean, it's just it's easier for me like if I come in here and talk to you like That's it. I can spend like 45 minutes with you compared to ours or her nagging me through the week so\", \"completion\": \"so you weighed the cost benefit and decided to come in ?\"}\n", "{\"prompt\": \"Yeah, I mean, it's covered by insurance. It's just 45 minutes of my time, but\", \"completion\": \"and what she would like you to do, and this is her goal, not yours would be to stop smoking. Yeah. Tell me what your goal is?\"}\n", "{\"prompt\": \"I don't really have one. Like, I don't think smoking is that bad. Well, I mean, smoking can be bad, but like it doesn't it's never bothered me like I I don't know. It's like, I really don't have any goals to come in besides just having herself on you may.\", \"completion\": \"So do you have a goal of quitting smoking?\"}\n", "{\"prompt\": \"No, not at all. Now there's I don't know. There's like so many good things about smoking. I get one what really got me into it was I smoke a lot at work because it gives me like one on one time with the boss. So like the fact that I can get that time with my boss is make worth it. \", \"completion\": \"Can you tell us some of the not so good things about smoking?\"}\n", "{\"prompt\": \"Um, I it's just a, it's how I meet people. So like, if I like, I'll have cigarettes on me, but like, I don't have a lighter and that kind of like keeps me from finishing off the pack. Because I can finish off a pack a day. But if I don't have a lighter than, like, I carry the cigarettes around with me. And then if I see other people are smoking, I can go and ask for a lighter and that's always kind of went away and to get to these groups and I've just met so many different people from from smoking like\", \"completion\": \"So smoking, the way you're presenting it, there's been a positive thing in your life ?\"}\n", "{\"prompt\": \"Yeah, I mean, like I only do it socially. So that's Yeah.\", \"completion\": \"Are there any negative aspects to smoking?\"}\n", "{\"prompt\": \"I mean, yeah, I mean, everyone, everyone knows smoking is unhealthy. But like I don't, I don't smoke a lot. Like I only only smoke from time to time and it's mostly just on the weekends. So it's like, I don't know, occasionally I go by smoker for the weekends, I might have like a cough. Maybe I get like a heavy cough on Mondays Tuesdays, part of me is gone by Wednesday. So it's not really that big of a deal.\", \"completion\": \"So you don't seem like you're too worried about the negative aspects ?\"}\n", "{\"prompt\": \"Now. I mean, like the obviously is unhealthy. But like one of the things I'm trying to do in my life now is get out there and meet new people and like the benefit of being able to do that smoking is better than like giving it up for health reasons. I think.\", \"completion\": \"So I wanna ask you a question. I want you to give a response between one and 10 as is called scaling And it's to do with the importance of stopping smoking. So one would be, it's not important to, and 10 would be, it's extremely important to you, where do you think you'd put that number? \"}\n", "{\"prompt\": \"I don't know. Maybe like, like a two. like it'd be cool to get rid of the cough on Mondays but that getting rid of that is not worth everything else I get from smoking.\", \"completion\": \"So not particularly important?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"Now, let me ask you the same question except instead of importance, how confident are you about confidence? How confident are you that you could quit smoking on a scale of one sound one being not confident all and 10 being extremely confident.\"}\n", "{\"prompt\": \"I could say probably like an eight or nine like I could I could give it up actually I gave it up recently like for like a month and I didn't even crave it but eventually like just seeing all my friends got smoking like I missed that. So I just started off again, but I don't know if I like if I really wanted to give it up. Forget I'm sure I could\", \"completion\": \"So stopping smoking is not important to you, but you're fairly confident you could if you decided to quit. So, based on kind of where you are in terms of it doesn't seem like you're interested in stopping smoking, what would be a goal? How could we spend this time so that it would be productive?\"}\n", "{\"prompt\": \"I don't know. Like, I guess it would It would help to be able to, like explain to my girlfriend that like the stuff that I get from smoking and like you You seem you kind of seem like you get it so like, I don't know, maybe figure out ways to like explain to her the things that I get from smoking to like, I don't know just kind of help her like realize why I do it other than just to kill myself.\", \"completion\": \"So to help her to understand why smoking works for you.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"That's that's one goal than any other goals you could think of I mean, you came in, in part because you're well, that seemed to appear like you came in completely because your girlfriend pressured you. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So any other relational goals you might want to work on there?\"}\n", "{\"prompt\": \"Well, no, we haven't really been like we've been fighting a lot because of the smoking. So I think like, maybe figuring out ways like to maybe communicate better or like having like good fights in a way like I don't ascribe that but like having fights that are productive like that just don't always end like with us just like going our separate ways or like one of us leaving the house but like, I guess being able to like wrap up a fight so it doesn't last for like days.\", \"completion\": \"So productive communication and productive arguments\"}\n", "{\"prompt\": \"right yeah, yeah. \", \"completion\": \"So so one goal would be to illustrate clearly the advantages of smoking to your girlfriend.\"}\n", "{\"prompt\": \"Right\", \"completion\": \"She understands how important it is to you\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Because it does seem like it's really important to you. But another would be to work on your relation, your relational style, so that you, you can end argument and feel like you're not at a stalemate?\"}\n", "{\"prompt\": \"right Yeah, yeah, I think that'd be cool. \", \"completion\": \"All right. Well, you want to make those two goals. We work one so we can spend this time going up too fast. \"}\n", "{\"prompt\": \"Yeah, I can do it that it's kind of like killing two birds with one stone.\", \"completion\": \"Does that make sense to me. Well, that's what we'll do. So what I'd like to do, I'll see you again and about a week. \"}\n", "{\"prompt\": \"Right, right. \", \"completion\": \"So if you could reflect on some of these changes you think you can make with this relationship where you could do in the relationship to be a more effective communicator. Because a lot of this revolves around communication.\"}\n", "{\"prompt\": \"yeah\", \"completion\": \"communicating the advantages of smoking, but also communicating in the arguing, so that you have productive end to these arguments, right. So it's really more moving from arguments to collegial conversations that have a positive result. \"}\n", "{\"prompt\": \"Yeah. Yeah, that'd be cool. We can do that. \", \"completion\": \"Okay. So if you could work on kind of thinking that through, and then next time we meet, we'll talk about those different goals and maybe ways to make some small changes in that relationship to to meet those goals. \"}\n", "{\"prompt\": \"Right. All right. Sounds good.\", \"completion\": \"All right. Thanks for coming in Kylie.\"}\n", "{\"prompt\": \"I am good\", \"completion\": \"I'm Natasha. Welcome to the service.\"}\n", "{\"prompt\": \"Nice to meet you Natasha.\", \"completion\": \"Nice to meet you, too. Thank you for coming today. How did you get here? Did you travel by car or train? How did you find the traffic?\"}\n", "{\"prompt\": \"Yeah, I drove today and the traffic wasn't too bad. Actually, I got here in about 15 or 20 minutes. \", \"completion\": \"Oh, that's good. I was held out there's a big smash on the road so took me a little bit longer. So I'm glad that you're able to make it in. That's good.\"}\n", "{\"prompt\": \"Thank you\", \"completion\": \"Julie, I'm glad that you've made the effort to come in today. How did you hear about our service?\"}\n", "{\"prompt\": \"Well, I was talking to a friend and saying that I thought I might benefit from having a chat to somebody. and she told me that one of her friends had actually come to your service before and said that it was very good.\", \"completion\": \"Excellent. Well, thank you for coming in. When you came in, you fill out some forms which the girls have given me which is great. So that gives me a little bit of a background to To where you're from, and things of that nature. And I just wanted to start by saying that our service is a counseling service for women, and therefore you fit that category, which is really good. Now I just wanted to let you know that this is our first initial interview, I guess. So today, we will be just setting some, I'll be hearing some of your story. And we'll work through a little bit of a process and then I'm sure we'll get the opportunity to meet again. Is that okay?\"}\n", "{\"prompt\": \"that sounds good. Thank you.\", \"completion\": \"Excellent. And now within the pack that, that I've given you or the girls at the front have given you Julie, there is some information on how we keep your privacy and confidentiality. So I just wanted to clarify that before we go into our session today. So within the community set, the community center here, we do everything that you say to me today is kept within a confidential environment. However, I am a mandatory reporter, which means that if you tell me Something that I feel that you may be at risk, or you may be at risk of harm to yourself or hurting someone else. If you have children, if they may be at risk, or if you're participating in illegal activity. I am an entry reporter. And I will need to let somebody know about that so that we can try to get you some help and assistance in dealing with that particular situation. Is that okay? \"}\n", "{\"prompt\": \"Yes, that's fine. I understand. Thank you. \", \"completion\": \"Excellent. So Julie, let's just start by what what is brought you here today?\"}\n", "{\"prompt\": \"Well, my husband and I have been fighting on and off for last couple of months, and I'm just noticing that we can't seem to come to any agreement lately, I'm losing sleep. I'm feeling exhausted. And I'm at a point where I feel like I might like to leave the marriage.\", \"completion\": \"Okay, how long have you been married for?\"}\n", "{\"prompt\": \"We've been together for eight years.\", \"completion\": \"Wow. Okay. That's a that's a decent amount of time. Do you have any children?\"}\n", "{\"prompt\": \"Yes, we have three children. I have two little ones that are under five and we have a seven year old who's at school.\", \"completion\": \"Okay, so you must be kept busy then?\"}\n", "{\"prompt\": \"I'm always very busy. This just always so much to do and I'm really feeling very tired.\", \"completion\": \"Okay. And the children today we're about who's looking after them today for you.\"}\n", "{\"prompt\": \"Well, my two younger children today are being cared for by my mom and my oldest one is at school today. \", \"completion\": \"Excellent. And where's your husband today?\"}\n", "{\"prompt\": \"Um, he's gone to work. \", \"completion\": \"Okay, that's good. So, it seems as if you're at a point in your marriage where you're feeling as if marriage has changed a little bit in its focused and you're you're kind of a little bit worried about what the future holds for yourself and and your husband?\"}\n", "{\"prompt\": \"I am I'm I feel now that that I can't come to any solution with the problems and he's been drinking a lot and and He always enjoyed a social drink when when we first got married, but I'm noticing now that he's drinking more and more, he seems to be drinking most days of the week. And when he does drink, he's very, very difficult to talk to.\", \"completion\": \"So the alcohol seems to be a problem. Do you think that might be relating to the changing behavior that you mentioned earlier?\"}\n", "{\"prompt\": \"Yes, I do. I think that the drinking has definitely changed his behavior significantly. And he's very unreasonable and he's has a very short fuse. He's very, very easy to to make angry over the smallest of things. \", \"completion\": \"Okay. So that must be difficult for you and the children. How have you noticed if the children have picked up on the change in his behavior?\"}\n", "{\"prompt\": \"Well, he does have a very good relationship with the children and he actively participates in their in their daily lives and the children haven't mentioned anything to me and they don't seem to have changed their behavior in any way, the arguments don't tend to happen in front of the children either. \", \"completion\": \"Okay. Are the arguments, something that is it over more trivial things? Or does it sort of other big key things that you're kind of arguing with him about?\"}\n", "{\"prompt\": \"Well, the arguments can start over something small, can be just a simple argument over a task in the house that can escalate into an argument about his family or about my mother or about money issues, and it just seems to escalate out of control. \", \"completion\": \"Okay. So Julie, have you in terms of his drinking, I'm kind of just trying to ascertain maybe what has developed in in your marriage that's taking you to the point that potentially you know, you've come to see me today. And it appears as if the drinking is really the focus of perhaps your your feeling of You know, wanting to disconnect from the marriage and feeling isolated within the marriage would that be? Would that be wrong?\"}\n", "{\"prompt\": \"that that's true, that's right. I think the drinking is my my main issue with with his behavior. And I think the drinking is greatly contributing to the way that he's behaving towards me.\", \"completion\": \"Have you spoken to him about this?\"}\n", "{\"prompt\": \"I have. I've tried to talk to him about the drinking a couple of times, and he just gets very, very defensive with me.\", \"completion\": \"Potentially, he's not acknowledging then that he may have a drinking problem. \"}\n", "{\"prompt\": \"That's true. That's correct. Yes.\", \"completion\": \"Okay. I can understand that this must be difficult for you, Julie. And I'm pleased that you've come here today to try to, you know, work through some of these issues. Now, Julie, in terms of, I guess, your commitment to the marriage in terms of where you want the marriage, kind of To go, do you think that you have a strong base that you can potentially, you know, if we were able to help your husband with the drinking side of things that it might your marriage itself might be strong enough to overcome and to move forward in the relationship Or, you know, tell me a little bit about what your thoughts are with that?\"}\n", "{\"prompt\": \"Well, I'm hopeful that we could resolve the issues that we're having and although at the moment, I feel like I need a break away from him. If he was able to get the support that he needed, and we were able to get the support together. I think that I would be willing to to give the marriage an opportunity to continue into to resolve our issues. \", \"completion\": \"Okay. Julie, in terms of your own support, you mentioned your mom's looking after the children today, do you would you consider yourself to have friends and family that you know, have you spoken to anyone else about this issue?\"}\n", "{\"prompt\": \"Well, I have I spoke to my girlfriend who recommended your service and she Very good support to me and to the children. And I have a very supportive family network as well. I have sisters who live in Sydney, and also my mom. So they're all around me. And they're very, very caring towards me.\", \"completion\": \"Have any of those note any of the family or friends noticed a change in your husband's behavior?\"}\n", "{\"prompt\": \"Yes, I have actually recently we had a social function and my brother did comment to me on how much alcohol my husband consumed at this some social event. \", \"completion\": \"Okay, so this is impacting on you, as well as the, I guess, the extended family as well. Well, it's really good to hear that you do have a support network outside of this room, I guess, which is really, really good and it's great that you've got that and I'd encourage you to use your mom and your family and friends, you know, as a gentle ear to listen to, you know, to help you support yourself and the children through this, this phase or this stage in your relationship with your husband. So, Julie, I'm just trying to think about potentially you, just to recap, So you're saying that your relationship with your husband has changed from what it was. You've been with him for about eight years, and you have got three children. You've mentioned that the primary changes his behavior, and that you believe that it probably is linked to his changing drinking habits. And from what I understand you've expressed that you would be happy to potentially work with him to resolve or seek help for him in relation to his drinking habits. How do you would that be right what I've said?\"}\n", "{\"prompt\": \"Yes, that's right. That's correct. I would be happy to work on things if he was willing to do that as well.\", \"completion\": \"Not knowing your husband, I guess I would probably need to ask you if Do you think that your husband would be receptive to Maybe some marriage counseling or going to see somebody about his drinking. Is he the type of person that might be receptive to that? Or\"}\n", "{\"prompt\": \"I think he would I think if I was able to approach him when he was calm and relaxed, I think that yes, he probably will be receptive to that. \", \"completion\": \"Okay. That's positive. That's really good. Because some people that I meet, you know that the answer to that would be quite different. So I think that's really positive for you, Julie. I think what we probably need to look at now is is maybe continuing this relationship between you and I. So I'd love to see you again and meet up with you again, but also to I think we probably need to explore that avenue of, of either getting you some marriage counseling or something along those lines, as well as seeing whether or not your husband might be interested in in looking at some services to help him with his his drinking issues that he has So if it's okay by you, what we might do from here is organized for us to meet again. What time is best for you?\"}\n", "{\"prompt\": \"Around this time is a good is a good time for me and any Thursday or Friday during during the day is good.\", \"completion\": \"Okay, so what we'll do is we'll we'll organize maybe for this time next week, and we'll meet again, but in the meantime, I think we probably need to put you in contact with the relationships counselor. And we'll try to get that side of things going. And as a result of that, we'll be able to work out how receptive Your husband is of, of potentially seeking some help for him as well. I would like to just say that you mentioned that you you probably would like to escape a little bit from it at the moment. So perhaps I might be able to give you some advice or some some information on you know, some things that you might be able to do to take yourself away from that situation, if you feel as if you know, it's a little bit too much, maybe you might like to tap into your mom or your family and friends as well, if you don't feel comfortable using some of the other services in the area. How do you feel about that?\"}\n", "{\"prompt\": \"There would be good, I'd appreciate that. Thank you. \", \"completion\": \"Okay. Well, thank you, Julie, for taking the time. I'm really happy that you were able to come in today. And it's, I look forward to going on this journey with you. It's not a solution. We can't, you know, fix everything here today. It will be a process and but you know, hopefully together, you know, we can see a really positive outcome for you and your family.\"}\n", "{\"prompt\": \"Thank you very much for talking to me today, it's been great. Thank you. \", \"completion\": \"I look forward to seeing you next week.\"}\n", "{\"prompt\": \"Well, that's fine.\", \"completion\": \"Would it be all right handy for you to tell me a little bit about what's been going on?\"}\n", "{\"prompt\": \"Well, you're gonna think it sounds stupid, but my housemates are working for MI5 \", \"completion\": \"Right.\"}\n", "{\"prompt\": \"And they're doing stuff to my brain.\", \"completion\": \"Okay, that must be very difficult for you.\"}\n", "{\"prompt\": \"Yes\", \"completion\": \"How long has this been going on for Andy?\"}\n", "{\"prompt\": \"about two months,\", \"completion\": \"right And how did you first work out this is what was happening?\"}\n", "{\"prompt\": \"I came one time and the move the move the TV to do so I just I knew that,\", \"completion\": \"um, what was it that you knew at that moment? \"}\n", "{\"prompt\": \"That they work for MI5\", \"completion\": \"right. Okay. Okay. So it's been going on a couple of months.\"}\n", "{\"prompt\": \"Yeah, this new lecture started in May. And he works for MI5, right. Basically drafted me asked me to sin against me,\", \"completion\": \"okay. Okay. Now I've noticed a couple of times while we've been talking to you sort of look around you into the room as if you checking for something could ask you what's happening at those times.\"}\n", "{\"prompt\": \"Well, I can, I can hear him talking about.\", \"completion\": \"Who is it You can hear?\"}\n", "{\"prompt\": \"My housemate\", \"completion\": \"Right. So that you recognize it as their voices?\"}\n", "{\"prompt\": \"Yeah, I can I can hear him all the time.\", \"completion\": \" Right, How many voices Can you hear Andy?\"}\n", "{\"prompt\": \"there's three of them.\", \"completion\": \"Okay. And do they sound real, Like my voice sounds talking to you now?\"}\n", "{\"prompt\": \"Yeah, it's hard. It's it's slick. I can I can hear him with a knot here.\", \"completion\": \"so when they're not in the house with you?\"}\n", "{\"prompt\": \"Yeah, it's like, yeah, like they're in the other room.\", \"completion\": \"Okay. Okay. And can you hear what they're actually saying?\"}\n", "{\"prompt\": \"Yeah, the talking about me, they always talking about me. They're always commenting on everything I'm doing.\", \"completion\": \"Can you give me an example of what they would say?\"}\n", "{\"prompt\": \"Like, if I'm packing my bags or to do something, they'll be do comment on that, like you left the house now.\", \"completion\": \"Okay. Okay. Anything else? Do they ever talk to each other Perhaps about you?\"}\n", "{\"prompt\": \"Yeah, that's what I mean. And now the know, the sort of the sort of tweak that I know about them right and the same I come I'm making trouble and that kind of soul man. \", \"completion\": \"Okay. Okay. What about actually talking directly to you in the way that I'm talking to you now? Does that ever happen Andy?\"}\n", "{\"prompt\": \"yeah\", \"completion\": \"Okay, so you've been you've been hearing the voices of your housemates Have there been any other changes have there been any changes perhaps to the way you're thinking? Sometimes people tell us that they thinking changes in some way. So for example, they might feel that they're getting thoughts put into their head that aren't their own. had any experiences like that?\"}\n", "{\"prompt\": \"Yeah. I do think things that that are me like okay to put in thing putting stuff in my brain it's not it's not me. It's not I'm not thinking\", \"completion\": \"so different thoughts in your brain.\"}\n", "{\"prompt\": \"Yeah. It's stupid stuff as well as I do. The other day, I was just suddenly just started thinking about some woman in Coronation Street and I watched him cry. \", \"completion\": \"It's not your kind of thing normally, right? \"}\n", "{\"prompt\": \"They're not my thought.\", \"completion\": \"Right. Okay. And do you have any idea how that that's happening who is responsible?\"}\n", "{\"prompt\": \"It's MI5, It's this chip of they pur in my head and I can Feel it all the time.\", \"completion\": \"Okay. So you're getting thought put into your brain that aren't your own? What about a different sort of experience? What about the experience that somehow other people are able to know what you're thinking even though you haven't actually told them?\"}\n", "{\"prompt\": \"Nothing like that. Just putting stuff in my head\", \"completion\": \"And can I just check on it as well? That you're not getting the experience when your thoughts just stop all together? Like you have no thoughts left.\"}\n", "{\"prompt\": \"If anything, there's too much in there. I wish I could unplug it. \", \"completion\": \"Okay. Okay.\"}\n", "{\"prompt\": \"Get this thing out of my head.\", \"completion\": \"You mentioned this, this chip or this device in your brain, you want to tell me a bit more about that.\"}\n", "{\"prompt\": \"Well, it's it's a tracking device so they know where I am all times in there. I could I could feel it moving around rotating\", \"completion\": \"You can feel the physical sensation in your breain\"}\n", "{\"prompt\": \"yeah\", \"completion\": \"okay. Okay, that must be very difficult for you\"}\n", "{\"prompt\": \"I don't know why they're doing this to me. I've done nothing wrong.\", \"completion\": \"Okay. Can I just check Are there any problems Andy with the rest of your body any changes in sensation or any bits that feel different in any way?\"}\n", "{\"prompt\": \"I feel fine. I'm not ill or anything. I just thing on my head.\", \"completion\": \"It sounds like a very difficult time for you. Can I ask you Andy, how are you coping with all this? How's it affecting you? \"}\n", "{\"prompt\": \"Well, I know we live in my room much. So have to wait till they go out and I get out to bring food but they have been doing stuff to my food.\", \"completion\": \"Okay, what do you think's happening to your food?\"}\n", "{\"prompt\": \"they're poisoning it.\", \"completion\": \"Okay, are you actually eating much at the moment? \"}\n", "{\"prompt\": \"No.\", \"completion\": \"Okay, and with all this happening and this says that you don't feel very safe I've got that right. Okay, haveyou felt the need to know to take steps to protect yourself in any way? \"}\n", "{\"prompt\": \"Well I've got a knife, okay. And a baseball bat Is this just in case the came in my I room.I don't want to hurt anyone. I feel like I've got to protect myself. It's like cornering me to do this\", \"completion\": \"right. Okay. Have you felt the need to use either the knife or the baseball bat so far to take it out with you for protection?\"}\n", "{\"prompt\": \"No, no, I don't want to get caught. Just in my room.\", \"completion\": \"Okay. Has it ever got so bad Andy that you felt the need to hurt yourself or even kill yourself as the only way out the only way of coping with it?\"}\n", "{\"prompt\": \"I saw about getting some pills but I couldn't leave the house. I can't \", \"completion\": \"even when you say getting some pills, that'd be to take an overdose of tablets?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"but you've not actually done anything about that so far? right?\"}\n", "{\"prompt\": \"yeah\", \"completion\": \"Okay. In the past have you ever had any problems either with your temper or getting into fights being aggressive either with your housemates or anybody else?\"}\n", "{\"prompt\": \"I'm not that kind of person. I don't want to I don't want to hurt anyone. They Just drive me into this.\", \"completion\": \"And can I just check again you've not been in trouble with the police or anything like that.\"}\n", "{\"prompt\": \"No never\", \"completion\": \"Okay. With all this that's going on. Is there any way at the moment Andy That you feel safe?\"}\n", "{\"prompt\": \"At my parents house\", \"completion\": \"right. Okay. And have you seen much of your parents recently?\"}\n", "{\"prompt\": \"Yeah. I don't want to drag them into this I don't want my five known about.\", \"completion\": \"And throughout this last couple of months when you've had all these worries, have you ever worried that your parents might in some way be involved in this conspiracy?\"}\n", "{\"prompt\": \"I thought about it but no.\", \"completion\": \"Okay. Okay. Can I just check out a couple of background things with you, Andy, your general health is that okay Generally fit and well? \"}\n", "{\"prompt\": \"Yeah. No ill, there's nothing wrong with that. It's just this thing in my head.\", \"completion\": \"And you're not on any regular medication from your own doctor at this stage.\"}\n", "{\"prompt\": \"Don't take any.\", \"completion\": \"Okay. What about other drugs And by that I'm meaning alcohol cannabis pills, Anything else?\"}\n", "{\"prompt\": \"I don't I don't drink much alchohol.\", \"completion\": \"Right. Okay. And what about drugs like cannabis?\"}\n", "{\"prompt\": \"Is this moment No,\", \"completion\": \"I think it's important I hear about this is wouldn't be something we'd be discussing with your mom.\"}\n", "{\"prompt\": \"Likely weed\", \"completion\": \"Would that be regularly to most days?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"And how much would you be spending on weed?\"}\n", "{\"prompt\": \"10 buck.\", \"completion\": \"Okay, so you have a 10 buck lesson you have a day of weed any other drugs? I'm thinking in particular things like speed or or pills.\"}\n", "{\"prompt\": \"Bit of a speed.\", \"completion\": \"Okay. Its on a regular basis Andy?\"}\n", "{\"prompt\": \"late the weekend.\", \"completion\": \"Okay, when was the last time I didn't even had any speed\"}\n", "{\"prompt\": \"for a week ago\", \"completion\": \"Okay, any other drugs at all? \"}\n", "{\"prompt\": \"No. it's not. It's not the drug right? This is doesn't matter how my face I get this. Constantly. Yes. always there.\", \"completion\": \"Okay, I guess the reason I was checking I think we've picked up on is sometimes when people are having the kinds of experiences that you are they find if they take certain drugs, it could make things feel a lot worse. I just wanted to check. that hadn't been your experience.\"}\n", "{\"prompt\": \"No\", \"completion\": \"Okay, okay. Appreciate from what you're saying, You're really very worried about this MI5 conspiracy and that that's the cause of the difficulties that you're having at the moment. I just wanted to check with you Do you think it could be due to anything else? And I mean, I've obviously met other people who've had similar experiences, and sometimes they're extremely stressed, some people might be mentally unwell, and it's worth it whether any of these things might be relevant to you at the moment.\"}\n", "{\"prompt\": \"No, because I'm not ill. \", \"completion\": \"Alright.\"}\n", "{\"prompt\": \"It's them and I've read books on this as well. I don't the government know about the them to know that they do this to loads of people. I don't know how they can get away with it. I have done nothing wrong, I don't know why they're doing this to me. \", \"completion\": \"Okay. Sure, I think I can appreciate that. I guess what I'm wondering is whether you think there's anything that someone like me might be able to do to help you as a doctor that sometimes meeting with someone like a psychiatrist or having medication or for some people even coming into hospital for a short time might be helpful. Do you think any of those things would help you at the moment?\"}\n", "{\"prompt\": \"I don't know. I mean, I want to hear really, because someone warmer, tried to. I don't want to worry about I've tried to talk to her about it. She doesn't understand she doesn't really believe me. I mean, do you believe me? \", \"completion\": \"Well, I certainly believe that you're having a really difficult time at the moment, I guess I'm not too sure about is what's causing this and I'm, I'm less sure this is due to MI5 is what I'm wondering, is it perhaps you're not as well as you might be at the moment. I mean, we've been through a lot of questions And what I'm thinking is we need to try and come up with a way of supporting you through this Someone drink cuz I know your mom is I think she's waiting in the waiting room might be a good chance now to get your mum in and then perhaps the three of us can put our heads together, have a bit of a discussion about where to go from here and try and think of getting you some some proper support. Would that be alright if I got your mum in?\"}\n", "{\"prompt\": \"Okay, \", \"completion\": \"okay, if you want to sit there then I'll just get your mum okay.\"}\n", "{\"prompt\": \"The sadness is like a stone in my belly.\", \"completion\": \"Is it?\"}\n", "{\"prompt\": \"Yeah, sort of like and, and wanting to lift that stone out, so to speak, because the vulnerability, you don't want to be excited thankful for you to be so painful to be vulnerable.\", \"completion\": \"Right\"}\n", "{\"prompt\": \"Whereas I think you have seen me in vulnerable situations more because of medical problems. And when someone else is vulnerable, not me. I can be seen as capable\", \"completion\": \"Ah, that's just so so so there's a sadness here, when your partner says, I don't really see, you don't really show me that softer part of you, there's a sadness there and it feels like a stone in your stomach, right? But somehow you helped me it's like, what I'm hearing is for you to actually touch that vulnerability and show him there's something about not being capable, they're not being strong. Is that it?\"}\n", "{\"prompt\": \"Not really being knowing how to do that? How do you you, you show that vulnerability, how to actually name it or just stay with that vulnerability? And, and feel comfortable about doing that like, And to me, that's it, you know, you could say it's associated to trust or intellectually you can, but it's very, very difficult to actually\", \"completion\": \"It's difficult for all of us here to give that up. It's difficult for all of us. Right?\"}\n", "{\"prompt\": \"Yeah. Right.\", \"completion\": \"And we all have that sense of needing to protect ourselves. Right? And I think what you guys are telling me, I mean, we go back and talk about your relationships, in your past relationships, we've often learned that it's very bad idea to be vulnerable. We're talking about that you guys are also in a cultural context where that's not encouraged to be vulnerable.\"}\n", "{\"prompt\": \"Yeah. And to some degree, we have been vulnerable.\", \"completion\": \"you've been together for a long time, and so you're Is that what you mean? No, I mean, being gay. That's, yeah, yeah. Yes. You're even more vulnerable, gay. There's a vulnerability about being gay. Period. Exactly. So there's an even you need to protect Yeah, I validate and normalize their need to protect themselves as individuals and gay men in a heterosexual world. \"}\n", "{\"prompt\": \"Yeah, I just then recently I've just been feeling down a lot. And I can't really like snap out of it. Like sometimes if it's happened before, I can just like, get myself back on track. But recently, I've just found it really difficult to do it. \", \"completion\": \"So it sounds like you've been experiencing some low mood and you're kind of struggling to get going a bit.\"}\n", "{\"prompt\": \"Yeah, yeah, definitely. \", \"completion\": \"You've had low mood in the past, but it's kind of you've been able to pull yourself out of it before but more recently, you found that harder. Okay, so I understand that you you first went to your GP he referred you here about two months ago. And can I ask what what led you to go to the GP in the first place?\"}\n", "{\"prompt\": \"and my long term boyfriend broke up with me and it was such a shock like I really wasn't expecting it. And it's got me really down and felt really lonely and and I didn't really want to see people and she wanted a baby in space and the mom told me I should probably go to the doctors and and he is her family to you.\", \"completion\": \"Okay, so it sounds like you had that breakup and you weren't expecting it. So kind of came out of the blue a bit and, and that you've been on your own quite a lot. So you're not been seeing people as much and it sounds like your mom, notice that there's been a bit of a change in you. Okay, and how things been then since then, since that happened and since you went to the GP?\"}\n", "{\"prompt\": \"I just nothing's really changed, nothing's really improved. I feel down like absence and feel distant from things and like I said, I can't stop all over.\", \"completion\": \"Okay, and how did you feel about coming here today? \"}\n", "{\"prompt\": \"And I was kind of disappointed in myself, because I feel like maybe else my ages doing this, like, I should have been able to snap out of it. Like, it's just another thing that I've not really affects me make me stand out for the wrong reasons.\", \"completion\": \"Okay, so you feel like it's kind of odd or unusual to be here, coming to see a clinical psychologist, I suppose I just want to reassure you that it's absolutely normal to have feelings of depression and anxiety. It's really very common, and it certainly isn't auto strange at all. So it sounds like it was actually quite hard for you to come here today. So what I guess led you to do that because it sounds like maybe there was a lot pushing you against coming here today, but you've managed to come anyway. \"}\n", "{\"prompt\": \"And I'm just hoping that it's going to help. I think I didn't I didn't really want to admit it, because like it's just another failure. But my mom was talking to me and, and she's, she's not really happy with the way I'm behaving and I don't really want to disappoint her again. And so I thought there's no harm in this\", \"completion\": \"So sounds like partly you're doing it then your mum because you're a bit worried that she she isn't pleased with you at the moment.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Okay. And I think it's great that you've come here. And definitely there's a lot of evidence to suggest that psychological therapy can help depression and particularly the type of therapy that we're going to be doing, which is called cognitive behavior therapy. And I'll tell you a bit more about that as we go on, but I'm just trying to find out a bit more about you today. So I saw from your notes that your medic student\"}\n", "{\"prompt\": \"Yeah, and not currently in the Unii room and but yeah, last year as a medical student,\", \"completion\": \"okay, so I guess what, why, what's, what's the reason that you're not in uni this year?\"}\n", "{\"prompt\": \"and I Like he is pretty tall fast as a then suggested I took a year out. This is the Break.\", \"completion\": \"Okay, so just thinking that would be about six months ago was it that your ear out started, and it sounds then maybe like your first year was also quite tough.\"}\n", "{\"prompt\": \"Yeah, was that I thought we still for everyone, but obviously we'll take it in different ways daily.\", \"completion\": \"And you're planning on the panning on returning.\"}\n", "{\"prompt\": \"And yeah I am gonna have to really so. Yeah\", \"completion\": \"don't sound too sure about that though?\"}\n", "{\"prompt\": \"I think return is probably that's what's gonna make everyone happy. And I think you know, at least I'll be able to finally achieve something and get something right. So yeah, like next year, I'm going to get through it. Yeah. \", \"completion\": \"Okay, so it doesn't, it doesn't sound like you want to go back.\"}\n", "{\"prompt\": \"I do. And I do. Enjoy it, I just I just don't feel like mate the main man and I just, it's a lot of flack and a lot of pressure and but that's what comes with it and, you know, it'll work out for the best if I go.\", \"completion\": \"Okay, so I guess in there's quite a lot of thoughts and feelings about going back at the moment. And I'm just wondering In the meantime, what are you what are you up to what have you been doing?\"}\n", "{\"prompt\": \"And I've not really had much on the horizon men more men, have friends owns a restaurant. And like she suggested that did a better way to sit in there. Just deliver a bit like money and stuff because I've seen that in Uni. So, you know, I've done that.\", \"completion\": \"Okay, how many shifts have you done there?\"}\n", "{\"prompt\": \"And I've only done one so far. And yeah, I don't know whether it's something that I'd probably go back to but \", \"completion\": \"okay. How when was that shift?\"}\n", "{\"prompt\": \"It was last week actually.\", \"completion\": \"Okay, and how was it, I suppose I'm intrigued. Can you tell me a bit more about that? \"}\n", "{\"prompt\": \"Umm it was, it was different, you know, because it was like I could. I did enjoy it because there's like, it's just different aspects and I had to like, speak to people and like, try to get their orders and try to remember it and stuff. Like, I wasn't very good. But I suppose like it was handy to have some money and, like, get out of the house.\", \"completion\": \"So it sounds like you quite enjoyed that then?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"And what makes you think you weren't very good?\"}\n", "{\"prompt\": \"I just I just bit slow and people sometimes they didn't stand by science, so I'd have to talk louder or quieter or slower and a bit confused sometimes with the orders. And then just don't really think that I'm not really like a friendly. Like, people don't really think that I'm a friendly person. They didn't really want to talk to me and stuff. I felt like I was like inconveniencing them by like, asking them things and getting things wrong. But yeah, they said they said that apparently and most people got like a few mistakes on the fascia. But then again, she's my mom's friend so probably why she's saying it.\", \"completion\": \"So the person who owns the restaurant is your mom's friend.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Okay, so it says you're saying that you think you weren't very good that's because you're a bit slow and you got confused with some orders. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Is it? You said it's common for people to do that. Well, on that first shift, that's a she said toes,\"}\n", "{\"prompt\": \"but and, but it's probably just, she's just trying to make me feel better she probably felt sorry for me because I'm obviously not very good at it. Like, I'm not very good for any things recently. I think she just felt sorry for me.\", \"completion\": \"Okay, so I've just been noting down some of those thoughts that you've been having. You kind of So you feel like you're not very good, you're slow. You're confused with the orders and you feel like you're inconveniencing her and she feels sorry for you. And I suppose I'm wondering I mean what makes you think that she feels sorry for you?\"}\n", "{\"prompt\": \"Like, like such as my mother's friends and she's obviously feeling sorry for my mom as well because she's got a daughter it's not like anyone else who harried and she's just like all alone and she's not getting involved so I think she just feel sorry for me and she doesn't want to extend until upset me. Yeah.\", \"completion\": \"When you're having these kind of thoughts, because that's quite a lot of negative thoughts you're describing how do you feel?\"}\n", "{\"prompt\": \"I feel empty. I do. I'm just calling as it is and just call it as reality. And I feel like I'm being honest with myself by just leasing it and not trying to get around tighten it because No, I can see myself\", \"completion\": \"so it sounds like you feel like these thoughts are very true then. I mean, if you're going to write them, so I'm going to pick out some of those thoughts you describe. You said, I'm not very good and I'm inconveniencing them. How much would you say you believe those on a scale out of 100? where 100 is like I absolutely believe it and zeros like I don't believe it at all.\"}\n", "{\"prompt\": \"About 80\", \"completion\": \"so you feel quite sure that you definitely believe okay. And you said that when you're thinking those thoughts, she started to feel quite empty.\"}\n", "{\"prompt\": \"I just feel just, like sad. I'm not really myself. I just like it's like I'm not really bad, but when I am coming through Good job, and\", \"completion\": \"there any other emotions that you experience?\"}\n", "{\"prompt\": \"feel drained. They feel like I'm in touch with anything And just like everything's going on around me, but I'm just not there. I'm just if I can just walk in\", \"completion\": \"Okay, so you feel empty distance you feel drained and how when you're feeling these emotions, how do you feel in your body? Kind of what sensations do you notice?\"}\n", "{\"prompt\": \"I didn't know how to describe it. I got like I have a bit of like we can have any kind of got like butterflies in your nerves and stuff.\", \"completion\": \"Did you have butterflies that night when you're at the restaurant?\"}\n", "{\"prompt\": \"Yeah, I was pretty nervous then. But when I got into it, they went away and like, it just talked to me for a bit. And so obviously, I realized that I wasn't doing a very good job.\", \"completion\": \"Okay, and when you When you have these emotions, how does it affect your energy levels? Do you feel more energetic, less energetic or about the same?\"}\n", "{\"prompt\": \"i am feeling down\", \"completion\": \"Yeah. And when you're having those emotions that you were describing\"}\n", "{\"prompt\": \"I feel drained like, then you will have like the energy to wake up in the morning sometimes, because y'll play less and less than the body's having and I don't want to.\", \"completion\": \"Yeah, sounds like you feel very tired. You're struggling to wake up. You said it's pointless. And then what do you do then when you feel like that? So I guess you just talked about when you wake up in the morning, and you feel heavy, and I suppose you've been maybe having some of these thoughts and those emotions, potentially the night before? What do you then do? How do you respond to that?\"}\n", "{\"prompt\": \"I just have to go expose that don't really have a choice because my mom I live with my mom and I know it's hard for her. So I don't want her to be too worried. So I just I just tried to carry on as normal girl takes longer and I don't want to but I do. So now its my routine.\", \"completion\": \"So you're a bit slower and gets getting up.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"But you are still getting up anyway. And what about your kind of what do you think about when you're doing that?\"}\n", "{\"prompt\": \"I'm just thinking that nobody else is like mate my age like, maybe we should be feeling like this. And I'm the only one that does.\", \"completion\": \"So it sounds like you think a bit more about the problem and you kind of spend time thinking about hey, how can it hapen to me?\"}\n", "{\"prompt\": \"I don't, I don't want to feel like this but i do and nobody else I know doors. So it makes me feel even more alone gets me even more down. I just don't display anyone and I should have anyone to it.\", \"completion\": \"Okay, so it sounds like you try and toughen up on yourself a little bit. Tell yourself to work harder to be different. Okay. And when you start telling yourself that kind of thing and how does that make you feel? Does that make you feel better afterwards or worse?\"}\n", "{\"prompt\": \"Well, I was raised Catholic.\", \"completion\": \"So you consider yourself Catholic. But you feel like there's a lot of rules.\"}\n", "{\"prompt\": \"Yeah. I mean, there's a lot of do's and don'ts. Our church was very like, hell oriented. Like, if you do this, you're gonna go to hell to do this. We're gonna go to hell and like, well, let's let that's fun.\", \"completion\": \"How do you think those spiritual values influence your daily life?\"}\n", "{\"prompt\": \"I mean, sometimes I do. Feel guilty about what I do. I feel guilty about, you know, spending more money than I'm willing to admit on drugs and parties, but I mean, I think you know, God forgive me. Hmm.\", \"completion\": \"How about racial ethnic identity?\"}\n", "{\"prompt\": \"Well, I am Mexican.\", \"completion\": \"Mexican.\"}\n", "{\"prompt\": \"Well, I'm very, very family oriented.\", \"completion\": \"Family oriented.\"}\n", "{\"prompt\": \"Yeah,\", \"completion\": \"Can you tell me about your living housing situation?\"}\n", "{\"prompt\": \"unsteady, or just really the word? Yeah. I mean, usually it's about there's a lot of us in one house. Like, right now I'm living with about six other people. And, you know, the fight happens or somebody can't pay the rent or I can't pay the rent. You know, I've moved probably about 12 times within the past year,\", \"completion\": \"the past year.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So, there's a part of it's not so bad.\"}\n", "{\"prompt\": \"Yeah, but I could see it having an effect on my kids.\", \"completion\": \"How much for financial outlook\"}\n", "{\"prompt\": \" By financial outlook, well, I get assistance from the state. And I mean, I usually have enough to pay for everything. I mean, there's been some days that I've had to tell, you know, my roommate say, Can you lend me some money? Or my sister's always there if I need that from her?\", \"completion\": \"So occasionally you'll borrow money.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"All right. How about your sleep? Do you feel like you sleep as much as you should? More than you should or less than you're sure\"}\n", "{\"prompt\": \"much less than I should.\", \"completion\": \"Tell me about that.\"}\n", "{\"prompt\": \"I mean, just to kids and getting them down and then taking trying to take some time for myself and sometimes I'm up late with, you know, being with people. smoking, drinking. I just don't that much.\", \"completion\": \"Or is that a problem that you want to work on?\"}\n", "{\"prompt\": \"Yeah, I guess. Yeah. Yeah. I really like to get some more sleep.\", \"completion\": \"How about food intake eating? Do you feel like you eat more than you should less than you should or about right?\"}\n", "{\"prompt\": \"More than I should more, I find myself like snacking a lot during the day. And I'll still have regular meal. So it's like meals on top of snacking on top of meals on top of snack and it's just a lot of food.\", \"completion\": \"Is that an area that you want to work on? Do you see that as a problem?\"}\n", "{\"prompt\": \"Yeah, I guess I could work on that problem, but I guess now that you mentioned it. That'd be interesting.\", \"completion\": \"And maybe I want to switch gears again here. Trauma history. Now. You already told me about the What do you think may have happened or could have happened with your father? How about any physical abuse? I think you mentioned that earlier, right?\"}\n", "{\"prompt\": \"Yes. Well, my dad would hit us while we're younger. And then after he went to jail, um, me and my mom would get into fights, sometimes.\", \"completion\": \"Physical fights, yeah.\"}\n", "{\"prompt\": \"Had a few cousins that you know, would step over the line.\", \"completion\": \"Tell me what you mean by involved.\"}\n", "{\"prompt\": \"You know, I punch back. \", \"completion\": \"Well, what do you think happened in those situations? You feel like that?\"}\n", "{\"prompt\": \"No, they were they were picking on me. \", \"completion\": \"You were targeted?\"}\n", "{\"prompt\": \"Yeah. Because I'm small. I'm sure. You know, my cousin's really towering over me so they would try to disrespect me Because they thought they could.\", \"completion\": \"And you would act out physically against them to defend yourself.\"}\n", "{\"prompt\": \"So naives\", \"completion\": \"on occasion?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"How about emotional abuse?\"}\n", "{\"prompt\": \"My mom always tried to make me like I was the scapegoat a lot\", \"completion\": \"about that,\"}\n", "{\"prompt\": \"even if it was her fault that the lights weren't on and there were no there was no water. It would somehow be my fault. No while you're, I had to bail your sister out again. So you know this happened and I had to drive around town to find your sister because you know, she was just off doing her own thing. So I spent all the money on gas couldn't pay them like that was always my fault. Everything was always my fault, even though I knew it wasn't but still harbor.\", \"completion\": \"That was painful for you.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Do you think that had an impact or that or the physical abuse had an impact on your life? What's happening now?\"}\n", "{\"prompt\": \"physical abuse, I guess I try to end fights with violence, I guess, because I know how bad it can get. So I've tried to shut it down really fast, but probably not the most healthiest way. What's been the honest, that's why I think my sister and me are close. And so I blame my mom for that because she used me as the scapegoat. And then my sister was like, Oh, well, that's the bad sister.\", \"completion\": \"So you think your mother's behavior led to the way your sister treats you now?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Any other instances of physical or emotional abuse?\"}\n", "{\"prompt\": \"Um All right.\", \"completion\": \"How things been going since the last time we met?\"}\n", "{\"prompt\": \"it's about the same. I'm still feeling pretty down. I mean, I just feel really stuck and not happy and I just don't know why.\", \"completion\": \"Okay, so there's a few things going on there. You said you feeling stuck? Not happy. And some sound like a little confused as to what's going on what's causing it. You have any suspicions about what might be causing?\"}\n", "{\"prompt\": \"I mean, I've been feeling like really isolated lately. You know, because I'm a stay at home mom. It's hard. There's not a lot of people. You know, right at my fingertips to spend my time with, you know, obviously my family but, um, so I guess, you know, I kind of I had some friends in the neighborhood, but like, our friendships just kind of fizzled out. And I ever since then it's just like, I don't really feel like doing much. I just kind of feel like what's the point and let my husband take care of a lot of stuff. You know, I used to, you know, shop for the groceries all the time and make sure the house is always stocked and make dinner every night and get the kids ready for school in the morning and I still do that stuff. But a lot of times, you know, I let it slide. Sometimes I won't make dinner or whatever. And when I do do it, I just feel like I'm forcing myself to do it. The passion is gone.\", \"completion\": \"And how long have you been? You say housewife, right? How long, you've been the housewife?\"}\n", "{\"prompt\": \"For a long time, I have two boys. They're eight and 10 and I've been staying home since my first one was born. So 10 years and you know, it's it's been really rewarding for me I'm not really interested in going back to work or anything like that. Because I know people always say you're, you know, you're feeling unfulfilled, like you should go back to work, but it's not it. You know, I've felt happy with it for so long. I don't think that it's being home. I think it's some thing inside of me.\", \"completion\": \"something's changed. So for a long time, you were satisfied in housewife, you enjoyed that life or found satisfaction out of life. And somewhere along the line, something changed in you. And now you're not happy with it. So what it represents in terms of activities like caring for your children and shopping? No, that's what changed.\"}\n", "{\"prompt\": \"Yeah, exactly. Well, I guess, you know, my youngest is eight. So he's only been in school for a couple of years. So I guess like, it's not super recent, but recently he, I finally have no children in the home. So it's more, it's more time to myself. And I kind of fill that gap a little bit with other things. Like I did Cub Scouts with the boys for a while. And like I said, I had some friends around the neighborhood so that kind of like, fill that time. But now that stuff, it's just not really happening anymore. So now I kind of feel like it's not it's not boredom, you know, it's not like I don't have enough to do. It's like, I don't want to do anything. But then at the same time, I feel frustrated because there's nothing to do.\", \"completion\": \"So you're, you're frustrated with your situation, maybe with yourself a little bit.\"}\n", "{\"prompt\": \"Yeah, I think a lot more with myself because I know That I would feel better if I, you know, maybe found more friends or found something to do with my time, but I don't want to at the same time, so I'm frustrated with myself because I know I kind of know what would help but then I don't really have the like the volition to do it.\", \"completion\": \"You're not motivated?\"}\n", "{\"prompt\": \"Yeah,I'm not motivated. \", \"completion\": \"Have you received any feedback from other people about this meaning? Has anyone else noticed that you're down?\"}\n", "{\"prompt\": \"Yeah, I mean, obviously, my husband has noticed because he has to get the boys ready in the morning. He's really supportive. I know he can tell that I'm not feeling the same. But you know, he works. And then he has to come home and pick up my slack. So he's getting frustrated, which I understand. And, you know, my mom has said to me that, you know, she thinks I'm not doing as much and so it kind of hurts. It feels like everybody's trying to tell me I'm lazy and then I'm not doing enough and it's always that like feeling, you know, like nobody really understands how much work that goes into being a mother, but then at the same time now that I'm doing less and less, I feel like they're all right. You know, I am lazy. I'm not doing anything\", \"completion\": \"they used the word lazy.\"}\n", "{\"prompt\": \"No, no, not that I can remember. I, you know, I think my mom said, like, you're not doing as much as you used to and I kind of took offense to that, even though it's kind of true. It's like, I don't know. It hurt. \", \"completion\": \"Okay, that was painful for you. What about what your husband said? \"}\n", "{\"prompt\": \"You know, I think at first we didn't really acknowledge it. It was like, you know, I took a break here. He picked up the slack and it was fine, but now that it's been and more he's kind of getting frustrated and, you know, he's been asking me about how I feel and why I'm not doing as much but at the same time, like, even though he knows that I'm not motivated, it's still frustrating because I, it's my responsibility. So I think he's, you know, he's been saying, like, I need you to do more around the house pretty much is what he said, I need you to do more.\", \"completion\": \"What was your response to that? When I said, I need you to more?\"}\n", "{\"prompt\": \"I started crying because I know he's right and that's what I tell myself every day, I need to do more, but I don't have the motivation to do it. And so I'm so frustrated with myself. And, you know, I know that he needs that from me and I don't know why I'm not motivated to do it.\", \"completion\": \"Okay, so you're frustrated forfeeling down? \"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"And you're frustrated for lacking motivation?\"}\n", "{\"prompt\": \"Hmm\", \"completion\": \"And just as little as a few years ago, you didn't feel it this way at all?\"}\n", "{\"prompt\": \"Yeah. Yeah, I actually think, you know, I've been feeling this way more like in the past, like six months or something like that, like I, it was hard for me when my youngest son went to school but more in like the natural way that it is hard. But this is something else this is more consuming. It's, you know, like the difficulty of him going away to school, almost was motivating, like it was hard, but at the same time, it was freeing because I had other opportunities to do stuff. This is just like stunting.\", \"completion\": \"Okay, so I'm gonna shift gears a little bit. Can you tell me about your well, a recent day? So it's kind of typical what you're telling me now meaning not motivated down?\"}\n", "{\"prompt\": \"Sure. Onn Wednesday, I was having a really hard time getting out of bed. So my husband just got the kids ready in the morning and I felt really bad about that. So I just stayed in bed for a couple more hours, probably until like 1030. And I got up you know, I'm made myself something to eat. And then I thought, you know, I should probably go to the store because we're almost out of milk. And, you know, and I think the boys need shampoo, but I just, I just sat down and I just sat there and I think I sat for I don't even know how long the boys came home from school. It was like, you know, 330 and I hadn't even gotten up. And so then I said, Okay, the boys are home. I should probably get started on dinner soon, because my husband will be home soon. And I found I found something in the fridge to make and I made dinner and you know, after that everybody, you know, just sat down, we just watch TV and I just sat there until it was time to go to bed.\", \"completion\": \"This is you said this was recently right?\"}\n", "{\"prompt\": \"Ummhuhh\", \"completion\": \"What would the ideal day of look like take that same day and do you wish you could have done?\"}\n", "{\"prompt\": \"I wish that I would wake up and you know, I would want to wake up when it was time for the kids to get ready to school to go to school. You know, I could make sure that everything that they had everything they needed, I could pay for lunches and get the boys dressed and you know, check they needed any permission slip sign, that kind of thing. Send them out the door and then I would see if we needed anything from the store. I probably do a little bit of cleaning around the house. I used to like have like a list of chores that like I would do different things on different days and different days of the month and stuff. So like bedding would get washed one day in the week and that kind of thing. So I would probably like follow that list. Nowadays I just, you know if it gets done, it gets done and usually my husband helps me with some of the stuff and you know, I would do the bathrooms one day a week that probably gets done like once a month now. But um, I would do that so do the cleaning. If we if I needed to go to the story we do that. I get ready for the boys to come home I'd probably make them a snack and and figure out what was going to be for dinner, I would go ahead and do that. And then probably, you know, sometimes we we would watch TV after my husband got home after dinner or I would figure out something for us to do, we could play a board game or or watch a movie as a family or something like that. And that would be after the kids did their homework and everything like that. And then after we spent some time together, I put them in a bed.\", \"completion\": \"Alright, so it's a fairly wide discrepancy between where you are in terms of behavior and where you want to be. So let me ask you a very specific question about one of the first things in the day you would mention that when it was time to get up. Right? You did. So you were awake and aware of it, but you went back to sleep. And, of course, your husband got up and he took care of things. \"}\n", "{\"prompt\": \"Right.\", \"completion\": \"How did you feel alone Not to happen, because clearly that's not what you want to happen. How did you feel about oversleeping?\"}\n", "{\"prompt\": \"I just like, you know, the alarm goes off, and I know it's time to get up and my husband's getting out of bed and I just look at the clock and I think, what's the point and, you know, it's just this instant feeling of I can't even describe it like pointlessness of getting up. And so, I go back to sleep, but I feel worse for doing it. You know, like, it's a catch 22 like, I don't want to wake up, I just don't want to, but then when I go back to sleep, I feel bad. I feel guilty. \", \"completion\": \"Okay, so I'm not getting up in the time you wanted you feel guilty, but you also mentioned something that you thought, which was, if I'm not mistaken, you said what's the point, can you expand on that?\"}\n", "{\"prompt\": \"It just it's just like, you know, when I'm sleeping, I don't realize how sad I am. And I don't realize how hard it is to function. When I'm sleeping. I'm not aware of that as soon as I wake up I am. And so I just have this feeling of like, what's the point of getting up and experiencing these feelings when I could go back to sleep and not have to\", \"completion\": \"What's the point of getting up when sleeping pain at back?\"}\n", "{\"prompt\": \"Yes, yeah. \", \"completion\": \"Okay. But then, when you when you do get up, you feel sad and guilty about having overslept.\"}\n", "{\"prompt\": \"Yeah, yeah, definitely, definitely.\", \"completion\": \"So really, functionally, what you're doing is you're delaying experiencing the pain.\"}\n", "{\"prompt\": \"yeah\", \"completion\": \"And then in terms of how it affects your relationships and your family, you're not getting your kids off to school. Your husband's getting real frustrated. \"}\n", "{\"prompt\": \"yeah\", \"completion\": \"And all you've really bought yourself is a couple extra hours sleep. And you know, presumably without without pain because you're sleeping, but you're not really escaping it. Does that make sense? \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Before when you felt more satisfaction and purpose, did you get up and help the kids off to school?\"}\n", "{\"prompt\": \"Yeah, it was so easy. I would just like, you know, I would wake up and, and I would be like, Okay, it's time to get up and get out of bed and get ready to go. I mean, you know, sometimes if, if, if I was a little bit tired, it would be a little bit harder. You know, it's not, you know, as a stay at home mom, I usually get enough sleep for the most part now that the kids are older and everything, so it's not usually too hard to get up and I would, I would, you know, it would be another good day, you know, I would be glad to get up and take care of the things that I needed to take care of and I felt accomplished.\", \"completion\": \"So maybe what's going on here? Or maybe maybe we could help you remember, you know, over the last few sessions, we've talked about cognitive behavioral therapy and different techniques that I'll be using and different things we're talking about, sometimes with behavior, the behavior that's useful, which in this case, I'm assuming we can agree is the getting up on time. behavior that's useful has to come first, even if the feeling doesn't match. Right. So sleeping those extra I presume you a couple hours delays you from feeling sad, but it causes other problems. If you were to get up one time, you might still feel sad, right? Because that's why you're over sleeping, as you're sleeping longer to avoid that. But the functional part of being a housewife, as you identify would be completed. So maybe some of those feelings of sadness and guilt would over time abate. Because functionally speaking, you're completing the tasks that you want. What's tough about that, So in the moment, it's easy for me to say this now. But in the moment, like for instance, when you have to get out of bed tomorrow, you're going to be facing that same challenge, which is I can get up now and feel depressed, or I can wait and feel depressed later. So in that moment, it's hard to act on the behavior that you kind of know you want to move towards. I mean, it sounds like you want to get up and \"}\n", "{\"prompt\": \"yeah, I mean, I want everything to be normal again. And I guess I never really thought of it like that. Like, I just thought, Well, if I'm waking up at the right time, and I'm just feeling bad then like, like I said, What's the point, but I guess it makes sense. Like, even if I don't feel like doing it, maybe it'll make me feel better if I do do it, even if it's hard, because nothing is really harder than when I'm already going through.\", \"completion\": \"Well, it seems like you're, you're more or less making things worse, right? In an effort to avoid the pain that you're going to suffer anyway. You're making the pain worse, and just delaying it a little bit, right. What what thought and we talked before about automatic thoughts, these thoughts that come up when your belief system meets these different situations that occur when you have the thought that this is pointless. Right, and I'm going to expand on my thought a little and say that, you know that thoughts really getting at is I can avoid this pain if I sleep a little while longer. That's a version of the thought.\"}\n", "{\"prompt\": \"Does that make sense? And also, I guess I thought that, no, it wouldn't really be that beneficial to get up. \", \"completion\": \"Okay. So minimizing the benefit.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So there's a couple of things going on, right? I can avoid the pain by slipping in. And there's really no point to getting out because I won't do any good anyway. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"What adaptive response is that self talk, we talked about those things we consciously think to ourselves, could you apply in that moment when you're, you know, whatever time you get up in the morning, when you're thinking about this, that thought comes in that it doesn't really matter if I get up anyway.\"}\n", "{\"prompt\": \"I mean, I guess I could tell myself like I can do this. Like Instead of, you know, when I say to myself, what's the point instead I can say, I can do this? I can get out of it. It'll be okay. I can. I'm strong enough, even though it's hard to push through the pain and get up now, even though I don't want to, I can say I can do this. \", \"completion\": \"Okay. So that would be adaptive response. I'm strong enough. I can get through this, but it will be difficult. Right? How about the value of getting up early and seeing the kids off to school. The automatic thought right now is telling you that's not valuable. But I think that you believe it is valuable.\"}\n", "{\"prompt\": \"Yeah, I mean, I know it's valuable. I guess what my frustration is, is that I know it's valuable and it used to give me like an emotional payoff of like, pride and, and satisfaction and now I'm not getting that anymore. So I guess I need to realize that even though I'm not getting it right now. If I keep trying, maybe it will happen again, because it did happen before,\", \"completion\": \"it will seem logical that you have higher probability of getting that back. If you do get up, then if you guess that's true, right? \"}\n", "{\"prompt\": \"So never get the satisfaction of sending my kids off to school by never send my kids off to school,\", \"completion\": \"she had a zero percent chance of successful successfully moving past this was asleep again and you have some other probability greater than zero if you if you do.\"}\n", "{\"prompt\": \"I never thought about it like that.\", \"completion\": \"That kind of makes sense?\"}\n", "{\"prompt\": \"Yeah, yeah.\", \"completion\": \"So even though getting up early is going to be painful and seem like not a practical move. Logically, you know, that has a better chance of paying off for you and I think that with with these type of, what you're going through is probably depression. Right now what I like to talk to you further, to make sure that's what's going on seems like you're depressed, and sometimes with depression, you just have to get one thing going your way each day. Right? So, so I'm not saying necessarily tomorrow, you have to get up one time, and then go make new friends and then go find social activities, right? You don't have to build Rome in a day here. Right? It's, it's more like, Can I do this one thing? Okay, I proved to myself, just what I'm saying, which is I'm strong enough to get up. See the kids often have that one victory for tomorrow. Right and build on that. \"}\n", "{\"prompt\": \"Yeah. Yeah.\", \"completion\": \"And part of that's going to be playing those adaptive responses back, right thinking of those thoughts. Whether it's just thinking them, you know, in your mind or actually thinking them and saying, sometimes it's helpful just to say them out loud,\"}\n", "{\"prompt\": \"Not letting the negative thoughts take over because that's what I'm thinking like, okay, I can get the kids off to school, but after that, I'm going to start thinking You know, what's the point again? Like, what? Why don't I just sit down, there's just no point. So if I can keep reminding myself that I just have to try, and that I did accomplish something, and then, you know, even though it's hard, and I know that those thoughts are going to come back, and then I'm going to feel bad. If I don't do anything, I'm not going to feel any better.\", \"completion\": \"So you have a good handle on the adaptive responses sounds like right. And you know what you have to say after but you know, what you want to do. I'll see again in a week, and there'll be five days in there between now and my see again, we will have to decide they want to get up as your kids off to school or not, right. So I want you to give that a tryto adaptive responses and try to push through with that behavior. Now it's important to keep in mind that we have five days between now I want to see you again in five business days, right? school days, and you may not succeed every day. And that's okay. Right?\"}\n", "{\"prompt\": \"hmmm\", \"completion\": \"Sometimes the setbacks like you could, you could get up early two days in a row and then it goes up back up third day, don't let that will wash away those successes. It's a day by day fight, try not to think of it in terms of the week, I want you to try to think of it in terms of what I have to do today. Not worrying about the future, and not worrying about should done in the past. \"}\n", "{\"prompt\": \"Okay\", \"completion\": \"The only moment we really can live in is now. So try to stay in present the moment recite those adaptive responses, and try to push for that just that one victory. Okay, can you try that?\"}\n", "{\"prompt\": \"yeah, I think I can try that.\", \"completion\": \"All right. So work on that and To continue with the homework, that maybe the CBT homework haven't given you and I'll see you next week. \"}\n", "{\"prompt\": \"Thank you.\", \"completion\": \"Thanks\"}\n", "{\"prompt\": \"I'm not feeling very well. I am very sad. I am. I'm really scared.I want to run away.\", \"completion\": \"Okay. All right. Well, I'm sorry to hear that. When you're sad what helps you feel better?\"}\n", "{\"prompt\": \"Coming to the hospital\", \"completion\": \"okay. What else helps you feel better? I see you have a phone there. Do you play any games on that?\"}\n", "{\"prompt\": \"Yes, I know lots of good games. \", \"completion\": \"Okay, well, why don't you play one of your games that might help you feel better and I'm gonna go and come back in a few minutes. Okay?\"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"Okay, that's good. August, you feeling better now? \"}\n", "{\"prompt\": \"I am feeling a bit better.\", \"completion\": \"Good. Okay, that's really good. And this time when you go back home, when you go home, can you talk to your group home worker, let him or her know that you've been here again, and that you were feeling sad again. \"}\n", "{\"prompt\": \"Yes, I can do that.\", \"completion\": \"Okay, great. I'm gonna go get the doctor. \"}\n", "{\"prompt\": \"I'm feeling disgust\", \"completion\": \"Disgust about what.\"}\n", "{\"prompt\": \"I can't do this.\", \"completion\": \"Like you can't do this. So, so tell me what that feeling of disgust is. What do you disgust it about?\"}\n", "{\"prompt\": \"Just my body like just, I don't know, I feel like eating that just makes my body feel you know, gross like uncomfortable, I don't know.\", \"completion\": \"Yeah. Well, it sounds like there's some judgments in there. Right. So it sounds like probably you're having some judgments like, I'm feeling really bad. \"}\n", "{\"prompt\": \"Yeah, yeah\", \"completion\": \"that sort of thing. But you did say it more descriptively which is great, which is you're feeling uncomfortable right now.\"}\n", "{\"prompt\": \"Right, Just eating not makes me feel icky. I don't know. Just\", \"completion\": \"Yeah. And I can totally understand how you get to there. If you're thinking, I'm feeling fat. I'm going to get fat. You know, it's an easy place to get to. Okay. \"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"But I feel like we're missing something, too, because I don't think it's justice. I think there's another primary emotion in there. What do you think that might be?\"}\n", "{\"prompt\": \"Well, I feel like just looking at that I've that cake. I feel like I just want to run out the door. I just don't want to be here.\", \"completion\": \"Sure. So what what emotion do you think that is?\"}\n", "{\"prompt\": \"Being afraid being a fearful of what will happen if I eat that?\", \"completion\": \"I think that's exactly right. That's what I'm seeing. You know, I see you kind of crawled up over there. You know, you have a very worried faced, you know, and you're having a hard time approaching it. I think I think that's absolutely right, that you're feeling fear. And I want you to know, that makes a lot of sense to me. You know, when's the last time you've eaten cheesecake.\"}\n", "{\"prompt\": \"I honestly I can't remember. I don't know.\", \"completion\": \"I know it's been it's been a really long time. you certainly didn't need it all through, you know, when you were really stuck in your eating disorder, you know,\"}\n", "{\"prompt\": \"I used to, I used to like it. I remember that, but it was such a long time ago.\", \"completion\": \"I know And so you've been avoiding food like this for so long that it totally makes sense that you're feeling fear.\"}\n", "{\"prompt\": \"Right.\", \"completion\": \"And you had said, this is one of the hardest foods for you. So that makes sense to me.\"}\n", "{\"prompt\": \"Right. I just see it like, as a big blob of fat\", \"completion\": \"right\"}\n", "{\"prompt\": \"That's it looks like to me\", \"completion\": \"that's what. what! what is that? It's a big blob of fat.\"}\n", "{\"prompt\": \"A judgement?\", \"completion\": \"Yeah, exactly. You know, I'm not gonna let you get away with saying stuff like that. All right. Okay. So, because that's just not going to be helpful right now. So what I'm wondering is Since we know that it's fear that we're dealing with, maybe we can do some opposite action to that emotion. Do you remember what I mean by opposite action?\"}\n", "{\"prompt\": \"Mm hmm.\", \"completion\": \"What do I mean?\"}\n", "{\"prompt\": \"Instead of wanting to turn and run away from the fear of eating this, and just, you know, check out basically, you want me to go towards it, and, you know, just experience what I'm feeling and not go away from it. \", \"completion\": \"Right, exactly. So, you know, fears associated with that urge, like you said, to run out the door. So instead of running out the door, we want you to approach the thing that's scary, which is this cheesecake right now. Right? \"}\n", "{\"prompt\": \"Right.\", \"completion\": \"Okay. So I see how hard it is. For you and I, honestly, it's hard for me to watch and I wish I could just take that away. But as you know, the reason opposite action is so important is if you if I just take that fear away by saying no more cheesecake, it's just gonna make you more fearful The next time you come in front of some kind of food, that's tougher for you\"}\n", "{\"prompt\": \"Yeah it makes it worse.\", \"completion\": \"Yeah. So by doing this, hopefully over time, your fear will go down. Okay. So can we have the fear right now And still take a few more bites?\"}\n", "{\"prompt\": \"Okay\", \"completion\": \"All right. Okay. Let's do it. So how was that?\"}\n", "{\"prompt\": \"This is difficult\", \"completion\": \"Yeah, I can see how difficult it is.\"}\n", "{\"prompt\": \"But I'm doing it, but its difficult. \", \"completion\": \"Exactly.\"}\n", "{\"prompt\": \"Doesn't feel comfortable.\", \"completion\": \"No, I wouldn't imagine it would. But you did perfect opposite action right there, which is you are feeling really uncomfortable and I can tell that, but you still did it. \"}\n", "{\"prompt\": \"Right.\", \"completion\": \"Do you feel a little bit proud of yourself?\"}\n", "{\"prompt\": \"Yeah. Yeah, a little bit.\", \"completion\": \"Okay. So this shows me that you can do it. So let's try again. Let's take a breath. And then we'll go back and do more opposite action.\"}\n", "{\"prompt\": \"Yep.\", \"completion\": \"Okay, so let's talk about that a little bit. When what day did that happen on? \"}\n", "{\"prompt\": \"Tuesday\", \"completion\": \"Tuesday? Okay, so where were you on Tuesday when you first had the thought that you wanted to cut?\"}\n", "{\"prompt\": \"Where I usually always am at school. I was on my Walker. That's stupid girl.\", \"completion\": \"What was going on at your locker?\"}\n", "{\"prompt\": \"Melanie was talking about Tim my Tim. My boyfriend and I know it was it was my Tim she was talking about I just wanted to punch her so bad.\", \"completion\": \"Okay, so you were sending out your locker and you heard somebody say something about Tim that you didn't want to hear. \"}\n", "{\"prompt\": \"Yeah, she was talking about him. And he had he didn't text me the night before. So who knows what's going on? \", \"completion\": \"What were you feeling right then?\"}\n", "{\"prompt\": \"so angry. so angry\", \"completion\": \"on a scale of one to 10 how angry would you say you were ?\"}\n", "{\"prompt\": \"like a nine\", \"completion\": \"pretty angry then?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"What did you do right then? You ride your locker. What's the next thing you did after you heard it?\"}\n", "{\"prompt\": \"The next thing I did, I slammed my locker. And I walked down to the gym but what I wanted to do was push her adn punch her.\", \"completion\": \"So I know that the gym is usually to the place where you cut, because you said you can go behind the bleachers people don't usually see you there.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Okay, so we're between hearing the person talking about Tim and going to the gym. Where did you decide to cut? Because you said you were also feeling like punching somebody. There must have been a point where you decided I'm going to cut.\"}\n", "{\"prompt\": \"I think it was right after I slammed my locker and thought I can't punch her. I'm going to get in trouble. I'm going to go cut.\", \"completion\": \"Okay, so that was when you decided to cut. You went down to the gym. \"}\n", "{\"prompt\": \"Mm hmm.\", \"completion\": \"And what happened when you got there?\"}\n", "{\"prompt\": \"Well, nobody was there because gym classes are in the morning so I knew that nobody was going to come in the gym. So I went behind the bleachers.\", \"completion\": \"What did you use to cut ?\"}\n", "{\"prompt\": \"the pencil that I have always used\", \"completion\": \"the same pencil as usual?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"the the metal tip.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Okay, that was a pencil that you were saying that you were going to get rid of.\"}\n", "{\"prompt\": \"Yeah, I know. It's just it's it's my favorite pencil. I, I use it for school. And I just it's my favorite pencil. \", \"completion\": \"Okay, so you still have the pencil you got under the bleachers. You say you were feeling angry still. Are you still on the scale of one to 10 where were you when you got under the bleachers.\"}\n", "{\"prompt\": \"I was still like was still pretty high maybe like an eight and a half though because I I knew I knew I was gonna cut\", \"completion\": \"Okay, \"}\n", "{\"prompt\": \"so it like came down a little bit\", \"completion\": \"what were you thinking at that point?\"}\n", "{\"prompt\": \"Well I thought a couple things I thought I'm glad I kept this pencil and that I'm just so pissed that I just want to cut so badly.\", \"completion\": \"So you have your pencil Where did you cut ?\"}\n", "{\"prompt\": \"on my leg.\", \"completion\": \"How many times ?\"}\n", "{\"prompt\": \"three\", \"completion\": \"How deep did you cut where it was a deep enough that you needed a band aid, Did you need more than a band aid?\"}\n", "{\"prompt\": \"No, I mean, I guess I could have used a band aid but whatever.\", \"completion\": \"But it wasn't so deep that you needed something more?\"}\n", "{\"prompt\": \"No.\", \"completion\": \"Okay. Right after you cut Where were you on the scale of one to 10 with your feeling with your anger?\"}\n", "{\"prompt\": \"Like a three\", \"completion\": \"three, what were you thinking right afterwards?\"}\n", "{\"prompt\": \"That felt good. I feel better. And I'm gonna have to talk to Michelle about this.\", \"completion\": \"Did that feeling last you for the rest of the day?\"}\n", "{\"prompt\": \"The Feeling better? Yeah, for the most part. Yeah, it did\", \"completion\": \"Okay, so that's what happened right afterwards ? \"}\n", "{\"prompt\": \"Mm hmm.\", \"completion\": \"Later in the day, are we thinking about the cutting?\"}\n", "{\"prompt\": \"Well, I kind of forgot about it. \", \"completion\": \"Okay.\"}\n", "{\"prompt\": \"But then I just started thinking about it again, right before bad, and just feeling really guilty that I cut. Because I knew I was going to have to talk about it with you. And I just I mean, I, the night time I just, I constantly think about what happened that day and then what the next day is going to be like, I mean, you know, it's usually a pretty hard time.\", \"completion\": \"I know night is a really difficult time for you is everything seems worse at night. Yeah. So you were thinking back at a back on it then and you were feeling guilty?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Sounds like you weren't feeling so good about it then as you were in the afternoon.\"}\n", "{\"prompt\": \"No. That always seems to happen.\", \"completion\": \"Sounds like for you cutting works for a little while but it doesn't last?\"}\n", "{\"prompt\": \"Yeah, I guess so.\", \"completion\": \"I knew you've also been working on doing less cutting.\"}\n", "{\"prompt\": \"I've been doing pretty good\", \"completion\": \"you have you've been working really hard. I'm just wondering if we can find something that might last that you can feel good about later that you won't have those guilty feelings?\"}\n", "{\"prompt\": \"Yeah, maybe. I mean, those guilty feelings really suck.\", \"completion\": \"Okay, so with the cutting it sounds like the point where you decided to cut out your locker. what triggered it was hearing that girl talking about Tim.\"}\n", "{\"prompt\": \"Yeah, cuz she's stupid.\", \"completion\": \"Okay, it sounds like you're also already having a pretty bad day. You said he hadn't called. He hadn't been texting us. And that was on your mind?\"}\n", "{\"prompt\": \"Yeah. That's right.\", \"completion\": \"So I'm wondering if that point, if we can think of two things that you can try differently next time instead of the cutting.\"}\n", "{\"prompt\": \"Okay\", \"completion\": \"that'll bring that anger from a nine down a little bit.\"}\n", "{\"prompt\": \"It's not going to bring it down all the way to a three, though. I'll tell you that much.\", \"completion\": \"It might not. But it'll bring it down a little bit. Maybe each thing you try brings it down a little bit more.\"}\n", "{\"prompt\": \"All right\", \"completion\": \"maybe there'll be things will feel good about later. You won't have to worry about that guilty feeling coming back.\"}\n", "{\"prompt\": \"All right.\", \"completion\": \"So the first thing is that pencil, it sounds like it's comforting to have it. \"}\n", "{\"prompt\": \"Yeah, it is.\", \"completion\": \"It also sounds like it's tempting, What do you think about that?\"}\n", "{\"prompt\": \"I mean, Only if I am in the mood to cut it's tempting\", \"completion\": \"having that pencil is going to make it harder to try other things. When you've been talking about how you're really committed to not cutting any more or cutting less\"}\n", "{\"prompt\": \"Yeah, I am.\", \"completion\": \"Sounds like that pencils standing in your way.\"}\n", "{\"prompt\": \"Yeah, maybe.\", \"completion\": \"What do you think about getting rid of the pencil this time, choosing a different favorite pencil that maybe you can't cut with. \"}\n", "{\"prompt\": \"I mean, maybe only, only if it's can be like a really cool pencil\", \"completion\": \"That way you can still have something that can be your favorite but which won't tempt you. That'll make it easier to try the two things.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Okay, what do you think our first thing should be? What do you think you can try? You just heard somebody say something you don't want to hear you're feeling pretty angry. What can you do in that moment?\"}\n", "{\"prompt\": \"Oh, what I do a lot at home when my mom's bothering me and saying stuff I don't want to hear I put my headphones on.\", \"completion\": \"Do you have your headphones with you at school?\"}\n", "{\"prompt\": \"Yeah, they they they actually they let me keep them on in school.\", \"completion\": \"Is that something you'd be willing to try next time?\"}\n", "{\"prompt\": \"I think so. there's a there's a few songs that usually helped me so I think so.\", \"completion\": \"Okay, that sounds like a good one to try. So we have headphones, we need to come up with One more. What do you think you'd like to try?\"}\n", "{\"prompt\": \"Well, I really like my teacher, Mrs. Xion. So she seems to always kind of be there when I need to talk. And her rooms kind of right down the hallway from my locker than the same hallway. So I guess I could talk to her. \", \"completion\": \"That sounds like a good option. That's our goal is to keep pushing, cutting further down the list, and keep adding things that you're going to try first. And you're right that the first thing you try, it might not bring you all the way down to a two or three, but it might bring you down a little bit. And each thing you try might bring you down just a little bit more. So you have to be willing to try a few things. Can you do that?\"}\n", "{\"prompt\": \"I can, but I really want like a cooler pencil though, like, like a cooler pencil, so I don't know, maybe, maybe we could go look for a pencil together.\", \"completion\": \"I think that's a good idea.\"}\n", "{\"prompt\": \"Okay, I'd like that. \", \"completion\": \"Okay. Thank you for answering all my questions on this. You did a great job with this chain and I know it wasn't easy.\"}\n", "{\"prompt\": \"Yeah. You're welcome.\", \"completion\": \"Let's go look for a pencil.\"}\n", "{\"prompt\": \"I'm okay.\", \"completion\": \"So I understand that since I was seeing you that while ago that you were in hospital again.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So can you tell me a bit more about what happened before that ?\"}\n", "{\"prompt\": \"was a few months ago now. Yeah, I've done quite well, for a number of years. So kept itunder control, really, but uh\", \"completion\": \"yeah. I mean, I've not I've not seen you since your gap years wasn't it?\"}\n", "{\"prompt\": \"yeah, so that was four years ago. So yeah, it was quite disappointing to, to go through all again. But it's sort of started at the, towards the end of university. So staying low, and close on course, for first I know she's coming up to my final exams, and a lot of us as a few exams. And so I just started working really hard. I felt like right now is the real time to put the effort in and to put the work in. So I started to step a bit later and take on a bit more work. So my stress levels sort of start to increase over a while. I was drinking a lot more coffee took few caffeine tablets and energy drinks. A few people were because some of the environment at the time was a lot of people were pushing themselves that they wouldn't normally do and some people were taking Ritalin.\", \"completion\": \"Okay.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"did you take any Ritalin?\"}\n", "{\"prompt\": \"Yeah. Because it was just like it was that was necessary at the time. And\", \"completion\": \"how did that affect you?\"}\n", "{\"prompt\": \"Well, I it's sort of increased my confidence at the time. everything that was going on, I was becoming a lot more productive and a lot more competent a lot, was working harder, my brain was working faster. And so I mmmmm momentum was building up and up throughout the period. Yeah, and so I was I was relishing it I was doing a lot work and\", \"completion\": \"so did that mean to you then to be at that time it sounds like you put quite a lot of pressure on yourself you've been doing really well at uni and and you know, this was it This was the time. What did it mean to be feeling like that kind of more awake and more energized maybe?\"}\n", "{\"prompt\": \"Yeah, well, for me it was. It was my sort of time. So I spent I spent three years I thought I was in control I was doing well. I didn't wasn't really part of my life at the time. I didn't really talk to any of my friends about it. But then I yeah, I started to just sort of grow into it. And I took the opportunity to Yeah, enjoy this time and it's so it didn't really reach its peak until after my exams I was still. I was still functioning throughout my exams, and I have since found out that I didn't get the results that I wanted to.\", \"completion\": \"and what you might think that was?\"}\n", "{\"prompt\": \"Well, I thought that I was working harder than ever, but it was misjudged, I think and so I, I didn't perform to the best of my ability in when it came to the to the exams, and so I didn't achieve. I didn't achieve a first time and I only got to one.\", \"completion\": \"what else was happening for you around that time? I mean, you talked about the pressure of your exams and staying up for them was anything else going on? And the same time\"}\n", "{\"prompt\": \"well, so to the end of the end of university, and that was the time where all as soon as that period stopped of work then I was sort of let off the leash a bit. And yeah, I just thought to grow even further. So I mentioned I was I was taking Ritalin to block coffee and as soon as our exams had stopped, I just substance abuse of took a bit more of a hold. And yeah, I just sort of grew into this person who I thought was him was the guy that everyone wanted to be around and to see and so I made sure that I was just everywhere that could be seen I was.\", \"completion\": \"This is like there they got after you finish the exams but before the results are out,\"}\n", "{\"prompt\": \"yeah. So we will just scan out a lot, but if not every night \", \"completion\": \"he said that you were taking Ritalin and drinking a lot of coffee.\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"and then using other drugs as well.\"}\n", "{\"prompt\": \"Yeah. So developed into cocaine. A lot. Okay. And the Ameri and car.\", \"completion\": \"How's that affect you?\"}\n", "{\"prompt\": \"I honestly was on cloud nine at the time. And yeah, I was just always the person ever wanted. Everyone wanted to know. In my head. I was like, I put myself at the center of the universe and I even I convinced a friend of mine who develops apps that we should if I had an idea to develop an app about when you go into a alcohol shop that it all the way up put out what's the most cost effective way to get wasted? \", \"completion\": \"Right.\"}\n", "{\"prompt\": \"So yeah, I mean, I, at the time I was spending a lot of money, a lot of my parents savings, I got a credit card, which I didn't tell them about. And so in this sort of role as the man as the man about town I was spent a lot on Yeah, I'll hold drugs close invested in this technology and I was\", \"completion\": \"so it sounds like it began with kind of the exam pressure and putting more pressure on yourself to stay up using kind of stimulants keep yourself awake. And then you started to feel like you were more and more the man you were you were kind of popular you were successful. How did you respond to and cope with those symptoms? What did you do once those are kind of begun?\"}\n", "{\"prompt\": \"Well, having not had to deal with my illness throughout University and for it not being a part of that world, I I didn't confront those symptoms in a in a way that's gonna have long term stability. And as well, it began with doing the work that I needed to do. That's just, that's just what I needed to do in order to achieve my goals and to achieve what I want to. And then it just, I just let it take hold. And I it was all part of it wasn't it wasn't Yeah, it wasn't the illness It was me it was just I was in, I was the master of this whole situation and I was everything that was happening was down to my own doing.\", \"completion\": \"So it sounds is on the one hand, you didn't confront it, you kind of just let it roll. And on the other hand, you said that you kind of took it as evidence that you were very energetic, you were powerful. This was all kind of explained about who you were. And I guess how did that affect you looking at things in that way? \"}\n", "{\"prompt\": \"It just it was my time. It all been leading to like, this was the moment where I would sort of like, become the person that I want it to be. all the hard work, all everything while the work that my parents had done for me and all the work that I had been doing. It was now crystallizing\", \"completion\": \"for you on the brink of something, yeah, mess from the sounds of it. And, again, going back to that kind of beginnings Ah, where you started to stay up late and use stimulants. I mean, how much sleep were you getting at the beginning?\"}\n", "{\"prompt\": \"They saw it gradually diminished. I think it began at six, five. And was ended up about three and two.\", \"completion\": \"and what kind of things did you notice? Did you notice any changes from having less and less sleep in your body maybe the way you were thinking.\"}\n", "{\"prompt\": \"Think the harder I was working, the faster my brain then will work and how much the harder I work, the more I would do. So it was it wasn't. It was just a Yeah, the momentum was building more than anything. My thoughts were firing and my goals was stronger in my Yeah, my determination was\", \"completion\": \"and how did you feel in your body? Did you notice any changes physically?\"}\n", "{\"prompt\": \"No, I couldn't recall the time maybe I was trying to get my way I was avoiding avoiding confronting any negative effects but nothing powerful comes on. \", \"completion\": \"Okay. I wants you to kind of things were a bit further along after your exams. He said you're going out a lot you convinced your friend to do this app. Was there anything else that you did that maybe you wouldn't normally do that you think might have been assigned to you that your meat was much higher than you'd like it to be?\"}\n", "{\"prompt\": \"There was I hide a lot of savings. That my my parents had built up for me, which I probabiliy don't really exist anymore either through the money invested, and through drugs, clothes. I had a girlfriend at the time but because it was because I was the main character, and in a sense, it always was only the only person that matters and so sort of those around me especially, still didn't really have as much importance. So on nights out, I wouldn't. She just wouldn't be in my mind and so that would be Other women. \", \"completion\": \"Okay, \"}\n", "{\"prompt\": \"so\", \"completion\": \"how do you feel about that now looking back on it ?\"}\n", "{\"prompt\": \"I have my bachelor's degree. And we got a little bit of training. You know every so often we get some training at work and stuff like that.\", \"completion\": \"Are you evaluated at work by anybody to see if you're in a job you should be?\"}\n", "{\"prompt\": \"Yeah, I have a supervisor so they check up on stuff and also like if I feel like I have questions and stuff like that, I can go to them as well.\", \"completion\": \"Have you been Found in that system to be somebody who's satisfying the requirements of in terms of competency satisfy the requirements of employee.\"}\n", "{\"prompt\": \"Yeah, I mean, I haven't been fired. So that's a good sign again,\", \"completion\": \"that's a good sign. Yeah, you haven't been fired. Have you ever had any type of write up or somebody discussing something with you?\"}\n", "{\"prompt\": \"No, I just I kind of feel like maybe the climate has changed a little bit at the office after this happened, like maybe other people think I didn't make the right decision. I guess maybe that's part of where all my doubts are coming from, like, no one has said to me and I have, you know, my supervisor hasn't called me in and said, I'm concerned about this, but I just feel like maybe other people think that I did something wrong.\", \"completion\": \"Alright, so there's no there's no evidence supporting that. In a kind of a direct fashion, like a supervisor coming to, but there's no other evidence supporting it based on your, what you're feeling, how you're perceiving things. Yeah, you're getting this feeling that, by the way, they're interacting with you.\"}\n", "{\"prompt\": \"Yeah. Which, I guess maybe I shouldn't be that freaked out about because there have been other people who have made mistakes and like, the supervisors have talked to them and, you know, even then they didn't lose their jobs. So it's not like, you know, I, you know, I don't know, I guess it's not like just hearing them, or thinking that they're judging me is an indication that something terrible is going to happen or that I made this huge mistake.\", \"completion\": \"Alright, so you can see that I'm talking this through you can see that. So some of this could be feelings. Thoughts you're having, combined with what you're actually observing share, you're filtering your observations in a way that's maybe making them seem a little more destructive, or more negative.\"}\n", "{\"prompt\": \"Yeah, it's kind of like, I know, it's not that big of a deal because, like I said, My supervisor hasn't talked to me and it's not like I've heard anything terrible about anything happening to the kids or anything like that. But I just feel like, you know, I have those thoughts like, oh, was she you know, saying something? You know, when she said that? Did she was she referring to what happened? and stuff like that?\", \"completion\": \"Can you can you provide an example of an interaction with a coworker where where they said something that you thought maybe was referring back to this?\"}\n", "{\"prompt\": \"Yeah. So like we were having like our regular work week. And we kind of like, you know, discuss how things are going. And it's been kind of a big deal what, you know, more so than usual that the kids were removed from this family. So, you know, one of my co workers kind of nudged me and said, like, oh, you're the bulldozer you, you know, you plowed right through that family took those kids away. And, you know, I think she meant it kind of, like as a joke and just, you know, maybe to say, like, you know, you did what you needed to do, but it kind of made me feel like does she think that I'm just callous? Like, does she think that I just didn't care and you get what I'm saying?\", \"completion\": \"So she referred to as a bulldozer. And one way to take that would be powerful, efficient. Another way to take that would be kind of destructive we talked about before destructive powers. They're mechanical they don't have a lot of feeling.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So you don't know exactly know how she meant it but you're thinking maybe it was negative\"}\n", "{\"prompt\": \"yeah. And I guess it kind of like goes back to like my fear that I didn't think it through that I kind of just, you know, I made the report and that was that and, you know, it makes me feel like Was I being mechanical? Was I just was I just nonchalant about it? Should I have put more thought into it? And it really, you know, it hit me where it hurt I guess you know.\", \"completion\": \"So her saying that really kind of brought up this thought that maybe you are maybe you are not empathetic enough or compassionate enough.\"}\n", "{\"prompt\": \"Or even just thoughtful. I guess maybe I was just being, you know, just going about my job without putting a lot of thought into What I was doing exactly.\", \"completion\": \"So, maybe one thing you would have done differently in light of that comment. At the time making a decision, you would have thought through the steps more.\"}\n", "{\"prompt\": \"I'm not good. I'm not good.\", \"completion\": \"what's troubling you\"}\n", "{\"prompt\": \"I supose people keep looking at me.\", \"completion\": \"Yeah.\"}\n", "{\"prompt\": \"And you know, what then what I'm thinking they're thinking I'm disgusting\", \"completion\": \"Why would they think that?\"}\n", "{\"prompt\": \"Just I can see what's going on. And then they know what I'm the know how I'm feeling.\", \"completion\": \"How do they know how you feel?\"}\n", "{\"prompt\": \"They're laughing at me.\", \"completion\": \"Are they?\"}\n", "{\"prompt\": \"hhmm I can see them, They'll be looking at me and then they're laughing at me in the middle talking about me. And they will know what I am.\", \"completion\": \"Who should that's that's talking about. This is the new job that you started\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"You mentioned that they know what you are.\"}\n", "{\"prompt\": \"They know I'm a pedophile.\", \"completion\": \"What makes you say that?\"}\n", "{\"prompt\": \"They can see inside my head, They know what, They know what I'm thinking. And they know about them. They know I'm disgusting and they know about the feelings that I'm having.\", \"completion\": \"What feelings are those?\"}\n", "{\"prompt\": \"Like something that\", \"completion\": \"a bit more.\"}\n", "{\"prompt\": \"Like something there is like I'm having sex\", \"completion\": \"the physical feeling that?\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"Is it out there all the time?\"}\n", "{\"prompt\": \"Not all the time. But they knew\", \"completion\": \"about this sensation, How does that feel? Does it feel like you ?\"}\n", "{\"prompt\": \"it's real. It is real. Something there.\", \"completion\": \"Have you have you seen anything?\"}\n", "{\"prompt\": \"I can't see anything. I can't see anything. But there is something there. I know there's something there.\", \"completion\": \"How can you account for that sensation? If if there's not actually anything there?\"}\n", "{\"prompt\": \"Because I can feel it.\", \"completion\": \"Is there anything else strange that you can feel?\"}\n", "{\"prompt\": \"I can feel it. There's something there and they can see they can they know, they know. They know how disgusting I am. They are laughing at me. They Looking at me all the time and laughing and talking. I can hear them.\", \"completion\": \"Do you ever have any sort of unusual other sensations like hearing things that that other people wouldn't see things that aren't that?\"}\n", "{\"prompt\": \"No, no, I can just feel that this\", \"completion\": \"And These people know how you feel, can they read your mind? \"}\n", "{\"prompt\": \"they know what's going on in my mind, They can tell they look at me and they know what I'm thinking.\", \"completion\": \"Do you think maybe it could be that they're just glancing your way or looking?\"}\n", "{\"prompt\": \"No No, they definitely they're looking at me and they know what's going on. And they notice I am disgusting.\", \"completion\": \"Does anybody else comment it Other people are looking at you or they actually said to you that you're disgusting.\"}\n", "{\"prompt\": \"They don't need to say I know what they they. They can see inside my mind and they know what I'm feeling.\", \"completion\": \"Do you ever get the feeling that your thoughts are sort of known to everyone that they're being broadcast or projected out of your your mind?\"}\n", "{\"prompt\": \"Umm No\", \"completion\": \"You're not sure.\"}\n", "{\"prompt\": \"No\", \"completion\": \"Okay. What about people inserting thoughts into your mind we'll take your thoughts out\"}\n", "{\"prompt\": \"i don't think so\", \"completion\": \"Do you think you're in control of your own thoughts?\"}\n", "{\"prompt\": \"Yeah, I just think they can just see what I'm thinking\", \"completion\": \"Are you in control of your own body? Or do you feel that somebody else may be moving parts of you or causing these unusual sensations\"}\n", "{\"prompt\": \"I think if somebody does something there that somebody is put there that's making me feel like I have these feelings.\", \"completion\": \"Now you you've had these feelings before happened to Joe. Remind me when when did they first begin?\"}\n", "{\"prompt\": \"When I was at university when, when I was at university, first one, I was doing medicine and it was an I was trying to get to know this boy, while this boy was trying to get to know me. And it was, and he was trying to get inside me and, and that's when it all sort of started coming. \", \"completion\": \"Do you he was trying to have sex with you?\"}\n", "{\"prompt\": \"I think he wanted to.\", \"completion\": \"And you were under a lot of stress, Do you think at that time\"}\n", "{\"prompt\": \"I was taking my exams when I was going to take my exams, but I didn't take them Because I wasn't very well. So I came home.\", \"completion\": \"And you got quite suspicious then as well didn't do that. what people are thinking the worst?\"}\n", "{\"prompt\": \"Yeah, people, I'm useless. I'm no good for anything and I'll never get a job and I'm like, I'm just hopeless and everyone's better than me. I thought that then to that, and that's why I left.\", \"completion\": \"Yeah. Okay, because you've tried different courses. And each time you you Try Of course to go back to to work. It kind of upsets you, doesn't it?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"Okay, that must be quite disappointing and upsetting for you.\"}\n", "{\"prompt\": \"Yeah, it is.\", \"completion\": \"How is your mood at the moment?\"}\n", "{\"prompt\": \"It's been better\", \"completion\": \"Have you got much energy?\"}\n", "{\"prompt\": \"There's something wrong with me. I want to be better\", \"completion\": \"You're quiet down.\"}\n", "{\"prompt\": \"yeah\", \"completion\": \"Are you keeping interest in anythings, Is there anything that that you find enjoyment in?\"}\n", "{\"prompt\": \"I am not doing the thing there is nothing really, for me to do\", \"completion\": \"what about your energy levels You're tired all the time?\"}\n", "{\"prompt\": \"yea\", \"completion\": \"How about your sleep?\"}\n", "{\"prompt\": \"Ain't getting any\", \"completion\": \"Are you concentrating, able to pay attention to things?\"}\n", "{\"prompt\": \"I was doing right? I was doing all right. And then I just when I got the job in the school, I was doing all right in the charity show. Because I was working in a charity shop a couple of mornings, and things seem to be going quite well. And then I got the job in the school. And that was two weeks ago. And and that just struck me that it's just the way they look at me.\", \"completion\": \"Yes. Well, I can see that it's playing on your mind. I'm just wondering what other impact that's had on you. Are you able to get from that and mix with people\"}\n", "{\"prompt\": \"been having a rough time.\", \"completion\": \"been having a rough time?. I understand there have been some difficulties lately to push into the agency. Tell me what's going on.\"}\n", "{\"prompt\": \"Um, you know, about a week ago, I went out with some friends to a boxing match and I didn't really want to go I've never I've never really been to one. It's not really something I'm interested in. But I was just hanging out with my friends and stuff. Yeah, I watched a few fights in this this one fight sky. He nothing was really happening. I wasn't really into it. But this guy got knocked out right in front of me. It was really close to The ring got knocked out right in front of me fell right on his face. And I just saw him lifeless in front of me. And I just never said sons have been saved. I had to leave right away. I just couldn't. Couldn't be there anymore.\", \"completion\": \"And what did you notice right away so, so one of the boxers was sounds like knocked out a noose. You saw that. What did you notice right away was happening.\"}\n", "{\"prompt\": \"I just felt really, really scared. You know, my heart started racing. I kind of didn't really know. I couldn't focus on what was going on around me. I just had to get out there. So you know, I don't even really know what happened to him if he was okay or not. So I just couldn't handle how I was feeling so I had to leave\", \"completion\": \"So you left and the symptoms, they continued.\"}\n", "{\"prompt\": \"Yeah, pretty much daily for the past week. I got home that night. I couldn't sleep You know, it took me almost all night to fall asleep and then at work on Monday, I was having a lot, a lot of problems there.\", \"completion\": \"What was that about?\"}\n", "{\"prompt\": \"I couldn't focus on anyone was talking to me at a meeting on Tuesday. And my boss was you know, talking for a while and I just, I felt like I couldn't concentrate at all you know, everything is kind of just a blur around me.\", \"completion\": \"I do find that you're having memories of the, the incident of the boxing match that are Kind of intrusive.\"}\n", "{\"prompt\": \"Yeah, I think about it a lot. Pretty much all the time.\", \"completion\": \"But I suppose some for you. \"}\n", "{\"prompt\": \"Yeah if I'm at work trying to get some paperwork done or something, it just pops in my mind and I can't make it go away. \", \"completion\": \"And you try but you Yeah, remember any dreams related to it?\"}\n", "{\"prompt\": \"I haven't really been dreaming about it barely sleeping\", \"completion\": \"any times when you feel like you're reliving what you saw like you're seeing it again.\"}\n", "{\"prompt\": \"No not really just think about it a lot\", \"completion\": \"Does anything keep reminding you of the boxing match? And then that's causing you to have symptoms?\"}\n", "{\"prompt\": \"Yeah. With my meeting, people started clapping. You know was big cheering and That kind of made me feel really, really bad again, my heart was racing, start sweating and just kind of reminded me of being there and start thinking about it again. So, things like that, you know, pump up music when it comes on the radio, same kind of music they played there. Kind of makes you feel the same way my heart starts to race. It just kind of feel like I need to get away from it.\", \"completion\": \"Do you find yourself working to avoid like, music too similar?\"}\n", "{\"prompt\": \"Yeah. I've been trying to avoid the radio because you never know what's going to come on on the radio. So I've been avoiding listening to music in case something like that happens and putting crowds\", \"completion\": \"Do you find that you've had any trouble remembering what happened?\"}\n", "{\"prompt\": \"No, I can. I can pretty vividly remember it. It's pretty clear to\", \"completion\": \"you Have you been irritable at all since the incident?\"}\n", "{\"prompt\": \"Yeah, you know, just out of nowhere. Something doesn't go the way I wanted to I just kind of snap on people. And that's not like me at all. I usually am pretty easygoing. And, you know, people, my boyfriend, for instance, right? I yelled at him the other day for not putting the toilet paper on the roll. And that's not something I'd usually care about. It's just, it's not me.\", \"completion\": \"How about your awareness level of what surrounds you? Do you find that your awareness level has increased that you're, you're more aware?\"}\n", "{\"prompt\": \"kind of depends. Sometimes I kind of feel like I'm in a daze and don't really know what's going on around me. But um, I've been one of the students that I work with the the pop up out from behind the door, which he would do all the time. And you know, typically, I would laugh and think it was funny before but he did the other day and I just could not control myself afterwards. Like, I couldn't calm myself down. You know, I didn't think was funny at all. It really, really scared me. And that went on for about 1015 minutes and I just my heart was racing. I had to go take a walk and just really hard to relax and after that,\", \"completion\": \"so you feel like your reaction to that was stronger than it normally would have been?\"}\n", "{\"prompt\": \"Definitely.\", \"completion\": \"Have you used drugs or alcohol recently? \"}\n", "{\"prompt\": \"No, no\", \"completion\": \"Any medical problems?\"}\n", "{\"prompt\": \"No\", \"completion\": \"So Jackie, I'm going to get you in to see a counselor here at the agency if that's something that you're okay with.\"}\n", "{\"prompt\": \"Yeah, I think that would be really helpful.\", \"completion\": \"Just take a couple days to get you on to get you in to see somebody to get you on the scheduling agenda, see somebody and I'll get that arranged. \"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"You all right?\"}\n", "{\"prompt\": \"I'm just here.\", \"completion\": \"You're just here, just here. I understand that you're in the hospital a couple weeks ago.\"}\n", "{\"prompt\": \"Yeah, I was in the hospital about two weeks ago did something and I had to go to the hospital afterwards.\", \"completion\": \"What happened?\"}\n", "{\"prompt\": \"yeah, so about two weeks ago, I was finishing up this wonderful machine that I was creating in my room, so that the government can't hear my thoughts or my, my actions or my behaviors. And I was just trying to finish up my last little bit that I needed to build and I went over to the neighbor, because their garage was open and just picked out a tool and brought it back to the house. And when I was in the house working on my my room, the cops came and picked me up and took me to the hospital. So it's like, see the government data to get\", \"completion\": \"what you think the government is trying to do.\"}\n", "{\"prompt\": \"They're trying to stop me from actually creating my room. Because they're, they're creating this new order where they want everybody to follow them. And I'm not a follower. And I know what I want. And I know what I need. And I know what my family wants, and I know what they need. And I'm just trying to protect them by creating my room.\", \"completion\": \"And tell me about your room. What what are you doing there that makes that special.\"}\n", "{\"prompt\": \"So I was smart enough to know that there are frequencies and waves that are out there that the government is actually sending you through the lights and also through the TV and like through every electronic apparatus that is out there. And I'm actually creating doll or a wave neutralizer so that it can actually stop that from happening. So that you can actually live the life that you want and be happy and youthful and joyful all the time.\", \"completion\": \"Is that how you were feeling when you were building?\"}\n", "{\"prompt\": \"Yeah, because I created this prototype in my room. And anytime I'm basically in there I was, it was good. I had energy. I didn't have everything that I wanted. But my prototype was running out of fuel. And so I needed to make it bigger, larger, so it can run longer.\", \"completion\": \"That's what you're trying to do\"}\n", "{\"prompt\": \"Yeah, that's what I was trying to do when I wouldn't borrowed the tools from my neighbor but yeah, and then also I was ordering some things that were online. And they were also supposed to become be shipped in so that the base piece that I was creating, that I use the tools for my neighbor's house. It could have been all perfect and set so that when All of the hard drives in the electrical wiring and all of that stuff came in, I could just plug it in. And then not only my room covered, but also my houses covered and all of my family, they could just be happy.\", \"completion\": \"They could be happy, they could be happy, like, you know, you were happy.\"}\n", "{\"prompt\": \"I was happy, like, so two weeks ago, I was I was good. I, I was up, I did all the calculations that I need to create. So I can actually build my base in my system. But then I also did the calculations about the different types of waves being in the house, but then also out of the house, that I also had the opportunity to just not sleep because I need sleep. I wasn't tired. And if I did sleep, I slept for like 15 minutes, just because I needed to finish what I was going to do. And I was so close to finishing and my neighbour called cops.\", \"completion\": \"So you had a period of time when you had like a lot of energy and you weren't really sleeping much\"}\n", "{\"prompt\": \"Doesn't everybody do that?\", \"completion\": \"You're also happy and felt energetic\"}\n", "{\"prompt\": \"I felt good. Like when I when I sleep I don't like when I sleep because it just feels wrong.\", \"completion\": \"And how do you feel now in comparison?\"}\n", "{\"prompt\": \"I'm alright guy. All right. Just All right, right now. The government maybe get on different medication. So just all right.\", \"completion\": \"So not happy or sad.\"}\n", "{\"prompt\": \"not sad either. It's just you In the middle\", \"completion\": \"Do you want to get back to that happiness\"}\n", "{\"prompt\": \"of course who doesn't want to get back to the happiness of their life. That's the reason why you need to finish machine\", \"completion\": \"Yeah. You mentioned you ordered some products online. How much did you order?\"}\n", "{\"prompt\": \"um, I think I ordered probably know the exact number I ordered 236 hard drives, because 236 is the perfect number that I needed to not only cover my bedroom, so I can always be happy and if the system went down, my room was always going to be covered. But then within that 236 it also covered my house so that my family could be happy, and like my four neighbors around us so we can all be happy. And that's the reason why I'm kind of angry at my one neighbor because I was including his house in all By my grid so that he can also be happy all the time.\", \"completion\": \"He would have been affected by a machine.\"}\n", "{\"prompt\": \"Of course, he's the helping hand. He helped me out. He let me borrow his tools. but evidently he didn't let me borrow him this time. So just pull him out. Have another neighbor take his place.\", \"completion\": \"Were all those hard drives fairly expensive?\"}\n", "{\"prompt\": \"I don't know. When I was up cleaning and running around the house trying to find more equipment. I found my mom's purse and I was just like, oh my god, she has a credit card in there. Oh my god, I can use our credit card. So I was using our credit card because it's trying to make her happy. And so I don't know I added the 236. They were probably 50 to $100 apiece, depending on where it could get them and I just ordered them.\", \"completion\": \"How'd your mother respond to that?\"}\n", "{\"prompt\": \"My mom came to the hospital and was like, where are all these boxes coming from? It's like this, but I'm in my room. And she put them into my room. And then, like a week ago, she has, like, I see my credit card, and she wants to happen.\", \"completion\": \"Is that strange relationship?\"}\n", "{\"prompt\": \"No, that's just how we have a relationship generally\", \"completion\": \"you get along, okay. \"}\n", "{\"prompt\": \"we get along perfectly fine. Like that's, that's how we talk to each other. Like, we talk to each other minimally, because she's not in my room, so she's not happy. So anytime she does come into my room, it messes up the balance. So I get unhappy, and then I just tell her to stay out so that I can be happy and she can be happy in her own place.\", \"completion\": \"And you mentioned that they changed medications in the hospital.\"}\n", "{\"prompt\": \"The government changed for Medications\", \"completion\": \"How are you feeling about taking your medications?\"}\n", "{\"prompt\": \"while so\", \"completion\": \"Right, you you really want to get back to work on that machine.\"}\n", "{\"prompt\": \"Yes, I want to be back in my happy place. \", \"completion\": \"Have you found yourself as motivated these last couple weeks as you were before you're hospitalized?\"}\n", "{\"prompt\": \"Now? I haven't been that motivated. Big. I know I'm going to get it done. It's just I just don't know if I'm gonna get it done today or tomorrow, but I know what's gonna get done.\", \"completion\": \"You still want to get that done. It's important to know.\"}\n", "{\"prompt\": \"it's really important because I Can't be controlled by the government anymore.\", \"completion\": \"by Jason, I'd like you to continue seeing a counselor here. If you found the counsellor to be helpful.\"}\n", "{\"prompt\": \"The Counselor has been okay.\", \"completion\": \"But that okay, it's been okay. But we'll continue to counseling and hope that can can help you a bit. I appreciate you spending this time with me and explain what happened. \"}\n", "{\"prompt\": \"Good. How are you?\", \"completion\": \"I'm doing well. Thanks for asking.\"}\n", "{\"prompt\": \"Good Good.\", \"completion\": \"Your brother Bhushan today and he's had some concerns about your mood.\"}\n", "{\"prompt\": \"I mean, he has but I don't it's kind of weird because I'm it's actually been great. It's been great. It's been great like I've I mean I used to have issues with mood but I don't anymore and now I just oh for at least you know, last couple days at least. Maybe about a week. I don't know I haven't been paying attention but I've thought awesome like I've gotten so much done. You know I do stuff at work. I do stuff at home. I went shopping. I am doing great with Like, well, kinda great with my interpersonal relationships like I was thinking about at work this week, I thought I was like so proud of myself I. Well, firstly, I got a promotion. And also, so I was happy with that. But then I know one of my co workers, he had his birthday. So I was like, Oh, let me do something nice for him. And I went home and I baked the cake, but it's kind of annoying, because when I got there, he got mad, which is stupid, because he said, he didn't appreciate the fact that he said over the hill, but he's like, old, so I thought it'd be funny, but it wasn't apparently. But so yeah, besides that, like, this week's been awesome. And, you know, like I said, I got my promotion and made a lot of money. Like with a nice increase, I should say. And I just, yeah, so I've been feeling awesome. Getting a lot done.\", \"completion\": \"Yeah. You feel like you're getting a lot accomplished at work at home and what types of things you\"}\n", "{\"prompt\": \"So there's a couple projects at work that I've been working on. I got all those done. And I at home I have been working on my, like unpacking because I moved in kind of a while ago, but I have still had boxes sitting around and stuff. So I got that all taken care of. I'm completely unpacked. Over the weekend, I went and bought some, like home decor stuff. So it really makes the house look just like I want it to look and I'm happy with it.\", \"completion\": \"So your mood is moods up. They your brother specifically had concerns about spending money.\"}\n", "{\"prompt\": \"I mean, he's worried because I went on a shopping spree so he doesn't really know how much I am making with this new promotion and I don't really want to tell him I might I might actually because I'm proud of myself like I deserve it and I you know, we're still hard for so long in this company. And so with the shopping spree was kind of like treating myself. And so I've gone I went out and I did spend a lot of money. I actually maxed out one of my credit cards, but I don't have a lot of bills right now. Like I paid off all my debts, and I finished paying off my student loans too, so I could pay for it. So that's why he's worried. And like, I called him because I ran out of space in my car, and I was going to try to put this table that was gonna buy on top of my car bins and have like one of those things to attach it. So it didn't work out. And so I think you kind of got worried because he thought I was buying too much, but I returned that item because obviously I couldn't fit in my car and he couldn't come help me. So besides I've been fine.\", \"completion\": \"So you haven't you haven't gotten any trouble at work, or at home or anything?\"}\n", "{\"prompt\": \"No, not at all. I mean, like I said, I got approached at work. My bosses are extremely happy with how productive I've been how much I'm getting done. The quality of my work, I'm able to like, look over the reports and everything I turn in several times before I do it, and I always make sure I do. So.\", \"completion\": \"Okay. Any changes with your sleep habits? Um,\"}\n", "{\"prompt\": \"yes and no. I mean, yes, because I haven't really been sleeping as much as I used to. I think I used to sleep too much. But like, I haven't needed to this week, like, but it hasn't been an issue. It's actually been a good thing.\", \"completion\": \"So how much did you sleep last night?\"}\n", "{\"prompt\": \"I'm just about an hour and a half.\", \"completion\": \"You feel rested?\"}\n", "{\"prompt\": \"I do feel rested. I might take a nap later, like a 30 minute nap and then I'll be fine.\", \"completion\": \"Sure have a lot of energy.\"}\n", "{\"prompt\": \"I do.\", \"completion\": \"Do you have any feelings of depression or anything like that? sadness?\"}\n", "{\"prompt\": \"no Nothing. \", \"completion\": \"Oh, great. Yeah, feel great. Have you ever had anything like that? \"}\n", "{\"prompt\": \"I have, actually. Yeah. In the past, I used to I was diagnosed with depression. And so I know what it feels like. And I know that like, I don't know anything like that right now.\", \"completion\": \"How long goes that?\"}\n", "{\"prompt\": \"A few years ago, \", \"completion\": \"few years ago? Any thoughts about death or dying or anything related to that?\"}\n", "{\"prompt\": \"No, not really. I mean, no. I mean, obviously you hear about people dying on TV or like friends and family members, but like, I don't dwell on it. I feel like in the past I might have but I, I haven't been\", \"completion\": \"any drug or alcohol use?\"}\n", "{\"prompt\": \"No.\", \"completion\": \"No. How you doing medically? Anything medically going on?\"}\n", "{\"prompt\": \"No, I'm healthy. You're healthy. No, nothing like that ever happened\", \"completion\": \"Sure? You answering these questions for me has been helpful. I know that you're feeling well. But I'd like you to talk to a counselor if that's okay. I know that you're where your brother's concerned.\"}\n", "{\"prompt\": \"Is that ok here for him?\", \"completion\": \"your friend. Okay, so it'd be okay with you. I'd like you to speak with a counselor, at least for a little bit. I can arrange that in just a few moments if that's okay, \"}\n", "{\"prompt\": \"that's fine.\", \"completion\": \"Thanks.\"}\n", "{\"prompt\": \"Okay, right. \", \"completion\": \"Let's actually go right before the moment so you're still in the, you're still sitting down, and you're getting ready to present. Let's just say your second present. Yeah, like we've talked about and you're thinking they're going to seeming as anxious. They're gonna think I don't belong here. These are the right. Okay. So these thoughts occur because you have an expectation rule one add to that you brought into that class, when you walked into that class, you have these expectations already. It's perfectly natural. It's not right or wrong. Everyone has these beliefs. And whenever these beliefs are and we'll talk about that another point, they combined with the stressor of having this presentation in front of you, right, and the classmates watching you, and they result in these thoughts. We call them automatic thoughts, \"}\n", "{\"prompt\": \"okay\", \"completion\": \" And just like the beliefs, they're not good or bad. They don't say anything about the person having them. They're just thoughts. Actually, they're fairly understandable and natural thoughts. The problem is that they lead to symptoms. So, you're sitting there at your desk, and you're thinking, they're gonna see that I'm anxious. They're gonna realize I'm not good enough. I think I'm not good enough, right? What reaction Do you have when you have that far?\"}\n", "{\"prompt\": \"I guess I'm like very observant, like I started looking around, like, I'm sweating. Like I'm having physical responses, and I'm looking around to see if anyone's already looking at me, like hyper vigilance.\", \"completion\": \"so distressing symptoms.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"What's something that you could send yourself in that moment, that would maybe get in between that thought, and that reaction, so that thought of, I'm not gonna know I'm not good enough. I think I'm not good enough. And that reaction\"}\n", "{\"prompt\": \"I mean, I think in that moment, most people are looking at the person who's presenting and not at me. And so that, you know, I can maybe like, take some deep breaths or try to calm myself down. Maybe like look over my notes one more time. Because they're all watching the person who is presenting not me.\", \"completion\": \"Okay. So some some deep breathing, looking over your notes, like preparing yourself for kind of focusing on that and realizing they're not really looking at you anyway for a moment. Okay, good. Good. Um, you bring your notes with you to class?\"}\n", "{\"prompt\": \"I mean, like usually have like index cards, or maybe like some stats on something that I want to look over like some numbers or something I don't want to forget.\", \"completion\": \"Okay. So You always have those with you.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"It's just a matter of can you focus your attention on them?\"}\n", "{\"prompt\": \"Right, exactly enough to not forget them.\", \"completion\": \"And you know, if you're focusing on that, and you're thinking about that, you're not thinking about whatever they might be thinking about\"}\n", "{\"prompt\": \"Right, exactly.\", \"completion\": \"And how about the deep breathing? Is that a strategy you've tried before?\"}\n", "{\"prompt\": \"a little bit, but with not much success, because usually when I think to remember it, I'm in, you know, panic mode, and then it's really hard.\", \"completion\": \"So you've been able to do it sometimes.\"}\n", "{\"prompt\": \"Yeah, look, it hasn't been a good week for me this week and I'm telling you about the problems my boyfriend and we broke up and I'm not coping with i. I'm hurt. Just you don't understand why this is happening one more time. Just one more time. And it's just pushed me over the edge. And it just happens to me all the time.\", \"completion\": \"Do you think it'll get any better?\"}\n", "{\"prompt\": \"it won't get better and you don't understand. It happens to me all the time. Meaning given to me now, serving in the wrong with me. I feel like there's something really wrong with me. People don't just reject me all the time. I don't know why. \", \"completion\": \"So I mean, I can say that you're really upset about this stuff. That's your boyfriend journey. just keeps you just like always happy.\"}\n", "{\"prompt\": \"Now he doesn't want to talk to me and I feel like if I was, if I was a better person, then this wouldn't happen. I just feel like, isn't because of me. Nobody understands and I just can't do this. I can't do this again.\", \"completion\": \"I mean, I Has there been other stuff that's been going on for you during the week?\"}\n", "{\"prompt\": \"He does break up with me just the other day. I cant' sleep and I can't eat And he just keeps going and he just won't answer the phone and why you need me and you just don't\", \"completion\": \"want to know I know that when you break up with someone, it's really upsetting. Over time, this sort of stuff should get better, I think.\"}\n", "{\"prompt\": \"how long?\", \"completion\": \"Well, it just takes a bit of time.\"}\n", "{\"prompt\": \"I can't make it through the time he may help me get through the time it gets. This time. It just feels like it's never gonna end. When is that?\", \"completion\": \"It certainly sounds really tough. I think it's important that we talk about other stuff also, though, that went on during the week other than the breakup.\"}\n", "{\"prompt\": \"Just Yeah,\", \"completion\": \"I can see that's really upsetting.\"}\n", "{\"prompt\": \"Because He rejected me because I'm not good enough. Maybe there's something inside me that's been broken or something. And I won't even talk to me now. I need someone that say that it's gonna be okay. And it's okay.\", \"completion\": \"Sure it will be fine in the long term. Even though it's tough right now.\"}\n", "{\"prompt\": \"It just got easier. At the beginning. It was really hard. And I feel like my stats were much higher than the end. So I guess that was what we talked about the\", \"completion\": \"habituation, habituation, right? Yeah. The fact that when you do something like that, that initially makes you anxious, and you do it repeatedly, especially in for prolonged periods of time. Your anxiety comes down, right? We're just not built to stay in definitely anxious. Okay. You notice any other changes or anything else?\"}\n", "{\"prompt\": \"I noticed that before doing the exposures, I was really, really anxious. And then it kind of went down, like the anticipatory anxiety that we also discussed.\", \"completion\": \"Right. Did that change by so yesterday?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So you're saying you're not only notice that it went down during the exposure, but you started feeling less anxious even approaching instead? Good? Yeah. Perfect. Okay. All right. Good. Okay. All right. So you're doing so well. We're going to take another step up the hierarchy today like we planned, right. Okay. So this is the dog leash day. You bring it? Yeah. Okay, good. All right. We'll get to that later in the session. First, we're going to do some imaginal exposure. Okay? And you remember what the purpose of that is? Why Why are we going to do imaginal exposure?\"}\n", "{\"prompt\": \"That way I can kind of relive a story or a situation that would make me really anxious and eventually deal with the fear consequence of getting sick in my case\", \"completion\": \"right. So the idea is, this is how we are able to have you have exposure to or sort of a confrontation in imagination with the consequences you fear of touching things that are contaminated and not washing, doing your rituals. Right. Okay, perfect. So did you write the story? \"}\n", "{\"prompt\": \"I would say like a 70.\", \"completion\": \"Okay. All right. Go ahead and start when you're ready. Should we press play? Thank you for reminding me to start the recording. So you have that for homework. Okay.\"}\n", "{\"prompt\": \"So I'm in my house and the dog starts barking, and I know that that means that I have to take him out. I really don't want to so I'm thinking maybe I should wait until Joe gets home and he can do it. But I know the dog keeps barking, he's gonna wake up the baby. So I decided to go to the front door and get a leash. I'm not going to wear the gloves they usually wear so I feel we experienced touching the leash. But I'm already feeling really anxious. And I look at the leash and I see that it's gross and full of hair and the dog has been biting on it and in probably has saliva and other things and I see stains and Miss test thinking or if that's dog poop and I get sick and I just feel myself shaking and really sweaty. And my heart is beating really fast. So I'm feeling really, really anxious but I push myself and I grab leash, and I get the dog, open the door, go out and grab the leash.\", \"completion\": \"Okay let me now your stress level\"}\n", "{\"prompt\": \"like 90 \", \"completion\": \"Okay, you're doing great, just keep going.\"}\n", "{\"prompt\": \"So I grab the leash, and the dog is pulling and I feel the lease kind of pushing through my skin and I'm thinking all the bacteria that's getting there and I'm going to get sick, wanna vomit, but I just keep going. So I walk the dog, come back home, and I just leave the leash in the front door. And I'm thinking, I'm probably going to get sick. I really want to wash my hands. I really want to take a shower. But I try not to and I stopped myself. And I'm feeling really, really anxious. So I can't stop thinking about washing. So I tried to go to bed. Decided to fall asleep. The next morning I wake up, and I already feel sick. I know I'm sick. I'm shivering and I'm, I feel like I have a fever and I'm shaking again and I'm really nauseated. So I go to the bathroom, start vomiting. And I know I'm sick. I already got something I should have washed. I started thinking about that. Going to get the baby sick. And I feel really, really sick.\", \"completion\": \"Okay, great job. What's your level now?\"}\n", "{\"prompt\": \"Like 80. Okay.\", \"completion\": \"All right. So just keep visualizing this. I'm going to describe it now. And you just stay with that image as much as you can. So you're in the house and the baby's sleeping and you're trying to get some housework done and do things for dinner. Suddenly, you hear the dog at the front door barking and barking and immediately your heart rate kind of jumps up and you get upset and anxious because you know, that means He needs to go out. And Joe is not going to be home for hours. And you really don't want to take him out. But you have to. And it makes you sick and tired and upset, because you're not going to use the gloves that you always use when you have to take them out. So you walk toward the door, and you think, well, maybe I'll just make them wait. But you realize how wake the baby up if you don't take. So you go toward the leash, and it just makes you even more anxious to see it. And it's dirty. And it's chewed up, and it's gross, and you see stains on it. And you think about what those are from and maybe they're from dog poop and that's going to get on you. And you pick it up anyway and snap it on his collar. And as you go out the door and he lunges outside, he pulls that leash into your hand and you feel the contamination from the leash, entering your body, through the pores of your skin and you feel like it's just running up your arm through your bloodstream. And you keep thinking oh my god, what if I get sick from this What if What if there's some germs in this or bacteria, but you keep walking him until he finishes what he has to do and bring him back inside the house. Take the leash off. And the urge to wash is so powerful, so strong, you want to go scrub your hands and get in the shower and wash your whole body and do it quickly and get all these terms off from the leash. But you don't do that. You know, to make yourself not do the ritual. And then you go back in then just keep doing the housework and keep doing things but that's the sense of feeling sick, is staying with you and worrying about what's going to happen if you picked up germs from the leash. At night you go to sleep, still anxious, still upset about what happened. Wake up in the morning. And then before you have your eyes open even a couple minutes you know that you're sick, you can feel your body being sick, you rush to the bathroom and vomit You can feel the fever and the time your body is just not not right. You're sick. And you know, it's because you handled that lesion didn't wash, you didn't do the washing you needed to do. And now you're sick and the baby will probably get sick. And if only you had done the washing, okay? What's your level now?\"}\n", "{\"prompt\": \"Like 80\", \"completion\": \"Okay. Okay, you take it back and you do it again. Okay. Good job.\"}\n", "{\"prompt\": \"doc I'm having snoring issues.\", \"completion\": \"Are you having snoring issues?. Do you notice that yourself?\"}\n", "{\"prompt\": \"My wife tells me Okay, and she does like this.\", \"completion\": \"Yeah. When did that start?\"}\n", "{\"prompt\": \"Well, since I gained weight, I've been snoring a lot. \", \"completion\": \"Okay, gained some weight. Yeah. How much weight have you gained? \"}\n", "{\"prompt\": \"50 pounds. Yeah. Okay. I want to lose this my love handles over here. Okay, you see this love handles. I wish I could lose sore. Oh, can you help me off with losing love handles?\", \"completion\": \"We can make a plan together. I'll set you on the right direction. Okay. Excuse me, I'm just reading some notes ifyou don't mind. \"}\n", "{\"prompt\": \"That's fine.\", \"completion\": \"Sorry if this stuff How long should you say this started?\"}\n", "{\"prompt\": \" I'll just talk about like two years, two years ago.\", \"completion\": \"Has this ever happened the past or the first time?\"}\n", "{\"prompt\": \"Not exactly.\", \"completion\": \"Try using anything?\"}\n", "{\"prompt\": \"No, somebody told me there's a thing called as easy liquidation. You know, you open up, you open up and you start at trial, but I couldn't really tell the difference. Okay.\", \"completion\": \"Yeah, sometimes sometimes that helps out sometimes. It doesn't depends person to person and are you having trouble sleeping at night because of your snoring? \"}\n", "{\"prompt\": \"Yes doctor.\", \"completion\": \"Okay. So make sure do you feel tired during the day.\"}\n", "{\"prompt\": \"it has been but before that I was not even that. So since I'm gaining weight, open, I have gotten more and more fatigued and tired Good question. Oh doctor very smart. Nice.\", \"completion\": \"Make sure we're covering all the bases Do you have anu allergioes to anything?\"}\n", "{\"prompt\": \"Yes, doctor. Hi have even minimal idea, Nickle, or anything containing nickel. I get a rash. And then I'm allergic to penicillin and allergy to the, you know, a special kind of alcoholic drink. I don't want to name off that. And that energy to that trick. Yeah. It's a hard liquor. I don't remember that. That's why I've stopped smoking. That's why I stopped drinking alcohol.\", \"completion\": \"What kind of reaction you get?\"}\n", "{\"prompt\": \"Just a rash.\", \"completion\": \"What about alcohol?\"}\n", "{\"prompt\": \" Oh, you know, whenever i drink that I get a lot of gurgling in the belly. I start getting diarrhea, you know, and my poop changes. And that's what happens\", \"completion\": \"What does it change to?\"}\n", "{\"prompt\": \"It becomes mushy, mushy.\", \"completion\": \"Do you have any medicines that you're taking right now?\"}\n", "{\"prompt\": \"Oh, I just taking medications last week, I think Xanax or any other medications. \", \"completion\": \"That's fine. Okay. Have you had any surgeries in the past?\"}\n", "{\"prompt\": \"No, \", \"completion\": \"no. Okay. Any diseases that run through your family?\"}\n", "{\"prompt\": \"No\", \"completion\": \"Mr. Smith, I want to ask you about your lifestyle. Have you consumed tobacco?\"}\n", "{\"prompt\": \"I used to but not now\", \"completion\": \"What did you consume and when did you start?\"}\n", "{\"prompt\": \"I was 16 years of age when I started smoking and I stop at 36 years of age. Okay after that, you know I started increasing weight and kept going up and last two years I feel I have ballooned.\", \"completion\": \"You ever been hospitalized in the past?\"}\n", "{\"prompt\": \"No\", \"completion\": \"Any history of heart attack, stroke, diabetes?\"}\n", "{\"prompt\": \"No\", \"completion\": \"Blood sugar?\"}\n", "{\"prompt\": \"No\", \"completion\": \"It's a good thing to know.\"}\n", "{\"prompt\": \"I don't have that. would be special to check. Are you trying to waste American healthcare dollars?\", \"completion\": \"It should be part of the physical. When was your last physical?\"}\n", "{\"prompt\": \"Five years ago.\", \"completion\": \"Five years so you're due for a physical and we'll schedule that too. Yep. Make a note. That time could check your blood work as well. Do you have any trouble going to the bathroom?\"}\n", "{\"prompt\": \"Just in nighttime. I go a lot.\", \"completion\": \"How frequently?\"}\n", "{\"prompt\": \"five or six times\", \"completion\": \"Have you travelled recently?\"}\n", "{\"prompt\": \"I just travel all over the US. I deliver stuff\", \"completion\": \"What do you do?\"}\n", "{\"prompt\": \"I'm a truck driver. Okay.\", \"completion\": \"How long are you away from home?\"}\n", "{\"prompt\": \"About a week.\", \"completion\": \"personal questions here. They will be confidential. Are you sexually active?\"}\n", "{\"prompt\": \"Yep.\", \"completion\": \"Okay. Can you talk to can you tell me about your partner? Just one, just one. other partners?\"}\n", "{\"prompt\": \"my wife.\", \"completion\": \"Do you have kids?\"}\n", "{\"prompt\": \"Yes Doctor\", \"completion\": \"Are you having more kids?\"}\n", "{\"prompt\": \"No.\", \"completion\": \"Remember, this is confidential. If you ever had any sexually transmitted infections, we'll have to look.\"}\n", "{\"prompt\": \"I'm feeling sleepy doctor. I know. Just so I have snoring in the daytime. so sleepy, you're too tired primes and Okay.\", \"completion\": \"I would like to do it later snoring at night. That's you're gaining some weight in the past. That's very concerning to you. I'd like to see your neck. Make sure there's no large that sort of thing. I'd like to listen to your heart. Take the breath in and deep. Please, open your mouth and stick your tongue. All right, Mr. Smith, my main concerns here for scoring are that you've increased your weight at a pace that's a little faster than What normally happens and with it waves, intended notice that because we sleep at night, the extra weights they put on, can actually help and can push your tongue backwards and sort of covering one pipe and then it creates snoring that you've been having. So, if you could imagine you're laying down like this. Okay? And here's your nose and this is where the airflow comes in, to windpipe, okay, here's your mouth, and your tongue just sits like that. Now, sometimes what can happen is that the time So down here in this area that can actually stop the airflow here. So what happens during this reaction to try and get oxygen in? Okay? For this, I would like to run a couple tests to do bottom of it. I will be advising you to go for a sleep study. And I can measure how well you're sleeping and delineates what's happening, what's causing the snoring. Your heart sounds sound good. And because I think it's, it's possible that you may have to also have a heart condition that's related to it. I would like to get an ECG.\"}\n", "{\"prompt\": \"Why do you get heart condition? Why do you get heart condition and snoring and sleep apnea?\", \"completion\": \"I think they are related Oh, and then regarding the increase in weight, I can advise you to eat a low fat low cholesterol diet. I'd like you to increase your exercise to five times a week for about 30 minutes and I would like to order some bloodwork because you haven't had your physical in a while no include your blood sugar, your cholesterol, and electrolytes and such. Okay. Do you have any other questions for me?\"}\n", "{\"prompt\": \"Take medications that normally driving, snoring and driving go hand in hand mo with time. If you're snoring and you have sleep apnea, you are not. You do not advise properly patient slowly or caution you that you feel sleepy while driving car. Very, very important, right? You can have an accident, right? What are the symptoms of sleep apnea?\", \"completion\": \"Is snoring awful tired, trouble sleeping at night risk factors are decreased oxygenation because of the breathing.\"}\n", "{\"prompt\": \"Good? How are you?\", \"completion\": \"I'm doing well. Thanks for asking. How has the anxiety been going?\"}\n", "{\"prompt\": \"Um, since last session, it seems to be in check. Nothing really major. It's been going on with it. So I think I'm getting to a point where it's under control.\", \"completion\": \"I subsided a bit. That's good. Yeah, that's good. How's things been going at work lately?\"}\n", "{\"prompt\": \"So works a little bit of a different story. Um, we have our daily meetings, and I actually had to clean like one of my co workers aside because I feel like they undermine me all the time. And they like, they don't give me the respect basically, that I deserve. So I took her outside after the meeting and lean into her about it. And afterwards, I mean, the next day, because we have these things every day, and she like, she came back and came at me again. But it was worse, even after talking for no.\", \"completion\": \"So you have these, someone understands you have these daily meetings? Right. And you mentioned that she's not showing you respect and that you deserve respect. Right? effect. So tell me, tell me about that. Believe from what we talked about ABC before activating events and beliefs and consequences. In our abt, tell me about that belief.\"}\n", "{\"prompt\": \"Or I just feel that I do a good job and I deserve to be respected by my coworkers. Yeah, it just\", \"completion\": \"other levels of respect. There's a certain level of respect that you demand or need.\"}\n", "{\"prompt\": \"I don't know if there's a certain level, but I feel just like, I deserve it. You know,\", \"completion\": \"and what did she do? That kind of convinced you that she wasn't meeting that level of respect?\"}\n", "{\"prompt\": \"Well, she was like, she doubt my ideas, um, and just kind of made me feel like a fool, basically. So I just I didn't understand. right I mean, I guess.\", \"completion\": \"Have you criticized other coworkers?\"}\n", "{\"prompt\": \"yeah.\", \"completion\": \"So do you think that her criticism was within normal limits like within the what you've kind of seen there regularly\"}\n", "{\"prompt\": \"I mean, now that you pointed out I mean, I guess I can view it in that way that it wasn't. it just felt like she was purposely trying to nitpick if you were Yeah. I mean, I guess I may have gone out or a little partially um, But I felt at the time that it was reasonable\", \"completion\": \"at the time when you were?\"}\n", "{\"prompt\": \"when I was talking to her outside of the meeting.\", \"completion\": \"So you felt that she was a bit harsh. You talk to her about it, but then she's become more harsh. So where do you stand with her now? Like the meeting? Well,\"}\n", "{\"prompt\": \"I've just been trying not to talk to her. And obviously, in a work situation, doesn't really help. \", \"completion\": \"It's not convenient. Yeah. It might not help. Alright. So let's work this through using the ABC model that we use for the anxiety that you had before. Right? That was troublesome to you before. What would the activating event be here in this situation?\"}\n", "{\"prompt\": \"So I guess the confrontation I had whether\", \"completion\": \"Was this criticism?\"}\n", "{\"prompt\": \"Yeah. Yeah. So She criticized me and I felt disrespected.\", \"completion\": \"That's a feeling\"}\n", "{\"prompt\": \"I feel or my my belief is that I deserve respect. being upset and like disrespected and again yeah \", \"completion\": \"was aggravation, yeah. frustration, frustration. So that's, that would be one of the consequences of how you processed her behavior. Does that make sense? Feeling the frustration Feeling would be one of the consequences like an ABC kind of chance you have the activating event. She criticizes you. Your belief is that you deserve respect. And clearly she violated that belief. Right? She She didn't show you the respect that you deserved record your belief system. And one of the consequences, therefore, was this feeling of frustration. Were there any other consequences?\"}\n", "{\"prompt\": \"Well, if we, like go forward, it's the kind of disarray or the tension, I guess, you know, in the office.\", \"completion\": \"To get that's, that's definitely a consequence. I'm thinking there's an intermediate consequence stuff. So you had that feeling of frustration. And what's the next thing you did after that meeting was over, \"}\n", "{\"prompt\": \"like confronted her, \", \"completion\": \"you confronted her? Right. So you have kind of those two consequences. And that confrontation, it would appear has led her to kind of come on more strongly with her criticisms, which is another activating event. You could also think of as a consequence, but like I said, this is a cyclical. So you see how the A and the B and the C, a paradigm can fit in to what happened here at work for you. Does that make some some sense?\"}\n", "{\"prompt\": \"It does. Yeah. And I mean, when you put it that way, and then you say it's cyclical, then you just, I can see I can visualize that going around my carousel.\", \"completion\": \"Sure, exactly. So it helps you to kind of see what caused what, and maybe what could have been changed or could be changed in the future. Right. So we can't go back and change that, but we can work on the future. So her criticism of you there's no direct way to change that. consequences and consequences that leaves the belief system Right, which is the deserving respect, right? One of the things we try to do in our abt is help people move from rigid thinking, to more flexible thinking. So, kind of a rigid belief system would be enough that you said it in this way. But, you know, I, I demand and deserve respect, right at this particular level and people aren't meeting it. Right. Would you say that's a fair?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Okay. Maybe a more flexible way of thinking would be that you'd like respect? respects good. Yeah. respects healthy and work environments, certainly. But if you don't get it, you can still function. It's tough for you. I can see that's tough. Tell me about that.\"}\n", "{\"prompt\": \"I mean, I understand But you're saying I get it? I guess it's just kind of like anxiety with the anxiety we worked on. It's just getting there. \", \"completion\": \"Mm hmm. Do you are you willing to think of and challenge your beliefs in this instance?\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"Yeah. Tough though just as you mentioned, like what the inside says tough How long have you had this belief cuz mentality of I deserve respect.\"}\n", "{\"prompt\": \"Oh gosh, Um, since I was like a teenager. So long time\", \"completion\": \"this has been a relatively persistent part of your life. Let's play system. So changing it's going to be work. So, if you can apply a different philosophy apply more flexible thinking? Next time you're in a meeting, she still criticized you in the meetings. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So if you filter that through belief system now your first urge might be think to be, I'm being disrespected again. I it probably comes on that way. You kind of feel it.\"}\n", "{\"prompt\": \"Yeah, it, it starts in my stomach and then goes all the way up.\", \"completion\": \"So it'll be your first physiological reaction, right and emotional reaction. But if you can kind of pause that moment and apply more flexible thinking, like I talked about, right, which is, I'd like respect, right. But I can survive and function without it. At some level, I can accept that. I'm not going to get it all the time. Other other areas of life for you do get respect. \"}\n", "{\"prompt\": \"Yeah. For my friends and my family, I feel I feel like they give me. it's actually mutual respect. They give me respect I give them respect and Well, I think over time, if I learned to do that I first starting like within side of me like I wouldn't get that initial Like, punched in the gut. And I wouldn't have the urge to lash out at her. Especially if it is trying to be constructive criticism resulting in a situation where there's that tension in our office. I'd be able to do that I think I'd be able to approach her and maybe ask her she'd want to get coffee or something and maybe sit down and kind of talking with her. maybe I misunderstood her in the first meeting. And she really didn't mean to undermine me as I said, and then go from there.\", \"completion\": \"So either way, gathering the information, meaning having a discussing discussion with her, it would be helpful because I mean, you may find that you really see things so like, and it was just a disagreement in terms of her criticism in the way you interpreted, or she may have been trying to be critical and you'll know that to be really Can't control someone else's behavior. But it will give you an idea of maybe what our intentions were and how you can go forward to repair that relationship so that it functions. \"}\n", "{\"prompt\": \"Yeah. I certainly don't want like, our upper management to, you know, get involved and there'll be a bigger issue.\", \"completion\": \"You don't want them to have to come and sort that out. Right, you can sort out their own. And that would be a good application of coping skills and flexible thinking. So is that something you feel like you can try over the course of the next week?\"}\n", "{\"prompt\": \"I will definitely try.\", \"completion\": \"So really our plan move forward as a couple parts. So one would be smooth things over and sensitive, discussing this with her, letting her know you're aware what's going on and you want to try to resolve it and the second part would be Trying to move a little bit away from the rigid, you know, I deserve respect to, I would like respect but I'll function adequately without respect from everyone. I know that's tough. That's gonna be that's gonna be the challenge, right? But this will be this will give us good information and give you some practice. Does it all make sense to you?\"}\n", "{\"prompt\": \"Yeah, it's pretty clear. You explained it really well. Thank you.\", \"completion\": \"So, let's work on those two, those two elements. Right and next time you come in, we'll check in on those two and make any needed modifications to our strategy and we'll kind of move forward from there. \"}\n", "{\"prompt\": \"Okay, \", \"completion\": \"that sounds good.\"}\n", "{\"prompt\": \"Sounds great.\", \"completion\": \"Thanks, Lisa. \"}\n", "{\"prompt\": \"Yeah, I've had all sorts of problems. I mean,where do you want me to start? neighbors police. People spying on me in my street. You know, none of them admit to it. But I that you know, my neighbors they, but it's my it's mainly them at number nine. But I've seen them talking to the ones that number six and across the road as well.\", \"completion\": \"You know, so what, when did things start to go wrong?\"}\n", "{\"prompt\": \"I don't know. I mean, you'd have to ask them well, when they started properly, like deciding that they wanted, they wanted me out of the street. I think it was a few months ago. months it's been going on for months.\", \"completion\": \"What makes you think they want you out the street?\"}\n", "{\"prompt\": \"Well, it's it's the harassment. It's the spying on me putting bugs in my, in my house in my phone. You know, and that, you know, that at first I thought I couldn't hear it. But now they know that I know that they're, you know, saying things say things about me through the window. You know, talking about what I'm doing. I know, I know. I know that doing it. You know, whenever I leave my front door woman at number seven, she's always there. What you know, she's clocking where I'm going, what I'm doing.\", \"completion\": \"Why do you think they're doing that?\"}\n", "{\"prompt\": \"Well, I don't know. They're just I don't know what I think they want me out. I think they're, I think they're testing me. And they're trying to, they're trying to find out how far they can push me basically. It's all part of some, some tests. I want to know what for, you know, you'd have to ask them. That's what I've said to the police time and time again. I've said to him Why Why are you asking me these questions? Why don't you just talk to them?\", \"completion\": \"You said your phone was clicking What was that about?\"}\n", "{\"prompt\": \"a landline. Yeah, yeah. Somebody rings me or I ring somebody between seven and 10 seconds in. I click, click, click, click, click click every time. \", \"completion\": \"Any other explanation for that?\"}\n", "{\"prompt\": \" I don't know. Well, well, if could be but you know, every single time and then and then they're talking to me, and then they know what I've been saying down the phone.\", \"completion\": \"You know, where are they talking to you?\"}\n", "{\"prompt\": \"Well, I can hear him next door. Always on the phone again, always reading that book again. You know, I can hear him saying it. And they know that I can hear them and that's why they're doing it.\", \"completion\": \"Okay, so just to summarize at this point, your your phones Something's happening to telephone, you can hear your neighbors talking about what you're doing, making a commentary on your actions every day, every day. And you feel that there's some sort of reason for their actions doing this. Any other things that you've got problems with?\"}\n", "{\"prompt\": \"Following me down, follow me down the street people following me when I'm going to shop. You know, it's happening more and more. And more and more. I mean, after, you know, I've tried to explain to my friends about it, they get really agitated, they think, you know, they think I'm off my rocker, but they don't see it. You know, they're not living with every day. You know.\", \"completion\": \"So your friends worried as well.\"}\n", "{\"prompt\": \"Yeah, yeah. He won't worry, too. I mean, I don't. I don't think they're on it. I don't think but they know a lot about what's been going on and maybe the police have been talking to them or something. Or maybe my neighbor has been talking to them. I don't know. Again, you know, you'd have to ask them. But you know, it's hard. It's hard to know, it's hard to know who to Talk to you because they all did. You know, so they're all involved.\", \"completion\": \"So they started happening a few months ago. Has it had any other effects on your life?\"}\n", "{\"prompt\": \"Well, yeah, \", \"completion\": \"such as\"}\n", "{\"prompt\": \"can't really go out. Well, I can, but I know what's gonna happen if I do. So I've, you know, I'm just trying to I'm just trying to stay low key and I'm trying to stay out of people's way. You know? Probably slept probably slept for the last. I don't know, I can't remember the last time a lot more than 54 hoours asleep. \", \"completion\": \"So what what disturbs this like,\"}\n", "{\"prompt\": \"I don't, I don't sleep until I don't tend to go sleep until after two, three. Well, I'm sure that they've, you know, they've turned everything off. You know, downstairs and just you know, just can't you know, I'm worried about it.\", \"completion\": \"Any problems watching the telly listening to radio?.\"}\n", "{\"prompt\": \"Yeah, yeah, yeah. Yeah, they using the TV as well. They use an all at the goal this technology, obviously. I mean, I know there's all these smartphones and whatever now, you know, they're all they need is one of them. And they can just but yeah, TV, you know, they've got the the local news if ever I watched that, you know, there's a there's always some little comment, there's always something they say in there at the end about what's been going on, you know, pretty much every time I turn the TV on now. I mean, it's, you know, it's okay, it's all just the cable, isn't it? So they could throw I know, they've just plugged it into that.\", \"completion\": \"What do you mean, the cable\"}\n", "{\"prompt\": \"cable TV, you know, that runs down the street. You know, everybody's got access to it, if they know what they're doing. You know.\", \"completion\": \"So obviously, this is all very distressing, the different things that are happening. Can I take you back a little bit and just find out a bit more about you. So your Dr. told your age was 29. Tell me a bit about you born your upbringing.\"}\n", "{\"prompt\": \"North London.\", \"completion\": \"Let's go. Yeah, go on. Okay, let's go. So you had friends.\"}\n", "{\"prompt\": \"I had a few friends let me know. I didn't like school. That much\", \"completion\": \"Were they trouble\"}\n", "{\"prompt\": \"I did. I started doing English. I changed philosophy. But halfway through the first year\", \"completion\": \"Why is that?\"}\n", "{\"prompt\": \"I didn't like the way some English tutors were with me and I got quite interested in philosophy. A couple of my friends were doing it live with and just yeah, more interesting.\", \"completion\": \"And then you came to Norwich? and got the job. What are you doing?\"}\n", "{\"prompt\": \"I temped for a couple of years and then I got a job in Russia well, Viva it was an Irish Union for a while then it was. um\", \"completion\": \"Whats worng with that?\"}\n", "{\"prompt\": \"it was alright for a while. It wasn't the best job in the world, but I got I was getting okay. Towards the end. Not so much they were. It wasn't the best place to work. But the department got outsourced. I got made redundant. \", \"completion\": \"Do you Work at the moment.\"}\n", "{\"prompt\": \"No\", \"completion\": \"have you got a partner? And tell me a bit about your family.\"}\n", "{\"prompt\": \"Mom and Dad live in London, a brother and a sister. Brothers an engineer sister a nurse\", \"completion\": \"Are they a well?\"}\n", "{\"prompt\": \"Yeah, as far as I know. Yeah. Well I dont see them as often to be honest\", \"completion\": \"any history of illness in the family.\"}\n", "{\"prompt\": \"I'm always the one I was young. So Ihad meningitis. Yeah, yeah, I was told I was quite lucky.\", \"completion\": \"Any other any any man any mental illness in the family?\"}\n", "{\"prompt\": \"mental illness. My mum, my mum was wasn't well, when I was little. She had after my sister was born, she had she was depressed. But I don't remember. She was apparently my uncle. My uncle on my mom's side had I don't know he was. He had to be like, institutionalized sort of thing. You know, they had to look after him for a while because it wasn't well, I don't really know about that.\", \"completion\": \"Alcohol? How much do you drink.\"}\n", "{\"prompt\": \"Every now and then I'll have a drink. Forgot my friend. But I don't, I don't recall how I really feel I can smell it.\", \"completion\": \"And then final question sort of about the background, how much What do you thought were drugs?\"}\n", "{\"prompt\": \"Um, I smoke a little bit of weed every now and again.\", \"completion\": \"So just to sort of summarize what you've told me, in terms of what's been happening, think's been going on for a few months now. You've there's not really anything exciting and thing different in the background. You've had. You've experienced hearing your neighbors talking about a we're in your own flats. Yes, people interfering with your telephone, people putting special messages for you on the television, particularly, possibly also on the radio, for sleep, having to wait till everybody's turned everything off before you go to sleep. And of not being able to go out because you feel you'll be followed. You also said that your friends thought that, you know, there might be that they were a bit worried about you.\"}\n", "{\"prompt\": \"Well, you know, like I've, you know, I've spoke to my neighbors, any number of times. And, you know, my friends are there and I'll say, one of my friends mark, I'll say to him, Well, look, you can see that they're all spying on me right now. And he, you know, he doesn't. He thinks he thinks he thinks I'm making it up. He thinks I'm just, you know, embellishing but I'm not, you know, because it's every day. So it's a very distressing is distressing.\", \"completion\": \"Thank you so much for telling me about all things that are going on in your life and hoopefully we can sort something out.\"}\n", "{\"prompt\": \"Isn't it obvious?\", \"completion\": \"So what happened? First of all, tell me what you did. Exactly\"}\n", "{\"prompt\": \"what do you mean what I did?\", \"completion\": \"Well, I mean where'd you cut yourself? I know you said you cut yourself with the\"}\n", "{\"prompt\": \"same as always same as always\", \"completion\": \"your arm?\"}\n", "{\"prompt\": \"yeah.\", \"completion\": \"What did you cut yourself with?\"}\n", "{\"prompt\": \"a razor.\", \"completion\": \"Can I have a look?\"}\n", "{\"prompt\": \"you want to see it?\", \"completion\": \"Yeah okay, but part of the problem is those look deep in like you're going to have significant scars. So my suggestion is in the future if you do it is that you put some sort of bandaid on it to keep it closed. But let's talk about how how this happened. First of all, tell me you were telling me on the phone that you wanted to die? But did you? Was this a suicide attempt? Or do you think was just just a cutting we thinking about killing yourself or wanting to kill yourself or wanting to die? \"}\n", "{\"prompt\": \"I was thinking about killing myself? I thought you would help me and you didn't. That's what I want to talk about. I want to talk about how it is that my life is not going better and you are not helping me and you're not available to me when I need help.\", \"completion\": \"Okay, so let's Okay, so it sounds like me not being a bit was me not being available with you rate related to cutting yourself\"}\n", "{\"prompt\": \" All right, actually, I do want to speak to you about something that happened during this past weekend. Usually, as you know, I'm an honor student, I usually am studying over the weekend, my parents told me go out to parties, but I kind of use that to my advantage to convince my parents to go to this party that my friends were pressuring me to go to. And when I when I got there, like, I'm not used to this like party environment, where everything that you see in the movies is kind of what happens where you have people just drinking out of the bottle or playing random games with alcohol just to get drunk for no reason. And because I was there in the moment, I felt pressured to do and conform to what everyone else is doing. So I wouldn't be I wouldn't be ostracized. \", \"completion\": \"Oh, yeah, I get it. Like, we've all been there. Okay. You know, I was in high school one, too. You know, I drink too. I get it. There's not a ton to do in this town and kids drink but, you know, promise we have these rules and you're on a team, you have to stick by the rules.\"}\n", "{\"prompt\": \"I know that. It's bad for me. It's bad for my body is bad for for, for for being on the team for being an athlete. it hinders my performance. Just I don't know, I feel that my friends pressured me. I don't know if I should, like, go with different friend groups. Maybe I don't know.\", \"completion\": \"Yeah, Chris, come on. You're getting peer pressure.\"}\n", "{\"prompt\": \"I don't know. Like, being in a sports team. You feel very, you have to, like, be unified with the group.\", \"completion\": \"Yeah, well, you're one of the leaders.\"}\n", "{\"prompt\": \"Right and as being one of the leaders, my fellow teammates expect me to be expected To lead not only in the sports but also in social environments. And if that's social, so social custom in our society, so\", \"completion\": \"maybe you can start leading as a non drinker then\"}\n", "{\"prompt\": \"I could, but that could also backfire on me. I feel that I could be ridiculed for being having the stick up my blood. You know,\", \"completion\": \"you're a star player who's gonna pick on you.\"}\n", "{\"prompt\": \"I mean, it's just one. I'm just one person.\", \"completion\": \"All right.\"}\n", "{\"prompt\": \" Well, supermom.\", \"completion\": \"Yeah. So the issue again, is, I can't be hearing reports about your drinking. I can't be hearing that you're at parties and you can't be seeing pictures on Facebook. You know, there there are rules at this school and in my job, I have to enforce them. So, you know, like I said, I get it. You know, I understand I know what it's like I get that you want to have fun, your teenage years. I get that. But you know, you are start player, we want to keep you on the team. You know, we got to figure out a way to get through this.\"}\n", "{\"prompt\": \"Okay. Well, I'll dedicate the time not to party and like, no, not not not party, but you get involved with alcohol to that extent. And, like have it publicized on the internet. \", \"completion\": \"What do you mean?\"}\n", "{\"prompt\": \"Like on Facebook, all the pictures that you saw on the internet? Like, I will avoid situations where I have to go to a party where I feel pressured to actually drink alcohol and allow what I do in my own private time put on the internet so others can see.\", \"completion\": \"All right, yeah, I mean, we got to have a deal here if you're gonna be on the team, okay.\"}\n", "{\"prompt\": \"I'll stop.\", \"completion\": \"Alright, you promise?\"}\n", "{\"prompt\": \"I promise.\", \"completion\": \"All right, Jake. All right. We'll see you later.\"}\n", "{\"prompt\": \"No\", \"completion\": \"what's going on.\"}\n", "{\"prompt\": \"Well, remember I had told you that they were downsizing at my job.\", \"completion\": \"I remember that.\"}\n", "{\"prompt\": \"So I, you know, been there 20 years at my job. Yeah. And they're downsizing lately and they let me go.\", \"completion\": \"That's terrible. I'm sorry to hear that.\"}\n", "{\"prompt\": \"No, no, no. So yeah, it's just, you know, they let me go. I have really nothing to go on. I don't know what to do. I've been at that. job so long. I really don't know how to do anything else. \", \"completion\": \"You should talk about the job. You're happy there.\"}\n", "{\"prompt\": \"Yeah. I was, I thought, you know, I envision doing that job for a long time. So, you know,\", \"completion\": \"and that's not gonna happen. No, no. How does this affect your financial outlook like your bills and such?\"}\n", "{\"prompt\": \"Oh, it's awful. I mean, we definitely my husband and I, it's really spiraled out of control. My husband and I have kind of like, joint, we pay the bills together. And so this was half of our income, and that's gone. And because it was kind of more sudden, we didn't really have time to do anything else, you know, time to prepare.\", \"completion\": \"So it definitely caught you off guard. Do you have enough income with your husband's job to cover your basic bills?\"}\n", "{\"prompt\": \"were a little bit. Yeah, so far. But if I don't find the job soon, then I don't know what's gonna happen. I don't know how bad it's gonna get\", \"completion\": \"to know about how long you have for you fail to meet any financial commitments.\"}\n", "{\"prompt\": \"My husband usually deals with the bills, so I'm not quite sure. But probably in another month or so it's going to get really bad for about a month.\", \"completion\": \"What thoughts have you been having?\"}\n", "{\"prompt\": \"All sorts. I mean, I, I've worried that, you know, like, my husband and I are arguing because we're under all this stress. I worry, we're gonna lose our house. You know, I'm worried I'm going to be homeless. You know, it's embarrassing. I don't have a job now. What if I don't find another job? You know, what are my kids gonna do? My kids are, you know, relying on us to meet their needs. Yeah, yeah. So I mean, we could be homeless. I might not ever get a job again, you know, I'm not getting any younger. So I just am afraid that I won't get another job.\", \"completion\": \"Now, you said you were laid off, right? \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"For the position. Are you eligible for unemployment?\"}\n", "{\"prompt\": \"I'm not sure I'm still looking into that.\", \"completion\": \"Because if you I mean, I'm not a labor law expert. But I think if you're, if you're laid off, there's probably decent probability you could get on employment. How much for educational?\"}\n", "{\"prompt\": \"I just have my bachelor's.\", \"completion\": \"Well, that's, that's more than most bachelor's degree. Yeah. You just haven't had to look for a job in a long time, right here. Because I'm guessing you thought you're gonna retire.\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"So this is upsetting for a lot of reasons. So you have The financial stressors, right? I can't be minimized. The relational stressors mentioned, it's kind of embarrassing. Yeah, that's more like an identity thing I see identify with what you did right now. You don't as much, because you're not actively working in it. Yeah. Did you ever have any co workers who voluntarily left for other jobs?\"}\n", "{\"prompt\": \"Not that No.\", \"completion\": \"Not at the time you worked there.\"}\n", "{\"prompt\": \"Not that I was aware of that. I think maybe it maybe like one A while ago, but it was a pretty good job. So. \", \"completion\": \"So a lot of people stay.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Have you ever known anybody who worked for a similar company or in the same field? Who change jobs?\"}\n", "{\"prompt\": \"Yeah, one of my friends was in a similar field and he left the job and eventually found another job. You know how long it took. It took a while. It took a while. Like, maybe like two years or so at least almost, yeah, it was a struggle for their family. So I think about that\", \"completion\": \"would you need to replace that full income to pay your bills or part of that income?\"}\n", "{\"prompt\": \"I mean, probably part of it maybe full would be ideal because, you know, we were comfortable the way we were living so far would be ideal, but you know, we could probably survive on on part of it, it just not as well as we were living.\", \"completion\": \"So we've talked about problem solving skills before in earlier sessions, right. So have you applied a those concepts to what's going on now.\"}\n", "{\"prompt\": \"I mean, I've been trying to think of think of, you know, different opportunities that might be open to me now and you know, being able to spend more time with my kids and things like that. I've been trying to think of it other ways my situation.\", \"completion\": \"So there's sort of an upside, and then sense the time part, at some point need to replace the income. Yeah, that's very pragmatic in the money. Have you considered that if you attempted to seek a full time job to work out, you could look at part time jobs.\"}\n", "{\"prompt\": \"I've thought about it, but I'm really having a hard time with it.\", \"completion\": \"What would it What would it mean about you? What would it say about you if you had to take a part time job, so finding another full time job is so much of the loss?\"}\n", "{\"prompt\": \"What would it mean about me is That I think if I only had a part time jobs that I wasn't qualified, that I wasn't good enough for full time.\", \"completion\": \"So you would you would internalize that and Meaning would be that you're not as valuable.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So it speaks to self worth.\"}\n", "{\"prompt\": \"Well, right now it's not good. Well, I mean, I've been arguing with my husband, I've been drinking a lot more, you know, the depression has come back a lot worse. So it's just starting to become the cycle where you know, drinking and getting into arguments and situations not getting better and it just keeps snowballing keeps snowballing.\", \"completion\": \"Yeah. And these these behaviors are all things that potentially could impede your goal. So it is kind of like a self fulfilling prophecy element to this. Yeah. Do you agonize you worry, invest in these thoughts? Right? And then to temporarily take away the pain you drink? Yeah. That ends up being more dysfunction, right with a relationship with your husband. Yeah. Imagine if you're intoxicated, you're not looking for new work. Yeah. That wouldn't be ideal timing. So, in a sense, you're, you're not helping things to improve. And it all kind of starts without thinking, \"}\n", "{\"prompt\": \"but it's hard when I'm really depressed and the situation's not getting better. And I'm just home sitting about, you know, drinking, while everyone else is carrying on with their life, and I'm stuck here.\", \"completion\": \"And that ties into that kind of worthless, type five. So you're fulfilling that role. worthless. That sounds manifesting for you. And that's one thing you can do. That's an option you can drink and you could have relational struggles. But is that really? Is that really what you want at all? Is that the most useful? \"}\n", "{\"prompt\": \"Really? No, it's not helping. \", \"completion\": \"How do you think you could break that cycle?\"}\n", "{\"prompt\": \"I've been thinking about, you know, trying to get more organized, like we talked about before with the finances and, and trying to, you know, figure out exactly how much income we need to be where we want, what to do and maybe by baby steps, so it's not like, so overwhelming for me like the thought of getting a new job and making enough money and providing for my family. And like breaking it down.\", \"completion\": \"Well, that makes sense. Yeah, so the first step would be figuring out what The minimum amount you really need, right? So you'll shoot for hire full time, but you realize that you kind of need to know what the minimum is because you know what job offer you could accept in which I want free time to decline. Right? So it makes sense. So armed with that information and you could go into the workplace, right? And it was less anxiety kind of just know this Job's gonna if I get it, that's good, right Lord, I might as well not apply to this one because it's not gonna work. So as efficient as time say, it's good. That sounds logical.\"}\n", "{\"prompt\": \"I think just sometimes like the fear of the unknown, like, worry about what if this never happens for me? You know, what if I don't get a job? You know, what if we lose our house?\", \"completion\": \"That worries Yeah, no worries. nagging Yeah. Yeah. So\"}\n", "{\"prompt\": \"I mean, worst case, if we don't get a job, I mean, probably. I don't know, like, get a smaller house, or find a way around it. I mean, she would need to have some tough times. \", \"completion\": \"Yeah. It would be difficult, right? To be fair, right? It would be difficult, but you would adapt.\"}\n", "{\"prompt\": \"Right? So like, it would be difficult but I think if I really thought about it, you know, we would probably get through it.\", \"completion\": \"So if we pick up with that we say that's really an adaptive response when we talk about adaptive responses to automatic thoughts, right? So if you're telling yourself that you have the depression and certainly anxiety, craving to drink, you tell yourself well, the worst that could happen is I don't work the rest of my life again, acknowledging that's pretty unlikely. But the worst thing to happen is I won't work again. And I might have to adapt, I might have to have a simpler life in terms of material goods and small house, but I would survive would affect my battery that have on on your mood, or your thoughts?\"}\n", "{\"prompt\": \"I mean, I think when I really think about it, you know, like you said, I think I'm less depressed or think that I, you know, I'm more able to cope with it. You know, knowing Okay, well, this is the worst that could happen, but maybe it's not as bad as I thought. would be embed. \", \"completion\": \"So there's a piece that comes with clarity that comes with accepting what the worst case scenario could be. Right? And probably another part of the adaptive response could be, you know, I could live to the worst case scenario. I think it's important to acknowledge that it's unlikely. that's unlikely. Right? So statistics probability is on your side here. Right? So, as you go out to the workplace and the workforce and seek employment, you'll probably have some, some interviews, we don't get a job offers, right. But eventually, if I have one where you do, yeah, right. It's, it's just math. Right? If you can accept the worst case that maybe reduce or limit that alcohol consumption, reduce that depression, anxiety.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So Let's end there for today. But I want you to try for the next week. I want to try plan that adaptive response, right? Actually, there's two we're talking about right? One is you could survive the worst case scenario. And the other one is that probabilistically It won't happen. Right? So you have kind of two. Well, you do have two adaptive responses I want you to apply when those automatic thoughts come up, like, I'm never gonna work again. Okay, this is a catastrophe. So like that self talk. Yeah, apply that self talk. So identify that automatic thought, because we've talked about that skill, right? And then apply that self talk right away. All right, and let's see, you have the thought record. Right. So when that you know, when you can fill one of those out, okay, when that happens when you have that automatic thought and you apply the adaptive response, even if you can't get it completely filled out, I understand that. I know there's a lot on there. Just what you can get done on that. Anything you can do. That would be helpful. \"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"Sound good?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"So scheduled for one week. So I'll see you then we'll see how this goes to progress we can make on this on the alcohol and the depression and anxiety.\"}\n", "{\"prompt\": \"Oh, okay. I guess. \", \"completion\": \"Okay. You guess. And sounds like there's a lot of things that have happened. Lots of stressors and lots of things that have happened hasn't Mom doing with all of that stuff.\"}\n", "{\"prompt\": \"Okay, and I guess she's fine.\", \"completion\": \"Have there ever been a time where you feel like your mom isn't able to get out of bed or do the things that she needs to do?\"}\n", "{\"prompt\": \"No. No.\", \"completion\": \"So she's getting out of bed and she's looking after you.\"}\n", "{\"prompt\": \"Most of the time\", \"completion\": \"most of the time, they won't watch us most of the time mean?\"}\n", "{\"prompt\": \"Well, she's mostly doing a lot of well, she's doing a lot of stuff. So she's doing things pretty quick, I guess.\", \"completion\": \"What are some of the things that you might think she might do a bit better?\"}\n", "{\"prompt\": \"pretty much every day,\", \"completion\": \"Is your mom having Cheerios with you? Are you on your own having Cheerios what your mom doing\"}\n", "{\"prompt\": \"mainly by myself.\", \"completion\": \"you're by yourself having Cheerios.\"}\n", "{\"prompt\": \"No not really\", \"completion\": \"Okay. And if you've been worried about having food it's ever been a concern of yours\"}\n", "{\"prompt\": \"no among keep saying that, we'll make go mall go shopping for one but we never end up doing it because she's too busy of things.\", \"completion\": \"So how's your mama doing?\"}\n", "{\"prompt\": \"Okay, I guess pretty good\", \"completion\": \"Are there ever any times that she seems down or upset for days at a time that she hasn't been getting out of bed? For that she seems to be having a really tough time.\"}\n", "{\"prompt\": \"Lately a little bit stressed because of grandma.\", \"completion\": \"Can you tell me more about what you mean by a little bit stressed? So\"}\n", "{\"prompt\": \"they've been arguing and yelling. So\", \"completion\": \"who has grandma and mom?\"}\n", "{\"prompt\": \"Yeah, they've been arguing and yelling.\", \"completion\": \"Can you tell me a little bit more about that?\"}\n", "{\"prompt\": \"Well, they're just arguing about things are not very nice. I haven't listened to it very much. I just go to my room, so it's not very nice.\", \"completion\": \"And when they are you and yell, have there ever been times that you've been afraid that someone might get hurt?\"}\n", "{\"prompt\": \"Once, maybe,\", \"completion\": \"once? Can you tell me a bit about that time?\"}\n", "{\"prompt\": \"Or they were just getting really mean like, more than they usually would. Because it's happening quite a bit now. I wasn't, wasn't too bad. I guess.\", \"completion\": \"So the fighting between your grandma and your mom, how intense does it get? Is it arguing or is it yelling, screaming? When they are human? Have there been times when anybody's been physical use their fists or hands?\"}\n", "{\"prompt\": \"No.\", \"completion\": \"Any other way that they may have physically been fighting?\"}\n", "{\"prompt\": \"No, no. \", \"completion\": \"What about throwing objects or no?\"}\n", "{\"prompt\": \"No.\", \"completion\": \"And what happens to you when they're fighting? Where are you?\"}\n", "{\"prompt\": \"I just go to my room and try to ignore it.\", \"completion\": \"Just so you're going to hear from me and knowing kind of what happens afterwards.\"}\n", "{\"prompt\": \"They kind of just stay away from each other for a while. Okay.\", \"completion\": \"So when they're fighting, it's what I'm hearing is it's words,\"}\n", "{\"prompt\": \"Well, sometimes my grandma's criticizing me a little bit. Like she'll tell me I'm not doing something right, but then help me with it. Like, explain it.\", \"completion\": \"So you're feeling criticized by grandma. What about mom? Has she ever said mean or hurtful things to you?\"}\n", "{\"prompt\": \"No\", \"completion\": \"Sam, has anybody touched your body in an inappropriate way or a way that you didn't like?\"}\n", "{\"prompt\": \"What do you mean?\", \"completion\": \"Has anyone touched your private parts or touched you in a sexual way? Sam, does anybody in your house ever hit or spank you? What about hurting your body as anyone hurt your body? So when I say hurt, I mean things like hitting, kicking, punching, scratching. \"}\n", "{\"prompt\": \"no\", \"completion\": \"So no one's hurt you sexually or Physical with anyone in your house? Has anyone been drinking or ever been worried about people drinking too much or getting drunk or? No? What about other drugs?\"}\n", "{\"prompt\": \"No, no. \", \"completion\": \"So you don't have any worries about your parents using drugs or alcohol? What about Grandma, anybody else in your family that you're worried about in that way? So Sam, how do you feel in your close relationships? Do you feel loved and cared about and special?\"}\n", "{\"prompt\": \"Or my mom pays more attention to my little brother. And then when I try to talk to my mom, if I want something she really like. She don't really listen that well. She just kind of keep doing what she's doing. And then might later asked me again, what to do more. Not a lot, though. Rarely at any time. \", \"completion\": \"So you're not feeling loved? Is there any place in your life with any adults or with anyone that you're feeling love? Like me in my room?\"}\n", "{\"prompt\": \"I don't really have anyone else no.\", \"completion\": \"So if you had a problem, or you were hurt in some way or something was happening, who would you go to for help? Or what would you do?\"}\n", "{\"prompt\": \"I don't have anybody should go to my room and think. Like, I just like being in my room sometimes.\", \"completion\": \"And is anybody in your family ever been in jail or in prison? So the stressors in your house and what's going on? Making your mom not be there for you as much?\"}\n", "{\"prompt\": \"no\", \"completion\": \"What are what do you think of some of those stressful things?\"}\n", "{\"prompt\": \"Well, probably because my grandma's fighting and also my dad moving away, because they were divorced. That's right.\", \"completion\": \"You want to go your mom told me that you You and your mom aren't together anymore and that he's moved out to BC to see your dad. Now, when was the last time you saw him a year ago? Is there a plan for you to see him? No, no. What I've heard is that, you know, there's some stressors and some things that are hard for you in your life. And you talk to me about the arguing that's happening between your mom and your grandma. That, that your dad has moved away, that you're not always in the right clothes and you have to fix some of your meals. And that you're not always feeling loved and special. But you've also told me that nobody's hurting you in a physical or verbal or sexual way. No, nobody's saying mean things to you. That you're not worried about your mom emotionally and that she's not worried about her all the time. Struggling more emotionally? And that nobody you know is in prison, or has been in prison now. And you don't have any concerns about drugs or drinking or in your home? Sam, do you think some of those stressors are what's making it hard for you at school?\"}\n", "{\"prompt\": \"I think so. Probably.\", \"completion\": \"Yeah. Why do you think that might be?\"}\n", "{\"prompt\": \"A because I'm thinking about that. And then I'm not like thinking about what I'm doing and then no, get very much\", \"completion\": \"I know that a lot of that makes a lot of sense, Sam, that when things are stressful at home that kids have trouble concentrating and it affects them at school. So I'm going to talk to your mom more and we're going to try and figure out a way that I can help you and your mom with some of that stuff.\"}\n", "{\"prompt\": \"I do well, thanks for asking. \", \"completion\": \"I understand you've been having some difficulties recently that have brought you into the agency.\"}\n", "{\"prompt\": \"Yeah, I'm, I'm recently married. And so my husband and I moved in together. And up until then I I've lived by myself. My whole adult life. So apparently the craziest things have been happening. While I've been sleeping. several, several nights I've woken him up screaming. I'm screaming. Apparently a very vulgar, profane, profane the words and So that's a little alarming to him. And I've even, you know, we've been hitting him in the middle of the night. You know, he's waking up with these huge bruises on his arms. And so yeah, apparently, a behavior in the middle of the night is out of hand.\", \"completion\": \"So I can understand why that would be distressing. Have you seen a physician about this?\"}\n", "{\"prompt\": \"Yes. Um, I participated in a sleep study and what they say they rolled out some some other things and thought that maybe it was a behavior, Sleep Disorder. So they have referred me to you, I'm still working with them. Now. They're still running some tests and everything but they thought maybe there are some other stressors or underlying things, so\", \"completion\": \"that might be going on. So what would you like from counseling?\"}\n", "{\"prompt\": \"Colby? Um, well, I'm just little worried that it's going to affect my marriage and that my husband will not be able to deal with that. So I would just really like to figure out how to keep my relationship with Him successful with it. So overcome these issues.\", \"completion\": \"So, after you were yelling things, or you hit him, like you're asleep during this time, when you wake up, what's going through your mind then?\"}\n", "{\"prompt\": \"Usually I wake up and he's like, what are you doing? I was having the worst dream. So those dreams are kind of what he's telling me are aligning. What my behavior is, my dreams are aligning with those. So you know, I don't feel anything. It doesn't feel like I've been anything. I have. I've met a couple times and woken up, but no people do that. So I didn't really think anything of it. But now I'm starting to wonder. Yeah, it's it's a little strange. So Oh, concerning.\", \"completion\": \"Sorry. I wonder if you have this disorder before?\"}\n", "{\"prompt\": \"Yeah, I mean, I would, I wouldn't have known. I've lived by myself. But you know, I, before I had fallen out of bed a couple times, and, you know, my sheets and pillows are always everywhere when I wake up, but I didn't really think anything of it. So kind of making the connections now.\", \"completion\": \"So he's been paying attention to what's going on with your sleep. Does the episode of yelling or moving around, does it happen a certain time limit? Like what happened right after you go to sleep or a while\"}\n", "{\"prompt\": \"after you go to sleep? I'm in the middle of the night he has. He said at first he thought I was joking around But, yeah, no, no, I am waking him up, you know. So\", \"completion\": \"does that ever happen when you take like a nap for a short nap?\"}\n", "{\"prompt\": \"No.\", \"completion\": \"Not that I know\"}\n", "{\"prompt\": \"that he's, he's usually around electronic cash snapping he says it hasn't happened and so. Alright.\", \"completion\": \"So only at night when you're sleeping overnight and in the middle of that sleep. All right, would you be okay with sign a release so I can communicate with your question. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"And do you want your husband to be part of the counseling?\"}\n", "{\"prompt\": \"Yeah, that would probably be helpful for him to kind of get this side of things too.\", \"completion\": \"And you'd be okay saying release for him?\"}\n", "{\"prompt\": \"Yes, yes.\", \"completion\": \"So I'll get you scheduled into see a counselor. I appreciate you tell me what's going on. \"}\n", "{\"prompt\": \"I mean it was just the like a social gathering it wasn't like I was looking for it the drinks were there and I all my friends were doing it and it was just it's it's not something that I like do okay on occasion but whenever the opportunity presents itself it it's nice to just let loose and have a little bit of fun sometimes\", \"completion\": \"I Tommy there's so many consequences with drinking you know you're not even 21 yet you could get arrested you could you know have a drunk driving accident you could you know, mess up your schoolwork you have such a bright future ahead of you. It just really really concerns me.\"}\n", "{\"prompt\": \"I get what you're coming from but I I really did. I thought that I had it under control. And I didn't let myself get too far gone. I didn't want to be in how do I put this little Like, I want it to be in control. And I wanted to make sure that all my friends were Okay, so I didn't let myself drink too much.\", \"completion\": \"There's really no such thing as not drinking too much. I mean, anything that's drinking when you're under age is drinking too much. You know, like, think about it. Think about all the things that can happen to you.\"}\n", "{\"prompt\": \"Yeah, I understand exactly what you're saying. And\", \"completion\": \"how much are you drinking?\"}\n", "{\"prompt\": \"I don't think I'm drinking that much. I mean, it's, it's mainly for social gatherings. Like it's nothing that I do, like by myself or whatever. It's just the\", \"completion\": \"it's like, every weekend.\"}\n", "{\"prompt\": \"every other weekend, I would say,\", \"completion\": \"Tommy, I'm just so concerned, you know, can't you think of anything better to do?\"}\n", "{\"prompt\": \"I guess I can, I can probably be more productive in my schoolwork and rather than going out to parties as much and I do get where you're coming from.\", \"completion\": \"Yeah, are your friends the problem? Like maybe you should just start hanging out with more kids in the youth group and not hang out with those kids that you're partying with?\"}\n", "{\"prompt\": \"Yeah, I guess I haven't really put it on myself, I guess it's really been forced on their account. And I've just been following in their footsteps just to just because it seems like what they're doing is a lot of fun. And I just want to make sure that I'm getting every bit of the high school experience that I can.\", \"completion\": \"Well, there's a lot of things that seem fun in the moment that we know aren't a good choice, right? That's some of the things we talk about all the time is making good choices for our life and really doing what's best for you. And I just, you know, I really think you should think about making a big change here.\"}\n", "{\"prompt\": \"Yeah, I, I do see that. Maybe me drinking not as much would possibly better my life to to a certain degree and I It does make a lot of sense. And I, I guess I can put more effort into sort of lowering the level of drinking. \", \"completion\": \"I think you really need to quit.\"}\n", "{\"prompt\": \"Yeah, I mean, alcohol is just so prevalent in our society and it's just around me wherever I go and parties and stuff that I, I kind of feel like I should just get used to it or at least understand its its effects before I should let it get out of my life entirely. I don't I don't really see it as something that will completely destroy my life.\", \"completion\": \"Think you're wrong. You know, it really worries me. Anyway, I wish you would quit. If all you're gonna do is cut down that's better than nothing. You know, I appreciate you talking to me about this, but I'm gonna keep talking to you about it. It's really important. Yeah,\"}\n", "{\"prompt\": \"I, I just I don't see the problem in it right now. And maybe it's because I haven't really had that dramatic of an experience. But,\", \"completion\": \"um, do you want to wait for that to happen? Do you want to wait for a dramatic experience?\"}\n", "{\"prompt\": \"You're right. I don't want I don't want to be too far gone. Before it's too late. Like I, I can imagine something possibly happening where it's to a degree where I can't escape. And I I guess I've never really had any, any real experience where alcohol has really affected me that much, or affected anybody close to me that much. So I guess it's something that I feel like I'm in control of, but in reality, I might not have as much control as I think.\", \"completion\": \"All right. Well, maybe it's something we can work on together. And, you know, I think we should come up with a plan that's gonna work for you so that you can get to trial here and stop drinking.\"}\n", "{\"prompt\": \"Yeah, I think that that would be a good step forward into an A life of possibly being sober and just experiencing the true the true aspects of life rather than the the haziness of alcohol.\", \"completion\": \"Okay. Sounds good.\"}\n", "{\"prompt\": \"I mean it was just the like a social gathering it wasn't like I was looking for it the drinks were there and I have all my friends were doing it and it was just it's it's not something that I like do okay on occasion but whenever the opportunity presents itself it it's nice to just let loose and have a little bit of fun sometimes.\", \"completion\": \"I Tommy there's so many consequences with drinking you know you're not even 21 yet you could get arrested. You could you know have a drunk driving accident you could you know, mess up your schoolwork you have such a bright future ahead of you. It just really really concerns me.\"}\n", "{\"prompt\": \"I get what you're coming from but I I really did. I thought that I had it under control. And I didn't let myself get too far gone. I didn't want to be in how do I put this little Like, I want it to be in control. And I wanted to make sure that all my friends were Okay, so I didn't let myself drink too much.\", \"completion\": \"There's really no such thing as not drinking too much. I mean, anything that's drinking when you're under age is drinking too much. You know, like, think about it. Think about all the things that can happen to you.\"}\n", "{\"prompt\": \"Yeah, I understand exactly what you're saying. And\", \"completion\": \"how much are you drinking?\"}\n", "{\"prompt\": \"I don't think I'm drinking that much. I mean, it's, it's mainly for social gatherings. Like it's nothing that I do, like by myself or whatever. It's just the\", \"completion\": \"it's like, every weekend ?\"}\n", "{\"prompt\": \"every other weekend, I would say\", \"completion\": \"Tommy, I'm just so concerned, you know, can't you think of anything better to do?\"}\n", "{\"prompt\": \"I guess I can, I can probably be more productive in my schoolwork and rather than going out to parties as much and I do get where you're coming from.\", \"completion\": \"Yeah, is are your friends the problem? Like maybe you should just start hanging out with more kids in the youth group and not hang out with those kids that you're partying with?\"}\n", "{\"prompt\": \"Yeah, I guess I haven't really put it on myself, I guess it's really been forced on their account. And I've just been following in their footsteps just to just because it seems like what they're doing is a lot of fun. And I just want to make sure that I'm getting every bit of the high school experience that I can.\", \"completion\": \"Well, there's a lot of things that seem fun in the moment that we know aren't a good choice, right? That's some of the things we talk about all the time is making good choices for our life and really doing what's best for you. And I just, you know, I really think you should think about making a big change here.\"}\n", "{\"prompt\": \"Yeah, I, I do see that. Maybe me drinking not as much would possibly better my life to to a certain degree and I It does make a lot of sense. And I, I guess I can put more effort into sort of lowering the level of drinking.\", \"completion\": \"I think youreally need to quit.\"}\n", "{\"prompt\": \"Yeah, I mean, alcohol is just so prevalent in our society and it's just around me wherever I go and parties and stuff that I, I kind of feel like I should just get used to it or at least understand its its effects before I should let it get out of my life entirely. I don't I don't really see it as something that will completely destroy my life.\", \"completion\": \"I think you're wrong. You know, it really worries me. Anyway, I wish you would quit. If all you're gonna do is cut down that's better than nothing. You know, I appreciate you talking to me about this, but I'm gonna keep talking to you about it. That's really important. \"}\n", "{\"prompt\": \"Yeah, I, I just I don't see the problem in it right now. And maybe it's because I haven't really had that traumatic event experience. But, umm\", \"completion\": \"do you want to wait for that to happen? Do you want to wait for a dramatic experience?\"}\n", "{\"prompt\": \"You're right. I don't want I don't want to be too far gone. Before it's too late. Like I I can imagine something possibly happening where it's to a degree where I can't escape. And I I guess I've never really had any, any real experience where alcohol has really affected me that much are affected anybody close to me that much. So I guess it's something that I feel like I'm in control of, but in reality, I might not have as much control as I think. \", \"completion\": \"All right. Well, maybe it's something we can work on together. And, you know, I think we should come up with a plan that's gonna work for you so that you can get control here and stop drinking.\"}\n", "{\"prompt\": \"Yeah, I think that that would be a good step forward into and life of possibly being sober and just experiencing the true the true aspects of life rather than the the haziness of alcohol.\", \"completion\": \"Okay. Sounds good.\"}\n", "{\"prompt\": \"Okay. Oh, actually could I can find something new. That doesn't bother me lately. Well, prior to that party, like as you know, I'm an honor student and my parents like they keep me very, like, kick kept down out of the lake Salt Lake social life, and I own About a month ago, my friends invited me to a party and they use the fact that all I'm always doing my homework and always studying that to allow me to go to the party. And on. \", \"completion\": \"Hmm umm\"}\n", "{\"prompt\": \"Well, that party, I managed to convince my parents I would spend the night at my friend's house. \", \"completion\": \"Ahmm\"}\n", "{\"prompt\": \"Hmm\", \"completion\": \"Alright.\"}\n", "{\"prompt\": \"So I, that's when I started drinking was a unique experience, as you could say, I guess you can say, and I don't know, It was fun, at least in that moment. So I kept doing it. Then this past weekend, instead of studying for an exam, I asked my I begged my mom to let me go to another party and she kind of knew what I was doing. She asked me to like to promise her Oh, no alcohol, no drugs, man, I'll pick you up by 12. Our surprise is told us basically when the party starts, but I saw that whatever I saw, I thought to myself that I'll, I'll come out figure it out to delay her coming to me and later. \", \"completion\": \"Uhh hmm\"}\n", "{\"prompt\": \"So later, so she promised that she dropped me off. I promised her no alcohol, no nothing. So we go out Have fun like I've, I've been having, and I was drinking. And then it's time, the time came for her to pick me up. And as soon as I couldn't delay her for hanging out, and as soon as she picked me up and I stepped in the car, she said, You drank vodka. And I'm like, I didn't know what to say. I just looked at the floor, and I feel terrible. Because I betrayed my mother. I broke my trust with her that she expected me not to indulge in alcohol. And that's exactly what I did.\", \"completion\": \"So here you are. You're an honor student, your star athlete, you've kind of been doing everything you've been told for all these years. And maybe last month sometime you started getting more involved in the party scene and it was fun at first, but now you're already noticing some consequence\"}\n", "{\"prompt\": \"right. Like I've been noticing I've been more lethargic and apathetic towards schoolwork.\", \"completion\": \"Ahhh hmmm.\"}\n", "{\"prompt\": \"Really, I kind of just sit in class like my mind is elsewhere, especially on the way weekends where instead of instead of studying, I'm caught up with my friends trying to find where we can get alcohol based on their age and, and stuff like that. \", \"completion\": \"It has really changed your focus. What do you like about drinking?\"}\n", "{\"prompt\": \" I don't know it. It's because I'm a very reserved person, for the most part, not well, not when I'm doing sports, but like, like a social environment, I tend to keep to myself. Because I'm very self conscious, I would say and when I drink, I feel like it relaxes me I'm able to talk or engage with other people more easily. And it's just.\", \"completion\": \"So, it helps you kind of loosen up feel more relaxed. \"}\n", "{\"prompt\": \"Exactly.\", \"completion\": \"Sounds like you're noticing quite a few not so good things about alcohol though. Mom got mad at you. You're having decreased focus, you're kind of not doing so well in school, maybe any other things ?\"}\n", "{\"prompt\": \"Just different group friends of group girlfriends, like the different people that I'm hanging out. Not with because certain people are associated with that type of scene. So that that's also changed.\", \"completion\": \"So your your friends that you were hanging out with, there's a little tension there now\"}\n", "{\"prompt\": \"a little bit because not all of them are into that. So like, I'm in one group of friends and I will talk to another person within another group of friends and they just happen to invite me to that first party.\", \"completion\": \"hmm hmm.\"}\n", "{\"prompt\": \" So since then, I've been hanging out more with them getting to know them. But I could also see that on just living life, I guess. But that's also not fair to them that I'm not there for them as much as I was before, as they are there for me. Yeah. \", \"completion\": \"Well, given that you've sort of noticed all these changes where it's affecting your friendships, it's affecting your studying and it's affecting your relationship with your mom. Where do you think you should kind of go from here? \"}\n", "{\"prompt\": \"Oh, I should I should stop. I mean, like, I'm not, not unrealistic. \", \"completion\": \"Yeah\"}\n", "{\"prompt\": \"I understand that. situations like this will happen. It's just up to me not to take it so far where I can't remember the night before. If I'm puking, all I remember is a toilet. \", \"completion\": \"Umm\"}\n", "{\"prompt\": \"That's, that's not worth it either. And I have to slowly build back my trust with my mother because that was that's a big blow as little or, like as it may seem to the other people like to me that it's a big thing.\", \"completion\": \"Your mom is really important to you ?\"}\n", "{\"prompt\": \" of course, \", \"completion\": \"how confident are you that you could actually change your drinking or even cut down or quit?\"}\n", "{\"prompt\": \"I'm pretty confident\", \"completion\": \"especially on a scale of 1 to 10 where one is not at all and 10 is completely what number ?\"}\n", "{\"prompt\": \"probably like an eight or nine I'm I can't be in time because nothing's attend my field. There's too many factors but I feel like I'm determined to\", \"completion\": \"Why did you say eight or nine rather than six or seven?\"}\n", "{\"prompt\": \"Because I don't know I feel determined to to make sure this happens because I don't like how I felt after I betrayed my mother. I don't like remembering that the feeling of like vomiting.\", \"completion\": \"Umm hmm\"}\n", "{\"prompt\": \"It's not a pleasant experience. It's not something that I wish to enjoy. So like, even if I do drink, I don't want to drink to the point where that happens. Like all the fun that I have, then prior to that, just it's not worth it's not worth drinking.\", \"completion\": \"Right? What do you think's a realistic goal for you then?\"}\n", "{\"prompt\": \"To make sure I have my studies? Well, first, try to get back my trust with my mother.\", \"completion\": \"Okay\"}\n", "{\"prompt\": \"Then just focus on my studies. Then if I have time for leisure time, like I'll go party with my friends and just be as a party with them doesn't mean I have to drink and I do. One cup is not gonna do anything to my life either. But I'd prefer not to do that I prefer just make sure\", \"completion\": \"your goals to not drink at all, or if you are at a party a maximum of one at the very moment.\"}\n", "{\"prompt\": \" Exactly. Just so I take part with the social convention, but it's not. Hey, guys. It's about doing the Yeah.\", \"completion\": \"Chris, I really appreciate you talking with me about this. I know it seems like something that's been on your mind as it is. And, you know, like I said, I really care about you, as a student and an athlete and want what's best for you. So I'm glad we were able to talk about this, it really seems like you have a good plan going forward. You know, really striving for not drinking alcohol at all. And if you find yourself in a situation where there's alcohol, making sure to have that limit of one drink maximum. Sounds like something that'll work for you.\"}\n", "{\"prompt\": \"And thank you for listening and listening to me.\", \"completion\": \"Yeah, it's my pleasure. It's part of my job and part I like best so we better hurry up and get changed for practice.\"}\n", "{\"prompt\": \"Good. How you doing?\", \"completion\": \"I'm doing well. Thanks for asking. I understand you had some symptoms recently they've been bothering you.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Could you tell me about those?\"}\n", "{\"prompt\": \"Yeah, probably for the last eight months, maybe a year even, you know, I have this position at work where I have to make these weekly presentations and, and it's killing me. I can't do it anymore.\", \"completion\": \"Tell me about how these presentations are set up.\"}\n", "{\"prompt\": \"So it's a it's, it's the executive director and it's 10 managers, we're kind of sitting in a circle and everybody goes around and does like a weekly program update. Five minutes or so maybe 10. At the most if there's an issue that kind of needs to be adjusted. And but everybody takes turns speaking and it goes around kind of around in a circle. And you know, depending on where you said is what order you present and basically\", \"completion\": \"and you say that this situation the presentation you said it's killing you.\"}\n", "{\"prompt\": \"Yeah, \", \"completion\": \"would feeling so you have\"}\n", "{\"prompt\": \"I feel like it's constantly on my mind and constantly worried about this presentation. And even though I only have to speak for like five minutes, I'm so consumed by by this part of my job that I can't I can't do anything else and I normally feel like I do good in my job but but this and, you know, it just, it builds up more like every day the day before is is really bad because I'm prepping for the meeting. And so it really starts to consume me then I don't sleep the night before. And then by the time you know, I get to the meeting I'm, I'm so anxious and so nervous, I'm panicking and everything, and I just can't. I just can't.\", \"completion\": \"So, so this is this is distressing for you. And this is probably difficult to, to talk about the beginning of the meeting what would be your anxiety level what's going on then?\"}\n", "{\"prompt\": \"By the beginning of the meeting, when I've sat down, I'm, I'm, I feel like I'm breathing harder. I'm starting to sweat. And I feel like my face is turning red. My palms are really sweaty and costly having to wipe them off on my pants. I My heart is racing. And I feel like you know, the closer it gets to being my turn, I feel like everything just gets worse. I feel like I'm breathing harder and my heart is beating faster and louder. I feel like everybody can hear it. My stomach just gets in knots, I feel nauseous. And I can't, you know, there have been times that I've managed to like just hold my hand still, and just sit really still. And I've tried some deep breathing and just satin and have made it through. And I have have made it to my, my presentation and and been able to speak but even then when I speak, I stutter and I stammer over my words, and I don't say everything I need to even I have a cheat sheet essentially. And I can reframe it. I still feel like I'm missing things and I'm leaving things out and my voice doesn't project so I end up speaking very softly and like I said, I'm stuttering, I just can't get it. Even then, it's it's still I feel like it's still a mess.\", \"completion\": \"You're not you're not happy with the quality of your prison. Now even even when you're able to kind of stay there and conducted, so I want to divide this into the stages. So we talked about the very beginning. So you're already having anxieties sounds like it's fairly intense at that point. Tell me about as they go around the table and give their brief presentations. Tell me about what you're feeling as, as the presentations come around to you.\"}\n", "{\"prompt\": \"Well, if I if I manage somehow to get there early enough, and I can get an early enough seat like to sit like right next to my boss, or like, like one or two away, then I'm actually pretty okay. Because I can, I can kind of get it over and done. But so many times I'm so nervous and honestly, a bit hungover because I've been drinking too to try and I don't feel anxious want to drink. So there have been a lot of times that I've I've woken up a little bit late because I've been drinking. And so by the time I get there, like one of the last, it's one of the last seats, so I'm one of the last to go. And so as it gets closer and closer to me, I just feel more and more anxious and panicky. And here in, especially in the last few weeks, I've had to leave, I can say, I've got to go.\", \"completion\": \"So before before the presentations come around to you, you get up and yeah, leave the room. So in those times when you've stayed in the room and you've done the presentation, so the anxiety, the anxiety, the panic, the heart rate, sweaty palms, all these symptoms are increasing as they go around the table or the room and when it comes to you actually giving your presentation. You're not happy with that but what strings it level like during your presentation.\"}\n", "{\"prompt\": \"I feel like during the presentation, I feel almost like everything. So everything stops. And then and then when it's done, and it goes to whoever's next. It's like, it's almost like a physical sense of relief. Like, okay, that's over and everything starts to relax and calm down, but then I feel miserable. I am so, so upset with how I performed that, that more than anybody else that that might that will really that everybody is like, What is wrong with her, but that my boss especially is like, why did I give her this job again, and I feel so so miserable, that that I've I feel like I've disappointed him and I've so I've disappointed me. And I mean, this has always, always happened to me. For as long as I can remember, I've never been able to speak in front of groups and you know, from back in college. If I had to make a presentation, I would ask the teacher if there's a way out of it. And if they refuse, then I wouldn't present. And I had a teacher who insisted that I make the presentation, and I dropped the class and I took it again, with a different teacher that wouldn't make me present because I couldn't do it. And High School is the same that I would, you know, I just wouldn't do it. And actually, this is ridiculous. You know, I mentioned drinking. I've been drinking for a really long time. When I was like, I don't know like, 13 or 14, I got busted for underage drinking and I had to do some, like adolescent treatment and I had to do this like group therapy with these other kids and I couldn't do that i bolted out of the room and so never been able to do this ever.\", \"completion\": \"See if you've had these symptoms for a long time, they've been frustrating you for a long time have a period of time where you haven't had to be in front of other people.\"}\n", "{\"prompt\": \"Um, well if I haven't had to be in front of other people I've been I've been kind of okay you know, I can go to the movies but I like to sit on yet and you know, I can go out with with my family and my friends and we can go shopping but I don't like to go to new places. I like to go kind of like the same places that have familiar Yeah, yeah. Cuz because I know them. You know, I know The layout of stores and things like that.\", \"completion\": \"So it interferes with your functioning. Maybe a little bit. But if you're not having to present, it's not as big a deal as it is now for you. Yes job. \"}\n", "{\"prompt\": \"Yes, \", \"completion\": \"it's really affecting it. So are you taking any measures? Or have you take any measures other than drinking, you mentioned, to avoid a situation to avoid?\"}\n", "{\"prompt\": \"Oh, definitely. I mean, there's like I said, I mean, I've run out of the meetings. There's been times that I've called in sick when I haven't been there's been times when I've, I've said I've had car trouble arrived so late that it was unreasonable to make my presentation. I've actually talked to my boss about possibly not doing the presentation and just giving my notes to him or to brief him before after and because I have to say that I have this problem. I mean, Normal people don't do this, right? I mean, normal people can make these presents, like the rest of the staff can do it, why can't I? And so I don't want to tell him that, you know, I that there's something wrong with me. I mean, it's, it's gotten to the point that I've talked to him about, you know, this other position that's in another department and transferring so that I wouldn't have to do this anymore. And and it would it would be a pay cut. I mean, it's a demotion but I can't live like this.\", \"completion\": \" This is too painful. If you had the other job, his other job would involve presentations. So you'd be happier. You'd have fewer symptoms in that job. What's been the result of that discussion? Has there been anything has happened as far as well.\"}\n", "{\"prompt\": \"He has told me that he thinks something In a good job excuse me, and he doesn't want me to. Here's what I'm going to change positions. But I can't, I can't do this anymore.\", \"completion\": \"All right, so you've you've tried, you try to cope with anxiety. You've had to leave colon, colon sick or come in late. You've looked for different position or doesn't involve presenting. You've had this problem in other circumstances, the group therapy and in presentations before Do you or have you seen any symptoms like this and your parents?\"}\n", "{\"prompt\": \"Yeah, both of my parents and my sister actually. We were kind of joke about it. Some times that we all get so nervous. And my sister, I don't know how but she managed to find a job where she doesn't interact with anybody. It's her in her office with our computer by herself. And it's just, it's just hurt. I don't know how she pulled it off. I mean, she doesn't. She hardly talks on the phone. And she's really happy and my parents they actually they they met in college. When my dad after my mom made a presentation, my dad, I guess, leaned over and was like, you know, I could tell you're really nervous, but today great and they just they seem to bond over this nervousness that they both had.\", \"completion\": \"Right? So there may be maybe a history, a family history of symptoms. like these, this distressing for you, you tried to avoid it and deal with it but you haven't been you don't feel you've been very successful coping with it. We'll get you in for treatment we'll catch in the next couple days to see a counselor. If that's what you'd like to do.\"}\n", "{\"prompt\": \"Yes, please \", \"completion\": \"think that could help. And I want to thank you for spending this time with me. It's really helped me to understand better what you're, you're facing. \"}\n", "{\"prompt\": \"Thank you.\", \"completion\": \"Thanks, Sasha.\"}\n", "{\"prompt\": \"Yes. \", \"completion\": \"Nice to meet you. I'm Dr. batata. Is it okay if I examine your abdomen and a few other parts in your body? \"}\n", "{\"prompt\": \"That's right, right. Okay.\", \"completion\": \"Can I ask you to just take your gun down if that's Right.\"}\n", "{\"prompt\": \"A little bit.\", \"completion\": \"Okay, thank you for that.\"}\n", "{\"prompt\": \"Okay, we can do that later.\", \"completion\": \"Right Okay, can I? I'm going to pull down on your eyelids. Okay, just looking for any evidence of anemia. Looking up, look down for me.\"}\n", "{\"prompt\": \"is\", \"completion\": \"good having a good look for any scars sinesses.\"}\n", "{\"prompt\": \"painful there.\", \"completion\": \"Okay, it's gonna feel like it's live enough. So would you be able to just take some nice deep breaths in and out for me please?\"}\n", "{\"prompt\": \"Sorry about that. Sorry.\", \"completion\": \"I'm just gonna tap on your tummy now. Okay.\"}\n", "{\"prompt\": \"Okay, have you finished?\", \"completion\": \"So to complete my examination, I'd like to perform a shifting dullness test. Check is You're in depth. And also I'd like to examine for a full lymph retinopathy screen, including accelerate and inguinal lymph nodes.\"}\n", "{\"prompt\": \"Sick of thinking about how I am.\", \"completion\": \"Right here. You remember that thing I was telling you about that I found online.\"}\n", "{\"prompt\": \"What thing?\", \"completion\": \"I was telling you about it, how it helps you break down your goals into smaller steps. I thought maybe we could try it.\"}\n", "{\"prompt\": \"We tried all this kind of stuff before.\", \"completion\": \"I understand. You know, I've always loved this picture of you.\"}\n", "{\"prompt\": \"I haven't felt like this in a long time. I was like my old life. I don't even know what That person is anymore. Or how to be her.\", \"completion\": \"What do you miss about your old life?\"}\n", "{\"prompt\": \"having friends going out I just can't seem to get started though.\", \"completion\": \"How can we start at the beginning? How do you start your day?\"}\n", "{\"prompt\": \"Well, I sleep late. And I know I should clean up around here, but it's so intimidating. So I just do nothing like a loser.\", \"completion\": \"It sounds like you're pretty hard on yourself. Maybe if you start feeling a little bit better, you'd be more apt to want to go out and you see your friends.\"}\n", "{\"prompt\": \"I guess\", \"completion\": \"I noticed your alarm clock is broken.\"}\n", "{\"prompt\": \"Oh, yeah. It needs batteries.\", \"completion\": \"I got you this alarm clock that doesn't need batteries. What time would you like to get up?\"}\n", "{\"prompt\": \"Well, I don't know.\", \"completion\": \"Well, why don't we start with 11 o'clock? You said you've been getting up in the afternoon. We could try 11 and then you can move it up in a couple of days.\"}\n", "{\"prompt\": \"Okay, I guess\", \"completion\": \"I thought maybe a calendar would help. How can we write stuff on it and then we could put it up where you'll see it?\"}\n", "{\"prompt\": \"Like, what?\", \"completion\": \"Well, how about wake up at 11am and have a shower? maybe pick up clothes.\"}\n", "{\"prompt\": \"Okay, but I have nowhere to put the dirty ones.\", \"completion\": \"That's a good point. I can bring something next time. Maybe.\"}\n", "{\"prompt\": \"I'll give it a try.\", \"completion\": \"That's great, Jules.\"}\n", "{\"prompt\": \"I like my job because I felt like I was helping people. So it was meaningful. And, you know, when I went there, Time went by fast. So it was kind of like, I was enjoying myself, you know, not super fast. I wasn't having the best time of my life, but it was something where I would go and you know, I felt like I was doing something important and the day didn't drag on and, you know, I got along with my co workers and that kind of thing. So it felt meaningful to me. meaningful.\", \"completion\": \"So you remember accomplishing things at that job that you felt benefits society, the people you help.\"}\n", "{\"prompt\": \"Yeah, I feel like, you know, doing my job, I got to know people, you know, help people out with things that they needed. You know, when things were bad I could, you know, get kids out of situations that were really dangerous for them and, you know, no one else was going to do that for them. So I felt like I was the kind of person that was making keeping people safe. I guess.\", \"completion\": \"You kept people safe. And you had a lot of satisfaction from the work you did. And now doesn't feel that way?\"}\n", "{\"prompt\": \" Now, not at all. \", \"completion\": \"When you described it, it almost sounds like you talked about how you're afraid of making a mistake. You're thinking about yourself in a way where you're almost risk.\"}\n", "{\"prompt\": \"Yeah, I was just about to say it feels dangerous. To be there like to do my job, it feels dangerous.\", \"completion\": \"Your your work right now even though you have this one, situations extremely stressful and hard on you. You have other families that you interact with now to you tell me about those interactions.\"}\n", "{\"prompt\": \"I mean, I guess it's like, quantitatively the same as before. I do the same things with families. But now I kind of feel like I can't trust my own judgment like everything. Before everything just kind of felt a little more black and white, and now it just feels like everything is so much a shade of gray that I just can't tell. You know what's right and what's wrong anymore. And every time I feel like I have a good instinct I doubt it I question it I have all these ideas of, well, you know, if I remove the kids from this family, what if they're not really doing the things? I think they're doing? Like what if the parents are actually good parents? What if the kids get put into a home that's bad for them?\", \"completion\": \"So this is maybe what's different. This what you're saying from before till now? Is decisions seemed clear cut.\"}\n", "{\"prompt\": \"Yeah, sometimes it was tougher than others, but it just seemed more like I could make a decision and kind of wipe my hands of it and, you know, move on to the next thing. And now I just feel like there's all these doubts in my head and all these questions about if I'm doing the right thing.\", \"completion\": \"All right. So you're looking inward, you're looking at yourself a lot of self doubt. Now you're looking at decisions as much more difficult. It's much more difficult to come to the right decision. And second guessing sounds like move to second guessing a bit. When you do make a decision, like playing over over your mind. What could go wrong here? Is that the thought you're having?\"}\n", "{\"prompt\": \"I think is probably closer to three now feeling more hopeful and kind of not feeling I guess maybe feeling like it's a little bit less of a big deal than I felt like when I came in\", \"completion\": \"so some of the some of the intimidation of the concerns have been relaxed a bit as backed off,\"}\n", "{\"prompt\": \"it comes and goes,\", \"completion\": \"it's still there. Three is still suffering, but not as much as before. And not nearly as much as the peak. \"}\n", "{\"prompt\": \"Yeah, yeah.\", \"completion\": \"Do you think going forward, you can apply this self talk in the morning, when that automatic clock comes up, like we make that kind of plan.\"}\n", "{\"prompt\": \"Yeah, I think that'll be good because then also in the morning, I'll remember it's the morning and having these thoughts I need to do this.\", \"completion\": \"There are a lot of places we're going to go. As we talk about CBT and how it relates to what you're going through. I don't want to put too much on you at one time. So I'm kind of deliberately not going to a long explanation, the theory and not assigned A lot of homework, the homework is an important part of it. Okay? And one that I feel is in the best interest of clients to really take seriously and make a best effort to do. Okay. So, I'd like that to be one of the, you know, if you're okay with it, that'd be one homework steps, and the other one. So just just be two things for this week. So that self talk in the morning, and the other one was, is really just starting to cultivate an awareness in the day of when you're having these automatic thoughts. So these automatic thoughts proceed. feelings, and behaviors that you don't like, like feeling worried. So they're a little hard to pick up at first, because you're already having the feeling before you even think, to think about the thought, if that makes sense. And there's a few steps But you're already having the feeling of worry. And now I'm asking you to stop in that moment and try to recover the thought that led to that. Yeah. So that's not an easy request, satisfied to starting out with just try to bring up an awareness of that. If you can, I think super helpful, the best way is to write it down, if it's safe to do so. And if you can't, okay. So perhaps sometime today, you find yourself extra worried. And then you think back to what was going through your mind. And you find it was worrying about the welfare of the family, like a thought like, oh, they're not doing so well. Just don't judge the thought. Just write down. I was thinking to the family that might not be doing so well.\"}\n", "{\"prompt\": \"Okay. What should I do with it? Should I like write it on a sticky note and get rid of it? Should I keep it in a journal or?\", \"completion\": \"Good question. I would say keep in touch. journal, okay, and bring it in. To the extent you're comfortable talking about, we can go over. Okay. And we'll try to together develop self talk to address that. Okay. So we're going to build, we're going to build an inventory of adaptive responses. Okay. Does that make sense? Do you have any questions about or concerns about today in common we talked about?\"}\n", "{\"prompt\": \"No, I mean, I think it was really helpful. I just had to remember to, you know, kind of combat things in the morning and then as the day goes by, if I notice any other thoughts, just write it down and everything. I can do that.\", \"completion\": \"I think that would be a great start. And we'll set up a time for down here for another point for next week. We'll get that all situated. But I want to Close just by letting you know, kind of my impressions from on this first session. Okay. I know you have worries, and I am working on understanding them with the family and the decision you made and I can certainly appreciate it's it's a struggle for you. At the same time I see somebody very conscientious. No, you're, you're very concerned about the work you do. You're concerned about the people you're act with. compassionate, empathetic. I see a lot of strength in terms of your ability to understand these concepts I'm talking about and apply them in your life. So I want you to take away from this I hope you take away from this, that you should be helpful. I feel like you have a lot of positive characteristics and strengths that you Bring to overcome the struggle, and I think you'll be stronger as a result of working to overcome. Does that resonate with you? How do you think of yourself?\"}\n", "{\"prompt\": \"Yeah, I mean, I think, you know, I've worked a lot to help other people. So I think I probably do have the ability to help myself as well. And I also believe that, you know, if I do the work, then in the future, when stuff makes me stressed out, I might be a little better at handling it.\", \"completion\": \"Yeah, so I hope that you'll be able to overcome what's going on now. But also build a skill set that you can use to overcome new challenges, because you'll face new ones. And I want you to be the most prepared you can be I feel like even though you have these worries and anxieties, I want I'd like you to remember you have a lot of strengths. I feel like you can do pretty well with this. So we'll stop there. If You're good and we'll set you up for appointments next week.\"}\n", "{\"prompt\": \"Okay. Thank you.\", \"completion\": \"Thanks, sir.\"}\n", "{\"prompt\": \"I'm still anxious.\", \"completion\": \"Yes, last week when you were and you were telling me that you were experiencing great anxiety, and we had developed a plan a plan for your anxiety. And according to my notes, you were going to look into some yoga classes. You were going to attempt to drink less coffee. You were going to get out more with people because you were kind of isolating yourself in the home, and you were going to spend more time in nature. So I'm wondering how all that went?\"}\n", "{\"prompt\": \"Well, I looked at the gym and there weren't really any yoga classes, so I didn't I didn't really do that. I did cut back on my coffee a little bit, but I just find that it wakes me up in the morning. So, you know, I've cut back to one cup instead of two cups. And I did take the dog for a walk. But I haven't really gotten out other than that.\", \"completion\": \"Okay, so it sounds like you've made some movement forward towards your goals. You did at least look into yoga even though the gym didn't have yoga classes. You did cut down from two cups of coffee to one. And you did get out with your dog in nature for a walk. But it sounds like you had a little bit of an issue. Getting out more with people.\"}\n", "{\"prompt\": \"Yeah, I don't. I don't really like to go out with people. There's usually a lot of a lot of chatter, a lot of talking and it's hard for me to be in.\", \"completion\": \"So it's uncomfortable for you to be To around people with all the speaking and chatting and talking, and how does that make you feel?\"}\n", "{\"prompt\": \"It just makes me feel a little bit nervous. And then when I get out there, I don't really, I don't really engage in conversation.\", \"completion\": \"Okay, so actually getting out with people actually makes you even more anxious. So I'm wondering what we could do about that.\"}\n", "{\"prompt\": \"I'm not really sure maybe I could invite people over instead.\", \"completion\": \"That would absolutely be one option. You could invite people over to your house, and then you could get to choose who you're around.\"}\n", "{\"prompt\": \"Yeah, that's a good idea.\", \"completion\": \"And in terms of the yoga, let's get back to the yoga for a minute. Tell me more about where you looked for yoga classes.\"}\n", "{\"prompt\": \"Well, I just looked at my gym. I didn't really look anywhere else because I'm already paying To go to a gym, and I don't really want to pay extra to go somewhere else. So that's why I didn't really look anywhere else. \", \"completion\": \"Mm hmm. And so if I were to ask you right now, how motivated are you to find a yoga class on a scale of one to 10?\"}\n", "{\"prompt\": \"Maybe about a five or six.\", \"completion\": \"Okay.\"}\n", "{\"prompt\": \"Um, well, I, I see all these pictures in my newsfeed about yoga and I see all these pictures and I just want to do it. So I'm interested in doing it, it's just really hard.\", \"completion\": \"So when you see the pictures on your newsfeed, it makes you excited about doing it. But when you actually go to do it, it makes it more challenging. \"}\n", "{\"prompt\": \"Well, I haven't done it before. So it's a little bit hard to get out there because I don't think I'm as flexible Other people?\", \"completion\": \"Mm hmm. And so you're thinking that you're not as flexible as the other people. I'm wondering if that's what Yoga is about flexibility?\"}\n", "{\"prompt\": \"Well, I think I think that people go to become flexible. But I think that maybe some people are already just flexible.\", \"completion\": \"Mm hmm. So you are concerned that maybe you might not be as flexible as the rest?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"And you'd be a beginner?\"}\n", "{\"prompt\": \"Well, I'm worried I wouldn't be able to do the poses in class. \", \"completion\": \"Okay. So what do you think would happen if you couldn't do the poses in class?\"}\n", "{\"prompt\": \"Well, I feel embarrassed, I think. And then if the teacher tried to get me to do it, and everybody else would see that they're trying to get me into a pose, and I think it would be embarrassing.\", \"completion\": \"Okay. So you'd be embarrassed if you couldn't do the certain policies. And how would you feel if you could do all the poses in the class\"}\n", "{\"prompt\": \"I think I feel really good.\", \"completion\": \"And so what do you think it is preventing you from not doing all the poses in the class?\"}\n", "{\"prompt\": \"Right? I guess it's just the embarrassment of maybe not being able to do it.\", \"completion\": \"What would what would cause you to not being able to do it?\"}\n", "{\"prompt\": \"The causes are not we're not sure. Okay.\", \"completion\": \"I remember when you first came in last week, you told me that when you were younger, you used to be very, very flexible. And I'm wondering, what would make that difference between then and now?\"}\n", "{\"prompt\": \"Well, when I was a kid, I used to just practice a stretch a lot, and now that I don't, I don't have the same flexibility. Mm hmm. So as I've gotten older, I've lost a lot of flexibility\", \"completion\": \"and How would it be if you couldn't do all the poses in the class and you did get embarrassed and you just let it be embarrassed?\"}\n", "{\"prompt\": \"I mean, it would be okay. But I don't I don't like that feeling.\", \"completion\": \"What would be the payoff? Do you think? If you put up with a little bit of embarrassment?\"}\n", "{\"prompt\": \"Well, I probably feel really good in the end.\", \"completion\": \"You know, I can give you I've lots of studies that I can give you and videos that I can show you of people that started yoga and started practicing yoga and their anxiety went way down. As a matter of fact, some studies show that anxiety, doing yoga can be decreased the same as medications. So I'm not sure if you were if you knew that or not.\"}\n", "{\"prompt\": \"I didn't really know that. I just thought that that you'll go was For about flexibility, I didn't realize there were so many other benefits.\", \"completion\": \"Okay. So how motivated would that make you feel on a scale of one to 10?\"}\n", "{\"prompt\": \"Well, I probably, if I thought that I'd be it would make me less anxious, I think I'd probably be around an eight or nine.\", \"completion\": \"Good, good. That's a definite improvement. And, and you could determine after that first class, whether your anxiety levels have decreased or not. And that, would that be validation for you? Or would that be? It gives you even more motivation? If your anxiety levels were decreased instantly after the yoga class?\"}\n", "{\"prompt\": \"I think that would be a lot of motivation to continue.\", \"completion\": \" Okay. So one other thing that I wanted to, to mention to you was, you said that you'd walk your dog in nature and curious as to how much time did you spend walking your dog in nature. Wow.\"}\n", "{\"prompt\": \"It was only about 30 minutes. It was really cold and windy. So we didn't want to stay out. And by we I mean the dog and I Mm hmm.\", \"completion\": \"And so because of it, it was cold and windy. You decided to kind of cut the walk short. Yeah. And and that's definitely understandable. I'm wondering what you could do to possibly get an hour of walking the dog in a day.\"}\n", "{\"prompt\": \"Wow. It might help if I take a jacket next time.\", \"completion\": \"Okay, so if you took a jacket in cases cold, yeah. And do you have a special place in nature that makes you feel peaceful, that you could be in that would help you even more. Enjoy it\"}\n", "{\"prompt\": \"as long as I'm just away from road noise and traffic and then it's a lot better. Okay, and there's lots of trails around my house like that. Okay,\", \"completion\": \"excellent. Is It's great that you have trails around your house where you're not exposed to all that noise.\"}\n", "{\"prompt\": \"Probably.\", \"completion\": \"And on a scale of one to 10 tell me what that probably means.\"}\n", "{\"prompt\": \"It's probably attend. I can I can commit to that.\", \"completion\": \"Okay. All right. So it sounds like last week, you had a few problems carrying out the assignments towards decreasing your anxiety. You really couldn't find a yoga class because you're already signed up for a gym that doesn't have the yoga classes. But you already know about the yoga videos that I've sent you so you could actually do them at home.\"}\n", "{\"prompt\": \"Yeah, \", \"completion\": \"you how strongly do you feel about doing them at home?\"}\n", "{\"prompt\": \"If I could do them at home, I would probably do them all the time. Mm hmm. I think that would be a big difference.\", \"completion\": \" And then there would be no embarrassment factor. If you couldn't do the poses less coffee, you've gone from two cups to one cup that's very good. And get out more with people, you've decided to invite people over to your house rather than going out with other people not knowing who's going to be in your space. That's always an apprehensive moment when you don't know you have no control over who's going to be in your space. And on a scale of one to 10 you think that you could spend at least an hour a day walking with the dog?\"}\n", "{\"prompt\": \"I think it's a 10. I think I can do them on all four all four.\", \"completion\": \"Fabulous and how do you think you feel if you were to envision how you would feel incorporating all of these items in your life next week of the course of next week? How much of a difference Do you think it would make you feel?\"}\n", "{\"prompt\": \"Perfect it maybe even make me look forward to doing these things if I were doing them on a regular basis. Mm hmm.\", \"completion\": \"And how would it make you feel?\"}\n", "{\"prompt\": \"It would make me feel really good.\", \"completion\": \"And so you'd feel relaxed and you would feel more positive and I think you would do.\"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"I'd like to give you a test that measures your thinking and memory. Is that okay with you?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So ask if you have questions and if you could answer as best as you can that would appreciate.\"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"What's today's date?\"}\n", "{\"prompt\": \"today? Today is 15\", \"completion\": \"15th. What is today's year?\"}\n", "{\"prompt\": \"Aaah 15th\", \"completion\": \"What is the month ?\"}\n", "{\"prompt\": \"June\", \"completion\": \"and what day is today?\"}\n", "{\"prompt\": \"It's Thursday.\", \"completion\": \"Can you also tell me what season it is?\"}\n", "{\"prompt\": \"It's hot. It's summer.\", \"completion\": \"Can you tell me the name of the building that we're in right now?\"}\n", "{\"prompt\": \"No.\", \"completion\": \"What floor Are we on?\"}\n", "{\"prompt\": \"Hard floor is hard.\", \"completion\": \"What city are we in?\"}\n", "{\"prompt\": \"New York ?\", \"completion\": \"What County are we in ?\"}\n", "{\"prompt\": \"New Castle\", \"completion\": \"What state are we in ?\"}\n", "{\"prompt\": \"Pennsylvania ?\", \"completion\": \"George when I asked you to say some objects back to me. Repeat some objects back to me. They are ball, flag tree. Can you repeat those back to me?\"}\n", "{\"prompt\": \"Well, flower, plant\", \"completion\": \"I would like you to begin with the number 100 and count backward by seven. And I'll let you know when to stop. Go ahead.\"}\n", "{\"prompt\": \"93, 7, 14, 21, 32\", \"completion\": \"Thats good George t thank you. I would like you to spell the word world backwards.\"}\n", "{\"prompt\": \"W O R L D\", \"completion\": \"Can you recall the three items I mentioned to you a minute ago?\"}\n", "{\"prompt\": \"No.\", \"completion\": \"George, can you tell me what This is ?\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"What it is ?\"}\n", "{\"prompt\": \"Its a watch\", \"completion\": \"And can tell you that this is\"}\n", "{\"prompt\": \"yes.\", \"completion\": \"What's that?\"}\n", "{\"prompt\": \"Its a pencil.\", \"completion\": \"I'm going to say a phrase to you, I'd like you to repeat it back to me. The phrase is no ifs, ands, or buts.\"}\n", "{\"prompt\": \"No ifs, ands or buts.\", \"completion\": \"GEORGE You're right handed or left handed ?\"}\n", "{\"prompt\": \"right handed.\", \"completion\": \"I'd like you to take this paper in your right hand, fold the paper in half and put the paper on the floor. \"}\n", "{\"prompt\": \".......\", \"completion\": \"Thank you.\"}\n", "{\"prompt\": \"......\", \"completion\": \"thank you. George in the left side of your chair, you'll find a clipboard. Could you pick that up? Should be a pen on there.\"}\n", "{\"prompt\": \"....\", \"completion\": \"Thank you, George. Now in the same piece of paper, you'll see an image of the top you see that? Could you copy that for me in the bottom section?\"}\n", "{\"prompt\": \"....\", \"completion\": \"Thank you, George. This has been helpful. I appreciate you participating.\"}\n", "{\"prompt\": \"I'm just tired.\", \"completion\": \"just tired?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"you know, we did some pre visit planning with you and your Ph. Q two, which is a short depression screen was actually positive. So we asked the nurse to give you a little longer screening tool, which is a pH q nine. And that actually did come up with a score of eight, which is in mild depression range. So how does that How does that feel?\"}\n", "{\"prompt\": \"Well, I knew I felt different. I didn't know I was depressed.\", \"completion\": \"But you knew something was something was wrong.\"}\n", "{\"prompt\": \"I didn't feel like myself. I haven't been feeling like myself Now.\", \"completion\": \"Tell me a little bit more about not feeling like yourself.\"}\n", "{\"prompt\": \"I mean, I just go to work, and I come home, and I sleep. I wake up in the morning and I'm still tired. I just have no energy.\", \"completion\": \"So you sleep a lot. But even though you're sleeping you don't wake up rested.\"}\n", "{\"prompt\": \"No, not at all.\", \"completion\": \"Doesn't sound like good quality sleep.\"}\n", "{\"prompt\": \"No. I just have no energy. I don't want to do anything but just sleep.\", \"completion\": \"How long has that been going on?\"}\n", "{\"prompt\": \"I guess a couple months.\", \"completion\": \"Two or three months?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"What else is going on?\"}\n", "{\"prompt\": \"Well, you know, I been drinking more. I mean, I drink socially. But I find myself that when I come home, you know, I have a glass of wine and then I just go to sleep.\", \"completion\": \"And that's where its increased?\"}\n", "{\"prompt\": \"It is Because I don't usually drink that often during the week. So it's increased. Yeah.\", \"completion\": \"And I can see where that would be bothersome to you. What else? What else is going on with you?\"}\n", "{\"prompt\": \"Well, you know, my mom died a year ago. So Mother's Day is coming up so you don't have to think about mama law. I miss her a lot.\", \"completion\": \"And anniversaries is close?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"That's particularly hard. When those anniversaries come around for the passings of our parents. that's a that's a very difficult time.\"}\n", "{\"prompt\": \"Yeah. And I took care of mom. So that's hard, because for a long time, well, she was sick and she died from cancer. So I took care of her So for a long time, that's all I did was take care of mom and work that was. So now that she's gone. It just kind of brings up everything all over again.\", \"completion\": \"Kind of a hole in your life?\"}\n", "{\"prompt\": \"Yeah, we were really close.\", \"completion\": \"I'm really sorry for your loss. And thank you for sharing that with me. I know that's, I know, that's very difficult. So it sounds like your sleep has really been affected. You're not getting good quality sleep. You're really fatigued. \"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"just kind of going through the motions. It sounds like during the day And then how's your appetite then?\"}\n", "{\"prompt\": \"Not really eating that much. You know, I don't have energy, you know, before I would come home cooked dinner or, you know, meet some friends after work, but I don't want to do that I just come home and have a glass of wine. Just go to bed.\", \"completion\": \"So you used to be more socially involved than you aren't now.\"}\n", "{\"prompt\": \"Yeah, I don't do anything now. \", \"completion\": \"A little more isolated.\"}\n", "{\"prompt\": \"Yeah. Just working from home and sleep.\", \"completion\": \"So if there was something that you could do about this, what do you think you might like to do?\"}\n", "{\"prompt\": \"Well, I don't want to stay like this. This isn't who I am. You know, just sleeping all the time. It's just, I don't want to stay this way.\", \"completion\": \"kind of feels like you're stuck at this point.\"}\n", "{\"prompt\": \"Yeah, I just don't want to do anything or Go out my friends anymore and just work and come home and sleep. I don't want to do that. It's kind of the same old routine.\", \"completion\": \"I wonder if it would be okay, if we could talk about some of the options that are out there for folks that have some mild depression like you would that be right? \"}\n", "{\"prompt\": \"Hmmm\", \"completion\": \"Most of the time, we typically think about medication as a as a possible answer. So, no medication at this point. \"}\n", "{\"prompt\": \"No.\", \"completion\": \"All right. Then, I think as important, certainly perhaps more important than medication is counseling, and getting you to talk with someone about your feelings on a regular basis and, and getting some feedback on that. \"}\n", "{\"prompt\": \"I'm okay with that. You know, when mom was sick, you know, she was in hospice care. So she had cancer. And the nurses and the doctors, you know, had our family talk to someone you know about what we were feeling. You know,\", \"completion\": \"so that was a pretty good experience?\"}\n", "{\"prompt\": \"Yeah. Yeah. To talk to someone that understood what we were going through, sure.\", \"completion\": \"Something else might be exercise another possibility would be a natural product or some things over the counter that I think for mild depression may be appropriate. And those that some it's another thing that we could talk about if you want to learn a little bit more about those.\"}\n", "{\"prompt\": \"Maybe something natural exercise, oh, heavy energy. I don't want to I just don't feel like doing anything. So no, I'm not going to exercise right now. But if it's something that's natural, you know, I can maybe try that.\", \"completion\": \"Okay. If it's okay, let's go back to talking about the counseling for a minute. And then we can hit some of those Other things, too. \"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"So is there a counselor that you know, or that you have a relationship with this lady that worked with you during your mom's death? Is she someone that's out in the community? \"}\n", "{\"prompt\": \"She was really nice. Yeah. I liked her.\", \"completion\": \"So it sounds like you're pretty ready to do that. Could you say on a scale of zero to 10, 10 being really ready, zero being not ready at all. How ready would you be to do some counseling?\"}\n", "{\"prompt\": \"Maybe like a six or seven\", \"completion\": \"Six or seven? Why a six or seven and not a four or five?\"}\n", "{\"prompt\": \"Well, because I don't want to stay like this. And, you know, I've already talked to her before. She was really nice. So I wouldn't mind going back to her and she told me you know, when I saw her last time, if I ever needed I could come back\", \"completion\": \"So it sounds like you've got a connection there already. That's really good. Does that sound like something you're ready to do then and maybe make a plan about that?\"}\n", "{\"prompt\": \"Yeah, I can definitely check with her and see if she can see me again yeah. \", \"completion\": \"Well, that's okay. Then it would it be alright, if we talked a little bit about the exercise? I know you. So that didn't really sound like an option for you at this time and that's perfectly fine. Only you can make those decisions Alvina. But if it's okay, I wanted to give you a little bit of information about exercise and its effect on the brain.\"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"Exercises is again in a number of studies has been shown to be as effective as prescription antidepressants.\"}\n", "{\"prompt\": \"Okay. I didn't know that.\", \"completion\": \"Yeah, it actually raises serotonin You heard about serotonin. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Happy hormone. Yes. So it actually raises serotonin and also something called BDNF, which is, well, it doesn't really matter what it is, but it helps actually your your brain actually grow and help repair itself. So exercise can help in lots of ways by improving serotonin and decreasing stress certainly in and actually improving the quality of sleep. How does that sound at this point?\"}\n", "{\"prompt\": \"Well, if I try to exercise and if I call her to talk to her again, does that mean I don't have to be on the medication Right now we can try that.\", \"completion\": \"Absolutely. Again, those are yours, your decisions and I'm, I'm here to really support you in those if those sound like things that you might be willing to do, I'm, I'm all for it.\"}\n", "{\"prompt\": \"I'll try them on the medication. I have some friends exercise and workout I could probably call and exercise with them.\", \"completion\": \"So you have some friends that are already involved in an exercise program? Yeah. Is this something you talk with them about and that you possibly could get into that group?\"}\n", "{\"prompt\": \"Yeah, I have friends that run and friends that go to the gym. I have some friends that walk after work.\", \"completion\": \"So it sounds like a wide variety of things that you could do.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Which of those tend to interest you most?\"}\n", "{\"prompt\": \"Well, and then also, you know, my church on the weekends, they have exercise classes, too. So, yeah, but I think I guess I don't have energy really to exercise but I'll try it, but I'll definitely call the person I had talked to a mom passed away and I'll do that right away.\", \"completion\": \"Very good. Well, I think it sounds like this is an important for you to feel better. And it sounds like you're really ready to kind of make a plan. How do you see this fitting into your Life at this pointagain, kind of getting back to the counseling and, and the exercise.\"}\n", "{\"prompt\": \"Well, when I saw her, I could see her after work. So I can call her and see if I could still see her after work for therapy, and exercise. And I can do that, you know, after work or on the weekends, my friends, they exercise various time. So, yeah.\", \"completion\": \"Let's talk a little bit more about that Your say on a scale, if we can do another one of those scales, zero being confident that you could start an exercise program. Zero being not very competent at all and 10 being very confident. Tell me where you are in this exercise thing.\"}\n", "{\"prompt\": \"Honestly, maybe five and I'll try it. Anything if if I have to do that, so I have to go on medication, then I'll try it. Okay.\", \"completion\": \"That sounds like a pretty strong commitment.\"}\n", "{\"prompt\": \"Yes, I'll try it.\", \"completion\": \"Okay. And tell me a little bit more about your plan for exercise at this point, then.\"}\n", "{\"prompt\": \"Well, you know, my friends have been calling, but you know, I'm just sleeping all the time. So when they call I'm sleep, so I haven't really call them back. But I, you know, I can just return their calls and just let them know, I'll want to meet up with them. And, you know, at least maybe just start walking.\", \"completion\": \"I think that's a great decision. You have a couple of friends in mind that you could call.\"}\n", "{\"prompt\": \"Yeah, have real close, close friends that lives not too far from me. Yeah.\", \"completion\": \"So tell me how to tell me about a plan that you would think could perhaps get you going with with the exercise.\"}\n", "{\"prompt\": \"Well, I probably shouldn't come home. I probably would need to call one of my friends and make a plan to maybe walk after work and take a change of clothes and maybe drive to one of my friend's house after work and change with her. \", \"completion\": \"So it would be difficult to do it in the morning. You don't see that happening\"}\n", "{\"prompt\": \"No, because it's so hard when I get up in the air. I'm so tired that I can't. I can't say do it in the morning.\", \"completion\": \"Do you think it would be easier to do it after work?\"}\n", "{\"prompt\": \"Because I'm already out Yeah, as long as I don't come home, come home I just Want to go to sleep \", \"completion\": \"come home its over?\"}\n", "{\"prompt\": \"Yeah, yeah.\", \"completion\": \"All right. Well, good. It sounds like we have a plan for the counselor. And when you check out today, I'll put this in your record. And that will want to get in touch with the counselor that you work with when your mom was going through. \"}\n", "{\"prompt\": \"Okay\", \"completion\": \"her passing in the grief situation and then I'll want to depend upon you to call your friends and then get involved in the exercise program.\"}\n", "{\"prompt\": \"Okay, I'll try that.\", \"completion\": \"Alright. And if it's okay, I'd like to call you in a week to one, see how you're feeling and two, if the exercise is helping, you may really find that after you give the exercise a good trial, you may actually look forward to it. Because my hope is that will actually help you feel better and improve your mood. And then I would also like to see you back in two weeks, just to check on things now. We've talked about exercise department, we've talked about medication not being on the table at this point. But I want you to know, you know, you can call anytime, and I will work to get you in. And that might be something that we need to do if if our plan is not working. \"}\n", "{\"prompt\": \"main thing is I'm just sleeping all the time. I'm really tired You know, I I'm tired when I have to go to work and then I go home and I it's, you know, I just sleep a lot and it's I think it's abnormal. I haven't been eating as much lately I've I've lost a bit of weight and it's just the fact My life so I'm just one come in\", \"completion\": \"alright so you have excessive sleep you feel like what is excessive sleep\"}\n", "{\"prompt\": \"like just hours like I'll I'll get home from work and I'll take you know three hour nap and then I wake up and you know do do something that I enjoy but that will be bedtime again and I'll be ready for bed even though I took a nap and I'll just sleep some asleep and I can't chance I get I don't wake up early or anything.\", \"completion\": \"And you mentioned your appetite as well.\"}\n", "{\"prompt\": \"Yeah, I just I don't know if it's just because I I'm sleeping so much I'm not eating but I just like when I wake up. It's not like, Oh, I'm hungry. Nothing like I just\", \"completion\": \"how long have these symptoms been present?\"}\n", "{\"prompt\": \"I mean, I would say I've noticed that in the last Two weeks or so, like I'm\", \"completion\": \"over the last two weeks.\"}\n", "{\"prompt\": \"Notice that it's been getting worse.\", \"completion\": \"out of, say one week, how many days do you have these symptoms?\"}\n", "{\"prompt\": \"Probably every day\", \"completion\": \"every day?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So I'm gonna ask you some other questions related to this. Okay, just provide me the best answer you can. In the last two weeks, have you found yourself? depressed, sad, hopeless. I know that.\"}\n", "{\"prompt\": \"No, no, not really.\", \"completion\": \"Have you lost interest in activities that used to be fun for you?\"}\n", "{\"prompt\": \"Um,no no, I mean, I still like still like all the things I did like all my hobbies. I like hanging out with friends and stuff. Sometimes it's it's hard for me to, to remember to make plans with people and I just end up sleeping instead. But I genuinely enjoy it. So, I'd like to go and see if people think of us. Thanks.\", \"completion\": \"Do you ever feel agitated in terms of like movement? Like you can't stop moving or find yourself trying to resist moving?\"}\n", "{\"prompt\": \"I guess I guess like not so much I can't stop living but I do like try to like, stop it. I guess I do try to like stop myself. fidgety. Right.\", \"completion\": \"That's been happening. Any changes in terms of your level of energy?\"}\n", "{\"prompt\": \"Yeah, I mean, I like I said I'm tired all the time. I just sometimes I just can't get up and late to work. Just because I haven't had the energy to get up and stop sleeping, wake up.\", \"completion\": \"So the excessive sleep has affected your level of energy. How about any type of feeling of worthlessness or anything like that?\"}\n", "{\"prompt\": \"I mean, I guess yeah, I mean, I'm not it sounds harsh, but I'm not really a valuable person. Really, I you know, I don't have a very important job or anything. No one really depends on me or,\", \"completion\": \"you know, be yourself desirable.\"}\n", "{\"prompt\": \"I mean, no, not really, but it is. It is what it is.\", \"completion\": \"I'm always up to swear\"}\n", "{\"prompt\": \"You know for for a while, you know just you know when you don't contribute very much so it's it is what it is\", \"completion\": \"about your concentration Have you found any changes there and your ability to concentrate\"}\n", "{\"prompt\": \"at work? Yes, definitely. No. Because I'll be tired and yawning and even when it comes to like outside of work I guess I'll forget to take plane friends or forget No, no little things just little things that I do forget a lot. It's hard for me to to pay attention to movies. Because I'm tired or not like I just\", \"completion\": \"should you having trouble focusing?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Do you ever have any Thoughts of death or dying?\"}\n", "{\"prompt\": \"No,\", \"completion\": \"no, no. You mentioned that these symptoms have been causing problems at work any other areas where they've been causing trouble? Like limiting or functioning\"}\n", "{\"prompt\": \"mean like it was like social life,\", \"completion\": \"social life Relationships life at home\"}\n", "{\"prompt\": \"yeah, I mean I live on my own and you know like sleeping all the time like I don't see anyone else and it's hard to meet new people. If I was looking for a relationship I yeah, I would say it affects it because I'm not like putting myself out there anything. And, you know, I forget or I'll sleep instead of making plans with friends on Friday night so that can't be good. \", \"completion\": \"How about substances you use any alcohol or drugs like that?\"}\n", "{\"prompt\": \"Now, I mean, altering socially. I haven't really\", \"completion\": \"thought about medical conditions do you ever see or hear things that other people can't see or hear? Have you ever had that happen? Have you ever had a period your life were you having it now? Where? You're extremely happy how a lot of energy\"}\n", "{\"prompt\": \"No, it's never happened like that.\", \"completion\": \"oaky oaky Sherry I'm going to refer you to see a counselor. I've just scheduled and so you can see them in next couple days if that works for you. Yeah, that works fine. I appreciate you answering these questions. This has been helpful. \"}\n", "{\"prompt\": \"Thank you.\", \"completion\": \"Thanks.\"}\n", "{\"prompt\": \"Hi\", \"completion\": \"Thanks for coming in today and filling out our survey. I wonder if it's okay, If I go over a couple of the things that that you answered in the survey? \"}\n", "{\"prompt\": \"Yeah, that's fine. \", \"completion\": \"Okay. One of the things that that I noticed is that you are not using any kind of birth control right now.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"And I just wondered if we could talk for a few minutes about some ideas, and I wondered what what your thoughts are about using condoms?\"}\n", "{\"prompt\": \"Well, I've heard stuff about them that I don't really need them and they're not going to do much for me and just kind of absolutely go out and get them. So I don't really use them for that reason.\", \"completion\": \"You've heard a lot of negative things about condom usage.\"}\n", "{\"prompt\": \"Yea yes\", \"completion\": \"Okay. Okay. So Chris, it's okay if I share with you some of the things that I've learned about condom usage and some of the things that my clients that are around your age have shared with me about condom usage. \"}\n", "{\"prompt\": \"Yeah, that's fine. \", \"completion\": \"Okay. What some people don't realize and don't know about condoms is that may not only prevent help prevent teen pregnancy, but they can also prevent sexually transmitted infections like Flaminia along with HIV. They're really effective in preventing these things. And there's also a lot of easy ways to get condoms these days that some people don't know, the local health departments have condoms and many times they're free. And local pharmacies, drug stores have condoms. And there are a lot of clinics that have them as well either for a small fee or sometimes they're actually free. And there's some some ways to that people have found carrying them around pretty conveniently, you know, in their car or in their pockets because they're pretty small. What does it sound like? As I'm talking what what are what are some thoughts that are going, going through your mind?\"}\n", "{\"prompt\": \"Definitely changing my mind about condoms a little bit, think there's no hurt and just carrying them with me. And if they do protect against all that stuff that you said, that sounds a lot better than what I have heard. I definitely want to avoid all those consequences. \", \"completion\": \"Okay. Yeah. You're not interested in becoming a father right now I'm guessing.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Okay. Okay. Great. Well, can I ask you? So after this conversation today on a scale of zero to 10, with zero being that it's not at all important to you and 10 being that it's extremely important? Where do you think you fall with how important you know taking a chance on using condoms would be to you now?\"}\n", "{\"prompt\": \"after everything that you've told me, sounds pretty important to me. I like an eight or nine.\", \"completion\": \"Okay. Okay, well, that's great. It sounds like you really have have, you know a plan in mind? What do you think you'll do next Like what do you think would be a next step with you as far as contraception or condoms?\"}\n", "{\"prompt\": \"I will go out and look for some condoms and have an open mind to them.\", \"completion\": \"Okay, well, we've got some here at the clinic. Would you like me to give you some on your way out?\"}\n", "{\"prompt\": \"yeah\", \"completion\": \"And you can just take them with you.\"}\n", "{\"prompt\": \"yeah sure\", \"completion\": \"Great. Well, thank you so much for talking with me today, Chris. It was nice to meet you.\"}\n", "{\"prompt\": \"Hello\", \"completion\": \"Good to See you today. So, tell me what brings you here?\"}\n", "{\"prompt\": \"Well, I have an anxiety issue. There are a lot of things that make me anxious and I do something different because I can't really not functioning at the level I need to be functioning. My anxiety just really impacts so I got it, I got it. I need help with managing. \", \"completion\": \"Okay, so tell me what that looks like.\"}\n", "{\"prompt\": \"Let's see. I'm driving here. I mean, on the interstate. I'm just painted him constantly about the cars my granted I've had a couple of accidents and people Hit me but I'm constantly thinking, Okay, that person is about to pull over and hit me. Okay, that person is going to fire Okay, they're gonna hit me from behind. I'm just really anxious. I'm driving about all are sitting on I'm in school and tests, I get really anxious. I take a test, I mean I know lot of information and I sit down and take the test and it's like I can't I can't recall because I'm so anxious about this test even though there\", \"completion\": \"was anything physical thought there?\"}\n", "{\"prompt\": \"Yeah, I think it's a lot of thoughts in my head and it is very physical. I mean, I get sweaty, I get sweaty palms, my heart starts racing, you know, I get tense. So it's it is physical. so Yeah, \", \"completion\": \"Do you remember what thoughts going on?\"}\n", "{\"prompt\": \"Um, my thoughts are like, I'm in the car. I'm gonna get hit. If I'm taking a test, it's like, Okay, I gotta do well on this test. I gotta remember this, there's so much to remember, and I just kind of brings freezing a little bit and I'm panicking because I can't remember. So I guess. So have you found that? No problem, which was not being able to complete the task?\", \"completion\": \"Four is it worth once you go through?\"}\n", "{\"prompt\": \"Um, is it like anxiety over when I finished the test? Yeah, yeah, after I'm finished. I mean, I know I could do perform better if I was going because I knew it wouldn't take me as long if I wasn't anxious. Um, it seems to me like time tests and so when it's over, whether it's an hour or two hours or however long it is, maybe it's over. You know, I'm anxious during it but when it's over. Yeah, it kind of subsides just like in car Like when I get to the place after I'm off the interstate and stuff, it seemed to subside. So when the situation is over, it seems to seems to go down. \", \"completion\": \"So sounds like you might need to find something that helps.\"}\n", "{\"prompt\": \"Yeah, I also think that the time, tell me in the moment because these are things that I mean, I can't avoid. I mean, even in my job to I've got to go my field placement. I've got to do these group settings, you know, I've got to do, and kids are crazy. They're disrespectful, like, Okay, I got to do it, though. So all these things I have to do. I can't change them and my wife right now, so got to figure out how to deal with it better.\", \"completion\": \"Would you like to describe that?\"}\n", "{\"prompt\": \"yeah, I'm very eager to learn something that can make a difference.\", \"completion\": \"Well, there's something called grounding do you know?\"}\n", "{\"prompt\": \"No just lectricity grounding, you know that third floor thing, that's only grounding I know. I need to be grounded. That sounds good. Bring it on\", \"completion\": \"So with grounding, a lot of people have a lot of emotions, okay to have emotions, but for some people, it gets really intense like, a lot and no one wants to bring that down to more of a calm place. So it doesn't necessarily solve the problem like there's still traffic. Yeah, nothing's going on, which just helps you get to a place to deal with\"}\n", "{\"prompt\": \"That sounds good.\", \"completion\": \"So I'm going to introduce a grounding technique to you, okay, and involves some deeper events in closing the eyes and getting to your senses. Okay, so I have a little script. Okay\"}\n", "{\"prompt\": \"okay. Okay.\", \"completion\": \"They'll tell me after. I'd be like, okay,\"}\n", "{\"prompt\": \"okay, okay.\", \"completion\": \"But somebody gave me I just want to know relax, comfortable, comfortable resting Hands on your side whatever was working for you pretty good. I don't want you to disappoint, Chest rises, So don't worry about it. Just okay what is comfortable now we're gonna gauge and use in each of the five senses. And so for that I want you to, close your eyes, I want You to listen to my voice read my instructions So let's begin to relax by just noticing all the sounds around to start with. \"}\n", "{\"prompt\": \"the air conditioning going on over the air coming through\", \"completion\": \"for the constant noise?\"}\n", "{\"prompt\": \"Umm yeah\", \"completion\": \"notice the sound before like that?\"}\n", "{\"prompt\": \"No just hearing it now\", \"completion\": \"let's move on to smell do you smelling anything?\"}\n", "{\"prompt\": \" just totally okay, a lot of sense right now in this room is for smelling bad or good it's just normal Yeah, no any smelly smells nice no air.\", \"completion\": \"Now to open up about site, so I'm just listening something so as you can see in this one right now you picture right there dear or whatever it is. What about the colors of what you see on?\"}\n", "{\"prompt\": \"blue, red and a lot of bage orange clashing colors. red and orange is one of those go together.\", \"completion\": \"Yeah, when he first came here Did you notice ?\"}\n", "{\"prompt\": \"mean, I might have noticed some of it but I'm obviously more aware because I'm really focusing on it right now. So I'm more aware of it right now.\", \"completion\": \"And so maxwidth taste Notice I can just tell you some other situation you can take the time to like snack or something. Talk about the taste the texture. Well, it's totally the food and feel. Okay?\"}\n", "{\"prompt\": \"okay.\", \"completion\": \"You can still do even without food just simply face enough saliva. Okay?\"}\n", "{\"prompt\": \"Okay. Okay\", \"completion\": \"something new this morning?\"}\n", "{\"prompt\": \"well, kind of granola bar and banana earlier. So get some tea, just the flavor right now my mouth is probably the tea that I just had most recently.\", \"completion\": \"And then finally we'll touch on science. So when you hands on right now?\"}\n", "{\"prompt\": \"I've had this kind of a habit of mine to kind of feel my hands. My hands are supposed to be here\", \"completion\": \"describe to me how it feels?\"}\n", "{\"prompt\": \"It was solid or solid soft rubber or anything like that secure like okay, it's it's gonna hold me. That's good feeling comfortable just comfortable.\", \"completion\": \"So what we're just able to just went through each of the senses as a way of a bit of extraction from here. This also can be called a lying down to the details and then something else at the end, you can say, So, how does that feel?\"}\n", "{\"prompt\": \"Well, wow. He kind of did calm me down. I mean, I was kind of getting anxious telling you what made me anxious. And so I was kind of revved up, and then I kind of forgot about it, because I was focusing on you know, what I was seeing and what I was feeling and when I was, you know, all my senses of so it was very distracting. Damon a good way I got my mind off of that, and kind of got me on to something else. And then, yeah, they really did cut me down.\", \"completion\": \"Was there a certain sense that you weren't most help?\"}\n", "{\"prompt\": \"troubling right here since I'm not eaten? Probably what I'm seeing and what I'm hearing those two things seem to be most helpful in this situation. Yeah, that feeling too.\", \"completion\": \"So let's talk about how we can use this because obviously can't close your eyes, right? \"}\n", "{\"prompt\": \"True True, true true. \", \"completion\": \"So what can you do I drive sensors can be used?\"}\n", "{\"prompt\": \"seen, obviously, my eyes better be open, I better be observant about what I'mfeeling. I got my hands on the wheel. So I'm going to be feeling something So in hearing you know so sort of hearing \", \"completion\": \"Do you have any kind of peacefulness?\"}\n", "{\"prompt\": \"Well, it's good idea was wasn't in the MPR and sometimes that's good sometimes that's not good you know don't necessarily call me down sometimes I can get so I should probably I could I can listen to some more soothing music. Something that calms me down more also.\", \"completion\": \"Yeah, yeah.\"}\n", "{\"prompt\": \"Yeah, yeah, I think the music might be more because not that I want to be distracted from the cars. But I think my music might call me down more than having nothing, you know, like, quiet and hearing the cars growth might I can see That might make me nervous. I need to be aware of them. But I think I want to hear music. So I'll try that. Yeah.\", \"completion\": \"Yeah, I'm focusing on the car in front of you\"}\n", "{\"prompt\": \"Yeah. Yeah. Not necessarily one behind me that might hit me too much for that. So okay. Okay, now\", \"completion\": \"let's think about when So what sensors. Can we tap into?\"}\n", "{\"prompt\": \"Well, when I'm looking at definitely I need to focus on because I'm reading something of course and I'm feeling my pin most of us on the computer. So I'm feeling the typewriter. typewriter keyboard so that's a sense of touching things. But I got to focus on and seen as paying attention to the words on the front of me.\", \"completion\": \"The hearing?\"}\n", "{\"prompt\": \"I like to be quiet for just\", \"completion\": \"So not too much about the function of things like when you have to type on the keyboard you know\"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"Okay. So the next time when you try to tap into the census, okay? If you want to take just a five minute break and so for each sense that a one minute okay, like before I start the test or before I start to drive or something Okay, okay to kind of do that.\"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"And also your statement. Okay.\"}\n", "{\"prompt\": \"Which I can do this. gussto Okay, I can do this.\", \"completion\": \"Okay, so when you will do this?\"}\n", "{\"prompt\": \"Well, I got to drive home. So probably today when I drive home, I could do that. A test I don't really have a test till next week, but when I drive all the time and so every day\", \"completion\": \"you know, before we even we, yeah, so when you're sitting?\"}\n", "{\"prompt\": \"Okay, get ready and I call her in the parking lot. Okay, took that time, take a few minutes to go through all the senses. Focus on that. Put some soothing music on say I can do itand then proceed.\", \"completion\": \"Okay. So that's okay.\"}\n", "{\"prompt\": \"I'll try that. Yeah.\", \"completion\": \"See how it goes? We'll talk about it.\"}\n", "{\"prompt\": \"Okay. Thanks. Yeah, sure. I'll take some practice.\", \"completion\": \"Okay, because the situation right now. \"}\n", "{\"prompt\": \"Yeah. Okay.\", \"completion\": \"Don't try to focus too much on. Okay? make you aware of your surroundings, okay. Okay.\"}\n", "{\"prompt\": \"Okay. Okay.\", \"completion\": \"All right. Well, thanks for that. \"}\n", "{\"prompt\": \"I am all right,\", \"completion\": \"you, all right ?\"}\n", "{\"prompt\": \"Yeah. There's been some changes in my life but um, yeah.\", \"completion\": \"Good changes ?\"}\n", "{\"prompt\": \"Uhh Not really.\", \"completion\": \"Not really.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"What kind of changes ?\"}\n", "{\"prompt\": \"You know, just, you know, uh, you know, I lost my job. So, things are kinda you know, dominal effects from that. So,\", \"completion\": \"so there's been consequences from those in your job.\"}\n", "{\"prompt\": \"Yeah, I mean, obviously, that's, you know, you have a job. So you can take care of certain things. So, yeah, \", \"completion\": \"like what things ?\"}\n", "{\"prompt\": \"like you know like paying your bills and that's pretty much it. I guess that's really why most people have a job.\", \"completion\": \"See, you've been unable to pay your bills.\"}\n", "{\"prompt\": \"Yeah, yeah, definitely.\", \"completion\": \"How's your mood overall?\"}\n", "{\"prompt\": \"I mean, what can I say I lost my job. I'm seeing you because I have a drinking problem. So things are not that great.\", \"completion\": \"Things are not great ?\"}\n", "{\"prompt\": \"No.\", \"completion\": \"Tell me what the drinking now has been gone.\"}\n", "{\"prompt\": \"I drink a lot.\", \"completion\": \"Ummm\"}\n", "{\"prompt\": \"I always say to myself that I'll try to drink less but at this point, it's kind of like what have I got to lose? You know\", \"completion\": \"You're drinking more ?\"}\n", "{\"prompt\": \"Yeah, yeah, yeah \", \"completion\": \"a lot more ?\"}\n", "{\"prompt\": \"Yeah, I mean, not a lot more I mean, I guess I have more free time now so\", \"completion\": \"cuz now you don't have a job\"}\n", "{\"prompt\": \"hmmm\", \"completion\": \"what affects you're experiencing because of the increased drinking?\"}\n", "{\"prompt\": \"I don't know.\", \"completion\": \"are you feeling good about the drinking ?\"}\n", "{\"prompt\": \"At this point, it's kind of like who cares? Like what difference does it really make, you know\", \"completion\": \"Sure in different tours.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"When you're drinking does it still feel good?\"}\n", "{\"prompt\": \"Nothing really feels good.\", \"completion\": \"Just gets back to normal.\"}\n", "{\"prompt\": \" Yeah, pretty much\", \"completion\": \"When was the last time you drank ?\"}\n", "{\"prompt\": \"this morning\", \"completion\": \"How much?\"}\n", "{\"prompt\": \"A lot, I don't know.\", \"completion\": \"You don't recall.\"}\n", "{\"prompt\": \"No\", \"completion\": \"Is that is that typical? I mean, I don't recall you taking on the same day we've had sessions before.\"}\n", "{\"prompt\": \"I mean, at a certain point, it's like, you know, difficult to wake up and not have a drink. Like to get through the day. So yeah, I mean, I just drink as much as it takes for me to function and I don't really know how much that is. Like, I don't sit there and count it like These are my three shots for the morning. I don't I don't know. Like I get up, I drink some to make me feel better. I keep some alcohol by my bed because it's hard when I wake up in the morning, like, it's just really difficult to like, get out of bed without having a drink. So I'll drink some then. You know, and just to function, so I don't know how much I don't know\", \"completion\": \"what your fuel is those towards like you're drinking more.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"What would you say your attitude toward increased drinking is right now ?\"}\n", "{\"prompt\": \"I'm pretty indifferent. Like I said, I mean, I just don't. I don't. At this point. It's like what does it matter like everything else has, I dont know\", \"completion\": \"So couple times you indicated that you're indifferent toward it. And why I'm curious about that is because that's not been the way You've appeared before you appeared before to be unhappy that you were you were drinking. And now you're more or less something that you don't have strong feelings about one way or the other.\"}\n", "{\"prompt\": \"I guess I just don't know why I should keep suffering like making myself suffer.\", \"completion\": \"So the drinking tastes was suffering.\"}\n", "{\"prompt\": \"No, the feeling bad about the drinking makes me suffer.\", \"completion\": \"feeling bad about the drinking ?\"}\n", "{\"prompt\": \"Yeah, I mean, yes, the drinking takes away the suffering but that's not what I meant.\", \"completion\": \"So feeling guilty about drinking, That's what's caused you problems.\"}\n", "{\"prompt\": \"That I mean, I don't know if that's what's causing me problems. But at this point, it just seems pointless to keep making myself feel guilty about it as what I'm saying.\", \"completion\": \"How would you like to feel bad ?\"}\n", "{\"prompt\": \"I would like to not, I would like to be happy. I would like to not drink I would like to have a good life. But at this point, I'd rather just I don't know, like, why should I keep feeling guilty about it? What is the point? Like, what is the point of this life where I have no job, and I'm gonna lose my house? And you know, I just don't get it. Like, why do you want me to keep feeling guilty about my drinking when everything else is not working? It's not working. And so I'm just supposed to like keep trying. I don't get that anymore. I don't get it.\", \"completion\": \"So you no longer understand the point of life ?\"}\n", "{\"prompt\": \"Yeah, I mean, yeah. As it is like, this just doesn't make any sense to me. Like why should I keep fighting to be sober. If I can't, you know, I lost my job. It's too late for that. Like, the whole point of coming to you is to, you know, have a better life things are getting worse. I'm not saying it's your fault. I'm just saying like, what's the point of this? If it's not getting better and things are getting so bad that even if I was sober, I wouldn't be able to handle it.\", \"completion\": \"So, what do you see as your options right now?\"}\n", "{\"prompt\": \"I don't know\", \"completion\": \"You tell me about some things you've been doing recently, like in the last three or four days.\"}\n", "{\"prompt\": \"sitting at home drinking hmm, that's about it. Not drinking anything else going liquor store that's about it. I mean, seriously, it's just funny like, I don't even there is nothing\", \"completion\": \"Now I know you're working on a few things like you're working on find another job. You've been doing that.\"}\n", "{\"prompt\": \"No, not really. I mean, I'm going to lose my house so I'm just biding my time until that happens. I don't really know. Like what Yeah, I'm no I'm not looking for a job now\", \"completion\": \"So you have stopped looking for a job.\"}\n", "{\"prompt\": \"hmmm\", \"completion\": \"And when are you losing your house?\"}\n", "{\"prompt\": \"I don't know. It's it's hard to tell, you know, with the banks and everything, but it seems like it will be soon.\", \"completion\": \"What's your plan for when that happens?\"}\n", "{\"prompt\": \"I don't have one.\", \"completion\": \"You don't have one ?\"}\n", "{\"prompt\": \"No, no.\", \"completion\": \"before we've talked and I've been seeing you while you're always pretty careful about planning things out.\"}\n", "{\"prompt\": \"I've just decided I'm not gonna worry about it anymore. I can't I just can't do it anymore.\", \"completion\": \"can't worry anymore ?\"}\n", "{\"prompt\": \"Yeah. my life is just full of worrying. I mean there's nothing to do except to worry about all of it, you know, my job, my drinking my house.\", \"completion\": \"So what do you see as your alternative to all this worrying?\"}\n", "{\"prompt\": \"There is no alternative.\", \"completion\": \"So what do you do?\"}\n", "{\"prompt\": \"I don't know.\", \"completion\": \"You don't know ?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"I've sensed this time, you're much more negativistic as compared you before. Do you recognize that has been the case? \"}\n", "{\"prompt\": \"Yes. Yes.\", \"completion\": \"Like, markedly so.\"}\n", "{\"prompt\": \"Yeah. Like, I feel like things have taken a turn.\", \"completion\": \"Can you tell me about that turn?\"}\n", "{\"prompt\": \"I don't know. I just feel like you know, I'm losing my house. I lost my job. I don't really have anything that needs to be done in order.\", \"completion\": \"Got in done order for what?\"}\n", "{\"prompt\": \"like if I died,\", \"completion\": \"if you die if you die Nothing would have to be taken care of. I mean, like,\"}\n", "{\"prompt\": \"I mean, they probably have a funeral but you know, right house is gone, my job is gone. My drinking will be gone.\", \"completion\": \"Would your family miss you?\"}\n", "{\"prompt\": \"I don't really care.\", \"completion\": \"Even still, you think they would miss you?\"}\n", "{\"prompt\": \"Maybe I mean, in their own way. They probably would have wished that they would have done different things differently. Yeah, but that's not my responsibility.\", \"completion\": \"What's your responsibility right now?\"}\n", "{\"prompt\": \"Nothing. Nothing. I mean,\", \"completion\": \"So no one would correct me if I'm wrong. No one would care if you die.\"}\n", "{\"prompt\": \"I mean, they probably care a little bit. Do I care if they care? No.\", \"completion\": \"So you care a little, but you're not concerned with that. And you have this sense that you have nothing left to lose because you've lost a job. And now soon, your house you have anything else that you care about? Any goals ?\"}\n", "{\"prompt\": \"I used to\", \"completion\": \"how about now ?\"}\n", "{\"prompt\": \"No.\", \"completion\": \"What happened to your goals?\"}\n", "{\"prompt\": \"I drank them. I lost my job. I lost my house. But you know, I was thinking maybe I could find myself a new job but at this point I'm just so far gone like my life is so ruined I don't know how you could expect me to come back from this I don't know how you can expect me to live a life how to pick this up and make something of it like\", \"completion\": \"how to redeem yourself.\"}\n", "{\"prompt\": \"Mm hmm\", \"completion\": \"you can't see what to do that now.\"}\n", "{\"prompt\": \"No.\", \"completion\": \"I mean come on. Cuz cuz all things that happened to overwhelmed you.\"}\n", "{\"prompt\": \"I don't know. I mean, happened to me did to myself. It's just at this point. It's like I've lost so much have what I worked for. And I don't have one scrap of dignity or anything at all. I don't have anything.\", \"completion\": \"You don't have anything you don't have any worth. worthless. That's how you're feeling ?\"}\n", "{\"prompt\": \"Yeah, alone. worthless. Yeah, like nothing. There's nothing redeemable. There's nothing I can build upon.\", \"completion\": \"and have you been thinking about ending your life? Are you hesitant to tell me that ?\"}\n", "{\"prompt\": \"Yes\", \"completion\": \"why is that ?\"}\n", "{\"prompt\": \"I guess a lot of reasons. I know that we have worked together and I don't want you to feel like you failed. I really don't want you to try to do anything because I feel like nothing that you have tried has worked. You know, I'm a hopeless case. \", \"completion\": \"hmmm\"}\n", "{\"prompt\": \"And I feel like at this point, it shouldn't even be your responsibility to try because it's not fair to you anymore. And I don't know. I just Oh, \", \"completion\": \"you're planning on ending your life ? ideal plan in place ?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Can you tell me about the plan?\"}\n", "{\"prompt\": \"I don't really want to talk about it.\", \"completion\": \"But you have a plan. You don't want me to interfere in your plan?\"}\n", "{\"prompt\": \"No, no, obviously not.\", \"completion\": \"But you're aware that I'm going to try to interfere with your plan.\"}\n", "{\"prompt\": \"I get I guess so.\", \"completion\": \"You mentioned earlier that you just I mean, it sounds like you're saying is you've hit rock bottom and rock bottom can't be tolerated. And your family would care if they lost you, but you're indifferent to that. Right? I would care if you die. All right, I'm gonna do everything I can to prevent that. It's hard to see when you have thoughts or worthlessness. It's hard to see stress. But I see somebody with strengths. I see a young lady that over the last few months has told me all kinds of strengths, all kinds of situations where you've been resilient.You recall those conversations ?\"}\n", "{\"prompt\": \"I guess.\", \"completion\": \"But that's not in the forefront of your mind right now. You're strange, but they're still there. Do you have an intent to commit suicide?\"}\n", "{\"prompt\": \"Yes\", \"completion\": \"And you don't want me to stop here?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"I'm going to stop you. Right? I want to, I'm obligated to. And it's really the best thing to be done is to prevent it. I know you feel this way now, and I know I can't fully understand that. But I'm fairly sure that you won't feel this way. A week or two from now. Right feelings of worthlessness, feelings of hitting rock bottom, they cycle just like all feelings. Right? You've had ups and downs before. Remember ?\"}\n", "{\"prompt\": \"Yes\", \"completion\": \"I see some of the long and productive life. suicides not it's not the answer. I know it seems like the only option right now. I get that. But there's still some other options. Does that make sense?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"I know you probably don't wanna hear about other options. I think what we should do today is get you over as an impatient Alright? And go pi keep you for 5-10 days and kind of work on getting your mood stable. My guess is when you come out, you'll feel differently on this subject. You'll feel a little better. Maybe feel a little better place we can continue. And we will. I'll see you will schedule associate that on the day or the day after you come out. Right. Preferably on the same day. Does that make sense to you?\"}\n", "{\"prompt\": \"I mean, I guess.\", \"completion\": \"Are you disappointed? I'm trying to save your life.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Do you understand why I'm doing it.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"All right. So I'm gonna walk you over 20 other counselors. I gotta make some phone calls. We'll get you over there. Okay. All right.\"}\n", "{\"prompt\": \"Yes, thank you.\", \"completion\": \"How are you today?\"}\n", "{\"prompt\": \"I'm feeling really tired and been having this breathlessness you've really been worried about.\", \"completion\": \"You came in to see one of my colleagues recently didn't you.\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"And she sent you for a blood test.\"}\n", "{\"prompt\": \"That's right, doctor. \", \"completion\": \"Yeah, we think he might be anemic. \"}\n", "{\"prompt\": \"Oh gosh. Yes.\", \"completion\": \"What I want to do today was firstly to give you a blood test result. And then talk to you a little bit about the condition of anemia, and then talk about some potential treatments. \"}\n", "{\"prompt\": \"So right up to dear.\", \"completion\": \"Does that sound okay with you?\"}\n", "{\"prompt\": \"That sounds fine. Yes, doctor. \", \"completion\": \"Great. So should we have a look at your blood test? Yes. Yeah. Here it is. So what we're testing for is the level of hemoglobin in your blood, right and just to show you the normal range for Women is between 11.5 and 16 grams per deciliter of hemoglobin, right? And this is your level of hemoglobin. It's 8.7. \"}\n", "{\"prompt\": \"All that slows.\", \"completion\": \"It's a bit lower than we would like. So what we're looking to do is to get that back within the normal range, right. Just to reassure you iron deficiency anemia, which I think you've got is fairly common, up to around 15% of women can experience this type of anemia. \"}\n", "{\"prompt\": \"Right.\", \"completion\": \"And it's very treatable as well. Yeah.\"}\n", "{\"prompt\": \"Yeah. Oh, yes. I mean, this tightness, so it's just just getting me down doctor. \", \"completion\": \"I must be, because you've got quite a busy lifestyle.\"}\n", "{\"prompt\": \"Yes, yeah. And I just can't cope with it. \", \"completion\": \"Okay. Yeah. Shall I tell you a bit more about anemia? Do you know anything about the condition?\"}\n", "{\"prompt\": \"I don't know. I mean, I've heard of it, but I don't know what it is.\", \"completion\": \"It is the condition relates to your blood right. Within your blood there's several components, one of which is plasma. Within the plasma you have your red blood cells. And within that you have a protein called hemoglobin which carries the oxygen around your body to all the different organs. Okay? Now if that's not working efficiently, you start to experience the kind of symptoms that you've been having like breathlessness. dizziness, tiredness.\"}\n", "{\"prompt\": \"Yeah, definitely. Yes. \", \"completion\": \"One of the causes can be blood loss. So I wondered about your periods. How are they?\"}\n", "{\"prompt\": \"Well, they've been heavy these last few months really heavier. I pass it down to my age, you know, this stuff getting irregular and heavy. And, but you might be right.\", \"completion\": \"Yeah, that may be a fact. Yeah. Yeah. So I want to talk to you about treatments. Now. There are a couple of things that I would suggest that you try. The first thing we'd like to do is to increase the amount of iron in your diet. Can you tell me a bit about the sort of diet you have at the moment?\"}\n", "{\"prompt\": \"So I mean, I'm really busy and I think they have a reasonable, you know, well balanced diet. We eat a lot of ready meals. And then on a weekend we always have a good breakfast it was cooked bacon bowties so so I think it's quite good diet rightYes \", \"completion\": \"teenage children they keep you busy.\"}\n", "{\"prompt\": \"Oh they do. Yes. I mean, you know it's like having a taxi service you know what with that and and then at work you know so busy at work it just just so tired. I'm just getting tired \", \"completion\": \"It must be hard for you to do all those things.\"}\n", "{\"prompt\": \"Yes. Yeah, it's difficult. I just feel yourself can't cope anymore. \", \"completion\": \"yeah. Now you mentioned ready meals. I can understand you relying on those for convenience. But the problem is sometimes you don't get the proper balance of nutrients.\"}\n", "{\"prompt\": \"All right doctor\", \"completion\": \"So what I'd ask you to do is perhaps to adapt your diet slightly and include more iron rich foods in your diet.\"}\n", "{\"prompt\": \"Oh, right. Okay.\", \"completion\": \"Before I tell you about what some of those foods are, can ask if you're a vegetarian.\"}\n", "{\"prompt\": \"No No\", \"completion\": \"You know, the reason I asked that is because one of the best sources of iron in your Diet is lean red meat.\"}\n", "{\"prompt\": \"Oh, yes. Yeah, you're nice day.\", \"completion\": \"Yeah, exactly. Also liver is a good source of iron. \"}\n", "{\"prompt\": \"No, no, no, no couldn't eat liver.\", \"completion\": \"What about something like steak that you mentioned? Would you consider eating that a bit more regularly?\"}\n", "{\"prompt\": \"Well, yes. I mean state one day to Kaku toll, you know, because now to go good. Yes. Yeah. \", \"completion\": \"There's also leafy green vegetables, things like kale and spinach, a good source of iron. \"}\n", "{\"prompt\": \"Ohh the kids wouldn't eat that. But, I mean, they like sweet corn so they can have the sweet conch and they were the same and I could go for the leafy green vegetables. Broccoli, so there's broccoli? \", \"completion\": \"Yes. Yeah, I like broccoli. You know, \"}\n", "{\"prompt\": \"Ohh good, good I would go with that.\", \"completion\": \"There's other things too. You might want to consider things like fortified cereals which have iron. And\"}\n", "{\"prompt\": \"what are those?\", \"completion\": \"Well, if you look on the ingredients, panel, cereals, you'll see some are enriched with iron so you could perhaps incorporate some of those. \"}\n", "{\"prompt\": \"Oh, yes, yes, ill Look in the supermarket. I mean, I've got some of those. We could have a tweak and and that gives me more time to cook or die \", \"completion\": \"could make your life a bit easier.\"}\n", "{\"prompt\": \"Yeah, definitely I would be happy to vote yes,\", \"completion\": \"white bread is a good source of iron as well.\"}\n", "{\"prompt\": \"Yes. Yeah. No, they only like white bread only buy white bread, but I could buy myself some brown bread. cobs and have it for lunch. Yes. Yeah. No good. \", \"completion\": \"So do you think you could give some of those things a try?\"}\n", "{\"prompt\": \"Yeah. I would try doctor definitely\", \"completion\": \"right. Yeah, it's the other thing I'd like you to consider is taking a course of iron tablets.\"}\n", "{\"prompt\": \"Oh, I'm not into tablets. Why? \", \"completion\": \"Okay. This can be a really effective treatment for iron deficiency anemia. And what it does is it supplements the amount of iron and iron you're getting in your diet.\"}\n", "{\"prompt\": \"So will that be short term,\", \"completion\": \"yes, yes. Often people respond very well to those. You can have some side effects. Sometimes they can upset your tummy if you have them on, you know, on an empty stomach. So Do you take them after a meal?\"}\n", "{\"prompt\": \"All right you how to remember to do that? Yes. Yeah.\", \"completion\": \"I think those two things adapting your diet and taking a course of iron tablets, I think he might respond very well to treatment. \"}\n", "{\"prompt\": \"Yes. Yeah. Have a go. Doctor\", \"completion\": \"how do you feel about the information I've given you so far outside?\"}\n", "{\"prompt\": \"Yes, I'll definitely try if it makes me feel any better. It's worth it.\", \"completion\": \"Yes. Excellent. Yeah, excellent. I've given you quite a lot of information about anemia today. I've got a leaflet here about anemia, which I thought you might like to take home and read in your own time. \"}\n", "{\"prompt\": \"Ohh thank you. Yes, yeah. Oh, yes. Yeah, I'll read this talk. This is sometimes difficult to remember what what your tells so yes, having a look at this at home would be really helpful. \", \"completion\": \"That's right.\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"That's right. So just to check that I've explained things to you correctly, that you could just recap on the the two treatments that you're going to try\"}\n", "{\"prompt\": \"what you said that the Navy was due to a lack of iron and I can get this from Having some red meat I mean, steak lamb chops would that be? \", \"completion\": \"Yeah.\"}\n", "{\"prompt\": \"Yeah. And green vegetables and wholemeal bread and have these iron tablets and you know, hopefully I'll feel better. Thank you. \", \"completion\": \"Yes, excellent. So what I'd like you to do is come back in a couple of weeks, and then we can see how you're doing. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Have you got any questions?\"}\n", "{\"prompt\": \"Are there any other tests I'll have to have?\", \"completion\": \"I think at this stage, when you come back to see me again, we'll do another blood test and check on your hemoglobin level than if you haven't, if it hasn't gone back into the normal range. It might be then that we look at doing some other investigations. But I don't want to worry about that. At this stage. I think let's see how you do with the dietary change in the iron tablets. And we can discuss that next time.\"}\n", "{\"prompt\": \"All right, thank you. Yes. \", \"completion\": \"Is there anything else?\"}\n", "{\"prompt\": \"No, I think that's it. Thank you.\", \"completion\": \"Okay. Well, good to see you. And I'll see you again in a few weeks.\"}\n", "{\"prompt\": \"Okay. Thank you.\", \"completion\": \"Bye\"}\n", "{\"prompt\": \"Well, I'm all right. My counselor, you know, my counselor sent me over because she's a little worried about me that I might hurt myself. So\", \"completion\": \"she's a little worried about you ?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"What do she think's gonna happen?\"}\n", "{\"prompt\": \"I mean that. I don't know. I guess she thinks that I'm I guess the things that I'm thinking are dangerous.\", \"completion\": \"Right, you mind If I to do an assessment to measure your risk of harm.\"}\n", "{\"prompt\": \"That's fine.\", \"completion\": \" Okay. All right. Sharon, how old are you?\"}\n", "{\"prompt\": \"28\", \"completion\": \"28. Now, think about your family for a moment. Is there any history of suicide? or any type of suicidal behavior in your family?\"}\n", "{\"prompt\": \"Yeah, my dad committed suicide. \", \"completion\": \"Your father committed suicide.\"}\n", "{\"prompt\": \"Yes\", \"completion\": \"Any other?\"}\n", "{\"prompt\": \"Um, I mean, I think that my sister has, like had an attempt. \", \"completion\": \"an attempt ?\"}\n", "{\"prompt\": \"yeah\", \"completion\": \"How long ago did your father commit suicide?\"}\n", "{\"prompt\": \"Ohh like 15 years ago\", \"completion\": \"15 years ago ?\"}\n", "{\"prompt\": \"Yeah. Something like that.\", \"completion\": \"How can you think about that?\"}\n", "{\"prompt\": \"I try not to think about it. Oh, I don't I don't know.\", \"completion\": \"That must be hard, though.\"}\n", "{\"prompt\": \"Yeah, I mean, yeah. It's hard. \", \"completion\": \"Is that on your mind now?\"}\n", "{\"prompt\": \"No, that we're talking about it? Yes.\", \"completion\": \"But on your mind before we talk.\"}\n", "{\"prompt\": \"Mmm not really no, not really\", \"completion\": \"Alright. Are there any mental health disorders that you're aware of in your family? Or do you suspect in your family?\"}\n", "{\"prompt\": \"I don't know. I mean, I don't know. \", \"completion\": \"Okay. Can you tell me about any disorders you've been diagnosed with?\"}\n", "{\"prompt\": \"Um, well, right now, I think that I've been diagnosed with depression. And in the past, I've had some problems with anxiety.\", \"completion\": \"But How about now?\"}\n", "{\"prompt\": \"How about now I'm having problems with anxiety ?\", \"completion\": \"Hmm\"}\n", "{\"prompt\": \"Umm not as bad as in the past.\", \"completion\": \"How is depression?\"}\n", "{\"prompt\": \"Yeah, \", \"completion\": \"right now ?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"And how bad?\"}\n", "{\"prompt\": \"pretty bad.\", \"completion\": \"Yeah. On a scale of one to 10 with 10 being the worst it's ever been. How depressed you're now ?\"}\n", "{\"prompt\": \"Probably Like an eight or nine,\", \"completion\": \"Eight or Nine that's depressed ?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"How about anxiety at the same scale?\"}\n", "{\"prompt\": \"Probably like a four or five.\", \"completion\": \"You're fine. So not quite as bad as its been ?\"}\n", "{\"prompt\": \"No, not as bad as it's been, but it's getting up there.\", \"completion\": \"Yeah, it's getting worse lately.\"}\n", "{\"prompt\": \"Yeah, I think yeah, it's been worse lately. Yeah.\", \"completion\": \"So if you'r think back, say a couple days ago. How bad was the anxiety and depression?\"}\n", "{\"prompt\": \"anxiety probably like a three or four. Depression about an eight or nine still same.\", \"completion\": \"same intensity?\"}\n", "{\"prompt\": \"Yeah, yeah.\", \"completion\": \"Alright, Do you have any medical illnesses?\"}\n", "{\"prompt\": \"Um, no.\", \"completion\": \"Do you live alone?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"you do ?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"How often you see your relatives?\"}\n", "{\"prompt\": \"probably see my relatives like every, like, maybe once a month, maybe\", \"completion\": \"once a month, how about friends ?\"}\n", "{\"prompt\": \"friends, it depends. Not as much lately, I used to be better friends with my coworkers and I lost my job. So I haven't seen them as much. And so probably maybe like once a week, maybe once a week depends on the week.\", \"completion\": \"How long ago you lost your job?\"}\n", "{\"prompt\": \"Umm about two months ago,\", \"completion\": \"two months ago, \"}\n", "{\"prompt\": \"Hmm\", \"completion\": \"I'm sorry to hear that happens to you. how would you characterize the strength of your social network? Like, is it as strong as you want it to be?\"}\n", "{\"prompt\": \"No, sometimes I feel pretty alone. Yeah, I feel like you know, nobody really wants me around. Nobody really needs me. So yeah. I feel pretty alone a lot of time. Sometimes even when I'm with other people,\", \"completion\": \"so you're with people when you still feel isolated.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"When you are with people when you're not feeling isolated, how would you characterize the quality of the relationships you have? Let's start with your family. How good do you think those relationships are?\"}\n", "{\"prompt\": \"I mean, they're okay. Like not really that great. But everybody has like, trouble with their family. I guess so. I don't know.\", \"completion\": \"You think its more or less normal?\"}\n", "{\"prompt\": \"Yeah, yeah.\", \"completion\": \"How is it with your friends?\"}\n", "{\"prompt\": \"It's okay. You know, I guess I'm always like, second guessing everything. Like, do they really like me? Do they really want to spend time with me? I know I'm bothering them. That kind of thing. But I mean, it's not for the most part. I mean, I think they care about me. It's a pretty, you know, we have a good time. I think When we're together for the most part but\", \"completion\": \"most part positive ?\"}\n", "{\"prompt\": \"yeah\", \"completion\": \"Do you have any conflict or crisis going on right now? You mentioned the loss of your job.\"}\n", "{\"prompt\": \"Yeah, I'm, I'm gonna be evicted from my house or you know, my apartment because I can't pay my bills because I lost my job so I really don't know what I'm going to do or where I'm going to go. I just don't know what to do. I'm feeling really lost and like helpless and like everything's just pointless.\", \"completion\": \"I'm sorry to hear that. When are you going to be evicted?\"}\n", "{\"prompt\": \"Um, well, I'm not quite sure. Um, it sounds like it's going to be at the end of the month.\", \"completion\": \"So then month are going to be evicted from the is it house or apartment ?\"}\n", "{\"prompt\": \"Its an apartment\", \"completion\": \"when did you find this out?\"}\n", "{\"prompt\": \"Um, well, you know, before I lost my job, I had some trouble paying the rent as it was. So, um, you know, the last time I missed my rent was probably like, a month and a half ago, my landlord kind of told me that I couldn't live there anymore, but I didn't know, you know, how much stock to put in Then and Now, at the beginning of the month, he said, you know, you have to, you're gonna have to get out of here, you're gonna be evicted. We're gonna change the locks. And\", \"completion\": \"so it's all fairly recent.\"}\n", "{\"prompt\": \"Yeah. I guess that's why having more anxiety than before because like, it feels really out of control, and I don't know what is going to happen like when he's going to do it, you know, for sure and how you know what I'm going to do. So\", \"completion\": \"there's a lot of uncertainty around what's going to happen and what's going to happen to you?\"}\n", "{\"prompt\": \"Exactly\", \"completion\": \"hmmm...have you in the past thought about suicide?\"}\n", "{\"prompt\": \"Yeah, yeah, definitely.\", \"completion\": \"Can you tell me about how many times or about how often ?\"}\n", "{\"prompt\": \"Umm probably like, every time I get depressed like this, I, I, you know, have those thoughts. So I don't know. I mean, how often? That's that's a really hard question.\", \"completion\": \"All right. Have you ever attempted to commit suicide?\"}\n", "{\"prompt\": \"Yeah, one time, probably like four years ago.\", \"completion\": \"What did you do?\"}\n", "{\"prompt\": \"I cut my wrists, but it wasn't, you know, nothing really happened. Like I just put a I just wrapped him up. It wasn't really that bad\", \"completion\": \"You didn't need to go to hospital\"}\n", "{\"prompt\": \"No\", \"completion\": \"Have you ever thought about committing suicide and we're about to attempt and stopped ?\"}\n", "{\"prompt\": \"Yeah, yeah. \", \"completion\": \"How many times does that happen?\"}\n", "{\"prompt\": \"Umm maybe like three or four. It's hard to remember cuz sometimes is a long time ago but more recently like maybe once or twice at least.\", \"completion\": \"So once or twice in the recent past ?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Have you ever injured yourself intentionally?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Okay, can you tell me about that.\"}\n", "{\"prompt\": \"Well, there was that time that I tried to commit suicide and then there have been times before that where I like, you know, kind of like tested the waters like, you know, just cut myself a little bit to see what it would be like and that kind of thing.\", \"completion\": \"was the last time You have done that ?\"}\n", "{\"prompt\": \"Um, it would be the last time I tried to commit suicide like that with time I was telling you about that really freaked me out. So I don't think I would try that again.\", \"completion\": \"so you don't think you'd try that again.\"}\n", "{\"prompt\": \"No Not like cutting myself up.\", \"completion\": \"Okay. Have you ever been abused, physically, sexually, emotionally? \"}\n", "{\"prompt\": \"I don't know.\", \"completion\": \"So if you get evicted, you're worried you'd have to live with your mother. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"And you guys had a rough time in the past.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"You don't want to repeat that.\"}\n", "{\"prompt\": \"No, I don't wanna live like that \", \"completion\": \"What is your attitude towards suicide? What are your feelings about suicide as a concept in general?\"}\n", "{\"prompt\": \"I don't know. I mean, I guess it's really sad like, nobody wants that. You know, whenever you hear somebody committed suicide, everybody's really sad about it, but sometimes it just feels like what else is there? You know, like, I don't know how I can go on like this, like things just keep getting worse and worse. And I don't know what to do. So I mean, I'm sure. Like, it's not a great thing, but at the same time, I don't know.\", \"completion\": \"You disapprove it, But you're considering it because you're running out of options.\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"Have you ever been impulsive in the past?\"}\n", "{\"prompt\": \"Um, I don't know. Like, I guess not really. Because there have been times when I've like thought about committing suicide and getting really close and still haven't done it. You know,\", \"completion\": \"Do you have other areas other than suicide. Generally impulsive\"}\n", "{\"prompt\": \"I don't think so.\", \"completion\": \"Ever violent or aggressive?\"}\n", "{\"prompt\": \"Not really, no, no.\", \"completion\": \"Have you ever experienced a couple loose nations, which should be like hearing things other people can't hear seeing things that people can't see. \"}\n", "{\"prompt\": \"I don't think so. I\", \"completion\": \"You don't think so.\"}\n", "{\"prompt\": \"No, I mean, it's hard to tell what other people can't hear when no one's around to tell you whether they can hear it or not. But I don't think that I have\", \"completion\": \"to be fairly certain, you know that?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Can you tell me about any alcohol or drug use?\"}\n", "{\"prompt\": \"Sometimes I drink, you know, alone when I'm in my house, because like I said, I don't see a lot of other people. I don't really do any drugs.\", \"completion\": \"When's the last time you had a drink?\"}\n", "{\"prompt\": \"Last night\", \"completion\": \"How much did you had ?\"}\n", "{\"prompt\": \"Probably like a bottle of wine.\", \"completion\": \"A bottle of wine. Is that typical for you?\"}\n", "{\"prompt\": \"Yeah, it is. \", \"completion\": \"How often would you say you drink a bottle of wine ?\"}\n", "{\"prompt\": \"maybe like three or four times a week,\", \"completion\": \"three or four times a week ?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"So I want to ask you about these suicidal thoughts that you're having now. How frequently Are you having these thoughts?\"}\n", "{\"prompt\": \"Like really often\", \"completion\": \"coming all the time or not?\"}\n", "{\"prompt\": \"Yeah, yeah. \", \"completion\": \"how intense would you say the thoughts are ?\"}\n", "{\"prompt\": \"fairly intense, Like it's scary the thought of it, you know, but at the same time, like, I'm having them so much it's, I don't know.\", \"completion\": \"It's frightening for you.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Do you have a plan laid out if you're trying to commit suicide?\"}\n", "{\"prompt\": \"I guess I would just drink a bottle of wine like I usually do and then maybe take some pills.\", \"completion\": \"What kind of pills ?\"}\n", "{\"prompt\": \"um, there's like ibuprofen in my medicine cabinet. That's like the only thing I have in there other than vitamin. So I guess I just take that. I don't know how many. 4 I guess I dont know.\", \"completion\": \"So you would drink a bottle of wine and take a lot of ibuprofen ?\"}\n", "{\"prompt\": \"Hmm mmm\", \"completion\": \"Do you have an intent to commit suicide? You're gonna you're gonna fall through ?\"}\n", "{\"prompt\": \"I don't know like sometimes I think about it I get really close to doing it, but I you know, I haven't like taken any pill so I guess yeah, like I think about it a lot and I've gotten close to doing it so yeah, I guess Yeah, I guess so \", \"completion\": \"Do you feel like you have an intent ?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"Can you tell me about some of the reasons for staying alive for not committing suicide?\"}\n", "{\"prompt\": \"Well, I don't really want to die. Um, I guess my friend family would be really upset and I probably my friends, too. I don't know.\", \"completion\": \"Do you have any religious or cultural values surrounding suicide?\"}\n", "{\"prompt\": \"Not really\", \"completion\": \"You have an pets at home\"}\n", "{\"prompt\": \"I have a cat. Yeah.\", \"completion\": \"What would happen to your cat?\"}\n", "{\"prompt\": \"I give her to my sister shorty has a couple cats. So, you know, I've already asked her, you know, if anything were to happen to me, you know, just in general, if she would take the cat, you know,\", \"completion\": \"when did you ask for that?\"}\n", "{\"prompt\": \"Kind of like, two months ago,\", \"completion\": \"so not related to what's going on now?\"}\n", "{\"prompt\": \"No, I guess not. I mean, I don't know. Like I just asked her in general like if anything happened to me. So\", \"completion\": \"do you have any other reasons for living?\"}\n", "{\"prompt\": \"I don't know. I mean, I lost my job. I I live alone. I don't know, like, I'm gonna have to, like move out and I don't even know where I'm going to go.\", \"completion\": \"That's scary for you. And anxiety is provoking?\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"What did you do when you worked?\"}\n", "{\"prompt\": \"I just You mean like what kind of job did I do ?\", \"completion\": \"Yes\"}\n", "{\"prompt\": \"I worked at a gas station.\", \"completion\": \"Did you like the work?\"}\n", "{\"prompt\": \"I liked it. You know we had some regular customers and kind of get to know them its a little. I don't know. You just you know that my coworkers are nice. And you know, we have not like great benefits, but there was some stuff you know, you could get like couple vacation days and stuff. So\", \"completion\": \"do you ever look forward to get another job?\"}\n", "{\"prompt\": \"I just don't see how I would.\", \"completion\": \"What is that ?\"}\n", "{\"prompt\": \"I mean, I lost this job. So why would I be good enough to get another job?\", \"completion\": \"Because you lose a strike?\"}\n", "{\"prompt\": \"I went to work drunk.\", \"completion\": \"Can you tell me about some of your strengths? What are some of your positive qualities? ....can't think of any ?\"}\n", "{\"prompt\": \"I don't know\", \"completion\": \"What would ? What was your family say your strengths were ?\"}\n", "{\"prompt\": \"screaming and yelling, right? I don't know, I don't know. I don't know.\", \"completion\": \"It's hard for you to think positively right now is it?\"}\n", "{\"prompt\": \"Yes\", \"completion\": \"Alright Sharon, here's, we're gonna do, I'm gonna appreciate you allow me to complete this assessment. I'm gonna bring it back over to your counselor, or we're gonna put together a plan to keep you safe right now. So I'm going to take care of their estimate. Okay.\"}\n", "{\"prompt\": \"Thank you.\", \"completion\": \"Thanks.\"}\n", "{\"prompt\": \"Umm I'm doing okay, I guess. Umm I guess something happened over this past week. I have been looking for a new job since I left my last one. And I found I found this really good job on the internet. But the problem is that the job is working with kids and they they have to do a drug test in order for me to get the job. And it kinda like it made me think it made me think a little bit more about something that I've been considering for a while which is kind of just given up, given up we'd forget like it I'm thinking about it for a while. But okay, I also kind of think about the way the way we'd really helps me and like, if I'm ever feeling like really, really anxious about something I mean, we kind of have to chill out and hope to relax and I just don't know if I'm ready to give that up yet.\", \"completion\": \"So the marijuana has real value for you that you don't want to see going.\"}\n", "{\"prompt\": \"Yeah, it does. It's a it's a good way to self medicate in a way\", \"completion\": \"and at the same time, you would like this job. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So I could see how this would be you know, a pincher.\"}\n", "{\"prompt\": \"right. Yeah, it's I mean, it's kind of like it's put me in a difficult spot like I definitely I definitely want to get that job but you know, if I cut it if I cut out smoking like, I don't know what else I would do, like if I if I started to have a panic attack or if if I was really like anxious about Like anything that I'm worrying about, like i don't i don't know what i did copes.\", \"completion\": \"Have you been treated for anxiety before?\"}\n", "{\"prompt\": \"Um, I did therapy for a little bit, but it was like, I don't know, back then it was kind of like when the anxiety was just starting, so it wasn't too big of a problem. So I like I quit there because it wasn't really doing that much. Yeah.\", \"completion\": \"You take the marijuana for any other reason other than to help with the anxiety.\"}\n", "{\"prompt\": \"I mean, like, if I'm bored or maybe if I'm like hanging out with buddies, like, I don't really have a reason not to do it. I can tell now, but it wasn't like, like, I really use it whenever I'm like feeling really anxious about something.\", \"completion\": \"So and you may not be able to answer this question, but if you didn't have any anxiety would that change your motivation to use marijuana?\"}\n", "{\"prompt\": \"If I didn't have like any kind of anxiety?\", \"completion\": \"Hmm\"}\n", "{\"prompt\": \"Umm like it was so be kind of tough to give up. Because like, if I'm hanging out with my buddies and they offer it to me like that's that's always pretty chill but I don't like I really I'm really looking forward to this job and like the benefits of having that job without weighing the benefits of just like smoking smoking with my buddies so\", \"completion\": \"so you're excited about the job?\"}\n", "{\"prompt\": \"I am? Yeah, it's it's almost kind of a dream job.\", \"completion\": \"really tell me about?\"}\n", "{\"prompt\": \"Well, it's working with it's working with kids with autism in the school. So like, I would be kind of like, almost like a personal TA in a way. So like, it's part of an inclusion program. So when the kids are going into the class, like I would either sit with them or like maybe back behind the class and kind of like help them out in case something comes up. And it's just my brother has autism that's like it's that's something that I've always really kind of wanted to work with.\", \"completion\": \"So it sounds like your real passion for this type of work.\"}\n", "{\"prompt\": \"Hmm\", \"completion\": \"And really, the big obstacle here is this marijuana?\"}\n", "{\"prompt\": \"It is it's like a catch 22 because it's like, I know the job will be great, but it's like it's a it's a big step for me to take that job. And it's, it's gonna be super umm It's gonna make me super anxious. You know, it's gonna be like, it's gonna be a lot of anxiety taking a new job. So it's like, if I have to give up the marijuana and then like, not have another way to cope with anxiety, like to get the job. It's like a catch 22\", \"completion\": \"Yeah, it's a predicament. You're kind of weighing both sides of this right. Now. I'm wondering. Do you have Do you think you'd have like a physical craving for the marijuana?\"}\n", "{\"prompt\": \"No I mean, not really No.\", \"completion\": \"So you're really using it recreationally and as an anti anxiety agent?\"}\n", "{\"prompt\": \"Yeah. Yeah, pretty much.\", \"completion\": \"So if you were I know you didn't have great success before therapy, to combat anxiety, but if you were being treated for anxiety and working that job, which seems like you would really like do you think you'd be able to stay with the marijuana?\"}\n", "{\"prompt\": \"I think if the therapy really worked, I would be able to, like, it's just so easy now just to kind of light up. Like, that's an easy fix. And, like, I don't think therapy is going to be that instant. So like it would, it would be tough. I think if I had real confidence that the therapy would work, I could do it. But I mean, it was I have to it would definitely have to work like I just as well as as smoking. \", \"completion\": \"You would need to see results ?\"}\n", "{\"prompt\": \"Yeah, yeah, definitely\", \"completion\": \"would having the job that you're passionate about reduce your anxiety ?\"}\n", "{\"prompt\": \"After a while, like after I got used to this job, but like just starting the new job would make me kind of anxious. And then like it would be tough not not to smoke or doing that. Like I don't I don't want to get on a drug test anymore because like it's it's being decriminalized being legalized so many places, and there's so much research, saying that it's not that bad. It's kind of like, it's really upsetting that the place that I really want to work sas that policy, I think it's really silly.\", \"completion\": \"you're frustrated. Marijuana is illegal.\"}\n", "{\"prompt\": \"Yeah, it's Yeah.\", \"completion\": \"At the same time, it's the reality you're living in.\"}\n", "{\"prompt\": \"Right.. Yeah, it's either They will be legalized in like in the state in a couple of years. But until then, like,I mean, I can't wait that long to start start working so\", \"completion\": \"until then you still need to address this dilemma?\"}\n", "{\"prompt\": \"Right? Yeah, it's still a problem.\", \"completion\": \"So you have choices here, right. You can continue to use the marijuana and not take the job. \"}\n", "{\"prompt\": \"Hmm.\", \"completion\": \"And that seems like something that has some advantages for you, but some, some disadvantages, right?\"}\n", "{\"prompt\": \"Right\", \"completion\": \"Because you would really like that job.\"}\n", "{\"prompt\": \"Yeah. And I would, it's it sounds so pathetic to be like, No, I don't want to take my dream job because I need weed like, sounds really stupid.\", \"completion\": \"So where do you think you are in terms of making this change? Do you feel motivated to take some steps toward it?\"}\n", "{\"prompt\": \"I don't like I'm, I'm still kind of on the fence because like if I if I have to give it up for the job, I could do that. But I would definitely need, like some other way to get rid of all this anxiety. Like, whether it's therapy or whether it's like something else I yeah, I would, I would definitely need like a substitute if I got rid of it for good. \", \"completion\": \"So you definitely, definitely need it?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"So you can't give up the marijuana unless you have some other available alternative that would help with that anxiety?\"}\n", "{\"prompt\": \"Right.\", \"completion\": \"That's that's key to you to make this change.\"}\n", "{\"prompt\": \"Yeah. Yeah, definitely. \", \"completion\": \"But at the same time, that would be ideal, because then you could take the job.\"}\n", "{\"prompt\": \"Right? Yeah. I mean, I mean, if I really thought that I could, like get some kind of treatment that was as good as weed. Yeah, I mean, I could maybe quit, especially the house to get the job, especially.\", \"completion\": \"So with anxiety reduction, your chances of stopping marijuana increase, and then you could take the job that you want\"}\n", "{\"prompt\": \"Yeah, yeah, I mean, that would be the best the best outcome.\", \"completion\": \"Is that the outcome you would most want?\"}\n", "{\"prompt\": \"Yeah, I think so. I think I could give up record, like, doing it with my buddies recreationally. I could, yeah, I'm just going to have a cigarette.\", \"completion\": \"So here's what I'm thinking. And let me know what you think about this. When you come back next week, right? What if we start looking at this anxiety? When we start, you know, I start treating anxiety. We'll see if we can get it reduced. And kind of work from there. Because maybe when you start to feel if that works, and that anxiety starts to abate, it sounds like it'll just be easier for you to stop the marijuana usage.\"}\n", "{\"prompt\": \"Yeah. Yeah.\", \"completion\": \"What kind of timeframe Are you on in terms of taking this job?\"}\n", "{\"prompt\": \"I mean, the job. It has a high turnover rate, so Like, even if I think I need to apply this week, but if I don't get in more than likely another position like it will open up, like within a month or two.\", \"completion\": \"And when would they drug test you?\"}\n", "{\"prompt\": \"It would be like, Oh, all right after I apply, so I applied and then did the interview. That's when they will give him the paperwork. And I have to go get drug tested on.\", \"completion\": \"And when did the last time you use Marijuana?\"}\n", "{\"prompt\": \"just a couple days ago.\", \"completion\": \"To see what I'm getting that ?\"}\n", "{\"prompt\": \"Yeah, yeah, it's uh, yeah. So I like I wouldn't be able to do, I wouldn't be able to make it this application. But I would like to be off it by the next one.\", \"completion\": \"So you're fortunate in the sense that the turnover is high\"}\n", "{\"prompt\": \"right\", \"completion\": \"Because it gives you an opportunity to apply later on. So do you feel like you can invest in that plan? Let's work on the anxiety. See what happened with the marijuana. See if we can Reduce your usage of it or have you stop that altogether? And then kind of move towards this job?\"}\n", "{\"prompt\": \"Yeah, yeah, I could deal with that.\", \"completion\": \"Right. So next time you come in, we'll start talking about the anxiety. And let's see what we can do about that. We'll kind of move from there.\"}\n", "{\"prompt\": \"All right. Yeah. Sounds good.\", \"completion\": \"Sounds good ?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"Thanks, Kylie\"}\n", "{\"prompt\": \"Yeah, I guess that's what we said last week, but I'm not really feeling it. I really feel it this time. You know, I, I, I know that I said I would do this, but I really haven't been able to stop thinking about it the whole week, and I am sure you know, my chest is tight. I almost didn't come I almost called and canceled. I just I don't really think that I can I can do this. I can't, I can't get in the car and drive over to that mall. If I walk inside, I know I am going to lose it. I imagine these I imagine these crowds of people, you know, going up and down and like, I almost feel like the walls are coming in on me when I start thinking about that. It's Just slow it down so to catch it we can still do this but it's we had agreed to sort of look for Mr. Anxiety and it looks like he's here. Oh, yeah, I found a big time. \", \"completion\": \"Yeah. And minister asked you this as you start to enter into this, is this familiar? Is this a familiar territory?\"}\n", "{\"prompt\": \"Yeah, this is me all the time. That's why I came here in the first place, right. So we've been kind of working on trying to stand in a different way to it but now we're actually going to do something and here it is big time.\", \"completion\": \"Very familiar would you say?\"}\n", "{\"prompt\": \"Yeah, that's very familiar. It's very disconcerting as well.\", \"completion\": \"Sure. Yeah. How old would you say those thoughts are like that what you just said do you did you notice there was like an urgency to it they kind of went one after another after another after another like like one led to another another I'm, this is going to happen when I get there, then this is going to happen with me. \"}\n", "{\"prompt\": \"Mm hmm. Yeah, no, I see what you're saying.\", \"completion\": \"And how old is this whole little I don't mean those exact words. But kind of mmaamma ?\"}\n", "{\"prompt\": \"I used to happen to him when I was when I was a kid. You know, when, even when I was, you know, before I was a teenager, okay, same same kind of thing. You know, like, my parents would try to take me out to some public place and, you know, mall or street fair or something, and I just, you know, in the car on the way over, I'd be I'd be a wreck. \", \"completion\": \"Okay. So this has a history.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Would it be fair to say that what you have been doing is sort of turning over your life to that, whatever that was. And you've come in here. We've been working now for these weeks. Getting ready for this moment to try to create a space in which something different can happen.\"}\n", "{\"prompt\": \"That was that was what I hope to do. Yeah, I I've missed out on a lot because because I can't, you know, I can't I can't keep it together enough to, you know, do the stuff that other people do. \", \"completion\": \"Okay\"}\n", "{\"prompt\": \"go to places other people go.\", \"completion\": \"Okay, so now we're up on or right up on where the action happens. Like what do you do when you have thoughts like what you just had? Because you're not there yet. We're not yet actually in the situation where those things are happening yet. But we are right here where those things are being conceived with me on this?\"}\n", "{\"prompt\": \"Yeah, I think I see. \", \"completion\": \"Okay. So what can we see this sort of kind of slow this down and watch it? We're about to do something and here it comes. Could we take Can I just do something I want to I want to do something. In terms of creating a history. I want to create a history right here, instead of cap something like what this would. What does how the mind works? Hmm, could we do something kind of odd? You're gonna play so let me do something.\"}\n", "{\"prompt\": \"Yeah, if you want as well. \", \"completion\": \"Okay, okay. I've got a pen here. \"}\n", "{\"prompt\": \"Yes, you do. \", \"completion\": \"It says something. Here's what it says it says.\"}\n", "{\"prompt\": \"The pen says Whoo,\", \"completion\": \"okay. What does it say?\"}\n", "{\"prompt\": \"It says, whoo. \", \"completion\": \"Okay, we just did it twice. You suppose if I come back in here next week, we sit down I said versus say, What? What do you think and said\"}\n", "{\"prompt\": \"Yeah, I'll say it as whoo. \", \"completion\": \"And next month?\"}\n", "{\"prompt\": \"I'll probably still say whoo huh\", \"completion\": \"How about next year, is it possible. We just did like 15 seconds. Is it possible next year, that might come to mind if I said this thing\"}\n", "{\"prompt\": \"Yeah, probably still I'd probably still say whoo.\", \"completion\": \"But as long as you've struggled with this with the way the mind works, what do you think is going to happen as we come to this day?\"}\n", "{\"prompt\": \"Oh, I see. So I've, I've been thinking for years that that I'll lose it if I get, get into a crowd and hear what's happening again, and I'm thinking about, you know,\", \"completion\": \"exactly, if that's if that's the determine, determine if that's what we're going to turn it over tomean, we're, we're never like inside Letting that run your life is what brought you in here. Think of all the cost that it's produced. So let's see if we can do something different. I got a ticket ticket a moment to sort of get in touch with how old this is. And the cost associated with me on this yeah. This pen goes?\"}\n", "{\"prompt\": \"Whoo.\", \"completion\": \"Mary Had a Little\"}\n", "{\"prompt\": \"plan.\", \"completion\": \"If I go to the mall, \"}\n", "{\"prompt\": \"I'm gonna lose it.\", \"completion\": \"Okay. World is working as it should. Mind is working perfectly. It's doing what minds do. That's not your is that your enemy?\"}\n", "{\"prompt\": \"No, no, I guess that's just what happens \", \"completion\": \"is it?\"}\n", "{\"prompt\": \"if I can learn that a pen goes whoo in two seconds.\", \"completion\": \"Okay. So here's what I'd like to ask. We're about to get up and go do this thing. We agree. And it sounds like your mind is engaged. We did it to find Mr. anxiety, right? So it's like we're here And we're right on this pivot point where we're going to do something different. And here's the thing I'd like to ask you. It's different, but With regard to that, would you be willing to do this and as you go, you can tell me what's coming coming up. I want you to actually watch your mind go as it constructs those scary futures and just notice it. Like, sort of like the way you carry something that's fragile. wants you to just to set a notice. Like it's not your enemy, and it's not your boss. It's your mind doing its thing. Would you be willing to sort of do it that spirit? Let's see what's there. This is kind of watch it go. \"}\n", "{\"prompt\": \"Yeah, I can try. Yeah. But I can feel. Yeah, I think it's my mind kicking in telling me that I'm going to fall apart.\", \"completion\": \"Yeah, good catch. So even that, even that thought that came up, as I said that, let's do this. Okay,\"}\n", "{\"prompt\": \"Yeah, I guess it is \", \"completion\": \"How is anxiety.\"}\n", "{\"prompt\": \"Yeah, but I'm not sure that I can I can do it. I've been just beside myself ever since last week, thinking that I was gonna have to go through this and I'm not sure I can I mean chest is tight like no sweat running down my back. I'm petrified, you know i suit you're afraid of like what kind of no I actually \", \"completion\": \"You go there thinking what's gonna happen?\"}\n", "{\"prompt\": \"Yeah, I'm gonna I'm gonna lose it I'm gonna lose it before I get inside the front door lose it anyway, I couldn't predict \", \"completion\": \"what's going to happen ?\"}\n", "{\"prompt\": \"but I don't know. pass out I go crazy. It's a I hate crowds and I hate being around those people and and, you know, I know I said I would I know that. We plan that we go over there, but it's just too much I just can't do it. \", \"completion\": \"Okay. That's surprising. You'd be thinking this. This is an old thought. It's, it's where you started. I mean, it's how you've been thinking.\"}\n", "{\"prompt\": \"Yeah, that's true. But that doesn't mean it's not true. \", \"completion\": \"But well, let me just that ask you this terms of the truth and that truth means different things. But in all these years, you've been thinking things like that. Have you actually lost it?\"}\n", "{\"prompt\": \"No, no, but I haven't. I haven't really done it much cheaper.\", \"completion\": \"And then once I've been able to test it to see if it's really true\"}\n", "{\"prompt\": \"yeah, I mean, you know, once or twice maybe I've managed to spend a little time in crowd \", \"completion\": \"so far is appeared as as far as you know, this is just a thought.\"}\n", "{\"prompt\": \"Yeah. I guess that's true. I don't have any any evidence that it would absolutely happen alone. sure as hell feels like it's gonna happen.\", \"completion\": \"So well, you know, be one thing. It's worth noticing that and something that for us to kind of hang on to when we go there that when your mind gets on you there that you remember, this is just a thought it's not true as far as you know, from as far as we know, correctly.\"}\n", "{\"prompt\": \"Yeah, I mean, I guess. \", \"completion\": \"Okay. No, not true. Can I do something that's a little odd, just a little silly to kind of look at this in a different way. \"}\n", "{\"prompt\": \"Okay\", \"completion\": \"we're gonna have to do something different. We're not going to get anything different.\"}\n", "{\"prompt\": \"That makes sense.\", \"completion\": \"So give me a cartoon character that to like,\"}\n", "{\"prompt\": \"Donald Duck.\", \"completion\": \"Okay, Donald Duck. So suppose these thoughts were actually something that was like what kind of thoughts would come up if you go to the mall? It's what's gonna happen\"}\n", "{\"prompt\": \"it's gonna be go to the car and sir walking towards the the entrance and it's just gonna be bad. It's gonna be terrible.\", \"completion\": \"Okay, so your Donald Duck says bad \"}\n", "{\"prompt\": \"that's ridiculous.\", \"completion\": \"Well, first, you know, the thoughts are similarly ridiculous. I mean here you sort of turning your life over to things that you don't know are true. And that could just be silly thought about what kind of thoughts would come up there could we actually go there and in mentally, I could Do you sort of have your thoughts being a Donald Duck horse just so that you can see them as something that's silly which may be able to give you a little bit of freedom from them because you know what happens if you just turn you know, turn your life over huh? \"}\n", "{\"prompt\": \"Yeah, I mean I guess they are pretty silly thoughts and I'm not sure that I can do that voice quite so well \", \"completion\": \"versus the result of a misspent youth. What other kind of thoughts Yeah, like if you go\"}\n", "{\"prompt\": \"Yeah, you know, if I if I go Am I gonna lose, I'm gonna hyperventilate. Yeah, I see we come from Yeah, that's Well,\", \"completion\": \"I just want you to sort of hang on to that a little bit when it really gets up on you so that you can remember, these things are not true as far as you know. And there's, it is kind of a silly thing to allow them to do what they've done. And so we'll just you tell me what they are. If you can'tdo it mentally in your head, I'll say it out loud. I can probably say most of these thoughts. Donald back wise, would you be willing to do it that way?\"}\n", "{\"prompt\": \"Yeah, well, I have to say I think make it a lot easier. Just distract but \", \"completion\": \"never mind.What would you say\"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"So, what's inside this decision?\"}\n", "{\"prompt\": \"Well, I just get really nervous because I'm supposed to choose I have one more semester left and I get worried because I'm not sure if I'm on the right paths, and I don't want to make the wrong decisions. And then my parents are telling me you know, my dad wants me to do one thing and, and I feel like I just get it thrown in lots of different directions. And, and then my teachers tell me one thing, and I just feel like there's six of me trying to do different things. \", \"completion\": \"If you could settle them down just to to the two major ones, what would be the two major alternatives that you have here? \"}\n", "{\"prompt\": \"Well, I mean, ultimately, my family and I still want to have friends and I'm really young still and I get and then the career choices and wanting to be successful.\", \"completion\": \"Okay. Which of those is more important you think?\"}\n", "{\"prompt\": \"Well, I mean, I definitely feel a lot better when I'm around people that I love and stuff, but then also, I've always been told careers The most important thing and making money and and all that but I just, I just keep feeling like I'm failing. \", \"completion\": \"Okay, so it seems like if you do one, you don't get the other and if that's really true, are there things in there where you could do both\"}\n", "{\"prompt\": \"Well, I mean, I feel like if I'm committed to school then I'm committed to school. And I just don't have the time.\", \"completion\": \"Yet it does does take time but not forever.\"}\n", "{\"prompt\": \"Or no, but for now\", \"completion\": \"seems like you're kind of almost anxious when you talk about it here.\"}\n", "{\"prompt\": \"Yeah, it's it makes me I just can't really, because I don't know. I just don't know what the right direction to go in.\", \"completion\": \"I don't know. Maybe you just need to follow your heart here is make a choice. But how long have you been sitting on this fence? It's obviously it seems like you're sitting on a fence.\"}\n", "{\"prompt\": \"Well, I mean, I guess since I had to choose which college to go to in high school.\", \"completion\": \"Is there any other way to do it other than just the Nike solution? Just do it?\"}\n", "{\"prompt\": \"I don't, I don't see it. I mean, I feel like I am just doing it. I'm just not going anywhere with it. Okay?\", \"completion\": \"Maybe we're just not thinking about it broadly enough in an open enough way.\"}\n", "{\"prompt\": \"I feel like I'm covering all the bases.\", \"completion\": \"Oh, what's inside this choice, I guess?\"}\n", "{\"prompt\": \"Well, I just feel like I get torn into different pieces trying to please my family and my friends, but then also trying to be motivated to choose a career which I still don't know what I want to do.\", \"completion\": \"Even as you say that there's a sort of sense that we're entering into a kind of chattery world do you feel as though you're kind of getting into space?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"like if we were to just do it metaphorically Like, how close are your thoughts about Am I doing the right thing if we use distance as a metaphor for how close to Have a sense that\"}\n", "{\"prompt\": \"Yeah, yeah. blinding.\", \"completion\": \"Yeah, yeah, exactly. And that, is that a pretty familiar place to be?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Right.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So and not just in this area, right?\"}\n", "{\"prompt\": \"No\", \"completion\": \"without without any other decisions and choices. So it's just worth noticing that, you know, that's kind of how your mind works. Probably trying to help you out here, but it's doing something that's probably pretty familiar. But what would happen if we kind of just sort of noticed more openly, what your minds doing and also just what's showing up for you and in your body and your emotions? We look at the sec Nice. Notice the kind of almost holding \"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"like this decision has been made now.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So come back to it now and just sort of watch your mind kind of come up like this and see if we can just kind of watch it. There. Okay, so you do have a choice to make. There's only one. I mean, life is finite, don't get to do everything. Right, right. Yeah. And that's a little scary. Yeah. And so what does your mind start saying to you?\"}\n", "{\"prompt\": \"Well, I feel like every time I make a positive decision to go one way, it's leaving another thing behind, and then I hold on to the thing that I'm going to be missing out on.\", \"completion\": \"Yeah, exactly. So just before don't grab that. So provide them close. Just didn't notice that. Okay. And would that be okay, to have that sort of sense? I don't know if I made the right decision. Like, what's inside that? Would it be okay to have that thought?\"}\n", "{\"prompt\": \"It's scary to not know\", \"completion\": \"Yeah it is.\"}\n", "{\"prompt\": \"But I mean, I guess I don't really have control over that. Okay.\", \"completion\": \"And could we sort of open up it is a little scary. We make choices you do open doors, and you close others. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"And even that sounds a bit scary. Is that Okay. There's something supposed to happen here when you make career choices, is it not supposed to have any scariness to it?\"}\n", "{\"prompt\": \"Well, it is scary. So, yeah.\", \"completion\": \"So let's see if we can just kind of open up to that. But that's okay too. You're not doing anything wrong here. It's not an indication something bad is happening here.\"}\n", "{\"prompt\": \"Good, thanks. How are you? \", \"completion\": \"I'm doing well. Thank you for asking. I understand you've been having some symptoms that are bothersome to you. Can you tell me about what? What's going on?\"}\n", "{\"prompt\": \"Yeah, I moved into my apartment about a year ago. And I've been having, I guess, like, anxious thoughts and sometimes I I'm scared I'm gonna lose my apartment.\", \"completion\": \"So you've been having anxiety, maybe having thoughts about possibly losing your apartment? Yeah. So tell me more about that.\"}\n", "{\"prompt\": \"Um, well, when I ran out my For the rent, I usually would pay it online but then I would click the button and it would submit it a couple times. So after I just wanted to make sure about paid so then I started to actually go in person and pay it but then I check my statement just to make sure the cashier and they got to make\", \"completion\": \"sure they really received your yeah your payment.\"}\n", "{\"prompt\": \" And I'm also nervous that you know, something might happen where I leave my straightener on and the apartment, like burns down or something.\", \"completion\": \"Right. Do you find yourself like acting on that thought, like, say specifically that thought with the straightener.\"}\n", "{\"prompt\": \"I'll check it and I'll just make sure that it's unplugged. And, and then I look around and make sure everything's unplugged, because I don't want anything getting caught.\", \"completion\": \"When you say everything what what do you mean?\"}\n", "{\"prompt\": \"Like the toaster and my computer with my laptop charger? And my cell phone, the charger for that. And just anything that's plugged in like television. I just want to make sure everything's unplugged before I leave\", \"completion\": \"before you leave. Yeah, your apartment. What do you do when you come back?\"}\n", "{\"prompt\": \"I check to make sure they're still unplugged. But then when I need to use it, I plug it back in.\", \"completion\": \"So if you need to use for instance television, to plug it in and watch it and then unplug it immediately or only before you leave, \"}\n", "{\"prompt\": \"before I leave\", \"completion\": \"before you leave, so you leave it plugged in while you're there. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"When did you first notice the anxiety?\"}\n", "{\"prompt\": \"I guess, like six months ago\", \"completion\": \"six months ago?\"}\n", "{\"prompt\": \"yeah.\", \"completion\": \"how it start out?\"}\n", "{\"prompt\": \"It started with just thinking about things, thinking about leaving, you know, the door unlocked or being unsure if I paid bills, just like thinking about it. And then I would have to like double check and triple check. And just kind of make sure\", \"completion\": \"to the start that to start with the door locks.\"}\n", "{\"prompt\": \"Yeah, it started with just thinking and making sure the door is locked.\", \"completion\": \"And you still do that now, do you check the door several times?\"}\n", "{\"prompt\": \"Yeah, I just make sure it's locked.\", \"completion\": \"So how do you do that to to get up and look at it and see the slot and then go sit down and think about it come back or do you operate the mechanism back and forth?\"}\n", "{\"prompt\": \"Yeah, I just go in. I look in a niche where it's locked. And then I'll go back down and I'll just sit back down and I'll be okay.\", \"completion\": \"For a while. Yeah. When this up thought ever come back and have to go check it again?\"}\n", "{\"prompt\": \"Sometimes, not really not really. I'll just check in. It's fine.\", \"completion\": \"Do you have kind of a checklist in your mind for when you leave your apartment do you do? Like, unplug everything in roughly the same order? And check everything is so order.\"}\n", "{\"prompt\": \"Um, I haven't really thought about it, but I made sure everything's okay. I know what needs to be.\", \"completion\": \"Alright, so you do have kind of a list in your mind of what has to be unplugged. Yeah, make sure it's all unplugged. \"}\n", "{\"prompt\": \"Exactly.\", \"completion\": \"And how about when you lock your door from the outside when you're leaving? Do you check that?\"}\n", "{\"prompt\": \"Yeah, I'll check it. And then if I'm sitting in my car, I just might go back just to double check and just make sure.\", \"completion\": \"So you're you're checking the door, you know? Plugging various items that may create heat. you're careful with you're paying your rent. Yeah. So, fear and anxiety surrounding losing the apartment in some manner. How is this affecting your daily life? Sometimes,\"}\n", "{\"prompt\": \"I mean, it's time consuming. Sometimes I'm late for work, because I'll think I left something plugged in and I have to go back inside. Sometimes I'll lock the door and have to go back and make sure it's locked. So I'm usually late for things because I'm double checking.\", \"completion\": \"It's just quiet causing some problems. Getting places on time. Yeah. How about your level of anxiety or worry? How high Would you say that is?\"}\n", "{\"prompt\": \"Um, I guess it would be like, thinking about it.\", \"completion\": \"It's troubling for you.?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"If you think about from when it started, it started out sounds like with a few thoughts. Right? If we say that's relatively low anxiety. Yeah. How would what you have now compared to that?\"}\n", "{\"prompt\": \"is modern look a little higher?\", \"completion\": \"Just a little higher, Yeah. But you have noticed it's worsened over?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Six months? Is it the most things I have you've ever experienced?\"}\n", "{\"prompt\": \"I'm kind of consider myself an anxious person. So I guess.Yeah.\", \"completion\": \"This is the most you've experienced?\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"Yes. This is particularly troubling.\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"They said you've always been said anxious person.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Tell me about that.\"}\n", "{\"prompt\": \"I'm just like group settings or I refer to something when I was younger. I was like just playing with the door or something like that. And my parents took me to some doctor. And they just said I was anxious. They give me a treatment. I don't know. I don't think so they just said I was anxious.\", \"completion\": \"So other than saying you're anxious, was there any diagnosis provided? \"}\n", "{\"prompt\": \"No, not really.\", \"completion\": \"Have you ever had any mental health diagnosis? Just, I guess\"}\n", "{\"prompt\": \"just feeling anxious, but not necessarily like a diagnosis\", \"completion\": \"Not from a provider?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Okay. How about any medical conditions?\"}\n", "{\"prompt\": \"None\", \"completion\": \"Have you ever been in a hospital?\"}\n", "{\"prompt\": \"Just to like get my tonsils taken out, But not like anything else\", \"completion\": \"How about drugs or alcohol, any any usage of those? \"}\n", "{\"prompt\": \"Yeah, it's pretty stressful for both of us. It gets really upset.\", \"completion\": \"Well, one of the primary risk factors for multiple ear infections and kids is actually smoke exposure. Are you smoking?\"}\n", "{\"prompt\": \"Yeah, I yeah, I do smoke, but I don't smoke around him. I try really hard not to smoke around him.\", \"completion\": \"Well, the fact that he's having these ear infections is indicating to me that he is being exposed to smoke and so what can you tell me about that?\"}\n", "{\"prompt\": \"I don't know. I mean, I try really hard not to smoke around him. I don't smoke in the car. When he's home. I go outside to smoke. I just, I mean, I know it's bad. And I know it's bad for him. So I don't want him to be around it. So I try really hard.\", \"completion\": \"I really need you to quit smoking, both for your health and for Aiden. Did you No smoking around your child is associated not only with ear infections, it could get to the point where you have to put tubes in his ears pretty shortly here also things like vitamin C deficiency, cavities like dental cavities, behavior problems, asthma, other upper respiratory infections. It's really putting him at a lot of risk. In addition to that kids of smokers end up smoking themselves. Do you want him to grow up to be a smoker? \"}\n", "{\"prompt\": \"No, but I don't smoke I I, I've thought about quitting, but it's just it's really hard. So I just don't know how to do it. \", \"completion\": \"Well, now's the time to quit. It's really gotten to the point where you can't keep smoking, not only for him, like I said, but also for you. You're putting yourself at risk for lung cancer, for emphysema for oral cancers for heart disease for all kinds. \"}\n", "{\"prompt\": \"I know I know. I've heard people have told me before I've heard all that. I just don't know how to do it. How am I supposed to quit? It's So hard.\", \"completion\": \"Well, there's all kinds of things you can use. Now, it's not as hard as it used to be. You can use nicotine replacement. There's patches, there's lozenges, there's gum, there's the inhaler, there's nasal spray, we can talk about medications. You can try Chantix, you can try Ziban, there's quit smoking groups you can go to there's hotlines, there's no reason why you shouldn't be able to quit. This is really important.\"}\n", "{\"prompt\": \"I understand that. I know it is. I mean, everybody has problems, right? It's just really, it's really, really hard.\", \"completion\": \"Well, what can be more important to you than the health of your child?\"}\n", "{\"prompt\": \"I don't know.\", \"completion\": \"I really need you to tell me that you're going to quit smoking. This is really important.\"}\n", "{\"prompt\": \"I'll go look at all those things. And I'll find I guess I'll try to find something and I'll talk to my doctor about it.\", \"completion\": \"Okay, well, I think you really need to think about this seriously. Like I said, it's really putting yourself and your child in danger.\"}\n", "{\"prompt\": \"Well, I'm working full time. I'm part time student. I've just gotten engaged, and I live at home. There's just so much stress in my life, everything happening all at once. Just to top it all off I failed an exam, a really big exam. And I just feel like I can't do anything anymore. I can't do anything, right. I've just got so much stress, and I feel like such a disappointment, such a failure and embarrass my family by failing. Yeah, I just don't know what to do anymore. And I guess I come here today to Tell you like, Oh, I want to leave uni I guess that's why Coming to you today. \", \"completion\": \"Okay, so it sounds like a whole lot of stuffs on top of you \"}\n", "{\"prompt\": \"Yeah that's so much just piling on me\", \"completion\": \"So you're working full time part time study, and then you've got your wedding preparations.\"}\n", "{\"prompt\": \"Yeah, just got engaged and weddings just a month away now. So yeah, so just got so much happening. Work is really demanding. Yeah, I just found this exam. It's just, yeah. All too much. \", \"completion\": \"So Imagin you've been sweating on this for a while and it's all been swirling around in your head\"}\n", "{\"prompt\": \"just been building up and so much pressure with everything and I'm living at home so my parents You know, a lot of pressure need to do everything right. And, and by failing this, I feel like I've just embarrassed them and disappointed them and I just don't feel like I'm good enough to go on Studying.\", \"completion\": \"Okay. And have they said much to you about filing exam?\"}\n", "{\"prompt\": \"They haven't said much. I was really scared to tell them actually because I knew they just be so disappointed and disinterest by the fact that I did fail. Yeah, I've never failed anything before. And so Yes. Really hard.\", \"completion\": \"Yeah. So it's new and you don't like it at all?\"}\n", "{\"prompt\": \"Not at all. I think leaving uni will just be the way out just so I don't have to go through it again.\", \"completion\": \"Okay, well, I'm glad you've come to counseling, because it's good for us to get an outsider's opinion when we've got so much on our plate, and we confused as to what to do and our emotions can get in the way. And you just said earlier that a whole lot of stuffs on your plate at the moment. Okay. So I'm glad you've come here. Here with the clinic We use the ABC model, which is a cognitive behavioral therapy model. So Marsha, some counselors have put together a list of beliefs that we often use. And we don't realize that we're using those beliefs and they tend to be faulty ones. Here's the least here. Have a look through that to see if there are any beliefs that you might be operating on at the moment.\"}\n", "{\"prompt\": \"I think number two,\", \"completion\": \"okay. Read that one out for me\"}\n", "{\"prompt\": \"that it's necessary to have a high degree of uncertainty in order to be happy and perform well.\", \"completion\": \"Yeah. You mentioned that\"}\n", "{\"prompt\": \"Number 4 that it's necessary to be competent and successful in all those things which are attempted.\", \"completion\": \"Hmm yeah, that's an expectation from your family. \"}\n", "{\"prompt\": \"Yeah. Possibly number eight. That loss should be entirely pleasant ending And enjoyable that any frustration discomfortable pain would be unbearable.\", \"completion\": \"Hmm. Yeah. Which one of those stands out the most for you at the moment?\"}\n", "{\"prompt\": \"Umm probabily number 4. Yeah.\", \"completion\": \"How would you put that, in your own words?\"}\n", "{\"prompt\": \"That I need to be successful all the time andeverything that I do.\", \"completion\": \"Hmm.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"And is that different from what's happening in your life at the moment?\"}\n", "{\"prompt\": \"Well, failing that exam I mean, I wasn't successful with that. So yeah, it just throws out I guess even number two, because throw that all the order in my life. I'd need to have everything. I need to know what I'm doing where I'm going. Yes.\", \"completion\": \"Okay, so if number four is an expectation that your family has given that you have of yourself How do you measure up next to number four?\"}\n", "{\"prompt\": \"I don't feel like I'm good enough.\", \"completion\": \"Okay. All right. Well, what I'd like to do is, is put some of those ideas on the board under the ABC. And I'll explain as we go along. \"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"Okay. So what do you think the trigger point might be or the activating event for you at the moment?\"}\n", "{\"prompt\": \"I mean, there are a lot of things, but I think, obviously filing the exam was the main one.\", \"completion\": \"All right. And, and the consequences, you thinking of leaving uni. And, and that statement you made earlier about? Yeah, that's, that's the one. That's the crucial one, and I'll explain it shortly when I get up to the board. \"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"Okay, I think I'll put it up there now for you so we can work through that. So Marsha, the activating event, which is what you stated earlier And the kind of decision that you're thinking about is \"}\n", "{\"prompt\": \"leaving Uni?\", \"completion\": \"That's right okay. So it's important that we consider the jump from here over to here. And the kind of thinking that you've been swirling around in your head affects the consequence. And you've mentioned earlier that number four seems to fit. And you put that in your own words. What are your words before?\"}\n", "{\"prompt\": \"That I'm not good enough.\", \"completion\": \"It's really important for us to consider that kind of thinking, hmm. Okay, Marsha, it's good that we've got those things on the board. And what I'd like to do now is focus, stepping out a bit from your situation and looking, looking at it from another point of view. To me, it sounds like you've, you're doing a whole lot of things really well. Can you list all of the things that you're doing really well?\"}\n", "{\"prompt\": \"I'm working, It's a really demanding job, You know, keeping up with it. I guess. Things that my fiance I mean, we're engaged. So planning the wedding That's going really well. It's stressful, but it's going well.\", \"completion\": \"And all of you other university subjects?\"}\n", "{\"prompt\": \"Yeah. never sold anything before. This is the first time I guess all the other subjects? Yeah, yeah.\", \"completion\": \"And you're succeeding in all of those things together?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"You're juggling it. And it's a lot on your plate at the moment. But it sounds like you've been able to cope up until this point of the one exam.\"}\n", "{\"prompt\": \"Yeah. This one just threw me off balance. just failing.\", \"completion\": \"So, would you describe yourself as successful most of the time?\"}\n", "{\"prompt\": \"Yeah, Most of the time\", \"completion\": \"Yeah. And what's the evidence for that?\"}\n", "{\"prompt\": \"passing all my fans all the time. I'm just passing my subjects not getting that full time job. It's a great job that I'm doing. I'm getting married.\", \"completion\": \"Yeah, that's right. Yeah. So how do all of those successes compared to that belief that you've written that I've written on the board for you?\"}\n", "{\"prompt\": \"I guess in comparison, I am good enough.\", \"completion\": \"Yeah, that's right. Yeah. And all the evidence is there. All of the subjects that you've passed in first year, and now second year. year round, full time job. That's a success. Yeah, it's great. Yeah. Good. Okay. Well, what I'd like to do is get you to write that on the board to dispute that belief. Okay. Yeah. Would you do that?\"}\n", "{\"prompt\": \"Alright\", \"completion\": \"Well done last That's a powerful statement. What kind of decision goes along with that?\"}\n", "{\"prompt\": \"Staying at uni.\", \"completion\": \"Good. Okay. Knock that on the board first.\"}\n", "{\"prompt\": \"Okay\", \"completion\": \"Alright, that's good. Good. Okay. So you've made a bit of a decision, haven't you?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Okay. Tell me about it. Does it feel like okay?\"}\n", "{\"prompt\": \"Yeah. I feel like I should stay.\", \"completion\": \"Okay. Why is that?\"}\n", "{\"prompt\": \"I can try again. Everything doesn't have to be 100% all the time. Good. Good. Yeah, I mean, I could reset the exam. \", \"completion\": \"Okay, yeah. Yeah. And we've talked about all your successes. Yeah. So it's hard now to believe that top statement that I'm not good enough.\"}\n", "{\"prompt\": \"Yeah, I mean, I am good enough compared to all the things that you helped me realize with all the successes that I've had that I am good enough. Yeah. Good.\", \"completion\": \"Okay. And so, this idea about staying at uni.\"}\n", "{\"prompt\": \"Yeah I will stay. I am good enough. So I'm sure I can give it another go and see how it go from there. I can reset the exam, and I'm sure I'll be fine.\", \"completion\": \"Okay, good. Okay. What I'd like you to do is to keep saying that statement. I am good enough to say it in front of the mirror two or three times a day, so that you build up your confidence, because it's going to take some time to reprogram you confuse it or up here with that kind of positive belief of about yourself, rather than carrying around that other belief. And we tend to carry those other beliefs for years and years and years. And so it's going to take a bit of work on your part to deliberately change your thinking and change your belief system. But you've made a great start here today. So congratulations.\"}\n", "{\"prompt\": \"Yeah, \", \"completion\": \"thanks. So everything we talk about will be confidential unless I think that you're at risk of being seriously harmed or someone else's, or they are being seriously harmed. In that case, I'd need to tell someone so we could make sure that person is safe. Is that okay?\"}\n", "{\"prompt\": \"Yeah, that's okay.\", \"completion\": \"So, it seems like your mom's pretty worried about you. But I'm curious. Are you worried or concerned about anything at the moment?\"}\n", "{\"prompt\": \"No, everything's fine.\", \"completion\": \"Yeah. How's your mood been recently?\"}\n", "{\"prompt\": \"Crap.\", \"completion\": \"Why?\"}\n", "{\"prompt\": \"just crap. Just don't care about anything, don't want to do anything.\", \"completion\": \"So how have you been spending your time filling up your days?\"}\n", "{\"prompt\": \"just lying in bed all day, doing nothing. Just thinking, I've got these, these thoughts. \", \"completion\": \"What thoughts?\"}\n", "{\"prompt\": \"Any thoughts of dying\", \"completion\": \"You think about that?\"}\n", "{\"prompt\": \"All the time, every day.\", \"completion\": \"Do you think about how that could happen?\"}\n", "{\"prompt\": \"I think I'll probably jump over a bridge.\", \"completion\": \"Which one?\"}\n", "{\"prompt\": \"there's a really high bridge near my house the swing bridge. It's it's really high so I know I'll die if I jump off. There's also a train track underneath. So if the fall doesn't kill me then the train will\", \"completion\": \"Have you made any plans about actually going in?\"}\n", "{\"prompt\": \"I'm thinking, thinking all the time\", \"completion\": \"what stopped you from going there?\"}\n", "{\"prompt\": \"My mom, she'd probably be really upset if I did it but things have just gotten worse and I can't take it anymore.\", \"completion\": \"Do you think about how you could get to the bridge? Um\"}\n", "{\"prompt\": \"I've been looking at bus timetables today. The bus that goes by the bridge. Yeah, I think I'm gonna do it tonight. Just can't take it anymore. She can't treat me this way. Like what?\", \"completion\": \" I know sometimes when people have a feeling crap and struggling with stuff like you are, they can do other things to hurt themselves, like burning or cutting.\"}\n", "{\"prompt\": \"Yeah, I cut up my links. \", \"completion\": \"When was that?\"}\n", "{\"prompt\": \"Today yesterday every day.\", \"completion\": \"Have you ever done anything else to hurt yourself?\"}\n", "{\"prompt\": \"No, just cutting\", \"completion\": \"it to the have thoughts about harming anyone else?\"}\n", "{\"prompt\": \"No and never have anyone else. No, I don't think so.\", \"completion\": \"Assess for disturbances in perception that can be auditory or visual. It's also important to assess the level of protection and supervision that the family offers. caregivers are able to provide for the young person and what other protective factors there are,\"}\n", "{\"prompt\": \"Just mum and jack is my younger brother.\", \"completion\": \"How are things at home?\"}\n", "{\"prompt\": \"Not good. Your mum mums always having a go at me. And today we had a massive fight\", \"completion\": \"Do you have someone you can talk to about what's been going on how you've been feeling about these thoughts about wanting to die?\"}\n", "{\"prompt\": \"I talked to Sophie, she's she's my friend. She wants to die too, so. I know she won't tell anyone.\", \"completion\": \"Have you had anything alcoholic to drink today?\"}\n", "{\"prompt\": \"No.\", \"completion\": \"What about other drugs slot? pot I six to see other people's prescription drugs.\"}\n", "{\"prompt\": \"No\", \"completion\": \"Any questions for me? Thank you so much for talking to me today. I appreciate it. I'm worried about some of the things you've told me and I'm especially worried that you might be at risk of hurting yourself. So I'd like to ask one of my specialist colleagues, john to come and have a chat with you. He's a mental health nurse. So he specializes in talking to young people who've been struggling with their mood or at risk of hurting themselves. Would that be okay?\"}\n", "{\"prompt\": \"That's okay.\", \"completion\": \"It is normally about half an hour, but it can take a little bit longer. Can I get you something to drink while you wait?\"}\n", "{\"prompt\": \"My daughter has been, she's actually been sick. And so she had a fever yesterday and they started her on an antibiotic and I had to go pick it up from the drugstore, and that's like, I don't usually go there. It's hard to get there. Like it's not right in the neighborhood. So any expressways or bridges to get there, not expressways, but It's busy, it's busier and attracting a mall. So you know, there are six lanes four lanes. Yeah. So it just, it's not someplace I usually would go. And if I was going to go, usually I would either have her go with me or my husband go with me, but she was sick and he was at work. And\", \"completion\": \"so to try to understand what goes through your mind that's trying to take you back. And now you know that the prescriptions there and your daughter's sick and I guess you don't want to ask her to drive over there. I sorted Yeah, probably not the wisest idea. So you're thinking about doing the drive and what's going through your mind? What are the thoughts that are turning inside?\"}\n", "{\"prompt\": \"I'm just, you know, I'm sort of thinking about going there. And I'm already starting to think well, you know, what, what if you know what if, what if I'm driving and somebody crashes into me What if I'm driving and I can't do it? You know, what if I just have to stop because I can't do it anymore and, you know, it was raining and I'm sort of like, I've got this picture of myself like out in the middle of the road and you know, what's the picture look like? You're out in the middle of the road and stranded and it's dark and my you know, you know, my shoes are gone. I'm just like, it's like I it would be a million miles to get back home. pretty miserable.\", \"completion\": \"Yeah. Yeah. Pretty scary.\"}\n", "{\"prompt\": \"Oh, terrifying. Yeah. And I just it's so hard to get there.\", \"completion\": \"And Kate as you as you put yourself back into that situation and have those thoughts going through your mind. What kinds of feelings go along with it? \"}\n", "{\"prompt\": \"My feelings I mean it things are inside like ago anxiety, physical things are going on. Well fear and anxiety and I just feel really shaky and I feel really like lightheaded and dizzy and I just don't feel like I can breathe very well and\", \"completion\": \"It's just a panic attack now? He told me about having some bad ones.\"}\n", "{\"prompt\": \"but it's getting there not quite to a panic.\", \"completion\": \"Yeah, no, it's brewing.\"}\n", "{\"prompt\": \"Yeah. Okay. Yeah, it feels like it might. Yeah,\", \"completion\": \"yeah. What do you think we might do to try to, to move things along toward getting a plan of attack on this, okay, is to actually sketch this out. Okay, and, and then see if we can figure out some things we might be able to start doing to give you a better handle on that you have right now. Okay. So let's put some boxes here. And one of them is going to be event these are the things that trigger your anxiety. In this case, the event was\"}\n", "{\"prompt\": \"the driver having to drive to the, to the pharmacy,\", \"completion\": \"drive to pharmacy. And then this next box, I'm gonna label something we call automatic thoughts. And but automatic, I mean that they occur relatively automatically, they just sort of pop into your mind, and you don't stop to check them out. Okay, and we all have these kinds of automatic thoughts. You don't have them, everybody I know has them their inner thoughts. In fact, if you think about it for a minute, we probably have a lot more thoughts. We don't speak out loud, that are part of our inner dialogue and thoughts, we actually end up speaking aloud other people. Mm hmm. And I suspect that you have lots of those thoughts and just give me some examples of them. So that's what we call an automatic.\"}\n", "{\"prompt\": \"So the like the what ifs?\", \"completion\": \"Yeah, so let's put a couple of those down in this box. Okay, in the automatic slot box, and they are what if\"}\n", "{\"prompt\": \"someone runs into me.\", \"completion\": \"Yeah. What if What else?\"}\n", "{\"prompt\": \"What if I get stranded?\", \"completion\": \"get stranded.\"}\n", "{\"prompt\": \"I can't do it.\", \"completion\": \"I can't do it. And then there was this image about the rainstorm and you don't have any shoes on. Yeah. so forth. What should we put down for that?\"}\n", "{\"prompt\": \"I think what if I would if I can't get back home? I can't get back on.\", \"completion\": \"sort of lost. Yeah.\"}\n", "{\"prompt\": \"Yeah. What if I end up on this road forever?\", \"completion\": \"Mm hmm. And then we're going to put another box there's a sort of a chain of events here. The event can make you think in ways that stir up feelings of anxiety. And so if you're thinking like this, it makes sense that you'd be feeling pretty nervous inside and you might have some of these physical reactions. Mm hmm. So let's put those in here. This is the emotion sparks They are much shaky. You said? Yeah. Quite a fear. Yeah. If we're going to write that fear on a zero to 100, scale and zeros, none at all and 100 is the maximum anyone could ever get. Where would you be at this point?\"}\n", "{\"prompt\": \"Oh, I'd say about an AD\", \"completion\": \"AD pretty high. Yeah. It's gotten higher though, I suspect. Oh, yeah. This point is in 18. Okay. And then you had some other feelings inside?\"}\n", "{\"prompt\": \"Well, I yeah. I sort of felt like I might fall over. I, my heart was pounding and I didn't feel like I can\", \"completion\": \"breathe. Stomach any lobster. So yeah. So a lot going on here. Yeah. And a pretty high level of distress. Yes, right. And then we're going to complete this loop. Putting a box we're gonna call behavior. This is how you actually acted when you're in the situation. So what did you do? If you had these thoughts and you had these feelings,\"}\n", "{\"prompt\": \"I went to the pharmacy. He did do it. I had to okay.\", \"completion\": \"And what was it like for you when you were going to the pharmacy and driving there?\"}\n", "{\"prompt\": \"It was so bad. I just, you know, I, I think I left permanent marks on the steering wheel, because I was whole time.\", \"completion\": \"Okay, yeah. So in this case, she actually did go to the pharmacy. That year, maybe it isn't damage to the steering wheels. Yeah. Yeah, I hope not.\"}\n", "{\"prompt\": \"But I really had no choice. I mean, I think usually I wouldn't go to the pharmacy. Usually. I would call my husband and say can you pick it up on your way home, get\", \"completion\": \"an escape route, if you would? So usually you would avoid this if we looked at this as a model. For many of these situations about driving and feeling, yes, the usual behavior would be to try to get out of it or avoid it. Okay? And so if you do avoid it, then what happens?\"}\n", "{\"prompt\": \"Well, I feel better. You feel better. It's like such a relief.\", \"completion\": \"Better relief, the emotions calm down now, right?\"}\n", "{\"prompt\": \"Well, yeah, cuz I don't have to, like,\", \"completion\": \"You don't have to worry about it. So that's what happens for a single episode of this anxiety. I'm wondering though, if we look at the the impact on you of avoiding and getting relief, overall, as far as managing driving, what do you think it does there?\"}\n", "{\"prompt\": \"Well, I feel like I don't really have much confidence when it comes to this to be able to do\", \"completion\": \"it. Okay. So in a way, it decreases your confidence over time. I think so. Yeah. I think suspect that that not doing it repeatedly gives you this belief about your capacity to do these driving things. And what's that belief? Yeah,\"}\n", "{\"prompt\": \"I don't feel like I can do I can't I can't do it.\", \"completion\": \"I can't do it. So it really comes back to this thought I can't do it. Yeah. And he can't do it. You don't do it. Right. So here's this, this chain of events, events, trigger thoughts. We call them automatic thoughts, and then they influence your emotions. He's feelings you have and then that influences how you handle the situation. Mm hmm. Okay. Now let's think together for a moment before we wrap up of how we might proceed to try to give you some help with this. So let's take a look at these thoughts. Do you know anybody else that drives regularly that might think differently than you? Yeah, okay. I mean, an example.\"}\n", "{\"prompt\": \"I mean, I think almost everybody, I think most people drive without too much. problem but like, my sister loves to drive. Yeah, I mean, she just she drives every opportunity she gets.\", \"completion\": \"So for some reason, we don't know exactly why. But the key thing here is not looking at why but to help you with actually making change in this. But you do have some differences in the way you think about driving. That might be something that we could begin to work on in our session, we might, for example, check it out, what's the chances of someone slamming into you? Okay, what's the chances of you being stranded out there on highway and even if you were stranded, is there a way you could cope with that or manage that you can get back home? So these are some things that we can begin to do. So I'm going to mark here, we could work on these thoughts, okay. And then by working on the thoughts, we might be able to help you reduce the emotions, but there are also some things that I might be able to teach you that you could use to reduce this level of distress that you have that Would be nice to be able to calm yourself down in situations. So we'll have some, try to build some skills to manage your emotions. And then on this behavior side, one thing that we might begin to work on is helping you gradually begin to take on some of these driving things so that you can build your confidence back up. And again, build your skills to do it. And I can see that that causes a little bit of edginess here, what would you think? \"}\n", "{\"prompt\": \"I was thinking that I hope that this doesn't like make me worse. Okay, no, like, trying to do some of these things.\", \"completion\": \"Well, I'm glad you gave me that feedback. That's an example by the way of me wanting to hear from you about the way you're responding to what I'm saying. I certainly wouldn't want to make it worse. Okay, but it cause you too much anxiety. Uh huh. And what we'll try to do is pace it adjust to the level that's right for you. Okay, so that you can make some progress and get to the place you want to be, which is to be able to drive to your new office, cross a bridge, and maybe even, you know, drive those couple hours to visit your son. Right. Yeah. So what do you think?\"}\n", "{\"prompt\": \"Well, I think that that would if I could do those things that would be really nice. Yeah,\", \"completion\": \"that could be really nice too. So that would be our goal. Yeah.\"}\n", "{\"prompt\": \"Okay. Okay.\", \"completion\": \"I understand you haven't been feeling too well if you've had some symptoms become it's going on.\"}\n", "{\"prompt\": \"Yeah. So for you know, almost a week now I've been you know, every little thing irritates me. It's just been it's, it's distracting how much you know. Little things are bothering me.\", \"completion\": \"Little things are really irritating you.\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"For the last week?\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"This is the first time this has happened.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So tell me about the irritation, like what kind of things have been, I mean?\"}\n", "{\"prompt\": \"So like at work, the guy in the cubicle next to me, like, it feels like he either clears his throat or blows his nose every 15 minutes, it drives me crazy. And like, then I can't focus on my work because I just hear it. So I try to put on music. And then my boss will get upset because I have earbuds in but I can't play music out loud because I'm trying to be considerate of other people. Unlike my cubicle mate, the guy the other cubicle, then, you know, that's just like one example. And then like, when I'm driving home, there was this guy walking his dog on the side of the road, and like there's no shoulder so it's not a safe place. So, like, I just feel like he's risking his life and his dog's life and my life. I get home and I kept thinking about it. And just like everything, everything that people do is just driving me up the wall.\", \"completion\": \"So you really, you're really irritated and You feel like these irritating events are distracting you? \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Do you feel like your thoughts are racing?\"}\n", "{\"prompt\": \"Yeah. Because like, I'll be thinking about, you know, trying to focus on work, or whatever I'm doing. And all these things that people, other people are doing their ears. It's not even other people just like things in general are irritating me and like so my thoughts will race through different things and it just makes me more frustrated and exist and anxious.\", \"completion\": \"Have you found the mentioned work? Have you found that you're more oriented toward getting goals completed?\"}\n", "{\"prompt\": \"I mean, now, not a more so than usual, no.\", \"completion\": \"Do you find yourself talking more or feeling like you should talk more\"}\n", "{\"prompt\": \"No, no. In fact, they don't want to talk to people because they feel like something they're gonna say is gonna annoy me.\", \"completion\": \"How's your sleep?\"}\n", "{\"prompt\": \"I'm fine. I haven't had any disturbances in it, though. Sometimes, like when I'm first going to bed like my thoughts will take me a while to like, get to sleep and like have my thoughts like, shut down, but it doesn't take too long.\", \"completion\": \"Alright, it's your sleep spin. Okay, \"}\n", "{\"prompt\": \"yeah.\", \"completion\": \"Have you noticed that you're all down? Or like have depressed mood or anything like that?\"}\n", "{\"prompt\": \"No, not really, no.\", \"completion\": \"Are you still finding activities that were pleasurable to be pleasurable now?\"}\n", "{\"prompt\": \"Yeah. Well, I mean, sometimes an activity that I like, someone will come along and like I'll get distracted during it by something that like irritates me. But for the most part, I can get over it and like enjoy the activity if it's something I genuinely enjoy.\", \"completion\": \"You change your appetite.\"}\n", "{\"prompt\": \"No.\", \"completion\": \"How about any feelings of worthlessness?\"}\n", "{\"prompt\": \"No. Nothing like that. \", \"completion\": \"You mentioned that you're being distracted easily. It's affecting your concentration.\"}\n", "{\"prompt\": \"A little bit.\", \"completion\": \"Do you have any thoughts regarding death or dying?\"}\n", "{\"prompt\": \"No. Like that.\", \"completion\": \"And this irritable mood has been bothering you work any and you mentioned driving home and the other places.\"}\n", "{\"prompt\": \"I mean, yeah, just because it's not just at work and driving home like, you know, something my mom said on the phone The other day irritated me. And then I cut the phone call shore and I get to talk to my dad, because I was mad. And so that like affected that. So a little bit of like, my personal life to\", \"completion\": \"any drug or alcohol usage. There's really nothing.\"}\n", "{\"prompt\": \"No\", \"completion\": \"Have you ever seen or heard things other people can't see or hear?\"}\n", "{\"prompt\": \"No, \", \"completion\": \"that's never happened.\"}\n", "{\"prompt\": \"No\", \"completion\": \"Okay. I like to get you in to see somebody today. That's okay. We have a counselor that's available that can talk to some more about this. That'd be all right.\"}\n", "{\"prompt\": \"All right, \", \"completion\": \"so I'll get that arranged. And I want to thank you for answering these questions has been helpful.\"}\n", "{\"prompt\": \"I'm exhausted and shattered the whole time. And I'm fed up. I'd like you to do something.\", \"completion\": \"And how long has this been going on for?\"}\n", "{\"prompt\": \"about six months, and I've been in loads of times, I've seen lots of different doctors. I've had scans and blood tests that you name it, and nobody can find out that they will. Nobody can see there isn't anything wrong with me. The last doctor I saw, so it was all in my mind. \", \"completion\": \"I see. Perhaps we can start by getting a fairer understanding of what's been happening. What is the main problem for you?\"}\n", "{\"prompt\": \"I feel exhausted the whole time and I can't get anything done. Work is becoming a problem.\", \"completion\": \" I Understand, and what sort of work do you do?\"}\n", "{\"prompt\": \"I work as a computer programmer. Luckily I can work from home a lot of the time because I find it difficult to get up in the morning.\", \"completion\": \"And how's your sleep?\"}\n", "{\"prompt\": \"sort of okay, but then I I toss and turn all night and. And I feel terrible in the morning. So you don't find sleep very refreshing, but no, it makes it worse. If anything. I wake up feeling awful then late wake up really late and not often after 11:11am \", \"completion\": \"do you get sleepy in the daytime?\"}\n", "{\"prompt\": \"Yes, I do. Because I get so tired. I often need to take a rest or a nap during the day.\", \"completion\": \"Are there any other physical symptoms that are causing you problems at the moment?\"}\n", "{\"prompt\": \"My muscles ache quite a lot. My legs, my arms, my back. All over. Really.\", \"completion\": \"muscle aches all over your body. any symptoms?\"}\n", "{\"prompt\": \"I get a lot of sore throats. And I think there might be some kind of infection running around my system.\", \"completion\": \"You feel that there's an infection running through your system?\"}\n", "{\"prompt\": \"Yes. And why else would I feel so ill all the time.\", \"completion\": \"I see. Is there any other reason you think your symptoms might be caused through an infection?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"I'm glad you could come in today or the syntek. Want to explain a little bit about the process? I understand you've already completed the informed consent.\"}\n", "{\"prompt\": \"Yes. Yeah, I've done this before.\", \"completion\": \"So you've done this before.\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"So understand my obligations to report certain things. Okay.\"}\n", "{\"prompt\": \"Okay.\", \"completion\": \" So, you answered some other questions in that packet that you filled out with the informed consent, sexual type of questions. information might be on your driver's license or insurance cards, things like that. I'm going to be asking you more emotionally oriented questions as part of this part, the intake \"}\n", "{\"prompt\": \"Okay,\", \"completion\": \"all right. Some of the topics we'll be covering are sensitive for many people. And you may not want to talk about it. That's okay.\"}\n", "{\"prompt\": \"All right.\", \"completion\": \"So if I stumble upon one of those topics, you know, I discuss it, just let me know. And we don't have to talk about it.\"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"If it's an area that you don't want to talk about right now, but you want to talk about later, we can talk about later. Okay. Does that make sense?\"}\n", "{\"prompt\": \"Yeah. Okay.\", \"completion\": \"So, how are you referred here to our agency?\"}\n", "{\"prompt\": \"Well, I have this friend that I've known for forever. And she told me that she was really concerned about the way I was living my life and that, you know, I shouldn't be coming here. So, as a favor to her, I'm here.\", \"completion\": \"Do you feel committed to counseling?\"}\n", "{\"prompt\": \"I mean, I guess there's some things I can work on, but I mean, they have problems that I really just don't i don't have.\", \"completion\": \"Why did you say they,\"}\n", "{\"prompt\": \"some of my other friends, the friend that referred me.\", \"completion\": \"Alright, so there's some\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"And you think they might not be there at all?\"}\n", "{\"prompt\": \"Yeah. Okay.\", \"completion\": \"Fair enough. So, I want to talk about what we refer to as the presenting problem. And I know you indicated you're here because a friend referred you but in terms of the any symptoms or problems or issues that might be going on in your life. Right. Any of those you can identify? Good talk about?\"}\n", "{\"prompt\": \"Well, I mean, I will admit, I do get angry a lot.\", \"completion\": \"Anger, okay.\"}\n", "{\"prompt\": \"Yeah. And sometimes when I get mad, I break a few things. Your wall alone. I won't hit anybody. So I mean, that's not a problem, you know, but I'll take it out on something that doesn't feel pain. I thought that was a good thing.\", \"completion\": \"So, um, and objects are the target of some, some physical and angry behavior. Yeah, but not people. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So do you view anger as a problem you want to work on?\"}\n", "{\"prompt\": \"I guess I could work on being less angry. I don't think I have a anger problem, but I can be less angry.\", \"completion\": \"Okay. So so one of the symptoms would be anger. You don't necessarily necessarily feel like it's a large problem, but you could be less angry.\"}\n", "{\"prompt\": \"Yeah, you'd be okay. I think everybody can work on being a little more peaceful.\", \"completion\": \"Okay, that makes sense. Anything else?\"}\n", "{\"prompt\": \"Um, No, this is something I have tried to stop before, but I'm having a problem. I do smoke marijuana, a lot of time and a lot of you a lot. And recently I've been getting into like, snorting some drugs\", \"completion\": \"can you tell me what drugs?\"}\n", "{\"prompt\": \"like Xanax. And I've tried to stop before and it didn't work. But me, I like it. So it's kind of like that. I really want to give it up. \", \"completion\": \"I'm not sure you seem a little more torn on that.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So you see a lot of marijuana. And that can mean something different depending on the person. What's it mean to you?\"}\n", "{\"prompt\": \"several times during the day. Even when I'm at work, I'll go to my car on break.\", \"completion\": \"Does anybody notice that?\"}\n", "{\"prompt\": \"I mean, the place I work at isn't very professional, I guess. I mean, there are managers that I hide it. But everybody that pretty much knows\", \"completion\": \"that they're okay with it.\"}\n", "{\"prompt\": \"Yup\", \"completion\": \"And you mentioned specifically Xanax. Yes, benzodiazepine, any other drugs?\"}\n", "{\"prompt\": \"No. Maybe it's just mainly the marijuana then. I've started the Xanax.\", \"completion\": \"It seems like it's more recent.\"}\n", "{\"prompt\": \"Yeah. I mean, within the past four months, a friend introduced it to me and started to like it.\", \"completion\": \"How often do you use that?\"}\n", "{\"prompt\": \"That one's less often? I'd have to say about maybe twice every weekend.\", \"completion\": \"Okay, the marijuana sounds more like an everyday thing.\"}\n", "{\"prompt\": \"Yeah. Okay.\", \"completion\": \"Any other drugs? Pretty much it?\"}\n", "{\"prompt\": \"No.\", \"completion\": \"All right. How about in the past, \"}\n", "{\"prompt\": \"in my past, I have experimented with cocaine, but I Trouble with the dry for that. So, how to stop that. All right.\", \"completion\": \"Anything else?\"}\n", "{\"prompt\": \"no\", \"completion\": \"Any other problems you identify to work on?\"}\n", "{\"prompt\": \"Um, I can sometimes let my pride get in my way, \", \"completion\": \"pride. Tell me what\"}\n", "{\"prompt\": \"I don't like being told I'm doing something wrong. Because most of the time I'm not or I'm doing it in a way. Like just because I'm not doing it your way doesn't mean I'm doing it wrong. I know what I can do and I know what I'm capable of.\", \"completion\": \"So is somebody telling you that you're acting in a way that's proud?\"}\n", "{\"prompt\": \"Yeah, I've had several people I've lost a few friends because over you know, little things that I won't budge on. For example, things like even like what the best TV show is. I know When's the Best TV show? isn't anybody who says any different is wrong? That's Oscars. But you know what, maybe they're not real friends.\", \"completion\": \"So you're indicating pride. But it sounds like maybe inflexibility is a part of it too. I guess. Is anybody ever said that to hear\"}\n", "{\"prompt\": \"me? Not that word, but let me know that you say it, I guess. Yeah.\", \"completion\": \"Do you think that's kind of together with the pride?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"You feel like Okay.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"All right. So we have anger. Mostly objects, though. \"}\n", "{\"prompt\": \"Yeah, \", \"completion\": \"not people. Marijuana, a lot. xanics not as much occasionally, occasionally. And then inflexibility and price. Yeah. Does that sound like an accurate\"}\n", "{\"prompt\": \"I mean that the number one record that's not sure I hate to admit it. It does.\", \"completion\": \"So it's tough for you to talk about this form.\"}\n", "{\"prompt\": \"Hello. I wish I could say it's nice to see you but it's never good to go to the doctor.\", \"completion\": \"Fortunately for me, I hear that a lot. So we're going to be talking about ways to manage your blood clots and options for treatment. But first I'd like to check in on a few things. The first is you're smoking. You were to half pack at during your last visit and we talked about how important it is for To quit, I'd say it's even more important now that smoking is associated with DVT. So, have you quit?\"}\n", "{\"prompt\": \"No, I haven't quit.\", \"completion\": \"So deep. Do you remember our conversation from our last visit? That's when I give you the information about quitting smoking and the contact number for tobacco treatment specialist.\"}\n", "{\"prompt\": \"Yes, I remember. But no, I didn't quit. And no, I didn't call her. \", \"completion\": \"And why is that?\"}\n", "{\"prompt\": \"I'm not ready. And I'm too upset to talk about this. I don't mean to be rude doctor. But I've had a hard time lately. And I'm not in the mood for you to get mad at me for not quitting. I'll let you know when I'm ready. We can talk about it. But here now today, I'm here to talk about my blood clots.\", \"completion\": \"Well, we're on the same page then because that's exactly why I'm talking to you about quitting smoking, because smoking is a major risk factor for DVT. Even if you even if we treat you now if you don't quit smoking, I'm afraid the blood clots will return again.\"}\n", "{\"prompt\": \"Let's just talk about my treatment right now. Okay?\", \"completion\": \"Hello, Maria, it's nice to see you again. Hello.\"}\n", "{\"prompt\": \"Wish I could say it's nice to see you. But it's never good to have to come to the doctor.\", \"completion\": \"Unfortunately for me, I hear that a lot. So we're going to talk today about how to manage your blood clots and some options for treating. But first, I wanted to check in on your smoking status. In our last visit, I recommended that you begin to think about quitting, and I'd be interested in hearing your thoughts.\"}\n", "{\"prompt\": \"I haven't really thought about it actually. I thought about canceling this appointment because I knew you're going to bring it up again.\", \"completion\": \"Talking about smoking with me as hard for you.\"}\n", "{\"prompt\": \"Yes, it's because you're going to tell me to quit like you always do a limit filter just like everyone else. Like my caseworker. The building manager everybody seems to They know what I need to do. And nobody thinks I know anything.\", \"completion\": \"So when it comes to smoking, you feel that other people want to tell you what to do and make your decisions for you. You don't feel heard or respected?\"}\n", "{\"prompt\": \"No respect. That's it. Yes.\", \"completion\": \"Well, I just want to say that I am very glad you decided to come in today. So we can take care of this blood clot because blood clots are very serious and I know you're concerned. As your provider, I have to be honest, and say that smoking can cause blood clots. But hopefully some of the information I give you today will help you in your decision to quit smoking. Now, having said that, I know my opinion, is not the deciding factor. Quitting smoking as a decision only you can make.\"}\n", "{\"prompt\": \"Well, I'm really glad I came into I have to get this blood clot condition under control. I know that\", \"completion\": \"would it be okay with you, if I share some information about smoking and blood clots. And I can tell you what I know and then we'll see what you think. \"}\n", "{\"prompt\": \"Yes. I don't know that I will quit, but I will listen.\", \"completion\": \"So, what do you think?\"}\n", "{\"prompt\": \"I always thought that the blood clots came from my mother. Hello, like passed down like genetics. I didn't know that smoking could cause this. I just thought that blood clots ran in my family. I guess I also didn't get how dangerous this clotting can be. \", \"completion\": \"You seem surprised and a little more aware now of the smoking risks?\"}\n", "{\"prompt\": \"I guess so. Yes.\", \"completion\": \"So Maria, I'd like to get a better sense of what you think about smoking. So on a scale of one to 10 with one being, you don't think it is at all important that you quit and 10 being you're ready to quit today? Where would you put yourself?\"}\n", "{\"prompt\": \"Well, if you had asked me when I first came in, I would have said less than one. But now I would have to say four \", \"completion\": \"Why Four and not a lower number.\"}\n", "{\"prompt\": \"That's a good question. Let me think about it. I guess it's a four because of the blood clots. The blood clots are really heavy on my mind right now.\", \"completion\": \"So having a better understanding of how smoking adds to the risk of blood clots, increases your desire to quit.\"}\n", "{\"prompt\": \"A little. Yes.\", \"completion\": \"What else if anything, makes quitting important to you?\"}\n", "{\"prompt\": \"Know, the bigger thing for me, is the fear of being evicted from my apartment. There's a rule that we can smoke in the house. And I stick to it for the most part, but the other day, I smoked out the window. And that was only the second time I've done it. But don't you know, the building manager caught me. So now I am sure she's going to be watching me even more. I can't lose my part. With\", \"completion\": \"the possibility of losing your apartment because of smoking really upsets you, in addition to your health,\"}\n", "{\"prompt\": \"I would hate to think that my sogdian they lost their home because their mom chose smoking over abiding by stupid code, even if I hate that rule. I smoked when I was pregnant with them. And thank you, Holy Mother, they were born healthy. I don't think I could live with myself if they lost their home because of something I'm doing.\", \"completion\": \"So it sounds like your priority in life is taking care of providing for your children. It's obvious that you're a good mom. And if you had to leave your home because you were smoking that would be tough to bear.\"}\n", "{\"prompt\": \"Yes, they would.\", \"completion\": \"So let me ask you a slightly different question on that same scale of one to 10. How would you rate your confidence to quit?\"}\n", "{\"prompt\": \"confidence? I'd have to say at two.\", \"completion\": \"So you are not feeling very confident right now\"}\n", "{\"prompt\": \"who Oh, no, not confident at all. I mean, I've tried to quit so many times, and I just can't do it.\", \"completion\": \"So you've been persistent and trying and haven't been successful yet. Still, you you set a two and not a one. I'm curious about that.\"}\n", "{\"prompt\": \"Well, the only reason I said are two is that I tried quitting smoking when I was pregnant with Santhi and they are both. I went for two months without a cigarette with Dale. And I didn't make it past that. And that was really mad at myself for that. I really wanted to quit from my babies and I failed. I guess. I'm just hopeless. I mean, who keeps smoking when there's a baby inside? \", \"completion\": \"Sounds like you really feel like you let yourself and your children down. And that's hard to accept given how much you love your kids.\"}\n", "{\"prompt\": \"Yes. And I'm doing it again right now by not following the rules. I'm addicted to cigarettes, just like a drug addict. In the end the cigarettes always with.\", \"completion\": \"So what what do you think Santa and to think about your smoking?\"}\n", "{\"prompt\": \"Santhi yells at me. And sometimes they'll cry when I go out to smoke. He says, Mama smoking is bad.\", \"completion\": \"So you know it would be best for you and your children if you quit. If you had the right support and tools to manage this addiction. If you believed you could do it, you would\"}\n", "{\"prompt\": \"I would like to do so but I just don't think I can do it.\", \"completion\": \"You quit for two months when you were pregnant with tail. How did you do with them?\"}\n", "{\"prompt\": \"I don't know. I just did it. I fought the urges with sucking on straws and some hard Kelly's I just did it.\", \"completion\": \"So you were able to quit on your own for two months. That's impressive. Have you ever used any other form of help like nicotine replacement or support groups?\"}\n", "{\"prompt\": \"No, I think people can quit. If they really want to. I'm just too weak.\", \"completion\": \"Ah, wow. You must be pretty hard on yourself. What would you say if I told you that very few people only 4% of us are able to quit successfully cold turkey.\"}\n", "{\"prompt\": \"No, there really? Is that true, huh?\", \"completion\": \"Yes. And and most people try many times before they're successful. their medications and groups at and I'd be happy to share that information with you. I'd like to help you if that's something that you'd like.\"}\n", "{\"prompt\": \"Well, I don't know. I'm Let me think about it. Can you give me the information again? The booklet the brochure you gave me before. I didn't want to tell you but I threw them away when I got home. But I really want to read them this time.\", \"completion\": \"That's great. Maria. You can look them over and I'll have our tobacco treatment specialist, Sonia, follow up with you. We have an excellent tobacco treatment program here and I am I believe that Sonia can help you quit when you're ready. Right? What? When would be a good time to check back in?\"}\n", "{\"prompt\": \"She can call me next week and number two, I may be ready to try again.\", \"completion\": \"Absolutely. And I'll have Sonia call you. I just want you to know that I understand how hard it is for you to talk about quitting smoking. And I really appreciate it. So, would you like to talk about how to manage blood clots? Yes,\"}\n", "{\"prompt\": \"I haven't.\", \"completion\": \"Can you tell me about that?\"}\n", "{\"prompt\": \"Yeah, I think I've I've been depressed \", \"completion\": \"and depressed?\"}\n", "{\"prompt\": \"for about two months been getting worse and that's why I'm here. You know, I haven't been sleeping very well. I haven't had very much of an appetite. I've been eating very well. The last couple months I've lost a bit of weight from it. Now I'm tired\", \"completion\": \"tired all the time? You may have low energy? Yeah. And you said it's been going on for a couple months.\"}\n", "{\"prompt\": \"Yeah. for about two months\", \"completion\": \"did anything major happen the thing to focus on?\"}\n", "{\"prompt\": \"I mean a big thing that happened you know, between five and six months ago is my cat died\", \"completion\": \"sorry to hear that.\"}\n", "{\"prompt\": \"And, you know, I miss them a lot but you know, sad for a little bit and I have days where I miss him. But if the last two months have been nothing like what I found when he died\", \"completion\": \"last two months of symptoms have been more severe or less severe,\"}\n", "{\"prompt\": \" more severe, \", \"completion\": \"more severe. See a cat passed away six months ago.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"And these symptoms you've had for the last two months?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So you're not sure if they're really related?\"}\n", "{\"prompt\": \"Yeah, I don't know. Like, I do miss my cat.\", \"completion\": \"Do you think about your cat? Most days?\"}\n", "{\"prompt\": \"oh no, just, I would say, you know, a couple times a week. It will hit me that like, he's gone. It's not there. I'll think about him. But, you know, I'll have bad days without thinking about missing him. And so I don't know if it's it That.\", \"completion\": \"I'm gonna ask you some other questions related to depression. That's okay. Have you noticed a change in your interest in seeking fun or pleasure? Like in how you approach pleasurable activities?\"}\n", "{\"prompt\": \"I mean,\", \"completion\": \"I feel like, I'm still trying to have fun, you know, like, I'll still, like, I know what I like to do. And I'll try to do those things. What types of things do you still try to do?\"}\n", "{\"prompt\": \"Like I like going out to dinner with my sister. And I like reading books and watching movies. So I'll try to do that. Enjoy it. Sometimes it's hard for me to concentrate when I'm reading You're watching, don't get distracted, but I still try. \", \"completion\": \"You still try your feel restless. Or kind of the opposite of that, like slow down. Like you can't move as fast as\"}\n", "{\"prompt\": \"Yeah, I mean, I have noticed that like, as, you know, the last couple months like at work it will be hard for me like it just feels like time's going so slowly and I just like I want it like, it was like, I'm in a dream and like I can't. Can't move. It's very, it's weird.\", \"completion\": \"So feel slowed down?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Any feelings of worthlessness?\"}\n", "{\"prompt\": \"I mean, yeah. \", \"completion\": \"You tell me about\"}\n", "{\"prompt\": \"You know, I just don't think that anyone really cares about what happens to me.\", \"completion\": \"How would your ability to concentrate any changes there over the last two months?\"}\n", "{\"prompt\": \"Yeah, like it's harder for me to like pay attention to movies and stuff and at work it's I don't know if it's because I'm tired or or what but it's hard for me to pay attention to the projects I'm supposed to be working on and I have noticed Yes.\", \"completion\": \"You have any thoughts related to death or dying?\"}\n", "{\"prompt\": \"Not really no.\", \"completion\": \"Any drug or alcohol use medical conditions Then give her see or hear things other people can't see or hear.\"}\n", "{\"prompt\": \"Not recently No. recently\", \"completion\": \"about before that, um,\"}\n", "{\"prompt\": \"well, years ago I was hospitalized. But it was because my neighbors said that I was like throwing things and saying things that I didn't say like about the government. But I haven't had anything like that happen for years.\", \"completion\": \"This was years ago you're hospitalized? Did they tell you anything about the hospitalization? Like exactly why?\"}\n", "{\"prompt\": \"I don't remember.\", \"completion\": \"Remember it? Did you feel depressed back then like you do now?\"}\n", "{\"prompt\": \"Maybe apparently some of the same, some of the same things.\", \"completion\": \"But sounds like it's not clear in your memory.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Have you ever had a period of time where you're too happy we had like a lot of energy and just couldn't stop moving. Nothing like that\"}\n", "{\"prompt\": \"no\", \"completion\": \"Right Sherry, I'm gonna get you in to see a counselor. Okay, I'll just take you a couple days for us to, to get you in to see somebody and it's my hope that they can help you. I want to thank you for answering these questions. This has been helpful. '\"}\n", "{\"prompt\": \"Good.\", \"completion\": \"It's good to see you. Yeah. Again, the year bench record this week is the last last week. It was like, kind of squeaky clean. So how's it been feeling? I'm sure it does. It really does. Yeah. It's been really a process. So that's fantastic. What? Tell me about what's been going on this week?\"}\n", "{\"prompt\": \"I had a good conversation. Yes, I feel good. \", \"completion\": \"Tell me about it.\"}\n", "{\"prompt\": \"I just talked with her on the phone. And yeah, it just went really well. And we actually, after that we had a Skype meeting, a Skype meeting last night. Yes, it was. And, yeah, caught up a little bit and kind of talked about some things.\", \"completion\": \"Great. Yeah. Oh, nice. Nice. happy to hear about that. And then I don't remember I'm trying to think from last time, like any Allen updates or Yeah, nice things going, Okay, good. I'm happy to hear that. And then I guess the other thing that I wanted to, you know, talk with you about I know that we, you know, kind of had mentioned it briefly. But today kind of marks the kind of beginning of that kind of final phase for us like so then over the next, you know, three sessions, we're going to be starting to kind of wrap up our work together. And I've been feeling that way too, because it's like, it's hard to, it's hard to want to bring that up, because it's really, it's been really just great working with you. And so I really don't want to see that come to an end. But I thought one of the things that's really important is maybe just to get us starting to talk about and again, we don't have to do it all today but just at least get a starting to talk about, you know, some of the changes that you've made, things that have gone really well for you. And really maybe kind of recap like how it is that you've gone from like almost like binge eating daily to almost now you're not at all and kind of, maybe we can kind of talk about how that's gone. Because I think the other thing that's really important is not only the things that you've done in terms of like, how things have gotten better for you, but I also want us to start thinking about to like, okay, what's going to happen when we, you know, kind of get to the end of our work together and, you know, beyond so like in terms of like, how will kind of how you will kind of keep the work going. And so, I've kind of thought, you know, like, I feel like, I'm kind of being like a wet blanket here. You've had a really great week, and now I'm bringing up our kind of departure. But I think it's really important to kind of mark that mark that transition, and also to market to by having, you know, things go so well. I think it's really important. So I guess the first thing I want to talk about is, I guess I'm pointing my my pad of paper because it's like it's so filled with just all the different things that have occurred for you, you know, over the last several weeks, and I think the first thing that's really notable to me is I really, really appreciated your willingness to engage your mom because I know that that's been so hard for you. And it's been so painful, you know, the way that she's treated you in the past. But that you know, I guess I'm even getting kind of emotional talking about because it just been so rich, the transition you've made in terms of the way you've engaged in a more genuine way and allowed her kind of back into your life and it seems like that that's been, you know, really vital to your you know, like getting better. So what what's you know, in terms of like, from your perspective, kind of what's that been like for you? \"}\n", "{\"prompt\": \"Yeah. It's kind of emotionally and it feels good. It's nice not butting heads with her cuz\", \"completion\": \"I'm sure like, \"}\n", "{\"prompt\": \"you want like, I want a good relationship with my mom. I don't I don't choose purposefully to not have a good relationship with her. Yeah, it feels really good. I feel like I can have better relationships, other places as well now because that's healthy.\", \"completion\": \"Right. Right money. And also to I think along with that, is that kind of the strategies, I think that you've, you know, my hunch would be is that some of the strategies that you've used, engage your mom in a more meaningful way have really kind of come in handy in some respects in terms of like, some of the other relationships that you've had, you know, especially, I know that you and Kathy have gotten closer, and even the fact that you've allowed yourself to kind of, you know, connect with somebody else, like, you know, with Alan, you know, I know you were talking with me the other day about some other friends that you've, you know, met and people that you've really got a little bit closer to so that's been really exciting. Yeah,\"}\n", "{\"prompt\": \"yeah. Yeah. Just get to not go home and feel terrible. Right.\", \"completion\": \"Yeah. Yeah. So then, then, kind of from, from your perspective, again, you know, we'll talk more about this in, you know, as you mean, I realize I'm kind of putting you on the spot, but as you've kind of thought about or thinking about it. Maybe you can think about it. To even from now on to the next couple of sessions, but just starting to think about like, what is it that you've really done that you really feel like has been really, that's really helped you make changes in the way in which you've, you know, managed your food or your binge eating.\"}\n", "{\"prompt\": \"I mean, just really trying to be more positive in my relationships and being more open and communicating, not keeping things in Sofia, like, when I kept things in it kind of bubble up. And that's what made me want to do something that made me feel better. And I yeah, I mean, like, something bothers me, like, immediately express it,\", \"completion\": \"bro. No, I've noticed that as well. And it seems like that that's been one of the important things that you've done. It's really helped, you know, with the changes that you've made. What else feels like that? I mean, you know, I mean, obviously, that's been really important, but what are the other things that you've noticed in terms of like, you know, how it's been going\"}\n", "{\"prompt\": \"I feel better about myself. And, like not having comments from my mom anymore and having a guy in my life who really likes how I love. Yeah. And yeah, just yet feeling happier with myself.\", \"completion\": \"grades are good. No, you know, things like, like we're really in a good space. And I think the other thing too, I was aware of that we, you know, that you'd mentioned to me in particular last time was that and I didn't get a chance to talk with you as much about it. So I think we had so much to talk about last session, but I was really struck by the fact that you It seems like you haven't been as body conscious as you have been in the past. And I didn't know if you've if you've noticed that.\"}\n", "{\"prompt\": \"Yeah, no, I feel like I've known like a little bit. Notice that Yeah. Especially that you bring it up. It's true,\", \"completion\": \"right? Yeah. Cuz I know like initially and even like, there have been times even along the way. When you'll make, like, you know, I didn't feel like it looked very good, or I felt like something felt really tight on me or, you know, I just felt like that other people were looking at me or maybe judging me, but it seems like that, that as we've kind of moved along that there's really been I've really noticed a real kind of a little bit of a shift in the way in which you've kind of been regarding yourself. And it seems like it's been a little bit different\"}\n", "{\"prompt\": \"in that hearing, like, any comments, all my mom about any of that stuff, right. I feel like I've gotten to the point where I'm not concerned like that. I'm going to hear a comment. Right.\", \"completion\": \"Okay, but so I'm going to go ahead and make you talk about it anyway. But what did you do in order to be able to get those comments, though, to stop? Because obviously, I think you did something really significant with her. Yes.\"}\n", "{\"prompt\": \"I mean, I thought about what you said about really acknowledging that that put a lot of pain on me and Justin Lee, and I know I was able to let her know that and is hired scared to tell her that I mean, she recognized that. Yeah. And yeah, she kind of explained how she thought that she was helping me or she wanted me to have a lot of friends in high school. And that's what she, I mean, she kind of said, like her mom said the same thing to her.\", \"completion\": \"Yeah, yeah. Well, you know, and that's really not uncommon when you have, you know, it's funny that just even like, not, you know, like, big, big research had, but it seems like that that's pretty consistent, that, you know, kind of, like, you know, mothers to daughters who become mothers to daughters, like sometimes it's kind of what we call this intergenerational transmission of like, you know, kind of criticality about, you know, shape and weight and, and, you know, some, you know, really proud of you that you, you know, kind of had the courage to address it with her directly and just let her know how you feel because, you know, I think, you know, as a parent, I know that you owe it Like, you know, I always want to try to do the right thing, you know, and I always, you know, I don't purposely want to inflict pain on my children, even though my daughters would suggest that I probably do. But in general, I don't. That's not my goal is to be, you know, harsh and critical. In fact, I really was, you know, try to really be helpful. And I think most parents try to do the right thing. But I, and I think maybe your mom just didn't realize the degree to which that really bothered you and how much that hurt. And in many respects, how much that kind of really drove you to, you know, really, you know, take it out on yourself, so to speak. And so for you to have the courage to bring that up, I think was really helpful. Yeah, yeah. So I really think that that made a lot of differences, as well as, you know, kind of reaching out to others and again, in just the open expression of your feelings, so yeah. So yeah, I think the things that we're doing like now, I think I'd really like to see us kind of continue to, you know, obviously, you still are doing a lot of really good work in terms of like the things that you're talking about and, but yet, I'm also aware that you know, as we're over the next couple sessions, we kind of keep doing a few of these things kind of wrapping up. And then our last session we can more or less, kind of formally, you know, say goodbye and talk about kind of like what the next steps are and, you know, some things you might want to be paying attention to or things you might want to, you know, be mindful of, but we'll get there so yeah. \"}\n", "{\"prompt\": \" Well, I didn't need it anymore. \", \"completion\": \"You didn't?\"}\n", "{\"prompt\": \"three weeks. No smoking.\", \"completion\": \"Oh my goodness. Oh, it's wonderful. Oh, you must feel fabulous.\"}\n", "{\"prompt\": \"I do. I can taste again. I can breathe again. It's kind of amazing.\", \"completion\": \"Nice. Imagine all the money you've saved.\"}\n", "{\"prompt\": \"It's a start.\", \"completion\": \"It's good. It's good. It's excellent. And how is the job situation?\"}\n", "{\"prompt\": \"Oh job situation I went to check out it's a kind of drop in for this one gig atthis place on King Street. It was a restaurant andI just didn't i didn't think through it. Like, basically dinnertime and I went in there, you know, so that didn't exactly impress them very much. And I think that was probably a really short sighted thing of me to do so.\", \"completion\": \"Because you went at the wrong time. I'm sorry to hear that. Well, no, you know, you've got to do a bit of research to make sure you go on the right time. And did you check the list on the door before you left?\"}\n", "{\"prompt\": \"Which lists?\", \"completion\": \"The list on the door? You forgot already? Remember the door? What are you supposed to do before you left the house?\"}\n", "{\"prompt\": \"No, I did. I I mean when I remember to, yes.\", \"completion\": \" Okay. You know what, I've got another helpful hint. Here. Well, you're this knew what you're gonna do. I'm gonna put this on the door. Every time you open the door, you're gonna hear the sound and it's gonna remind you look at the door make sure you have all the stuff you need for your outing. Serious See, you can you could you could jazz that up. I'm sure you could do something but you know you'll hear the sound it'll trigger something look at the door look at the mirror look at how great you look. And to help you be successful. Christmas every day. Lovely. So, so that's another a little tool for you to use. How's the research going for your schooling?\"}\n", "{\"prompt\": \"Looks good. So that looks like the most common sense to do.\", \"completion\": \"Okay, when's the application date?\"}\n", "{\"prompt\": \"I didn't even check Hold on. Probably says on there some more places places. All right there at the end where you can't read it. So what is that?\", \"completion\": \"Before I go, we'll get into that. And we'll make sure that your applications in what do you think?\"}\n", "{\"prompt\": \"Well, I can't I can't not have a stick right in front of me. That's good. And I'll just leave all right there.\", \"completion\": \"Okay. You'll make sure you do it.\"}\n", "{\"prompt\": \"I'll put I'll maybe I'll set the timer for that. I mean, how are you want to do it?\", \"completion\": \"Great. How's the list? Your list been going?\"}\n", "{\"prompt\": \"I got some stuff here. And mostly I'm remembering to do it.I could check some of these off. Actually, that might feel good.\", \"completion\": \"Excellent.\"}\n", "{\"prompt\": \"That yoga mat check.\", \"completion\": \"Nice. Yeah. And have you been writing on your calendar? Wow, it's filled.\"}\n", "{\"prompt\": \"Yeah, there's a couple\", \"completion\": \"goodness. Hey, why don't we celebrate? Three weeks not smoking.\"}\n", "{\"prompt\": \"Yeah, I mean, it's making me think like, you know, if I just had some desk job, like if I just crunched numbers or something, I would never have to have this responsibility. Like, why would they trust me with a job like this? Like, I'm just a human being who, you know, doesn't know any better than any other person and I just don't know if I can do this. It's just so much responsible. And I guess, I guess before I felt like I could handle it. And now I just feel like it's so much responsibility for one person. And I don't think that I can handle it anymore. But I don't want to change jobs because I've been here for so long. And I liked it before. I don't know.\", \"completion\": \"you're fearful of this happening again.\"}\n", "{\"prompt\": \"Yes,\", \"completion\": \"And how you may handle it? what may happen?\"}\n", "{\"prompt\": \"I feel like it's just around the corner. And this isn't even resolved. I'm still afraid of the consequences of this, you know, like, what if, you know, you know, these kids are out of their parents home. And I just feel like what if something bad happens to them where they are now and then that's going to fall on me and, you know, people, like other my co workers know that I'm the one that did this. So like, if something happens to the kids, like, I'm going to be the one that they're going to blame for it.\", \"completion\": \"So just to make sure, I understand your Report. So they were engaging in these behaviors. And your report, just what precipitated the them being broken up.\"}\n", "{\"prompt\": \"Yeah. Because, you know, before that, I guess, you know, probably nobody else would have known about it. So I made the report about what was going on. And I think Yeah, as a direct result.\", \"completion\": \"Alright, let's, let's take a look at the habits, right. So, in CBT, we like to evaluate evidence and try to look at the facts as we understand them. And really, we want to scrutinize and carefully review the facts and the evidence and hold a light to it and try to figure out what's going on. Right. What would have happened with this family if you hadn't work, no one intervened?\"}\n", "{\"prompt\": \"I don't know. I mean, it wasn't going great for the kids. It wasn't really great environment. But I just feel like if I had left it alone, I don't know that the kids would be with their parents.\", \"completion\": \"So they all be together. And you feel like, right now. He's saying with them being a part. That sounds good. Is that fair together?\"}\n", "{\"prompt\": \"Yeah, I mean, I guess. I guess I feel like it's probably wasn't great for them to be there. I mean, that's why I made the report. That's my job, but it just feels like, you know, I just feels like I'm playing God. You know what I mean? Like, I'm just coming in here and spend like 5-10 minutes with a family and then totally turn their whole world upside down.\", \"completion\": \"you have a tremendous amount of power And if you misuse that power, you could devastate families. That's maybe what you You think happened to you? \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \" So going back to what would have happened to them, let me just step back there for a moment. They would still be together without your intervention. And that could be a positive. What about consequences that maybe were negative?\"}\n", "{\"prompt\": \"Well, I mean, like I said, I thought they were using drugs in the home. So that's like a really dangerous situation for kids to be in, because you don't know what kind of people are coming in and out of the home, if their parents are going to be, you know, coherent enough to help them if there's an emergency or if the parents are even making them food and taking care of their needs and stuff like that. So I guess in that sense, that's really concerning. And that's a big part of the reason why I made the report.\", \"completion\": \"You made the report because it's your responsibility, but also you had concerns about their welfare. If you could go back and do it again. would you change anything?\"}\n", "{\"prompt\": \"I don't know. I guess that's just the hardest part for me is like, I feel like I can't make the right decision. I just feel like I don't know if I'm equipped to be the person to make that kind of decision.\", \"completion\": \"So you don't know if you made a good decision or not. And further, you question your ability going forward to make decisions. \"}\n", "{\"prompt\": \"Uh, you know, when I print them out properly, they're working pretty well, but whatever. Yeah. It's really making me feel guilty about smoking so i have been smoking less. \", \"completion\": \"That's really really good. So how's the job situation coming along?\"}\n", "{\"prompt\": \"I don't know. It's, it kind of sucks. To be honest. It was late. Last shift, and my boss was like giving me that, you know, stare of like death. And I'm like, you know, thinking, why do I keep doing this?\", \"completion\": \"Why? Why were you late?\"}\n", "{\"prompt\": \"I just I keep missing the bus. And that's a stupid excuse.\", \"completion\": \"first Why don't we put a list on the door to tell you You know what you need to go to work? You know, don't forget any of your paraphernalia. So you're making your lists. Are you checking them twice?\"}\n", "{\"prompt\": \"Like 10 times.\", \"completion\": \"But are they working for you? \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"And I noticed your yoga mats here. Have you been using it?\"}\n", "{\"prompt\": \"Yeah, it's it's in my face, but it's not in my way. Kind of good in that little corner there. So it's been pretty good.\", \"completion\": \"It's good to see and your desk is so organized. I'm loving this right.\"}\n", "{\"prompt\": \"Mostly, I really need to use pens and stuff are not where they should be. So\", \"completion\": \"look at what I have for you. I brought use a trays to put all your files in. So what do you think of that?\"}\n", "{\"prompt\": \"Looks good. I like the black. It's nice and simple.\", \"completion\": \"What's your color?\"}\n", "{\"prompt\": \"Well, Black is not a color though. It's a shade.\", \"completion\": \"Oh yeah, you would not You're the artist. Okay, we got a pen for you. And we have a you could put all your pencils over there. You could put them right in here. And how about your, your school search? How's that been coming along?\"}\n", "{\"prompt\": \"Ah, I missed my deadlines like, you can imagine. So, to get the wait until next round,\", \"completion\": \"You can keep them on the calendar. The date,\"}\n", "{\"prompt\": \"did I put that in the calendar? I saw them and I'm like, Okay, there you are good. And\", \"completion\": \"like you miss the deadline.\"}\n", "{\"prompt\": \"Why did I miss this thing? Well, yeah. \", \"completion\": \"Remember, we talked about that last week to dimer. That's cool. That's cool. So we give you two hours a day. That's more than enough time for you to play Warcraft And whatever you do on internet. How's that sound? Yeah, and we'll help you. It'll help you focus. Just little bits at a time, one step at a time. That's why we have the lists. That's why we have the calendar. That's why we have the notebook. These are all helpful hints. They are there tools in your toolbox. And things are looking rosy looking better, more exciting, right?\"}\n", "{\"prompt\": \"I mean, yeah, me pragmatically. I think I've got some, you know, I've got some anchors to kind of work around.\", \"completion\": \"Absolutely great anchors. I'm so proud of you. You are getting there. But we are seeing changes. So maybe we should check on the some veterinarian. What you what you need for school.\"}\n", "{\"prompt\": \"All right, cuz I'm on that page. Let me show you. Oh,\", \"completion\": \"okay. Great.\"}\n", "{\"prompt\": \"Yes, it's really hard. So like when I'm in the middle of being worried, I'm it's really hard for me to focus. So I can't focus on like what I need to do. Because I feel like my mind is on a lot of different things and I can't focus on you know exactly what I should be doing. It's just like, I'm worried about You know, all the different aspects.\", \"completion\": \"Alright, so your ability to concentrate and do the hard work of preparing is affected\"}\n", "{\"prompt\": \"Yeah, it's like focus my energy on the right things. I'm just like wasting time worrying.\", \"completion\": \"Alright, so this excessive worrying and all this interfering of preparing all this goes on right up until you're getting ready to present\"}\n", "{\"prompt\": \"Yeah. And then like while I'm presenting\", \"completion\": \"so let's talk about that let's go into the actual day a present so we have a successive work coming in it's interfering with your ability but it's distressing for you.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Now these presentations are in class? \"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"So it's you're in you're in the classroom. Do you write the only one to present in that classroom is it rotate through several PV?\"}\n", "{\"prompt\": \"It depends on the presentation. Sometimes there's like one or two other people that have to present that night, depending on like how long the topic is.\", \"completion\": \"All right, well, let's choose the last time you presented that classes as a template. What was the order to go in there?\"}\n", "{\"prompt\": \"Well, the one that I really messed up, I think in that I was first But usually, like, I'm like, second maybe.\", \"completion\": \"Okay. So for this example, let's say you're through the second. Okay, so you're sitting in the classroom and another student is presenting. What's going through mind that?\"}\n", "{\"prompt\": \"I feel like I am totally zoned out. Like I'm not even paying attention to what that person saying, because I'm so worried about how I'm gonna mess it up. You know, I'm, I'm starting to like be sweaty, like my hands are clammy, my heart started to race a little bit, and I'm just totally zoned out on what they're doing. Just, you know, worrying about what's gonna happen when I get up there.\", \"completion\": \"So in that moment as you're seated, you're not really watching their presentation as much because you have these strong or somewhat strong physical symptoms. You have your heart racing a bit is sweaty palms. You're zoned out. Have you ever felt the need desire to, like, run out of the room?\"}\n", "{\"prompt\": \"Yes. It's funny you should say that was a little bit hesitant to mention that but I kind of I do I feel like I need to find excuse to like use the bathroom or I just need to get out of there.\", \"completion\": \"Yeah, so what do you feel is most pressuring you to leave the room like what? What symptom?\"}\n", "{\"prompt\": \"Um,\", \"completion\": \"And what thoughts are going through your mind right then like, so let's take that kind of severe moment. When you're, you're, let's just say still before the presentation, okay? So you're sitting at the desk and your heart rates elevated. And you're not focusing on what they're doing. You're zoned out your anxieties high. What was going through your mind right, then?\"}\n", "{\"prompt\": \"I think I'm thinking, like, I'm gonna bomb this anyway. So I might as well just, you know, not go through the stress of having to do it. Like I've already in my head, I know that it's going to end badly.\", \"completion\": \"So you've already failed.\"}\n", "{\"prompt\": \"right. So there's no sense in getting up there. And maybe if I don't get up there, you know, I guess it couldn't be any worse. So I might as well just leave\", \"completion\": \"Are you embarrassed that the professor or Other students will see that you were really anxious?\"}\n", "{\"prompt\": \"Yeah, I don't want I figure if I leave and people won't, will just make me think I was sick or whatever. And it'll be a better situation, if I just left then happened to see me up there, you know, sweating and all these other symptoms that I have when I actually get up there, it would be better just to leave before that starts.\", \"completion\": \"Okay. So, so better to be thought ill and had to leave because you're saying. \"}\n", "{\"prompt\": \"Yeah, or have them wonder what happened then to just be up in front of everybody, you know,\", \"completion\": \"to have a severe anxiety for that buddy. And then they can very embarrassing. That would be a very undesirable outcome for you.\"}\n", "{\"prompt\": \"Right.\", \"completion\": \"So as you're debating that thought, because that's coming to your head, and you're thinking I just need to, yeah, gotta get out here. What happens there, so we're maybe What, 15 minutes before we present? So tell me about that. So you have that thought you want to flee,\"}\n", "{\"prompt\": \"right. And I'm looking at the clock and saying, you know, like, how much more time in this presentation before I have to go like, should I go? Should I not go? What are the consequences of running out? You know, and kind of playing out, which would be worse?\", \"completion\": \"Have you ever had to run out?\"}\n", "{\"prompt\": \"Um, once I went to the bathroom to try to, like calm myself down or talk to myself, or you know, like, Cool off my face. Um, but I came back\", \"completion\": \"and you presented then you presented Alright, so you you survived. One of the more stressful presentations\"}\n", "{\"prompt\": \"Yeah, I almost felt like I was gonna be ill. I was so stressed that day.\", \"completion\": \"That was very, very tough on you. What happened on that particular day?\"}\n", "{\"prompt\": \"So typically, like, I go to load my presentation, at this point, like, I have my new cards or whatever, in front of me. I am like, shaking at this point. I am so I don't know if it's scared, or worried or maybe a combination of everything. And I'm just like sweating. My heart is racing. Like I almost feel dizzy. I'm just so stressed out about what's going to happen. And then you know, I'm starting to speak. And then the presentations are usually like 20 minutes or so. Okay, so I have to stay up there for the duration and I'm just like, you know, sweating and then I'm wondering like, are people looking at me or people? Can people see it? You know, am I going to forget something?\", \"completion\": \"So the some of the thoughts are you wonder if they can see how anxious you are you wonder if you're gonna do poorly on the presentation,\"}\n", "{\"prompt\": \"right. Or they think I've been lazy and I didn't prepare, are they going to think that, you know, I'm dumb or I don't know, you know what I'm doing.\", \"completion\": \"So they might, they might think less of you as a person.\"}\n", "{\"prompt\": \"Right. Or like be judging me. Okay.\", \"completion\": \"Yeah. So there's a number of concerns that kind of going through your mind in that moment. So when does this start to turn around so you start presenting is 20 minutes you initially get up there and get your presentation up on the The projection monitor. Yeah. When does it start to turn the corner?\"}\n", "{\"prompt\": \"Um, it's depends sometimes I settled down a little bit, but then usually like that, I get some sort of rhythm I think. And then, but then it gets anxiety again until I get my grades. Do you know what I mean? And I'm like, until, because I feel like I'm gonna do poorly. Until that happens when\", \"completion\": \"when you receive the grades.\"}\n", "{\"prompt\": \"Sometimes, like she usually doesn't give them that day but like often like the next day or the day after\", \"completion\": \"So does that intense anxiety that you're having while you're presenting last all the way?\"}\n", "{\"prompt\": \"now? It definitely like dissipates once I can like go sit down.\", \"completion\": \"Okay, so so the sort of next big drop off for symptoms would be when you're done with the presentation\"}\n", "{\"prompt\": \"Yeah, when eyes are maybe no longer on me. They've moved on to somebody else. So I figured like, okay, they forgot about me. I'm safe.\", \"completion\": \"All right, then. But then there's this other worry of now we have to see what the grades are right?\"}\n", "{\"prompt\": \"And I convince myself that I did poorly.\", \"completion\": \"So the thought is going through your mind is I'm gonna receive a bad grade.\"}\n", "{\"prompt\": \"I'm pretty good. How are you Dr. Grande ?\", \"completion\": \"I'm doing I'm doing well thanks for asking. What's been going on?\"}\n", "{\"prompt\": \"Um, so I've, I've been applying to doctor programs for this upcoming fall. And I'm like, I'm kind of stuck because I got into two of the schools that that I was looking at. I get and like I got into both of them and both of their programs are really good. Both of them have like great research track records and kind of what I want to do. \", \"completion\": \"Right\"}\n", "{\"prompt\": \"And yeah, but the problem is is like I don't know how to decide between the two now.\", \"completion\": \"Okay, So you, you applied to two places, and you got them both. \"}\n", "{\"prompt\": \"Hmm\", \"completion\": \"It sounds like both have programs that are really well suited to what you want to do?\"}\n", "{\"prompt\": \"Right.\", \"completion\": \"And you're having difficulty deciding which one to go with.\"}\n", "{\"prompt\": \"Yeah. Um, yeah, like I've always I've always had trouble, like, within decisiveness and it's like, when I, when I had two choices of something that's very similar, like I always I always get stuck. And I like, it's very hard for me to actually like make a decision\", \"completion\": \"Let's are start to the beginning. You definitely want to go on for a PhD. Okay, so we've established that\"}\n", "{\"prompt\": \"right.\", \"completion\": \"So it's going to be one of these programs either way. So really, the only question you're really left with is which one? \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So oftentimes, these situations we look at pros and cons, right? Are there any? Well, it sounds like there's a lot of pros to each one. Are there any cons to the one ?\"}\n", "{\"prompt\": \"I mean, really not, not any that I can think of like, I've tried to, like, I've tried to write them down the piece of paper, do the pros and cons and like the pros look very close. And it's like the same number, but I mean, both programs are good. I have connections with like the some of the teachers and both of them. They're both in the same city. Like they're really close to each other. They're, they're both very similar, but like, for some reason, I just, I don't know, it would be easier if there's like some cons to one of them\", \"completion\": \"It will make the decision easier if you had some negatives that for one of the programs\"}\n", "{\"prompt\": \"right\", \"completion\": \"there for the other one. So in a way, you know, I guess this we call quote unquote, good problem\"}\n", "{\"prompt\": \"right\", \"completion\": \"It's a problem, but you're choosing between two alternatives that are both really positive for you, but it's there is a choice, right? It's still tough. And you mentioned before that you had some, in your past you're indecisive. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So maybe we can do in this process is help you build decision making skills or contribute to that ability. Because whichever whichever program you get into where you choose, you're gonna have to make decisions later on to \"}\n", "{\"prompt\": \"right\", \"completion\": \"and probably vary, or maybe some of those will be easier, maybe some of those choices won't be as easy. So I think this would be a matter of looking at what's important to you. But you mentioned the research agenda already, or agendas at both universities, that's important, too\"}\n", "{\"prompt\": \"right\", \"completion\": \"What are the aspects and maybe not so much thinking about these two universities, but in general, if you had to rank order them, what aspects are really the most important?\"}\n", "{\"prompt\": \"Um, well, definitely, the research is up there. I definitely want to get that out of out of whichever school I go to. I think something else that's important is for the university to have kind of like maybe a post doctorate plan, whether they have connections with, like businesses where I can get a job like right after graduate or, like if I was going to move into a faculty position, like if they kind of had a pathway that would help set me up for that like that. Those are probably the biggest, like the biggest influencers,\", \"completion\": \"The research and not a guarantee, necessarily, but some high probability employment?\"}\n", "{\"prompt\": \"right.\", \"completion\": \"So really what we could do here, if you want to look at these two universities, even though we don't really have any negatives to look at, we can rank these positives. So it sounds like both have the research that you're looking for that \"}\n", "{\"prompt\": \"bright\", \"completion\": \"they're both there. But if you could rank and maybe you don't have this information right now, but if you could rank them in terms of the next most important aspect, which is really how hard Will you work to find a job? \"}\n", "{\"prompt\": \"Right\", \"completion\": \"That's, that's kind of what you're saying. \"}\n", "{\"prompt\": \"Okay, right. \", \"completion\": \"I mean, it sounds like what you're saying?\"}\n", "{\"prompt\": \"right\", \"completion\": \"So, do you have any information? Or is that something you can find?\"}\n", "{\"prompt\": \"Um, actually, that's I never thought about like that. Like, I guess I could go online and kind of look at a lot of times universities put up like job acceptance rates like afterwards and they put up percentages, kind of like what what people do afterwards. So maybe if I looked at the websites and kind of found information and see like, how many of them go on to be professors or like work in the industry, maybe maybe I should check that out. That might help me\", \"completion\": \"that might allow you to have a difference between them because right now, it's like they're just kind of, they're kind of melded together\"}\n", "{\"prompt\": \"right\", \"completion\": \"You know, you have you have really no way yet to separate them\"}\n", "{\"prompt\": \"right.\", \"completion\": \"So maybe this can build a bit of a discrepancy that the gap between them so you can say, Okay, this one, neither one is bad, right? But this one might be a little better for what I want to do. \"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"Does that does that kind of make sense?\"}\n", "{\"prompt\": \"Yeah, that makes sense. Yeah.\", \"completion\": \"Similarly, as the I think about it, I know whenever I leave speaking with somebody or some situation, that's right, I always think of all the questions I want to ask, right. So when you leave here, you can consider some of the other aspects and like, Think it over like really important to me and try to create that distance between them. So you can look at them as really two separate entities. Another possibility would be to find out this information, maybe talking to representatives from each university. \"}\n", "{\"prompt\": \"Okay\", \"completion\": \"If they may or may not have more information about potential pros and they might even have some cons right now. I'm sure they'll present a plate manner but they can let you know maybe some of the negatives.\"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"Associated With the other university, or maybe some of the positives that aren't quite as positive\"}\n", "{\"prompt\": \"right, right, \", \"completion\": \"something that they do well with others, other university doesn't do as well. \"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"So it sounds like this information gathering would really be your next step.\"}\n", "{\"prompt\": \"Yeah. Yeah. I never actually thought about ranking the the pros and going from there. So I think that's a good idea. Yeah.\", \"completion\": \"One of the things that might be helpful to drive is the importance you place on these different aspects, right. So kind of clarify, and we can we meet again, we'll talk about this, but clarify your values and what's important to you. \"}\n", "{\"prompt\": \"Okay.\", \"completion\": \"And then that'll help you to kind of rank some of these attributes.\"}\n", "{\"prompt\": \"Right. Okay. Yeah, that makes sense. \", \"completion\": \"All right. Let's, let's leave it there. And we'll kind of pick up next time with looking at what we talked about. Unless you have any further questions.\"}\n", "{\"prompt\": \"No, no, I think, yeah, I think I know what I can do afterwards, no we decided.\", \"completion\": \"So I'll see you in about a week and we'll pick up there\"}\n", "{\"prompt\": \"Alright sounds good.\", \"completion\": \"Thanks, Kyle.\"}\n", "{\"prompt\": \"Hi\", \"completion\": \"welcome back.\"}\n", "{\"prompt\": \"Thank you.\", \"completion\": \"How are you?\"}\n", "{\"prompt\": \"feeling pretty intense. Things have kind of gone downhill since I was here last time.\", \"completion\": \"Ohh I'm sorry to hear that.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"I know last time we talked you and Kalie had just gotten engaged, and you were rather excited about plans that you had for your life. So So tell me what has happened, what what is what's shifted?\"}\n", "{\"prompt\": \"I think that we've just sort of fallen back. You know, I was really hopeful that and with the proposal also came the promise to, you know, work on the relationship and work on anger and work on, you know, being the couple that we we hope to be, and that it's not happening its not happening. We're right back to where we were. \", \"completion\": \"I'm sorry to hear that. I know you were. You were excited. You were feeling hopeful for change. And I don't get that same sense from you right now. In fact, it seems like you're feeling pretty sad and maybe even a little hopeless about that situation. Well, how can I make How can I be helpful and supportive and useful to you right now.\"}\n", "{\"prompt\": \"I just I don't I don't know how to make change. I don't know how to I don't know how to end this. I don't know how to get out. I don't know how to. I just I can't do it anymore.\", \"completion\": \"So you've decided to make a change. And in fact, it sounds like you've decided to leave the relationship. \"}\n", "{\"prompt\": \"I don't know. I mean, I want to I don't want to be in it. But I don't, I don't know how to get to not being in it.\", \"completion\": \"So you're thinking about it. It's not that you've committed or decided that you absolutely want to leave the relationship. But correct me if I'm wrong. What you're saying is, you want to make a change, and you don't want this relationship as it is. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Now, what what are you when you think about changing? What what ideas? I mean, I guess you mentioned leaving, what other possibilities or thoughts have you had about change and what that might look like?\"}\n", "{\"prompt\": \"I don't know. It just feels so overwhelming when I think about it. I just I can't seem to find a way out of it. and that feels feels ethical. It feels like it can No, I don't want to hurt her. I just don't want to be in this relationship anymore.\", \"completion\": \"Why don't you want to be in this relationship anymore?\"}\n", "{\"prompt\": \"It's not healthy. It's I'm not happy. I can't imagine that she's happy even though she says she is. It's, you know, we're fighting constantly. I feel like I'm walking on eggshells with her. She's overprotective. She just it doesn't feel right. just doesn't feel right.\", \"completion\": \"It doesn't feel right. So, what would feel right?\"}\n", "{\"prompt\": \"Ah, that's a huge question. I just don't I'm not sure just this isn't right.\", \"completion\": \"So the way things are is not right. It's not working, you don't feel supported. This isn't the kind of relationship that that you want or that you had hoped that it would be. \"}\n", "{\"prompt\": \"Yeah. I mean, when we started it was it was lovely. She was amazing. She was this super caring and thoughtful woman and you know, we are lots of same interests, you know, same friends it's, you know, she was just fantastic. And I don't know, I don't know where that changed. And I feel like we did this on again off again stuff and it's just, it just seems like, just not right. And I know, I know, I don't deserve to be treated this way. And I know that I'm, I'm better than that.\", \"completion\": \"You really value your self and your well being and in your spirit. And it sounds like you don't feel like you're taking good care of yourself by staying in this relationship and Even though things started out well, they haven't turned out to be the kind of relationship that you want for yourself\"}\n", "{\"prompt\": \"No, but you know, but she's lovely and I love her and I can't imagine. I can't imagine my life without her in it.\", \"completion\": \"So you feeling torned?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"you're you're torned between your love and affection for her and your sense of honoring yourself, and you've got a lot of mixed feelings. And you are saying that you need something to change that sounds like you're able to kind of hold that complexity, if you will, that you've got these strong feelings for this person and you don't feel like this is the good relationship for you. \"}\n", "{\"prompt\": \"No. I think it's not good for either one of us.\", \"completion\": \"For both of you. Yeah. So so then you've talked a little bit about leaving. I mean, tell me more about what you thought about. And when you think about making a change in terms of leaving, what, what might that look like for you?\"}\n", "{\"prompt\": \"I don't know. I mean, it feels. I just can't imagine my life without her in it. So the idea of not having her there feels really scary. And the idea of staying the way it is, and things not changing, feels even scarier. So I don't I don't know how to and I don't even know how I would do that. Our lives are so intertwined. I mean, my business, our friends, the queer community is so small, you know, that's my family as much as my friends and my family as well. And so just, you know, how do you how do you extract yourself from that in a way For me, like, in a way that I feel, I'm doing that with grace and respect for her and respect for myself.\", \"completion\": \"What What thoughts do you have about how you do that? How do you extract yourself? How might you extract yourself in a way that has some integrity and grace as you said,\"}\n", "{\"prompt\": \"I don't I don't even know. I mean, talk to my friend Jay about it and I don't know he suggested like a break, but I don't I don't know. I just don't want to get caught in that on again off again before like, you know, like we've done before and, but the idea of a break. feels a little less. I don't know, maybe more gentle. I don't know,\", \"completion\": \"say more a little more gentle.\"}\n", "{\"prompt\": \"I don't know how to give us both time to really think about it and and I don't know, maybe maybe she'll change maybe maybe if I'm you know, if this is it, if this is it, like if this break is it, maybe Maybe she'll be able to change.\", \"completion\": \"I heard you say that. Live it, you know, moving on and having a life without Kelly is really scary. In fact, it's almost impossible for you to imagine what that would look like, especially with the way that your lives are so intertwined. I also heard you say that the thought of not making a change is scarier. And I was wondering if you could say a little bit more about what you mean by that.\"}\n", "{\"prompt\": \"It's just I feel exhausted. I feel like I'm not. I'm not who I was. When I came into this relationship. I feel like I'm constantly struggling to make her happy, and that just doesn't work. There's nothing I can do. And I feel like I've lost my joy. And I don't know. I'm just afraid of what will happen if I just keep staying in a place where I feel like I'm falling apart. Hmm, my piece. \", \"completion\": \"Yeah. So you're concerned about your own well being and your own joy and your, your spirit if you you stay and don't make this change, and that's the part that's really scary for you. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"You mentioned that your friend suggested possibly taking a little break. And you said that that was a scary thought for you. And I guess I'd like to hear more additional thoughts you might have about that as a as an option for you.\"}\n", "{\"prompt\": \"Well, it seems like I mean, if it could happen if we could find a way to make it happen that it would be it would just give me some time to think about, like, what I want and what I need and, and, you know, I feel like I can't sort out what's me in this anymore. And, and so like if I have that space, just to sort of breathe and not have to worry about her feelings and Taking care of her and just being able to focus on myself for a little while. I don't know, it seems like that would be helpful.\", \"completion\": \"It sounds like you're feeling like you're so in, in it just so in the the mixed emotions and the sense of hopelessness and sadness and disappointment that it's really hard for you to see out of it. And an advantage reason to take a break would be just to give you a moment to breathe and look around and collect yourself and not be so stuck in that ambivalence, if you will, that sense of not knowing. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"well, if you don't mind, I'd love to ask you to take a look at this ruler here. I just kind of wrote this down really quickly, but on a scale of zero to 10 zero being not motivated at all and 10 being extremely motivated. how motivated would you say you are to take a break in your relationship right now?\"}\n", "{\"prompt\": \"oh six So somewhat motivated.\", \"completion\": \"Why a six and not a one?\"}\n", "{\"prompt\": \"Because I need I need it. I feel like I'm losing myself. So I feel like\", \"completion\": \"it's important?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Well, so so why a six and not a nine? Or 10? \"}\n", "{\"prompt\": \"Cuz I'm not sure how to make it happen. Yeah, I don't I don't know.\", \"completion\": \"So it's important to you, and you're not maybe fully confident or sure about the how part.\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"how to make it happen?\"}\n", "{\"prompt\": \"Exactly.\", \"completion\": \"Well, kind of following up on that on a scale of zero to 10 zero being not confident at all. 10 being extremely confident. How confident are you that if you decided to take a break from your relationship with Kelly, you would be successful at making that happen?\"}\n", "{\"prompt\": \"I don't know maybe like a three or four.\", \"completion\": \"So, so less confident or less confident than you are motivated. Why a three Not a zero.\"}\n", "{\"prompt\": \"Because I, I'm on it. I mean, I do something I want.\", \"completion\": \"Mm hmm. And so wanting it makes you feel confident that you confident to some extent that you could actually make it happen.\"}\n", "{\"prompt\": \"Yeah, yeah. \", \"completion\": \"Why three and not an eight or nine?\"}\n", "{\"prompt\": \"I can't control her. I don't know how she would react and I just don't want any more arguments and anger. And yeah, I don't want to hurt her. So.\", \"completion\": \"So when you think about taking this break, you're also thinking about how she might respond and what she might do and that creates this whole other kind of set of worries. It, it undermines your sense of confidence onon some level.\"}\n", "{\"prompt\": \"it creates a lot of anxiety for me.\", \"completion\": \"Yeah. What do you think needs to be different in order for you to feel more confident about successfully being able to take a brief break.\"}\n", "{\"prompt\": \"I think I like maybe a plan, like just knowing, knowing what the rules are sort of like where, where I want to go with it. And when I'm home, I don't know what I want to accomplish.\", \"completion\": \"So thinking through an actual plan, like what you would say how long what the boundaries are, might might help you. \"}\n", "{\"prompt\": \"Yeah, regard. \", \"completion\": \"Okay. And then one final question on a scale of zero to 10. Zero being not ready at all. And 10 being extremely ready. How ready would you say you are to commit to taking some kind of brief break in the, let's say, the next couple of weeks.\"}\n", "{\"prompt\": \"I think an eight\", \"completion\": \"so pretty ready?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"And, and you've spoken to this already a little bit, I believe, but I'll ask you again, why an eight and not a one or two ?\"}\n", "{\"prompt\": \"because I know if I just let it drag out that I'm going to be miserable.\", \"completion\": \"So your sense of readiness is actually really connected to your motivation that is that this is something you know, that you need to do for yourself. And if you don't, things are not going to get any better. And that that makes you both motivated and even more ready. Well, why why an eight and not a ten?\"}\n", "{\"prompt\": \"That's, you know, scary. Change is hard and thinking about not being the woman I thought I was gonna marry that makes me sad.\", \"completion\": \"So your emotions, your sense of maybe sadness and in grief and disappointment around this detract from your sense of readiness and in some way\"}\n", "{\"prompt\": \"sort of giving up on a dream.\", \"completion\": \"Yeah, and so, another aspect to that to your whole experience says that you're you're grieving. The relationship isn't even over yet, but you're grieving the dream and the hopes that you had. And that's a that's a heaviness and certainly a factor and in what you do next?\"}\n", "{\"prompt\": \"yeah, \", \"completion\": \"well, if I could take just a moment and make sure I've captured and understood everything you've shared with me and I, I know this is really difficult to talk about. So I really appreciate you spending the time to share with me with with this has been like for you. You've been feeling stuck. And things were great for a while you had some hope that things were going to change and now you are realizing that Kelly's not going to change and that you are suffering in the process that you are really being kept from your aspirations and your dreams, in a lot of different regards. You know, that you need to make a change, you want to make a change, and you have a lot of mixed feelings about this change. You know, it's what you want to do, it's the right thing for you. And you still really care and love, Kelly. And you're also concerned, kind of on an outer level, about your business, about your community, about your family and your friends and how they may be affected by a breakup. In order to make this more manageable, you're thinking maybe in terms of smaller change, like taking a small break, as opposed to breaking off the relationship and you feel like you're pretty ready. You're somewhat You know, you're motivated. And then maybe a little less confident. But you also said that if you were able to maybe think through a concrete plan, that that might help you feel more confident. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"And that's certainly something that we could do together next time we meet if that's alright with you. I'd be happy to hear your ideas, maybe even share some suggestions with you about a possible plan.\"}\n", "{\"prompt\": \"That'd be great.\", \"completion\": \"Is that alright?\"}\n", "{\"prompt\": \"Yeah. Thank you.\", \"completion\": \"Thank you very much for your time. I really appreciate it.\"}\n", "{\"prompt\": \"I'm not too good man.\", \"completion\": \"Not too good?\"}\n", "{\"prompt\": \"Yeah. So something happened over this past week I was I was driving to my buddy's house and I forgot that my tags for my car is expired earlier this month. So I got pulled over for that and then I don't know why I did this but the cop asked to search my car and I was like, yeah, that's fine like whatever because he said he had two searches. This is getting towed. And I completely forgot that I had my junk bag in the trunk. So we opened the trunk and he was looking through the bag. So he found me he found everything. I had my weed in there at the bottom the pipe like all my pieces. So I got a, I got in trouble for possession. So I just I just want him to court and the judge offered me this decision. He said that I could either do two weeks of community service like about 80 hours, or I could pay $1,000 fine. And I'm trying to I'm really trying to figure out which one really which one would be better I guess, the both kind of suck but\", \"completion\": \"So you're struggling with the decision between two options you perceived as negative, right. \"}\n", "{\"prompt\": \"Right.\", \"completion\": \"Now we've discussed the marijuana usage before was just probably the root of this problem. Right?\"}\n", "{\"prompt\": \"Right.\", \"completion\": \"But it sounds like you didn't really want to explore change this time.\"}\n", "{\"prompt\": \"No, I mean, it's it's really not a problem like it's just they don't really want it problem is that I got caught like I'm doing good in school works fine. So obviously like marijuana is other than just going to court It has never been a problem.\", \"completion\": \"So let's focus on this decision then.\"}\n", "{\"prompt\": \"Right\", \"completion\": \"so the decision is between a couple weeks of community service what kind of community service?\"}\n", "{\"prompt\": \"just picking up crap inside of the road?\", \"completion\": \"Or $1,000 fine?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"And do you have the thousand dollars?\"}\n", "{\"prompt\": \"I do, but I have I got a vacation coming up and I definitely like I want to I want to keep the money for like a little little vacation we'd like do some, some fun stuff with my buddies. Definitely like I want to keep that money. But I mean, I also like the community service is like also kind of close to the vacation so I might have to like give up part of the vacation or to to do the two weeks so that I think that didn't really help my decision either.\", \"completion\": \"Do you see any value in either one of these options, which is all become negative?\"}\n", "{\"prompt\": \"I mean, really, like they both they both have the same negative, I guess like, like if I if I do the community service that I like, you know, I do get to keep the money. But I mean other hand, like if I keep the money, I'm doing community service, like I'm not gonna have all the time to spend the money. So it's now I mean, neither really have a positive and both the negatives are kind of equal to so it's it's kind of tough to choose.\", \"completion\": \"So let's talk about what's important to try to help you make this decision. Really what you're going to have to determine is, and what I want to explore is the importance of keeping the money. Right, because that's really what this comes down to. \"}\n", "{\"prompt\": \"Right.\", \"completion\": \"You You keep it and you do the service, or you spend it and you don't do the service?\"}\n", "{\"prompt\": \"right\", \"completion\": \"So you could you could say that it's about the importance of keeping the money rr you could say it's about the importance of avoiding the community service.\"}\n", "{\"prompt\": \"Right.\", \"completion\": \"So let's talk a little about that. What How would you say on a scale of one to 10, where 10 is very important. How would you scale keeping the money?\"}\n", "{\"prompt\": \"I mean, that's obviously pretty high. Like, I guess keeping the money, it'd be like a nine. Because if I, like if I, if I keep the money, obviously, I can, like use it for other other things. I'd say probably nine. \", \"completion\": \"So keeping in mind, that's, that's very important to you. \"}\n", "{\"prompt\": \"Right.\", \"completion\": \"So that scenario would be would lean more toward completing the community service.\"}\n", "{\"prompt\": \"Right. Yeah, I mean, I guess that's true. Like, I didn't think about it in that way, like if I if I give up the the two weeks of time, like, obviously that would suck, but like I have, I guess I have more of a choice of what to do with money compared to my time. You know, so I guess I could think about it that way maybe\", \"completion\": \"Well, let's look at the other side too. How important is it for you on a scale of one to 10 to avoid the community service? So we know it's a nine, right to keep the money?\"}\n", "{\"prompt\": \"right.\", \"completion\": \"How to avoid the community service ?\"}\n", "{\"prompt\": \"Maybe like, I guess maybe about a seven because the like the community service, I mean, it wouldn't be that bad. Obviously, like, it would be a waste of time. We're gonna have to do this crap work for for so long, but I don't know. Like, at least I know if I do the community service and it would be like done after this amount of time. You know, so I can I can always keep that in mind.\", \"completion\": \"So, as you're talking, it seems like you're leaning toward or maybe you're leaning toward completing the service. Even though you're not happy with either choice, right?\"}\n", "{\"prompt\": \"Right\", \"completion\": \"That might be the least objectionable.\"}\n", "{\"prompt\": \"Yeah, yeah. Yeah, I guess cuz I never like I never thought about scaling it like that way. So yeah, I think so. \", \"completion\": \"When do you have to make this decision by ?\"}\n", "{\"prompt\": \"by the end of the week So today's Tuesday, so I have like a couple of days to think it over.\", \"completion\": \"And you go back before the judge on Friday\"}\n", "{\"prompt\": \"on Friday, yeah. When I get the decision.\", \"completion\": \"Once you weigh some of the factors with the way this importance of the money versus doing the community service\"}\n", "{\"prompt\": \"right\", \"completion\": \"let's meet again just before maybe on Thursday. Okay, let's meet again Thursday. And just talk about it and take a look at your decision making process and making sure that you've made a decision that you can be most happy with. I know neither option is happy option for you. \"}\n", "{\"prompt\": \"Right\", \"completion\": \"They're one that's the least destructive for you the least negative for you\"}\n", "{\"prompt\": \"right\", \"completion\": \"That's sounds like a plan. ?\"}\n", "{\"prompt\": \"All right. Yeah, I think I can do that. Yeah, give me some more. \", \"completion\": \"Good, then I'll see there. \"}\n", "{\"prompt\": \"Yep, sounds good. \", \"completion\": \"Take care.\"}\n", "{\"prompt\": \"I'm doing well Maria.\", \"completion\": \"Doing well. Thanks for asking. What brings you into our agency today?\"}\n", "{\"prompt\": \"Well, I've really just been feeling kind of anxious every time I go to work.\", \"completion\": \"feeling anxious every time you go to work, what type of place to work.\"}\n", "{\"prompt\": \"I work just an insurance company, sort of an admin assistant.\", \"completion\": \"Work for insurance company and how long have you been feeling anxious? there?\"}\n", "{\"prompt\": \"Well, I've started a little over a year ago.\", \"completion\": \"Have you ever had anxiety like that? A previous employer or any other place?\"}\n", "{\"prompt\": \"Yeah, I would say when I've started new jobs or even in new academic environments, I would feel somewhat anxious. So\", \"completion\": \"this is somewhat familiar, exciting. Mm hmm. Tell me about things I,\"}\n", "{\"prompt\": \"um, well, it starts you know, when I wake up in the morning and get ready to go to work, even when I'm driving in, I just start to get anxious. And then once I'm there, I really just, you know, I go to work and I do what I'm supposed to do, but I try to keep to myself. You know, I don't really enjoy interacting with some of my co workers and\", \"completion\": \"what is it that happens when you try to interact with\"}\n", "{\"prompt\": \"um, I guess I just, I haven't really connected with any of them and I, I tend to worry about whether I'm doing my job right or if they like me, things like that. So it's just easier to stick to my my own office.\", \"completion\": \"Okay, so you have an office have separate offices. And you find yourself maybe isolating a little bit. Yeah,\"}\n", "{\"prompt\": \"I guess you could say that.\", \"completion\": \"So what is the what is your experience of anxiety when you're kind of? I'm sure there are situations and diaries, more or less have to interact with other people to limit your experience of anxiety.\"}\n", "{\"prompt\": \"You mean how I'm feeling or what type of situations that happens in?\", \"completion\": \"Well, let's cover both. Let's start with what type of situations triggers it\"}\n", "{\"prompt\": \"Okay, um, I guess whenever I'm in a big crowd, purchase with a bunch of coworkers. If we have meetings or they ask for my input on input on something, I tend to get nervous and I just wonder, you know, if I'm saying the right thing, and then that sort of makes me get nervous around them. And then when I start to feel nervous, I get some stomach pains. I really would prefer just to stop talking, stop the meeting. And then I get, you know, a little red and blush, as well, whenever we have meetings.\", \"completion\": \"Do you ever have a desire to leave? Like if you're in a group just to kind of exterior?\"}\n", "{\"prompt\": \"Oh, yeah, all the time. Um, I try not to because I don't want to do a bad job and I don't, you know, I don't want to perform poorly. But sometimes the anxiety just takes over a little bit, and I just would prefer to go back to my office and be by myself.\", \"completion\": \"And how distressing is this for you? I mean, obviously, you're here. So it must be some level of distress but how disruptive is it to your functioning?\"}\n", "{\"prompt\": \"Why would say I'm, you know, when I drive into work, you know, like it's I feel anxious every day and I've really just been thinking about leaving my job and finding something else where I can potentially even be more secluded and not have to go to meetings frequently or make presentations or anything like that.\", \"completion\": \"So meetings and presentations in particular trigger.\"}\n", "{\"prompt\": \"I was saying, Yeah, I would say so. Anything where a lot of people are looking at me more than a few, I guess you could say.\", \"completion\": \"Can you tell me a little bit more about the physical symptoms? You mentioned your stomach hurt, when you feel anxious? Is there any other any other symptoms going on? You could feel physically,\"}\n", "{\"prompt\": \"um, well, sometimes my palms will get sweaty, my face will get red or I'll get overheated. But mostly it's just some stomach pains leading up to you know, throughout the day, like if I'm thinking about what I have to do, that makes me anxious I'll start to get some stomach pains.\", \"completion\": \"So when these anxiety episodes are more intense, like when you when your stomach hurts, and you have other symptoms, Are you worried about it happening again? Like, are you worried that those symptoms are gonna occur again, that makes you have more symptoms?\"}\n", "{\"prompt\": \"I'm not always worried about it happening again. I mean, sometimes I can anticipate it happening. And I would like to avoid it. But I would say here and there, I would worry about getting the stomach pains or blushing in front of people, things like that, but it's not every time.\", \"completion\": \"Tell me about the meetings that you have. You mentioned that you have meetings you have to go to expected. How many people be in a typical meeting?\"}\n", "{\"prompt\": \"Well, it's a pretty small company, but I would say probably anywhere between five and 10. Most of them are above me though. their positions are above me So,\", \"completion\": \"so five to 10 how often these meetings scheduled\"}\n", "{\"prompt\": \"About once or twice a week regularly, and then sometimes we might meet more than that if something needs to be addressed.\", \"completion\": \"Right, so somewhat unplanned.\"}\n", "{\"prompt\": \"Mm hmm. And then some happen weekly. Okay.\", \"completion\": \"So for the ones that are planned, you get anxious in advanced welcome.\"}\n", "{\"prompt\": \"Oh, yeah, definitely. I mean, I think about it, as soon as I know, I always know it's coming. So I'm always thinking about, you know, the next meeting that I'll have to present at or how I'll have to contribute. And then I just sort of I think about it until it happens, and then it's a cycle.\", \"completion\": \"All right. So the meetings triggered, generally not being isolated in the office kind of triggers this anxiety. Right. But there's other times it sounds like we're not anxious when you're isolating the office. How would have hungry anxious now? \"}\n", "{\"prompt\": \"I'm not really when I'm by myself. I don't really feel anxious.\", \"completion\": \"So really, it's when you get up for work and start thinking about the work day, especially if they're meetings, right? That sort of starts to,\"}\n", "{\"prompt\": \"yeah, like if I have off work for a couple of days, I don't feel anxious at all. It's really just when I'm going to work when I know that I'm going to have to be talking to a lot of people or making presentations, things like that.\", \"completion\": \"So you suffer the anxiety advance of these plan meetings? How about the unplanned meetings? What's your experience of those?\"}\n", "{\"prompt\": \"Well, I mean, unplanned meetings, I, I don't really have a lot of time to think about them happening. But I would say even when I'm put on the spot and have to present anything or just even having a long discussion where a lot of people are looking at me or you know, listening to me for a long period of time, I would still say I get pretty anxious about that as well.\", \"completion\": \"So both really causing say that's really troubling if you're suffering\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"All right. What I'm going to do is because I'm going to schedule you to come and see a counselor here, okay? pi b, maybe later this week. Okay, that'd be okay. That'll work. So I'll take you out to the front. We'll get you scheduled will be treated later on this week. \"}\n", "{\"prompt\": \"Okay, great. \", \"completion\": \"What you told me it's been very helpful. I want to thank you for coming in.\"}\n", "{\"prompt\": \"I just feel like even when I'm in a room with 100 people that I'm still by myself and I want to have friends and I want to go out but I, I just feel alone No matter what I do, and when I'm at home I'm really unhappy and, and, and really lonely but I just can't be around anybody.\", \"completion\": \"Can I have you go back to this statement that you made? I just really feel alone No matter what I do Could You say that again for me a little slower.\"}\n", "{\"prompt\": \"I just because I used to have people calling me and\", \"completion\": \"I'm going to ask I'm just going to interrupt you gently again. Okay, and see if we can get you back to this moment. Where this loneliness is showing up. Could you just for me one time say I'm really feeling this loneliness.\"}\n", "{\"prompt\": \"I'm really feeling this loneliness\", \"completion\": \"Okay and just stay there. Just be aware of what your body's doing. Notice your hands. Notice the little shimmer as you breathe in. Notice the feel of the tears in your eyes and rolling down your cheeks. And let's just stay in this moment with this experience.\"}\n", "{\"prompt\": \"It's hard.\", \"completion\": \"Yeah, now notice Got your mind said that in this moment and you just took a deep breath. Stay with it for just another few moments. \"}\n", "{\"prompt\": \"Well, I really feel that \", \"completion\": \"I'm going to slow you down again. And just with the jet from a very gentle place, very gentle place ask you to stay and Notice that's all. Your breath As you observe yourself, can you feel it changing? You feel it move in and out. \"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"So what you notice here is that as a process, like you're experiencing an ongoing sense in each moment of sadness, your hands moving, tears rolling down your cheek. So one thing that your experience tells you is that you can stand it and it keeps changing. \"}\n", "{\"prompt\": \"Yeah. Well, I just feel really alone most of the time, and even when I'm with people, I'm still just so by myself and I feel like no one cares or even notices when I walk into a room.\", \"completion\": \"Well, so let's start there with no one noticing that you've walked into a room? \"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"what emotion comes up with?\"}\n", "{\"prompt\": \"I don't know, sadness.\", \"completion\": \"Are you feeling it now?\"}\n", "{\"prompt\": \"A little bit.\", \"completion\": \"So just stay with what you're feeling right now, even the little bit be present to that.\"}\n", "{\"prompt\": \"Well, it's like, I feel like I try a lot of the time really hard to, to make efforts bring people together. And even when I'm in a group and I'm formulating something that it's like the whole group ends up clicking except me, and I'm always on the outside of it.\", \"completion\": \"What other areas are you on the outside?\"}\n", "{\"prompt\": \"At work, I feel like we'll be having a meeting or something and I end up going into my head about something and then I'll miss the conversation and then everyone will start laughing and then you know, I will not have any idea what just took place \", \"completion\": \"For how long this has been a problem for you?\"}\n", "{\"prompt\": \"I don't know, it happens, it would happen in grade school playground stuff.\", \"completion\": \"So you could probably describe this all kinds of things about how this happens.\"}\n", "{\"prompt\": \"Oh, one the third grade, I tried to formulate this cheerleading group for this flag football that the boys did and I put the whole thing together and we went down to the field to present our new chairs and then the flag football guys, they really liked it but they said okay, we want to take everyone except you. And it was my idea. \", \"completion\": \"Right Right.\"}\n", "{\"prompt\": \"And I was bet one who ended up being on the outskirts again. And I really tried that time to\", \"completion\": \"so outskirts is really part of the problem being on the outskirts?\"}\n", "{\"prompt\": \"Okay, \", \"completion\": \"you're doing okay?\"}\n", "{\"prompt\": \"Yeah\", \"completion\": \"I understand your father budget today is a little worried about I might be feeling.\"}\n", "{\"prompt\": \"yeah. I mean, he's worried that I'm depressed, but I am not.\", \"completion\": \"Yeah, he had mentioned that you had some concerns about some things going on in a neighborhood and you call the police a few times. \"}\n", "{\"prompt\": \"He told you that?\", \"completion\": \"They told me about that.\"}\n", "{\"prompt\": \"Well, yeah, I mean, I had called I have called the police a few times because there's something going on in my neighborhood. And it's, yeah, makes me seem like I'm depressed but I'm not I just I'm concerned. about what's going on.\", \"completion\": \"sure you're not depressed, you're more concerned. So what's going on? We live it's misleading to these feelings.\"}\n", "{\"prompt\": \"Um, well, it's actually very scary, huh. There I know about. The government has been kidnapping girls in this area and taking them away for sex trafficking and prostitution.\", \"completion\": \"to boot the government is apprehending people in the area relive I know they are, you know they are \"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"And did you see things that's specifically led you to believe this?\"}\n", "{\"prompt\": \"Yeah, yes. So, there specifically were two girls that lived down the street. And I saw a man Come come down the street and The girls were taken. And that's when I initially called the police. But I found that they're in on it to the\", \"completion\": \"police are in on it too.\"}\n", "{\"prompt\": \"Yes. They tried to tell me that the girls were they're safe and where they're at, but I know they're not.\", \"completion\": \"So then they investigated what you saw. And they came back and told you that\"}\n", "{\"prompt\": \"they pretended to, \", \"completion\": \"they pretended to investigate. Yeah. And they came back and told you everything was okay. But you're not.\"}\n", "{\"prompt\": \"I know. I mean, I know it's a lie. Because, you know, I saw that I haven't seen a girl since like, I saw the girls on the street. The man came, the girls went out there. And they told me everything's fine. But I know there's a lie and I won't go back to the police again, because I know that they're now on it.\", \"completion\": \"They're in on the, what the government's been doing. So what do you think of your father's concerns with, he's concerned that you're, that you're down there depressed, and that your thinking hasn't been been clear? When you think about his concerns? \"}\n", "{\"prompt\": \"I mean I know he's, he's worried about me. But, you know, it's interesting to understand the severity of the situation. And, you know, it's hard. It's hard to sleep. I'm thinking about these poor girls. And, you know, it's the government, like, the government has cameras everywhere, and they can watch what I'm doing it all times. And it's, you know, it's exhausting. So I can see how he would think I'm depressed. Because, you know, I'm bored. I, you know, I'm not sleeping well, and I'm not eating because what if they poisoned my food? You know, they're poisoning water all the time. So, you know, it is scary and it is affecting anybody. It's not depression.\", \"completion\": \"You're not you're not depressed.\"}\n", "{\"prompt\": \"No I'm sad for those girls. And I'm scared for, for me and like what's going on? But, you know, I want to make sure that this doesn't happen again because you know, I can't let it happen. We can't let this continue. So that's, that's what's taking up my time right now.\", \"completion\": \"And how long has this been going on?\"}\n", "{\"prompt\": \"For a few months, a few months\", \"completion\": \"is that when you first saw what You what you believe to be in kidnapping\"}\n", "{\"prompt\": \"when I saw the kidnapping? Yes\", \"completion\": \"those few months ago? Were there any beliefs like this before? Two months?\"}\n", "{\"prompt\": \"I mean, yes. I've always been aware that the government you know, is probably up just to things that they probably shouldn't be and that they have access and abilities beyond, you know, the normal person. But after I saw the kidnapping, I had proof and so it's it's gotten worse because I feel like they know that I know.\", \"completion\": \"So you felt this way for a while, but seeing what you saw two months ago that made you more short?\"}\n", "{\"prompt\": \"Yes. Because now I have proof\", \"completion\": \"because I have proof Have you ever been treated for depression in the past?\"}\n", "{\"prompt\": \"Yes. My dad has taken me before when he was worried about me. But I, you know, it's never really been depression. It's always been something else. Like, I'm fine. I just, I'm aware of what's going on around me. And I don't think my dad understands that I don't think the places he takes me understands that. So what have the people at the places where he has taken, you know, what have they said about your condition? Um, you know, they, they try to say the same thing that you know, I'm depressed or whatever, but, you know, I know I know the truth and sometimes I just have to play along.\", \"completion\": \"Just play along with it.\"}\n", "{\"prompt\": \"Yeah, because, you know, this is what the government wants, they want me to look crazy. So there's nothing I can do about it.\", \"completion\": \"You think they want to discredit you?\"}\n", "{\"prompt\": \"Because if I if, you know, it's kind of like smearing my good name. They see me in and out of different agencies and appearing crazy. You know, obviously a lot of people don't believe the story they choose not to believe where they get paid off. And they write what they write on my file but it's not true. I'm just know what's going on.\", \"completion\": \"Because you know what's going on. That's what's led to all these occurrences. This is This has led to the symptoms.\"}\n", "{\"prompt\": \"Yeah, like lately Yeah. Like, you know, I haven't been asleep, you know, and, you know, I feel guilty about what's going on. Right. mean that I know and that, you know, I feel it's hard for me to help them, like with, you know, cameras everywhere and I came to the grocery store without being watched. And I know they're watching me so you know, I I do everything else was too, you know like I go to work I do the chores, because I have to make sure they see me going to work chores.\", \"completion\": \"So you see you kind of play along.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"All right. So do you ever have any thoughts related to death or dying or anything like that?\"}\n", "{\"prompt\": \"No. No, like I'm worried. No.\", \"completion\": \"You worried about what?\"}\n", "{\"prompt\": \"I mean. I'm worried about the government, you know, destroying My life, you know, but I don't want to die and I don't think they're going to kill me. I think that'd be too easy. And it would just be more proof.\", \"completion\": \"So there'll be more proof that the way you've seen this real\"}\n", "{\"prompt\": \"correct, because obviously I'm trying to tell people about it. And if I suddenly show up missing, like there, people are going to know. So I know that they're not going to hurt me, but they could make me look crazy and I'm worried about my life. Like them worried in my life.\", \"completion\": \"About that way. Hmm. How about any drug or alcohol? abuse? Right?\"}\n", "{\"prompt\": \"No, nothing. I dont like to use those things. All right.\", \"completion\": \"Any medical conditions?\"}\n", "{\"prompt\": \"No\", \"completion\": \"Has there ever been a time when you felt like really very happy, like how lotta energy it was very happy for several days.\"}\n", "{\"prompt\": \"Not really.\", \"completion\": \"That's never happened?\"}\n", "{\"prompt\": \"No.\", \"completion\": \"Okay. Have you ever heard or seen things other people can't hear or see.\"}\n", "{\"prompt\": \"I think that I'm aware of things that people but no like\", \"completion\": \"who'd been hospitalized before?\"}\n", "{\"prompt\": \"Yes. But again, it was I tried to initially tell my my dad about some things that I never knew about and he had taken me to the hospital but that was before.\", \"completion\": \"So, I would like to get him to talk to a counselor today. How do you feel about that?\"}\n", "{\"prompt\": \"So really necessary today like, Can I come back another day?\", \"completion\": \"I think it would be helpful for you. We had a counselor talk to you today.\"}\n", "{\"prompt\": \"Well, I understand that's what you need to do. So I guess that's what the you know, that's what we need to do to get this over with. That's fine.\", \"completion\": \"You can. you can be okay with that.\"}\n", "{\"prompt\": \"I can play along,\", \"completion\": \"you can play along. Sure. I want to thank you for answering these questions. I know this is a tough experience for you have a tough time with everything that's going on that you've described. So it's, it's been helpful for you to answer these questions for me. And I just need a couple minutes and I'll get you over to see a counselor and we'll kind of go from there. \"}\n", "{\"prompt\": \"Okay,\", \"completion\": \"thanks, Sherry.\"}\n", "{\"prompt\": \"Okay, how are you?\", \"completion\": \"Good. Thanks for asking. I understand you've come here today to the agency because you had a recent arrest.\"}\n", "{\"prompt\": \"Yeah, I got a DUI for being under the influence of alcohol, marijuana,\", \"completion\": \"alcohol and marijuana. How recently was this DUI? About a week ago? Okay, so what's been going on when that happened?\"}\n", "{\"prompt\": \"Um, well, I am going to have to go to courtsoon. And I know that I'm probably gonna have to go I'd like treatment or something like that, but I really just don't want to. So I just, I'm just coming here becauseI don't know maybe I can like get out of it if I'm gettingsome type of treatment. But yeah,\", \"completion\": \"get out of it. You mean get out of the charge?\"}\n", "{\"prompt\": \"Yeah. I mean, I feel like they're probably gonna make me like go to like rehab or something like that. And I don't want to do that.\", \"completion\": \"So you feel like you can get out of the rehab or two.\"}\n", "{\"prompt\": \"I don't know. I really am not sure.\", \"completion\": \"So at this recent arrest, you realize it may be a value to stop using which really don't want to Yeah, stuck there.\"}\n", "{\"prompt\": \"Yeah kind of\", \"completion\": \"when you drink Do you ever socialize the same time?\"}\n", "{\"prompt\": \"I mean sometimes I'll like go to bars and things like that but most of the times just like at my house\", \"completion\": \"alone so do the marijuana\"}\n", "{\"prompt\": \"yeah I mean I like a few people that are like smoke with but usually just kind of like by myself and myself every day so it was with people\", \"completion\": \"so it doesn't sound like you're really worried about losing your social support if you stop using now early sweetie losing\"}\n", "{\"prompt\": \"um this this alcohol and I want to take it for pain relief qualities Yeah. \", \"completion\": \"Any other reasons um\"}\n", "{\"prompt\": \"it's just easier\", \"completion\": \"forget about problems Yeah. So affects your mood in a positive way.\"}\n", "{\"prompt\": \"Yeah like I get like I like the feeling once I'm drunk\", \"completion\": \"Have you use since you had to do it?\"}\n", "{\"prompt\": \"Um, I haven't drank but I've as a situation. \", \"completion\": \"So you have the use it takes away pain for you to take swings xiety feels good. But then you have these consequences of the law. And you figure those two things out.\"}\n", "{\"prompt\": \"I don't know. I don't know if there is what was your wealth of knowledge. So like not as just\", \"completion\": \"You can imagine that. So it was a good the other side. Can you imagine having further it says law enforcement like more charges in the future.\"}\n", "{\"prompt\": \"I guess I hadn't really considered that.\", \"completion\": \"So you could kind of picture an outcome where you beat these charges or there's not a really heavy consequence. And you'll be more careful in the future.\"}\n", "{\"prompt\": \"I don't know. Yeah, I guess so.\", \"completion\": \"So with that thinking, you continue to use as you were, that you would take out the part that got you in trouble.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"First you have to get out of trouble this time.\"}\n", "{\"prompt\": \"Yep.\", \"completion\": \"So if you could have the pain and anxiety go away without the alcohol marijuana, would you continue to use it?\"}\n", "{\"prompt\": \"I just couldn't imagine\", \"completion\": \"So there's a social component here.\"}\n", "{\"prompt\": \"Yeah, a little bit. I drink mainly by myself just because all my friends work like nine five jobs. They don't drink every day. But I do. But like on the weekends, like all of my friends who I\", \"completion\": \"So even if you had no anxiety, no pain You'd have to give up at least those interactions with your friends. How would they respond if you went out with them? I didn't drink.\"}\n", "{\"prompt\": \"Um, they probably just like wouldn't understand it, because we all go out and we get like really drunk and\", \"completion\": \"So it'd be socially awkward. straining the relationships with your friends. So the quitting alcohol and marijuana like stopping use that doesn't seem like a good route for you\"}\n", "{\"prompt\": \"know.\", \"completion\": \"But then you have this distressing situation which is making you second guessed some of it.\"}\n", "{\"prompt\": \"Yeah, I mean, it's making me think that like, maybe I, I need to, like make a change. I just can't see that. That's the change I'm making. So\", \"completion\": \"you need to make some change. Yeah, but not the alcohol. Drugs.\"}\n", "{\"prompt\": \"Yeah, yeah.\", \"completion\": \"Something else could change.\"}\n", "{\"prompt\": \"Yeah, I don't know what but\", \"completion\": \"So you could reduce your usage, avoid driving and that might that might get you to your goal. Would that be enough usage to stop the anxiety of the pain?\"}\n", "{\"prompt\": \"Am I just not going anywhere ever? I might not drive as often\", \"completion\": \"So that strategy might not work. That's something you've been tossing around though, this idea of isolating a little bit more, and drinking a little less. Seems like all your options here kind of grim. Yeah, that's just that's just me doesn't seem that way to you too.\"}\n", "{\"prompt\": \"Now that I'm like\", \"completion\": \"talking through it, yeah.\"}\n", "{\"prompt\": \"I'd like don't think I have any choice really\", \"completion\": \"have any choice? What's going to happen is going to happen?\"}\n", "{\"prompt\": \"I don't know.\", \"completion\": \"All right. So let's start with the lead now. Pick up with me now. You don't want to make it bad impression in this whole court proceeding with a DUI. What do you think you could do that would make a bad impression?\"}\n", "{\"prompt\": \"Um, go to court drug\", \"completion\": \"I would do it.\"}\n", "{\"prompt\": \"Get another DUI in the meantime, that was not good either.\", \"completion\": \"So you want to avoid those behaviors for sure. So you know, for sure you don't want to have sex? Would it be acceptable those things anyway?\"}\n", "{\"prompt\": \"I mean, not really. I mean, I think I should avoid does not like drunk driving enough. Or maybe not during the day of my court date,\", \"completion\": \"So would you appreciate those skulls like avoiding those situations I go in the court truck\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Goals that you could get behind\"}\n", "{\"prompt\": \"I mean, I can try I guess to like think about it and Charlie get out now I'm gonna be stressed out ate my court date. It's gonna be hard to like not drink that day.\", \"completion\": \"You're not striking me as overly enthusiastic about this idea.\"}\n", "{\"prompt\": \"Now\", \"completion\": \"this is really tough for you is the outcome. The marriage laws are important. Yeah, this whole this book, do you I think it's really just encroached on something you had going on that you enjoyed. Yeah. So is this an inconvenience that you can move past or is this a major life with fat that is gonna change things\"}\n", "{\"prompt\": \"I don't know because I don't know any other like way around it then just dealing with it. I mean, if I like don't go to court or anything that's like a worn out for me like I can't, I can't avoid this situation.\", \"completion\": \"But if there's a condition of your treatment, the judge says no more drinking is no more marijuana period. We can see that that if you obey those rules or word, jail\"}\n", "{\"prompt\": \"now, I couldn't get to that. I know it possibly could probably well, but I was I don't know.\", \"completion\": \"I would think it almost certainly would have happened. Yeah.\"}\n", "{\"prompt\": \"I don't know what I'm gonna do.\", \"completion\": \"back a couple of steps. How long have you been using the alcohol marijuana?\"}\n", "{\"prompt\": \"For about like, six years, six years.\", \"completion\": \"Have you ever until now with the DUI, have you ever envisioned stopping? Now, what's your plan? Like pre d? Why was your plan and all this?\"}\n", "{\"prompt\": \"I just had dinner like the jerking kind of has gotten worse.\", \"completion\": \"Yeah. So without this or something you would have continued using?\"}\n", "{\"prompt\": \"Yeah, I didn't really have any like\", \"completion\": \"until now. Yeah. Could this be a strange way like an opportunity?\"}\n", "{\"prompt\": \"I mean, I guess if I had if I wanted to stop by this would be a way for me to stop or reason for me to stop.\", \"completion\": \"If you really wanted to stop because your stuff\"}\n", "{\"prompt\": \"I don't know.\", \"completion\": \"you could give a shot. You're just not sure you could. You could actually do it.\"}\n", "{\"prompt\": \"Yeah, I mean, I've never tried to before so I don't know.\", \"completion\": \" It's just unknown.\"}\n", "{\"prompt\": \"Yeah, yeah.\", \"completion\": \"So where do you want to go from here you have this to you, I imagine a hearing or some type of Coming up here to see me. What can I do to help you?\"}\n", "{\"prompt\": \"Um,\", \"completion\": \"like a like a place in terms of your thinking like your mentality.\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Okay, you want to work on that? Yeah. So between now I'm gonna see you again. Do you have any hearings or anything coming up? Now they're not for like a few more weeks, few weeks. So I'll see you again. And I have the IEP and everything here. second week. Let's pick up with that. They think changes we're hearing is moved up to slumping, okay. Okay. \"}\n", "{\"prompt\": \"Thanks for helping.\", \"completion\": \"Thank you.\"}\n", "{\"prompt\": \"Yes, Harris will be your doctor today. Well, let me just wash my hands really quick.\", \"completion\": \"Would you prefer Miss Bellamy or Pat's fine, great. Well, it's nice to meet you, Miss mom. Can you tell me why you're here today?\"}\n", "{\"prompt\": \"I have a terrible headache\", \"completion\": \"looks really bad. Um, is there anything else besides your headache that you want to address here today at the clinic? \"}\n", "{\"prompt\": \"No, \", \"completion\": \"Was there anything? Because what we can do is while we're talking and doing your history and physical, I will have my office Secretary look into it the insurance plan that you have. All right, so you don't have to worry about that. That's good. \"}\n", "{\"prompt\": \"Okay, sounds great. \", \"completion\": \"Um, is there anything else?\"}\n", "{\"prompt\": \"No, I just, this is just really bad. Okay.\", \"completion\": \"So what I'd like to do today and is let's let's take a look at what's causing your headache. I will go over history fiscal, and then we'll do our Ghana physical exam. And then we will look into your insurance policy and make sure that's all taken care of that sounds like a good plan. So that's\"}\n", "{\"prompt\": \"good. Perfect. Well, it started about three days ago and nothing has helped it's it's just laid me flat. I haven't been able to go to work. It's nothing helped. I, it's it's all over. I really bad when I move so I'm trying not to move too much and the light is bothering me alive. No.\", \"completion\": \"Can you tell me anything that makes it better?\"}\n", "{\"prompt\": \"Nothing's made it better. I took some Tylenol and Motrin, nothing. I just try not to move too much. All right.\", \"completion\": \"Is there anything that makes it worse?\"}\n", "{\"prompt\": \"Yeah, like movement and light. Okay. And it's just constant though there's you know, it doesn't it's just constant it's, it's all over. Okay.\", \"completion\": \"So if you had to rate on a pain scale, zero being no pain 10 being the worst pain you've ever had to 10\"}\n", "{\"prompt\": \"I've never had a headache like this. Okay,\", \"completion\": \"yeah, that sounds really bad. Now as far as radiation doesn't move, doesn't that you said the head. The pain is all up front. He is kind of all over. Okay?\"}\n", "{\"prompt\": \"But it also I've got this shooting pain down my neck and my neck is very stiff. Okay?\", \"completion\": \"as far as in the in the timing you said that started three days ago music uses constant yeah\"}\n", "{\"prompt\": \"it It started gradually but once once it got there it's it hasn't gone away it doesn't get better doesn't get worse it's just the same. Okay\", \"completion\": \"so do you what I want to get is your perception of what you think is going on.\"}\n", "{\"prompt\": \"I just I can hardly think it's so painful. I just because it's so bad I was afraid. I knew neighbor had a headache and ignored it. Last year and he suddenly started having seizures and it turns out he had a brain tumor. So I thought I just should come in and\", \"completion\": \"I can understand your concern.\"}\n", "{\"prompt\": \"I can't go to work. I can't do anything. Yeah.\", \"completion\": \"So it sounds like it's really impacting your life. \"}\n", "{\"prompt\": \"Yeah, I can't okay.\", \"completion\": \"If it's okay, I would like to go some talk about a little bit about your medical history and your social history. All right. Can you tell me as far as your medical history have you have any medical conditions I should be aware of.\"}\n", "{\"prompt\": \"Not I was diagnosed with high blood pressure about three years ago, but we have been addressing it with diet changes, and it's controlled and monitored. Yeah, I go in. yearly, I had been just in it's been well controlled. So okay, I haven't been on Medicaid. For that, other than that, I haven't had any problems.\", \"completion\": \"Okay. Any surgical history?\"}\n", "{\"prompt\": \"No.\", \"completion\": \"Any hospitalizations?\"}\n", "{\"prompt\": \"No.\", \"completion\": \"All right. In You said your own medicine you're taking was telling all my training.\"}\n", "{\"prompt\": \"Yeah. \", \"completion\": \"And they didn't help you? Okay. Just wanted to verify. Given a drug allergies, \"}\n", "{\"prompt\": \"no.\", \"completion\": \"Okay. What about family history? Do you have any medical history of headaches or in my family right now?\"}\n", "{\"prompt\": \"You know, my mom said she used to get migraines when she was in her 20s and 30s. Okay, but I don't remember her saying anything else about it. My sister. I have one sister. She's She's healthy. My dad. He has high blood pressure other than that he's healthy. And that's about it. I don't have any kids. \", \"completion\": \"All right. I'm sorry. I would like to ask you some social history questions that just for the record. Records. Do you smoke?\"}\n", "{\"prompt\": \"Yeah, I do.\", \"completion\": \"Okay. Is it cigarettes or?\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"Okay. And how much do you drink?\"}\n", "{\"prompt\": \"I don't drink.\", \"completion\": \"Okay. Um, also, Are you married? \"}\n", "{\"prompt\": \"Yeah. married.\", \"completion\": \"Okay. And children?\"}\n", "{\"prompt\": \"No.\", \"completion\": \"Okay. And just some, some just some additional questions is looking at your kind of GYN history. Are you last menstrual period? \"}\n", "{\"prompt\": \"Okay. I'm in menopause. \", \"completion\": \"So going back into the history again, have you You said your mom had migraines earlier on. Have you been around and no other you haven't been nauseous or have you been?\"}\n", "{\"prompt\": \"Yeah, I've been I've been nauseous\", \"completion\": \"Okay\"}\n", "{\"prompt\": \"actually a week ago I was in North Carolina for a family reunion, okay. And there was a four year old who was sick there. I don't know what they had, but they, I guess I guess they ended up taking them into emergency.\", \"completion\": \"So let me just summarize to make sure I've got everything straight so far is started an onset of a severe headache about three days ago. It's worse with movement and light really makes it hurt bad. It's a 10 out of 10 pain and you're also complaining of a stiff neck with that?\"}\n", "{\"prompt\": \"Yes\", \"completion\": \". It came on gradually and it's been constant pain in the frontal area. medical history you're on hyper you have high blood pressure, but that's controlled with diet. No surgical history. No really has The pain though isn't really impacting your day to day living daily life. You tried to Tylenol, Motrin, it didn't help otherwise no medications. You've got the family history of your mom with migraines. Otherwise your family is healthy. Yeah. You smoke about a half a pack a day. Do don't drink. And then you were you said you took a trip about a week ago? Two weeks ago?\"}\n", "{\"prompt\": \"Yeah.\", \"completion\": \"Okay.\"}\n", "{\"prompt\": \"Yeah, I was in North Carolina. \", \"completion\": \"All right.\"}\n", "{\"prompt\": \"I've just never had this kind of pain before.\", \"completion\": \"Okay\"}\n", "{\"prompt\": \"people your age, it's very different for this generation who do have a lot of it figured out. So, if I asked you, how would you describe yourself, and it can be on any dimensions, how would you describe yourself?\", \"completion\": \"How do you know that?\"}\n", "{\"prompt\": \"Yes.\", \"completion\": \"Okay. It would be good for me just to stop and ask you what, what is your ethnic and racial background? \"}\n", "{\"prompt\": \"My father's of Latino descent mother's African American, okay.\", \"completion\": \"So after that encounter nets, third grade, your dad goes, he's Latino. Goes to pick up your report card and to pick you up. How are you treated differently after that?\"}\n", "{\"prompt\": \"Well, the next day I went to school at a note embed They staple it to show. So when I got home, of course, my mother had to know, they went to parent teacher conference. And when we got there, I was actually the room. And when I got the gist of it, I told my parents how me being mixed race ways to learn or by having two different parents at the time could be a bad thing for me, because I went to a predominantly African American but he's obese something so like, you know, apples and oranges don't mix. You know, Black Black Black History Month came around. And you know, you had a chance to pick some who wants to be a pick Harriet Tubman. No, and I was like, Oh, you're not black enough to be her and they had pictures on the wall. And look at her. She's black. You know what, when you put black paint on your face, and you don't always like to be a slave and things like that. So it became up. I wasn;t hurt and it was I didn't understand that.\", \"completion\": \"And I'm sure none of it hurt at that point.\"}\n", "{\"prompt\": \"I don't think it was. I just didn't understand what a pity party No, but at times, but it just sort of get to yours because there's age where the kids get sort of meaner about the teasing and aren't really even High School thinking. High School, the same thing came up, just put in a Cinco de Mayo. And of African American students are probably one of the Latino students had a problem with it's when I'm caught in the middle.\", \"completion\": \"Yeah. I do you think she's emotionally guarded. Um, I think she'll speak to that later in the session. You know, so it says I think there have been injuries. Some of which I'm going to guess really are related to the the race pieces that she's experienced where she has felt judged under scrutiny and it just keeps repeating herself and it's separate from competitors. Man accomplishments and so there is a guardedness and there is a sensitivity and the guardedness is her way of protecting some of her vulnerability. Okay, let's move on to\"}\n", "{\"prompt\": \"Such as the police interview that\", \"completion\": \"Yeah, it's hard \"}\n", "{\"prompt\": \"like to go into so much detail. Yeah.\", \"completion\": \"just just just come back to me just come back to the room a little bit. Can you just look up, look up, look up at me. We'll call out I still have can check it out.\"}\n", "{\"prompt\": \"Brown,\", \"completion\": \"good events trying to get you back back into the room with me. Okay, so just look around the Can you see me this painting that's up here? What do you say to me other paintings? \"}\n", "{\"prompt\": \"Oh, yeah. Yeah, cool. Okay. \", \"completion\": \"I just want you to catch this for me so we can throw it back to me. Okay, this fell back to me I see that's a good good start back to me. Good Practice saving stay here and stay here in the room with me here. Yeah. And also get your character on that's it. Okay, so just just want you to just to keep in the room with me a bit and sometimes it's a bit bit stressful and overwhelming. Okay, but we're still connected. Okay, you're back there. Okay. How you feeling? completely understand why things are really, really tough at the moment. And that sort of conversations with a place in town could be very stressful for you. \"}\n", "{\"prompt\": \"Yeah. I get Yeah. \", \"completion\": \"So maybe a feeling now, where you are? Yeah. Okay, so maybe just want to keep talking. Just remember that we're connected. Okay. And you're here with me. Yeah. Yeah. So tell me a little bit more. So your mom came to, to the to the statement?\"}\n", "{\"prompt\": \"Oh, yes. So um, so mom was with me. Yeah. They came over. And they were two detectives. Yeah. And they, yeah, they just wanted to know everything and it took like hours.\", \"completion\": \"And how are you feeling now after you've done it all? It was really understandable. It's completely, you know, understandable that sometimes it's difficult to talk. And sometimes you can afford back to tough times. Yeah. So we just keep talking. I would keep talking like this\"}\n", "{\"prompt\": \"Such as the police interview that\", \"completion\": \"Yeah, it's hard \"}\n", "{\"prompt\": \"like to go into so much detail. Yeah.\", \"completion\": \"just just just come back to me just come back to the room a little bit. Can you just look up, look up, look up at me. We'll call out I still have can check it out.\"}\n", "{\"prompt\": \"Brown,\", \"completion\": \"good events trying to get you back back into the room with me. Okay, so just look around the Can you see me this painting that's up here? What do you say to me other paintings? \"}\n", "{\"prompt\": \"Oh, yeah. Yeah, cool. Okay. \", \"completion\": \"I just want you to catch this for me so we can throw it back to me. Okay, this fell back to me I see that's a good good start back to me. Good Practice saving stay here and stay here in the room with me here. Yeah. And also get your character on that's it. Okay, so just just want you to just to keep in the room with me a bit and sometimes it's a bit bit stressful and overwhelming. Okay, but we're still connected. Okay, you're back there. Okay. How you feeling? Yeah,\"}\n", "{\"prompt\": \"okay. Yeah, really, it was really hard. Talk about that stuff.\", \"completion\": \"completely understand why things are really, really tough moment. And that sort of conversations with a place in town could be very stressful for you. Yeah. I get Yeah. So maybe a feeling now, where you are? Yeah. Okay, so maybe just want to keep talking. Just remember that we're connected. Okay. And you're here with me. Yeah. Yeah. So tell me a little bit more. So your mom came to, to the to the statement?\"}\n", "{\"prompt\": \"Oh, yes. So um, so mom was with me. Yeah. They came over. And they were two detectives. Yeah. And they, yeah, they just wanted to know everything and it took like hours.\", \"completion\": \"And how are you feeling now after you've done it all?\"}\n", "{\"prompt\": \"Like, I'm glad it's over and done with. I didn't realize how hard it would be to talk about it. Yeah, yeah. For some reason I was thinking it was. It was all over and done with no. Yeah. Okay, now\", \"completion\": \"it was really understandable. It's completely, you know, understandable that sometimes it's difficult to talk. And sometimes you can afford back to tough times. Yeah. So we just keep talking. I would keep talking like this\"}\n", "{\"prompt\": \"I think I want to eat healthy. I want to completely cut out fast food. I want to have more set meals and I just want to eat healthy food. Okay. I think I at least needs to go to the grocery. Okay. \", \"completion\": \"Is that something that you haven't been doing?\"}\n", "{\"prompt\": \"I know it's uncomfortable. Because it sucks like this therapy is just like a not getting anywhere. Like it's just not like doing anything. So yeah, it's like it's uncomfortable to talk about because it's like I don't know.\", \"completion\": \"My sense is that you're trying to say something and then you just kind of almost like gave up there.\"}\n", "{\"prompt\": \"Well, what I'm trying to talk about and I don't know what else like you want me to do. I told you that I'm not good. I'm getting something out of therapy. I feel like I'm being very clear, but I guess I'm not.\", \"completion\": \"Are you feeling angry at me?\"}\n", "{\"prompt\": \"I mean, I'm feeling angry that the therapy isn't working. Like I've been saying. I'm feeling angry that like, I'm still in the place that I'm in. Even though I've been trying. I'm like, just feeling like, I'm feeling like pissed in general, you know? \", \"completion\": \"Right. So, you know, I understand that you're pissed in general. But are you angry at me? I mean, it sounds to my senses here that you're feeling angry at me right now. If you are. I really want to know about it.\"}\n", "{\"prompt\": \"Well, I mean, I guess there is a part of me that's like a little. Yeah, a little angry. That you're not the Helping me. I came is there because I wanted to feel better. And yeah, I mean, I guess I am feeling angry that that's not like what I'm getting from you even though that's what I what I'm trying to get. So\", \"completion\": \"yeah, you're sounding really exasperated to me. How does it feel to tell me about this?\"}\n", "{\"prompt\": \"It feels hard. I mean, the feels hard to say that I'm angry. It's like not a feel it's not a comfortable thing to say or not a comfortable thing to feel. It's just like makes me like\", \"completion\": \"Okay, so I want to push you too hard. But can you say any more about that while you're what's uncomfortable bother. So I mean, I do understand that it's uncomfortable. I mean,\"}\n", "{\"prompt\": \"it's not something I would like ordinarily say to someone that I'm angry at them, so feels like, I feel like I'm kind of anxious now like even saying, like, I don't want you to think I just like that. It's like your fault. It just like feels like I'm like, that's something I'm really not supposed to say.\", \"completion\": \"So, I mean, part of it sounds like is you're concerned that I'm going to feel like you're blaming me.\"}\n", "{\"prompt\": \"Really? I guess. I don't want to do that. But yeah. Yeah. It is hard to feel like this. I feel like I'm alone in this therapy that like, I've been coming here and trying and I'm just not like getting anything from you. Okay, so that\", \"completion\": \"sounds really important, right? It sounds like you're you know, it's hard to say this. But you're you know, you're feeling angry of the maybe you feeling disappointed? You're feeling all alone. Yeah, like you can't even really talk with me about this.\"}\n", "{\"prompt\": \"Yeah, feels really hard and I want to be able to.\", \"completion\": \"Okay.\"}\n", "{\"prompt\": \"I'm still feeling a little anxious, but I mean, I think it's better feels better that it's like out there. I guess that I'd like said it and I think maybe that helps. \", \"completion\": \"Okay, so let's so at least it's out there. Right.\"}\n", "{\"prompt\": \"I don't want to talk to you anymore. You're all the same. All of you. I have been wasting my time wasting my time. You're all, you're all the same. All you guys are exactly the same. You asked me to come in and just, I don't want to talk to you anymore because I come in here and I talk and I talk and I talk and talk and I don't get anything out of it. You're all the same.\", \"completion\": \"When you say,\"}\n", "{\"prompt\": \" You are all of you, all of you all therapy,\", \"completion\": \"Okay, I mean, I'm having a couple three reactions to what you're saying. I mean, one is that you're saying you're all the same and\"}\n", "{\"prompt\": \"we're all the same. You're all the same. In the for you guys. Nothing is working. Right. Nothing is working.\", \"completion\": \"I mean, I'm feeling just lumped in with everybody else right now. \"}\n", "{\"prompt\": \"Well, you are because you're all the same. Of course, you're lumped in with everybody. I'm not gonna single you out. Not gonna make you you know, single you out because you're not doing anything. You don't do anything. There's all this abstract metaphysical stuff and there's no concrete. This is the way to fix it. This is the goal. There's nothing so what's the point?\", \"completion\": \"I mean, it's there's something specific right now that I could say or do that that would fill, give you what you're wanting or need.\"}\n", "{\"prompt\": \"How do I, how do you how do I go from point A to point B? How do I get better? How do I fix what's going on? I mean, that's the reason I came here. Right? I thought there was a reason I came here is to fix things. make things better.\", \"completion\": \"So you want sort of a, like a kind of, sort of like step by step description of\"}\n", "{\"prompt\": \"what something I need something to grab onto something to hold something Grab onto Yeah.\", \"completion\": \"Yeah. See, my sense is that you know, that you sort of desperately want something to grab on to, to get to give you some sense of hope. And, and I really want to be able to, you know, to give you something but but it feels like there's something about the kind of intensity of your, of your sort of demand or play right now. Which, which makes it difficult for me to really sort of respond in a way that's going to give you what you need. Or, you know, a better way of putting it is, you know, have a sense that the kind of thing that you want or needing or needing has to kind of come out of an organic process between the two of us and there's something about the sort of intensity of your desperation with Which makes it difficult for you to really be open and receptive to whatever I have to give\"}\n", "{\"prompt\": \"just the way I am I always come out like that I always sway I get things. So the only way I get that's the only way I know how to be. I come out one of two ways. I come out either full, full throttle, just full, full tilt, just come out and just do it that way or I don't do anything at all. So it's like I one way and it's not good enough and on the other way and it's not good enough so \", \"completion\": \"so it's like\"}\n", "{\"prompt\": \"damned if you do damned if I do damned if I don't. If I go one way at everybody, it you know it doesn't seem to make a difference one way or the Other and then if I'm just quiet and you know, just fall in with the crowd, it doesn't matter either. So\", \"completion\": \"it sounds like it feels like you only have two choices, right that you can you can either approach the situation kind of on the attack, you know with with both guns blazing. It's a good way to describe\"}\n", "{\"prompt\": \"it both guns blazing.\", \"completion\": \"Right or or the alternative is to kind of go along and compromise yourself in some way. Right. Right. Have those two which, which feels better, which feels worse?\"}\n", "{\"prompt\": \"Well, the bulk guns blazing always feels better because if I go at somebody with with, you know, full force and, you know, hit them over the head, you know, and just and just go at them. Even if they turn away, it doesn't really matter. Because I've already sent my face and so when I say, but if I don't say anything, I just sit back and don't do anything, then it just gets me as angry as the full guns blazing. So it just they eats me up, but it eats me up in here and I get even angrier than if I just blurt it all out and get it all out.\", \"completion\": \"Right. Yeah, I can imagine that right that right, if you end up you know, at least if you're going in there with with both guns blazing, there's a way in which you can kind of feel okay about yourself in some way, even though you're not getting your needs met. Right. But somehow they're, you know, sort of giving in, it's like you're giving away part of yourself in some way. So, I mean, you know, it seems to me that the you know, the dilemma is that you have no good way of getting your needs met right now, right. You sort of desperately need Something right, but a middle ground. There's no middle ground. Okay. So, you know, I'm not sure exactly what that middle ground is right now. But I'm willing to work with you to, you know, to really work on discovering what that middle ground is. Does that does that seem worthwhile?\"}\n", "{\"prompt\": \"I have to have to find a middle ground.\", \"completion\": \"Okay, but what are you feeling right now?\"}\n", "{\"prompt\": \"Just it bothers me. I can't go one way or the other. It's like, try to do one thing. You can't do it and try to the other way. Can't do it. Just I'm just stuck.\", \"completion\": \"There's a real kind of sadness there.\"}\n", "{\"prompt\": \"yes\", \"completion\": \"Look at me. The sense of what's what's going on for us? It sounds as if here. You're asking for something. Yeah.\"}\n", "{\"prompt\": \"I need something I can't get myself.\", \"completion\": \"Yeah. Yeah, I, you know, I hear that I hear the, you know, you're sort of desperation and I hear your sadness and your pain and your hopelessness. You know, when I'll do my best to help you\"}\n", "{\"prompt\": \"In one day, and none of them worked and it was so it was so frustrating because I took so much time out of my work to go and I still couldn't find an appropriate placement for her\", \"completion\": \"my advice would be for you or your daughter to at least and a week at the program.\"}\n", "{\"prompt\": \"Again she needs to get the feel no we can't do that I there there's no way I can take her I can't I couldn't drag her back there. Either any of those programs.\", \"completion\": \"So what are you looking for?\"}\n", "{\"prompt\": \"I need your help to find a program that fits her\", \"completion\": \"if I give you three more programs, Will that work? \"}\n", "{\"prompt\": \"But But what if they don't work? How about if I\", \"completion\": \"need to give it a chance you need to go and visit again.\"}\n", "{\"prompt\": \"I know\", \"completion\": \"at least whenever out of your busy schedule,\"}\n", "{\"prompt\": \"I actually came across a program, which is perfect for her. And I really would like for you to help me see if this could work. And I'd rather for you to try to do that instead of me shopping around for other programs because so far the ones that have been offered me have not worked.\", \"completion\": \"So the program that you're interested, you want me to go with you or you want me to, I want you to want me to do\"}\n", "{\"prompt\": \"I want you to see if, if, if I could choose that program instead of one or the others that you have offered.\", \"completion\": \"Okay, well looking at my schedule, it probably won't be until maybe two weeks my schedule is pretty much tied up. The case just got transferred to me so I'm not very familiar with your situation.\"}\n", "{\"prompt\": \"Right? I will. My daughter is 17 years old, okay. She she's actually very high functioning thankfully. And, you know, I went to three of these programs. And none of them worked.\", \"completion\": \"So you're looking, you're looking for a day program, right? And something that really was good for your daughter.\"}\n", "{\"prompt\": \"Right. Right. And, I mean, I was looking for a program that would stimulate her, you know, that would that she really enjoy going to, but, I mean, they were either like babysitting programs or they were just participants were all at like, different developmental levels so that she couldn't really she could make friends. Yeah, they were they were not not good for her.\", \"completion\": \"You while you were there, it was difficult. Your daughter didn't really kind of fit in or connect with anybody while you were visiting.\"}\n", "{\"prompt\": \"no, she did not she. She just there just wasn't that that sense of like, that common commonality, you know, just there was no, no basis for like friendships there were there were there were some young people there who are like screaming, yelling and who are talking to them. And she didn't know how to engage. \", \"completion\": \"And so so just there wasn't when when you visited they didn't sort of the program didn't help you to connect cert help your daughter to connect to anything that was going on that you were just sort of viewing it.\"}\n" ] } ], "source": [ "!cat ../data/combined.jsonl" ] }, { "cell_type": "code", "execution_count": 21, "metadata": {}, "outputs": [ { "name": "stdout", "output_type": "stream", "text": [ "Analyzing...\n", "\n", "- Your file contains 6162 prompt-completion pairs\n", "- All prompts end with suffix ` ->`\n", "- All completions end with suffix `\\n`\n", "\n", "No remediations found.\n", "\n", "You can use your file for fine-tuning:\n", "> openai api fine_tunes.create -t \"data/combined_prepared.jsonl\"\n", "\n", "After you’ve fine-tuned a model, remember that your prompt has to end with the indicator string ` ->` for the model to start generating completions, rather than continuing with the prompt. Make sure to include `stop=[\"\\n\"]` so that the generated texts ends at the expected place.\n", "Once your model starts training, it'll approximately take 1.45 hours to train a `curie` model, and less for `ada` and `babbage`. Queue will approximately take half an hour per job ahead of you.\n" ] } ], "source": [ "!openai tools fine_tunes.prepare_data -f 'data/combined_prepared.jsonl'" ] }, { "cell_type": "code", "execution_count": 22, "metadata": {}, "outputs": [ { "name": "stdout", "output_type": "stream", "text": [ "Upload progress: 100%|████████████████████| 1.82M/1.82M [00:00<00:00, 1.54Git/s]\n", "Uploaded file from data/combined_prepared.jsonl: file-EyLMPb2fT8LN7KSMsAHzPTLn\n", "Created fine-tune: ft-kiHFJXLsoUuiSyoI82NJxkkW\n", "Streaming events until fine-tuning is complete...\n", "\n", "(Ctrl-C will interrupt the stream, but not cancel the fine-tune)\n", "[2023-02-03 17:18:14] Created fine-tune: ft-kiHFJXLsoUuiSyoI82NJxkkW\n", "[2023-02-03 17:18:51] Fine-tune costs $4.65\n", "[2023-02-03 17:18:51] Fine-tune enqueued. Queue number: 7\n", "\n", "Stream interrupted (client disconnected).\n", "To resume the stream, run:\n", "\n", " openai api fine_tunes.follow -i ft-kiHFJXLsoUuiSyoI82NJxkkW\n", "\n" ] } ], "source": [ "!openai api fine_tunes.create -t \"data/combined_prepared.jsonl\"" ] }, { "cell_type": "code", "execution_count": 3, "metadata": {}, "outputs": [ { "name": "stdout", "output_type": "stream", "text": [ "[2023-02-03 17:18:14] Created fine-tune: ft-kiHFJXLsoUuiSyoI82NJxkkW\n", "[2023-02-03 17:18:51] Fine-tune costs $4.65\n", "[2023-02-03 17:18:51] Fine-tune enqueued. Queue number: 7\n", "[2023-02-03 17:27:59] Fine-tune is in the queue. Queue number: 6\n", "[2023-02-03 17:32:22] Fine-tune is in the queue. Queue number: 5\n", "[2023-02-03 17:33:27] Fine-tune is in the queue. Queue number: 4\n", "[2023-02-03 17:34:33] Fine-tune is in the queue. Queue number: 3\n", "[2023-02-03 17:35:37] Fine-tune is in the queue. Queue number: 2\n", "[2023-02-03 17:35:37] Fine-tune is in the queue. Queue number: 1\n", "[2023-02-03 17:35:38] Fine-tune is in the queue. Queue number: 0\n", "[2023-02-03 17:36:39] Fine-tune started\n", "[2023-02-03 17:44:38] Completed epoch 1/4\n", "[2023-02-03 17:51:56] Completed epoch 2/4\n", "[2023-02-03 17:59:15] Completed epoch 3/4\n", "[2023-02-03 18:06:34] Completed epoch 4/4\n", "[2023-02-03 18:06:53] Uploaded model: curie:ft-personal-2023-02-03-17-06-53\n", "[2023-02-03 18:06:54] Uploaded result file: file-HsEtFpxPMIwe8i8hmTXU81FT\n", "[2023-02-03 18:06:54] Fine-tune succeeded\n", "\n", "Job complete! Status: succeeded 🎉\n", "Try out your fine-tuned model:\n", "\n", "openai api completions.create -m curie:ft-personal-2023-02-03-17-06-53 -p \n" ] } ], "source": [ "!openai api fine_tunes.follow -i ft-kiHFJXLsoUuiSyoI82NJxkkW\n" ] }, { "cell_type": "code", "execution_count": 8, "metadata": {}, "outputs": [ { "name": "stderr", "output_type": "stream", "text": [ "[nltk_data] Downloading package stopwords to /Users/lsacy/nltk_data...\n", "[nltk_data] Package stopwords is already up-to-date!\n" ] } ], "source": [ "import nltk\n", "nltk.download('stopwords')\n", "from nltk.corpus import stopwords\n", "stpwrds = set(stopwords.words('english'))" ] }, { "cell_type": "code", "execution_count": null, "metadata": {}, "outputs": [], "source": [ "def clean_text(text):\n", " new_text = [word for word in text.split(\" \") if word not in stpwrds]\n", " return \" \".join(new_text)\n", "\n", "# clean the data ?\n", "# cleaned_data = [clean_text(text) for text in combined_data]" ] } ], "metadata": { "kernelspec": { "display_name": "chatbot", "language": "python", "name": "python3" }, "language_info": { "codemirror_mode": { "name": "ipython", "version": 3 }, "file_extension": ".py", "mimetype": "text/x-python", "name": "python", "nbconvert_exporter": "python", "pygments_lexer": "ipython3", "version": "3.8.15" }, "orig_nbformat": 4, "vscode": { "interpreter": { "hash": "9798c78c52b861f9442ea63a21901b586ae2f2169fa92d94b4091cc5bab62e04" } } }, "nbformat": 4, "nbformat_minor": 2 }