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22_12
Mm. Because even though it's important to you, maybe they don't know it's important to you.
reflection
communication behavior
22_14
Is that what you're saying? Yes?
question
communication behavior
22_16
And you want them to know?
question
communication behavior
22_18
Uh-huh.
other
communication behavior
22_20
Okay.
other
communication behavior
22_22
Okay.
other
communication behavior
22_24
Uh-huh.
other
communication behavior
22_26
Right. So, right now, it really is important to you to put the family values first? And religion is still very important to you, but you feel like maybe you're losing faith a little bit?
reflection
communication behavior
22_28
Uh-huh.
other
communication behavior
22_30
Because you know that other people experience it too.
reflection
communication behavior
22_32
So, you know it's normal.
reflection
communication behavior
22_34
But sometimes it's not something that people talk about.
reflection
communication behavior
22_36
Especially in the church.
reflection
communication behavior
22_38
Mm-hmm.
other
communication behavior
22_40
Yeah.
other
communication behavior
22_42
And it sounds like right now you're at a place of acceptance about that also.
reflection
communication behavior
22_44
Uh, that it's okay with you, and you-you know that it's gonna change because that's been your, uh, experience.
reflection
communication behavior
22_46
You've done numerous values clarification handouts and every time they're different-
reflection
communication behavior
22_48
-so you know that it's going to change.
reflection
communication behavior
22_50
And you accept that?
question
communication behavior
22_52
Mm-hmm.
other
communication behavior
22_54
Mm-hmm.
other
communication behavior
22_56
Yeah.
other
communication behavior
22_58
Yes.
other
communication behavior
22_60
I really applaud you for being open-minded enough to realize that where you are now is not necessarily where you are, that you don't have to always have it be the same.
other
communication behavior
23_0
Hi, Hannah. Nice to meet you.
other
communication behavior
23_2
So I understand that you were referred to me by your GP because you've been experiencing some anxiety difficulties.
other
communication behavior
23_4
Okay.
other
communication behavior
23_6
Okay. Is this the first time that you've left home?
question
communication behavior
23_8
Okay. So it has been quite a big step and a big change and it sounds like that that was what led you to go to your GP.
reflection
communication behavior
23_10
So how has that, uh, changed things for you?
question
communication behavior
23_12
Okay. So how do you feel about being here today?
question
communication behavior
23_14
Okay. So you'd, you're feeling a little bit anxious about today.
reflection
communication behavior
23_16
Okay. So I guess just going back to why you went to the GP and how you've ended up kind of coming here today. So it sounds like you've been experiencing anxiety for quite a few years. Um, but just recently you moved out of home for the first time and, um, and that was what kind of led you to go to the GP. So how did that change things? How were things after you moved out?
reflection
communication behavior
23_18
Okay. So what other kinds of difficulties that you have been experiencing?
question
communication behavior
23_20
Okay. So you said that, um, your difficulties are getting in the way of you doing certain things. So they're, they're stopping you from taking up kind of certain types of work and as a freelance photographer, I guess that- that can be kind of a problem. And they're also stopping you or you feel like it's stunting you, uh, socially. You're not kind of able to make new friends and get to meet new people.
reflection
communication behavior
23_22
So you're kind of worried about how, where this is going to lead to.
reflection
communication behavior
23_24
So you said that you first noticed the anxiety kicking in about five or six years ago.
reflection
communication behavior
23_26
So you would have been about 19.
reflection
communication behavior
23_28
And what was happening around that time?
question
communication behavior
23_30
What kind of work is the most difficult for you in your job?
question
communication behavior
23_32
So I guess, tell me a bit more about what happens then. So let's focus on maybe an invitation to do a job with, uh, you know, it's going to involve, uh, photography with- with a group of people and you're going to have to have social interaction. What kind of thoughts go through your head?
question
communication behavior
23_34
Okay. So it sounds like you have quite a lot of thoughts rushing through your head then at the point where you get that invitation and you think, "People will look, people will stare, people will think I'm a weirdo." So there's quite a lot about what you- what you think other the people will think. And how does that make you feel?
reflection
communication behavior
23_36
Okay. Can you give me an example of a-a recent situation? Maybe we can focus on that.
question
communication behavior
23_38
Yeah, time when you were maybe doing a job with some people and you felt the social anxiety, you know, that you're describing, you felt that kick in.
other
communication behavior
23_40
It's quite interesting. Was that a fashion shoot or something?
question
communication behavior
23_42
Okay.
other
communication behavior
23_44
So it wasn't what you expected?
reflection
communication behavior
23_46
So how long ago was that?
question
communication behavior
23_48
Okay. So it was quite recent.
reflection
communication behavior
23_50
So on that particular day, what were the thoughts that you had in your head when you were in that situation?
question
communication behavior
23_52
I can tell you're getting kind of anxious, even just thinking about that day.
reflection
communication behavior
23_54
Okay. So you're describing quite a lot there to me. So you're saying that you, you kind of got hot and sweaty, you said that you- you held the camera.
reflection
communication behavior
23_56
W-what was, do you mean you kind of try to hide behind it or?
question
communication behavior
23_58
So you're holding the camera very tightly.
reflection
communication behavior
23_60
W-why was that? Why was that helpful?
question
communication behavior
23_62
Okay. So, okay. So it sounds like you had a lot of thoughts going through your head. Um, you said that you're worried that everyone's looking at you. What other thoughts were there that were in your mind?
reflection
communication behavior
23_64
They could tell what—
question
communication behavior
23_66
Oh, it was all-all that they could see that-that was-
reflection
communication behavior
23_68
Okay.
other
communication behavior
23_70
So, I mean, you've already described it to me a little bit, but if you think about how you looked that day, how'd-how'd you say, how'd you think you looked?
question
communication behavior
23_72
Okay and what-what did you do about-- How did you try and conceal that or hide that?
question
communication behavior
23_74
So you avoided looking at people. It sounds like you wore black as well in kind of preparation anyway.
reflection
communication behavior
23_76
Okay and how did it end?
question
communication behavior
23_78
Okay.
other
communication behavior
24_0
Hey, can I help you?
question
communication behavior
24_2
So your workplaces went smoke-free and you're not too pleased, huh?
reflection
communication behavior
24_4
Okay. Tell me a little bit about how smoking fits in your day. It'll help with the—
question
communication behavior
24_6
Okay. So you feel like, right now, smoking's a pretty important part of your life. It's not something you're ready to change, but if the time came when you did decide to quit, you feel pretty confident that you could go ahead and do that.
reflection
communication behavior
24_8
Okay. What makes you so confident?
question
communication behavior
24_10
Mm-hmm. And so in terms of, uh, uh, readiness to actually go ahead and make a quit attempt, where do you think you fall on the scale of 1 to 10, where one is, I'm not considering it at all, and 10 is, I'm definitely ready, I wanna quit.
question
communication behavior
24_12
Okay. What made you say two instead of one?
question
communication behavior
24_14
Well, there are a lot of products available now that can actually help you curb that urge to smoke. We have products that can help to replace nicotine, which can help to decrease withdrawal symptoms that you might experience when quitting or cutting down and also some medications that your doctor could prescribe for you that might take away even some of the desire to smoke.
therapist_input
communication behavior
24_16
Sure. And back to that scale, you mentioned, you said you were a two. What do you think it would take to move you up to a four or five?
question
communication behavior
24_18
Sure. I wonder if now that your workplace is going smoke-free, if there will be some people at work who planning to quit.
question
communication behavior
24_20
Okay. Well, it sounds like you're really here just for information today. I'm happy to help you pick out some of these products if and when you decide that the time is right for you.
therapist_input
communication behavior
25_0
So, Liz, what's something that you'd like to change or maybe that you're feeling two ways about right now?
question
communication behavior
25_2
Okay, and-and why would you want to make this change?
question
communication behavior
25_4
Mm-hmm.
other
communication behavior
25_6
Mm-hmm.
other
communication behavior
25_8
Yeah. So, you're not feeling comfortable with the way that, you said, your clothes fit.
reflection
communication behavior
25_10
What are some of the reasons why, um, it would be good for you to kinda make this change?
question
communication behavior
25_12
Mm-hmm.
other
communication behavior
25_14
So, to heal-- feel healthy for yourself as well be a good role model for your kids?
reflection
communication behavior
25_16
So, if you did decide to get exercising more into your daily routine, how would you go about doing it?
question
communication behavior
25_18
Mm-hmm.
other
communication behavior
25_20
So, it's that balance of doing something for yourself, but it sounds like you don't want that schedule to affect too much into your family routine.
reflection
communication behavior
25_22
So, on a scale from 1 to 10, 1 being not important and 10 being very important, where would you rate yourself on how important it is to start exercising more?
question
communication behavior
25_24
Okay, and how come not at like a five or a six?
question
communication behavior
25_26
Mm-hmm.
other
communication behavior
25_28
So, to summarize, it's important for you to do this. You're starting to feel sluggish, you're not feeling healthy, and you know that you've got other people in your family watching you, and you want to be a good role model for them to know that this is gonna be just a part of your life, is your exercise. Yet for you, you're struggling just a little with the logistics of when to schedule time for you so it doesn't interfere too much with your family.
reflection
communication behavior
25_30
So, knowing this, what do you think you'll do next?
question
communication behavior
25_32
That's great. It sounds like you've got some options and leads on how- on how to get that done.
reflection
communication behavior
26_0
So what's been going on?
question
communication behavior
26_2
All right. yeah, I was told that you're phone calls was taken away
reflection
communication behavior
26_4
What-what happened?
question
communication behavior
26_6
Okay. yeah, it was weird when I, uh, got that report because for the most part since you've been here, uh, you'd been like, uh, model-model resident, uh, always making their bed, uh, been pretty, uh, respectful of the staff, of all the other residents. So, uh, is it something to do with you getting out in three weeks? It must be pretty hard.
reflection
communication behavior
26_8
Mm-hmm. Yeah, you used to have contact with your mom, you know, almost every other night and now for just about a week, you haven't even gotten to talk to her. I can imagine that being pretty difficult. I remember you saying something about like your dad's birthday coming up?
reflection
communication behavior
26_10
Okay.
other
communication behavior
26_12
Like I said, it's been, um, a long time and this is basically the first time that we've seen this behavior from you, so I know for a lot of other guys right before they get out, uh, a lot of anxiety, a lot of frustration comes around because they haven't been out in a while and then like the pressures of being on the outside are starting to settle in. So is that something might be going on with you?
reflection
communication behavior