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28_0
Hi Carrie, thanks for coming in today.
other
communication behavior
28_2
What brings you in?
question
communication behavior
28_4
So, you'd like to give up those cigarettes?
reflection
communication behavior
28_6
Yeah, so then it's, um, right now, uh, tell me a little bit about, um, right now at this point in your life why it's so important to quit.
question
communication behavior
28_8
Like being a leper in a leper colony right now to be a smoker.
reflection
communication behavior
28_10
'Cause you can't find a leper colony anymore. So, um, so it-it's really important for you to be a good mum-
reflection
communication behavior
28_12
-and model for your- for your daughter who's at this age where 15 would be a really common age at which she might decide to smoke.
reflection
communication behavior
28_14
Okay. So, you-you wanna look good, you know, and she's proud of you I'm sure anyway and then this just would be an added benefit. Yeah.
reflection
communication behavior
28_16
So, and then you mentioned quite a few things about medical problems. So, um, you mentioned, um, asthma, um, acute bronchitis did you say—
reflection
communication behavior
28_18
Oh my goodness. Okay. And so, and that-- yeah, that's very-- that's really scary beginnings of emphysema, I'm sorry to hear that.
reflection
communication behavior
28_20
Well, I mean that's-that's, you know, tell me about when you were diagnosed with that.
question
communication behavior
28_22
Mm-hmm.
other
communication behavior
28_24
Mm-hmm.
other
communication behavior
28_26
Smart girl.
reflection
communication behavior
28_28
Mm-hmm.
other
communication behavior
28_30
Tell me a little bit about what happened with the-the Chantix.
question
communication behavior
28_32
Mm-hmm. Mm-hmm. Wh-What sort of if-if you are willing to talk about what kind of side effect—
question
communication behavior
28_34
Mm-hmm.
other
communication behavior
28_36
Mm-hmm.
other
communication behavior
28_38
Oh really. You know, and I've heard that too, Carrie, that people especially you know those are, um, some people seem to have a lot of success but when people do have the adverse side effects they are really pronounced like the ones you just described.
therapist_input
communication behavior
28_40
Want the good [crosstalk] no good right? And how long ago was that that you—
question
communication behavior
28_42
Okay, all right.
other
communication behavior
28_46
Mm-hmm.
other
communication behavior
28_48
Mm-hmm.
other
communication behavior
28_50
Okay.
other
communication behavior
28_52
Mm-hmm.
other
communication behavior
28_54
It just didn't fit for you to do the online.
reflection
communication behavior
28_56
Okay. So, um, but you gave it a good try and it was just not a good fit for you like you-you really listened to what your body told you like nightmares, nausea, I mean those are really bad things.
reflection
communication behavior
28_58
Oh yeah.
other
communication behavior
28_60
So, it's already piled I'm thinking up for you, you don't need anything else so you're looking for some relief and not something to make you feel worse.
reflection
communication behavior
28_62
Um, have there been some times in the past where you were able to quit smoking completely?
question
communication behavior
28_64
Okay.
other
communication behavior
28_66
Okay. So, what's the longest you've ever gone without a cigarette including being in the hospital?
question
communication behavior
28_68
Oh, three days. You know, that's a long time and I felt, you know, that's a pretty long time to go without smoking and I would imagine, I think that's pretty good.
reflection
communication behavior
28_70
You were forced to-
reflection
communication behavior
28_72
-not smoke?
reflection
communication behavior
28_74
What did you notice during those three days when you weren't smoking?
question
communication behavior
28_80
You were [unintelligible 00:06:04]
other
communication behavior
28_82
Okay.
other
communication behavior
28_84
Right.
other
communication behavior
28_86
Mm-hmm.
other
communication behavior
28_88
Mm-hmm.
other
communication behavior
28_90
Mm-hmm.
other
communication behavior
28_92
Mm.
other
communication behavior
28_94
It does, uh, it does a lot of positive things for you.
reflection
communication behavior
28_96
And it sounds like it's paired, like a coffee and a cigarette. I mean, you know, probably hard to think about, "How will I have a cup of coffee without a cigarette?"
reflection
communication behavior
28_98
You know, and, um, that's actually, yeah, that's a-- I think it does become very paired with lots of different things. And, um, you might already know this, and so let me know if you do, um, because of the way cigarettes you're describing it and accurately is-- it is really what we call an almost perfect drug in a lot of ways. And-
therapist_input
communication behavior
28_100
-it will do whatever you need it to do at any given time. The downside is-is it-it kinda get, it gets in the end with the health.
therapist_input
communication behavior
28_102
It'll-it'll take a good usually 10 years off your life minimum.
therapist_input
communication behavior
28_104
Okay. What do you think when she says that to you?
question
communication behavior
28_106
Glamourous.
reflection
communication behavior
28_110
So, and I would- I would-- it really is because it wasn't like that 20 years ago.
reflection
communication behavior
28_112
It wasn't like that for sure 30 years ago.
reflection
communication behavior
28_114
So, it's become harder to be a smoker. You light up a cigarette-cigarette and people make assumptions about you.
reflection
communication behavior
28_116
Mm-hmm.
other
communication behavior
28_118
Mm-hmm.
other
communication behavior
28_120
Mm.
other
communication behavior
28_122
Okay-okay. So—
other
communication behavior
29_0
So you shared that you're, um, here today because you're having some dissatisfaction with your body and your confidence and your mood and your energy. And you're looking for, um, some different patterns to kind of turn things around for yourself. And what I like to do as I get to know clients is-is let them know a little bit about my philosophies, about health and wellbeing. Um, but first, I'd love to hear what are your philosophies about health and wellbeing?
question
communication behavior
29_2
Yeah. Well, I'm so glad that you reached out for help, um, and just know that you're not alone. And-and so, yeah, is that okay if I share a little bit about, um, how I tend to work with clients on that topic?
question
communication behavior
29_4
Yeah. Well, um, first of all, I really am passionate about looking at the whole picture, um, physical health and emotional wellbeing and what I found in working with clients in the past is when, um, we make a focus of weight loss, sometimes, uh, physical health improves, but at the cost of emotional wellbeing.
therapist_input
communication behavior
29_6
Um, many people find that when then- when they are restricting their intake or starting some, uh, ac-activity patterns that are really rigorous, that, um, a piece of their mental health suffers because they start to obsess, um, more than they'd like to be about those things. So, my approach with clients is just a more holistic approach. Looking at certainly some behavior changes that you could make to be more physically active, improve your energy levels.
therapist_input
communication behavior
29_7
Um, and also look at activities that enhance your mood. We can also take a look at some dietary patterns and see if-if there are ways you could tweak how you're fueling your body throughout the day, but at the same time, sort of letting go of what happens on the scale. Letting go of, um, the final, you know, weight outcome of that, and really focusing instead on healing your relationship with food and also adopting sustainable physical activity patterns. What do you make of all that?
therapist_input
communication behavior
29_9
Yeah, I-I found in the past when working with clients that creating a prescriptive meal plan, um, tends to work for a few days, but then clients usually get really tired of the foods on there. Um, and so instead, I'm really more interested in equipping you to learn how to space your meals and snacks out in a way that makes your body feel energized. Um, and then I can also support you, you know, in looking at the grocery shopping patterns and the meal planning patterns that come alongside all of that. Um, so really teaching you how to do more of your own meal planning, um, to fuel your body in a way that gives you energy, but also in a way where you're really still enjoying food.
therapist_input
communication behavior
29_11
Food is meant to be enjoyed, and it's a source of pleasure. So I'd want to help you certainly look for ways to add more fruits and vegetables and-and things that nourish your body, but also look for ways to add pleasure-
other
communication behavior
29_13
-to your meals and snacks.
other
communication behavior
29_15
Think about all of that.
question
communication behavior
29_17
Yeah.
other
communication behavior
29_19
Mm-hmm.
other
communication behavior
29_21
Yeah, I'm all about trying to help you figure out what types of physical activity bring you the most joy because those are the things that you'll make time for.
other
communication behavior
29_23
So if-if the gym is what brings you the most joy, then we can work with that, but if you, um, start to think about it and discover there other activities that you're more excited to attend and you're more, um, you're looking at rear-rearranging your schedule too because you really want to be there-
therapist_input
communication behavior
29_25
-um, then we can pursue those things. So it's really just about what brings you joy in terms of how you move your body and I'm just here to help you figure that out.
therapist_input
communication behavior
29_27
Yeah.
other
communication behavior
29_29
Exactly. Yeah. So helping you find changes that feel sustainable because they bring you both nourishment health, but also pleasure.
reflection
communication behavior
29_31
Mm-hmm.
other
communication behavior
29_33
Sure.
other
communication behavior
29_35
Absolutely, I appreciate you sharing that piece with me and you absolutely get to have that desire. And, um, we certainly are bombarded all day long with messages about how a body is supposed to look and so we all, um, certainly have moments of feeling dissatisfied with how our bodies look. And so you're absolutely, um, welcome to hold that and we can have space for that and you can certainly talk about that in these sessions. And I'll check in with you as we're going through the process of behavior change, um, to see how your body confidence is, um, as we talk more.
therapist_input
communication behavior
29_37
Fantastic. Thanks, Natalie.
other
communication behavior
30_0
Hey, Mary. I wanted to bring up to you, um, that your battery died last night. So, can you tell me what happened?
question
communication behavior
30_2
So, it's something you just aren't willing to do?
question
communication behavior
30_4
So, it's not really a priority for you right now, to be charging it?
reflection
communication behavior
30_6
Okay. Um, and do you understand then the con-consequences of-of what that would be?
question
communication behavior
30_8
Okay. Um, would it be okay if I do share you what will happen if you don't charge your battery.
question
communication behavior
30_10
Um, you will be getting violations for that, and then if you get so many violations, I mean, we'd have to write a warrant for your arrest, which is looking more of, um, detention time.
therapist_input
communication behavior
30_12
And that's still doesn't seem to bother you.
question
communication behavior
30_14
Okay.
other
communication behavior
30_16
Um, so I know that you, you know, you know the consequences of it, and yet you're sharing with me it's just not a priority for you at this time.
question
communication behavior
30_18
Okay. You know, that is your choice. I mean, I-I-I can't make those choices for you, it is something that you decide to do. Um, so with that being said then, these will be the consequences. I'll have to read the-the violation for you.
therapist_input
communication behavior
30_20
Okay. Um, any questions about that? Any questions about kind of the next steps from here?
question
communication behavior
30_22
So, your confidence that you'll be able to deal with possibly going back to detention?
question
communication behavior
30_24
Okay, and it sounds like you know that it's probably coming then?
question
communication behavior
30_26
Okay. Well, you know I will be back later. If any questions would arise, we can always talk about that then. Um, otherwise, again, I will have to write a violation, and, um, if you have any questions or need anything from me, please let me know. Um, otherwise, again, I'll be back later today.
therapist_input
communication behavior
30_28
All right.
other
communication behavior
31_0
Hi Mr. Johnson?
question
communication behavior
31_2
Hi, I'm Tonny Brownie, I'm a pharmacist here, uh, and I- and I was wanting to spend just a little time with you talking to you about your cholesterol. I found out you're newly diagnosed and your medicine for your cholesterol.
therapist_input
communication behavior
31_4
Okay, certainly glad to hear that your doctor did spend some time with you, um, I-I see myself as somebody who works with your doctor, uh, to help you get the most benefit from your medicine, uh, because you are gonna spend money on it we wanna make sure that you get the most benefit from it. Uh, also sometimes it may be difficult to reach your doctor we're also here, uh, and so we try to work together, wo-would that be okay?
therapist_input
communication behavior
31_6
So-so on the one hand, the doctor talked to you about high cholesterol, down the line possibly causing a stroke or heart attack-
reflection
communication behavior
31_8
-and that would be pretty serious. On the other hand, uh, when you found out that this drug might cause muscle weakness, that really alarmed you.
reflection
communication behavior
31_10
Especially with your job and-
reflection
communication behavior
31_12
-preventing you from doing your livelihood.
reflection
communication behavior