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34_80
That would be a concern for them as well as for you now.
reflection
communication behavior
34_82
Yeah. Is that something that, um, maybe you and I could meet again about-and talk about having those conversations with-with the family, maybe having conversations about, you know, the folks, your-your friends that are currently in the lifestyle that you were involved with, um, and then sort of what it would look like to go down path B, is that something that you would be open to meeting with me about again?
question
communication behavior
34_84
Mm-hmm.
other
communication behavior
34_86
Kind of feels like you're climbing Mt. Everest.
reflection
communication behavior
34_88
And you don't have equipment.
reflection
communication behavior
34_90
You're concerned that they're gonna kind of treat you like a child.
reflection
communication behavior
34_92
Oh, oh, you're talking about your friends.
other
communication behavior
34_94
You're wondering if they're gonna kind of be like children and you're gonna be like the parent saying-
reflection
communication behavior
34_96
You just wanna be like peers talking.
reflection
communication behavior
34_98
And you want them to support you.
reflection
communication behavior
34_100
You don't wanna lose your support group, yeah. You just wanna them to support you in being healthy, while helping them, raising the babe, and so we're just taking path B. You don't wanna lose them, just maybe the lifestyle it sounds like.
other
communication behavior
34_102
Mm. You kind of wanna have the best of both worlds.
reflection
communication behavior
34_104
I want the friends and the relationship that I get from my friends, and at the same time, I don't want the party scene that goes with that.
reflection
communication behavior
34_106
Well, Nina, you know yourself best, and you know, you know, you know what your world looks like and what those, you know, like, you know the support that your friends give you and the support that you get from your family, you know that. And I-I really just wanna support you in being able to make those choices and have those conversations, and I wanna do whatever I can to support you with that. Um, and I'm just wondering if maybe we can kind of pick this up, um, in a next visit, but before we go there, I'm just wondering, is there some steps that you would be willing to kind of take or consider, uh, with-with regards to your drinking?
question
communication behavior
34_108
You're concerned about the health of your baby. I just would love to share with you, Nina, that every day without alcohol is a good day for your baby, and you know, starting today to have zero alcohol is a great start, and I'm wondering if that's the sort of something you'd be open to as no more alcohol at this point.
therapist_input
communication behavior
34_110
Okay, sounds like this is really important to you. You want to make this happen.
reflection
communication behavior
34_112
Is there anything that I can support you with before we wrap up as far as giving up alcohol today?
question
communication behavior
34_114
You kind of got a reality check today.
reflection
communication behavior
34_116
You did really well talking with me today, and I thank you so much for just sharing your heart.
other
communication behavior
35_0
Hi, Natalie. I'm Dawn.
therapist_input
communication behavior
35_2
Nice to meet you, too. Thanks for coming in today.
other
communication behavior
35_4
Yeah. Tell me a little bit about yourself.
question
communication behavior
35_6
Yeah, you're feeling a little bit dissatisfied with your health patterns?
reflection
communication behavior
35_8
Okay, so you're feeling some low energy and you know, in the past, when you've been more active and eating differently, you've had more energy?
reflection
communication behavior
35_10
Yeah. Tell me more about that, those previous times that you've been active.
question
communication behavior
35_12
You had energy, and you were like the Energizer Bunny, just keep going and going and going.
reflection
communication behavior
35_14
So your days are just as full now that you're working and a career person, um, and your energy level isn't what it used to be. What-- Do you have any ideas about why that might have shifted?
question
communication behavior
35_16
Right. So in the past, it wasn't up to you whether you had the choice to go be physically active. Now it is up to you, and-and you're looking back at the last few years and saying, I wanna do things differently.
reflection
communication behavior
35_18
I want to be more physically active than I've been.
reflection
communication behavior
35_20
Great. And you've noticed a mood enhancement effect of exercise.
reflection
communication behavior
35_22
Tell me more about that. What do you notice specifically about your mood on the days you're physically active?
question
communication behavior
35_24
Yeah, you feel more accomplished and-and you feel less irritated by the small stuff.
reflection
communication behavior
35_26
Great. Well, let me see if I've got this all. You came to Arizona six months ago, you're trying to figure out new rhythms and patterns for yourself. You're looking back at the past few years, and in college, you were real active because you were an athlete, and now it's more up to you about making that choice of physical activity, and you're discovering that, um, not being active has affected your energy level and your mood, and that's something you're looking for more of, both of those things, energy and-and a mood booster.
reflection
communication behavior
35_28
Yeah. Tell me more about your weight concerns. When did you start feeling dissatisfied with your body?
question
communication behavior
35_30
Mm-hmm. Okay, so it sounds like a sort of a vicious cycle and-and maybe the lacking physical activity has made you feel less confident in yourself. I wonder if that's also a piece of this puzzle since you mentioned that's been a big difference from what was happening in the past.
reflection
communication behavior
35_32
Okay. So you had a pretty strong self-confidence, pretty strong body image all the way up until a few months ago and, um, you're hoping to kind of get back to that place where you feel good about yourself.
reflection
communication behavior
35_34
Great.
other
communication behavior
36_0
Barbara Roberts?
question
communication behavior
36_2
Hello, there.
other
communication behavior
36_4
My name's Dr. Betty. I'm one of the new GPs in the practice. First of all, what would you like me to call you?
question
communication behavior
36_6
Okay, that's fine. Okay. So, Barbara, I'm seeing you today, um, but I think it's usually Dr. Brown that sees you, is that right?
question
communication behavior
36_8
Okay. What is it that's brought you to see me today?
question
communication behavior
36_10
All right. Okay. Can you tell me a bit more about your tummy problems?
question
communication behavior
36_12
All right. So, quite a few symptoms there-
reflection
communication behavior
36_14
- and some of them sound-
other
communication behavior
36_16
- quite troublesome to you.
reflection
communication behavior
36_18
Okay. And how long has this been going on?
question
communication behavior
36_20
Mm-hmm. Okay. Okay. So you think it began about four years ago after this holiday?
reflection
communication behavior
36_22
Okay. And what's- what sorts of treatments have you tried for-for this before?
question
communication behavior
36_24
Mm-hmm.
other
communication behavior
36_26
Right.
other
communication behavior
36_28
Right.
other
communication behavior
36_30
Right. So, these different tablets that you've got from the-
other
communication behavior
36_32
- the herbal shop-
other
communication behavior
36_34
- how are you taking them?
question
communication behavior
36_36
Right.
other
communication behavior
36_38
Right.
other
communication behavior
36_40
So, am I- am I right in thinking you perhaps decide on a day-to-day basis-
reflection
communication behavior
36_42
- what you're gonna take-
other
communication behavior
36_44
- depending on what your stomach's doing?
question
communication behavior
36_46
Okay. Okay. And what about tests? Have you had any tests for these problems?
question
communication behavior
36_48
A gastroscopy.
other
communication behavior
36_50
You got the tube down-down from the top?
question
communication behavior
36_52
Okay.
other
communication behavior
36_54
Right.
other
communication behavior
36_56
Okay.
other
communication behavior
36_58
Right.
other
communication behavior
36_60
Right.
other
communication behavior
36_62
Right. It sounds as though you're-you're not happy with that.
reflection
communication behavior
36_64
Right.
other
communication behavior
36_66
Right.
other
communication behavior
36_68
Mm-hmm.
other
communication behavior
36_70
Right.
other
communication behavior
36_72
Right.
other
communication behavior
36_74
Right. So you feel as though actually, enough hasn't been done in the way of-of tests?
reflection
communication behavior
36_76
Right. Okay. It sounds like you-you've had these problems now for about four years.
reflection
communication behavior
36_78
You've-you've got a lot of various symptoms in your stomach.
reflection
communication behavior
36_80
Um, you've tried a lot of tablets. Some prescribed, some herbal remedies-
reflection
communication behavior
36_82
- and you've had some investigations, but you're not entirely happy that-that you haven't been investigated thoroughly enough.
reflection
communication behavior
36_84
Is that- is that about-
reflection
communication behavior
36_86
- if I got the story right.
reflection
communication behavior
36_88
Okay. And can I ask you, Barbara, how-how is all of this affecting you day-to-day? How's-how's it affecting your life?
question
communication behavior
36_90
Mm-hmm.
other
communication behavior
36_92
Right.
other
communication behavior
36_94
Right. Right.
other
communication behavior
36_96
Right.
other
communication behavior
36_98
Right.
other
communication behavior
36_100
Sounds as though that's something you quite enjoyed.
reflection
communication behavior
36_102
Right. Okay.
other
communication behavior
36_104
Mm-hmm.
other
communication behavior
36_106
Right.
other
communication behavior
36_108
Mm-hmm.
other
communication behavior
36_110
Right.
other
communication behavior
36_112
Yeah, it does- it does sound as though over the last few years your life has really changed-
reflection
communication behavior
36_114
- quite a lot because of these symptoms.
reflection
communication behavior
36_116
It sounds- it sounds like you're doing the review of the things that you used to do.
reflection
communication behavior
36_118
Right.
other
communication behavior
36_120
So, what is it you'd spend your average day doing now?
question
communication behavior
36_122
Mm-hmm.
other
communication behavior
36_124
Mm-hmm.
other
communication behavior