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39_71
Financially. Right, getting back to the finances and you know, you know, you know I'm thinking your daughter what a pain but it's become the finances the emphysema. I'm really-- because I would think that in 10 years, how much are you smoking now?
question
communication behavior
40_1
Nice.
other
communication behavior
40_3
Since the-- since you used, uh-- since the last time you used meth, right?
question
communication behavior
40_7
Good.
other
communication behavior
40_9
Nice.
other
communication behavior
40_11
So-so, uh, have-- last time we talked, you know, you were kind of cutting the-the ex-boyfriend out. This is because he was your dealer, so--
reflection
communication behavior
40_13
And how is that going for you?
question
communication behavior
40_15
Okay.
other
communication behavior
40_17
So it sounds like you've made some good changes. The change in your environment, and some of your behaviors, and, uh, and these new friends.
reflection
communication behavior
40_19
So it sounds like--
other
communication behavior
41_0
So, thank you for coming in today.
other
communication behavior
41_2
How are you feeling today?
question
communication behavior
41_4
Yeah? Good.
other
communication behavior
41_6
Good.
other
communication behavior
41_8
And so you did your clarifications, value clarifications-
question
communication behavior
41_10
-and what are your top five?
question
communication behavior
41_12
Really?
question
communication behavior
41_14
Do you have any idea why that is?
question
communication behavior
41_16
True.
other
communication behavior
41_18
Mm-hmm. By not putting yourself on the back burner so much?
reflection
communication behavior
41_20
Yeah.
other
communication behavior
41_22
Mm-hmm.
other
communication behavior
41_24
For someone else?
question
communication behavior
41_26
For your family?
question
communication behavior
41_28
You think it is so much of a fact that you put yourself on the back burner that you were neglecting yourself, or that you were putting others so much before you that you just didn't even think about yourself?
reflection
communication behavior
41_30
Wow.
other
communication behavior
41_32
There's so much of your-- Part of your paradigm?
reflection
communication behavior
41_34
So, do you think sometimes you weren't even aware
question
communication behavior
41_36
Yeah.
other
communication behavior
41_39
The very first time that you can remember?
question
communication behavior
41_41
That's not a selfish thing.
reflection
communication behavior
41_43
Right.
other
communication behavior
41_45
Cool, that's great.
other
communication behavior
41_47
Yeah. And so you felt you came about this change, and-and-and how does it make you feel?
question
communication behavior
41_49
Because you're- felt so obligated.
reflection
communication behavior
41_51
Yeah, is that on your top five also
question
communication behavior
41_53
You get peace with yourself?
reflection
communication behavior
41_55
That's very good.
other
communication behavior
41_57
Sure.
other
communication behavior
41_59
You feel resentful.
reflection
communication behavior
41_61
Right.
other
communication behavior
41_63
Right.
other
communication behavior
41_65
You don't feel fulfilled.
reflection
communication behavior
41_67
Like you've done anything helpful.
reflection
communication behavior
41_69
It's because you showed up and you gave out
reflection
communication behavior
41_71
Meaningful.
reflection
communication behavior
41_73
Sometimes it's the small things that really count, too.
reflection
communication behavior
41_75
So all of these things put together feel like right now at this point in life, that it is really healthy change for you, like where you are right now.
reflection
communication behavior
41_77
That's great and is there anything else on the list you felt like it was coming close to some of the other top five that you had or something similar?
question
communication behavior
41_79
Uh-uh.
other
communication behavior
41_81
All the chattering.
reflection
communication behavior
41_83
Thank you so much for sharing.
other
communication behavior
42_1
Right, so you've hit a plateau in your weight and despite all the things that you're trying to do to increase your activity, it doesn't seem to be working on the scale?
reflection
communication behavior
42_3
Right. So you feel like you're spinning your wheels, you're doing more exercising and it's not showing results on the scale?
reflection
communication behavior
42_5
And you're not feeling so good about that?
reflection
communication behavior
42_7
Uh, so you feel like you're doing this all alone?
reflection
communication behavior
42_9
At home or you think that they'll be supportive but they're not giving- they're not giving you what you need?
reflection
communication behavior
42_11
Oh, okay.
other
communication behavior
42_13
Tell me about that.
question
communication behavior
43_0
Well, thank you, Tanya, for meeting with me today and talking about this. So, there is something I'd like to ask you that we can kind of discuss in our conversation is what's one thing about yourself or something in your life that you'd like to change that maybe you've been feeling kind of ambivalent about?
therapist_input
communication behavior
43_2
Yeah. This anxiety is this obstacle for you and it sounds like it, then you're just not feeling confident that you could do it and do it successfully to this exam.
reflection
communication behavior
43_4
And so, it's easier for you to just not do it.
reflection
communication behavior
43_6
Yeah. So, on a scale from 1 to 10, 1 being not confident at all, 10 being very confident. How confident are you that you feel you can manage your anxiety in regards to taking this exam?
question
communication behavior
43_8
Okay. So, four or five. How combat, like, not like a two or three.
question
communication behavior
43_10
Yeah. Yeah, and you also mentioned that you've actually made the appointment that you have to take this exam.
reflection
communication behavior
43_12
And before you've been putting it off.
reflection
communication behavior
43_14
Okay. So, you've made this appointment before in the past and the anxiety has kind of taken over where you've rescheduled it.
reflection
communication behavior
43_16
And this time, it seems like it's a little bit different this time. How come this time you feel like you might not reschedule this time around?
question
communication behavior
43_18
So that's really encouraging you thinking about how good you'll feel afterwards once it's done and taken.
other
communication behavior
43_20
Yeah. You kind of want to avoid that. Yeah. Have those other feelings that could come up and if you don't have.
reflection
communication behavior
43_22
I'd love to hear from you. When was the time in the past that you were feeling anxious about something and you actually did it and it turned out well?
question
communication behavior
43_25
Yeah.
other
communication behavior
43_27
So, in that experience, it really built up your self-confidence and it almost not only changed the way you saw yourself, but maybe how other people saw you and you really, you liked that feeling.
reflection
communication behavior
43_29
Yeah. And that must've been really brave for you to do something that seems really daunting at first, yet you were really successful at it.
other
communication behavior
43_31
Um, how do you think you could relate that to what you're dealing with now?
question
communication behavior
43_33
Mm-hmm
other
communication behavior
43_35
So for you to create opportunities to create those moments that you can have that feeling again
reflection
communication behavior
43_37
And you just mentioned too, you feel really proud of yourself.
other
communication behavior
43_39
So to end our conversation, how do you think you couldn't move? You originally said, you were at four or five, what would have to happen to get you to like a seven, to feel more confident?
question
communication behavior
43_41
Mm-hmm
other
communication behavior
43_43
So that positive self-talk could really go a long way for you?
question
communication behavior
43_45
So to summarize, it sounds like you are still feeling kind of anxious about this test coming up, you've rescheduled it, um, over the past couple years. Yet, this time around, you seem more confident to just get it done. And you've even mentioned times in the past where you were feeling anxious and you were successful about it and that you felt proud about yourself. And you liked the way it means, you see yourself and how others saw you, and it seems like y-you're ready to finish this exam and-and remind yourself that you can be successful?
reflection
communication behavior
43_47
Okay. Well, thank you, Tanya.
other
communication behavior
43_49
Mm-hmm.
other
communication behavior
45_0
Hi, Mary, how was your day?
question
communication behavior
45_2
Well, you can sign right there. Seems like you're not in the mood to talk today.
reflection
communication behavior
45_4
Okay. You know it seems like you had uh, a day at school. I noticed that uh, you missed your first hour of class today as well.
therapist_input
communication behavior
45_6
It seems like that doesn't-isn't really a concern for you at this time?
question
communication behavior
45_8
So you're kind of wondering what the point of these visits are, me coming to your house.
reflection
communication behavior
45_10
Okay. Would it be okay with you if I kind of explained again kind of what this program is about?
question
communication behavior
45_12
You know that I will be stopping by every day just to make sure that you're here and following and-and responding to your GPS and making sure that that's charged up every day and that, um, if you're leaving the house without permission, that we will be aware of that as well. Um, and kinda just to get to know you as well when I come for these visits 'cause, um, you know that's kind of my role as your caseworker is just to-to monitor your day-to-day stuff.
therapist_input
communication behavior
45_14
It does kinda come off as nosy at times I'm sure.
reflection
communication behavior
45_16
I know uh, some clients have struggled with understanding that I really do care about you. And you know that when we first met that you had expressed a goal of, um, getting off this program as quickly as possible.
other
communication behavior
45_18
So I know just kinda being here when you need to be here is one way of doing that.
therapist_input
communication behavior
45_20
Yet you still can seem kind of annoyed that this is something that we still have to do.
reflection
communication behavior
45_22
So you're still kinda concerned that you're not quite sure if you will be able to do this successfully?
question
communication behavior
45_24
Um, and-and I'm sure that does seem kind of confusing too 'cause I'm sure you've got a lot of other people involved in your life right now with the courts I'm sure, I know that your mom is concerned about you as well and there's this one other person kinda checking in on you as well.
reflection
communication behavior
45_26
I'm sure it's pretty overwhelming.
reflection
communication behavior
45_28
Mm-hmm.
other
communication behavior
45_30
Yeah. And there is and I'm sure that it is really struggling at times too.
reflection
communication behavior