id
stringlengths 1
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stringlengths 1
1.17k
| label
stringclasses 64
values | dimension
stringclasses 6
values |
|---|---|---|---|
45_32
|
Um, and I know some clients have expressed just really valuing their freedom. They didn't realize how much they really valued that until it was gone.
|
other
|
communication behavior
|
45_34
|
Your freedom?
|
question
|
communication behavior
|
45_36
|
What would be some ways you could go about being able to get your freedom back?
|
question
|
communication behavior
|
45_38
|
Mm-hmm, yup that's one step, just sign the papers when I come by. Even though it seems like it's kinda annoying at times, it is something that we're contracted to do.
|
therapist_input
|
communication behavior
|
45_40
|
What are some other ways you feel like you can get your freedom back?
|
question
|
communication behavior
|
45_42
|
So that's something that will motivate you to not do what you did, not commit that crime, and, um, 'cause you do not like when we stop by?
|
question
|
communication behavior
|
45_44
|
That's okay. Well, I know that you are making an effort. I do appreciate then and when-when I do stop by that you still sign the paperwork even though you feel like it's annoying at times. So, thank you for, uh, at least doing that.
|
other
|
communication behavior
|
45_46
|
Okay. Um, before I leave today is there anything else you'd like to add or-or need to share with me?
|
other
|
communication behavior
|
45_48
|
Okay, well just so you know, again, I do have to come back so I'll see you later today then.
|
therapist_input
|
communication behavior
|
45_50
|
All right.
|
other
|
communication behavior
|
46_0
|
So, Jacob, everything looks very normal on your physical exam. Do you have any questions for me?
|
question
|
communication behavior
|
46_2
|
Okay. I see that you filled out our, um, alcohol and drug questionnaire. Is it okay if we go through this together?
|
other
|
communication behavior
|
46_4
|
Okay. What we talk about is confidential. I only tell your parents about what we say if you give your permission or if I become worried about a danger to-to you or to someone else. Does that make sense?
|
therapist_input
|
communication behavior
|
46_6
|
Okay. So, let's take a look. So I see that you have marked that you sometimes use alcohol, and that you have used alcohol to relax, feel better about yourself or fit in. Do you mind telling me a little bit more about your alcohol use?
|
therapist_input
|
communication behavior
|
46_8
|
Okay, so how many do you usually have at a time?
|
question
|
communication behavior
|
46_10
|
Okay. And how often?
|
question
|
communication behavior
|
46_12
|
Okay. So, you drink with friends, sort of three or four beers or mixed drinks, one or two times a month. How long have you been doing that?
|
question
|
communication behavior
|
46_14
|
So, for about six months. I'm curious. What do you like about drinking alcohol?
|
question
|
communication behavior
|
46_16
|
Yeah.
|
other
|
communication behavior
|
46_18
|
Okay. So, it sounds like you feel relaxed and have fun when you're drinking with friends and you like the taste.
|
reflection
|
communication behavior
|
46_20
|
Okay. I'm also curious, are there any parts about your alcohol use that you don't like?
|
question
|
communication behavior
|
46_22
|
Mm-hmm.
|
other
|
communication behavior
|
46_24
|
Have you ever experienced a-a blackout, like when you've been drinking and you wake up and you don't remember what happened?
|
question
|
communication behavior
|
46_26
|
Okay. And have you had any problems related to-to your drinking alcohol, like at home or school or somewhere else?
|
question
|
communication behavior
|
46_28
|
Mm-hmm.
|
other
|
communication behavior
|
46_30
|
Mm-hmm. Have you told your mother that you drink with your friends?
|
question
|
communication behavior
|
46_32
|
So more negative things about your drinking, like getting into trouble with your mom and missing a class at school when you had a hangover?
|
question
|
communication behavior
|
46_34
|
Okay. I see on the questionnaire that you have not ridden in a car with someone who's been drinking and you haven't driven a car, um, after you've been drinking. Is that correct?
|
therapist_input
|
communication behavior
|
46_36
|
That's great. And I hope you continue to avoid those things. As your doctor, I want you to know that I'm concerned about your drinking. When teens drink, things can go wrong, like injuring yourself. Even when you don't drink too excess, though, your brain is still developing and is very sensitive to the effects of alcohol.
|
therapist_input
|
communication behavior
|
46_38
|
That's why I recommend that all my adolescent patients not drink at all. So if you were thinking today about how ready you feel to stop drinking alcohol on a scale of zero to ten, with zero not being ready at all and ten feeling very ready, what number would you pick?
|
question
|
communication behavior
|
46_40
|
A five? So, I'm curious. Why didn't you pick a lower number like a two or three that would mean you're only a little bit ready to stop drinking?
|
question
|
communication behavior
|
46_42
|
Okay. What could you do to avoid getting into trouble?
|
question
|
communication behavior
|
46_44
|
[chuckles] Have you ever tried not drinking or stopping drinking?
|
question
|
communication behavior
|
46_46
|
Okay. What some people your age do is try stopping drinking for a period of time just to see what that feels like.
|
therapist_input
|
communication behavior
|
46_48
|
So, how long do you think you could go without drinking?
|
question
|
communication behavior
|
46_50
|
Do you think you could go two months without drinking?
|
question
|
communication behavior
|
46_52
|
Okay. What things would make it easier for you to not drink?
|
question
|
communication behavior
|
46_54
|
Anything else to make things easier for you?
|
question
|
communication behavior
|
46_56
|
Okay. Is there anybody in your life that you can talk to about this, who give you some support for not drinking?
|
question
|
communication behavior
|
46_58
|
Great. So you've come up with some reasons to stop drinking, like having hangovers and throwing up and getting into trouble. And you've developed some strategies to-to try to not drink, like spending more time with friends who don't drink or having non-alcoholic drinks when people around you are drinking alcohol. I think that's a great plan. I'm really proud of you for giving this a try. How about if I have you make an appointment for two months from now and then I'll see you back and we can see how things are going?
|
reflection
|
communication behavior
|
47_0
|
Hey, Mary, how are you?
|
question
|
communication behavior
|
47_2
|
Um, I noticed some yelling going on in the house, what's going on?
|
therapist_input
|
communication behavior
|
47_4
|
So nothing you want to talk about right now?
|
reflection
|
communication behavior
|
47_6
|
My guess is you're probably involved in that.
|
reflection
|
communication behavior
|
47_8
|
Okay, I understand that sometimes if you're feeling angry or upset about something, the last thing you want to do is share with your caseworker at that time, but, um, you know I am here for you, and if there's anything you ever want to talk about or share with me, that is something that I would love to-to here, and I'll just see sit here and listen if that's something that you would find helpful.
|
therapist_input
|
communication behavior
|
47_10
|
Okay. You know what? I-it seems like things have been really a struggle for you lately, and I have noticed that you haven't been in the best mood, so I'm really- I am concerned about you, but again, it's your choice if that's something that you feel like you want to share with me.
|
reflection
|
communication behavior
|
47_12
|
All right, well, you know I will be by later today. If, um, you have any questions or if you want to talk, um, otherwise, again, I'll stop by and call you later.
|
therapist_input
|
communication behavior
|
47_14
|
All right, take care, bye.
|
other
|
communication behavior
|
48_1
|
Mm-hmm.
|
other
|
communication behavior
|
48_3
|
Mm-hmm.
|
other
|
communication behavior
|
48_5
|
Okay.
|
other
|
communication behavior
|
48_7
|
Uh-huh.
|
other
|
communication behavior
|
48_9
|
Uh-huh.
|
other
|
communication behavior
|
48_11
|
Sure.
|
other
|
communication behavior
|
48_13
|
Mm-hmm.
|
other
|
communication behavior
|
48_15
|
Uh-huh. Uh-huh.
|
other
|
communication behavior
|
48_17
|
Uh-huh.
|
other
|
communication behavior
|
48_19
|
You probably think that I'm going to get on your case about that or something.
|
reflection
|
communication behavior
|
48_21
|
Yeah.
|
other
|
communication behavior
|
48_23
|
Hmm.
|
other
|
communication behavior
|
48_25
|
Yeah and I-- Yeah, you really-- You're already like, you're taking a look at this and sure don't need me like-- Obviously, you don't want to be doing that in the first place, but—
|
reflection
|
communication behavior
|
48_27
|
Yeah, clearly, you made a decision because you didn't want to stand out in some way I'm guessing. So, let's-let's talk more about that. Tell me where would you like to take this?
|
reflection
|
communication behavior
|
49_0
|
All right, Catherine, welcome back. I'll be interested to, sort of, after we met last time, what-what were you-- what have you been thinking about over the week 'cause, you know, I-I remembered last time I asked you what you were thinking about coming, but-
|
question
|
communication behavior
|
49_2
|
-what was different this time and your thoughts about coming?
|
question
|
communication behavior
|
49_4
|
Yeah.
|
other
|
communication behavior
|
49_6
|
Okay, okay. So, there's a shift from last time?
|
question
|
communication behavior
|
49_8
|
Yeah. Yeah. My sense is we'll be able to work pretty well together. That's my, sort of, sense of, uh-- After last time, I thought, you know, "Here's a young woman who's, you know, got some energy to get things together-
|
therapist_input
|
communication behavior
|
49_10
|
-and, uh--" So, really, what we'd like to talk about today is-is get a sense of, um-- Let's talk about the things that would be good to work with, um, over the next, you know, nine months together, really.
|
therapist_input
|
communication behavior
|
49_12
|
So, one of the things that we started to touch on, last time, was this issue of gambling, and, um, you were talking, last time, about how the gambling had, sort of, got you into trouble with your family.
|
reflection
|
communication behavior
|
49_14
|
Yeah. So, thinking about, like, you know, last time, you-you started to say that, well, you thought it was-- you deserved it and there was some thinking around that, so I'm, sort of, wondering how open you are to-to exploring that from some different angles?
|
question
|
communication behavior
|
49_16
|
Yeah. Yeah.
|
other
|
communication behavior
|
49_18
|
Yeah. Yeah.
|
other
|
communication behavior
|
49_20
|
Yeah, so how-how-- You know, like-- 'Cause, sometimes, when we start to open things up, and then you think, "Oh, it feels a bit uncomfortable." So, how do you manage things when you get uncomfortable? How have you managed those in the past?
|
question
|
communication behavior
|
49_22
|
Yeah. Yeah. So, how would I know if we were talking and you were blocking off? What would I notice, uh, in our session together?
|
question
|
communication behavior
|
49_24
|
Yeah?
|
other
|
communication behavior
|
49_26
|
Yeah, that's okay.
|
other
|
communication behavior
|
49_28
|
So-so, what would be really helpful maybe because I might miss it, you know, so, like, could you tell me? It would be really helpful if—
|
question
|
communication behavior
|
49_30
|
Yeah, yeah. If you could just say, "Ken, hi, I am starting to, you know, tune it out here, starting to get uncomfortable," that would be really helpful.
|
therapist_input
|
communication behavior
|
49_32
|
Yeah?
|
question
|
communication behavior
|
49_34
|
Yeah, thanks for that, okay. So, let's think about the-- It has to do with how you just sorted out the thing around the gambling 'cause last time you were here, you told me that you get a buzz, you know, it seemed like you were gambling a bit more than your girlfriends were aware of, and-and you said you owe one of your friends some money.
|
reflection
|
communication behavior
|
49_36
|
So, um, how serious do you think this issue is to sort?
|
question
|
communication behavior
|
49_38
|
Yeah, okay.
|
other
|
communication behavior
|
49_40
|
Yeah.
|
other
|
communication behavior
|
49_42
|
Okay. So, again, on a scale of 1 to 100, how serious-- how important is it to sort it out? Yeah.
|
question
|
communication behavior
|
49_44
|
About 80? Right up there, yeah, yeah? And another question that's, sort of, related to that, how confident are you that you can, you know, you can actually get it sorted and get on with life?
|
question
|
communication behavior
|
49_46
|
Yeah? But, what would-
|
question
|
communication behavior
|
49_48
|
-your level be on a scale of 1 to 100? Where does your confidence sit?
|
question
|
communication behavior
|
49_50
|
Well, to get it sorted. Not necessarily to stop. But we don't- we don't know whether-whether stopping's the right answer here, I don't know, but-but, your confidence to sort it out.
|
therapist_input
|
communication behavior
|
49_52
|
Mm.
|
other
|
communication behavior
|
49_54
|
Hmm.
|
other
|
communication behavior
|
49_56
|
Yeah. Yeah, so-so, you fluttered last night with them?
|
question
|
communication behavior
|
49_58
|
Yep. Okay, okay. And-and when they stopped fluttering, were you still fluttering or did you stop with them? Where-where were you with—
|
question
|
communication behavior
|
49_60
|
Okay. Okay. Okay. Yeah, yeah. So, you were saying before that, you know, there was, you know, money you couldn't really afford-
|
reflection
|
communication behavior
|
49_62
|
-'cause you owed your mom and dad some money, and they weren't bailing you out anymore, and you had to go out and find some money, I think?
|
question
|
communication behavior
|
49_64
|
Yeah? Yeah. Yep. So, it seems like almost, like, you're still in the behavior, you know, still creating some problems?
|
question
|
communication behavior
|
49_66
|
Yeah? Yeah.
|
other
|
communication behavior
|
49_68
|
There's some feelings when you, kind of, think about that?
|
question
|
communication behavior
|
49_70
|
Yeah.
|
other
|
communication behavior
|
49_72
|
Mm.
|
other
|
communication behavior
|
49_74
|
Yeah.
|
other
|
communication behavior
|
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