id
stringlengths
1
23
text
stringlengths
1
1.17k
label
stringclasses
64 values
dimension
stringclasses
6 values
54_4
What's going on with that?
question
communication behavior
54_6
Well, I mean, I think you just need to maybe sit down and write down a list of reasons why you need to get back to the gym, and then on the other side of the list, put down, you know, um, ideas about what's going to help you get there.
therapist_input
communication behavior
54_8
What gym do you belong to?
question
communication behavior
54_10
Okay. And-and how far away is it from your house?
question
communication behavior
54_12
Just a couple of miles. Mm. So you-- you know, you could, like, ride your bike or walk there, and it would be [unintelligible 00:01:12] too.
therapist_input
communication behavior
54_14
Well, I don't know about that. Um. That-- you know, it's really important that you get your, um, not just your cardiovascular-- that's a good idea for the cardiovascular, but also, you know, your, um, weightlifting, the [inaudible 00:01:32] [crosstalk]
therapist_input
communication behavior
54_16
Yeah, yeah.
other
communication behavior
54_18
Yeah. So why-why do you want to-- what do you wanna do with that? You want to look different, or--?
question
communication behavior
54_20
Okay.
other
communication behavior
54_22
Okay. Yeah, because your-your health really, to me, it's more important than your-your looks. I mean, don't get me wrong, I understand what you're saying, but, you know, it'd be great to get back in those jeans, but—
therapist_input
communication behavior
54_24
Mm-hmm. Well, I think you know what to do. You've done it before.
reflection
communication behavior
54_26
Yeah. Just a matter-- You just gotta do it.
therapist_input
communication behavior
54_28
Yeah.
other
communication behavior
54_30
Yeah. And so that might mean, you know, like giving up an hour's sleep, getting up an hour earlier in the day, and going there and getting it done then. That's what I do.
therapist_input
communication behavior
54_32
Yeah.
other
communication behavior
54_34
So when I see you next time, you know, that's what I'd like you to do is to, uh, experiment with getting up an hour earlier and, um-- You know, 'cause, uh, getting healthier is more important than sleep, you know. I mean, I know sleep is important, but-- And then bring that list back that we talked about.
therapist_input
communication behavior
54_36
Okay?
other
communication behavior
54_38
All right, so I'll see you next week.
other
communication behavior
54_40
All right. All right. Bye.
other
communication behavior
55_0
Miguel, before we end the call, I did want to go over the answers you gave me on the questionnaire about drug use. Is it okay if we go over that right now?
question
communication behavior
55_2
Thanks. When I looked at your form, it looks like you use heroin weekly and you injected. What part of your body do you normally inject in?
question
communication behavior
55_4
Do you mind if I take a look at your arm, please?
question
communication behavior
55_6
Okay. Well, I don't see any redness. Um, can you go ahead and touch that Miguel, and tell me if it feels warm to you or if it hurts?
question
communication behavior
55_8
Thanks. Just so you know, when I talk to patients about drug use, my job is to be helpful. I'm not going to tell you what to do or what you should do. What I can do is share some information and be a resource. Does that make sense?
therapist_input
communication behavior
55_10
Right. What else can you tell me about your heroin use?
question
communication behavior
55_12
A couple of times a week. And where do you get your syringes?
question
communication behavior
55_14
Uh, what one do you remember?
question
communication behavior
55_16
Okay. How often do you use new deals when you inject?
question
communication behavior
55_18
Yeah, it sounds like your health is important to you.
reflection
communication behavior
55_20
And you showed up today to take care of your migraines.
reflection
communication behavior
55_22
So, uh, you wrote on here that you've experienced withdrawal symptoms when you've stopped using in the past, is that right?
question
communication behavior
55_24
What does that feel like?
question
communication behavior
55_26
That sounds awful. What do you do when that happens?
question
communication behavior
55_28
Okay. How else does injecting heroin impact your life?
question
communication behavior
55_30
Yeah. You want to stay healthy. I'm curious, what do you like about using heroin?
question
communication behavior
55_32
And what about your use do you not like?
question
communication behavior
55_34
Mm-hmm. So on one hand, using heroin feels like an escape from things you don't want to think about. On the other hand, it puts you at risk for an overdose in infections.
reflection
communication behavior
55_36
So weighing what you like and don't like about your use, where do you want to go from here? What do you want to do differently?
question
communication behavior
55_38
Well, some patients who inject heroin are interested in a medication called Suboxone. It reduces cravings, withdrawal symptoms without making you high. Some patients want information on how to inject drugs more safely or where to get new syringes. Other patients want to carry Naloxone which is a drug that can prevent one from overdosing.
therapist_input
communication behavior
55_40
Yes.
other
communication behavior
55_42
Where do you keep it?
question
communication behavior
55_44
In case you see someone overdosing?
question
communication behavior
55_46
Your housemate may be willing to give you Narcan if they see you overdosing.
reflection
communication behavior
55_48
Anything else you want to do about your use?
question
communication behavior
55_50
Okay. I can email you some information on how to inject in a way that reduces the chance of infection and we also have behavioral health specialists in our clinic who can go over how to reduce harm with you. I bet the syringe exchange has similar resources too.
therapist_input
communication behavior
55_52
So it sounds like you have two goals right now. You want to tell your housemate about where you keep the Narcan in case you overdose and you want some information on how to inject safely?
reflection
communication behavior
55_54
How confident are you to do these two things? On a scale of 1 to 10, 1 meaning not ready at all and 10 meaning very ready, what number would you pick?
question
communication behavior
55_56
Okay. You're very ready. Why do you think you picked a 10 instead of a lower number like 8?
question
communication behavior
55_58
What kind of plan could you put in place to make sure you meet these goals?
question
communication behavior
55_60
That's great. And how do you want to get the information on injecting?
question
communication behavior
55_62
Okay. I'd like to hear how your plan worked out for you if you're willing to come back for another appointment. I look forward to hearing about what worked for you and what was challenging say in four weeks.
other
communication behavior
55_64
Great. I'll see you then.
other
communication behavior
56_0
Hi, Mrs. Smith. I'm Denise. I'm the social worker here at the clinic work that's working with Dr. Fields and the rest of the team. And, um, I know you were here to see Dr. Fields today, and I-I just wanted to let you know, I usually work with people who are similar to- have situations similar to you, and that have gone back home from rehab. And, uh, so I'd like to find out a little bit if you would, if that's okay, about how it's been going since you got home.
question
communication behavior
56_2
Yeah?
other
communication behavior
56_4
Yeah. What are you really glad about?
question
communication behavior
56_6
Yeah.
other
communication behavior
56_8
I know, I-I understand that it was really-- That was your goal. That was a really important thing for you to be able to get home and it sounds like you've been able to really en- enjoy parts of it, and I know you've been going to the- both the physical therapy and the Tai Chi and how's-how's that going?
reflection
communication behavior
56_10
So, I'm wondering if something happened that that led you not to go. You look a little, um, down.
reflection
communication behavior
56_12
Mm. So you've been working really hard-
reflection
communication behavior
56_14
-through this whole thing, you worked really hard to get home.
reflection
communication behavior
56_16
And you- you've continued to work really hard with both the physical therapy and the Tai Chi and taking care of your house and doing all those things.
reflection
communication behavior
56_18
And you had this fall or semi-fall, and you're feeling like maybe- maybe you were pushing too hard?
reflection
communication behavior
56_20
Yeah.
other
communication behavior
56_22
Yeah, yeah. It's a lot of work.
reflection
communication behavior
56_24
What are you concerned about?
question
communication behavior
56_26
Mm-hmm.
other
communication behavior
56_28
Yeah, yeah, yeah. And- so you don't want to hurt yourself.
reflection
communication behavior
56_30
And what are- what are your concerns about-- It doesn't sound like you-you feel like you hurt yourself in this fall.
question
communication behavior
56_32
Mm-hmm.
other
communication behavior
56_34
Yeah. And, what are you concerned will happen if-if you get hurt or if something-
question
communication behavior
56_36
And it feels like the only way that you can really stay safe and not fall is to not do anything to kind of just hunker down.
reflection
communication behavior
56_38
Yeah, yeah.
other
communication behavior
56_40
Mm-hmm. Mm-hmm.
other
communication behavior
56_42
Yeah. So the physical therapy is can- you can kind of still see that it's helping you to build your strength, which-
reflection
communication behavior
56_44
-might have probably helped you break your fall this time.
reflection
communication behavior
56_46
Um, I'm wondering what you remember about what-what Dr. Fields said about the Tai Chi in relationship to falls. Did she talk with you about that?
question
communication behavior
56_48
Yeah.
other
communication behavior
56_50
Yeah. So you're feeling a little betrayed like it didn't-- "Look, and I did this, I was doing my Tai Chi, and all of a sudden, I- here, look at this, I fall."
reflection
communication behavior
56_52
Right.
other
communication behavior
56_54
So you're just starting to question a little bit about whether or not it might be what is useful and, you know, it-it does really come down to what works for you and what-wh-what you decide will help you stay safe. And I'd like to work with you as I know Dr. Fields would, to-to help build a plan that will help you feel as safe as you can in your home-
reflection
communication behavior
56_56
-and to keep you there and to keep you feeling safe.
reflection
communication behavior
56_58
Wh-what do you think about that?
question
communication behavior
56_60
Yeah.
other
communication behavior
56_62
Yeah, right.
other
communication behavior
56_64
Yeah, yeah.
other
communication behavior
56_66
So it really kinda strikes you that you're- that you're there alone and this could happen and--
reflection
communication behavior
56_68
What thoughts do you have about that? What have you heard that others have done, or what are- what are- what thoughts do you have?
question
communication behavior
56_70
Yeah, yeah.
other
communication behavior
56_72
Yeah, yeah. I know what's worked for a lot of the-the folks that I've worked with is there's like- it's called a lifeline and they can wear it around their neck and it's hooked up and- so that if you need help, you can push the button.
therapist_input
communication behavior
56_74
Mm-hmm.
other
communication behavior
56_76
It does really work.
therapist_input
communication behavior
56_78
Right. Right.
other
communication behavior
56_80
No, it is something that there's a couple of different of, uh, you know, a couple of different products out there, but it-it does- it can really help, uh, and-and it kind of gives- might give you this sense of security that you have at your fingertips.
therapist_input
communication behavior
56_82
Mm-hmm.
other
communication behavior
56_84
Yeah.
other
communication behavior
56_86
Mm-hmm.
other
communication behavior
56_88
We- we're gonna work with you to help you stay home as long as you possibly can and be safe.
therapist_input
communication behavior
56_90
So what do you think that will take, um, because you're the one that really knows how you're feeling about in the house and how you're feeling about your safety. What do you think? The lifeline is a possibility, that's something you can consider.
question
communication behavior
56_92
Mm.
other
communication behavior
56_94
Mm-hmm. What else do you think it would take for you to feel safe?
question
communication behavior