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66_0
Hi, Mr. Stowe.
other
communication behavior
66_2
How are you doing today? I'm Bruce Berger.
question
communication behavior
66_4
I, uh, I'm a case manager with your health plan. I understand that you came in today to talk about your diabetes.
reflection
communication behavior
66_6
So you just- you just saw the doctor and, uh, you know, you sound like you just got blindsided, uh, with, uh, not only how, how frightening this seems that you have diabetes and that, uh, she-- you say she told you a whole lot of things that can happen with your eyes and circulation and all those kinds of things.
reflection
communication behavior
66_8
And so you're really kind of reeling right now from, uh, all of that. And you sound a little bit pretty, pretty scared actually.
reflection
communication behavior
66_10
So it sounds like-
other
communication behavior
66_12
So it sounds a lot like, uh, on top of the fact that you've got something you're really scared about having consequences in terms of everything that can happen, what worries you also is all the different things that she told you you're going to need to do to get it under control. Can't imagine doing all those things, so you almost feel like all that bad stuff's gonna happen.
reflection
communication behavior
66_14
Okay. And I-- And what I want to do is help you kind of break this up into some-some doable chunks so that we can get your blood sugar down. I, you know, on the one hand, your doctor is right, you know. Your blood sugar is very high and we do wanna get it down so that we don't have those consequences happen. Uh, and-and there are a number of things that you need to do in order to-to get your blood sugar down. Um, you know, on the other hand, we can take this a step at a time, so it's not so overwhelming.
therapist_input
communication behavior
66_15
And I'd like you to be able to tell me what kinds of things that you can do right now. You know, for example, there- there's basically three things that need to be worked out with diabetes. Taking your medicine as prescribed. And honestly, if I was gonna work on one thing right away, given that everything seems so overwhelming would probably that-that first, because that'll have the biggest impact. How-how does that sound so far?
therapist_input
communication behavior
66_17
So that's easy to do.
reflection
communication behavior
66_19
Yeah. 'Cause it looks like you need to just take your medicine, uh, uh, once a day from-from the prescription. So that sounds doable right now.
therapist_input
communication behavior
66_21
Okay. The other things that need to be worked on over time certainly would be changing your eating habits, you know, to eat- eat healthier, uh, not necessarily less, but healthier. And the other thing would be getting, um, some more physical activity. And by the way, that doesn't mean going to a gym. That means things like more walking, maybe using stairs instead of an elevator or an escalator, stuff like that. Uh.
therapist_input
communication behavior
66_23
Yeah. And that really is to give you feedback about how those other things are doing so that it keeps you on task.
therapist_input
communication behavior
66_25
So it helps you know that when you're taking your medicine, when you're changing your eating habits, that it's really having an impact on your blood sugar 'cause getting your blood sugar down is going to keep you from having all of those other problems. How does all this-- where does this leave you now right now in terms of how you're feeling?
therapist_input
communication behavior
66_27
Okay.
other
communication behavior
66_29
It sounds like you're very committed to that.
reflection
communication behavior
67_0
Is it okay if we go over the form you had filled out? We give this out to everybody who comes in.
question
communication behavior
67_2
All right. So here, it looks like you wrote that you drank alcohol on a few occasions in the last year, and you have used marijuana more often, 30 days in last year.
therapist_input
communication behavior
67_4
Okay. When students and I talk about their substance use, the first thing I always say, I don't like to tell anyone what to do. That's not my job. Instead, I like to see if there's anything they would like to do, if anything, about their use. So what can you tell me about your marijuana use?
question
communication behavior
67_6
Okay. How often?
question
communication behavior
67_8
Do you vape anything else besides marijuana?
question
communication behavior
67_10
Okay. Is it okay if I share some information with you?
question
communication behavior
67_12
We know marijuana has effects on the developing brain. For example, it can make it harder for you to concentrate, it can make it harder for you to remember things, and vaping can seriously hurt your lungs. About one in six people who begin using marijuana as a teenager, later on, become addicted. So what do you think about all this information that I've shared?
therapist_input
communication behavior
67_14
How do you think it affects you?
question
communication behavior
67_16
Is there anything about marijuana that worries you, many things that you don't like?
question
communication behavior
67_18
How could you get in trouble at school?
question
communication behavior
67_20
So staying in school and playing on the basketball team is important to you?
question
communication behavior
67_22
So when you think about these things, are there any things you would like to change about your marijuana use?
question
communication behavior
67_24
What would be the benefits of that?
question
communication behavior
67_26
Marijuana affects how well you play. What would be the other benefits for you?
question
communication behavior
67_28
Okay. Well, it sounds like you have a goal of not using marijuana once basketball starts. How long do you think you could not use?
therapist_input
communication behavior
67_30
Okay. If I asked you to pick a number, 0 through 10, 0 meaning you're not very confident at all in meeting your goal, or 10 meaning you're very confident, what number would you pick?
therapist_input
communication behavior
67_32
A seven. Why do you think you picked that instead of a lower number like five?
therapist_input
communication behavior
67_34
So, what steps could you take to help you stop using for a month?
therapist_input
communication behavior
67_36
How about this question? What might happen within a month that might make you want to vape?
question
communication behavior
67_38
What else could you do instead of vaping when you feel that way?
question
communication behavior
67_40
Anything else?
question
communication behavior
67_42
Playing basketball and playing video games are a way to feel better.
reflection
communication behavior
67_44
Well, I'm glad to hear that you have a goal of quitting for a month and you are confident of reaching that goal. If you're willing to come back in a month or so, I would be curious to hear how your plan works out.
therapist_input
communication behavior
67_46
Well, Good luck with basketball practice. If you want anything or need to talk about something before our next appointment, I'm here Monday through Thursday, and it's always good to see you.
other
communication behavior
68_0
Hi, Andrea, thanks for coming in.
other
communication behavior
68_2
So I don't know how much you know already about sort of my role here and why you're even here. So I thought I'd start by telling you a little bit about myself.
other
communication behavior
68_4
Basically, my job is to meet with all of the students. I meet with everybody about once or twice a semester and just talk with you a little bit about how things are going, different behaviors that you might be engaging in, and thinking about any changes you might wanna make for your life if you decide that you do. It's not my job to change you. I couldn't even if I wanted to. That's not my role at all. It's really to help you think about, you know, how things are going for you and how you might like making changes or moving forward.
therapist_input
communication behavior
68_6
Does that sound okay?
question
communication behavior
68_8
All right. So why don't we start by you telling me a little bit about yourself?
question
communication behavior
68_10
Oh, neat.
other
communication behavior
68_12
Wow. You really are involved in music.
reflection
communication behavior
68_14
When did you start?
question
communication behavior
68_16
Wow.
other
communication behavior
68_18
Very cool. I've always wanted to be good at music. [laughter] All right. So it sounds like you're in band and a-a few other musical ensembles, any other hobbies you have or things you like to do for fun?
question
communication behavior
68_20
Mm-hmm.
other
communication behavior
68_22
Just kind of everyday sort of stuff?
question
communication behavior
68_24
Okay. Tell me a little bit about your family.
question
communication behavior
68_26
Cute. What kind of dog?
question
communication behavior
68_28
Oh, nice. Okay.
other
communication behavior
68_30
[laughs] Very fun. All right. And how are things going in school for you?
question
communication behavior
68_32
Okay, great, so you're doing well. What sorts of goals do you have for after college- oh, after high school?
question
communication behavior
68_34
Oh, all right.
other
communication behavior
68_36
Okay, you have some pretty big dreams.
reflection
communication behavior
68_38
That's great. That's really exciting to think about that-
other
communication behavior
68_40
-and sort of be looking forward to the future and those things. All right. Well, one thing I'm going to ask you about is, um, you know, different people have sort of different things that they really value in their life. Whether it's, you know, their cultural identity or their family or their friends or job or hobbies, things like that. So here's the little sheet that goes through just some basic values that, um, might be more or less important to certain people.
therapist_input
communication behavior
68_42
Like belonging or sense of community. Again, cultural identity or family, friendship, modesty, religion, respect, self-determination and spirituality. So, when you think about yourself, which of these are kind of most important to you in terms of your life?
therapist_input
communication behavior
68_44
Okay.
other
communication behavior
68_46
Respect, okay. Can you tell me a little bit about why you picked those three?
question
communication behavior
68_48
Mm-hmm.
other
communication behavior
68_50
Mm-hmm.
other
communication behavior
68_52
Okay.
other
communication behavior
68_54
Okay, great. So sort of being a part of a group and being a part of a team gives you a sense of, um, uh, belonging, like you said.
reflection
communication behavior
68_56
And sort of a-a sense of purpose in a way.
reflection
communication behavior
68_58
And then the respect is really sort of all-encompassing.
reflection
communication behavior
68_60
Not just authority, but respecting yourself, respecting your teammates or your bandmates and other people around you. Okay, that's great.
reflection
communication behavior
68_62
All right. Well, um, one of the things I wanted to talk to you about sort of relates to belonging and your friends. So what kinds of things do you like to do when you get together with your friends?
question
communication behavior
68_64
Mm-hmm, and when you're hanging out with friends, is there ever alcohol involved?
question
communication behavior
68_66
Okay. Can you tell me a little bit about how alcohol fits into sort of your social scene?
question
communication behavior
68_68
Mm-hmm, mm-hmm. And so when you go to parties, most of the time there's alcohol there?
question
communication behavior
68_70
Okay. And how often do you think you would say you're drinking?
question
communication behavior
68_72
Mm-hmm. So about half the time you're drinking and half the time you're not. Can you tell me what's different about the days when you choose to drink versus not to drink?
question
communication behavior
68_74
So it really depends on what the activity is, whether or not alcohol is gonna be there?
question
communication behavior
68_76
Okay. And do you notice a big difference or can you tell me about the difference in your enjoyment level at say a party versus a night you're playing board games?
question
communication behavior
68_78
Mm-hmm.
other
communication behavior
68_80
Uh-huh.
other
communication behavior
68_82
Mm-hmm.
other
communication behavior
68_84
Okay. So there's sort of pros and cons on both sides?
question
communication behavior
68_86
Okay. What are the things that you like about drinking or like about alcohol?
question
communication behavior
68_88
Mm-hmm.
other
communication behavior
68_90
Okay. So sort of in the-the too much drinking or-or at times, can you tell me some of the less good things or not so good things about alcohol?
question
communication behavior
68_92
Mm-hmm.
other
communication behavior
68_94
Mm-hmm.
other
communication behavior
68_96
Mm-hmm. So you're trying to, like you said, not engage in really dangerous activities?
question
communication behavior
68_98
You're trying to stay put, you're not driving. You're trying to stay with people that you trust. Um, but yet it sounds like there's still some-some things happening from time to time.
reflection
communication behavior
68_100
Can you tell me a little bit about that?
question
communication behavior
68_102
Yeah. Throwing up is never fun.
reflection
communication behavior
68_104
And how often do you think that happens?
question
communication behavior
68_106
Mm-hmm.
other
communication behavior
68_108
Mm-hmm.
other
communication behavior
68_110
Okay.
other
communication behavior
68_112
Uh-huh. Okay. So, on the one side, some of the fun things associated with alcohol are people are just more relaxed, sorta, um, carefree can kind of let loose a little bit more, on-on the other hand, there's a little bit more, I guess, planning involved-
reflection
communication behavior
68_114
-because you have to make sure that you're doing it safely or as safe as you can. And then, um, there can be some other consequences like throwing up or even if it's not you, that sometimes you're stuck your-your fun is sort of ruined when you're stuck dealing with a friend who drunk too much. Okay. And the other not so good things about the alcohol?
reflection
communication behavior
68_116
Mm-hmm.
other
communication behavior
68_118
So you're kind of stuck being exposed to things you don't need to see.
reflection
communication behavior