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stringlengths 1
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stringlengths 1
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|---|---|---|---|
68_120
|
Got it. Okay. Um, all right. Well, you mentioned a couple of times that you've made a few decisions to try and limit the dangerous aspect of the drinking. Why did you make those decisions?
|
question
|
communication behavior
|
68_122
|
Mm-hmm.
|
other
|
communication behavior
|
68_124
|
Mm-hmm.
|
other
|
communication behavior
|
68_126
|
Okay. Yeah, it sounds kinda similar to your, um, your value of respect to yourself.
|
reflection
|
communication behavior
|
68_128
|
On the one hand, you- the drinking maybe helps with the belonging community to start.
|
reflection
|
communication behavior
|
68_130
|
If there's too much, then it sort of—
|
reflection
|
communication behavior
|
68_132
|
Right. And then with the respect, one of the things you mentioned, is really wanting to respect yourself and not sort of cross boundaries, not sort of cross lines.
|
reflection
|
communication behavior
|
68_134
|
Um, how do you think that the drinking fits in with that?
|
question
|
communication behavior
|
68_136
|
Mm-hmm.
|
other
|
communication behavior
|
68_138
|
Okay.
|
other
|
communication behavior
|
68_140
|
Mm-hmm.
|
other
|
communication behavior
|
68_142
|
Mm-hmm.
|
other
|
communication behavior
|
68_144
|
Mm-hmm.
|
other
|
communication behavior
|
68_146
|
Okay. So you're sort of looking for that balance-
|
reflection
|
communication behavior
|
68_148
|
-of how much you can drink to have some of the positive benefits but not cross over.
|
reflection
|
communication behavior
|
68_149
|
Okay. And what have you come up with at this point? Do you have sort of a-a limit that you stick to or are you--?
|
question
|
communication behavior
|
68_151
|
Mm-hmm. Okay. And do you feel that that's working pretty well for you or do you sometimes exceed that limit or-or what do you think?
|
question
|
communication behavior
|
68_153
|
Okay.
|
other
|
communication behavior
|
68_155
|
So, uh, uh, a portion of the time it's working well for you and another portion of the time maybe you would like-
|
reflection
|
communication behavior
|
68_157
|
-would like to make some adjustments-
|
reflection
|
communication behavior
|
68_159
|
-to-to make it a little smoother. Okay. So, kind of thinking along those lines, how important is it to you make some changes or make some adjustments to your drinking to sort of fit with your values and your goals for yourself?
|
question
|
communication behavior
|
68_161
|
Okay.
|
other
|
communication behavior
|
68_163
|
Right.
|
other
|
communication behavior
|
68_165
|
Mm-hmm.
|
other
|
communication behavior
|
68_167
|
Uh-huh. So kind of combining you alls-
|
reflection
|
communication behavior
|
68_169
|
-goals. Okay. So, you-you have a goal it sounds like, of actually cutting back on your drinking. How important is it to you to work on that goal and on a scale of one to ten, where one is not at all important and ten is it's the most important thing right now?
|
question
|
communication behavior
|
68_171
|
Oh, okay.
|
other
|
communication behavior
|
68_173
|
Uh-huh. Why do you say six or seven rather than like a four?
|
question
|
communication behavior
|
68_175
|
Uh-huh.
|
other
|
communication behavior
|
68_177
|
Yeah, looking ahead, you can't keep drinking this way and reach the goals that you have for yourself.
|
reflection
|
communication behavior
|
68_179
|
Okay. Well, how confident are you that you could cut down if you wanted to-
|
question
|
communication behavior
|
68_181
|
-on that same scale from one to ten?
|
question
|
communication behavior
|
68_183
|
Oh, wow. Okay. Why do you say 10?
|
question
|
communication behavior
|
68_185
|
Okay. And so you mentioned the- you know, quite a few reasons why you would like to cut down. Um, have you thought at all about how you might go about doing that?
|
question
|
communication behavior
|
68_187
|
So sort of, um, trying to plan more activities that don't involve alcohol-
|
reflection
|
communication behavior
|
68_189
|
-and then also trying to participate in activities without drinking yourself or maybe even drinking less than you're drinking.
|
reflection
|
communication behavior
|
68_191
|
Okay. Does that sound like a goal you want to work on now or?
|
question
|
communication behavior
|
68_193
|
Okay. Um, so I guess we'll talk about, um, less alcohol activities. I'm just making some notes to myself and then maybe, um, reducing the amount of drinking that you're doing if alcohol is involved. Okay. Um, so that-that goal sounds feasible, you said? Would it be okay if we met in a couple of weeks to sort of see how it's going?
|
therapist_input
|
communication behavior
|
68_195
|
Does that sound like something you'd like to do?
|
question
|
communication behavior
|
68_197
|
Okay. Well, I really appreciate you spending the time talking to me, you know, it sounds like you have a lot of really good goals for yourself, really ambitious goals of going to medical school and, you know, becoming a psychiatrist or, um, some-some other form of physician. Um, you're really looking forward to doing well in school so you can get there.
|
reflection
|
communication behavior
|
68_198
|
And it sounds like you have a pretty active social life and a-a lot of friends who you feel probably would be, uh, supportive, even if you cut down on alcohol and that, you know, there's a lot of benefits you see both to your body and your health, um, your school performance, and even some of the social stuff in terms of feeling a sense of belonging without having to deal with some of the gross consequences of-of, um, drinking too much.
|
reflection
|
communication behavior
|
68_199
|
Um, so yeah, you know, it really sounds to me like you have a good plan in place and as long as you're willing and-and interested in meeting again, I'd be very excited to be able to talk with you about how it's going.
|
reflection
|
communication behavior
|
68_201
|
All right. Great. So I'll-I'll plan to see you then in a few more weeks.
|
other
|
communication behavior
|
68_203
|
Great.
|
other
|
communication behavior
|
70_0
|
Hi, Dr. Martin. I'm Lori. I'm the pharmacist on duty here today. I understand that you have some questions about the medication citalopram. Do you have a minute to talk about that?
|
question
|
communication behavior
|
70_2
|
All right. Well, do you have any specific questions?
|
question
|
communication behavior
|
70_4
|
Okay. Well, citalopram is an SSRI medication. Its indication is for depression and it's typically dosed as a 20-milligram tablet but it is available as 10, 20, and 40 milligrams. Any patients started on this medication should be monitored for improvement in symptoms in four to eight weeks.
|
therapist_input
|
communication behavior
|
70_6
|
If there are some side effects to this, it can include GI effects, sedation, or sexual dysfunction. But if you have a patient that suffers from any of those things, you can try either decreasing the dose or changing them to a different agent. Do you have any other questions?
|
therapist_input
|
communication behavior
|
70_8
|
Oh, that I'm not sure of. Um, can I get back to you later on this afternoon with that answer?
|
question
|
communication behavior
|
70_10
|
Fantastic. Thank you.
|
other
|
communication behavior
|
71_0
|
So, you've got this dream by the sounds of it, which is, you know, to have a partner, and a house, and a nice car-
|
reflection
|
communication behavior
|
71_2
|
-so don't forget the nice car, and some kids, and be a- be a good dad-
|
reflection
|
communication behavior
|
71_4
|
-to your kids. So, is this dream starting to-- I am getting a picture of?
|
question
|
communication behavior
|
71_6
|
Yeah. Okay. So, what I'm really interested in is how offending fits in with that picture, that dream.
|
question
|
communication behavior
|
71_8
|
Yeah, how doesn't it fit, Billy?
|
question
|
communication behavior
|
71_10
|
Yeah?
|
question
|
communication behavior
|
71_12
|
Yeah. It kinda messes up that dream, that picture?
|
question
|
communication behavior
|
71_14
|
Mm. Makes it harder? Yeah. Well, it can make it harder to keep a job, aye?
|
question
|
communication behavior
|
71_16
|
And harder to—
|
reflection
|
communication behavior
|
71_18
|
Yeah.
|
other
|
communication behavior
|
71_20
|
And we've talked about that idea of you getting a job and something to do with cars 'cause that's where your passion is.
|
reflection
|
communication behavior
|
71_22
|
Yeah? So, what have you been thinking, um, since we last met, about what you might do about getting that kind of job?
|
question
|
communication behavior
|
71_24
|
Mm-hmm.
|
other
|
communication behavior
|
71_26
|
Okay, so you know some people?
|
question
|
communication behavior
|
71_28
|
You've gone down that road of kind of going back to school in some ways and getting a tryout or-
|
reflection
|
communication behavior
|
71_30
|
-getting a qualification?
|
question
|
communication behavior
|
71_32
|
Yeah? So, what-what would interest you about going down that same, sort of, path?
|
question
|
communication behavior
|
71_34
|
Mm-hmm. Yeah, so what in particular? Like, if you could have whatever you wanted, in terms of that sort of work, what would you do?
|
question
|
communication behavior
|
71_36
|
Mm-hmm. So, as long as it has to do with cars, you'd be sweet with that?
|
reflection
|
communication behavior
|
71_38
|
Yeah?
|
question
|
communication behavior
|
71_40
|
Okay. So-so what sort of things do you think you need to do to go down that path to get that qualification?
|
question
|
communication behavior
|
71_42
|
Mm-hmm.
|
other
|
communication behavior
|
71_44
|
Okay. So, what sort of training did you-- did these people, that you've been talking about, what did they do?
|
question
|
communication behavior
|
71_46
|
Mm-hmm.
|
other
|
communication behavior
|
71_48
|
Mm-hmm.
|
other
|
communication behavior
|
71_50
|
Yeah. So, how confident are you that you could do something similar to these-these friends that you've got?
|
question
|
communication behavior
|
71_52
|
Okay. So, it would be pretty easy. So, if it's pretty easy, what do you need to do next, Billy?
|
question
|
communication behavior
|
71_54
|
Okay. So, you actually went to the polytech—
|
reflection
|
communication behavior
|
71_56
|
-and picked up some forms?
|
question
|
communication behavior
|
71_58
|
Wow.
|
other
|
communication behavior
|
71_60
|
That's fantastic, Billy.
|
other
|
communication behavior
|
71_64
|
Tell me- tell me what happened when you say they-- like it didn't help you? What-what-what happened?
|
question
|
communication behavior
|
71_66
|
Yeah.
|
other
|
communication behavior
|
71_68
|
Okay. So, they gave you a horde of forms for a particular course?
|
other
|
communication behavior
|
71_70
|
Mm.
|
other
|
communication behavior
|
71_72
|
Yeah.
|
other
|
communication behavior
|
71_74
|
Okay. So, you got the forms, took them- took them home?
|
question
|
communication behavior
|
71_76
|
Mm-hmm. You said the forms were confusing?
|
question
|
communication behavior
|
71_78
|
Yeah? What-what's the confusing bit?
|
question
|
communication behavior
|
71_80
|
Yeah. So, when you've had to write things or fill out forms before, how-how's that been for you?
|
question
|
communication behavior
|
71_82
|
You don't like writing?
|
question
|
communication behavior
|
71_84
|
Yeah. So, wondering what that's about, about not actually liking writing.
|
question
|
communication behavior
|
71_86
|
People can't read-- People can't read your handwriting?
|
question
|
communication behavior
|
71_88
|
Oh, you must be a doctor.
|
other
|
communication behavior
|
71_90
|
Yeah? [chuckles] Yeah?
|
other
|
communication behavior
|
71_92
|
Okay. So, you need some help to fill out the forms?
|
question
|
communication behavior
|
71_94
|
Mm.
|
other
|
communication behavior
|
71_96
|
Okay. All right, so what-what do you need to do, Billy, to actually get to that point where you can fill out a form and post it off?
|
question
|
communication behavior
|
71_98
|
Okay, so you feel like it would be embarrassing to ask Donna to give you some help-
|
reflection
|
communication behavior
|
71_100
|
-because you feel that she might find out something about you that you're not quite sure you want her to find out?
|
question
|
communication behavior
|
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