Utterance stringlengths 2 4.06k | D_ACT class label 12
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Yeah, feels really hard and I want to be able to. | 6cd |
Okay. | 7ack |
I'm still feeling a little anxious, but I mean, I think it's better feels better that it's like out there. I guess that I'd like said it and I think maybe that helps. | 11orq |
So let's talk about this. So those type of thoughts, like I can't make a mistake or something like that. We call this automatic thoughts. And we'll have plenty of time talk about the different structures in CBT. I do want to explain it to you but over the course of several sessions, let's just take pieces of it for now... | 0id |
if I go to work I'm going to make a mistake, | 0id |
So if I go, I'm going to make a mistake. And then we talked about your reactions being late. Worry, anxiety. So what we'd like to do when we identify on that felt like that is what's called self talk. And it first this may seem a little odd, right? So you have this thought that comes through it can be an image to the t... | 0id |
So I mean, what am I supposed to say to myself? | 4crq |
It's a good question. We'll work on that. And that's what we can do now. Let's take a look at some self talk. So some adaptive responses so they can build. So I'm going to make a mistake. That's the automatic thought that's directly leading. Seems to be to feeling supported dread, and physically not getting work on tim... | 0id |
Yeah. | 8op |
What was different about those times? | 1irq |
I guess I told myself, I have to get to work on time because if I don't, it's going to be even worse. If I make a mistake, and I'm late that it just, you know, it compounds and I guess I would tell myself, it's gonna be okay. You just have to get through this day. | 0id |
Alright, so when you do that, in essence, you are applying self talk. Okay. All right. So that's, that's really the same thing except you probably didn't have a label for it. And when you apply that it seems to work. So the message you're kind of sending yourself now you're telling yourself is I'm going to make a mista... | 0id |
How many times have you gone to work and made a mistake? | 1irq |
I don't know. I mean, I guess none technically none that have been something I've gotten trouble for anything like that. Sometimes it's hard to tell because you know, you don't always hear from people afterwards. You can't really tell was it a mistake or not. But I guess none that it had like any major consequences. | 0id |
So none, but there might be a few small ones that you've just never found out about. So Less than a 10th of a percent days you come in probably very small, really, really small. The probability of a statement that you're making being true, is pretty low. The seventh thought rather, I'm going to make a mistake. Probably... | 0id |
Yeah, I guess that's true. | 7ack |
So, the automatic thought is not accurate and not useful. I just got a couple strikes against it. But it is the thought you're having so let's deal with it. I'm going to make a mistake. So what could you tell yourself as the first part of that adaptive response, which acknowledges that fear that's realistic, that ackno... | 0id |
I guess like it Everybody makes mistakes. | 0id |
Everybody makes mistakes. I could make a mistake today, but it's unlikely that that also be accurate. So everybody makes mistakes. I could make a mistake, but it's probably not gonna happen. Rather than I'm going to make a mistake. So you're going to have that automatic thought either way, likely for a while until you ... | 0id |
I'm a good caseworker and I need to do my job so I can help other people and it's going to be okay. | 0id |
Okay, so there's a few few elements in there. It's going to be okay, I need to do my The job I help people all those all those are true So applying as you know even as you say this year with me as you say, it's gonna be okay I need to my shop. What are we actually having right now? | 0id |
I mean it feels a little better but it's hard you know so I felt still feel like it's dangerous I might make a mistake but I guess it helps a little bit | 0id |
Can you see yourself being able to in the moment and I realize this is difficult but in the moment of having that on that thought and that word come in. Can you see yourself applying this self talk? | 0id |
Yeah, I think I probably will because now it will be hard to have those thoughts and not think of you . Okay, I need to calm myself down a little bit. | 8op |
And you've already used self talk on your own before even knew about these? | 5yq |
Yeah. It did help in the past. | 8op |
A lot of the corsage to some of the effectiveness of this is based on your ability in that moment to take a step back and follow the training. Right, just like many professionals, professionals depend on their training to help them make the correct intervention correct decision. So think of this kind of like something ... | 0id |
it's not gonna work every time. | 0id |
Make sense? | 4crq |
Yeah, that makes a lot of sense. | 6cd |
So it's the chaos of life, right in the chaos of emotions that sometimes interfere. the more times you have success, that that seems to be tied with a better chance of improving and reduction of symptoms, but allow yourself failures. Well, it's what I would expect from anybody trying to untangle all these feelings and ... | 0id |
that makes sense because like, if you could just flip a switch you I would only have to have one therapy session. | 0id |
It'd be good shape, right? so it's a little more difficult than that. But overall, this these strategies are fairly straightforward. And you can definitely learn them and you can definitely do them. I want you to have that confidence. It's, it's normal to have mistakes occur. And to not always do it as you need to as y... | 0id |
So you mentioned before that when you wake up in the morning, you you don't want to go to work, what's going through your mind? | 1irq |
I'm gonna have to, you know, hear what my coworkers have to say about what's going on. I might make another mistake. Who knows if I'm going to find out that something terrible happened to these kids when I go back to work? I guess a lot of stuff like that. | 0id |
So looking into one I'm going to make a mistake. That kind of connects to what we were talking about before it says the uncertainty, you're not sure of your own skills and you're afraid of an error that's going to be costly. So when you think that thought, I'm gonna make a mistake, so this is when you're, when you're i... | 0id |
I feel more anxious. You know, I think about like, what could happen to somebody else if I make a mistake, like kids going to the wrong home or, you know, not being with their parents when their parents you know, we're not doing anything wrong. And I just feel really like overwhelmed and it gets hard to breathe and I j... | 0id |
So there's emotional consequences. And then the behaviors. You don't want to get out of bed. | 0id |
And then a lot more lately because I have trouble getting out of it. | 0id |
When you're staying in bed, are you under more thoughts coming up? | 1irq |
So this is really weighing on you. And he was edified these thoughts that seem to be connected with feelings that are unpleasant, and behaviors are unpleasant, but also maybe not useful. | 0id |
Yeah, they're keeping me from getting the work and stuff like that. | 6cd |
So we have a reference point for later on as we continue counseling. I'd like to scale this problem like maybe on a scale of one to 10, where 10 represents feelings that are nearly unbearable, right? And one not really a problem. How do you feel on that scale? Where do you rate yourself right now? | 1irq |
Right now in this moment, probably like a five. Around the middle. Yeah, like I'm really stressed out but I not like when I'm in bed, like I can't get out of bed, that kind of thing. | 0id |
How would you rate yourself when you're in bed before you go to work? | 1irq |
Probably like an eight. | 0id |
So an eight sometimes nine, right now five, so still not feeling great. Have you had to pick an emotion of standing out above the rest in anxiety, sadness, sense of dread. What would be the worst right now? | 1irq |
Right now probably anxiety. | 0id |
So five, on a scale 10 inside is really standing out more | 0id |
Hi, Andrea, thanks for coming in. | 2gt |
Hi, Thank you. | 2gt |
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. 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 thing... | 3gc |
Yeah. | 7ack |
Oh | 3gc |
I'm also in the band geek. I play you know, in the Wind Ensemble in the jazz band, things like that. | 3gc |
Wow. You really are involved in music. | 3gc |
Yeah. | 3gc |
When did you start? | 1irq |
I started playing about 10 years ago, actually. | 0id |
Wow. | 3gc |
Yeah, I started on the violin first and then I went on explored a little with the piano clarinet. Finally found the center sacks. | 3gc |
Um, you know, just hanging out with my friends or go to the beach, things like that. | 0id |
It's kind of everyday, sort of thing ? | 5yq |
Yeah | 8op |
Tell me a little bit about your family. | 1irq |
Well, I have one older brother. He's about eight and a half years older than me, my parents and I have a Dog. | 0id |
Cute. What kind of dog ? | 1irq |
It's a golden retriever | 0id |
Oh, nice. | 7ack |
big boy. | 3gc |
Very funny. All right, and how are things going in school for you? | 1irq |
Pretty good. Grades have been pretty alright. Still like 3.7 ish. | 0id |
I'd like to, you know, I'd like to, of course graduate high school, hopefully go to a nice Ivy League school | 0id |
Ohh Alright. | 3gc |
or I mean, that might not happen. And then I'd like to go on become a doctor, study psychology, you need to come in psychiatrist or something. | 0id |
Okay. You have some pretty big dreams. It's great. It's really exciting to think about that and be looking forward to the future and those things. | 7ack |
Yeah. | 3gc |
All right. Well, one thing I'm going to ask you about is, 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. Here's the little sheet that goes through just so... | 1irq |
Um, I think a sense of community and belonging. | 0id |
Okay. | 3gc |
I think those two and respect, respect. | 0id |
Okay, | 7ack |
Yeah, well, I think community and belonging I kind of related them. You know, I said I was in the marching band, I really, you know, I really enjoy being in like that team setting of, you know, being with other people and all working toward together towards that one goal. And then in terms of Respect I, I kind of view ... | 0id |
Okay. | 7ack |
I placed great importance to them. | 0id |
Yeah. | 7ack |
And then the respect is really sort of all encompassing, not just authority, but respecting yourself, respecting your teammates or your bandmates and other people around you. | 3gc |
yes. | 3gc |
Um, sometimes if you just you know, go to the movies go to the beach, like I said, or sometimes we just get together at someone's house, play some board games and hang out. | 0id |
And when you're hanging out with friends, Is there ever alcohol involved. | 1irq |
Yeah, sometimes, | 7ack |
okay, can you tell me a little bit about how alcohol fits into sort of your social scene? | 1irq |
Well, it's mostly just for for parties or party settings is kind of to get things going and get everything loosened up, as they say, | 0id |
Mm hmm. And so when you go to parties, most of the time, there's alcohol there. | 5yq |
Yeah | 8op |
Okay. And how often do you think you would say you're drinking? | 1irq |
I'd say I'm on a not busy month, for instance, I'd say about like, two weekends out of the month to three. | 0id |
So about half the time you're drinking and half the time you're not. | 5yq |
Yeah | 8op |
Can you tell me what's different about the days when you choose to drink versus not to drink? | 1irq |
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