instruction
stringclasses 35
values | input
stringlengths 59
2.77k
⌀ | output
stringlengths 4
969
|
|---|---|---|
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah, like, I should probably have trusted my gut.
therapist: So, your gut is telling you what? Tell me about that.
client: It's telling me that what I'm doing is wrong and it's probably hurting my kid and that- that I'm gonna really regret that once I actually get my kid.
therapist: And you really wanna do what's best for your babe. And kind of wondering, um, how to move forward from here, is that where you wanna, you know, kind of focus in on, or what are your thoughts about giving up drinking altogether?
client: Um, I'm definitely it's not-- I think I could probably do it. It's just- it-it comes hard when you're, like, in that moment. You're around your friends and they're drinking and you don't wanna be- you don't wanna be the mom at that moment. You wanna be yourself. You wanna be who you were before. | So, you kind of have this identity, dual identity going on. I wanna be that person, yet, that person- |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: It's telling me that what I'm doing is wrong and it's probably hurting my kid and that- that I'm gonna really regret that once I actually get my kid.
therapist: And you really wanna do what's best for your babe. And kind of wondering, um, how to move forward from here, is that where you wanna, you know, kind of focus in on, or what are your thoughts about giving up drinking altogether?
client: Um, I'm definitely it's not-- I think I could probably do it. It's just- it-it comes hard when you're, like, in that moment. You're around your friends and they're drinking and you don't wanna be- you don't wanna be the mom at that moment. You wanna be yourself. You wanna be who you were before.
therapist: So, you kind of have this identity, dual identity going on. I wanna be that person, yet, that person-
client: And so many people, when they have kids, they just vanish from their friends. And I don't wanna be that person. I don't wanna be that person that just has a kid and they're completely-completely different. | Mm. So, embraces this life of the picket fence and the, you know, the little house and having the baby in this- |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Um, I'm definitely it's not-- I think I could probably do it. It's just- it-it comes hard when you're, like, in that moment. You're around your friends and they're drinking and you don't wanna be- you don't wanna be the mom at that moment. You wanna be yourself. You wanna be who you were before.
therapist: So, you kind of have this identity, dual identity going on. I wanna be that person, yet, that person-
client: And so many people, when they have kids, they just vanish from their friends. And I don't wanna be that person. I don't wanna be that person that just has a kid and they're completely-completely different.
therapist: Mm. So, embraces this life of the picket fence and the, you know, the little house and having the baby in this-
client: Yeah, suburbs. Yeah. | So, you don't wanna be that- that- that woman that's just sort of living in this house with the baby carriage, and at the same time, that world's kind of saying it's behind you. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: And so many people, when they have kids, they just vanish from their friends. And I don't wanna be that person. I don't wanna be that person that just has a kid and they're completely-completely different.
therapist: Mm. So, embraces this life of the picket fence and the, you know, the little house and having the baby in this-
client: Yeah, suburbs. Yeah.
therapist: So, you don't wanna be that- that- that woman that's just sort of living in this house with the baby carriage, and at the same time, that world's kind of saying it's behind you.
client: Yeah, I-I guess. Like, I don't wanna- I don't wanna lose my friends because of this. And I don't wanna put pressure on them to change because they're, I mean, they're good people. They're just— | You care about them. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah, suburbs. Yeah.
therapist: So, you don't wanna be that- that- that woman that's just sort of living in this house with the baby carriage, and at the same time, that world's kind of saying it's behind you.
client: Yeah, I-I guess. Like, I don't wanna- I don't wanna lose my friends because of this. And I don't wanna put pressure on them to change because they're, I mean, they're good people. They're just—
therapist: You care about them.
client: Yeah. | It's just the scene that they're-they're still in because their life maybe hasn't taken that change that your life has made. And so now, you're here and you're not sure. You want the baby, but you're not sure about the suburbs and the picket fence thing. You're not sure— |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Yeah, I-I guess. Like, I don't wanna- I don't wanna lose my friends because of this. And I don't wanna put pressure on them to change because they're, I mean, they're good people. They're just—
therapist: You care about them.
client: Yeah.
therapist: It's just the scene that they're-they're still in because their life maybe hasn't taken that change that your life has made. And so now, you're here and you're not sure. You want the baby, but you're not sure about the suburbs and the picket fence thing. You're not sure—
client: I don’t want that. | You don't want that. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah.
therapist: It's just the scene that they're-they're still in because their life maybe hasn't taken that change that your life has made. And so now, you're here and you're not sure. You want the baby, but you're not sure about the suburbs and the picket fence thing. You're not sure—
client: I don’t want that.
therapist: You don't want that.
client: No. | You want this baby. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: I don’t want that.
therapist: You don't want that.
client: No.
therapist: You want this baby.
client: Yeah. | And you wanna be, um, take care of your baby as the baby's growing. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: No.
therapist: You want this baby.
client: Yeah.
therapist: And you wanna be, um, take care of your baby as the baby's growing.
client: Like, I wanna- I wanna be responsible for this thing. | You don't wanna let your baby down. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah.
therapist: And you wanna be, um, take care of your baby as the baby's growing.
client: Like, I wanna- I wanna be responsible for this thing.
therapist: You don't wanna let your baby down.
client: No. | And at the same time, it's hard to let go of the past, but on the other hand, you're thinking, "I don't have a choice. I've got to look this way." Is that kind of what it feels like? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: No.
therapist: And at the same time, it's hard to let go of the past, but on the other hand, you're thinking, "I don't have a choice. I've got to look this way." Is that kind of what it feels like?
client: I guess so. I feel like I've already made a choice and already made some bad choices with this.
therapist: Nina, I'm wondering, what's your hope for the future? When you think about where you are today, um, what do you hope for when you look ahead?
client: Well, I-I kept the kid because I wanted-- It was almost like that push, that sign for me to, like, move forward and become like an adult because it's scary, right? Like I-I still feel like a teenager sometimes. And having that push to be a real person is really-- It's a lot of pressure and I-I want to raise this kid well. I don't wanna- I don't wanna let my kid down. I don't wanna, you know, I don't wanna regret choosing to have this kid because I think it's the right time, but I don't wanna- I don't wanna make mistakes that make me realize maybe I'm not ready for this 'cause sometimes it feels like I'm not ready for this. | You put your heart there that the baby is really- it was almost kind of like a sign for you that was saying, "This baby is giving you a kind of a new chance at life, or giving you a plan B," and you guys both get to decide what plan B is gonna look like. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: I guess so. I feel like I've already made a choice and already made some bad choices with this.
therapist: Nina, I'm wondering, what's your hope for the future? When you think about where you are today, um, what do you hope for when you look ahead?
client: Well, I-I kept the kid because I wanted-- It was almost like that push, that sign for me to, like, move forward and become like an adult because it's scary, right? Like I-I still feel like a teenager sometimes. And having that push to be a real person is really-- It's a lot of pressure and I-I want to raise this kid well. I don't wanna- I don't wanna let my kid down. I don't wanna, you know, I don't wanna regret choosing to have this kid because I think it's the right time, but I don't wanna- I don't wanna make mistakes that make me realize maybe I'm not ready for this 'cause sometimes it feels like I'm not ready for this.
therapist: You put your heart there that the baby is really- it was almost kind of like a sign for you that was saying, "This baby is giving you a kind of a new chance at life, or giving you a plan B," and you guys both get to decide what plan B is gonna look like.
client: Yeah, I just guess it's easier said than done though. Like, it's, like, great, I can make all these changes and I can be a completely new person, but it's, like, at the end of the day, I'm still just who I am. | While this baby's growing in you and you think of all the opportunities that could come out of this, there's a part of you that says, "I'm still that same girl that was drinking and partying," and-and maybe not living the life you wanted to live. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Well, I-I kept the kid because I wanted-- It was almost like that push, that sign for me to, like, move forward and become like an adult because it's scary, right? Like I-I still feel like a teenager sometimes. And having that push to be a real person is really-- It's a lot of pressure and I-I want to raise this kid well. I don't wanna- I don't wanna let my kid down. I don't wanna, you know, I don't wanna regret choosing to have this kid because I think it's the right time, but I don't wanna- I don't wanna make mistakes that make me realize maybe I'm not ready for this 'cause sometimes it feels like I'm not ready for this.
therapist: You put your heart there that the baby is really- it was almost kind of like a sign for you that was saying, "This baby is giving you a kind of a new chance at life, or giving you a plan B," and you guys both get to decide what plan B is gonna look like.
client: Yeah, I just guess it's easier said than done though. Like, it's, like, great, I can make all these changes and I can be a completely new person, but it's, like, at the end of the day, I'm still just who I am.
therapist: While this baby's growing in you and you think of all the opportunities that could come out of this, there's a part of you that says, "I'm still that same girl that was drinking and partying," and-and maybe not living the life you wanted to live.
client: Yeah. And I'm just- you know, you can't just one day flick a switch and become a new person. | While this baby feels like this is your second chance, you're wondering, "Do I deserve that second chance?" And then this other part of you that says, "Why not? It's here and I wanna go for it." |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah, I just guess it's easier said than done though. Like, it's, like, great, I can make all these changes and I can be a completely new person, but it's, like, at the end of the day, I'm still just who I am.
therapist: While this baby's growing in you and you think of all the opportunities that could come out of this, there's a part of you that says, "I'm still that same girl that was drinking and partying," and-and maybe not living the life you wanted to live.
client: Yeah. And I'm just- you know, you can't just one day flick a switch and become a new person.
therapist: While this baby feels like this is your second chance, you're wondering, "Do I deserve that second chance?" And then this other part of you that says, "Why not? It's here and I wanna go for it."
client: Yeah, I guess that voice is just a little more stifled by the other one. | Mm-hmm. You got a lot of people around you that are kind of pulling it down, and it's kind of taking you back to the old life. And the baby is a constant reminder that there’s this new life ahead. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Because I need to for my kid. It's- it's gonna be all screwed up if I don't.
therapist: This part of you that says, "I don't have an option to-to-to make this life better," it's wondering, "Do I have the confidence to be able to make that life a reality?" What do you think you need to increase your confidence that you can do this?
client: I don't know, like, maybe- maybe actually talking to my friends and saying like- or maybe them actually being able to see this kid and go, "Of course, of course, your- your choice makes sense. You--" Maybe it would, you know, give them a wake-up call too if They actually, like, see it.
therapist: So you're thinking that, um, once your friends see you with the baby in your arms that they too will see that there's a different path for them too?
client: Or at least they'll feel less pressure to be who they want me to be. | Mm, kind of feel like you're pulled between two worlds there. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Or at least they'll feel less pressure to be who they want me to be.
therapist: Mm, kind of feel like you're pulled between two worlds there.
client: A little bit.
therapist: It's not easy to be in that world and also having that constant reminder that the baby is coming and this baby is saying, "I want this better life," and you want to give the baby a better life too. Who can support you, do you think when-when you look around who's in your circle right now, who do you think can support you in moving towards path B?
client: Definitely my parents, um, and I probably need to, uh, go and meet some other-other people who are maybe, you know, having kids too so that I can see, like how it's done 'cause like, I only have a younger brother who's like not-not even close to that. So I don't really have anyone in my life that I know that's had kids recently. So I-I would like to meet other, you know, young moms out there who, you know, are kind of struggling with the same stuff I am. | And your parents are a support for you and support you from giving up the drinking, the alcohol use, that's something that they would support- |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Definitely my parents, um, and I probably need to, uh, go and meet some other-other people who are maybe, you know, having kids too so that I can see, like how it's done 'cause like, I only have a younger brother who's like not-not even close to that. So I don't really have anyone in my life that I know that's had kids recently. So I-I would like to meet other, you know, young moms out there who, you know, are kind of struggling with the same stuff I am.
therapist: And your parents are a support for you and support you from giving up the drinking, the alcohol use, that's something that they would support-
client: I don't think they realize, uh, that I'm doing it or how much I'm doing it.
therapist: Okay.
client: And I know that if they found out, they would be really pissed. | That would be a concern for them as well as for you now. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah.
therapist: Yeah. Is that something that, um, maybe you and I could meet again about-and talk about having those conversations with-with the family, maybe having conversations about, you know, the folks, your-your friends that are currently in the lifestyle that you were involved with, um, and then sort of what it would look like to go down path B, is that something that you would be open to meeting with me about again?
client: I think so, yeah, like the telling my parents and [unintelligible 00:13:45] this to my parents is probably the scariest thing.
therapist: Mm-hmm.
client: And having to talk to those friends, like right now I don't want to do that. It's- it puts them in a weird place. | Kind of feels like you're climbing Mt. Everest. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: I think so, yeah, like the telling my parents and [unintelligible 00:13:45] this to my parents is probably the scariest thing.
therapist: Mm-hmm.
client: And having to talk to those friends, like right now I don't want to do that. It's- it puts them in a weird place.
therapist: Kind of feels like you're climbing Mt. Everest.
client: Yeah. | And you don't have equipment. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: And having to talk to those friends, like right now I don't want to do that. It's- it puts them in a weird place.
therapist: Kind of feels like you're climbing Mt. Everest.
client: Yeah.
therapist: And you don't have equipment.
client: It feels like I have to lec- I don't wanna have to lecture them and I don't want it to be like a lecture. | You're concerned that they're gonna kind of treat you like a child. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: It feels like I have to lec- I don't wanna have to lecture them and I don't want it to be like a lecture.
therapist: You're concerned that they're gonna kind of treat you like a child.
client: My parents or my friends?
therapist: Oh, oh, you're talking about your friends.
client: Yeah, lecture my-- Yeah. | You're wondering if they're gonna kind of be like children and you're gonna be like the parent saying- |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: My parents or my friends?
therapist: Oh, oh, you're talking about your friends.
client: Yeah, lecture my-- Yeah.
therapist: You're wondering if they're gonna kind of be like children and you're gonna be like the parent saying-
client: Yeah, and I don't wanna be like that. | You just wanna be like peers talking. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah, lecture my-- Yeah.
therapist: You're wondering if they're gonna kind of be like children and you're gonna be like the parent saying-
client: Yeah, and I don't wanna be like that.
therapist: You just wanna be like peers talking.
client: Yeah. | And you want them to support you. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah.
therapist: And you want them to support you.
client: I wanna stay friends with them. I don't want- I don't want them to just-
therapist: You don't wanna lose your support group, yeah. You just wanna them to support you in being healthy, while helping them, raising the babe, and so we're just taking path B. You don't wanna lose them, just maybe the lifestyle it sounds like.
client: Yeah, like if there's a- if there's a balance between maybe not the paths, but the worlds, if there's a balance between that- | Mm. You kind of wanna have the best of both worlds. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: I wanna stay friends with them. I don't want- I don't want them to just-
therapist: You don't wanna lose your support group, yeah. You just wanna them to support you in being healthy, while helping them, raising the babe, and so we're just taking path B. You don't wanna lose them, just maybe the lifestyle it sounds like.
client: Yeah, like if there's a- if there's a balance between maybe not the paths, but the worlds, if there's a balance between that-
therapist: Mm. You kind of wanna have the best of both worlds.
client: Yeah. | I want the friends and the relationship that I get from my friends, and at the same time, I don't want the party scene that goes with that. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah, like I-I know I just can't cut off my friends altogether.
therapist: Well, Nina, you know yourself best, and you know, you know, you know what your world looks like and what those, you know, like, you know the support that your friends give you and the support that you get from your family, you know that. And I-I really just wanna support you in being able to make those choices and have those conversations, and I wanna do whatever I can to support you with that. Um, and I'm just wondering if maybe we can kind of pick this up, um, in a next visit, but before we go there, I'm just wondering, is there some steps that you would be willing to kind of take or consider, uh, with-with regards to your drinking?
client: Um yeah, like I'm so close anyways, that I know I need to now. Um, and I just also, like, have I completely screwed this up, like, is it already too late?
therapist: You're concerned about the health of your baby. I just would love to share with you, Nina, that every day without alcohol is a good day for your baby, and you know, starting today to have zero alcohol is a great start, and I'm wondering if that's the sort of something you'd be open to as no more alcohol at this point.
client: Mm-hmm, I have to do. | Okay, sounds like this is really important to you. You want to make this happen. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Mm-hmm, I have to do.
therapist: Okay, sounds like this is really important to you. You want to make this happen.
client: Yeah.
therapist: Is there anything that I can support you with before we wrap up as far as giving up alcohol today?
client: I don't think so. I think just knowing that it's not too late already is enough kick in the pants to get started. | You kind of got a reality check today. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Hi, Dawn. Nice to meet you.
therapist: Nice to meet you, too. Thanks for coming in today.
client: Thanks for having me.
therapist: Yeah. Tell me a little bit about yourself.
client: So I am, um, 28. And I moved out to Arizona about six months ago. Um, I really enjoy spending time with my family and hanging out with friends whenever I can. Work keeps me pretty busy. Um, But I'm really, um, looking to kind of make some changes to my diet and physical activity. I'm not really happy with where my weight's at right now, and, uh, so I thought it'd be good to come and talk with you about some of that stuff. | Yeah, you're feeling a little bit dissatisfied with your health patterns? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Thanks for having me.
therapist: Yeah. Tell me a little bit about yourself.
client: So I am, um, 28. And I moved out to Arizona about six months ago. Um, I really enjoy spending time with my family and hanging out with friends whenever I can. Work keeps me pretty busy. Um, But I'm really, um, looking to kind of make some changes to my diet and physical activity. I'm not really happy with where my weight's at right now, and, uh, so I thought it'd be good to come and talk with you about some of that stuff.
therapist: Yeah, you're feeling a little bit dissatisfied with your health patterns?
client: Yeah. Um, I'm really starting to notice how I feel more sluggish and just not-- My mood is shifted a lot too, which at first, I thought was because it's getting colder outside, um, but I do also think it maybe has some relation to my activity, or lack thereof, and also kind of the foods that I'm eating. | Okay, so you're feeling some low energy and you know, in the past, when you've been more active and eating differently, you've had more energy? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah. Um, I'm really starting to notice how I feel more sluggish and just not-- My mood is shifted a lot too, which at first, I thought was because it's getting colder outside, um, but I do also think it maybe has some relation to my activity, or lack thereof, and also kind of the foods that I'm eating.
therapist: Okay, so you're feeling some low energy and you know, in the past, when you've been more active and eating differently, you've had more energy?
client: Right. Yeah. Especially during times when I'm more active is when I noticed the biggest cha-change in energy and mood.
therapist: Yeah. Tell me more about that, those previous times that you've been active.
client: Yeah. Um, well, I played sports in college, so that kept me pretty busy, and that was really fun, um, and I just think back now to, as much that I would cram into a 24 -hour period, and like, wonder how I did that, but I think that part of it was because I was so active physically, um, I just had way more energy throughout the day, mentally and physically to, um, you know, go to school full-time and-and still socialize with friends and do all that stuff. Um, so when I think back to like, probably like the peak of my life of when I felt my best physically, mentally it was that time. | You had energy, and you were like the Energizer Bunny, just keep going and going and going. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah. Um, well, I played sports in college, so that kept me pretty busy, and that was really fun, um, and I just think back now to, as much that I would cram into a 24 -hour period, and like, wonder how I did that, but I think that part of it was because I was so active physically, um, I just had way more energy throughout the day, mentally and physically to, um, you know, go to school full-time and-and still socialize with friends and do all that stuff. Um, so when I think back to like, probably like the peak of my life of when I felt my best physically, mentally it was that time.
therapist: You had energy, and you were like the Energizer Bunny, just keep going and going and going.
client: Yeah, yeah, exactly. And now it's not so much the same. Um, like when I get home from work, I'm pretty exhausted, uh, it takes a lot for me to want to be physically active when I've spent all day staring at a computer and thinking and working. And so, um, yeah, that's probably been my biggest, uh, issue is like when work ends, going home and not really doing anything. Um, just trying to like unwind by watching Netflix or something else, right?
therapist: So your days are just as full now that you're working and a career person, um, and your energy level isn't what it used to be. What-- Do you have any ideas about why that might have shifted?
client: Um, well, I think part of it is that when I was in college, it wasn't really an option to go, like, I had to go to practice or I had to do those things because that was, in a sense, my job that was paying for school, um, and now there's not that same commitment to other people or to scholarship money. So that definitely has shifted, um, but I-I do feel like a-an urgency to go it just doesn't seem that like the step that's missing is for me to actually go to a gym or somewhere to be more active. Like, I think I want to it's just the doing it that seems to not happen. | Right. So in the past, it wasn't up to you whether you had the choice to go be physically active. Now it is up to you, and-and you're looking back at the last few years and saying, I wanna do things differently. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Yeah, yeah, exactly. And now it's not so much the same. Um, like when I get home from work, I'm pretty exhausted, uh, it takes a lot for me to want to be physically active when I've spent all day staring at a computer and thinking and working. And so, um, yeah, that's probably been my biggest, uh, issue is like when work ends, going home and not really doing anything. Um, just trying to like unwind by watching Netflix or something else, right?
therapist: So your days are just as full now that you're working and a career person, um, and your energy level isn't what it used to be. What-- Do you have any ideas about why that might have shifted?
client: Um, well, I think part of it is that when I was in college, it wasn't really an option to go, like, I had to go to practice or I had to do those things because that was, in a sense, my job that was paying for school, um, and now there's not that same commitment to other people or to scholarship money. So that definitely has shifted, um, but I-I do feel like a-an urgency to go it just doesn't seem that like the step that's missing is for me to actually go to a gym or somewhere to be more active. Like, I think I want to it's just the doing it that seems to not happen.
therapist: Right. So in the past, it wasn't up to you whether you had the choice to go be physically active. Now it is up to you, and-and you're looking back at the last few years and saying, I wanna do things differently.
client: Mm-hmm. | I want to be more physically active than I've been. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Um, well, I think part of it is that when I was in college, it wasn't really an option to go, like, I had to go to practice or I had to do those things because that was, in a sense, my job that was paying for school, um, and now there's not that same commitment to other people or to scholarship money. So that definitely has shifted, um, but I-I do feel like a-an urgency to go it just doesn't seem that like the step that's missing is for me to actually go to a gym or somewhere to be more active. Like, I think I want to it's just the doing it that seems to not happen.
therapist: Right. So in the past, it wasn't up to you whether you had the choice to go be physically active. Now it is up to you, and-and you're looking back at the last few years and saying, I wanna do things differently.
client: Mm-hmm.
therapist: I want to be more physically active than I've been.
client: Yeah, yeah, I think so. Um, that's not to say like, I wanna go run a marathon but I do think that it would help me a lot in terms of just having a better outlook on life, um, and better energy to- if I were to pick up some type of activity. | Great. And you've noticed a mood enhancement effect of exercise. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah, yeah, I think so. Um, that's not to say like, I wanna go run a marathon but I do think that it would help me a lot in terms of just having a better outlook on life, um, and better energy to- if I were to pick up some type of activity.
therapist: Great. And you've noticed a mood enhancement effect of exercise.
client: Mm-hmm.
therapist: Tell me more about that. What do you notice specifically about your mood on the days you're physically active?
client: Just, I'm-I'm just happier and more upbeat and I think that even my outlook is more positive. So like, if I'm sitting in traffic, and I haven't been physically active, I'll probably grumble about it but if I'm sitting in traffic, and I have been, it's like, I just have a different outlook on things and I already feel like I've gotten something accomplished that day. So it just kind of like helps with that ripple effect into my day of like getting more things done. | Yeah, you feel more accomplished and-and you feel less irritated by the small stuff. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Mm-hmm.
therapist: Tell me more about that. What do you notice specifically about your mood on the days you're physically active?
client: Just, I'm-I'm just happier and more upbeat and I think that even my outlook is more positive. So like, if I'm sitting in traffic, and I haven't been physically active, I'll probably grumble about it but if I'm sitting in traffic, and I have been, it's like, I just have a different outlook on things and I already feel like I've gotten something accomplished that day. So it just kind of like helps with that ripple effect into my day of like getting more things done.
therapist: Yeah, you feel more accomplished and-and you feel less irritated by the small stuff.
client: Mm-hmm. Yeah, exactly. | Great. Well, let me see if I've got this all. You came to Arizona six months ago, you're trying to figure out new rhythms and patterns for yourself. You're looking back at the past few years, and in college, you were real active because you were an athlete, and now it's more up to you about making that choice of physical activity, and you're discovering that, um, not being active has affected your energy level and your mood, and that's something you're looking for more of, both of those things, energy and-and a mood booster. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Mm-hmm. Yeah, exactly.
therapist: Great. Well, let me see if I've got this all. You came to Arizona six months ago, you're trying to figure out new rhythms and patterns for yourself. You're looking back at the past few years, and in college, you were real active because you were an athlete, and now it's more up to you about making that choice of physical activity, and you're discovering that, um, not being active has affected your energy level and your mood, and that's something you're looking for more of, both of those things, energy and-and a mood booster.
client: Yeah. And then also to, um, like I mentioned, I'm not totally happy with my weight, um, and so hoping too that that would have some impact there and-and maybe help me, um, if my activity kind of gets resolved or improves, then my nutrition also, maybe would go along with it and get better.
therapist: Yeah. Tell me more about your weight concerns. When did you start feeling dissatisfied with your body?
client: Uh, probably about three, four months ago. Um, yeah, just my clothes started fitting tighter, which wasn't as comfortable, and, um, yeah, just not really super happy with my appearance, which has never really been an issue, um, in my life up until now. I've usually been pretty okay with that, and then in the last three months, I just feel, um, like I've had a lot more of a negative outlook on it. | Mm-hmm. Okay, so it sounds like a sort of a vicious cycle and-and maybe the lacking physical activity has made you feel less confident in yourself. I wonder if that's also a piece of this puzzle since you mentioned that's been a big difference from what was happening in the past. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah. And then also to, um, like I mentioned, I'm not totally happy with my weight, um, and so hoping too that that would have some impact there and-and maybe help me, um, if my activity kind of gets resolved or improves, then my nutrition also, maybe would go along with it and get better.
therapist: Yeah. Tell me more about your weight concerns. When did you start feeling dissatisfied with your body?
client: Uh, probably about three, four months ago. Um, yeah, just my clothes started fitting tighter, which wasn't as comfortable, and, um, yeah, just not really super happy with my appearance, which has never really been an issue, um, in my life up until now. I've usually been pretty okay with that, and then in the last three months, I just feel, um, like I've had a lot more of a negative outlook on it.
therapist: Mm-hmm. Okay, so it sounds like a sort of a vicious cycle and-and maybe the lacking physical activity has made you feel less confident in yourself. I wonder if that's also a piece of this puzzle since you mentioned that's been a big difference from what was happening in the past.
client: Yeah, I think- I think the activity piece and then also to like, the foods that I'm eating, I don't think are that great. So that also kind of does the same thing, I think, to my appearance or the way that I viewed myself. | Okay. So you had a pretty strong self-confidence, pretty strong body image all the way up until a few months ago and, um, you're hoping to kind of get back to that place where you feel good about yourself. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Yes, Dr. Brown is my doctor.
therapist: Okay. What is it that's brought you to see me today?
client: Well, I've come about my tummy problem. I've got terrible trouble with my stomach and, uh, Dr. Brown just doesn't seem to be able to get to the bottom of it. And I thought perhaps, uh, I'd come and see you to see if you could help.
therapist: All right. Okay. Can you tell me a bit more about your tummy problems?
client: Um, well, I-I have this terrible discomfort nearly all the time. Um, it very often feels bloated. I, um, uh, I swing between being constipated and having diarrhea. Um, I have sort of cramping feelings sometimes, and other times it stabs. It's a real stabbing feeling. Um, I often have the urge to go to the toilet and, um, and I pass very smelly wind. | All right. So, quite a few symptoms there- |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Um, well, I-I have this terrible discomfort nearly all the time. Um, it very often feels bloated. I, um, uh, I swing between being constipated and having diarrhea. Um, I have sort of cramping feelings sometimes, and other times it stabs. It's a real stabbing feeling. Um, I often have the urge to go to the toilet and, um, and I pass very smelly wind.
therapist: All right. So, quite a few symptoms there-
client: Mm.
therapist: - and some of them sound-
client: Yes. | - quite troublesome to you. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Yes.
therapist: - quite troublesome to you.
client: Yes.
therapist: Okay. And how long has this been going on?
client: Well, I, uh, I've traced it back to a holiday I had in Egypt about four years ago. I had, um, a horrible bout of sickness and diarrhea, and, uh, and I don't think my stomach's ever been really right since then. | Mm-hmm. Okay. Okay. So you think it began about four years ago after this holiday? |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Oh, well, different tablets, you know, I don't have the same problem every day-
therapist: Right.
client: - so I'll take some tablets for certain, uh, symptoms, and-
therapist: Right.
client: - other tablets for other things. | So, am I- am I right in thinking you perhaps decide on a day-to-day basis- |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Um, but, um, no, I've tried-- Well, you-- I don't think he's tried enough tests because he said after that, that they didn't find anything-
therapist: Right.
client: -and he-he's-he's just not sent me for anymore. That's it now-
therapist: Right.
client: - as far as he's concerned. Sent me back to the doctor. | Right. It sounds as though you're-you're not happy with that. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: - there's loads of tests that he could have sent me for.
therapist: Right.
client: Um, if I had a bit more money, I'd go private.
therapist: Right.
client: I just don't think he's got to the bottom of it. | Right. So you feel as though actually, enough hasn't been done in the way of-of tests? |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Um, if I had a bit more money, I'd go private.
therapist: Right.
client: I just don't think he's got to the bottom of it.
therapist: Right. So you feel as though actually, enough hasn't been done in the way of-of tests?
client: No, he's not. There's loads more he could do. I'm sure. | Right. Okay. It sounds like you-you've had these problems now for about four years. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: I just don't think he's got to the bottom of it.
therapist: Right. So you feel as though actually, enough hasn't been done in the way of-of tests?
client: No, he's not. There's loads more he could do. I'm sure.
therapist: Right. Okay. It sounds like you-you've had these problems now for about four years.
client: Mm. | You've-you've got a lot of various symptoms in your stomach. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: No, he's not. There's loads more he could do. I'm sure.
therapist: Right. Okay. It sounds like you-you've had these problems now for about four years.
client: Mm.
therapist: You've-you've got a lot of various symptoms in your stomach.
client: Mm. | Um, you've tried a lot of tablets. Some prescribed, some herbal remedies- |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Mm.
therapist: You've-you've got a lot of various symptoms in your stomach.
client: Mm.
therapist: Um, you've tried a lot of tablets. Some prescribed, some herbal remedies-
client: Mm. | - and you've had some investigations, but you're not entirely happy that-that you haven't been investigated thoroughly enough. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Mm.
therapist: Um, you've tried a lot of tablets. Some prescribed, some herbal remedies-
client: Mm.
therapist: - and you've had some investigations, but you're not entirely happy that-that you haven't been investigated thoroughly enough.
client: Yeah. | Is that- is that about- |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Mm.
therapist: - and you've had some investigations, but you're not entirely happy that-that you haven't been investigated thoroughly enough.
client: Yeah.
therapist: Is that- is that about-
client: I'd say so, yes. | - if I got the story right. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Um, I miss that.
therapist: Right.
client: I miss the girls. We used to, uh, we used to go out at least once a week.
therapist: Right.
client: To the pictures or for a drink. That's one thing. | Sounds as though that's something you quite enjoyed. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Um, then-- Well, my husband and I used to go out for meals.
therapist: Mm-hmm.
client: That's another thing we don't do anymore now.
therapist: Right.
client: Um, mm. Yeah, it's quite a few things, really. | Yeah, it does- it does sound as though over the last few years your life has really changed- |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: That's another thing we don't do anymore now.
therapist: Right.
client: Um, mm. Yeah, it's quite a few things, really.
therapist: Yeah, it does- it does sound as though over the last few years your life has really changed-
client: Mm. | - quite a lot because of these symptoms. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Um, mm. Yeah, it's quite a few things, really.
therapist: Yeah, it does- it does sound as though over the last few years your life has really changed-
client: Mm.
therapist: - quite a lot because of these symptoms.
client: Yes. | It sounds- it sounds like you're doing the review of the things that you used to do. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: - he travels with his job, and he-
therapist: Right.
client: - can be away a couple of times a month.
therapist: Uh-huh.
client: Um, and that's not-- It-it's very often not good then, I have to say. | Right. So you notice it's a bit worse when your husband's not around? Okay. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: - and it was- it was too late to operate then.
therapist: Right. Right.
client: So, you know, when I go to bed at night now, um, I just feel to make sure there's nothing different going on.
therapist: Right.
client: And, uh, yeah, I worry about that. | So you're- you-you're kind of prodding, having a feel at night? |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Yes.
therapist: Right.
client: I just want to make sure there's nothing changing down there, you know?
therapist: Right. Okay.
client: Mm. | Okay. So just to-to make sure that I've got the-the story straight, you've-you've seen Dr. Brown for a couple of years. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: I just want to make sure there's nothing changing down there, you know?
therapist: Right. Okay.
client: Mm.
therapist: Okay. So just to-to make sure that I've got the-the story straight, you've-you've seen Dr. Brown for a couple of years.
client: Mm. | You've-you've tried a variety of medications- |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Mm.
therapist: Okay. So just to-to make sure that I've got the-the story straight, you've-you've seen Dr. Brown for a couple of years.
client: Mm.
therapist: You've-you've tried a variety of medications-
client: Mm. | - some prescribed, some- |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Mm.
therapist: You've-you've tried a variety of medications-
client: Mm.
therapist: - some prescribed, some-
client: Mm. | - from the-the herbal shop. None of them really made a great deal of difference. You've had some investigations- |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Mm.
therapist: - some prescribed, some-
client: Mm.
therapist: - from the-the herbal shop. None of them really made a great deal of difference. You've had some investigations-
client: Mm-hmm. | - but you perhaps feel you've not had enough investigations. And at times, you worry that this could be something quite serious like a- |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Mm.
therapist: - from the-the herbal shop. None of them really made a great deal of difference. You've had some investigations-
client: Mm-hmm.
therapist: - but you perhaps feel you've not had enough investigations. And at times, you worry that this could be something quite serious like a-
client: Mm. | - a cancer. Is that-- Have I got the- |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Mm-hmm.
therapist: - but you perhaps feel you've not had enough investigations. And at times, you worry that this could be something quite serious like a-
client: Mm.
therapist: - a cancer. Is that-- Have I got the-
client: Yes. | - story right? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Mm.
therapist: Sometimes these things can go together. Uh, I guess I'm thinking about how you told me that last year, when your son got married, uh, and you were very busy-
client: Mm.
therapist: - and quite happy, that somehow your symptoms seemed less.
client: Mm. | And, uh, when your husband's away, which is something you don't like very much, sometimes, somehow, your symptoms then will seem greater. So, I guess what I'm wondering, Barbara, is if there might be some kind of a link with you between how you're feeling in your mind, and what's going on in your life, and-and how much your symptoms trouble you. Do you think that's a possibility? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Mm.
therapist: - and quite happy, that somehow your symptoms seemed less.
client: Mm.
therapist: And, uh, when your husband's away, which is something you don't like very much, sometimes, somehow, your symptoms then will seem greater. So, I guess what I'm wondering, Barbara, is if there might be some kind of a link with you between how you're feeling in your mind, and what's going on in your life, and-and how much your symptoms trouble you. Do you think that's a possibility?
client: Well, I can't see that my mind can be causing this amount of pain. | Mm. I'm not saying that the pain's in your mind. Um, I guess what I'm saying is that sometimes the way that we feel, and the way that our lives are going, can impact how we notice our symptoms. Given that we've tried medication for you, and we've tried investigations, and we've drawn a blank really, with those, none of those have really helped you- |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: No.
therapist: - I guess I'm wondering whether now it would be a good idea to try a different approach to your problems.
client: What-what sort of approach?
therapist: Well, I guess, thinking a little bit about those other areas of your life, um, uh, I'm thinking about the fact that over the last four years, your life's really changed. It seems to have really shrunk down.
client: Mm. | And it sounds as though you're not doing lots of the things that you used to do. That you- |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: What-what sort of approach?
therapist: Well, I guess, thinking a little bit about those other areas of your life, um, uh, I'm thinking about the fact that over the last four years, your life's really changed. It seems to have really shrunk down.
client: Mm.
therapist: And it sounds as though you're not doing lots of the things that you used to do. That you-
client: No. | - used to get pleasure out of. Is that right? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: No.
therapist: - used to get pleasure out of. Is that right?
client: Well, I just can't do them.
therapist: Yeah.
client: I can't- I can't do them anymore. | Yeah. And I guess I wonder-- Uh, it sounds as though you've-you've dropped doing those things because you felt you couldn't do them, but I wonder if, in a funny way, what's happened is the fact that you're not doing those pleasurable things now, has kind of fed into you feeling- |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Well, I just can't do them.
therapist: Yeah.
client: I can't- I can't do them anymore.
therapist: Yeah. And I guess I wonder-- Uh, it sounds as though you've-you've dropped doing those things because you felt you couldn't do them, but I wonder if, in a funny way, what's happened is the fact that you're not doing those pleasurable things now, has kind of fed into you feeling-
client: Mm. | - unhappy with the way that-that your life is at the moment. And-and I guess I wonder whether that can then make your symptoms worse for you. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Mm.
therapist: - with your-your female friends once a week, and whether actually doing those sorts of things might generally-
client: Mm.
therapist: - improve your quality of life. I'm also thinking about the tablets that you're taking.
client: Mm-hmm. | And the fact that you-you seem to be taking quite a lot of them, and I'm wondering whether it's worth, though, sitting and looking at them and-and maybe trying to rationalize them a little bit, and really decide which are helping you, which are doing nothing, and which may actually be making some of your symptoms worse, I guess. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Actually, it's been pretty good. I, um, I talked to my mom, which, uh-
therapist: Right.
client: -which is a big deal. And, uh, she was excellent. Um, I knew she would be. Um, and, uh, I've made an appointment for the, uh, for Stopping Violence and [unintelligible 00:16:15]
therapist: Good to know, excellent.
client: Um, I've cut down on the drink. I haven't stopped drinking, but, uh-- Yeah, so, uh, it's okay. | Things are looking pretty good. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: I'm not sure, I'm thinking about it.
therapist: What are you not sure about?
client: Well, I'm not sure if I want to live with my auntie and uncle. [chuckles] Um, I think, yeah, I'll probably need to. I think probably living with, uh, with my mate in his flat is probably not that helpful.
therapist: Okay. Just sort of interested, when you rang your mom and, um, told her what's happening, how difficult was it to talk about the issue of violence and being violent towards your partner?
client: It was terrible. It was really hard. Uh, I think probably the hardest person to talk to about it, my mom. My, um, my old man, um-- Yeah, it was hard. | We-we talked about, uh, last time that this is hard stuff and that, um, we are prepared to kind of do the hard yard. So you've gone away, you've talked to your folks, put it out there about your issue of violence? Um, I'm thinking about, uh, with-with Tristan and the whole alcohol issue there. So it sounds like to me if you've- you've started to put quite a bit of stuff in place. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | therapist: Mm-hmm.
client: Well. I need to- I need to, uh, to show her that she can trust me. That I'm serious about it.
therapist: Yeah.
therapist: Hi, Sarah, it's great to meet you. My name is Delwyn, and I'm a counselor here at the clinic. And I heard from your nurse practitioner that you recently had an annual exam in which the topics of smoking and alcohol use came up. Would you mind filling me in a little bit about that?
client: Yeah, um, last week I met with my nurse practitioner, and I ge-I guess she's worried with how much I'm smoking and drinking right now. I mean, I-I did agree I would work on the smoking and try to cut back on that. But, as far as the drinking, I-I don't really think I drink that much. | So, you've decided you wanna cut back on your smoking a little bit, but, you're not really concerned about your drinking. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | therapist: Yeah.
therapist: Hi, Sarah, it's great to meet you. My name is Delwyn, and I'm a counselor here at the clinic. And I heard from your nurse practitioner that you recently had an annual exam in which the topics of smoking and alcohol use came up. Would you mind filling me in a little bit about that?
client: Yeah, um, last week I met with my nurse practitioner, and I ge-I guess she's worried with how much I'm smoking and drinking right now. I mean, I-I did agree I would work on the smoking and try to cut back on that. But, as far as the drinking, I-I don't really think I drink that much.
therapist: So, you've decided you wanna cut back on your smoking a little bit, but, you're not really concerned about your drinking.
client: Right, I mean, I don't drink that much and, honestly, it-it's just a good way to relax. | It's a nice sort of form of stress relief. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah, um, last week I met with my nurse practitioner, and I ge-I guess she's worried with how much I'm smoking and drinking right now. I mean, I-I did agree I would work on the smoking and try to cut back on that. But, as far as the drinking, I-I don't really think I drink that much.
therapist: So, you've decided you wanna cut back on your smoking a little bit, but, you're not really concerned about your drinking.
client: Right, I mean, I don't drink that much and, honestly, it-it's just a good way to relax.
therapist: It's a nice sort of form of stress relief.
client: Yeah, exactly. You know, it's kind of like that me time at the end of the day. | Sort of escape from your hectic schedule. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Right, I mean, I don't drink that much and, honestly, it-it's just a good way to relax.
therapist: It's a nice sort of form of stress relief.
client: Yeah, exactly. You know, it's kind of like that me time at the end of the day.
therapist: Sort of escape from your hectic schedule.
client: Yeah. You know, I have a two-year-old son, and then, I work full-time. And, I also started going back to school. So, you know, just trying to juggle all that stuff. You know, it's tiring, and so, you know, at the end of the day, I just- I wanna relax and enjoy myself. | So, you're working, and then, on top of that, juggling being a single mom and going to school? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah, exactly. You know, it's kind of like that me time at the end of the day.
therapist: Sort of escape from your hectic schedule.
client: Yeah. You know, I have a two-year-old son, and then, I work full-time. And, I also started going back to school. So, you know, just trying to juggle all that stuff. You know, it's tiring, and so, you know, at the end of the day, I just- I wanna relax and enjoy myself.
therapist: So, you're working, and then, on top of that, juggling being a single mom and going to school?
client: Yeah, and for work, you know, I'm a server. So, I'm on my feet all day, you know, and it's-it's really tiring. | It's pretty exhausting work. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah. You know, I have a two-year-old son, and then, I work full-time. And, I also started going back to school. So, you know, just trying to juggle all that stuff. You know, it's tiring, and so, you know, at the end of the day, I just- I wanna relax and enjoy myself.
therapist: So, you're working, and then, on top of that, juggling being a single mom and going to school?
client: Yeah, and for work, you know, I'm a server. So, I'm on my feet all day, you know, and it's-it's really tiring.
therapist: It's pretty exhausting work.
client: Yeah, you know, it's hard trying to please customers all day. And then, at the same time, I'm-I'm worrying, am I making enough money to support my son, you know? | So, you're not only doing really tiring work and going to school, but you're also worrying about your finances. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah, and for work, you know, I'm a server. So, I'm on my feet all day, you know, and it's-it's really tiring.
therapist: It's pretty exhausting work.
client: Yeah, you know, it's hard trying to please customers all day. And then, at the same time, I'm-I'm worrying, am I making enough money to support my son, you know?
therapist: So, you're not only doing really tiring work and going to school, but you're also worrying about your finances.
client: Yeah, and then, you know, with going back to school, you know, I have to figure out how I'm going to pay for everything. So, you know, i-it's just a lot right now. | Yeah, it does. It sounds like a lot that you're trying to deal with, and it makes sense that you feel like you need some kind of break or reward. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Not much.
therapist: Okay, will you be interested in hearing about those recommendations?
client: Sure.
therapist: Okay. Well, so, the recommendation for women is to have no more than three drinks a day, and no more than seven drinks over the course of a week. Yeah, um, and, really, the reason for those recommendations is to just reduce the risk that people have trouble with accidents, or chronic diseases. Like certain types of cancers, or high blood pressure, and then also psychological problems. I don't know what you think about all that?
client: I don't know, i-it just surprises me because, I mean, two drinks a day, that-that doesn't seem like a problem or risky, you know. And, I have family members who drink a lot more than that per day, and, it's not a problem for them. So, i-it just surprises me. | It just doesn't seem that abnormal to you, especially when you compare it with your family. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Sure.
therapist: Okay. Well, so, the recommendation for women is to have no more than three drinks a day, and no more than seven drinks over the course of a week. Yeah, um, and, really, the reason for those recommendations is to just reduce the risk that people have trouble with accidents, or chronic diseases. Like certain types of cancers, or high blood pressure, and then also psychological problems. I don't know what you think about all that?
client: I don't know, i-it just surprises me because, I mean, two drinks a day, that-that doesn't seem like a problem or risky, you know. And, I have family members who drink a lot more than that per day, and, it's not a problem for them. So, i-it just surprises me.
therapist: It just doesn't seem that abnormal to you, especially when you compare it with your family.
client: No. And then, I don't know, I-I'm just getting kind of annoyed, honestly, because, you know, I did agree I would try to work on my smoking, you know. But, with this whole drinking thing, it's like everything that I enjoy, you know, is being taken away from me right now. And so, if I give up drinking, like, what am I going to have to enjoy myself, you know. | Yeah, you really feel like you need that reward. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: No. And then, I don't know, I-I'm just getting kind of annoyed, honestly, because, you know, I did agree I would try to work on my smoking, you know. But, with this whole drinking thing, it's like everything that I enjoy, you know, is being taken away from me right now. And so, if I give up drinking, like, what am I going to have to enjoy myself, you know.
therapist: Yeah, you really feel like you need that reward.
client: Yeah, yeah.
therapist: And then it also sounds like, um, your drinking has perhaps increased a little bit over time?
client: Yeah, I mean, I guess it has. Probably just with being so stressed out every day, you know. I mean, I'm in my second semester of school right now, and so, adding that to everything, uh, it's a lot. And, you know, I'm trying to figure out child carry. Um, normally, my mom will watch my son, but, lately, she can't always. And so, I'm always kind of worrying like, will she be able to, you know. So, i-it's just stressful. | Yeah, and so it sounds like you've noticed that the more stressed you're feeling, the more you're drinking. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah, yeah.
therapist: And then it also sounds like, um, your drinking has perhaps increased a little bit over time?
client: Yeah, I mean, I guess it has. Probably just with being so stressed out every day, you know. I mean, I'm in my second semester of school right now, and so, adding that to everything, uh, it's a lot. And, you know, I'm trying to figure out child carry. Um, normally, my mom will watch my son, but, lately, she can't always. And so, I'm always kind of worrying like, will she be able to, you know. So, i-it's just stressful.
therapist: Yeah, and so it sounds like you've noticed that the more stressed you're feeling, the more you're drinking.
client: Yeah, I-I guess that's right. | So, let me summarize a little bit what you've told me. It sounds like you have a pretty hectic, stressful life, and you really feel like you need some kind of- |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah, I mean, I guess it has. Probably just with being so stressed out every day, you know. I mean, I'm in my second semester of school right now, and so, adding that to everything, uh, it's a lot. And, you know, I'm trying to figure out child carry. Um, normally, my mom will watch my son, but, lately, she can't always. And so, I'm always kind of worrying like, will she be able to, you know. So, i-it's just stressful.
therapist: Yeah, and so it sounds like you've noticed that the more stressed you're feeling, the more you're drinking.
client: Yeah, I-I guess that's right.
therapist: So, let me summarize a little bit what you've told me. It sounds like you have a pretty hectic, stressful life, and you really feel like you need some kind of-
client: Uh-huh. | -reward or stress relief. Um, and then, on the other hand, you've noticed, um, that your drinking has increased a little bit over time. And also that the more stressed you're fe- you feel, the more you're inclined to drink. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Uh-huh.
therapist: -reward or stress relief. Um, and then, on the other hand, you've noticed, um, that your drinking has increased a little bit over time. And also that the more stressed you're fe- you feel, the more you're inclined to drink.
client: Yeah.
therapist: So, I'm wondering, have you noticed any problems from your drinking?
client: No. I guess, you know, the one- the one thing I can think of is, I mean, there will be evenings when I just kind of want to get my son to bed a little earlier, just so that I can have that alone time to unwind, you know, maybe-maybe smoke, have a couple drinks. Um, but, I do feel guilty about that sometimes, because, I should enjoy spending time with my son, but, instead, you know, I'm just wanting to be by myself and relax, you know. So— | So, you've noticed that it's starting to call to you a little bit in the evenings. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah.
therapist: So, I'm wondering, have you noticed any problems from your drinking?
client: No. I guess, you know, the one- the one thing I can think of is, I mean, there will be evenings when I just kind of want to get my son to bed a little earlier, just so that I can have that alone time to unwind, you know, maybe-maybe smoke, have a couple drinks. Um, but, I do feel guilty about that sometimes, because, I should enjoy spending time with my son, but, instead, you know, I'm just wanting to be by myself and relax, you know. So—
therapist: So, you've noticed that it's starting to call to you a little bit in the evenings.
client: Yeah. | And it's perhaps taking you away from things that are more important to you? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: No. I guess, you know, the one- the one thing I can think of is, I mean, there will be evenings when I just kind of want to get my son to bed a little earlier, just so that I can have that alone time to unwind, you know, maybe-maybe smoke, have a couple drinks. Um, but, I do feel guilty about that sometimes, because, I should enjoy spending time with my son, but, instead, you know, I'm just wanting to be by myself and relax, you know. So—
therapist: So, you've noticed that it's starting to call to you a little bit in the evenings.
client: Yeah.
therapist: And it's perhaps taking you away from things that are more important to you?
client: Yeah. | And it doesn't feel good? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah.
therapist: And it's perhaps taking you away from things that are more important to you?
client: Yeah.
therapist: And it doesn't feel good?
client: No. | Yeah. And so, it sounds like there's a bit of a dilemma there, because-- And I guess we should be clear, it's not the occasional drink that's an issue. Um, it's-it's really the quantity of drinking, and-and whether your drinking is escalating and interfering with things that are, perhaps, more important. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah.
therapist: And it doesn't feel good?
client: No.
therapist: Yeah. And so, it sounds like there's a bit of a dilemma there, because-- And I guess we should be clear, it's not the occasional drink that's an issue. Um, it's-it's really the quantity of drinking, and-and whether your drinking is escalating and interfering with things that are, perhaps, more important.
client: Yeah. | And you've perhaps never seen it in that light before. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: No.
therapist: Yeah. And so, it sounds like there's a bit of a dilemma there, because-- And I guess we should be clear, it's not the occasional drink that's an issue. Um, it's-it's really the quantity of drinking, and-and whether your drinking is escalating and interfering with things that are, perhaps, more important.
client: Yeah.
therapist: And you've perhaps never seen it in that light before.
client: No. And, i-it's just, it's really hard to take in right now. I mean, yeah. I-I've never thought about it like this. And, so, you know, I-I do feel kind of worried. | I-it seems like it-it would be quite a hard pattern to change. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah.
therapist: And you've perhaps never seen it in that light before.
client: No. And, i-it's just, it's really hard to take in right now. I mean, yeah. I-I've never thought about it like this. And, so, you know, I-I do feel kind of worried.
therapist: I-it seems like it-it would be quite a hard pattern to change.
client: Yeah. I mean, i-it's part of my routine right now, and, you know, I-I don't want to sacrifice something I enjoy, but, you know, I'm trying really hard, you know, to be a good mom. I'm-I'm trying to, you know, go-go back to school. I'm trying to work. So, I don't know how I can do all of that if I don't have a way to enjoy myself or relax, you know? | So, it seems like it would be really difficult to change because it's something that's really important to you right now. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: No. And, i-it's just, it's really hard to take in right now. I mean, yeah. I-I've never thought about it like this. And, so, you know, I-I do feel kind of worried.
therapist: I-it seems like it-it would be quite a hard pattern to change.
client: Yeah. I mean, i-it's part of my routine right now, and, you know, I-I don't want to sacrifice something I enjoy, but, you know, I'm trying really hard, you know, to be a good mom. I'm-I'm trying to, you know, go-go back to school. I'm trying to work. So, I don't know how I can do all of that if I don't have a way to enjoy myself or relax, you know?
therapist: So, it seems like it would be really difficult to change because it's something that's really important to you right now.
client: Yeah. | But on the other hand, it does sound like there are things that you- that you value that you don't want the drinking to interfere with. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah.
therapist: So, I guess I'm wondering if you've given any thought to other ways in which you could cope with stress without relying on the drinking so much.
client: Well, you know, if there was some way that I could relieve some of my stress, I think I would feel better, and, you know, maybe at night, I wouldn't feel like I had to unwind in the same way.
therapist: So, if you could somehow tackle some of these stressful issues, um, that could make a difference, and, what-what would that be, for example?
client: Um, you know, probably my biggest problem is just childcare. You know, my mom normally watches my son, but she's been kind of backing out lately. And so, I'm worrying, am I going to have to call into work today, am-am I going to have to miss class? You know, so, you know, worrying about that really stresses me out, you know. | So, having more reliable childcare could make a big difference. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Well, you know, if there was some way that I could relieve some of my stress, I think I would feel better, and, you know, maybe at night, I wouldn't feel like I had to unwind in the same way.
therapist: So, if you could somehow tackle some of these stressful issues, um, that could make a difference, and, what-what would that be, for example?
client: Um, you know, probably my biggest problem is just childcare. You know, my mom normally watches my son, but she's been kind of backing out lately. And so, I'm worrying, am I going to have to call into work today, am-am I going to have to miss class? You know, so, you know, worrying about that really stresses me out, you know.
therapist: So, having more reliable childcare could make a big difference.
client: Yeah, definitely. | And it sounds like your mom has been an option in the past, but perhaps not so much anymore. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Um, you know, probably my biggest problem is just childcare. You know, my mom normally watches my son, but she's been kind of backing out lately. And so, I'm worrying, am I going to have to call into work today, am-am I going to have to miss class? You know, so, you know, worrying about that really stresses me out, you know.
therapist: So, having more reliable childcare could make a big difference.
client: Yeah, definitely.
therapist: And it sounds like your mom has been an option in the past, but perhaps not so much anymore.
client: Yeah. I mean, she watches him so much. I think she's just probably getting stressed out too. And, I feel bad because, you know, it's not her son, so i-it shouldn't be her problem, but, I need something that I can rely on better. | So, one thing that could make a big difference is if you could figure out some sort of more reliable, affordable childcare, and that would help you not want to drink as much. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Mm-hmm.
therapist: Anything-anything else?
client: Mm-mm
therapist: Would you be interested in perhaps thinking about setting a goal with respect to your drinking?
client: Well, I mean, I could at least try to going back to one drink a night instead of two. | Okay. Try to cut back a bit and see how that goes. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Mm-mm
therapist: Would you be interested in perhaps thinking about setting a goal with respect to your drinking?
client: Well, I mean, I could at least try to going back to one drink a night instead of two.
therapist: Okay. Try to cut back a bit and see how that goes.
client: Yeah. I mean, I-I don't know how it's going to go, especially with trying to cut back on smoking already, but, I mean, I can try. | Okay. So, you can give it a go and, I think doing managing, you might just learn a little bit about how easy or difficult it's going to be, and-and also what it's like to cope with stress in other ways. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah.
therapist: Okay, great. I look forward to talking next time.
client: Okay. Thanks.
therapist: Um, so you've talked a bit about like the emphysema. Um, what did the doctors say to you when you were diagnosed? I mean the obvious, right?
client: Every time I go-- Excuse me. -to any doctor, you know, you need to quit smoking and— | Mm-hmm. Finger comes out. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Okay. Thanks.
therapist: Um, so you've talked a bit about like the emphysema. Um, what did the doctors say to you when you were diagnosed? I mean the obvious, right?
client: Every time I go-- Excuse me. -to any doctor, you know, you need to quit smoking and—
therapist: Mm-hmm. Finger comes out.
client: Uh-huh and I kind of go, let's move on, you know because I've heard the lecture. Um, and I really don't put much credence into what they say. I did have- I did have a neighbor who was smoked for many, many years and, um, she had the Oxygen-- Oxygen tank that she would have to sleep at night with the oxygen on and even that didn't deter me from that smoking. I don't really know. It's like, um, a power greater than myself. This is controlling me like this, you know, the angels on this side, the devil's on the other. | Mm-hmm. And there was a war going on? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Every time I go-- Excuse me. -to any doctor, you know, you need to quit smoking and—
therapist: Mm-hmm. Finger comes out.
client: Uh-huh and I kind of go, let's move on, you know because I've heard the lecture. Um, and I really don't put much credence into what they say. I did have- I did have a neighbor who was smoked for many, many years and, um, she had the Oxygen-- Oxygen tank that she would have to sleep at night with the oxygen on and even that didn't deter me from that smoking. I don't really know. It's like, um, a power greater than myself. This is controlling me like this, you know, the angels on this side, the devil's on the other.
therapist: Mm-hmm. And there was a war going on?
client: Mm-hmm, yeah. And common sense somewhere in the middle. | Yeah. Well, and your daughter. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Uh-huh and I kind of go, let's move on, you know because I've heard the lecture. Um, and I really don't put much credence into what they say. I did have- I did have a neighbor who was smoked for many, many years and, um, she had the Oxygen-- Oxygen tank that she would have to sleep at night with the oxygen on and even that didn't deter me from that smoking. I don't really know. It's like, um, a power greater than myself. This is controlling me like this, you know, the angels on this side, the devil's on the other.
therapist: Mm-hmm. And there was a war going on?
client: Mm-hmm, yeah. And common sense somewhere in the middle.
therapist: Yeah. Well, and your daughter.
client: Right. | And the social stigma, because you don't want your daughter to think of you like that, whatever that- that as a smoker, you know. You know there're people who make the assumption and it- it sounds like those are more important to you than the medical things, and who cares why it's important? |