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Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Right.
therapist: 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?
client: Right.
therapist: It doesn't matter. So what- what ideas do you have about what might be most helpful for you in quitting smoking?
client: Well, you know, I was thinking along the lines of meditation. Um, you know, I- I do practice yoga, um, not consistently, but on and off. Um, and when I was in the hospital, I had to do that breathing apparatus and they didn't want to let me go now, like, you know- you know what, I'm not doing that it's already blurry then to this thing, to see the level, um, some pretty obstinate about it and yet I want to do it, you know? | So that was helpful for you that it's a, um, I can't remember. I know what you're trying to get a little ball. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Yeah. I mean, I- I, um, I've always liked therapy itself, and I- I've heard, I don't know if it's accurate, but if you have the willingness that is you're ease- more easily hypnotized, I don't know is it true?
therapist: Yes, it is true. Yeah. It is. I mean, people don't come walking through the door who are not interested in it, you know? So, um, yeah, so that's-- So you'd be interested in something like that and, um, what- what other ideas have you thought about that would work for you?
client: Well, I mean exercise, but really, you know, I have the mindset, you know, like, okay, tomorrow I'm going to get up and I'm going to do this, but I really am not a follow-through type of person with this.
therapist: Okay. Okay.
client: Because you know I've never been really athletic. I mean, so it's kind of like, I know that when you substitute something for something else, other than chocolate, which is my best friend too, [laughs]. | Might become a better friend when you quit. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | therapist: It's the same thing. It's Wellbutrin, and when they found out by accident through what we call serendipity that you know what, Viagra. [laughs] That when- when people were on Wellbutrin that they tended to decrease and stop smoking, and, um, there were a couple of different reasons for that. Number one, people tend to get depressed when they quit smoking, because it puts you in such a state of deprivation and, um also-- well, so Wellbutrin really is a good antidepressant for them.
therapist: The other thing is its a slight stimulatory effect and when people go off nicotine which is a stimulant the-they tend to get pretty tired overheard-- you know it's the opposite of however the nicotine makes them feel. And the Wellbutrin kind of with stimul-- you know stimulatory enough. [crosstalk] [unintelligible 00:05:56] And I-- the last I've read, and I've not kept real current about it, but I'm wondering about the-- what your thoughts are if any about the-- any of the nicotine replacements like the gum patch, the inhaler.
client: Um, you know I'd be-- I've heard a little bit about them, but I mean I do know some people, but they're not exactly reliable, um, as far as you know really having a desire and sticking to it that they smoke on the patch and-and then it causes this you know extreme, you know? Like you're getting double the nicotine or whatever so it's almost like they're getting a buzz from it you know so that's my fear and the cost of the patch because it's not covered you know through your, um, your- your insurance and the Nicorette same thing it's very expensive you know. And I'm not really a gum sure but here I am because—
therapist: Chewing gum.
client: [laughs] but I mean I'd be interested I wish they'd make it more affordable for people or you know they haven't covered by insurance because you know the risk of it you know that the premiums for insurance- insurance for people who smoke are so high you would think that they would have like, um, what do they call that? Preventive. Um, I wish I never would have started and I'm proud of my daughter you know because I started smoking a little bit earlier than her age, and I'm proud that she is at this point not smoking this manifestation she might pick it up but it's- it's like- | That strong spirit of you got instilled with her. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: [laughs] but I mean I'd be interested I wish they'd make it more affordable for people or you know they haven't covered by insurance because you know the risk of it you know that the premiums for insurance- insurance for people who smoke are so high you would think that they would have like, um, what do they call that? Preventive. Um, I wish I never would have started and I'm proud of my daughter you know because I started smoking a little bit earlier than her age, and I'm proud that she is at this point not smoking this manifestation she might pick it up but it's- it's like-
therapist: That strong spirit of you got instilled with her.
client: Yeah-yeah, maybe I'm the best example of why she doesn't want to [laughs] you know
therapist: Could be?
client: Whatever you know and her friends. I think a lot of her friend's parents don't smoke and I'm constantly running like outside to smoke and-and- | It is becoming a pain in the butt |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Whatever you know and her friends. I think a lot of her friend's parents don't smoke and I'm constantly running like outside to smoke and-and-
therapist: It is becoming a pain in the butt
client: It is. It really is. It's a monkey on my back
therapist: Mm-hmm
client: And um for me smoking is like a calming effect, you know. And some people it's a stimulant you know and then for me, it's like, I look forward to relaxing on my couch after a long day and then watching my you know news or whatever the heck I'm watching or reading and having my cigarette, um, I'll tell you- | Like it's a little treat. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Right. It's been three months, and I've been doing pretty well.
therapist: Good.
client: Um, and I met a couple new friends.
therapist: Nice.
client: So— | So-so, uh, have-- last time we talked, you know, you were kind of cutting the-the ex-boyfriend out. This is because he was your dealer, so-- |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Right.
therapist: And how is that going for you?
client: Right. It's been good. I haven't answered the phone when he's called-
therapist: Okay.
client: -and a couple of my other friends have tried to call me as well, and I haven't answered the phone. Um, so it's been good for me to just reach out and like, meet a couple of new people, um, in the neigh-neighborhood that I'm living in. | So it sounds like you've made some good changes. The change in your environment, and some of your behaviors, and, uh, and these new friends. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah. And, um—
therapist: Do you have any idea why that is?
client: I do have an idea, I think, why that is. Um, I think that there's been a few things that have happened recently and something that really came to my awareness, when I visited with my family, is that I have consistently through my whole life, probably, put other people first. And I have consistently, uh, almost not even considered myself in the equation. It was, uh, kind of sad in a way, at the time that I realized it. Uh, I didn't realize how severe it actually was, but I was kind of glad that I realized it because I feel like it's never too late to change-
therapist: True.
client: -and I feel like I can- I can, uh, respect and value myself just as much as I have other people. I know that's important. And I feel like when I do that, I'm a better person for other people as well. | Mm-hmm. By not putting yourself on the back burner so much? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: And I can't be the best- the best me possible.
therapist: For someone else?
client: Yeah.
therapist: For your family?
client: For myself or for someone else, either way, yeah. | You think it is so much of a fact that you put yourself on the back burner that you were neglecting yourself, or that you were putting others so much before you that you just didn't even think about yourself? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: For myself or for someone else, either way, yeah.
therapist: You think it is so much of a fact that you put yourself on the back burner that you were neglecting yourself, or that you were putting others so much before you that you just didn't even think about yourself?
client: I-it's almost-- Like, I think that some people might not even think that I put that first, but in my mind and my emotions, I was carrying concern about what other people think, and I was letting that concern dictate my actions. Instead of letting my own values dictate my actions, I was letting what I thought other people wanted me to do to dictate my actions.
therapist: Wow.
client: And that's something that I had done for so long, literally since I was a child, that I didn't even know I was doing it. | There's so much of your-- Part of your paradigm? |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | therapist: Yeah.
client: So, that's what I want to do.
client: Mm-hmm.And it's the first time in my life I haven't felt guilty for saying that.
therapist: The very first time that you can remember?
client: I would say so, yeah. I don't know if I've ever said that in front of people and not felt the least twinge of guilt for it. [chuckles] | That's not a selfish thing. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: -it's not, it's really not.
therapist: Cool, that's great.
client: Yeah.
therapist: Yeah. And so you felt you came about this change, and-and-and how does it make you feel?
client: Well, it makes me feel jubilant. It makes me feel joyful. It makes me feel hopeful. It makes me feel like I count, like I matter. Uh, it makes me feel like I'm going to be able to do what I want to do with more joy and more passion, and less dread and a sense of responsibility, because one of the things that kind of happened along the way I really didn't notice, is that, um-- Like, let's say for example I like being a teacher or I like being a teacher or I like being a counselor to a certain degree but because of all the shoulds and all of the sense of responsibility and all of the caring about what people think, I started to lose joy doing things I actually enjoy doing. | Because you're- felt so obligated. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Well, it makes me feel jubilant. It makes me feel joyful. It makes me feel hopeful. It makes me feel like I count, like I matter. Uh, it makes me feel like I'm going to be able to do what I want to do with more joy and more passion, and less dread and a sense of responsibility, because one of the things that kind of happened along the way I really didn't notice, is that, um-- Like, let's say for example I like being a teacher or I like being a teacher or I like being a counselor to a certain degree but because of all the shoulds and all of the sense of responsibility and all of the caring about what people think, I started to lose joy doing things I actually enjoy doing.
therapist: Because you're- felt so obligated.
client: Yes, because it turned into an obligation instead of just really really a sense of like you know passion you know. My passion is gone completely. I don't know I'm just happy to, I feel like I got back in touch with myself. It's like I was like lost for a while and now I'm like back again, yes, now I remember why I wanted to do this or like why this is important to me because it is actually one of my values to be and help, but it just has to be, uh, balanced.
therapist: Yeah, is that on your top five also
client: No, but um, the other ones I have on there, uh are, number two, inner harmony. For the same reason, like I feel like I need to harmonious within myself before I can be harmonious with other people. | You get peace with yourself? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yes, and then I put family happiness.
therapist: That's very good.
client: Yes, because I think that when I'm at peace with myself, uh, that automatically contributes to my family happiness. When I am unhappy with myself, I bring my unhappiness to my family.
therapist: Sure.
client: Uh, yeah, when I don't have self-respect and I am only giving my family a say on who I am and what I should do, I'm angry at them, I quarrel them. | You feel resentful. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: I resent them, I really do, when I am in the mode. But when I just say, "Hey, I'm a person of this family and I deserve this much time and energy and attention and just more than anybody else," I don't care, you do what I do I do what I do life goes on [chuckles].
therapist: Right.
client: And then I have health and achievement, and to me, this one on achievement says a sense of accomplishment and to me that kind of goes along with what we were talking about earlier like I think I can show up and be a teacher and be a counselor in many different, uh, capacities. I could be your- I could be- I could be a teacher and I could be a really bad teacher. I could still be a teacher you know, I could show up an I could just do a really poor job and I could go home and I probably could keep my job for a while, it wouldn't be the first time right?
therapist: Right.
client: But I don't feel good about that. | You don't feel fulfilled. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: And then I have health and achievement, and to me, this one on achievement says a sense of accomplishment and to me that kind of goes along with what we were talking about earlier like I think I can show up and be a teacher and be a counselor in many different, uh, capacities. I could be your- I could be- I could be a teacher and I could be a really bad teacher. I could still be a teacher you know, I could show up an I could just do a really poor job and I could go home and I probably could keep my job for a while, it wouldn't be the first time right?
therapist: Right.
client: But I don't feel good about that.
therapist: You don't feel fulfilled.
client: No. | Like you've done anything helpful. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: But I don't feel good about that.
therapist: You don't feel fulfilled.
client: No.
therapist: Like you've done anything helpful.
client: Right, right. | It's because you showed up and you gave out |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: No.
therapist: Like you've done anything helpful.
client: Right, right.
therapist: It's because you showed up and you gave out
client: It's not enough for me to just show up and get my paycheck. That doesn't, I don't feel fulfilled so it-it, that's the way I see it going together with the helping. It's not just about helping to like look good or to exhaust myself or do what I think I should do but to really give something needy, something substantive, something real. | Meaningful. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Right, right.
therapist: It's because you showed up and you gave out
client: It's not enough for me to just show up and get my paycheck. That doesn't, I don't feel fulfilled so it-it, that's the way I see it going together with the helping. It's not just about helping to like look good or to exhaust myself or do what I think I should do but to really give something needy, something substantive, something real.
therapist: Meaningful.
client: Yeah, meaningful, even if it's-it's small. | Sometimes it's the small things that really count, too. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: It's not enough for me to just show up and get my paycheck. That doesn't, I don't feel fulfilled so it-it, that's the way I see it going together with the helping. It's not just about helping to like look good or to exhaust myself or do what I think I should do but to really give something needy, something substantive, something real.
therapist: Meaningful.
client: Yeah, meaningful, even if it's-it's small.
therapist: Sometimes it's the small things that really count, too.
client: Yeah. | So all of these things put together feel like right now at this point in life, that it is really healthy change for you, like where you are right now. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Yeah. Yeah.
therapist: That's great and is there anything else on the list you felt like it was coming close to some of the other top five that you had or something similar?
client: Well, one of the things about this list that kind of surprised me is almost every time I have done this list, uh, creativity and freedom have been really high up there. And it didn't even make it to my top five. It was in my top 12.
therapist: Uh-uh.
client: But I think the conclusion that I came to is that I can be more creative and have more freedom if I have inner peace and self-respect. Part of what- part of what binds me, part of what takes my freedom away is when I just explain all over the place and I don't give any attention to myself. Part of what steals my creativity is when I'm- my mind is reeling around in stress and I am not- I can't even hear myself. I can't even hear myself think. How can you be creative if you can't even hear yourself? | All the chattering. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | therapist: All the chattering.
client: Yeah, exactly, to me the creativity comes from the silence, comes from the quiet. It's literally-- I can just be in silence for even if for a few moments. It's amazing the ideas that come to me so quickly and so easily that would take me hours to figure out if I'm stressing.
therapist: Thank you so much for sharing.
client: Thank you, thank you for listening.
client: I don't know, I'm just having a lot of hard trouble trying to lose the rest of the weight. Um, right now, it's like no matter how much I try to exercise, run, or whatever, it doesn't matter like nothing else is coming off. | Right, so you've hit a plateau in your weight and despite all the things that you're trying to do to increase your activity, it doesn't seem to be working on the scale? |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | therapist: Thank you so much for sharing.
client: Thank you, thank you for listening.
client: I don't know, I'm just having a lot of hard trouble trying to lose the rest of the weight. Um, right now, it's like no matter how much I try to exercise, run, or whatever, it doesn't matter like nothing else is coming off.
therapist: Right, so you've hit a plateau in your weight and despite all the things that you're trying to do to increase your activity, it doesn't seem to be working on the scale?
client: No, and I don't know what I'm doing wrong because I keep trying the exercise but nothing's happening. | Right. So you feel like you're spinning your wheels, you're doing more exercising and it's not showing results on the scale? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: I don't know, I'm just having a lot of hard trouble trying to lose the rest of the weight. Um, right now, it's like no matter how much I try to exercise, run, or whatever, it doesn't matter like nothing else is coming off.
therapist: Right, so you've hit a plateau in your weight and despite all the things that you're trying to do to increase your activity, it doesn't seem to be working on the scale?
client: No, and I don't know what I'm doing wrong because I keep trying the exercise but nothing's happening.
therapist: Right. So you feel like you're spinning your wheels, you're doing more exercising and it's not showing results on the scale?
client: Yes. | And you're not feeling so good about that? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: No, and I don't know what I'm doing wrong because I keep trying the exercise but nothing's happening.
therapist: Right. So you feel like you're spinning your wheels, you're doing more exercising and it's not showing results on the scale?
client: Yes.
therapist: And you're not feeling so good about that?
client: No, and even when I'm coming home, like, I'll go to the gym and then I'm noticing nothing is happening and I'll come home and I try to talk to my mama about it or even my father, and no one even cares about it. Like no one wants to support in it anyway. | Uh, so you feel like you're doing this all alone? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yes.
therapist: And you're not feeling so good about that?
client: No, and even when I'm coming home, like, I'll go to the gym and then I'm noticing nothing is happening and I'll come home and I try to talk to my mama about it or even my father, and no one even cares about it. Like no one wants to support in it anyway.
therapist: Uh, so you feel like you're doing this all alone?
client: Yes. | At home or you think that they'll be supportive but they're not giving- they're not giving you what you need? |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: So I—
therapist: Tell me about that.
client: It's as though by me losing weight, it's like I'm somehow disconnecting from my family, and he thinks that I'm trying to form myself to fit into like this perfect American picture and I just want to be healthy, I just want to have a good body and he doesn't think of it that way.
therapist: Well, thank you, Tanya, for meeting with me today and talking about this. So, there is something I'd like to ask you that we can kind of discuss in our conversation is what's one thing about yourself or something in your life that you'd like to change that maybe you've been feeling kind of ambivalent about?
client: Um, well, you know, I have a lot of anxiety, and so there's this test that I have to take. It's a big test and I've kind of been putting it off just 'cause I get very anxious. I don't trust in myself that I'm going to do good at it. Um, and so that's something that's like always on my mind, it's been on my mind for many years and it's like, I gotta just do it. Um, but I always stop myself from doing that because of the anxiety. And I just want to, I don't want to feel that way. | Yeah. This anxiety is this obstacle for you and it sounds like it, then you're just not feeling confident that you could do it and do it successfully to this exam. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: It's as though by me losing weight, it's like I'm somehow disconnecting from my family, and he thinks that I'm trying to form myself to fit into like this perfect American picture and I just want to be healthy, I just want to have a good body and he doesn't think of it that way.
therapist: Well, thank you, Tanya, for meeting with me today and talking about this. So, there is something I'd like to ask you that we can kind of discuss in our conversation is what's one thing about yourself or something in your life that you'd like to change that maybe you've been feeling kind of ambivalent about?
client: Um, well, you know, I have a lot of anxiety, and so there's this test that I have to take. It's a big test and I've kind of been putting it off just 'cause I get very anxious. I don't trust in myself that I'm going to do good at it. Um, and so that's something that's like always on my mind, it's been on my mind for many years and it's like, I gotta just do it. Um, but I always stop myself from doing that because of the anxiety. And I just want to, I don't want to feel that way.
therapist: Yeah. This anxiety is this obstacle for you and it sounds like it, then you're just not feeling confident that you could do it and do it successfully to this exam.
client: Yeah. | And so, it's easier for you to just not do it. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Exactly. So, I just avoid it and put it off.
therapist: Yeah. So, on a scale from 1 to 10, 1 being not confident at all, 10 being very confident. How confident are you that you feel you can manage your anxiety in regards to taking this exam?
client: Um, maybe like a four or five.
therapist: Okay. So, four or five. How combat, like, not like a two or three.
client: I mean, because I-I have it set up after like so many years, so I still have a ton of anxiety about it, but I think I'm like kind of making it, maybe that first step. And so that's why I would rate it as like a four or five because I'm making that first step, but it's still scary for me. | Yeah. Yeah, and you also mentioned that you've actually made the appointment that you have to take this exam. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Um, maybe like a four or five.
therapist: Okay. So, four or five. How combat, like, not like a two or three.
client: I mean, because I-I have it set up after like so many years, so I still have a ton of anxiety about it, but I think I'm like kind of making it, maybe that first step. And so that's why I would rate it as like a four or five because I'm making that first step, but it's still scary for me.
therapist: Yeah. Yeah, and you also mentioned that you've actually made the appointment that you have to take this exam.
client: Yeah. | And before you've been putting it off. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: I mean, because I-I have it set up after like so many years, so I still have a ton of anxiety about it, but I think I'm like kind of making it, maybe that first step. And so that's why I would rate it as like a four or five because I'm making that first step, but it's still scary for me.
therapist: Yeah. Yeah, and you also mentioned that you've actually made the appointment that you have to take this exam.
client: Yeah.
therapist: And before you've been putting it off.
client: Yes. And I already kind of put it off after s-scheduling it too. So, um, now I'm actually enjoying that because I-I already like changed date and everything. So now it's actually coming. | Okay. So, you've made this appointment before in the past and the anxiety has kind of taken over where you've rescheduled it. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Yes.
therapist: And this time, it seems like it's a little bit different this time. How come this time you feel like you might not reschedule this time around?
client: Um, well I think it's this kind of long time coming. I just need to do it and then I can figure out, if I don't pass, I have to wait three more months to do it. And then I just study for the next three months. And if I do, then I can have that weight lifted off my shoulders cause it's been all a lot of weight on me and I think about it every single day. And I'm just sick of thinking about it.
therapist: So that's really encouraging you thinking about how good you'll feel afterwards once it's done and taken.
client: Yeah. But then I do worry, you know, that negative talk that, you know, when you have anxiety. So then I worry about if I don't pass it, you know, like people are going to ask me how I did and if I don't pass it I'm gonna have to tell them, it's embarrassing for me. Um, so that makes me really anxious. | Yeah. You kind of want to avoid that. Yeah. Have those other feelings that could come up and if you don't have. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | therapist: I'd love to hear from you. When was the time in the past that you were feeling anxious about something and you actually did it and it turned out well?
client: Uh, I would say maybe like four or five years ago, um, I had to do a recording for work and I did not want to do it. I was trying to find every way that I can get out of during this recording. And, um, and then I played my recording and because of the way sometimes I carry myself, like not confident and very anxious, um, I think other people don't always believe in me.
client: And so, um, when I played the recording, it actually ended up being one of the best recordings and like my supervisor and our national consultant, they were very like shocked about it because it because of just was the way I carried myself. So I thought, I don't really like compliments that makes me, um, anxious too again people compliment me, but it was a nice feeling because I really didn't trust in myself. And to know that I did a good job.
therapist: Yeah.
client: Um, it made me feel good. | So, in that experience, it really built up your self-confidence and it almost not only changed the way you saw yourself, but maybe how other people saw you and you really, you liked that feeling. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Yeah.
therapist: Um, how do you think you could relate that to what you're dealing with now?
client: I mean, I think again, like all that anxiety, the same anxiety I had with that I have with those tests. And so, um, but that if I pass this test, if I could have that same feeling that I had, like when I did a good job like the-- you know, I mean, I would like to have that feeling again.
therapist: Mm-hmm
client: You know. | So for you to create opportunities to create those moments that you can have that feeling again |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Well, considering this test is coming on the way in a few days, um, I think, for me and just like practicing and just really seeing how I do and if I do well, then I think my confidence might go up a little bit.
therapist: Mm-hmm
client: And maybe just having that faith in myself that, you know, that I can do it instead of just thinking that I can't.
therapist: So that positive self-talk could really go a long way for you?
client: Yeah. Mm-hmm. | So to summarize, it sounds like you are still feeling kind of anxious about this test coming up, you've rescheduled it, um, over the past couple years. Yet, this time around, you seem more confident to just get it done. And you've even mentioned times in the past where you were feeling anxious and you were successful about it and that you felt proud about yourself. And you liked the way it means, you see yourself and how others saw you, and it seems like y-you're ready to finish this exam and-and remind yourself that you can be successful? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | therapist: Okay. Well, thank you, Tanya.
client: Thank you.
therapist: Mm-hmm.
therapist: Hi, Mary, how was your day?
client: Fine. Where do you want me to sign? | Well, you can sign right there. Seems like you're not in the mood to talk today. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Not really.
therapist: Okay. You know it seems like you had uh, a day at school. I noticed that uh, you missed your first hour of class today as well.
client: Yeah, whatever. I just, yeah.
therapist: It seems like that doesn't-isn't really a concern for you at this time?
client: It's just like the same thing every day like, I don't really know why. Like um, so I signed your paper, why are asking me all these questions? | So you're kind of wondering what the point of these visits are, me coming to your house. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Yup.
therapist: Okay. Would it be okay with you if I kind of explained again kind of what this program is about?
client: I guess so.
therapist: You know that I will be stopping by every day just to make sure that you're here and following and-and responding to your GPS and making sure that that's charged up every day and that, um, if you're leaving the house without permission, that we will be aware of that as well. Um, and kinda just to get to know you as well when I come for these visits 'cause, um, you know that's kind of my role as your caseworker is just to-to monitor your day-to-day stuff.
client: So you just wanna know my business? | It does kinda come off as nosy at times I'm sure. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Mm-hmm.
therapist: I know uh, some clients have struggled with understanding that I really do care about you. And you know that when we first met that you had expressed a goal of, um, getting off this program as quickly as possible.
client: Mm-hmm.
therapist: So I know just kinda being here when you need to be here is one way of doing that.
client: Mm-hmm. | Yet you still can seem kind of annoyed that this is something that we still have to do. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Mm-hmm.
therapist: Yet you still can seem kind of annoyed that this is something that we still have to do.
client: Yeah. I mean I guess I'll be here if I have to be but I can't make any promises that I won't leave.
therapist: So you're still kinda concerned that you're not quite sure if you will be able to do this successfully?
client: No, 'cause this just kinda feels like why do you need to know my business? Why do you care? | Um, and-and I'm sure that does seem kind of confusing too 'cause I'm sure you've got a lot of other people involved in your life right now with the courts I'm sure, I know that your mom is concerned about you as well and there's this one other person kinda checking in on you as well. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah. I mean I guess I'll be here if I have to be but I can't make any promises that I won't leave.
therapist: So you're still kinda concerned that you're not quite sure if you will be able to do this successfully?
client: No, 'cause this just kinda feels like why do you need to know my business? Why do you care?
therapist: Um, and-and I'm sure that does seem kind of confusing too 'cause I'm sure you've got a lot of other people involved in your life right now with the courts I'm sure, I know that your mom is concerned about you as well and there's this one other person kinda checking in on you as well.
client: Mm-hmm. | I'm sure it's pretty overwhelming. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Mm-hmm.
therapist: I'm sure it's pretty overwhelming.
client: It's just like a lot.
therapist: Mm-hmm.
client: And you feel like there's all these rules. | Yeah. And there is and I'm sure that it is really struggling at times too. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Probably since last October.
therapist: So, for about six months. I'm curious. What do you like about drinking alcohol?
client: What do I like about it?
therapist: Yeah.
client: Um, I don't know. It's just fun to drink with my friends, like when we're at a party at someone else's house, and we're drinking with other people that we don't know. It tastes good. | Okay. So, it sounds like you feel relaxed and have fun when you're drinking with friends and you like the taste. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Um, I could probably drink something else when my friends are drinking, like just coke.
therapist: Anything else to make things easier for you?
client: I can probably hang out with some of my friends who don't drink or inviting them to parties and having fun 'cause not everyone drinks at parties.
therapist: Okay. Is there anybody in your life that you can talk to about this, who give you some support for not drinking?
client: Yeah. The-- My friends who don't drink would probably be happy that I'm not drinking either and yes, they'd support me. | Great. So you've come up with some reasons to stop drinking, like having hangovers and throwing up and getting into trouble. And you've developed some strategies to-to try to not drink, like spending more time with friends who don't drink or having non-alcoholic drinks when people around you are drinking alcohol. I think that's a great plan. I'm really proud of you for giving this a try. How about if I have you make an appointment for two months from now and then I'll see you back and we can see how things are going? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Okay.
therapist: Hey, Mary, how are you?
client: Fine.
therapist: Um, I noticed some yelling going on in the house, what's going on?
client: It's not really any of your business. | So nothing you want to talk about right now? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Fine.
therapist: Um, I noticed some yelling going on in the house, what's going on?
client: It's not really any of your business.
therapist: So nothing you want to talk about right now?
client: Mm-hmm. | My guess is you're probably involved in that. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Mm-hmm.
therapist: My guess is you're probably involved in that.
client: Hmm.
therapist: Okay, I understand that sometimes if you're feeling angry or upset about something, the last thing you want to do is share with your caseworker at that time, but, um, you know I am here for you, and if there's anything you ever want to talk about or share with me, that is something that I would love to-to here, and I'll just see sit here and listen if that's something that you would find helpful.
client: Okay. | Okay. You know what? I-it seems like things have been really a struggle for you lately, and I have noticed that you haven't been in the best mood, so I'm really- I am concerned about you, but again, it's your choice if that's something that you feel like you want to share with me. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: -the short ones, the really huggy ones. [chuckles]
therapist: Uh-huh. Uh-huh.
client: So I actually decided, and I know this wasn't the smartest decision of mine, but I did not wear my insulin pump.
therapist: Uh-huh.
client: Which was the reason why I didn't want quite to address 'cause I know better. I- | You probably think that I'm going to get on your case about that or something. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yes, I know, I know, I know.
therapist: Yeah.
client: Like the learning is done but-
therapist: Hmm.
client: -but yes I guess it's unavoidable that we address it. [laughter] | Yeah and I-- Yeah, you really-- You're already like, you're taking a look at this and sure don't need me like-- Obviously, you don't want to be doing that in the first place, but— |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Like the learning is done but-
therapist: Hmm.
client: -but yes I guess it's unavoidable that we address it. [laughter]
therapist: Yeah and I-- Yeah, you really-- You're already like, you're taking a look at this and sure don't need me like-- Obviously, you don't want to be doing that in the first place, but—
client: Yeah. | Yeah, clearly, you made a decision because you didn't want to stand out in some way I'm guessing. So, let's-let's talk more about that. Tell me where would you like to take this? |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Mm-hmm.
therapist: Yeah. Yeah. My sense is we'll be able to work pretty well together. That's my, sort of, sense of, uh-- After last time, I thought, you know, "Here's a young woman who's, you know, got some energy to get things together-
client: Mm.
therapist: -and, uh--" So, really, what we'd like to talk about today is-is get a sense of, um-- Let's talk about the things that would be good to work with, um, over the next, you know, nine months together, really.
client: Mm-hmm. | So, one of the things that we started to touch on, last time, was this issue of gambling, and, um, you were talking, last time, about how the gambling had, sort of, got you into trouble with your family. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: When I'm feeling uncomfortable?
therapist: Yeah, yeah. If you could just say, "Ken, hi, I am starting to, you know, tune it out here, starting to get uncomfortable," that would be really helpful.
client: Okay.
therapist: Yeah?
client: Mm-hmm. | Yeah, thanks for that, okay. So, let's think about the-- It has to do with how you just sorted out the thing around the gambling 'cause last time you were here, you told me that you get a buzz, you know, it seemed like you were gambling a bit more than your girlfriends were aware of, and-and you said you owe one of your friends some money. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: -so, you know, I think I'm a bit weird if I just sit-sit at the bar on my own. [chuckles]
therapist: Yeah. Yeah, so-so, you fluttered last night with them?
client: Yeah.
therapist: Yep. Okay, okay. And-and when they stopped fluttering, were you still fluttering or did you stop with them? Where-where were you with—
client: Oh, I had to stop halfway 'cause I'd ran out of money. [chuckles] | Okay. Okay. Okay. Yeah, yeah. So, you were saying before that, you know, there was, you know, money you couldn't really afford- |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Maybe I wanna have traveled and found the man of my dreams. [chuckles]
therapist: Yeah, yeah.
client: I don't know. Kids maybe, but-
therapist: Okay.
client: -I'm not gonna- [sighs] I'm not gonna make a decent mom the way I am, at the moment, am I? So I probably need to get on track at some stage. [chuckles] I'll be pushing 30 and still in debt, at this rate. | Okay, okay. So, it seems like you're-you're, kind of, in a state in your life of considering your next steps. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: I don't know. Kids maybe, but-
therapist: Okay.
client: -I'm not gonna- [sighs] I'm not gonna make a decent mom the way I am, at the moment, am I? So I probably need to get on track at some stage. [chuckles] I'll be pushing 30 and still in debt, at this rate.
therapist: Okay, okay. So, it seems like you're-you're, kind of, in a state in your life of considering your next steps.
client: Yeah. | Yeah? Yeah. "Do I continue with the, you know, my little current lifestyle," and you are so much the party girl you used to be-- I was speaking to last time- |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: -I'm not gonna- [sighs] I'm not gonna make a decent mom the way I am, at the moment, am I? So I probably need to get on track at some stage. [chuckles] I'll be pushing 30 and still in debt, at this rate.
therapist: Okay, okay. So, it seems like you're-you're, kind of, in a state in your life of considering your next steps.
client: Yeah.
therapist: Yeah? Yeah. "Do I continue with the, you know, my little current lifestyle," and you are so much the party girl you used to be-- I was speaking to last time-
client: [chuckles] | -wasn't that-- Is that right? Yeah? So, "Do I live a party lifestyle-- party-girl kind of lifestyle, or am I got some other dreams to follow?" So, they're hard calls to make. And-and it all-- And there are no three ways. We will have to make those calls at some point. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Mm-hmm.
therapist: Yeah, yeah. Something we can- we can do over the next while is-is really get some very concrete things in place to support you to do that.
client: Yeah.
therapist: Yeah. So what's one thing you can do between now and the next time we meet?
client: Find the scissors. [laughs] | Yeah, find the scissors. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Cut out the girls.
therapist: Yeah, yeah, yeah.
client: Then, um, I don't know if the debts are still gonna be there or not but I-I've gotta find-
therapist: Yeah.
client: -a way to pay them off and- | Truly. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | therapist: So let's talk about how we can organize a-a meeting with them.
client: Mm-hmm, that will be good.
therapist: Okay.
client: Yeah.
client: So, uh, I guess the issue is that, um, you know, my doctor seems to think that my-my blood pressure's a little high, but I really don't think that there's a problem. And you know, I eat really well. Um. And, you know, she suggested that, um, I watch my caffeine but really, caffeine is not a problem for me. | Okay. Um, but we were talking a little bit earlier-- earlier in our conversation, you had said that you did feel like it was maybe causing some of your agitation. So it's a little bit of, I'm not sure of what-- Um, so where are we? Did-did you-- do you feel like you do have some agitation out of coffee, or is it just no problem at all? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: So, uh, I guess the issue is that, um, you know, my doctor seems to think that my-my blood pressure's a little high, but I really don't think that there's a problem. And you know, I eat really well. Um. And, you know, she suggested that, um, I watch my caffeine but really, caffeine is not a problem for me.
therapist: Okay. Um, but we were talking a little bit earlier-- earlier in our conversation, you had said that you did feel like it was maybe causing some of your agitation. So it's a little bit of, I'm not sure of what-- Um, so where are we? Did-did you-- do you feel like you do have some agitation out of coffee, or is it just no problem at all?
client: Well, you know, sometimes it makes me a little jittery and, you know, I have to go to the bathroom more frequently than some of my co-workers, but-- And-and working, um, in the hospital, they don't really look so highly on-on going the bathroom frequently. But you know, it-it keeps me awake, it keeps me aware, it-it makes me more able to like, you know, do my job better. And so I really don't see that it's a-it's a real issue.
therapist: Yeah.
client: Um, you know, and-and-- I mean, maybe my blood pressure is a little high, but— | Yeah. So let me see if I had this. So y- so you got some positives, the-the awareness, and then you feel kinda on your game? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Well, you know, sometimes it makes me a little jittery and, you know, I have to go to the bathroom more frequently than some of my co-workers, but-- And-and working, um, in the hospital, they don't really look so highly on-on going the bathroom frequently. But you know, it-it keeps me awake, it keeps me aware, it-it makes me more able to like, you know, do my job better. And so I really don't see that it's a-it's a real issue.
therapist: Yeah.
client: Um, you know, and-and-- I mean, maybe my blood pressure is a little high, but—
therapist: Yeah. So let me see if I had this. So y- so you got some positives, the-the awareness, and then you feel kinda on your game?
client: Mm-hmm. | Um, and then there's some negatives with, um, you know, your-your co-workers, um, that they don't, you know-- then your boss may not want you, you know, checking out- |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Um, you know, and-and-- I mean, maybe my blood pressure is a little high, but—
therapist: Yeah. So let me see if I had this. So y- so you got some positives, the-the awareness, and then you feel kinda on your game?
client: Mm-hmm.
therapist: Um, and then there's some negatives with, um, you know, your-your co-workers, um, that they don't, you know-- then your boss may not want you, you know, checking out-
client: Right. | -on the hospital floor, you know, for frequently. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Gotta stay on, yeah.
therapist: Yeah, yeah, and then the blood pressure thing. Does that sound about right?
client: Yeah, yeah. Well, you know, and sometimes, like I said, it does kind of make me a little jittery and, um, I don't know. I-I-I'm not- I'm not as happy and relaxed as I normally am. But you know, I-I really like it, and-and like I said, it makes me more aware of what's going on and-and I'm-- I-I feel like I'm much more observant.
therapist: Yeah. How about frequency? Do you feel like you're good on how much coffee you're drinking?
client: Yeah. I have about four cups a day. | Okay. Okay. And that feels about right to you? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: -I just really like the flavors.
therapist: Yeah.
client: So I-I definitely don't want to give that up, but—
therapist: I gotcha. Okay.
client: Uh— | So that one's important. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: And then, of course, you know, working a 12-hour shift, I-I really think that, you know, the afternoon to keep me going until the evening is-is a really good idea too.
therapist: Yeah.
client: I could probably get up the mid-morning.
therapist: I think that's great.
client: Yeah, yeah, yeah. | I think so. So you've identified one of the four that might-- you might be willing to-to try- |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah.
therapist: Good.
client: I think I could do that.
therapist: Tell me what you know about the flu shot?
client: Uh, well, I know the flu can be pretty bad, but I'm in pretty good health, so I don't really feel like I need it. Uh, it's kind of just more for old people, right? | Mm, um, so you're thinking it's really just for people who are-are vulnerable to illness? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Well, my grandparents probably wouldn't handle the flu very well-
therapist: Mm.
client: -and my co-worker is pregnant too.
therapist: Mm-hmm.
client: So-so, yeah, I guess, I should, uh, get it for their sake. | Okay, so you've got some people in your life who are vulnerable to possible illness, and making this decision to get the flu shot will help protect them. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: -and my co-worker is pregnant too.
therapist: Mm-hmm.
client: So-so, yeah, I guess, I should, uh, get it for their sake.
therapist: Okay, so you've got some people in your life who are vulnerable to possible illness, and making this decision to get the flu shot will help protect them.
client: Yeah. | Hi, Nick. Thank you for completing the CRAFFT questionnaire. I also appreciate you sharing some information about yourself. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah.
therapist: Hi, Nick. Thank you for completing the CRAFFT questionnaire. I also appreciate you sharing some information about yourself.
client: You're welcome.
therapist: sI see from the questionnaire, did you have got in trouble while using alcohol? Can you tell me more about that?
client: Well, a friend and I would snuck out one night to go to the park, and we got a couple of beers from his house, but the cop came by, and so we threw them in the bushes. He was originally gonna give us a curfew ticket but ended up not to. Luckily, he didn't see the beer. | That must be really scary. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Well, a friend and I would snuck out one night to go to the park, and we got a couple of beers from his house, but the cop came by, and so we threw them in the bushes. He was originally gonna give us a curfew ticket but ended up not to. Luckily, he didn't see the beer.
therapist: That must be really scary.
client: Yeah, it was. If my mom would have found out, she would've killed me.
therapist: I understand. So tell me, how often do you drink?
client: Well, I've only tried drinking once or twice. | I'm gonna make sure I understand. You have tried drinking a couple of times, and you almost got in trouble once. Did I get that right? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Well, all I really know is that it's not good for you.
therapist: Are you surprised what that might be true?
client: Yeah, and a couple of my friends drink too.
therapist: Well, you might not be drinking that much, and other kids are also trying alcohol. I'd like to share with you the risk of using. Alcohol and drugs could really harm you because your brain is still changing. It also-- you're very high risk for becoming addicted. Alcohol and drugs could also interfere with your role in life and your goals, especially in sports, and it could cause unintended sex. How do you feel about this information?
client: I really didn't think about how this would affect me playing sports. | Based on your reason for your visit today, I feel like you really wanted to play soccer, and you have great goals about that. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah, and a couple of my friends drink too.
therapist: Well, you might not be drinking that much, and other kids are also trying alcohol. I'd like to share with you the risk of using. Alcohol and drugs could really harm you because your brain is still changing. It also-- you're very high risk for becoming addicted. Alcohol and drugs could also interfere with your role in life and your goals, especially in sports, and it could cause unintended sex. How do you feel about this information?
client: I really didn't think about how this would affect me playing sports.
therapist: Based on your reason for your visit today, I feel like you really wanted to play soccer, and you have great goals about that.
client: Yeah, I would like to play soccer in college. | That's a great goal to have for yourself. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: I really didn't think about how this would affect me playing sports.
therapist: Based on your reason for your visit today, I feel like you really wanted to play soccer, and you have great goals about that.
client: Yeah, I would like to play soccer in college.
therapist: That's a great goal to have for yourself.
client: Yeah, I would also like to get scholarships. | Scholarship will really help you achieving your goals. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah, I would also like to get scholarships.
therapist: Scholarship will really help you achieving your goals.
client: Yeah.
therapist: I would like to share with you these materials to show the risk of drinking at younger age. I also wanted to encourage you to think about these risks. What do you think about that?
client: Well, I will take a look at it, and I'll definitely read it, and I don't wanna become addicted, and I would like to continue to play sports as long as possible. | It sounds like you're in the right track, looks like you care about your health, and you care about your goals in life. I'm here to answer any questions. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | therapist: It sounds like you're in the right track, looks like you care about your health, and you care about your goals in life. I'm here to answer any questions.
client: Thanks for all the information.
therapist: You're welcome.
therapist: Oh, hello Scott.
client: Hi. | Um, we were talking a little bit earlier, and you said you wanted to talk about exercising. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Well, I-I-I-I would feel better. My-- I'd-I'd be able to wear more my clothes. I've been growing around the middle and I'd like to, uh, you know, go back to where I was, you know, get into a 34, 36 waist, you know.
therapist: Okay.
client: I-I'm more comfortable-- I feel better. I think that's the main thing.
therapist: Okay. Yeah, because your-your health really, to me, it's more important than your-your looks. I mean, don't get me wrong, I understand what you're saying, but, you know, it'd be great to get back in those jeans, but—
client: Yeah, yeah. It-it-it-- I-I am- I'm not getting any younger than I [unintelligible 00:02:18] | Mm-hmm. Well, I think you know what to do. You've done it before. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah, I use new needles every time, I never share.
client: Yeah, I use new needles every time, I never share.
client: Yeah, I use new needles every time, I never share.
client: Yeah, I use new needles every time, I never share.
client: Yeah, I use new needles every time, I never share. | Yeah, it sounds like your health is important to you. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah, I use new needles every time, I never share.
client: Yeah, I use new needles every time, I never share.
client: Yeah, I use new needles every time, I never share.
client: Yeah, I use new needles every time, I never share.
therapist: Yeah, it sounds like your health is important to you. | Yeah, it sounds like your health is important to you. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah, I use new needles every time, I never share.
client: Yeah, I use new needles every time, I never share.
client: Yeah, I use new needles every time, I never share.
therapist: Yeah, it sounds like your health is important to you.
therapist: Yeah, it sounds like your health is important to you. | Yeah, it sounds like your health is important to you. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Yeah, I use new needles every time, I never share.
client: Yeah, I use new needles every time, I never share.
therapist: Yeah, it sounds like your health is important to you.
therapist: Yeah, it sounds like your health is important to you.
therapist: Yeah, it sounds like your health is important to you. | Yeah, it sounds like your health is important to you. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah, I use new needles every time, I never share.
therapist: Yeah, it sounds like your health is important to you.
therapist: Yeah, it sounds like your health is important to you.
therapist: Yeah, it sounds like your health is important to you.
therapist: Yeah, it sounds like your health is important to you. | Yeah, it sounds like your health is important to you. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | therapist: Yeah, it sounds like your health is important to you.
therapist: Yeah, it sounds like your health is important to you.
therapist: Yeah, it sounds like your health is important to you.
therapist: Yeah, it sounds like your health is important to you.
therapist: Yeah, it sounds like your health is important to you. | Yeah, it sounds like your health is important to you. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | therapist: Yeah, it sounds like your health is important to you.
therapist: Yeah, it sounds like your health is important to you.
therapist: Yeah, it sounds like your health is important to you.
therapist: Yeah, it sounds like your health is important to you.
therapist: Yeah, it sounds like your health is important to you. | Yeah, it sounds like your health is important to you. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah, that's right.
client: Yeah, that's right.
client: Yeah, that's right.
client: Yeah, that's right.
client: Yeah, that's right. | And you showed up today to take care of your migraines. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Yeah, that's right.
client: Yeah, that's right.
client: Yeah, that's right.
client: Yeah, that's right.
therapist: And you showed up today to take care of your migraines. | And you showed up today to take care of your migraines. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Yeah, that's right.
client: Yeah, that's right.
client: Yeah, that's right.
therapist: And you showed up today to take care of your migraines.
therapist: And you showed up today to take care of your migraines. | And you showed up today to take care of your migraines. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Yeah, that's right.
client: Yeah, that's right.
therapist: And you showed up today to take care of your migraines.
therapist: And you showed up today to take care of your migraines.
therapist: And you showed up today to take care of your migraines. | And you showed up today to take care of your migraines. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Yeah, that's right.
therapist: And you showed up today to take care of your migraines.
therapist: And you showed up today to take care of your migraines.
therapist: And you showed up today to take care of your migraines.
therapist: And you showed up today to take care of your migraines. | And you showed up today to take care of your migraines. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | therapist: And you showed up today to take care of your migraines.
therapist: And you showed up today to take care of your migraines.
therapist: And you showed up today to take care of your migraines.
therapist: And you showed up today to take care of your migraines.
therapist: And you showed up today to take care of your migraines. | And you showed up today to take care of your migraines. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Mm-hmm, yap.
client: Mm-hmm, yap.
therapist: So, uh, you wrote on here that you've experienced withdrawal symptoms when you've stopped using in the past, is that right?
therapist: So, uh, you wrote on here that you've experienced withdrawal symptoms when you've stopped using in the past, is that right?
therapist: So, uh, you wrote on here that you've experienced withdrawal symptoms when you've stopped using in the past, is that right? | So, uh, you wrote on here that you've experienced withdrawal symptoms when you've stopped using in the past, is that right? |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | therapist: So, uh, you wrote on here that you've experienced withdrawal symptoms when you've stopped using in the past, is that right?
therapist: So, uh, you wrote on here that you've experienced withdrawal symptoms when you've stopped using in the past, is that right?
therapist: So, uh, you wrote on here that you've experienced withdrawal symptoms when you've stopped using in the past, is that right?
therapist: So, uh, you wrote on here that you've experienced withdrawal symptoms when you've stopped using in the past, is that right?
therapist: So, uh, you wrote on here that you've experienced withdrawal symptoms when you've stopped using in the past, is that right? | So, uh, you wrote on here that you've experienced withdrawal symptoms when you've stopped using in the past, is that right? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Uh, yeah. I mean, I think everybody who uses at least has some concern of overdosing on some level. Right? Uh, so that's something I'm concerned about is accidentally overdosing. And, uh, yeah, I mean, I don't want to get an infection in my arm, you know, just the usual things. I have a hard time hitting veins sometimes, and I gotta dig around a little bit and I would get worried about, you know, hitting something that I shouldn't or, you know, getting infections.
client: Uh, yeah. I mean, I think everybody who uses at least has some concern of overdosing on some level. Right? Uh, so that's something I'm concerned about is accidentally overdosing. And, uh, yeah, I mean, I don't want to get an infection in my arm, you know, just the usual things. I have a hard time hitting veins sometimes, and I gotta dig around a little bit and I would get worried about, you know, hitting something that I shouldn't or, you know, getting infections.
client: Uh, yeah. I mean, I think everybody who uses at least has some concern of overdosing on some level. Right? Uh, so that's something I'm concerned about is accidentally overdosing. And, uh, yeah, I mean, I don't want to get an infection in my arm, you know, just the usual things. I have a hard time hitting veins sometimes, and I gotta dig around a little bit and I would get worried about, you know, hitting something that I shouldn't or, you know, getting infections.
client: Uh, yeah. I mean, I think everybody who uses at least has some concern of overdosing on some level. Right? Uh, so that's something I'm concerned about is accidentally overdosing. And, uh, yeah, I mean, I don't want to get an infection in my arm, you know, just the usual things. I have a hard time hitting veins sometimes, and I gotta dig around a little bit and I would get worried about, you know, hitting something that I shouldn't or, you know, getting infections.
client: Uh, yeah. I mean, I think everybody who uses at least has some concern of overdosing on some level. Right? Uh, so that's something I'm concerned about is accidentally overdosing. And, uh, yeah, I mean, I don't want to get an infection in my arm, you know, just the usual things. I have a hard time hitting veins sometimes, and I gotta dig around a little bit and I would get worried about, you know, hitting something that I shouldn't or, you know, getting infections. | Mm-hmm. So on one hand, using heroin feels like an escape from things you don't want to think about. On the other hand, it puts you at risk for an overdose in infections. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Uh, yeah. I mean, I think everybody who uses at least has some concern of overdosing on some level. Right? Uh, so that's something I'm concerned about is accidentally overdosing. And, uh, yeah, I mean, I don't want to get an infection in my arm, you know, just the usual things. I have a hard time hitting veins sometimes, and I gotta dig around a little bit and I would get worried about, you know, hitting something that I shouldn't or, you know, getting infections.
client: Uh, yeah. I mean, I think everybody who uses at least has some concern of overdosing on some level. Right? Uh, so that's something I'm concerned about is accidentally overdosing. And, uh, yeah, I mean, I don't want to get an infection in my arm, you know, just the usual things. I have a hard time hitting veins sometimes, and I gotta dig around a little bit and I would get worried about, you know, hitting something that I shouldn't or, you know, getting infections.
client: Uh, yeah. I mean, I think everybody who uses at least has some concern of overdosing on some level. Right? Uh, so that's something I'm concerned about is accidentally overdosing. And, uh, yeah, I mean, I don't want to get an infection in my arm, you know, just the usual things. I have a hard time hitting veins sometimes, and I gotta dig around a little bit and I would get worried about, you know, hitting something that I shouldn't or, you know, getting infections.
client: Uh, yeah. I mean, I think everybody who uses at least has some concern of overdosing on some level. Right? Uh, so that's something I'm concerned about is accidentally overdosing. And, uh, yeah, I mean, I don't want to get an infection in my arm, you know, just the usual things. I have a hard time hitting veins sometimes, and I gotta dig around a little bit and I would get worried about, you know, hitting something that I shouldn't or, you know, getting infections.
therapist: Mm-hmm. So on one hand, using heroin feels like an escape from things you don't want to think about. On the other hand, it puts you at risk for an overdose in infections. | Mm-hmm. So on one hand, using heroin feels like an escape from things you don't want to think about. On the other hand, it puts you at risk for an overdose in infections. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Uh, yeah. I mean, I think everybody who uses at least has some concern of overdosing on some level. Right? Uh, so that's something I'm concerned about is accidentally overdosing. And, uh, yeah, I mean, I don't want to get an infection in my arm, you know, just the usual things. I have a hard time hitting veins sometimes, and I gotta dig around a little bit and I would get worried about, you know, hitting something that I shouldn't or, you know, getting infections.
client: Uh, yeah. I mean, I think everybody who uses at least has some concern of overdosing on some level. Right? Uh, so that's something I'm concerned about is accidentally overdosing. And, uh, yeah, I mean, I don't want to get an infection in my arm, you know, just the usual things. I have a hard time hitting veins sometimes, and I gotta dig around a little bit and I would get worried about, you know, hitting something that I shouldn't or, you know, getting infections.
client: Uh, yeah. I mean, I think everybody who uses at least has some concern of overdosing on some level. Right? Uh, so that's something I'm concerned about is accidentally overdosing. And, uh, yeah, I mean, I don't want to get an infection in my arm, you know, just the usual things. I have a hard time hitting veins sometimes, and I gotta dig around a little bit and I would get worried about, you know, hitting something that I shouldn't or, you know, getting infections.
therapist: Mm-hmm. So on one hand, using heroin feels like an escape from things you don't want to think about. On the other hand, it puts you at risk for an overdose in infections.
therapist: Mm-hmm. So on one hand, using heroin feels like an escape from things you don't want to think about. On the other hand, it puts you at risk for an overdose in infections. | Mm-hmm. So on one hand, using heroin feels like an escape from things you don't want to think about. On the other hand, it puts you at risk for an overdose in infections. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Uh, yeah. I mean, I think everybody who uses at least has some concern of overdosing on some level. Right? Uh, so that's something I'm concerned about is accidentally overdosing. And, uh, yeah, I mean, I don't want to get an infection in my arm, you know, just the usual things. I have a hard time hitting veins sometimes, and I gotta dig around a little bit and I would get worried about, you know, hitting something that I shouldn't or, you know, getting infections.
client: Uh, yeah. I mean, I think everybody who uses at least has some concern of overdosing on some level. Right? Uh, so that's something I'm concerned about is accidentally overdosing. And, uh, yeah, I mean, I don't want to get an infection in my arm, you know, just the usual things. I have a hard time hitting veins sometimes, and I gotta dig around a little bit and I would get worried about, you know, hitting something that I shouldn't or, you know, getting infections.
therapist: Mm-hmm. So on one hand, using heroin feels like an escape from things you don't want to think about. On the other hand, it puts you at risk for an overdose in infections.
therapist: Mm-hmm. So on one hand, using heroin feels like an escape from things you don't want to think about. On the other hand, it puts you at risk for an overdose in infections.
therapist: Mm-hmm. So on one hand, using heroin feels like an escape from things you don't want to think about. On the other hand, it puts you at risk for an overdose in infections. | Mm-hmm. So on one hand, using heroin feels like an escape from things you don't want to think about. On the other hand, it puts you at risk for an overdose in infections. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | client: Uh, yeah. I mean, I think everybody who uses at least has some concern of overdosing on some level. Right? Uh, so that's something I'm concerned about is accidentally overdosing. And, uh, yeah, I mean, I don't want to get an infection in my arm, you know, just the usual things. I have a hard time hitting veins sometimes, and I gotta dig around a little bit and I would get worried about, you know, hitting something that I shouldn't or, you know, getting infections.
therapist: Mm-hmm. So on one hand, using heroin feels like an escape from things you don't want to think about. On the other hand, it puts you at risk for an overdose in infections.
therapist: Mm-hmm. So on one hand, using heroin feels like an escape from things you don't want to think about. On the other hand, it puts you at risk for an overdose in infections.
therapist: Mm-hmm. So on one hand, using heroin feels like an escape from things you don't want to think about. On the other hand, it puts you at risk for an overdose in infections.
therapist: Mm-hmm. So on one hand, using heroin feels like an escape from things you don't want to think about. On the other hand, it puts you at risk for an overdose in infections. | Mm-hmm. So on one hand, using heroin feels like an escape from things you don't want to think about. On the other hand, it puts you at risk for an overdose in infections. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | therapist: Mm-hmm. So on one hand, using heroin feels like an escape from things you don't want to think about. On the other hand, it puts you at risk for an overdose in infections.
therapist: Mm-hmm. So on one hand, using heroin feels like an escape from things you don't want to think about. On the other hand, it puts you at risk for an overdose in infections.
therapist: Mm-hmm. So on one hand, using heroin feels like an escape from things you don't want to think about. On the other hand, it puts you at risk for an overdose in infections.
therapist: Mm-hmm. So on one hand, using heroin feels like an escape from things you don't want to think about. On the other hand, it puts you at risk for an overdose in infections.
therapist: Mm-hmm. So on one hand, using heroin feels like an escape from things you don't want to think about. On the other hand, it puts you at risk for an overdose in infections. | Mm-hmm. So on one hand, using heroin feels like an escape from things you don't want to think about. On the other hand, it puts you at risk for an overdose in infections. |
Pretend you are a therapist and provide a simple reflection for what the client is experiencing. | therapist: Mm-hmm. So on one hand, using heroin feels like an escape from things you don't want to think about. On the other hand, it puts you at risk for an overdose in infections.
therapist: Mm-hmm. So on one hand, using heroin feels like an escape from things you don't want to think about. On the other hand, it puts you at risk for an overdose in infections.
therapist: Mm-hmm. So on one hand, using heroin feels like an escape from things you don't want to think about. On the other hand, it puts you at risk for an overdose in infections.
therapist: Mm-hmm. So on one hand, using heroin feels like an escape from things you don't want to think about. On the other hand, it puts you at risk for an overdose in infections.
therapist: Mm-hmm. So on one hand, using heroin feels like an escape from things you don't want to think about. On the other hand, it puts you at risk for an overdose in infections. | Mm-hmm. So on one hand, using heroin feels like an escape from things you don't want to think about. On the other hand, it puts you at risk for an overdose in infections. |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Uh, at home mostly.
client: Uh, at home mostly.
client: Uh, at home mostly.
client: Uh, at home mostly.
client: Uh, at home mostly. | In case you see someone overdosing? |
Pretend you are a therapist and provide a complex reflection for what the client is experiencing. | client: Uh, at home mostly.
client: Uh, at home mostly.
client: Uh, at home mostly.
therapist: In case you see someone overdosing?
therapist: In case you see someone overdosing? | In case you see someone overdosing? |