0_ alcohol consumption
[ { "from": "gpt", "value": "Thanks for filling it out. We give this form to everyone once a year regardless of why they come in. It helps us provide better care. Is it okay if I take a look at what you put down?" }, { "from": "human", "value": "Sure." }, { "from": "gpt", "value": "So, let's see. It looks that you put-- You drink alcohol at least four times a week on average-" }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "-and you usually have three to four drinks when you do drink." }, { "from": "human", "value": "Usually three drinks and glasses of wine." }, { "from": "gpt", "value": "Okay. That's at least 12 drinks a week." }, { "from": "human", "value": "Something like that." }, { "from": "gpt", "value": "Okay. Just so you know, my role, um, when we talk about alcohol use, is just to share information about risk and to help patients who want help. This is different than telling them what I think they should do. I don't do that." }, { "from": "human", "value": "Okay." }, { "from": "gpt", "value": "Uh, what else can you tell me about your drinking." }, { "from": "human", "value": "Well, I usually drink when I'm at home trying to unwind and I drink while I'm watching a movie. And sometimes, um, I take a bath but I also drink when I take a bath sometimes." }, { "from": "gpt", "value": "Okay. So, can I share with you some information on alcohol use?" }, { "from": "human", "value": "Okay." }, { "from": "gpt", "value": "Okay. So, there has been a lot of research on alcohol use and the guidelines we use in this country says that having seven or more drinks per week can raise the risk of health problems for women." }, { "from": "human", "value": "Hmm. Seven?" }, { "from": "gpt", "value": "Seven." }, { "from": "human", "value": "Wow. I knew my doctor didn't like me drinking the amount that I did but I didn't know that seven was the limit." }, { "from": "gpt", "value": "Yeah, you're surprised to hear that?" }, { "from": "human", "value": "Yes. What-what kind of health problems?" }, { "from": "gpt", "value": "Well things like heart disease, cancer, liver problems, uh, stomach pains, insomnia. Unfortunately, uh, people who drink at a risky level are more likely to be diagnosed with depression and alcohol can make depression worse or harder to treat." }, { "from": "human", "value": "Hmm. Well, that's not good news." }, { "from": "gpt", "value": "Well, how do you think your drinking relates to the depression you've experienced?" }, { "from": "human", "value": "Well, to be honest, I drink sometimes when I'm feeling down and I find it more interesting and not so blur." }, { "from": "gpt", "value": "Okay. And how do you feel after you drink?" }, { "from": "human", "value": "Well, then I feel blur again." }, { "from": "gpt", "value": "So, there are some answers on this form here. Uh, less than monthly you drank more than you intended to." }, { "from": "human", "value": "Yes on occasion." }, { "from": "gpt", "value": "And sometimes you feel guilty after you drink." }, { "from": "human", "value": "Sometimes I just don't like how much I drink. I sometimes finish a bottle in one night." }, { "from": "gpt", "value": "So you're not proud of finishing a bottle?" }, { "from": "human", "value": "No, it's not like I get crazy or anything but I just don't like the amount that I'm drinking." }, { "from": "gpt", "value": "Right. By the way, binge drinking is defined for women as having more than, uh, three drinks and there are about five drinks in a bottle. So, you enjoy drinking wine because it helps make things, uh, a little bit more interesting when you're feeling down but at the same time you don't like drinking when you have more than you want it to and then the depression returns after you drink." }, { "from": "human", "value": "Mm-hmm. Yes, sometimes I feel worse after drinking." }, { "from": "gpt", "value": "Where do you wanna go from here? What do you wanna change about your drinking habits?" }, { "from": "human", "value": "Well, I don't think that I'm ready to cut down to seven drinks a week. That seems like a lot but I would consider cutting back to two drinks a night. I think that would be my goal." }, { "from": "gpt", "value": "If I gave you a scale from 0 to 10, 0 being not ready at all to cut back on drinking and 10 being very ready, what number would you be at?" }, { "from": "human", "value": "I'd say an eight." }, { "from": "gpt", "value": "Okay. Why do you think it's not something less like a six?" }, { "from": "human", "value": "Well, I'm more ready than a six because I'm ready to cut back on my drinking and I don't wanna make my depression any worse." }, { "from": "gpt", "value": "What would help you cut back to two drinks?" }, { "from": "human", "value": "Maybe having less wine in the house." }, { "from": "gpt", "value": "Having less wine in the house will help?" }, { "from": "human", "value": "Yes." }, { "from": "gpt", "value": "What else besides drinking helps you relax and unwind in the evenings?" }, { "from": "human", "value": "Well, I like to watch movies, read a book, and take a bath but sometimes I drink when I take a bath." }, { "from": "gpt", "value": "So, it's not just wine that helps you relax. Um, there's reading a book, watching a movie, and taking a hot bath too." }, { "from": "human", "value": "Mm-hmm. Yes." }, { "from": "gpt", "value": "Okay. So, it sounds like you have some reasons to cut back on drinking and you have ways to relax besides drinking and it sounds like you're pretty ready to cut back." }, { "from": "human", "value": "Yes." }, { "from": "gpt", "value": "Great. I'd be interested to see how well you do on your goal in the next few weeks. Would you be willing to come back and talk to me about it?" }, { "from": "human", "value": "Sure." }, { "from": "gpt", "value": "Great. So, let's see how well you're doing with these new meds." }, { "from": "human", "value": "Okay." } ]
1_ alcohol consumption
[ { "from": "gpt", "value": "And before you leave, uh, is it okay if we go over this screening form that you filled out today on your alcohol use?" }, { "from": "human", "value": "Sure." }, { "from": "gpt", "value": "Okay. Uh, thanks for filling this out. Uh, looks like you use alcohol two to three days a week?" }, { "from": "human", "value": "Yeah, but only on the weekend." }, { "from": "gpt", "value": "Okay. And then when you do drink alcohol, you typically have five or six drinks." }, { "from": "human", "value": "Yeah. Uh, maybe a couple more." }, { "from": "gpt", "value": "Okay. Well, the reason why I like to talk to patients when they fill out this form is because sometimes, uh, alcohol use can impact our health. Um, and my role is to be helpful. I can share some information with you about alcohol use, um, but I don't tell anyone what to do. It's always up to the patient to decide what they wanna do about their drinking. Um, so is it okay if we talk a little bit more about your alcohol use?" }, { "from": "human", "value": "So, uh, are you saying I drink too much?" }, { "from": "gpt", "value": "How would you define drinking too much?" }, { "from": "human", "value": "Well, I-- If-if I was getting fallen down drunk or if I drink every night. Um, it's not like I get sloppy drunk or anything." }, { "from": "gpt", "value": "Mm-hmm. Well, in this country, the guidelines are men can drink up to 14 drinks a week or up to four on one occasion and still be low risk." }, { "from": "human", "value": "So I'm already at the week limit. And then I have four beers a night. Are you sure?" }, { "from": "gpt", "value": "So a limit of four a night doesn't feel right to you?" }, { "from": "human", "value": "I have five or six beers when I go out with friends to a bar. It's not a problem for me." }, { "from": "gpt", "value": "You're not alone in feeling that way. Uh, binge drinking can feel normal to some people." }, { "from": "human", "value": "Well, I don't consider my drinking binge drinking." }, { "from": "gpt", "value": "Why is that?" }, { "from": "human", "value": "I don't chug a lot of beers in a row. I have about five or six beers throughout the entire evening." }, { "from": "gpt", "value": "Mm-hmm. Well, technically, we define binge drinking as having more than four drinks on one occasion." }, { "from": "human", "value": "But I'm healthy. What health problems are you talking about?" }, { "from": "gpt", "value": "Well, uh, we know if someone binge drinks over time, there's kind of two categories of risk. There's the short-term risk where someone who binge drinks is more likely to fall down, hurt themselves through an accident, uh, they're more likely to drive while under the influence. Uh, but over the long term, binge drinking can also, uh, cause things like heart disease, uh, different kinds of cancer, liver problems obviously, and then even mental health issues like depression and anxiety are more likely to happen." }, { "from": "human", "value": "Well, I didn't know about those things." }, { "from": "gpt", "value": "Can I ask you, uh, what do you like about drinking alcohol?" }, { "from": "human", "value": "Well, I-I like beer. I like the way it tastes, I like the way it makes me feel. Uh, like when I'm around friends and it's not a problem for me." }, { "from": "gpt", "value": "And so what about your drinking do you not like or is there anything that worries you about your drinking?" }, { "from": "human", "value": "Well, that was fine until I came here, uh, but now that I know about the health risk, uh, I have something I gotta think about." }, { "from": "gpt", "value": "So, on one hand, you like how beer tastes, uh, it's part of your social life to some extent, um, but on the other hand, you don't like the idea of it posing risks to your health over the long term?" }, { "from": "human", "value": "E-exactly." }, { "from": "gpt", "value": "So weighing those things, you know, what you like about your drinking, what you don't like about your drinking, uh, where do you wanna go from here? Uh, what would you like to change about your drinking?" }, { "from": "human", "value": "Hmm, I'm not sure. Uh, something I have to think about." }, { "from": "gpt", "value": "Well, how about hypothetically if I were to ask you, how would your drinking have to impact your life in order for you to be ready to change your drinking?" }, { "from": "human", "value": "Uh, I don't know. Maybe if I got sick or something, uh, maybe I'd wanna change things then." }, { "from": "gpt", "value": "So if you experienced a negative consequence from your drinking, uh, that would feel meaningful to you?" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Okay. Well, I like to give this handout to patients. Uh, it defines risky drinking, it talks about what the consequences are, uh, and it also lists signs of what an alcohol use disorder is. So thanks again for taking the time to fill this out and being honest with me, uh, to talk about it. I provide better care, uh, when I know about my patient's substance use. When we come back for a three-month follow-up appointment for your ADHD, I'd also like to talk to you and check in about your alcohol use too, if that's okay with you." }, { "from": "human", "value": "Sounds good." }, { "from": "gpt", "value": "Okay, great. See you next time." } ]
2_ loss; diet
[ { "from": "gpt", "value": "Hi, John. Nice to see you again. So, tell me, how are things going?" }, { "from": "human", "value": "Well, doc, I know you told me that I need to lose weight. And even though the scale didn't show today, I was able to lose about 5 pounds, but then I gained it right back." }, { "from": "gpt", "value": "Well, I appreciate you bringing your weight to the forefront. Do you mind if we explore this issue further?" }, { "from": "human", "value": "No, by all means. I know we have to discuss it." }, { "from": "gpt", "value": "All right. Uh, well, it sounds like you've been struggling with your weight recently. And I understand how difficult it is to lose the weight and then have it come back again. So, tell me what you did to lose that initial 5 pounds." }, { "from": "human", "value": "I started watching what I ate and I ate less. I've been eating more fruits and vegetables. I've also been walking a lot. I'm walking up to 20 minutes a day now. I saw the weight come slowly off, um, and I felt better. But then when I watched it come back on again, you know, I gave up." }, { "from": "gpt", "value": "But you did have some success. Tell me how you felt when you lost the weight." }, { "from": "human", "value": "I felt great and I felt really proud of myself. I thought that this was something that I could do." }, { "from": "gpt", "value": "Okay. Well, it sounds like you realized that when you lost the weight you feel better and that it's gonna affect your overall health. So, tell me what you think changed that caused you to gain the weight back." }, { "from": "human", "value": "Well, I think it's because I've been eating more fruits and vegetables, that- that's it." }, { "from": "gpt", "value": "And how many servings of fruits and vegetables on average per day would you have?" }, { "from": "human", "value": "To be honest, I have four or five -- four to six glasses of orange juice a day. Um, I have fruit for lunch and breakfast. I have, uh, usually one to two servings of a vegetable like lettuce or broccoli with thinner." }, { "from": "gpt", "value": "John, it's very important that you recognize that some fruits, but especially fruit juice can contain a huge amount of calories. Did you know that a glass of orange juice has almost as many calories as a can of cola?" }, { "from": "human", "value": "No, I didn't know. Um, but doesn't the fruit- food pyramid classify, um, fruit juice as a- a serving?" }, { "from": "gpt", "value": "You're absolutely right, but keep in mind that the food pyramid is to be used as a guideline only. When it comes to nutrition, we have to have a more personalized approach. So I have a hunch, and that is the excess fruit that you were consuming probably caused your weight rebound. What's your impression?" }, { "from": "human", "value": "Well, this changes quite a bit. I mean, here I'm thinking that my fruit intake is making me healthier and actually it's making me fatter." }, { "from": "gpt", "value": "Indeed. Let me ask you something, knowing what you know now, how important is it to you to lose the weight by decreasing the amount of juice that you're currently taking in?" }, { "from": "human", "value": "Obviously, I need to cut back on the fruit juice. But boy, do I love that OJ." }, { "from": "gpt", "value": "Oh, I understand. Let me ask you this, on a scale from 0 to 10, 0 meaning that there's no way you can do it, and 10 meaning that you're 100% confident that you can do it, how confident are you that you'll be able to reduce the amount of juice you're currently taking in." }, { "from": "human", "value": "Um, six or seven." }, { "from": "gpt", "value": "All right. So, you're not a zero. So, that tells me that you've got some confidence that this is doable, this is something you certainly can do it. Why are you not a zero?" }, { "from": "human", "value": "I guess it's because I know that I need to do it to lose the weight." }, { "from": "gpt", "value": "So, you realize, again, that if you decrease the amount of juice you're taking in, you're gonna decrease your weight, you're gonna feel better, and you're gonna impact your po- health positively?" }, { "from": "human", "value": "Yes." }, { "from": "gpt", "value": "But you're also not a 10, and that tells me that there may be some obstacles to your success. What would it take for you to be a 10 or even an 8 or 9?" }, { "from": "human", "value": "Getting the fruit juice of the house because I know if it's there I'll drink it. My wife does the shopping for us, so maybe if I ask her not to get the juice, that would solve it." }, { "from": "gpt", "value": "Okay. Now, if the juice was still there, can you think of anything else you could do?" }, { "from": "human", "value": "I suppose I could replace it with, um, a low-calorie drink or drink more water." }, { "from": "gpt", "value": "Excellent. John, I get the impression that you want to stay in course with weight reduction. And the best way to do this will be to decrease the amount of juice that you're currently taking in. So if I saw you in two weeks and I asked you how much juice you're t- drinking and how you did it, what would you tell me?" }, { "from": "human", "value": "I'd say I didn't have any and I substituted it with, um, sugar-free drinks." }, { "from": "gpt", "value": "Excellent. Well, it sounds like you have a plan. Same scale, 0 to 10, how confident are you that you can, uh, make this happen?" }, { "from": "human", "value": "A 10." }, { "from": "gpt", "value": "I agree. All right. Well, you-you know what? I'm not gonna start any medications today. Your levels were a little bit off, but I think we can handle this from a purely lifestyle standpoint. What do you think?" }, { "from": "human", "value": "Great. It sounds good to me." }, { "from": "gpt", "value": "Excellent. I'll see you in two weeks." }, { "from": "human", "value": "Okay." } ]
3_ recognition
[ { "from": "human", "value": "Well see, my-my wife's been getting on me a lot lately about trying to improve my health habits, and I really don't see what the big problem is. I mean, I've been working real hard. Sometimes I can't come home for dinner, so I'm having to go out to eat at Applebee's or something like that, so-- but she seems to have a bigger problem, I really don't see what the big deal is." }, { "from": "gpt", "value": "Okay, and so what I'm hearing is that you don't feel like your health is concerning you right now, or anything like that?" }, { "from": "human", "value": "I-I-I feel fine." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "I mean, my-my work is really man-manual labor-intensive so I'm usually working out in-in the hot sun the majority of the day, so I'm usually sweating out any like bad things I put in my system, so—" }, { "from": "gpt", "value": "Okay. Have you noticed putting on any weight, or anything like--?" }, { "from": "human", "value": "Well, a little bit, but nothing too-- you know. I'm not blo- I'm not bloated or anything." }, { "from": "gpt", "value": "Okay. Okay. And how about going to see the doctor? Have you gone to-- for a visit or anything recently?" }, { "from": "human", "value": "Well, yeah, I've been to the doctor about maybe last year for a physical, but-- I mean, everything showed up to be fine, so—" }, { "from": "gpt", "value": "Okay. But you feel that you feel good?" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Okay. Um, and so what I hear is that you're-- you feel like your wife might be, uh, overreacting to this?" }, { "from": "human", "value": "Well, I mean, not really overreacting. I know that she loves me and I know she-she wants me, uh, you know, live a long time and be healthy, but just sometimes, especially if you work a hard job, like kinda going out to eat at these places kinda makes you feel a little bit better about your situation." }, { "from": "gpt", "value": "Sure. Sure. Okay. Um, and so one thing I'd just like to do is maybe give you some information on, um, maybe obesity or diabetes if you're interested or open to that. If you're, you know--?" }, { "from": "human", "value": "Sure. [unintelligible 00:01:33]" }, { "from": "gpt", "value": "Okay. Good." } ]
4_ oral health
[ { "from": "gpt", "value": "Hi, Emily." }, { "from": "human", "value": "Hi." }, { "from": "gpt", "value": "It's been a while." }, { "from": "human", "value": "Yeah, it's been a while." }, { "from": "gpt", "value": "This is something new." }, { "from": "human", "value": "Oh, oh, yeah, the—Yeah" }, { "from": "gpt", "value": "You got your lip pierced. How long ago did you get that done?" }, { "from": "human", "value": "About a month." }, { "from": "gpt", "value": "Hmm." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "What made you decide to get-get a lip piercing?" }, { "from": "human", "value": "Um, I don't know. I just felt like something different. I was getting bored and, I don't know, it's kind of nice to stand out a bit, I guess." }, { "from": "gpt", "value": "Hmm." }, { "from": "human", "value": "Yeah, change." }, { "from": "gpt", "value": "Yeah, and it looks nice." }, { "from": "human", "value": "Thanks." }, { "from": "gpt", "value": "Um, I guess, you know, as your dentist, I have- I have a couple of concerns about lip piercings, oral piercings. I wonder what have you heard about how having an oral piercing can affect your-your teeth or your gums?" }, { "from": "human", "value": "I don't actually, really. I-I mean, I'm sure that it might push on my gums or teeth, but I don't know how much it will impact that much. I've pretty good teeth. I don't know." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "I don't really know [unintelligible 00:01:04]" }, { "from": "gpt", "value": "You do. you have beautiful teeth as I always tell you-" }, { "from": "human", "value": "[laughs] Thanks." }, { "from": "gpt", "value": "-every time you come in." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Um, I mean I have had some patients with oral piercings and they can erode some of the gum right, um, just right there at the front." }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "Um, so that's one-one thing, and the other is, um, I do see fair amount of chipped teeth-" }, { "from": "human", "value": "Oh, yeah." }, { "from": "gpt", "value": "-just from contact with it. I wonder what are your thoughts about that?" }, { "from": "human", "value": "Well, I definitely don't want it mess with my teeth. I know I kinda already have low gums to begin with, like you've been telling me for a while, and I have to flo-floss, which I-" }, { "from": "gpt", "value": "Yes, flossing." }, { "from": "human", "value": "Um, which I'm not doing but, um, yeah, I guess, I don't really wanna wreck my teeth 'cause-- Yeah, I didn't really notice any of the chipping." }, { "from": "gpt", "value": "There's nothing yet." }, { "from": "human", "value": "I guess I'm not paying attention to it." }, { "from": "gpt", "value": "Yeah. There's certainly been-- There's no problems and you, as you said, only have had it for a short time." }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "Um, what would- what would make you decide, \"This is something that's not right for me?\"" }, { "from": "human", "value": "I don't know, I guess if I started to see that it was actually causing a problem, then I might." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "But for now-- I mean, I just got and-" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "-and it looks pretty cool." }, { "from": "gpt", "value": "I guess that it does." }, { "from": "human", "value": "Yeah, I kinda-- Yeah." }, { "from": "gpt", "value": "Yeah, it looks nice. So, you want to monitor it and-and-" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "-really watch-" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "-the effect? Okay." }, { "from": "human", "value": "Yeah. I guess if I really start to see a problem-- I mean, this might not last forever, but my teeth, I'm hoping-" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "-will kind of stick [unintelligible 00:02:30]" }, { "from": "gpt", "value": "Emily, you said it so well it-" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "-the-the piercing might not last forever, but your teeth really are-" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "-hopefully forever. So, okay, well thanks for-for talking about it-" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "-with me, and also before I do the exam, you know, I'm always on your case about flossing, so maybe we can take [inaudible 00:02:46]-" } ]
5_ recidivism
[ { "from": "gpt", "value": "Hi, Billy." }, { "from": "human", "value": "Hi." }, { "from": "gpt", "value": "Hi, another session and another session where you are actually on time." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "You've done-- You've got a really good track record of, uh, being on time. Yeah? Do you realize that?" }, { "from": "human", "value": "Yeah, no, it's easy." }, { "from": "gpt", "value": "Yeah. Yeah. You know, I've been thinking about, um, thinking about you, and thinking about, um, that first meeting we had, and where you are now. So, wh-what do you think some of the changes are that-that you've made in this- in this, sort of, five-five to six weeks that we've been meeting?" }, { "from": "human", "value": "Uh. Meeting's definitely helped." }, { "from": "gpt", "value": "Yeah?" }, { "from": "human", "value": "Yeah. It's helped-" }, { "from": "gpt", "value": "Yeah?" }, { "from": "human", "value": "-heaps." }, { "from": "gpt", "value": "It's helped heaps?" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Yeah? So, what sort of things has it helped with?" }, { "from": "human", "value": "Just, uh, someone to talk to and just someone to keep me busy and, kind of, keep me in check." }, { "from": "gpt", "value": "Mm-hmm. So, what changes have you made, Billy?" }, { "from": "human", "value": "Um, well, I said I went to the polytech and stuff-" }, { "from": "gpt", "value": "Mm." }, { "from": "human", "value": "-and I went back there and got another form and stuff, and just helping me with that." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Yeah. And, get-getting to the polytech and getting the forms, that's a pretty big deal." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Yeah? I was thinking about the Billy, say, the Billy of six months ago. I'm wondering if the Billy of six months ago would've done that?" }, { "from": "human", "value": "Nah. I didn't really think about it frankly." }, { "from": "gpt", "value": "Mm-hmm. So, what shifted that made it that you were actually able to go to the polytech and get the forms? What's shifted in you?" }, { "from": "human", "value": "I don't know. I just thought if, uh, I could get a job and stuff, doing stuff I like, uh, it'll make things easier." }, { "from": "gpt", "value": "Mm." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Yeah. Where have you got to with the forms? I mean, we talked about that quite a lot last time." }, { "from": "human", "value": "Yeah. Oh, I know. After talking to you, I got Donna to help me out, and that's just really helpful." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "[clears throat]" }, { "from": "gpt", "value": "Okay. So, what did you say to Donna?" }, { "from": "human", "value": "[clears throat] Oh, I just said-- I said, \"Uh, could you give me a hand with this?\"" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "And, like, she filled them up for me, and I told her what to write." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Okay. So, where did you get to in terms of telling her that, uh, reading and writing is not that [unintelligible 00:27:23] for you?" }, { "from": "human", "value": "Just-- I-I asked her to fill that out for me because I said I'd be too messy." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "So, I was thinking about how that stuff about not feeling confident around reading and writing has, um, really got in the way for you." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "And I mentioned that's somewhere where you don't feel so confident, and I'm wondering what it would be like to feel confident with reading and writing. What difference would that make to your life?" }, { "from": "human", "value": "Like, a big difference, but, like, it's not like I don't try." }, { "from": "gpt", "value": "Mm." }, { "from": "human", "value": "Like, I'm just not really good with it." }, { "from": "gpt", "value": "Yeah. Yeah, I can really see that you're making an effort. In fact, I can see that you're really making an effort in lots of areas, not just in terms of reading and writing." }, { "from": "human", "value": "Yeah. Like [unintelligible 00:28:13] if I'd got into polytech and stuff, so I think that's good." }, { "from": "gpt", "value": "Mm." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "So, where are the forms now?" }, { "from": "human", "value": "They're still at home." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "Yeah. If—" }, { "from": "gpt", "value": "So, what needs to happen next?" }, { "from": "human", "value": "Just take them in." }, { "from": "gpt", "value": "So, you actually have to deliver them to the polytech, do you?" }, { "from": "human", "value": "Yeah. Uh, I think you can post them, but I'll just drop them in." }, { "from": "gpt", "value": "Mm-hmm. So, when do you think you're gonna do that?" }, { "from": "human", "value": "Uh, probably by the end of this week." }, { "from": "gpt", "value": "Mm-hmm. So, by the end of this week, so by next time, when you come here, as in, those forms will be at the polytech?" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "And what-what happens next in terms of what happens once the forms are there?" }, { "from": "human", "value": "I don't know. I don't know if you have to interview or whatever, but I guess, course-- I don't even know any course that I'll do." }, { "from": "gpt", "value": "Mm-hmm. So what's the- what's the-- Say, if you get on the course-" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "-and, um, you're, like, real good with, uh, hands-on stuff, but the stuff around the manuals, and the assignments, and those sorts of things, um, don't feel so good. What-what do you think we need to do around helping you with that?" }, { "from": "human", "value": "Well, um-- Well, I don't know. Hopefully, there's not so much of that stuff. Um, oh, well, I don't know. I could find out maybe someone who can help you, like, at the school, at the polytech, maybe somebody can help you out and stuff, or there might be computers there or something." }, { "from": "gpt", "value": "Mm. Yeah?" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "So, all these changes that you've- that you've made, um, Billy, where-where is the offending fitting into all of that now?" }, { "from": "human", "value": "Not really fitting in. It kind of just gets in the way." }, { "from": "gpt", "value": "So, offending gets in the way of the life that you're starting to lead?" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Yeah? So, what temptations have you had to, kind of, go back to offending?" }, { "from": "human", "value": "Like like getting on the piss, but with Donna, there kind of keeps me busy." }, { "from": "gpt", "value": "Mm. So the drinking is something that we talked about can make it easier for you to offend." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "So you've noticed that when you've been drinking that those feelings are coming back again, or?" }, { "from": "human", "value": "Yeah. I just wanna have a bit of a laugh and like go smash some windows or go and nick a car or something, but yeah. It's kind of harder to think straight." }, { "from": "gpt", "value": "It's harder to think straight when you've been drinking?" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Yeah. Yeah. And so you've got Donna around at the moment?" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "And that's helping keep you in check, as you said?" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Yeah. What would happen if she wasn't around say or at a party or?" }, { "from": "human", "value": "I'd probably just go be stupid with my mates." }, { "from": "gpt", "value": "Okay. So Donna at the moment who kind of being there is like a strength?" }, { "from": "human", "value": "Yeah. 'Cause if there's just like if a mate said they're gonna go out and pick a car or something, she just bumps them out and then-then I don't know. She say that's stupid and stuff. And I don't know. It gives me something to do." }, { "from": "gpt", "value": "Mm. What do you think?" }, { "from": "human", "value": "Just kind of stupid. Well, it's pointless, but still a bit of a laugh." }, { "from": "gpt", "value": "Mm. Yeah. 'Cause I was thinking about that dream that you've got about the job and a life with Donna and-" }, { "from": "human", "value": "Mm." }, { "from": "gpt", "value": "-kids and stuff like that and how you were saying that the offending doesn't fit in with that dream or that idea." }, { "from": "human", "value": "No." }, { "from": "gpt", "value": "So there's that on the one hand, but on the other hand, there's the kind of immediate, um, feeling when you've had a few to drink and you're with your mates and it feels like it would be a bit of a laugh?" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "So you've got-got those two things going on at the same time. Yeah?" }, { "from": "human", "value": "Mm." }, { "from": "gpt", "value": "And it sounds like sometimes when you're in there with your mates and had a few drinks, it's hard to hold on to that vision of the future." }, { "from": "human", "value": "Yeah. You don't really think about that. Well, just in the moment." }, { "from": "gpt", "value": "Okay. So what-wh-- in the moment, what are you thinking?" }, { "from": "human", "value": "Just have a bit of fun. Not really thinking." }, { "from": "gpt", "value": "Not really thinking or simply not thinking beyond the next-" }, { "from": "human", "value": "Mm." }, { "from": "gpt", "value": "-kind of minute or so-" }, { "from": "human", "value": "No. Just, like, it's not normally my idea, like someone else would just suggest it and you kind of just, yeah." }, { "from": "gpt", "value": "So it's not your idea. And you also go along with it?" }, { "from": "human", "value": "Yeah. You can't really be like, \"Oh no,\" just give me shit." }, { "from": "gpt", "value": "Mm-hmm. What would happen if you say no?" }, { "from": "human", "value": "Just like, it can be shit and I still do it. They just-just call me a pussy or whatever and I don't know. And they'd talk me into it probably." }, { "from": "gpt", "value": "Mm-hmm. So it's hard to actually say no to your friends-" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "-'cause of what they- what they thought of you." }, { "from": "human", "value": "They'd just think I was joking, yeah." }, { "from": "gpt", "value": "Yeah. So I'm wondering what the-the thinking, 'cause, um, one of the things that's really changed for you is being with Donna." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "So I'm wondering, you know, most of them butt-butts head on your friendships with those- with those guys." }, { "from": "human", "value": "I don't see them as much, but like she gets along with them aye, so-" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "I don't think, like, I am not sure they like it." }, { "from": "gpt", "value": "Then so when you're-- so you're spending less time with them and more time with Donna?" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Yeah. And you're saying you're kind of hanging out with her and going to movies and stuff? Yeah. And that means you're spending less time with your-- with those people that have actually led you in trouble in the past?" }, { "from": "human", "value": "They don't lead me into trouble. But-" }, { "from": "gpt", "value": "Okay. So tell me- tell me what it is that they do so I get a better understanding of it." }, { "from": "human", "value": "Uh, like it's my choice though, they don't make me." }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "Yeah. I know it's just having grown up with, it's just what we've always done." }, { "from": "gpt", "value": "Okay. So that's just what you've always done." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "But we're also talking about this idea that it doesn't fit with what your goals are or what your hopes are?" }, { "from": "human", "value": "Mm." }, { "from": "gpt", "value": "Yeah. Mm. How would you like it to be?" }, { "from": "human", "value": "My life? Well, what do you mean?" }, { "from": "gpt", "value": "Mm, well the stuff about when you're in the moment. Yeah." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "When you've had a few drinks and you kind of go and get into trouble. How would you like that to be different?" }, { "from": "human", "value": "I don't know. Just more or less like if Donna was there and maybe if my mates got some girlfriends or something like that would calm them down too." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "So just hang out instead of go and do stuff, like stupid stuff." }, { "from": "gpt", "value": "Okay. So-so Donna's helped calm you down and you'd like, um, them to calm down too?" }, { "from": "human", "value": "Yeah, 'cause then we could hang out together and stuff-" }, { "from": "gpt", "value": "Mm." }, { "from": "human", "value": "-with our girlfriends and stuff." }, { "from": "gpt", "value": "So am I hearing that it's tricky in some ways to hang out with them sometimes-" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "-now that you're with Donna?" }, { "from": "human", "value": "Yeah. Cause I like I feel guilty not spending my time with, yeah, Donna. Like, I miss my mates, like, I get lonely and stuff, but even though they get me into trouble, but-" }, { "from": "gpt", "value": "Hmm." }, { "from": "human", "value": "-just, kind of, feel stoked that-that I see them on the weekends and stuff." }, { "from": "gpt", "value": "Okay. So-so what's the definition, for you, of a good mate?" }, { "from": "human", "value": "It's, like, loyal-" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "-yes, someone who's got my back." }, { "from": "gpt", "value": "So, someone who's loyal, someone who's got your back, yeah? What else? What else is really your definition of a really good mate?" }, { "from": "human", "value": "That's about it. It's-- yeah." }, { "from": "gpt", "value": "Hmm." }, { "from": "human", "value": "Someone who'll stand up for you." }, { "from": "gpt", "value": "Oh, so, someone who'll stand up for you?" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Yeah? Yeah. Sounds like a really strong definition of a good mate-" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "-for you? So, I'm wondering about, um, whether good mates lead you into trouble, if it's something you wanna do. If you got something different that you wanna do, what would a good mate do in that situation?" }, { "from": "human", "value": "I mean, support me." }, { "from": "gpt", "value": "Yeah. How-how would you wanna be supported, Billy?" }, { "from": "human", "value": "Just don't give me shit about, I don't know. Um, yeah, just, if I- if I don't wanna go do something, don't, like, don't give me shit about it." }, { "from": "gpt", "value": "Mm. Okay, so that's-that's the kind of support that a really good mate would give you? It sounds-" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "-like these guys have been around for you-" }, { "from": "human", "value": "Yeah, yeah, they [unintelligible 00:36:38]" }, { "from": "gpt", "value": "-for quite some time, and they're really important to you." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Yeah. Okay. So, I'm wondering how we can get to that point where, yeah, you can say, \"No, I don't wanna do that,\" and they're supportive of you?" }, { "from": "human", "value": "Mm." }, { "from": "gpt", "value": "What do you think it would take?" }, { "from": "human", "value": "Just they know that I'm serious." }, { "from": "gpt", "value": "Okay. So, how would they know you're serious?" }, { "from": "human", "value": "I guess, like, if they actually know I'm going to polytech and stuff that they might understand." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "But, like I feel guilty if they wanna go and have fun, and I'm not with them." }, { "from": "gpt", "value": "Okay. That's the second time you've used that word 'guilty'." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Yeah? So, it sounds like it's a really-- something's really important to you about that." }, { "from": "human", "value": "Yeah. Like, just going out with them or spending some times with them-- time with them, but, like, I really wanna spend time with Donna too-" }, { "from": "gpt", "value": "Mm." }, { "from": "human", "value": "-so, it'd be cool if we could spend time together, like, with Donna and my mates." }, { "from": "gpt", "value": "Okay. So, it's almost as if you feel a bit torn because you wanna be with Donna, but you also wanna be with your-" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "-with your mates?" }, { "from": "human", "value": "Yeah, like-- Well, I know I get into trouble with them, but they're still my mates, and I-" }, { "from": "gpt", "value": "Mm." }, { "from": "human", "value": "-feel--" }, { "from": "gpt", "value": "Yeah, so they're still important to you?" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Hmm. I also am hearing that you don't wanna get into trouble anymore." }, { "from": "human", "value": "No." }, { "from": "gpt", "value": "Mm. Yeah." } ]
6_ management
[ { "from": "gpt", "value": "Hi, Sal. Thanks for coming in today." }, { "from": "human", "value": "No problem." }, { "from": "gpt", "value": "I saw that your doctor made the referral and, um, and I really appreciate you taking the time to come and make that appointment." }, { "from": "human", "value": "Yeah, it's-it's a bit of an inconvenience I'd say, but I'm here though." }, { "from": "gpt", "value": "So you made it in here-" }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "- and do you have a sense of-of what some of the doctor's concerns were that led her to refer you?" }, { "from": "human", "value": "I don't know, something about changing my life even more. You know, the smoking's been changed, and now it's, you know, cut down the drinking, get rid of those extra smokes, get rid of my dog. I don't know what else have to do." }, { "from": "gpt", "value": "So your asthma has been acting up and there's a lot of stuff, not just the asthma going on?" }, { "from": "human", "value": "Yeah, there's a lot of stress too. My wife's still on maternity leave, she's not getting paid, she's with the baby right now. And I'm the only person that's working right now, and plus I got to change all these things that are going on in my life." }, { "from": "gpt", "value": "Mm-hmm. Almost—" }, { "from": "human", "value": "Yeah, it's a lot." }, { "from": "gpt", "value": "Almost overwhelming it sounds like." }, { "from": "human", "value": "Yeah, yeah, it is overwhelming. It is." }, { "from": "gpt", "value": "Well, we have about, I guess, 15 or 20 minutes together and I wonder, would it be okay, if we took a couple of minutes and just kind of looked at all of the different things that are going on for you and maybe you can let me know, what would be the most helpful to spend-spend some time on?" }, { "from": "human", "value": "Yeah, it just feels like everything's all over the place but I guess we got to start somewhere." }, { "from": "gpt", "value": "Okay. Well, one of the things that-that we use are these-- it's kind of like a worksheet and it's an agenda-setting worksheet basically." }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "So if you were to-to list all of the different things that people around you are saying that you need to work on or you need to change, what would some of those things be? And, Sal, just because we write them down here, it doesn't mean that you have to change them." }, { "from": "human", "value": "Okay." }, { "from": "gpt", "value": "It really-- You're in the driver's seat, so it's just to kind of put all the cards on the table, so to speak." }, { "from": "human", "value": "Okay. Um, okay, that sounds good. As long as I'm not changing anything and we're just kind of putting, um, I guess, pen to paper or something." }, { "from": "gpt", "value": "Yep." }, { "from": "human", "value": "Um, okay, so my asthma." }, { "from": "gpt", "value": "Okay, so asthma is one." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "What else?" }, { "from": "human", "value": "Um, the fact that they want me to get rid of Oscar, that's-that's my dog." }, { "from": "gpt", "value": "So your dog, and-and the doctor's saying the dog's—" }, { "from": "human", "value": "Well, he's-- Yeah, he's saying it's a main-- It's a main contributor to my asthma problems." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "Which I don't- I don't- I don't- I don't buy it and I can't just get rid of him like that, but it's something that's there." }, { "from": "gpt", "value": "That's pretty shocking to be told that you have to get rid of your dog." }, { "from": "human", "value": "Yeah. The dog has been there before my wife. I know I've had him longer." }, { "from": "gpt", "value": "Hmm. So that's a huge stress right now?" }, { "from": "human", "value": "Yeah. Yeah, it's- it's a big stress, it's like my best friend, so that's one of the important things. Also, I guess, cutting down these last cigarettes I've been working on." }, { "from": "gpt", "value": "Okay, so smoking and-and I'm working towards quitting completely sounds like that's a goal for you?" }, { "from": "human", "value": "Um, finances is a problem right now too." }, { "from": "gpt", "value": "Okay, so money." }, { "from": "human", "value": "Time, I got to come to all these appointments and I'm taking time off work, which obviously is the money factor, right?" }, { "from": "gpt", "value": "Right. Right, right. So the appointments and time." }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "Um, and some of these things are kind of related to each other I think we're already seeing." }, { "from": "human", "value": "Yeah, yeah. Yeah, there's something going on. And, um, also my drinking, I got to cut down my drinking too." }, { "from": "gpt", "value": "Okay, wow. So there's a lot happening right now, Sal. Anything else that that's concerning you?" }, { "from": "human", "value": "No. It's just overwhelming when you see them everything they're, you know?" }, { "from": "gpt", "value": "Right. Well, so where would you-- I mean, if you-you had to pick somewhere, one or two kind of high priorities or-or things to talk about in our time this morning, where would you wanna start?" }, { "from": "human", "value": "I think- I think the thoughts about the dog has been definitely bothering me, that's been one." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "And, um, my-my asthma is out of control too. So maybe those two." }, { "from": "gpt", "value": "Okay, and those are ones that are pretty related to each other-" }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "- sounds like. Okay." } ]
7_ alcohol consumption
[ { "from": "gpt", "value": "So I know we've determined that you sprained your ankle yesterday and I'm wondering if you can tell me a little bit about how that happened?" }, { "from": "human", "value": "Um, it's really stupid. Uh, I was at a pub crawl last night and you know how pub crawls are. You have a few drinks and then I thought it was a really good idea to catch up with my friends who are, yeah, they're in front of me. So I just like jumped off the stairs of the bus and I was wearing these like stilettos 'cause it was a 90s-themed pub crawl. Anyway, and then I just like fell on my ankle. It was really embarrassing." }, { "from": "gpt", "value": "Sounds like a wild night." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "It was a lot of fun but I didn't do any dancing after that." }, { "from": "gpt", "value": "No, I guess that that would be the end of your, uh, shaking and moving. I know-- I wonder if you'd be open to exploring your alcohol use and what that looks like during the week." }, { "from": "human", "value": "Uh, sure, uh, as long as we don't talk too much about like vodka 'cause I'm still, ugh, a little—" }, { "from": "gpt", "value": "You're still feeling the effects of-" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "-last night, are you?" }, { "from": "human", "value": "A little bit." }, { "from": "gpt", "value": "Oh wow, it was-" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "-really a rough night." }, { "from": "human", "value": "Well, it's normal." }, { "from": "gpt", "value": "So what is a typical week for you as far as your alcohol use?" }, { "from": "human", "value": "Um, well, me and my friends kinda, uh, we party on the weekend and, you know, we're all university students and so it's just normal, um, to have a few drinks." }, { "from": "gpt", "value": "So a few drinks is nothing new to you?" }, { "from": "human", "value": "No." }, { "from": "gpt", "value": "And what does a few drinks look like? Is that per night? Is it two drinks?" }, { "from": "human", "value": "Um, per night, uh, like if we go out oh, it's a lot. It's like I can drink probably like seven or eight drinks like if I'm going hard. Um, and then, you know, like maybe when I get home from school, a long day at the library, have a beer or two, so." }, { "from": "gpt", "value": "All right. Do you have any concerns at all about your alcohol use?" }, { "from": "human", "value": "No. I-I don't know. It's normal for university students I feel." }, { "from": "gpt", "value": "Okay, so at this point, you're not too concerned and you think that, you know, this is what the other students are doing?" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Would you be open to kind of looking at the low-risk drinking alcohol guidelines?" }, { "from": "human", "value": "Yeah, sure." }, { "from": "gpt", "value": "I don't know how you're feeling right now but I'm just wondering if we can take a-just a quick glance at this-" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "-and what the safe limits are for women is 10 drinks for women a week with about two drinks, uh, per day." }, { "from": "human", "value": "Oh really?" }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "Wow." }, { "from": "gpt", "value": "Where do you- where do you feel you fall into that?" }, { "from": "human", "value": "Uh, uh I would say a little over that." }, { "from": "gpt", "value": "Okay, okay." }, { "from": "human", "value": "Especially with midterms coming up." }, { "from": "gpt", "value": "Okay, so it's kind of a way to cope through stress?" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Right, and is that something that has been, you know, a way of coping for a while?" }, { "from": "human", "value": "Yeah. Yeah, I guess." }, { "from": "gpt", "value": "Okay. Does that concern you at all?" }, { "from": "human", "value": "Um, I mean, the 10 drinks seems like not a lot, uh, for like-for me and like my tolerance." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "I guess I've kind of built it up over the years." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "Um, so that's a little- a little bit, uh, concerning I guess to me." }, { "from": "gpt", "value": "Do you feel like you have any reasons to kind of bring your alcohol use down within the limits?" }, { "from": "human", "value": "Uh, any reason to? Uh, I guess health-health reasons." }, { "from": "gpt", "value": "Tell me more about that." }, { "from": "human", "value": "Um, well, I mean, clearly I don't feel good right now. Um, and it's-- I definitely feel more productive when I don't have a hangover. Uh, so I see a benefit." }, { "from": "gpt", "value": "So you can see some advantages to reducing the amount of drinking-" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "-um, that you consume during the week?" }, { "from": "human", "value": "Yeah" }, { "from": "gpt", "value": "Is this something you would be willing to explore with me a little further at another time maybe when you're feeling a little bit better? Is this something you'd be willing to come back and talk to me about?" }, { "from": "human", "value": "Yeah, yeah, I think when I'm feeling a little- a little better. Maybe when I haven't gone all out the-the night before and sprained my ankle." }, { "from": "gpt", "value": "I'd love to, uh, set up an appointment for you if you can come in later this week or early next week to-" }, { "from": "human", "value": "Okay, okay." }, { "from": "gpt", "value": "-kind of explore this a little bit further and maybe some of those advantages of reducing to the safe limits. Is that something that we could do?" }, { "from": "human", "value": "Sure. Yeah, just not on a Saturday morning. [chuckles]" }, { "from": "gpt", "value": "That's okay with me." }, { "from": "human", "value": "Okay." }, { "from": "gpt", "value": "Thank you." }, { "from": "human", "value": "Yeah. Sounds good." } ]
8_ cessation
[ { "from": "gpt", "value": "So, what brings you here, Bob? What's, what can I do to help?" }, { "from": "human", "value": "Yeah. Yeah, well, the only reason I'm here is 'cause my wife thinks I've got a problem with smoking. I've been smoking all my life and, uh, six months ago, uh, she thought, she got into this health kick, right? And now everyone who smokes is evil. And, uh, so that's why I'm here just to please her, get her off my back and—" }, { "from": "gpt", "value": "So, you're not too happy to be here. This is the last thing that you want to be doing this afternoon." }, { "from": "human", "value": "Yeah. That's an understatement. I mean, I'm supposed to be at work right now, too, right? So-" }, { "from": "gpt", "value": "You've taken time off you, it's costing you time and money being here." }, { "from": "human", "value": "Yeah, yeah. I'm only here because my wife forced me to come, you know. Like this has come to a head six months of just nagging me, relentless every day, because she was able to quit smoking and now I have to quit." }, { "from": "gpt", "value": "So, let me ask you this, Bob, what are some of your wife's concerns about your smoking?" }, { "from": "human", "value": "Well, she's concerned about my health and she cuts out all these articles from the paper about second-hand smoke and—" }, { "from": "gpt", "value": "Wow, that she's been showing you and making you read." }, { "from": "human", "value": "Yeah, I've got to read this. That's my reading assignment for breakfast and I want to go out and have-- We used to go out and have a cigarette together at the table. Now I have to go outside in this weather, you know, what's that about? And she used to smoke more than me and now she's like holier than now?" }, { "from": "gpt", "value": "So, you're pretty angry about it. It's pretty outraging that you're forced to change your whole life because of a decision she made six months ago." }, { "from": "human", "value": "And she's got my kids on this against me, you know, my son and my daughter, they're, it's like, they're ganging up on me, you know what I mean?" }, { "from": "gpt", "value": "So, from your perspective, do you see any consequences to your smoking?" }, { "from": "human", "value": "Well, the big one of course is how it's affecting my wife and the family. Like my dad's 85, he still smokes. I mean, yeah, you know, sometimes I thought of quitting, but I mean, I don't know. I don't know if I can-- I don't know if I can quit." }, { "from": "gpt", "value": "So, let me make sure I understand kind of the whole scenario 'cause there's a lot of pieces to it. Your wife is on your case and your kids are ganging up too. So, you're sort of isolated, you're put in a corner and you're being told this is something you have to do, you have no choice in the matter." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "You have a few concerns about your health, but that's not really the driving force. It sounds like it's most of all that it would be nice if things just went back to the way they were before she quit smoking and that all of this stuff wasn't something that you had to deal with anymore. Does that pretty much sum up--?" }, { "from": "human", "value": "Yeah. Yeah. I-I'm just, I don't want to lose her or my family over smoking." }, { "from": "gpt", "value": "I get the feeling that your relationship is really important to you. That you would do anything." }, { "from": "human", "value": "Well, yeah, I mean, we've been married over 25 years, and uh, we've never had any major problems. Like this is-- this is the first problem. I don't even really see it as a problem cause we used to both smoke and I was trying to accommodate them by smoking outside, but it's feeling like we're going like this and I'm just concerned, like if this keeps going, like." }, { "from": "gpt", "value": "So, it strikes me that the way that we're talking about it, it's like it's all or nothing. Either you keep smoking the way you are, things continue to go downhill and get worse, your wife gets more and more on your case, or you put your cigarettes down starting the moment you walk in the door tonight and never pick them up again. It's almost like one or the other. It strikes me that as well there might be some middle ground here that it took you a long time to learn how to be a smoker and maybe it's going to take some time to learn how to stop smoking." }, { "from": "human", "value": "So, I can actually do it that way like gradual taber?" }, { "from": "gpt", "value": "There are some medications and some different approaches that we can use that aren't so abrupt. Recognizing that it-it's going to take some time and practice to get to where you might want to be." }, { "from": "human", "value": "I wish my wife could have come today cause she's feels after like, just stop like right away. So do you think she could come with me at a future appointment or something and she could hear that message?" }, { "from": "gpt", "value": "If you wanted to bring your wife along, I'd be more than happy to talk with both of you." }, { "from": "human", "value": "Okay. I'll have to talk to her as well because their schedule changes from week to week, she works shifts, so I'll call you back tomorrow and we'll set something up." }, { "from": "gpt", "value": "Okay. That sounds good." }, { "from": "human", "value": "All right." }, { "from": "gpt", "value": "Thanks for coming in." }, { "from": "human", "value": "Okay. Thanks." } ]
9_ alcohol consumption
[ { "from": "gpt", "value": "So now that we've discussed a little bit of your medical history and- and taking your vitals, I'd like to ask you a few more questions. The-" }, { "from": "human", "value": "Sure." }, { "from": "gpt", "value": "-the rise in your blood pressure is concerning to me, so I'd like to gather a bit more information about your lifestyle." }, { "from": "human", "value": "Okay." }, { "from": "gpt", "value": "Okay. Have you had any major stressful events recently or any change in your work situation?" }, { "from": "human", "value": "Not really, I haven't been stressed. Uh, I've been working steady, you know, these days, I'm glad to have a job, I really am happy that I'm working, so." }, { "from": "gpt", "value": "Yeah, that's certainly true. I'd also like to ask about some health habits that can contribute to high blood pressure." }, { "from": "human", "value": "Okay." }, { "from": "gpt", "value": "Okay, do you smoke at all?" }, { "from": "human", "value": "I don't smoke. I smoked, you know, as a young adult, quit 20 years ago. I went cold turkey. I was proud of that, haven't even thought about smoking." }, { "from": "gpt", "value": "Okay, great. Um, do you drink alcohol, including beer or wine?" }, { "from": "human", "value": "Uh, I do drink beer, I drink, you know, two to three pints on weekdays, sometimes on weekends, maybe four or five." }, { "from": "gpt", "value": "Okay. Well, I'm concerned about the amount that you're drinking currently. It sounds like you're having about 15 to 20 drinks per week, and that's definitely more than what we would recommend and could certainly be contributing to your high blood pressure." }, { "from": "human", "value": "Well, I-- you know, my pressure has been high for years and, um, you know." }, { "from": "gpt", "value": "Well, according to your chart, your blood pressure has gone up since July, and you said that you've been drinking more recently, so do you see the connection there?" }, { "from": "human", "value": "Maybe a little bit." }, { "from": "gpt", "value": "Alcohol can have some dangerous effects on your body. So along with contributing to high blood pressure, it can have a big impact on your liver, which you need to keep in mind. So your liver has several different roles in your body. First, it helps process excess fatty acids before they get distributed to the rest of your body. It also helps process alcohol and other drugs. So when you have an excess of alcohol, your liver can't work as efficiently and the fatty acids build up, and over time, your liver won't be able to work as well." }, { "from": "human", "value": "Okay." }, { "from": "gpt", "value": "Okay. And how about the use of other drugs like cocaine, heroin, marijuana?" }, { "from": "human", "value": "I don't use heroin or cocaine. I've never even thought about using the hard drugs. Back in school, 20 years or so ago, I smoked reefer, you know. Once I got out of school, I haven't used that at all." }, { "from": "gpt", "value": "Okay. Have you ever used any prescription medications that weren't prescribed for you or in a way that wasn't prescribed?" }, { "from": "human", "value": "No, I don't- I don't, uh, really like the idea of taking pills. Uh, as a matter of fact, a couple of years ago, I had this jaw surgery. They gave me a prescription for Percocet. I took one, maybe feel weird. I think they're still sitting in the medicine cabinet." }, { "from": "gpt", "value": "Okay, excellent. Well, it sounds to me like the increase in your drinking could certainly be contributing to your high blood pressure. I think decreasing the number of drinks that you have when you go out and maybe decreasing the number of times that you go to the bar each week could be the best thing that you can do for your health." }, { "from": "human", "value": "Well, I guess I'll try." }, { "from": "gpt", "value": "Okay. And then we'll set up an appointment for about a month from now. We'll recheck your blood pressure and see how you're doing with all this, sound okay?" }, { "from": "human", "value": "Okay." }, { "from": "gpt", "value": "Okay." } ]
10_ management
[ { "from": "gpt", "value": "Hi. You are [unintelligible 00:00:02]?" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Okay. Um, what brings you in?" }, { "from": "human", "value": "Well, I'm supposed to come to learn about my-- how to manage my diabetes. Just got diagnosed." }, { "from": "gpt", "value": "Mm-hmm. I see- I see that your A1C or your blood glucose is very high." }, { "from": "human", "value": "Yeah, that's what doctor said. She-she really laid into me about that. Said it was-- I guess, this is really serious stuff. She was talking about losing eyesight, mm, my feet, mm, problems with a lot of other stuff, and it really scared me. Uh, so, [sighs] you know, how-how-how to manage all this, I guess, is what I gotta learn, but it just sounds massive." }, { "from": "gpt", "value": "Mm-hmm. Well, you do need to take your medicine. We, uh, will need to start dieting, uh, you know, lose some weight, change-change your eating habits, exercise, uh, to get your diabetes under control, because your doctor is right, it is very serious." }, { "from": "human", "value": "That's, uh, that's a huge amount of stuff to do and, I'm not- I'm not certain I can do all that, and on top of it, it's-it's-- if I don't get it all done, all this stuff happens to me?" }, { "from": "gpt", "value": "So, it sure can." }, { "from": "human", "value": "[sighs]" }, { "from": "gpt", "value": "So, uh, you know, we-we need to start looking at doing all those different things to get your diabetes under control 'cause your-your number is very high." }, { "from": "human", "value": "Well, I-I [unintelligible 00:01:35]" } ]
11_ recidivism
[ { "from": "gpt", "value": "What else has brought you here?" }, { "from": "human", "value": "They found a little bag of weed." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "It's not a lot though." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "It's not like I was gonna sell it or anything. It's like—" }, { "from": "gpt", "value": "Just enough for your own use?" }, { "from": "human", "value": "Yeah, whatever, you know. It's California, no one cares." }, { "from": "gpt", "value": "Yeah. Yeah. Yeah." }, { "from": "human", "value": "How long is this gonna take?" }, { "from": "gpt", "value": "Yeah, we-- You know, we have about 15 to 20 minutes to talk today, total. Um-um, which certainly it's just the first of-of some sessions that we'll have together over the next six months. It'd be a natural question you'd wanna know how much time this will take, of course. Um, what else would you like me to know about you and your perspective that you think will help me work with you over this time?" }, { "from": "human", "value": "I just wanna get whatever I need to get done, done." }, { "from": "gpt", "value": "Okay. You're more focused on what you need to do to get this behind you?" }, { "from": "human", "value": "Yeah" }, { "from": "gpt", "value": ".Okay, mm-hmm. Well, I'm wondering then if it's okay with you and-and I have a form that we can use if you'd like, um, just to put out some different ideas on an agenda that we could share as we're working together so that I-I can support you to be successful in getting this behind you. Would-would this feel like a natural time to-to move towards figuring out where we might go together?" } ]
12_ cessation
[ { "from": "gpt", "value": "Sarah, I'm so glad you came in for your well-woman exam today. I think we addressed a lot of your concerns. However, I would like to ask you more about your smoking. Would that be okay?" }, { "from": "human", "value": "Yeah, I guess." }, { "from": "gpt", "value": "Okay. So about how much are you smoking over the course of a day? You had said it had increased over once or twice a day." }, { "from": "human", "value": "Yeah, um, normally, I'm smoking, you know, like once in the morning, uh, once during my lunch break and then in the evening maybe like five or six." }, { "from": "gpt", "value": "Okay. So about eight cigarettes. So over the course of a day, just under half a pack?" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Okay. And that's changed over what period of time?" }, { "from": "human", "value": "Um, honestly, it's probably been over the past year or so that I- I've been smoking a little bit more." }, { "from": "gpt", "value": "Okay. So over the past year, the smoking has increased. And that's been mainly in the evening?" }, { "from": "human", "value": "Yeah. Um, I have a two-year-old son as I mentioned, so I try to never smoke around him. So I'm normally kinda waiting until he gets to bed." }, { "from": "gpt", "value": "Mm-hmm. Well, that's the time when you can relax and unwind." }, { "from": "gpt", "value": "Yeah, exactly. You know, I told you, my-my schedule is kinda crazy right now. I, um, I work full-time and I just started back at night classes. So, you know, all that combined, you know, I enjoy that time to myself in the evening." }, { "from": "gpt", "value": "Sure. Sure. Well, it's a time to relax and you've got a lot going on." }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "So are there other things you do in the evening to relax?" }, { "from": "human", "value": "Um, I mean, maybe I'll have like a drink or two." }, { "from": "gpt", "value": "Okay. A drink or two. So about how many drinks would you say you have over the course of a day?" }, { "from": "human", "value": "Um, maybe like two max." }, { "from": "gpt", "value": "Two max. How many drinks would you say you'd have over the course of a week?" }, { "from": "human", "value": "I don't know. I mean, I don't really get why you're asking me that. I mean, I just came here, you know, for a regular visit. I-I am not here to talk about my drinking." }, { "from": "gpt", "value": "No, I understand- I understand. And I'm certainly not here to tell you what to-to do, Sarah. I'm interested in hearing your thoughts and sharing some information with you, and what you do with that information is totally up to you. You've got a lot going on. You're a mother, you're working, you're going to school, and our healthcare team wants to make sure that you have all the resources available to you to meet your goals, including good health. And my job as your healthcare provider is to listen to you and to share information with you, including healthcare concerns associated with smoking and alcohol. Would that be okay with you?" }, { "from": "human", "value": "Yeah, I guess." }, { "from": "gpt", "value": "Okay. Well, we do know that an increase in smoking and alcohol is associated with certain kinds of cancer; colon cancer, cervical cancer, breast cancer, lung cancer, and, um, also pancreatic cancer. It's also associated with liver and lung disease as well as heart disease, diabetes, and hypertension. So that's a lot of information, but I'm-" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "-interested in what your thoughts are, Sarah." }, { "from": "human", "value": "Well, I-I'm just kinda surprised because, I mean, I don't smoke or drink that much. And I mean, compared to people I work with, you know, I-I smoke a lot less, and I feel like I've actually been trying to keep it pretty low." }, { "from": "gpt", "value": "So you're consciously trying to cut back." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "I have a readiness ruler in my pocket here, 0 means not ready to stop smoking at all and 10 means absolutely ready to stop smoking. Where do you see yourself on that scale?" }, { "from": "human", "value": "Um, maybe like a five." }, { "from": "gpt", "value": "About a five. So you're halfway there. So why did you choose a five rather than a four?" }, { "from": "human", "value": "Well, I mean, you brought up some kinda scary stuff like, you know, cancer risk or other things like that. And you know, being a mother, I-I don't want something to happen to me obviously." }, { "from": "gpt", "value": "Right. Well, that's a lot of information to think about. So given, the fact that these healthcare concerns are a possibility, and that you're worried about your family and you certainly have goals you want to succeed at, where are you in your consideration to making a change? In other words, what steps would you consider taking for this number to move closer to a 10?" }, { "from": "human", "value": "Well, I mean, I could maybe try to cut back in the evenings a little bit." }, { "from": "gpt", "value": "Okay, great. Let's quantify that a little bit. So how many cigarettes would that be?" }, { "from": "human", "value": "Well, right now, if I'm having like five or six, I could try to smoke three in the evening plus, you know, still the couple during the day." }, { "from": "gpt", "value": "Okay. So you-- that's cutting back quite a bit. That's a big step. So since we're kind of running out of time here today, I'm wondering if we could-- would be willing to come back in about four weeks to review this plan?" }, { "from": "human", "value": "Yeah. Sure." }, { "from": "gpt", "value": "Okay, good. So we can go over your laboratory results at that time, as well as review your plan. Now, would you like some information on smoking cessation?" }, { "from": "human", "value": "Yeah, I-I think that would be very helpful." }, { "from": "gpt", "value": "Okay. Well, I've got a brochure here and this has-- it's a really good brochure. It has some distraction techniques in it in case you get those nicotine cravings. So it's-" }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "-been helpful, um, in-- with patients before. I'd also like to ask you, would you be willing to see one of our counselors?" }, { "from": "human", "value": "Well, what-what for exactly?" }, { "from": "gpt", "value": "Well, Dr. Kirtley is one of our counselors and he is an expert in-- at discussing the association between alcohol and stress. I want to share something with you. The National Guidelines recommend that women have no more than seven drinks of alcohol per week to-to stay at that low risk level, to avoid the healthcare concerns that we spoke of earlier." }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "You've indicated that your alcohol consumption is a bit higher than that, putting you at risk. So that's why I asked if you'd be willing to talk to Dr. Kirtley." }, { "from": "human", "value": "I mean, I would like to talk about, you know, my stress, but I'm still not sure with the whole drinking thing." }, { "from": "gpt", "value": "Certainly, certainly. I'm glad you're willing to talk to him. So before you leave here today, we'll, uh, stop by the scheduler's desk and make an appointment for you to see me back in four weeks, as well as the appointment with Dr. Kirtley. And that way, before you leave, you're all set. So do you have any other questions for me, Sarah?" }, { "from": "human", "value": "I don't think so." }, { "from": "gpt", "value": "Okay. Well, it's very nice to meet you. I'll see you in a month." }, { "from": "human", "value": "Okay." } ]
13_ medicine / following medical procedure
[ { "from": "gpt", "value": "Hi, Mrs. Smith. I wanted to let you know that at this appointment, we're gonna be giving Lilly some vaccines." }, { "from": "human", "value": "Oh, I-I don't know if I'm comfortable with that. I've been reading a bunch of stuff lately about them." }, { "from": "gpt", "value": "Hmm. Can you tell me more about your concerns about vaccines?" }, { "from": "human", "value": "Uh, yeah, well, I was just- I was reading that it's better to let them build up their immunity, like, naturally and stuff in their immune systems." }, { "from": "gpt", "value": "Okay, so you were thinking that maybe exposing Lily naturally to these diseases would be a better choice than using vaccines to help her get stronger?" }, { "from": "human", "value": "Well, yeah. I mean, I had chickenpox as a kid, and now I'm immune. Right? So." }, { "from": "gpt", "value": "That's right. Having chickenpox as a child means that you are less likely to have chickenpox as an adult because you've developed a-a natural immunity. Uh, but is it okay if I offer you a little bit more information about the other vaccines that we're- we were going to give her Lily today?" }, { "from": "human", "value": "Uh, okay." }, { "from": "gpt", "value": "Okay. So, uh, before vaccines were developed, often when children had a natural exposure to some of these diseases, they ended up with, uh, sometimes death, disability, measles caused brain damage and, uh, deafness and blindness. Polio caused, uh, paralysis in children. And so, allowing children to have natural exposure to these diseases, sometimes was a little bit of a gamble, it could be dangerous." }, { "from": "human", "value": "Wow, I didn't realize it was so dangerous. I've never heard of polio." }, { "from": "gpt", "value": "Hmm. Some of these things I've mentioned to you, you're-you're not familiar with. Uh, and I think that's because we've done such a good job of eliminating some of these diseases that a lot of people your age, and even my age, are unfamiliar with those things. Um, so having shared this information with you, what do you think about the idea of vaccines for-for Lilly?" }, { "from": "human", "value": "Uh, I guess it's okay. I mean, I just I want her to be healthy and safe." }, { "from": "gpt", "value": "It's really important for you to make sure that she's protected and that you make good decisions and do your research before you make any medical decisions for her." }, { "from": "human", "value": "Yeah, I just want to do what's right." } ]
14_ loss
[ { "from": "gpt", "value": "So, again, I hear your overall goal is really, to not give up these things you'd like but to cut back on how much you have-" }, { "from": "human", "value": "Yeah, I guess so." }, { "from": "gpt", "value": "-on that. All right. So, I'd like to ask you, uh, kind of a scaling question about this 'cause I'm hearing that this feels really important to you that you'd be way up there on the high- on the high end of importance." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "So, I'm gonna ask the question this way, on a scale of 0 to 10, where 0 is not at all confident, and 10 is like, \"I'm very, very confident,\" where would you put yourself on a scale right now of confidence in starting this new plan?" }, { "from": "human", "value": "Right now, I'm probably-" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "-gonna say a six." }, { "from": "gpt", "value": "A six." }, { "from": "human", "value": "But I know when I go home and I see the food, it's probably gonna drop back down to a four." }, { "from": "gpt", "value": "Okay. All right. So, let's talk about that, um, so we should just assume we're gonna be at a four." }, { "from": "human", "value": "Right?" }, { "from": "gpt", "value": "Okay?" }, { "from": "human", "value": "I guess." }, { "from": "gpt", "value": "So, why are you at a four and not even a lower number? Why are you not like a zero or a one?" }, { "from": "human", "value": "Because I've been wanting to do this for-for years, like-" }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "-ever since I started becoming conscious of my body." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "Like ever since I started being a teen, like this has always been a goal of mine, like, especially 'cause all my friends play soccer, and like-" }, { "from": "gpt", "value": "Uh-huh." }, { "from": "human", "value": "-hike, and are like super stick-thin but really healthy and active." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "And so I'm just sort of like, well, I'm not." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "But I want to be like-- I don't want to be like stick-thin, but I really want to be like really healthy and really active." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "And like be able to look nice, you know." }, { "from": "gpt", "value": "Okay, all right." }, { "from": "human", "value": "I wanna be able to look nice." }, { "from": "gpt", "value": "Okay. So, what would help increase that confidence? What-- Because that sounds like where we really need to focus on. What's gonna help you feel more confident about this?" }, { "from": "human", "value": "I don't even really know-" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "-honestly. Like, I mean, I know I'm gonna have to keep like telling myself like-" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "-like this is something that you want- that you've wanted-" }, { "from": "gpt", "value": "Uh-huh." }, { "from": "human", "value": "-for years." }, { "from": "gpt", "value": "Uh-huh." }, { "from": "human", "value": "Like, you can do it. Because like-" }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "I know I can do it. Like I can do anything." }, { "from": "gpt", "value": "All right." }, { "from": "human", "value": "I can do anything-" }, { "from": "gpt", "value": "All right." }, { "from": "human", "value": "-I know that. But it's hard getting to the point where I-" }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "-do something." }, { "from": "gpt", "value": "All right. Well, if it's okay, just for a moment, let's put the- let's put the changing the eating pattern off to the side, and let's take a look at some other time in your life that there was something you really wanted to accomplish and you did. And what is it about you- what was it about you? What kind of strengths did you bring to the table that allowed you to tackle something that felt like a challenge and-and allowed you to be successful?" } ]
15_ cessation
[ { "from": "gpt", "value": "Can I help you?" }, { "from": "human", "value": "Uh, yeah. I just got off work, and apparently, they're going smoke-free, so I'm-- I-I thought I'd stop by the pharmacy here and see what my options are. Some of my friends have tried nicotine patches and the-- they say they don't work really well. I don't really wanna quit smoking, I just need something to get me through the day." }, { "from": "gpt", "value": "So you want nicotine replacement, but you don't wanna quit smoking?" }, { "from": "human", "value": "Maybe like da-- during the day nicotine replacement. Is that-- I mean, do you have anything like that?" }, { "from": "gpt", "value": "We don't really recommend that. The idea is you would use the nicotine replacement to actually quit, so then you wouldn't be smoking at work, but you also wouldn't be smoking the rest of the time either." }, { "from": "human", "value": "Well, I don't really wanna quit. I mean, I like smoking. I like go-- after work, I have a beer with my friends, and I'll smoke cigarettes. I mean, it's not really a big deal. Cigarettes aren't that bad. I mean, I know that the-- it's popular to say that smoking is bad for you but, you know, I like it, so I'm gonna be doing it." }, { "from": "gpt", "value": "Okay. Well, smoking really is really bad for you, you know. It causes things like lung cancer, emphysema, heart disease-" }, { "from": "human", "value": "Yeah, yeah. Okay." }, { "from": "gpt", "value": "-oral diseases." }, { "from": "human", "value": "Okay. Well, what are my options? You know, assuming that I'm right, what are my options?" }, { "from": "gpt", "value": "Well, to be honest with you, you mentioned the patch. I can't recommend a patch to you if you're gonna continue smoking. That can actually be pretty dangerous for you. In order to advise you about this at all, I need you to tell me a little bit more about your smoking history and how much you're smoking now." }, { "from": "human", "value": "Well, I mean, I s-- I-I-I smoke barely a pack a day. I mean, I've probably smoked for about five or six years now. It's not really a lot of cigarettes, but it's sort of hard to get through the day at work." }, { "from": "gpt", "value": "Okay. Well, we actually consider 20 cigarettes a day to be a significant amount, and in fact, I would then recommend to you that you would start on the highest dose of nicotine replacement." }, { "from": "human", "value": "Sounds good to me. The more nicotine, the better. Is it like gum or something? Could I chew it like while I'm in the office? That sounds pretty great. I mean, do you have—" }, { "from": "gpt", "value": "Well, there are some products that you could use to take away some of your cravings, and probably the gum would be the best option for you. It's not something you would continue to use continuously throughout the day, however, but gum is something you use just when you have a craving." }, { "from": "human", "value": "Oh. Okay. Well, where is that?" }, { "from": "gpt", "value": "Well, we have that here, but again, the-the idea would be for you to actually quit smoking." }, { "from": "human", "value": "Well, I-- [sighs] I'm probably not gonna buy anything today. I mean, I just came by to see what my options are. I-- if-- thanks for the input. I mean, do you have anything else, do you have any other advice for me?" }, { "from": "gpt", "value": "Well, aside from the gum, you could try the nicotine lozenge, that would be another option for you. Again, that's not something you'd wanna use continuously throughout the day. The nicotine patch is the best for continuous nicotine replacement, but again, that's not something you can use while you're continuing to smoke." }, { "from": "human", "value": "Oh, well. Okay. Well, thanks. I mean, I guess that helps a little bit. I'll-- maybe I'll be back later. Thanks." }, { "from": "gpt", "value": "Okay." } ]
16_ alcohol consumption
[ { "from": "gpt", "value": "So, Rick, just in regards to your flatmate situation at the moment with Tristan. Uh, you know, we talked about how walking through this program and with the support of your parents and having some positive influence to help you through this. I just want to rethink a bit if you stay living with Tristan. What are the sort of pros and cons of that? What are the good things about living there, what are the not-so-good things about living there?" }, { "from": "human", "value": "Oh, it's a nice place. It's close to work. It's good living with a mate." }, { "from": "gpt", "value": "Yeah. So, in terms of being supportive and a sort of support you're gonna need to make these changes." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "What's your thinking around that?" }, { "from": "human", "value": "That's the thing, isn't it? I am-- I don't know if it's the best place for me to be if I'm gonna make those changes." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "And Tristan is a good flatmate." }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "I have no-- We're going in different-different directions now. He doesn't have the same kind of responsibilities I have and stuff, and so-- And I can't expect him to change his whole life around, just because I wanna change mine." }, { "from": "gpt", "value": "Right." }, { "from": "human", "value": "I just-- I don't know how keen I am to move in with my- with my aunty and uncle, though." }, { "from": "gpt", "value": "Okay. You're good to explore, but I just want to ask you about, how much does Chris-Christian-Christian know-- Tristan know about you changing your life? What does he really know about the changes you wanna make?" }, { "from": "human", "value": "I sit down and talk with him, asked him for, um, for support and stuff and he's fully, he says fully he'll be there for me. But, like I said, he's, um, he's in a different place in his life than I am in mine." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "He doesn't have kids." }, { "from": "gpt", "value": "Right." }, { "from": "human", "value": "He doesn't-- I don't know if he can really understand what it means to me. Um, he's a good mate." }, { "from": "gpt", "value": "Okay. What are some of the pros and cons about moving in with whāna, moving in with your auntie and uncle?" }, { "from": "human", "value": "The food would be good. Um, I get- I get support with-- my whānau is really supportive, but I'm- I'm worried about losing- I'm worried about losing my freedom. I'm worried about, um, about them taking over, or, you know what I mean? I have a freedom where I am now, I'm in charge of myself. That would probably be really good." }, { "from": "gpt", "value": "In terms of that freedom and in charge of yourself, and the changes that we're talking about, and building your own family, and to enable you to do that, where do some of that freedom stuff sit with re-engaging back with your whānau and your children, your partner? Is it something you're gonna wanna hang on to, or how you're going to manage that?" }, { "from": "human", "value": "I don't wanna hang on to freedom if it this- if it means that I lose my kids. Um, I'm just, uh, I'm just worried about-- I'm worried about if I move in with family, that they, even if their intentions are good-" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "I don't know. I'll do anything to get my kids back." } ]
17_ alcohol consumption
[ { "from": "gpt", "value": "Okay, so I'm just gonna ask you a couple of more background questions." }, { "from": "human", "value": "Okay." }, { "from": "gpt", "value": "Do you use any tobacco products, or smoke cigarettes?" }, { "from": "human", "value": "No, I would bum cigarettes in college, but I was never a smoker." }, { "from": "gpt", "value": "Okay. How about in the last year?" }, { "from": "human", "value": "No, not really anything." }, { "from": "gpt", "value": "Okay. And how often do you have a drink containing alcohol?" }, { "from": "human", "value": "Um, a few times a week. Uh, Wednesdays, I'll go to happy hour and have about two or three. And then, um, Thursdays, seven, um, seven or eight. Fridays, probably just a couple of glasses of wine with dinner. Um, but Saturdays are bigger night. And I would probably have a few drinks before I went to the bar. And then have four or five at when-when I was out. So—" }, { "from": "gpt", "value": "Okay. So it sounds like you're drinking about four times a week, anywhere between three and eight drinks on a given day. So, maybe around 20 drinks a week?" }, { "from": "human", "value": "I guess, it sounds like a lot when you say [chuckles] like that. But yeah." }, { "from": "gpt", "value": "Okay. Do you use any street drugs like any marijuana, cocaine, heroin?" }, { "from": "human", "value": "No. I-I smoked weed in college, but just a little bit. I wasn't a regular smoker." }, { "from": "gpt", "value": "Do you, um, do you ever use any prescription medicines that were not prescribed for you, or ever use your own prescriptions in a way on which they were not prescribed?" }, { "from": "human", "value": "No." }, { "from": "gpt", "value": "Okay. So, you know, as we said before, you're drinking-- it sounds like you're drinking about 20 drinks a week, over the course of a few days. And I did want to point out to you that the recommended limit for women is actually no more than seven drinks a week, and no more than three on a given day." }, { "from": "human", "value": "Okay." }, { "from": "gpt", "value": "So you're doing more than that right now. And when you drink more than this amount, it puts you at risk for a number of things, okay? Things like greater risk of injury, damage to different parts of your body, um, just a bunch of different problems. And, uh-- so I'm going to recommend that you cut down- cut down that amount to the recommended limit. Again, that's no more than seven drinks a week and no more than three on a given day. Do you think you could do that? Would that be a good goal for you?" }, { "from": "human", "value": "That's a lot to change. I don't know." }, { "from": "gpt", "value": "Yeah, I know that making changes isn't always easy. But when you drink more than what's recommended, it creates problems. You know, you said you hurt your ankle when you came out of the bar this time." }, { "from": "human", "value": "I mean, the stairs were really steep. So—" }, { "from": "gpt", "value": "Yeah. Well, it's possible you strained your ankle as a result of the alcohol. You know, it can actually affect your balance and stability. So, really, you know, for where you are right now, you're drinking a good amount more than what's recommended. And, you know, I want you to be healthy. And I don't want to see you coming back in here for something else. So I'm really gonna recommend that you try to cut down to that amount. So, do you think you could do that, cut down to no more than three drinks on a given day?" }, { "from": "human", "value": "Where are these limits from? Um, old- an older population? Because, uh, I drink just as much as my friends do. I mean, everybody drinks like I drink. I'm not even the biggest drinker in my group. So I'm pretty middle of the road." }, { "from": "gpt", "value": "So, it sounds like, you know, the amount you drink is pretty normal-" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "-amongst the people you typically drink with. But these limits are-- they're actually recommended for all adults. And studies have shown that when you drink more than this, it creates a bunch of problems like we talked about. So, you know, why do you think you drink the amount you drink?" }, { "from": "human", "value": "I don't know. It's what we do. It's-- this is how we have fun, I guess. It is fun." }, { "from": "gpt", "value": "Well, I think you can still have fun within these amounts. So that's what I'm gonna recommend. Um, I think this is a really good goal, and hopefully, we won't see any more injuries. Okay? So why don't you try that?" }, { "from": "human", "value": "Okay." }, { "from": "gpt", "value": "All right. Thank you so much." }, { "from": "human", "value": "Thanks." } ]
18_ gambling
[ { "from": "gpt", "value": "So I get a sense it's a little anxious being here today and, uh, meeting someone like me, and, um, what we're gonna be doing today is-is inducting, but also I wanna talk about, um, yeah, the issues that-that have got you here and we need to do some sorting out around, um, yeah how serious you are to sort of sort those issues. So?" }, { "from": "human", "value": "I don't really know what issues I need to sort." }, { "from": "gpt", "value": "Sorry?" }, { "from": "human", "value": "I don't really know what issues I need to-" }, { "from": "gpt", "value": "All right." }, { "from": "human", "value": "-sort. It's just a bit of cash." }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "So—" }, { "from": "gpt", "value": "So first, it might be trying to sort out what are the important issues to sort out." }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "Yeah, that makes sense? Yeah? So how confident are you that-that, you know, you can sort out the issues related to, um, you know, uh, taking the money from your employer? And another thing, in your precinct's report, there were some issues around gambling, and some issues around alcohol use. So those seem to be important issues that are kind of getting out. So how confident are you that you can get those sorted in the nine months we've got?" }, { "from": "human", "value": "Um, I don't think there is much to sort. I have a few drinks like everybody else my age." }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "Pokies are at the pubs for the thrills, it's no worries." }, { "from": "gpt", "value": "Yeah, yeah." }, { "from": "human", "value": "It's not an issue." }, { "from": "gpt", "value": "Yeah. See one of the things I'll be really interested in-in talking with you about is, um, yeah, what's-what's the, um, what's the worst thing that has happened in terms of pokies, in terms of you know behavior around the pokies, what's the worst thing that's happened?" }, { "from": "human", "value": "Uh, I suppose when you've got no money in the pocket at the end of the night." }, { "from": "gpt", "value": "Yeah, yeah." }, { "from": "human", "value": "And some nights you do, so." }, { "from": "gpt", "value": "Yeah. So how often do you end up with no money in your pocket? Can be the times when you end up with money in your pocket" }, { "from": "human", "value": "Well, I don't really keep track." }, { "from": "gpt", "value": "Yeah, yeah. So if we were to think back, say the last month, the last four weeks, how many times would you have gone down to the- to the pokies, the pub?" }, { "from": "human", "value": "I don't know. A few times a week." }, { "from": "gpt", "value": "Yeah. Yeah." }, { "from": "human", "value": "I don't know. It's if you're at the pub, you're, you know, that-that you're out there." }, { "from": "gpt", "value": "That-that you're up for the money and-and then-then they slot you." }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "Okay. So-so thinking about this, say a couple times a week, you know, two or three?" }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "Yeah, yeah, yeah? So that's 12 times. So how many times would you have walked away with money in your pocket after, any out of the 12, what's your- what's your sense?" }, { "from": "human", "value": "I don't know. A few times, probably when I have it, I might drink a drink." }, { "from": "gpt", "value": "Okay. Okay. So you're saying about 50-50?" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "'Cause you have to understand the odds are about-- sort of-of tend to be about 25% on the 100, that-that's [crosstalk]" }, { "from": "human", "value": "It's the unlucky ones." }, { "from": "gpt", "value": "Yeah, you might be lucky then. So-so what do you reckon like in terms of like you're saying you're not sort of sure if that's an issue, and that's probably something that we can be working with, uh, figure it is an issue." }, { "from": "human", "value": "Mm." }, { "from": "gpt", "value": "And, yeah, it might be an issue, I don't know if it's an issue at this point. It'll be interesting to sort of talk about that. But I'm wondering what happens, yeah, when-when you get on the pokies out there, they're certainly at the pub, pokies around? So what happens in your body when, um—" }, { "from": "human", "value": "A bit of a rush, I suppose." }, { "from": "gpt", "value": "A bit of a rush. Yeah. 'Cause other people I have worked with say that, yeah, sometimes they get a bit of a rush, that somehow the rush takes over and they don't know when to stop. Not sure if that's what- if that's what it's like for you, but other people have told me that, so." }, { "from": "human", "value": "Yeah, I suppose." }, { "from": "gpt", "value": "Yeah, yeah. Yeah, yeah. So that could be an issue we could spend some time talking about here, 'cause obviously you know, you don't- you don't - you don't wanna be here, and then my interest now is just getting you o-out of the system, not getting you into the systems. So-so here, um-- how-how much do you think this is an issue for you, you reckon? The pokies and the gambling." }, { "from": "human", "value": "I don't know, I suppose it's lead me to be here, maybe. I don't know." }, { "from": "gpt", "value": "Yeah, yeah. Thinking about your friends, you know, how would you soft of think about your friends 'cause, you know, I guess you go out with your girlfriends and stuff." }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "Yeah, yeah. So, in terms of their behavior, like how did your behavior sort of match with their behavior? Are they much the same as you, are they different than you?" }, { "from": "human", "value": "Much the same, bunch of party girls." }, { "from": "gpt", "value": "Yeah, yeah, yeah. Then, in terms of the pokies and stuff they much as they like doing the pokies so much as your doing the-- You know, compared to you doing the pokies?" }, { "from": "human", "value": "Um, I don't know. I suppose they walk away a bit quicker than me." }, { "from": "gpt", "value": "Oh, okay, okay. Who's-who's-- What's your girlfriend's name, your best- your best friend, best girl friend?" }, { "from": "human", "value": "Sarah." }, { "from": "gpt", "value": "Sarah, So what do you think Sarah would say?" }, { "from": "human", "value": "I don't know." }, { "from": "gpt", "value": "What would she say about—" }, { "from": "human", "value": "We'd just have a laugh." }, { "from": "gpt", "value": "Yeah, what would she say about-- 'cause she knows you pretty well. She'll-she'll-- she goes to the pubs with you probably and see you putting the money on pokies, what would she reckon?" }, { "from": "human", "value": "Uh, no friends or friends should-- She accepts me for who I am." }, { "from": "gpt", "value": "Absolutely, and that's what you want from friends, isn't it?" }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "You want that acceptance, absolutely, yeah, yeah. But won't you say, you know, friends also-- good friends also can, you know, call you on stuff too, can't they? Yeah?" }, { "from": "human", "value": "At times." }, { "from": "gpt", "value": "At times. Yeah, so-so what you-- wha-what she might say to us about about- a-a-about your gambling?" }, { "from": "human", "value": "I don't know. You don't have any money, so-- And that she-she'll probably be quite happy if I stopped." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "But, um, I don't know. She-she doesn't really discuss it with me." }, { "from": "gpt", "value": "Okay. But you owe her some money and you get the sense that-- Or I'm picking up, you get a sense that she's not terribly happy." }, { "from": "human", "value": "Mm." }, { "from": "gpt", "value": "Yeah, yeah, okay, okay. So Sarah might see it as an issue. And-and I guess there's a part of you also sees it as an issue, part of you, you know. Part of you may not, but a part of you does." }, { "from": "human", "value": "Mm." }, { "from": "gpt", "value": "So the part of you that does see this is-- as an issue, yeah, that the gambling sometimes can be out of control, you know, tell me that part of you that-that maybe knows that, uh, it's getting you into trouble and it's gone way-- just moved you off from that point, there have been some—" }, { "from": "human", "value": "Um, I don't know if pfft-- maybe I wouldn't be here if it wasn't for gambling 'cause-" }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "-you know, suppose in some way, I took the money for-for that but I don't know, you know? It's just a few dollars here and there and I didn't really think about it at the time, so-" }, { "from": "gpt", "value": "Mm." }, { "from": "human", "value": "-I don't know." }, { "from": "gpt", "value": "Yeah, and-and in some ways getting caught might be a good thing. I know it might sound a re-really sort of strange thing to say, but I wonder if like getting caught might have been a good thing. Because you would have read the papers about other people's of-- you know. They're the hands that would turn on stuff and end up with gambling problems and big money. So I want- I want to hear much that it might have been a good thing that you got caught at this stage, and you got a chance to do some talking about it and working around some strategies to get it under control so it doesn't control you. What's your hunch about that?" }, { "from": "human", "value": "I don't know. I-I don't think it would have been too much of a problem. I mean I'm not a bad person, I wouldn't have, you know, wouldn't have continued to steal. It was just at the time that I was going through a rough patch. I wasn't intending to make it a long-term thing." }, { "from": "gpt", "value": "Yeah. Yeah, so you're not a bad person. Certainly, I don't make judgments about people being bad people. So that seems sort of actually thinking about this, you sensed that you could've stopped." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Have you put on a kind of real hat, you know, you get a real hat here, you know? What-what's your hunch about that? Is it a kind of-- that kind of realization it's a bit of a smoke screen, what's your hunch?" }, { "from": "human", "value": "I don't know, you tell me." }, { "from": "gpt", "value": "How about then your-your kind of hunch about that?" }, { "from": "human", "value": "Uh, I suppose I didn't expect the-the money would've added up to what it did, so I guess, at the time, I- [sighs] I wasn't thinking of the reality of it, you know, building up, so-" }, { "from": "gpt", "value": "Mm." }, { "from": "human", "value": "-you know, it did, so I'm here-" }, { "from": "gpt", "value": "Yeah-" }, { "from": "human", "value": "-so, I suppose—" }, { "from": "gpt", "value": "-so, what did it add up to, at the end of the day? What are we talking here?" }, { "from": "human", "value": "It's a couple of grand or something." }, { "from": "gpt", "value": "Yeah, yeah. It's a little bit here, a little bit there, so it then adds up, yeah? Yeah." }, { "from": "human", "value": "Well, that a little bit here, a little bit there is nothing I didn't work for. [chuckles] I worked [unintelligible 00:10:35] and I was getting paid $18 an hour-" }, { "from": "gpt", "value": "Mm." }, { "from": "human", "value": "-$25, you do the math. [chuckles] And that's gonna support me?" }, { "from": "gpt", "value": "Yeah. Okay. So-so, there's some-some questions you've got around some-some ways you, kind of, explained them. And then, as we work together, you know, we-- there might be some other ways we look at it and see it too, you know, that-that's part of working together. So, I'm wondering, how open are you to, you know, seeing this situation from lots of different angles?" }, { "from": "human", "value": "I don't know. I'm usually an open person. [chuckles]" }, { "from": "gpt", "value": "Yeah? Yeah." }, { "from": "human", "value": "Just provided it will help me deal with it." }, { "from": "gpt", "value": "Yeah, yeah." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Okay. So, what other things have you've been open to at other times in your life when you've been open to-to new ideas and being able to talk about stuff, that may be tough to talk about?" }, { "from": "human", "value": "I don't know. I am just usually pretty open with people. It's a bit different here tonight and-" }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "-just not knowing what to expect then—" }, { "from": "gpt", "value": "Yeah, and-and, coming in, talking to a stranger, you know, and someone who can be honest to what you did, talking to a stranger, coming in this time, what do you sense about how you're doing so far?" }, { "from": "human", "value": "I don't know. I suppose I'm saying that the money did add up, and that was enough for me to end up here, so-" }, { "from": "gpt", "value": "Mm." }, { "from": "human", "value": "-I suppose I'm here for a reason. [chuckles]" }, { "from": "gpt", "value": "Yeah. You know, like-- I-- And, some people wouldn't even, sort of, get in the door or wouldn't be as open as you've been today, okay, to an extent, so, you know, like I said, good on you, yeah. You know, being able to-- It's hard to come to a place like this and start to really open up, so, you know, you've just shown that you can do that. Yeah." }, { "from": "human", "value": "I didn't have a choice. [chuckles]" }, { "from": "gpt", "value": "Well, you have a choice about what you open up to me about. Absolutely, you have a choice about that, yeah. That coming, being on sentence, no, you don't have a choice about that, um, well, you have a choice, 'cause, I mean, you can choose not to come, and you'll be breached and get to head back to court." }, { "from": "human", "value": "Mm." }, { "from": "gpt", "value": "Um, but you do have a choice about how you are here when we meet, and what-what we talk about here. So, um, you know, so you do have lots of choices within that. And, my sense is you're, sort of, you know, a young woman who will make some good choices about that 'cause you're not a bad person, and you know that." }, { "from": "human", "value": "Mm." }, { "from": "gpt", "value": "Yeah." } ]
19_ recidivism
[ { "from": "gpt", "value": "So you're sick of this?" }, { "from": "human", "value": "Yeah. I-I just-- I can't shoplift anymore. You know, I got- I got caught again. And uh, you know, I-I got suspended, I got back to school, so I'm-I'm uh-- I'm gonna mess up my whole life here, unless I can stop this." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "Yeah, it's bad. My friends and I, we just-- I mean, it's fun and uh-- so I don't know what to do, but I- but I gotta change." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "I want it." }, { "from": "gpt", "value": "So, it sounds like you're ready. You're ready to give this up." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "But, maybe the path to doing that isn't so clear." }, { "from": "human", "value": "Right. I don't know what I'm gonna do, I got some friends. These guys are-- they're bad news, but they're my friends." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "And, uh, and it's fun." }, { "from": "gpt", "value": "And it's fun." }, { "from": "human", "value": "You know?" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "Nothing-nothing much else going on that's as fun as this. We go in, we steal these CDs. It was working out fine, but—" }, { "from": "gpt", "value": "Uh-huh." } ]
20_ cessation
[ { "from": "gpt", "value": "So I wrote a prescription for antibiotics for Aiden." }, { "from": "human", "value": "Okay." }, { "from": "gpt", "value": "Um, I did wanna talk to you though. I'm a little bit concerned looking through his chart of how many ear infections he's had recently. And I-I noticed that you had checked the box that someone's smoking in the home. So I was wondering if you can tell me a little more about that." }, { "from": "human", "value": "Well, um, It's just me and him and I do smoke. Um, I try really hard not to smoke around him, but I-I've been smoking for 10 years except when I was pregnant with him. But it-- everything is so stressful being a single mom and-and my having a full-time job. And so it's just-- that's why I started smoking again." }, { "from": "gpt", "value": "You have a lot of things going on and smoking's kind of a way to relax and destress." }, { "from": "human", "value": "Yeah. Some people have a glass of wine. I have a cigarette." }, { "from": "gpt", "value": "Sure. And it sounds like you're trying not to smoke around him. Why did you make that decision?" }, { "from": "human", "value": "I know it's not good for him. I mean, I've read those things about ear infections and asthma and stuff and-and, uh, but other kids have ear infections and their parents don't smoke." }, { "from": "gpt", "value": "So on the one hand, you're worried about how your smoking might be affecting him and on the other hand, you're not so sure if it's really the smoking that's causing these problems?" }, { "from": "human", "value": "Right. Yeah. I mean, he doesn't have asthma. Yeah. He-- I don't-- he hasn't had a lot of other problems that his other friends have, so. And I've thought about quitting before in the past, but I just don't- I just don't see how it's possible right now." }, { "from": "gpt", "value": "What made you decide to quit smoking when you were pregnant?" }, { "from": "human", "value": "Well, he was inside me and we were sharing everything and I knew that he would get some of that. And I didn't-- I just didn't-didn't think I could live with myself if something happened to him." }, { "from": "gpt", "value": "Right now, though, it feels almost too difficult to even manage or even to try?" }, { "from": "human", "value": "Yeah, exactly." }, { "from": "gpt", "value": "How were you successful when you quit before?" }, { "from": "human", "value": "I don't know. I-I think about it now, I don't even know how I did it. I just- I just did it. You know, I just- I just couldn't imagine like him not being born or going into labor early-" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "-and-and him having problems and stuff like that, all the stuff that they talk about with women who smoke. So I-- that was just enough to-to say, \"Okay, you know what, I'm-I'm not going to risk that.\" so." }, { "from": "gpt", "value": "Mm-hmm. The risks were so scary then that you were able to stop?" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "But they don't feel as scary to you now?" }, { "from": "human", "value": "No, I mean, we're two separate people. And like I said, I don't, I try really hard not to smoke around him. I'm pretty good about that. I-I don't let other people smoke around him. Um, so I, you know." }, { "from": "gpt", "value": "You're doing the best you can do." }, { "from": "human", "value": "Yes." }, { "from": "gpt", "value": "Okay. But it sounds to me too like part of you really does want to quit?" }, { "from": "human", "value": "Yeah. I-I know that I need to, and I, you know, keep every new year I say, \"Okay, this year I'm gonna quit smoking\" but then something happens and it-it just doesn't. And quitting doesn't happen." }, { "from": "gpt", "value": "It's on your to-do list. It's just not making it to the top?" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "If you did decide to quit on a scale of 1 to 10, where 1 is not at all confident, and you don't think you could do it and 10 is you feel pretty certain that you could, where do you think you fall right now?" }, { "from": "human", "value": "Probably like a 5 . Kind of in the unsure area. Like I know I've done it before, so I know I can do it, but at the same time, it just seems really hard. And it's not the same situation." }, { "from": "gpt", "value": "Well, what made you say five rather than two or three?" }, { "from": "human", "value": "I know- I know all the ways it's bad for me. And I don't want him to grow up thinking that it's okay to smoke. I don't want him to-to use any kind of-- I don't want him to chew or anything like that. Um, so I know I need to, especially before he gets old enough to understand what mommy's doing, but I just don't know if I can do it." }, { "from": "gpt", "value": "Okay. So it sounds like you have a lot of reasons why you'd like to quit. You have been successful quitting in the past, and right now you're just feeling a little bit hesitant about your ability to do it?" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Where do you think we should go from here?" }, { "from": "human", "value": "I don't know. I-I'd like some help. I just don't know what kind of help I need." }, { "from": "gpt", "value": "Sure. Well, if you'd be interested, that's something I can definitely talk to you about. There are a lot of new options that can actually help people be way more successful in their attempt at quitting. There's different medications you can try." }, { "from": "human", "value": "I don't like medicine." }, { "from": "gpt", "value": "Okay. There's also a lot of support groups and classes that you can take where you have other people to go through it with you. And sometimes just having that support can be a big part of it, especially for people like you where smoking is such a stress reliever." }, { "from": "human", "value": "That sounds nice, but I'm not sure if I have the time for all that." }, { "from": "gpt", "value": "Sure. It feels like something that would take up a lot of time and maybe not fit into your life. I wonder if we could talk about some options that might fit into your life." }, { "from": "human", "value": "That would be really nice." }, { "from": "gpt", "value": "Okay. Well, if you're willing, then we could set up another appointment where you could come in and we could talk more about that." }, { "from": "human", "value": "I would like that. That would be great." }, { "from": "gpt", "value": "Great." }, { "from": "human", "value": "Thank you." }, { "from": "gpt", "value": "Sure." } ]
21_ alcohol consumption
[ { "from": "gpt", "value": "Hi, Laura." }, { "from": "human", "value": "Hi." }, { "from": "gpt", "value": "Thanks for coming in. Um, so, I'm not sure how much you know already about sort of what you're doing here. If it's okay, I'll give you a little rundown." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "So, basically, we're here, I'm just gonna talk to you for a little bit about sort of what your goals are for your life, um, get to know you a little bit better and talk about some different behaviors that you might be engaging in. It's not my job at all to judge you or to try and change you, you know. Basically, I'm gonna talk to you about how things are going, any changes you might want to make in your life, how I could help you with that, and just what I can do that's going to be most beneficial for you." }, { "from": "human", "value": "Okay." }, { "from": "gpt", "value": "Does that sound okay?" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "All right, so, I guess just to get started, can you tell me a little bit about yourself?" }, { "from": "human", "value": "Well, my name is Laura. I'm 17 years old, and I'm a senior in high school." }, { "from": "gpt", "value": "Okay. And, what kinds of things do you plan for your life?" }, { "from": "human", "value": "Well, hopefully, go to college, get, you know, good enough grades to go to college." }, { "from": "gpt", "value": "Hm." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "That's great." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Do you have a plan as to where you might want to go or?" }, { "from": "human", "value": "Um, I'm not sure yet. Maybe a few schools in the area, I'm looking maybe to apply out-of-state." }, { "from": "gpt", "value": "Oh." }, { "from": "human", "value": "So, maybe move away for college." }, { "from": "gpt", "value": "Cool." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "So, kind of keeping your options open." }, { "from": "human", "value": "Yeah, definitely." }, { "from": "gpt", "value": "Great. And, do you have an idea about what you might want to study or?" }, { "from": "human", "value": "Yeah, maybe um, pre-law." }, { "from": "gpt", "value": "Oh, wow. Okay, that's exciting." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "All right, cool. Uh, what do you like to do for fun?" }, { "from": "human", "value": "Well, um, on the weekends I like to hang out with my friends, maybe go to like a party, or go to the mall to shop, or if there's like a school-related event, we'll go to like a football game or-" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "-something like that, yeah." }, { "from": "gpt", "value": "You like to have a good time?" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "And, you have a lot of friends or a few close people, or?" }, { "from": "human", "value": "Um, I would say like a moderate amount. I'm not really-really popular or like, I have no friends." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "So, I'm like normal." }, { "from": "gpt", "value": "All right." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "That's a good way to be, right?" }, { "from": "human", "value": "Yeah. [chuckles]" }, { "from": "gpt", "value": "All right, so, um, it sounds like, in general, your-- Things are going pretty well for you. How are your grades right now?" }, { "from": "human", "value": "Um, they're pretty good, As and Bs. So, I'm doing okay." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "Through college." }, { "from": "gpt", "value": "Great. Well, one thing I want to ask about is, you know, different people have sort of different values or things that are important to them. They might, you know, be really close with family or really have, you know, their friends as being something particularly important. So, I'm gonna show you just a few things on this sheet, and if you can look at them all. So, there's things like belonging, community, cultural identity, family, friendship, modesty, religion, respect, self-determination and spirituality. Which of those do you think is sort of important to you?" }, { "from": "human", "value": "Um, family definitely, uh, friendship, and belonging." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "What's important to you about your family?" }, { "from": "human", "value": "Well, I-I love them, so I want them to think well of me-" }, { "from": "gpt", "value": "Hm." }, { "from": "human", "value": "-and I want them to, um, be accepting and love me." }, { "from": "gpt", "value": "Okay. Do you have brothers or sisters?" }, { "from": "human", "value": "Yeah, I have one sister." }, { "from": "gpt", "value": "Okay, great. And, how about friendship?" }, { "from": "human", "value": "Friendship, um, I've-I've grown close to many people that I care about. So, I would like them to be accepting of me as well." }, { "from": "gpt", "value": "Great. So, being a good friend and-" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "-having people who are good friends, too, is important. And then, what about belonging? You mentioned that one too." }, { "from": "human", "value": "Yeah, just a sense of like fitting in and not-- And like getting accepted-" }, { "from": "gpt", "value": "Hm." }, { "from": "human", "value": "-in general, yeah." }, { "from": "gpt", "value": "Yeah. Wanting to be part of a group-" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "-and kinda. Okay, great. All right, well, one of the things I wanna talk about is, you know, um, you mentioned that you'd like to go out with friends and-and party, and that sort of a thing. And, I'm curious, when you're out in the parties, do you ever have any alcohol?" }, { "from": "human", "value": "Um, not much, maybe like one or two drinks at the most." }, { "from": "gpt", "value": "Okay. Can you tell me a little bit about how alcohol fits into your overall social scene?" }, { "from": "human", "value": "Um, I pretty much just have a drink to just have it like, so it looks like I'm drinking, even though I'm not." }, { "from": "gpt", "value": "Hm." }, { "from": "human", "value": "So maybe people won't bug me about drinking or something." }, { "from": "gpt", "value": "Okay, you're kinda getting pressure from other people who are drinking, and it feels easier for you to-" }, { "from": "human", "value": "Yeah just-" }, { "from": "human", "value": "-kinda hold a drink." }, { "from": "human", "value": "-have one there and pretending to have it." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "And, do you think that, um, this is most weekends or occasionally? How-" }, { "from": "human", "value": "Um." }, { "from": "gpt", "value": "-often do you think that you are around alcohol." }, { "from": "human", "value": "Maybe one or two weekends a month at the most?" }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "Not really much." }, { "from": "gpt", "value": "So, one or two weekends a month you're in a situation where there is alcohol?" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Okay. And what sort of situations are you in?" }, { "from": "human", "value": "Well, just I guess, at a party or something, someone's house." }, { "from": "gpt", "value": "Uh-huh." }, { "from": "human", "value": "Or, even if it's not a party, like a small social gathering, maybe there'll be like a few beers around-" }, { "from": "gpt", "value": "Hm." }, { "from": "human", "value": "-or something." }, { "from": "gpt", "value": "So, mainly, just kinda hanging out with friends." }, { "from": "human", "value": "Pretty much, yeah." }, { "from": "gpt", "value": "Are you ever, um, places where there are parents around or-" }, { "from": "human", "value": "Um—" }, { "from": "gpt", "value": "-or mostly just-just with the kids?" }, { "from": "human", "value": "Mostly just with us, but, sometimes I'll go to like a close friend's house and like I'm close to a family as well. So, we'll all just hang out." }, { "from": "gpt", "value": "Mm-hmm. And, what about driving?" }, { "from": "human", "value": "Um, like drunk driving?" }, { "from": "gpt", "value": "Yeah. Do you ever go anywhere in a car after you've had any alcohol?" }, { "from": "human", "value": "Um, definitely not. I've never drunk-driven, and I've never been in a car with a drunk driver." }, { "from": "gpt", "value": "Okay. So, that's something that you've sort of made a decision about. It sound like you—" }, { "from": "human", "value": "Yeah, because I know that's extremely dangerous, so." }, { "from": "gpt", "value": "Okay. What do you know about how that's dangerous?" }, { "from": "human", "value": "Um, well, alcohol definitely impairs your judgment. So, I mean, driving under the influence of alcohol can lead to like crashes and accidents and things like that, so I'd rather not be in that situation." }, { "from": "gpt", "value": "So, you're really are trying to be safe and-and make sure that-" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "-you're not putting yourself-" }, { "from": "human", "value": "Yeah, definitely." }, { "from": "gpt", "value": "-in those situations? That's great. You know, it's-it's tough to do sometimes, and I really commend you for being able to-to stick with that." }, { "from": "human", "value": "Thank you." }, { "from": "gpt", "value": "So, you mentioned, you pretty much will like hold a drink or maybe have a drink or two. What do you thinks is the most alcohol you've ever had in-in one day?" }, { "from": "human", "value": "Not more than two drinks." }, { "from": "gpt", "value": "Okay. So, the-the absolute most-" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "-was two? Okay. And, what kinds of things do you like about alcohol?" }, { "from": "human", "value": "Um, I've never really been drunk-" }, { "from": "gpt", "value": "Uh-huh." }, { "from": "human", "value": "-so, I can't really say that I like that feeling or not, but, it's just like-- I mean, you're just in a good mood." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "So." }, { "from": "gpt", "value": "So, it just kind of makes you feel relaxed or?" }, { "from": "human", "value": "Yeah, yeah, relaxed." }, { "from": "gpt", "value": "Okay. Uh, anything else?" }, { "from": "human", "value": "Um, no, not really. Like I said, I don't drink that much-" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "So, I-I wouldn't be able to tell you." }, { "from": "gpt", "value": "Okay. And, any not-so-good things about alcohol?" }, { "from": "human", "value": "Um, definitely, yeah. I mean, when I'm at parties and stuff and it's getting a little later, some people, um, that drink-- Like, drank too much, they start throwing up, or they get hurt, or they're really loud and obnoxious, and that's not fun for anybody." }, { "from": "gpt", "value": "Mm-hmm. So, you've seen a lot of other kids who-" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "-had some consequences-" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "-and decided that's not for you?" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Got it. I-I can understand that. [chuckles] Uh, any other things that you can think of?" }, { "from": "human", "value": "Um, no, I mean, I've never, you know, been friends with anybody that's gotten into like a serious accident and stuff. It's just-" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "-very, like, obnoxious things." }, { "from": "gpt", "value": "Okay. Well, so, you know, as someone who's not 21 yet, it is-- Underage drinking is something that's not legal-" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "-and it is something that is considered pretty risky. So, I wonder what you think about that, just in terms of how it fits into your life." }, { "from": "human", "value": "Um, I know it's definitely risky, but, I mean, I guess, we still do it. [chuckles]" }, { "from": "gpt", "value": "Uh-huh. So, it's kind of something that you're—" }, { "from": "human", "value": "It's just there." }, { "from": "gpt", "value": "It's just there? Okay. And, I'm curious, you mentioned, you know, your friends are important to you, and your family's important to you, and, sort of fitting in is important to you. How does alcohol play a role with that?" }, { "from": "human", "value": "Um, well, definitely not in my family life, because my parents don't really condone-" }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "-alcohol use, but, friendships, I mean, when I'm hanging out with my friends, or we're at a party or something, there's usually alcohol involved." }, { "from": "gpt", "value": "Okay. So, from your family perspective, the drinking is not something that fits very well?" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "And with friends, you feel like it's easier to-to hang out with alcohol, or maybe you wouldn't have as much fun, or your friends wouldn't like you as much or?" }, { "from": "human", "value": "I guess, I mean, since it's just there." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "So-" }, { "from": "gpt", "value": "Got it." }, { "from": "human", "value": "-it ties in with the whole belonging thing." }, { "from": "gpt", "value": "Okay. Well, when you think about your drinking and, sort of, looking forward in 5 years or 10 years, how do you think that drinking might fit in with your life?" }, { "from": "human", "value": "Um, it probably will have a very small role, if any-" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "-in my life, considering I have big plans for my future. So." }, { "from": "gpt", "value": "Okay. Can you expand on that a little bit more? What do you mean?" }, { "from": "human", "value": "I mean, I don't think I would be, you know, drinking as much or going to parties as much if I'm studying for school, or in college, or trying to get in law school and things like that." }, { "from": "gpt", "value": "Okay, so, the-the alcohol is something that might make it harder to reach your goals?" }, { "from": "human", "value": "Yeah, definitely." }, { "from": "gpt", "value": "Um, so, when you're sort of looking ahead, how often do you think you might be drinking, say, when you get to college?" }, { "from": "human", "value": "Um, maybe less than I am now. I mean, I don't drink much anyway, so-" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "-maybe, like, one drink every once in a blue moon." }, { "from": "gpt", "value": "Okay. So, you sort of have a plan to cut back on-" }, { "from": "human", "value": "Yeah, definitely." }, { "from": "gpt", "value": "-your drinking eventually?" }, { "from": "human", "value": "For sure." }, { "from": "gpt", "value": "How might that go?" }, { "from": "human", "value": "Well, I mean, I guess right now I would try to stop in high school, and once I get older, maybe just like, socially once in a while, but not anything big or anything." }, { "from": "gpt", "value": "Yeah, so, you don't feel the need to make any major changes, but you feel like you could make some adjustments that would make it easier or—" }, { "from": "human", "value": "Definitely, yeah. That's a good word." }, { "from": "gpt", "value": "Okay. How important is it to you to make some adjustments to your drinking, on a scale of 1 to 10? Where 1 is not at all important, not something you're thinking about, and 10 is most important thing." }, { "from": "human", "value": "Maybe a five or six." }, { "from": "gpt", "value": "And why did you say five or six rather than like two or three?" }, { "from": "human", "value": "Because, um, it's not something I do not care about at all, but it's not something that's just constantly on my mind that I want to change about myself." }, { "from": "gpt", "value": "Okay. So, it is something you have thought about or something." }, { "from": "human", "value": "Yeah, yeah. Definitely." }, { "from": "gpt", "value": "Okay. And, how confident are you that you could make a change if you decide you wanted to on that same scale?" }, { "from": "human", "value": "Um, I'm pretty confident that I can considering that I'm not really an alcohol user per se." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "I'm not really into that whole scene, so, it's-it's not gonna bedifficult for me." }, { "from": "gpt", "value": "So, what number do you think you'd say?" }, { "from": "human", "value": "Um, on a scale of 1 to 10-" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "-if I can quit or not?" }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "Maybe like an 8 or 9." }, { "from": "gpt", "value": "Okay, and why'd you say 8 or 9 rather than even like 5 or 6?" }, { "from": "human", "value": "Because, like I said, it's not a big part of my life. So, it's not really that difficult" }, { "from": "gpt", "value": "Okay. All right. Well, kind of keeping that in mind, it sounds like, um, you do have sort of a-a vague plan to make some adjustments in your drinking at some point-" }, { "from": "human", "value": "Yes." }, { "from": "gpt", "value": "-and, it's moderately important to you. It's something you would like to do because you have these big goals for yourself, and you actually feel very confident that you could be successful with it. What sort of goal do you think might be good to set for today?" }, { "from": "human", "value": "Um, probably to stop, maybe next party I go to, not have a drink at all." }, { "from": "gpt", "value": "Okay. Um, do you feel pretty confident that you could just stop completely?" }, { "from": "human", "value": "Yeah. I mean, I can just tell my friends-- My pa-- My friends aren't really that pressuring." }, { "from": "gpt", "value": "Uh-huh." }, { "from": "human", "value": "It's just like outside people that I don't really know that well." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "So, I could just tell them, \"Hey, I don't feel like having a drink today.\"" }, { "from": "gpt", "value": "What-what might be some benefits of following through with that goal?" }, { "from": "human", "value": "Um, definitely, I'll have like all my senses there and I'll be aware of everything that's going on." }, { "from": "gpt", "value": "Uh-huh. Anything else?" }, { "from": "human", "value": "Um, health concerns, I guess. I know alcohol is bad for your health." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "So, that would be one." }, { "from": "gpt", "value": "Okay. So, it's-- It sounds like you're actually pretty comfortable with setting a goal of not drinking anymore a-at least at the next part? and seeing how it goes." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Okay. Do you think it would be all right if we met again to kinda check in on how it goes and-and see if it's working out for you?" }, { "from": "human", "value": "Yeah, that would be okay." }, { "from": "gpt", "value": "All right, great. And then, i-it sounds like some of the benefits you're expecting are, um, health benefits-" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "-having an easier time with achieving your academic and career goals, and just sort of not having to deal with some of the consequences that your peers do." }, { "from": "human", "value": "Right." }, { "from": "gpt", "value": "Okay. Well, very good. Um, is there anything else that you think would be important for me to know?" }, { "from": "human", "value": "Um, how would you, um, advise me to like get maybe my friends to stop drinking?" }, { "from": "gpt", "value": "Oh, that's a great question. So, a lot of times, kids who are trying to cut back, it's harder if their friends are still drinking, and one of the easiest things is trying to have more activities that don't involve alcohol, but-" }, { "from": "human", "value": "Okay, yeah." }, { "from": "gpt", "value": "-of course, that's harder if you're not the one planning. So, some of the things that can be useful if you're at a party say, um, and there's already alcohol there, and there are other kids that maybe aren't your closest friends, um, some of the things that I would recommend since you're interested are, you know, carrying around a different drink that looks like it has alcohol in it. So, you know, even carrying an empty beer bottle or beer can or, you know, if people are having a mixed drink, just having the coke, say-" }, { "from": "human", "value": "Oh okay." }, { "from": "gpt", "value": "-without any alcohol mixed into it. Um, often, having anything in your hand is a good barrier for people who are trying to offer you alcohol, because you already have something in your hand-" }, { "from": "human", "value": "Yeah, that's a good idea." }, { "from": "gpt", "value": "-and it-it kinda, um, prevents them from trying to stuff something else in there. Do you think any of those things might work for you?" }, { "from": "human", "value": "Yeah, for sure." }, { "from": "gpt", "value": "Okay. What about in terms of talking to your friends about it, have you thought about how you might approach with them or is that something else you'd like some tips about, about telling them about your plan to-" }, { "from": "human", "value": "I mean-" }, { "from": "gpt", "value": "-to stop drinking." }, { "from": "human", "value": "-I was just planning on telling them that I don't really want to drink anymore. That wasn't me." }, { "from": "gpt", "value": "Uh-huh." }, { "from": "human", "value": "So." }, { "from": "gpt", "value": "Your friends would be pretty comfortable with that?" }, { "from": "human", "value": "Yeah. I mean, at least my closest friends, for sure." }, { "from": "gpt", "value": "Okay, great. Any other concerns or questions? Anything else I can help with?" }, { "from": "human", "value": "No. No, I think I'm okay." }, { "from": "gpt", "value": "Okay. So then, like I said, um, I'll try and see if we can meet up maybe in a few weeks and see how it's going-" }, { "from": "human", "value": "Okay." }, { "from": "gpt", "value": "-and then, um, if things are going great, then fantastic, and if you run into any stumbling blocks, then we can maybe problem-solve together." }, { "from": "human", "value": "Okay, great. Thanks." }, { "from": "gpt", "value": "That sound okay?" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "All right. Thanks so much." }, { "from": "human", "value": "No problem." } ]
22_ client to live in more alignment with her values
[ { "from": "gpt", "value": "You did your values clarification handout, and that was part of what I wanted to go over with you today. I wanted to hear about your values and just talk to you a little bit more about that. Do-do you wanna tell me what some of your top five values are?" }, { "from": "human", "value": "Yes, um, my top value is family happiness, um, that's-" }, { "from": "gpt", "value": "That's number one?" }, { "from": "human", "value": "-that's number one to me, especially now. I usually do this values clarification sheet, like, every two to three months-" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "-just to see if anything changed, and every time it has changed." }, { "from": "gpt", "value": "Oh. So, right now family value is the most important thing to you?" }, { "from": "human", "value": "Yes." }, { "from": "gpt", "value": "Family happiness?" }, { "from": "human", "value": "Yes, it's the most important because it's a little lacking, so I know that that's something that is very important to me." }, { "from": "gpt", "value": "Okay. Would you like to talk more about that?" }, { "from": "human", "value": "Yeah. Um, I can just pretty much say that my family hasn't been on one accord, so, like, if-- I feel like if we all just can fall in the middle, which I know everybody doesn't really follow that track. So, um, I think for my part, 'cause I can't change anybody, is to be more present and, um, just listen and understand my family members, and-and be able to voice what I feel as far as how important family happiness-happiness is to me." }, { "from": "gpt", "value": "Mm. Because even though it's important to you, maybe they don't know it's important to you." }, { "from": "human", "value": "Yes." }, { "from": "gpt", "value": "Is that what you're saying? Yes?" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "And you want them to know?" }, { "from": "human", "value": "And I want them to know how important it is to me, especially now, and I do this, like I said, every two to three months just to see where I am." }, { "from": "gpt", "value": "Uh-huh." }, { "from": "human", "value": "And, um, these definitely are different from-" }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "-what I usually pick." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "Um, and then the second one I said is religion. Um, it was number one at first, um, but somehow with a big situation that happened in my family you kind of lose sight of your faith a little bit, which is normal. And not a lot of people-- They, uh-- Well, in my church home, i-it just seems like, \"Oh, you lost touch of God, oh my gosh, you're the devil.\"" }, { "from": "gpt", "value": "Uh-huh." }, { "from": "human", "value": "You know? And it's kind of like, well we all face those challenges every day, we're not perfect, you know? And I feel like my faith is still there but it's-- You know, as long as it's still there, that's all that matters." }, { "from": "gpt", "value": "Right. So, right now, it really is important to you to put the family values first? And religion is still very important to you, but you feel like maybe you're losing faith a little bit?" }, { "from": "human", "value": "Yeah. I lost faith, and so I'm not afraid to say it." }, { "from": "gpt", "value": "Uh-huh." }, { "from": "human", "value": "You know? And once you say [unintelligible 00:03:12] people that don't really feel like that's—" }, { "from": "gpt", "value": "Because you know that other people experience it too." }, { "from": "human", "value": "Yeah, I know that." }, { "from": "gpt", "value": "So, you know it's normal." }, { "from": "human", "value": "I know that it's normal." }, { "from": "gpt", "value": "But sometimes it's not something that people talk about." }, { "from": "human", "value": "Yeah, well, it's a—" }, { "from": "gpt", "value": "Especially in the church." }, { "from": "human", "value": "Yeah, it's like a shock to them when you say something like that. And it's like, \"Well, we all go through things where we're just not sure, and--\" I still have a little bit, I'm not saying that I'm off track, you know? I still have a little bit to go on. And the little bit that I do have are the positive things in my life that I look at and I'm like, \"Okay, well, I'm not in this situation, so I'm thankful,\" and-" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "-you know, I'd still have faith to keep going on, but sometimes you feel as though, \"Where is God?\"" }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "You know?" }, { "from": "gpt", "value": "And it sounds like right now you're at a place of acceptance about that also." }, { "from": "human", "value": "Yes." }, { "from": "gpt", "value": "Uh, that it's okay with you, and you-you know that it's gonna change because that's been your, uh, experience." }, { "from": "human", "value": "Yes." }, { "from": "gpt", "value": "You've done numerous values clarification handouts and every time they're different-" }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "-so you know that it's going to change." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "And you accept that?" }, { "from": "human", "value": "I've accepted that. At first, I was like, \"Whoa,\" I think I was focused too much on the first time I did it-" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "-then the second time that I did it-- I did five of these total-" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "-but the second time that I did it I was so focused on, \"What did I read about last time?\" You know?" }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "So, and I just went ahead and blanked that out and I just went and I-" }, { "from": "gpt", "value": "Yes." }, { "from": "human", "value": "-compared and I was like, \"Oh wow.\"" }, { "from": "gpt", "value": "I really applaud you for being open-minded enough to realize that where you are now is not necessarily where you are, that you don't have to always have it be the same." }, { "from": "human", "value": "Mm-hmm, and that's what I felt wasn't-- At first I was like, \"Is that not normal?\" You know?" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "But, I noticed people go through things every day. I go through things in life. Things are gonna change." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "Things do not stay the same. Um, you know, like, you may be here, you're gonna go there, you're gonna go over there, not necessarily saying you're gonna fall down, but your view on life changes the more experience, the more life, every day-" }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "-every day your eyes-- Well, to me, my eyes have gotten broader, and broader, and broader. So—" }, { "from": "gpt", "value": "Right." }, { "from": "human", "value": "I don't limit myself to change anymore, I just kind of fill it out, and then [unintelligible 00:05:38] I'm like, \"Okay.\"" }, { "from": "gpt", "value": "All right." }, { "from": "human", "value": "That's cool, so I'll focus more on that, than on the unnecessary stuff in my life." }, { "from": "gpt", "value": "Mm-hmm. Do you feel that there are some parts of your life where you'd like to be more in line with your values, or do you feel like you're really on target with them?" }, { "from": "human", "value": "Um, I mentioned before that it was kind of, like, out of place for me, because when I did this one in particular, um, as-as-- I stated that there were-- The other three were important to me, but I haven't focused on it so I'm like, \"Okay, it's important to me,\" so I lost track of that and the other three—" }, { "from": "gpt", "value": "The other three?" }, { "from": "human", "value": "Um, number three was health." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "Number four is inner harmony, and number five is security." }, { "from": "gpt", "value": "Inner harmony, health, and security-" }, { "from": "human", "value": "Yes." }, { "from": "gpt", "value": "-are the other three?" }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "And the top two are family happiness and religion?" }, { "from": "human", "value": "And religion." }, { "from": "gpt", "value": "Okay, and the three- the three other ones, inner harmony-- Let me see if I can remember them. Inner harmony, health and, what was the other one?" }, { "from": "human", "value": "Security." }, { "from": "gpt", "value": "Security." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Inner harmony, health, and security." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "You feel like you're not really paying as much attention to them as you would want to?" }, { "from": "human", "value": "Yeah, because when I saw it I was like, \"Okay, yeah, that's one, that's one, and that's one.\"" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "But—" }, { "from": "gpt", "value": "Is it because a lot of your time is being taken with the first two or?" }, { "from": "human", "value": "A lot of my time is being taken with, um, number one especially-" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "-and, uh, I learned about the different way of looking at self-esteem." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "-and I've been definitely esteeming others." }, { "from": "gpt", "value": "Uh." }, { "from": "human", "value": "So, I've had, um, less time to have some inner harmony." }, { "from": "gpt", "value": "Oh yeah, right. The family has been so much coming first that you have sort of taken a back seat?" }, { "from": "human", "value": "Yes." }, { "from": "gpt", "value": "You're not even on-- Are you on the schedule at all? Meaning of time in a day dedicated? Is most of it going to your family?" }, { "from": "human", "value": "Most of it goes to everything else, but me." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "And, uh, like, I don't even—" }, { "from": "gpt", "value": "It's gonna be hard to achieve inner harmony-" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "-if you're always running around taking care of everybody." }, { "from": "human", "value": "And I feel like inner harmony first comes with sleep. [laughter] I haven't been able to sleep lately." }, { "from": "gpt", "value": "Right." }, { "from": "human", "value": "But, um-" }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "-I think that's the first step, but I just, like-- Oh my gosh, I'm just overwhelmed, um, but I would like to gain that back, inner harmony, inner peace-" }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "-because when I was, you know, 18 I was just so, like, free-spirited, open-minded. I was living life, now that I look at it, as a fairy tale." }, { "from": "gpt", "value": "Mm. Mm-hmm." }, { "from": "human", "value": "And so I got knocked to reality and reality said, \"This is not a fairy tale.\" Um, you're now on board. Like—" }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "And so I felt like, \"This is not about you, you know, this is about everyone else.\"" }, { "from": "gpt", "value": "Mm. So, something dramatic happened?" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "That kind of shocked you out of that fairy tale life-" }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "-and into a take care of everyone else thing?" }, { "from": "human", "value": "Yeah-" }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "-definitely, and the shock just keeps getting." }, { "from": "gpt", "value": "Okay. Well, I really enjoyed having the time to be able to sit down and talk to you about your values. I hope that it's been helpful to you, and in the future, if I can support even any way in helping some of those other values get a little bit more attention, we can talk about that next time." }, { "from": "human", "value": "Thank you for listening." }, { "from": "gpt", "value": "Okay. All right? You're welcome." } ]
23_ management
[ { "from": "gpt", "value": "Hi, Hannah. Nice to meet you." }, { "from": "human", "value": "Hi." }, { "from": "gpt", "value": "So I understand that you were referred to me by your GP because you've been experiencing some anxiety difficulties." }, { "from": "human", "value": "Yeah. Um, yeah, I guess it kind of- it kind of started like five, six years ago." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "Um, it kind of escalated a bit. Um, I've just recently moved out, um, from living with my parents. So just made it a bit worse, I think." }, { "from": "gpt", "value": "Okay. Is this the first time that you've left home?" }, { "from": "human", "value": "Yeah, I am- Yeah. It's the first time actually, yeah. Um, I was going to a few years ago. I just thought it'd be easier to stay at home, so." }, { "from": "gpt", "value": "Okay. So it has been quite a big step and a big change and it sounds like that that was what led you to go to your GP." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "So how has that, uh, changed things for you?" }, { "from": "human", "value": "Um, don't know, it's kind of, I haven't really told anyone, so, I mean, it's made it like better in sense. I feel, hopefully this is, this is it like, it- it'll help, but I don't know. I don't like thinking that I've like have to do this. I never thought I'd like be the kind of person you'd have to actually go and like get help if that makes sense." }, { "from": "gpt", "value": "Okay. So how do you feel about being here today?" }, { "from": "human", "value": "It's like scared. I don't know. Hopefully, it will help." }, { "from": "gpt", "value": "Okay. So you'd, you're feeling a little bit anxious about today." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Okay. So I guess just going back to why you went to the GP and how you've ended up kind of coming here today. So it sounds like you've been experiencing anxiety for quite a few years. Um, but just recently you moved out of home for the first time and, um, and that was what kind of led you to go to the GP. So how did that change things? How were things after you moved out?" }, { "from": "human", "value": "Um, I thought that they'd be better, but 'cause I thought I'd have to kind of be independent and I suppose actually a lot worse. So I'm-I'm just kind of staying in the house a lot. I don't really have any friends or anything. I mean my family come and visit a bit, but it's not-- I don't know. It's kind of scary because I've just been kind of-- that should just end the flight by myself, which I always thought I'd like, but I don't actually like it." }, { "from": "gpt", "value": "Okay. So what other kinds of difficulties that you have been experiencing?" }, { "from": "human", "value": "Um, I mean, I'm-I'm a photographer. Um, so I kind of-- It's-it's been stopping me a bit, my anxiety, from being able to get work and because every time, you know, there's, uh, an opportunity that is kind of involving me having to interact with people, I just tend to just turn it down. So it was kind of making things hard in that respect and um, just kind of friends wise and everything. I just feel like I'm just kind of increasingly more alone. So it's kind of stopping me from making friends and, you know, like relationships and stuff." }, { "from": "gpt", "value": "Okay. So you said that, um, your difficulties are getting in the way of you doing certain things. So they're, they're stopping you from taking up kind of certain types of work and as a freelance photographer, I guess that- that can be kind of a problem. And they're also stopping you or you feel like it's stunting you, uh, socially. You're not kind of able to make new friends and get to meet new people." }, { "from": "human", "value": "Yeah, yeah. Um, it was kind of easier when I was at home because I was obviously, I mean, my parents, so it's fine, but you know, they would, I'd go to places with, um, or I'd kind of have people there, but more and more, I'm just finding myself just staying in a lot. I mean-- I went like two weeks ago for coffee with my friends and the whole time I was just kind of wanting to go home again. So I don't, I just don't want to-- I don't want that to happen. I don't want to lose everyone. So-" }, { "from": "gpt", "value": "So you're kind of worried about how, where this is going to lead to." }, { "from": "human", "value": "Yeah. Um, yeah." }, { "from": "gpt", "value": "So you said that you first noticed the anxiety kicking in about five or six years ago." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "So you would have been about 19." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "And what was happening around that time?" }, { "from": "human", "value": "Uh, I guess I'd finished school about a year before that. Um, and I mean, I-I've always been a bit shy, um, at school, but it was never ever, uh, like it didn't really affect the things as much as not at all as much as it has been doing the last few years ago, I guess. It just started when I- like my friends went to university, and, I don't know, I felt like I was expected to kind of move out or do something and then it just kind of escalated from there.I just stop going to parties or I'd just say no to invitations or I don't know, I thought my job would help because I mean, I love it. I've- I really like doing photography, but I'm just kind of getting less and less work as it goes on, so, which is my thing, you know, but—" }, { "from": "gpt", "value": "What kind of work is the most difficult for you in your job?" }, { "from": "human", "value": "I guess when it- I have to kind of be working with other people. Um, I don't like that. It's like when I'm trying to kind of- would do an event or something where there's a lot of people there, not just photographers, but actual, you know, if I'm like taking places with people that I don't know, I just kind of find myself saying, you know, I mean, I want to do them, but just is scary. So I just don't do it." }, { "from": "gpt", "value": "So I guess, tell me a bit more about what happens then. So let's focus on maybe an invitation to do a job with, uh, you know, it's going to involve, uh, photography with- with a group of people and you're going to have to have social interaction. What kind of thoughts go through your head?" }, { "from": "human", "value": "Um, just, I mean, I get really hot and sweaty, and I don't-- I feel like everyone's kind of looking at me and thinking that I'm just like really stupid, and I feel like they're all going to be staring and thinking, I just can't do my job. And I'm just an idiot. And I mean, they'll think that I just look like a weirdo and I just try and-- I mean, I just kind of just try and get out of the situation or just focus on something else. So that's why I like doing shots where it's just me and the camera 'cause I- then I can just put all my attention on that instead of having to, you know, be with other people." }, { "from": "gpt", "value": "Okay. So it sounds like you have quite a lot of thoughts rushing through your head then at the point where you get that invitation and you think, \"People will look, people will stare, people will think I'm a weirdo.\" So there's quite a lot about what you- what you think other the people will think. And how does that make you feel?" }, { "from": "human", "value": "Um, just makes me feel like an idiot, makes me feel like I just shouldn't even bother trying to do it anymore. I should just go home and I just-- I think I just don't want to be in that situation. I just feel like everyone else is fine and they're normal and I'm just the freak, you can't, like do normal things and—" }, { "from": "gpt", "value": "Okay. Can you give me an example of a-a recent situation? Maybe we can focus on that." }, { "from": "human", "value": "Um, like a work situation or just--?" }, { "from": "gpt", "value": "Yeah, time when you were maybe doing a job with some people and you felt the social anxiety, you know, that you're describing, you felt that kick in." }, { "from": "human", "value": "Yeah. I was doing a job where it was kind of like a- a Nature issue and I was having to work with a lot of different people. Um, and, um, when they told me about the job, I thought it would be fine. I thought it was just going to be a few other photographers, but there were actually people and, you know, I was taking photos of people kind of in the trees and stuff like that. And I guess- they asked me to, um—" }, { "from": "gpt", "value": "It's quite interesting. Was that a fashion shoot or something?" }, { "from": "human", "value": "Yeah. Yeah. It was a fashion thing. I think it was for some kind of-- I'm not sure if it was a campaign or something, but, it was-" }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "Yeah, it was, yeah, it was really cool, but I find it- found it really hard to try and focus on that 'cause I was so- I was kind of feeling really anxious and—" }, { "from": "gpt", "value": "So it wasn't what you expected?" }, { "from": "human", "value": "No. No." }, { "from": "gpt", "value": "So how long ago was that?" }, { "from": "human", "value": "That was two weeks ago." }, { "from": "gpt", "value": "Okay. So it was quite recent." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "So on that particular day, what were the thoughts that you had in your head when you were in that situation?" }, { "from": "human", "value": "I just felt really- just really kind of hot. I couldn't really breathe and just felt like I wanted to just get out. And I was kind of trying really, really hard to just focus, and just, you know, like kind of hold the camera and just not think about anything, but I just felt like everyone was looking at me and like, when they'd say 'action' and they're trying to get me to start and I was just felt like everyone was just thinking I was really stupid and I shouldn't have been there and—" }, { "from": "gpt", "value": "I can tell you're getting kind of anxious, even just thinking about that day." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Okay. So you're describing quite a lot there to me. So you're saying that you, you kind of got hot and sweaty, you said that you- you held the camera." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "W-what was, do you mean you kind of try to hide behind it or?" }, { "from": "human", "value": "I was just trying to focus on it. I was just thinking if I could just hold it really tightly, it would just-- I don't know. I'd kind of just be able to just get through it and just focus." }, { "from": "gpt", "value": "So you're holding the camera very tightly." }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "W-why was that? Why was that helpful?" }, { "from": "human", "value": "Cause I felt like I was getting really like hot and flushed and I just thought, at least if I can just-- I don't know. It sounds weird, but I was just trying to keep my hands still on it. 'Cause my hands were kind of sweaty and like shaking like loads, like, and I could just tell everyone was looking and they could see, and I just thought if I just managed to hold onto it, it wouldn't be as noticeable, but—" }, { "from": "gpt", "value": "Okay. So, okay. So it sounds like you had a lot of thoughts going through your head. Um, you said that you're worried that everyone's looking at you. What other thoughts were there that were in your mind?" }, { "from": "human", "value": "Just-- I was just, just stupid and it was just really-- just felt really like kind of- like everyone was just going to be staring and just thinking that I-- Like- I just felt like everyone was looking at me and just, they could tell. And then just thinking of what was she doing?" }, { "from": "gpt", "value": "They could tell what—" }, { "from": "human", "value": "I was just really like sweaty and just—" }, { "from": "gpt", "value": "Oh, it was all-all that they could see that-that was-" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "Yeah, um, I was trying to wear black so this kind of tries to cover it up and just like a lot of layers, so they can't tell but, I mean, my hands, like, they were so shaken. I was really red and just was-- Just wishing that I just wasn't there." }, { "from": "gpt", "value": "So, I mean, you've already described it to me a little bit, but if you think about how you looked that day, how'd-how'd you say, how'd you think you looked?" }, { "from": "human", "value": "I think just very stupid and, like, I think my face was really red. I could feel it flushing and I knew that I'd- I was probably sweating and shaking, like my hands were definitely really really shaking. Um, and af-- it was, like definitely really noticeable. Everyone could definitely see." }, { "from": "gpt", "value": "Okay and what-what did you do about-- How did you try and conceal that or hide that?" }, { "from": "human", "value": "Um, well, I again was trying to grip the camera, just look down, just trying not to do anything weird or-- 'Cause, I mean, they could probably tell I was being weird anyway, but hopefully if-- I just- I just tried really hard to just focus and look down, not trying, like not kind-- look at anyone else and just, yeah, just kind of trying get on with it as best as I could, but—" }, { "from": "gpt", "value": "So you avoided looking at people. It sounds like you wore black as well in kind of preparation anyway." }, { "from": "human", "value": "Yeah, no, I-I always do that even if it's really hot or I wear just loads of layers and just 'cause otherwise I- I'll just be really sweaty and like, people would definitely be able to see, so." }, { "from": "gpt", "value": "Okay and how did it end?" }, { "from": "human", "value": "Um, well, it kind of went on for like an hour or so, and then, um, people were going, um, just a-after every shoot people go out for drinks after just to kind of celebrate like that we've done it. I'd just- I went home straight away, just got on my car and went home. I just didn't want to be around them especially after they would've seen me being weird and I just wanted to get-get home straight away." }, { "from": "gpt", "value": "Okay." } ]
24_ cessation
[ { "from": "gpt", "value": "Hey, can I help you?" }, { "from": "human", "value": "Yeah, I hope so. Um, my workplace has just gone smoke-free. I-I'm not-not very happy about it. I'm gonna keep smoking, but I was wondering if there's anything that-that can help me like get through the day. It's like, you know, go get my beer and smoke cigarettes after work." }, { "from": "gpt", "value": "So your workplaces went smoke-free and you're not too pleased, huh?" }, { "from": "human", "value": "No. I'm not gonna quit smoking. I mean, I like it. It helps me relax. So, I mean, I don't see what the big deal is." }, { "from": "gpt", "value": "Okay. Tell me a little bit about how smoking fits in your day. It'll help with the—" }, { "from": "human", "value": "I mean, I smoke a little less than a pack a day. It's not too bad. Um, I've probably smoked for the last five years, but I-I-I mean, could quit if I wanted to, but I don't really want to right now." }, { "from": "gpt", "value": "Okay. So you feel like, right now, smoking's a pretty important part of your life. It's not something you're ready to change, but if the time came when you did decide to quit, you feel pretty confident that you could go ahead and do that." }, { "from": "human", "value": "Sure. I can quit." }, { "from": "gpt", "value": "Okay. What makes you so confident?" }, { "from": "human", "value": "Well, I mean, I don't see why I couldn't, I-- although I have not ever tried to quit, it's just something that I do for fun, you know, on breaks at work, in the morning, and after work." }, { "from": "gpt", "value": "Mm-hmm. And so in terms of, uh, uh, readiness to actually go ahead and make a quit attempt, where do you think you fall on the scale of 1 to 10, where one is, I'm not considering it at all, and 10 is, I'm definitely ready, I wanna quit." }, { "from": "human", "value": "I am probably a two. I-I haven't even thought about quitting and until this great announcement at work today, I- I'm totally not gonna quit smoking." }, { "from": "gpt", "value": "Okay. What made you say two instead of one?" }, { "from": "human", "value": "Well, I mean, anything's possible. I mean, I-I guess I could maybe be convinced. Yeah. Is there some-- I mean, are there things I can try that would make me like want to quit smoking?" }, { "from": "gpt", "value": "Well, there are a lot of products available now that can actually help you curb that urge to smoke. We have products that can help to replace nicotine, which can help to decrease withdrawal symptoms that you might experience when quitting or cutting down and also some medications that your doctor could prescribe for you that might take away even some of the desire to smoke." }, { "from": "human", "value": "Okay. Well, that’s good information. I mean, I'm not gonna do anything today. I just need to know my options, but that's encouraging. If I decided to quit smoking, I-I do have at least tools to help me." }, { "from": "gpt", "value": "Sure. And back to that scale, you mentioned, you said you were a two. What do you think it would take to move you up to a four or five?" }, { "from": "human", "value": "I don't know. I guess if my friends, like if one of my friends decided to like quit with me, that would probably help too, but I-- all my friends love to smoke, so I don't see that happening in the near future." }, { "from": "gpt", "value": "Sure. I wonder if now that your workplace is going smoke-free, if there will be some people at work who planning to quit." }, { "from": "human", "value": "That's a good point. I hadn't really thought about that. That-that's a good idea. Yeah." }, { "from": "gpt", "value": "Okay. Well, it sounds like you're really here just for information today. I'm happy to help you pick out some of these products if and when you decide that the time is right for you." }, { "from": "human", "value": "Okay. Well, thanks a lot." } ]
25_ loss
[ { "from": "gpt", "value": "So, Liz, what's something that you'd like to change or maybe that you're feeling two ways about right now?" }, { "from": "human", "value": "Um, I really want to start working out again. Definitely wanna get back in it, have a routine, and just be healthy." }, { "from": "gpt", "value": "Okay, and-and why would you want to make this change?" }, { "from": "human", "value": "Um, I'm sick of feeling the way I do. I feel kinda sluggish. Especially with the winter coming, I think I want to have more energy." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "Um, I don't like the way my clothes fit or don't fit me." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "Just, I don't feel comfortable." }, { "from": "gpt", "value": "Yeah. So, you're not feeling comfortable with the way that, you said, your clothes fit." }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "What are some of the reasons why, um, it would be good for you to kinda make this change?" }, { "from": "human", "value": "Um, I know exercise is-- in the past, has always made me feel good. I felt good about myself, and just in general, exercise, I know, makes me feel good. I want to be a good example for my kids. I want them to feel like that's a part of life-" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "-exercising. So, I want-- I really just want to go get back in a routine." }, { "from": "gpt", "value": "So, to heal-- feel healthy for yourself as well be a good role model for your kids?" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "So, if you did decide to get exercising more into your daily routine, how would you go about doing it?" }, { "from": "human", "value": "Um, I don't know. I'd probably have to sit down maybe with my husband and try to figure out a good time for me to be able to do that, where he'd be home with the kids and I'd be going to do that, whether it's morning-time, evening, maybe the weekends." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "Just to find the time to be able to do it, or what works in our schedule." }, { "from": "gpt", "value": "So, it's that balance of doing something for yourself, but it sounds like you don't want that schedule to affect too much into your family routine." }, { "from": "human", "value": "Right, yeah." }, { "from": "gpt", "value": "So, on a scale from 1 to 10, 1 being not important and 10 being very important, where would you rate yourself on how important it is to start exercising more?" }, { "from": "human", "value": "Mm, I would like to say a seven or an eight, that that's how important it is to me." }, { "from": "gpt", "value": "Okay, and how come not at like a five or a six?" }, { "from": "human", "value": "Because I'm really sick of being overweight." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "Not ha-- I just don't like being unhealthy. It doesn't make me feel good, so I'm motivated to change, it's just getting there." }, { "from": "gpt", "value": "So, to summarize, it's important for you to do this. You're starting to feel sluggish, you're not feeling healthy, and you know that you've got other people in your family watching you, and you want to be a good role model for them to know that this is gonna be just a part of your life, is your exercise. Yet for you, you're struggling just a little with the logistics of when to schedule time for you so it doesn't interfere too much with your family." }, { "from": "human", "value": "Exactly, yeah." }, { "from": "gpt", "value": "So, knowing this, what do you think you'll do next?" }, { "from": "human", "value": "Mm, I'll probably, I don't know, find-- Now, while it's still somewhat okay outside, maybe pick days I'm gonna go for walks or runs, um, maybe look for a gym close to the house so that I know I can go there quickly or maybe that has daycare, um, yeah, maybe I'll just start to look for that, and find ways I can do it first." }, { "from": "gpt", "value": "That's great. It sounds like you've got some options and leads on how- on how to get that done." }, { "from": "human", "value": "Yeah." } ]
26_ with rules
[ { "from": "gpt", "value": "So what's been going on?" }, { "from": "human", "value": "I just want my call, that's it." }, { "from": "gpt", "value": "All right. yeah, I was told that you're phone calls was taken away" }, { "from": "human", "value": "[scoffs] Yeah." }, { "from": "gpt", "value": "What-what happened?" }, { "from": "human", "value": "I don't know. Some of-- One of the officers, it's like he has it out for me or something. I don't- I don't know what it is. Something about me not making my bed, something about my attitude. I don't know, I just want my call, man." }, { "from": "gpt", "value": "Okay. yeah, it was weird when I, uh, got that report because for the most part since you've been here, uh, you'd been like, uh, model-model resident, uh, always making their bed, uh, been pretty, uh, respectful of the staff, of all the other residents. So, uh, is it something to do with you getting out in three weeks? It must be pretty hard." }, { "from": "human", "value": "I just wanna contact my mom, that's it." }, { "from": "gpt", "value": "Mm-hmm. Yeah, you used to have contact with your mom, you know, almost every other night and now for just about a week, you haven't even gotten to talk to her. I can imagine that being pretty difficult. I remember you saying something about like your dad's birthday coming up?" }, { "from": "human", "value": "My dad's birthday is tomorrow." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "And I just wanted my call so I can talk to my mom. That's it." }, { "from": "gpt", "value": "Like I said, it's been, um, a long time and this is basically the first time that we've seen this behavior from you, so I know for a lot of other guys right before they get out, uh, a lot of anxiety, a lot of frustration comes around because they haven't been out in a while and then like the pressures of being on the outside are starting to settle in. So is that something might be going on with you?" } ]
27_ management
[ { "from": "gpt", "value": "I understand that your asthma symptoms have been just really out of control. So, we need to look at some of the ways that you can get healthy and not be back here again." }, { "from": "human", "value": "Mm-hmm. Yeah, I de-I definitely don't wanna come back here. But, uh, the doc said Oscar, my dog, is connected to my asthma symptoms. But the-" }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "-ridiculous part is I've had him for 12 years before, and now it's a problem." }, { "from": "gpt", "value": "Well, you sound a bit surprised by that. But I'm sure that you've seen some of the material that-that the clinic gave you about asthma symptoms and managing your asthma, and pets are a really big source of problems in that respect." }, { "from": "human", "value": "Yeah, but I-- Um, let me just clarify, I've seen the materials, I have them-" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "-I have even read them. All I've been doing is taking the medicine. So, I don't know that much about this." }, { "from": "gpt", "value": "Well, uh, wait a second, Sal, what do you mean you-you- ha- If you-- As in-- You know to be informed about-- I'm just really taken aback by that because I understand from your chart that you have a young baby-" }, { "from": "human", "value": "Yeah." }, { "from": "gpt", "value": "-a new baby." }, { "from": "human", "value": "John Carlo, yeah." }, { "from": "gpt", "value": "-and you are very concerned about your health, you wanna be there for your baby and that you've already taken some steps, you've-you've almost quit smoking-" }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "-which is fantastic. So, the next step is to really deal with the dog, deal with the pet. I know it's- so- It's gonna be hard to do that. But there are always people who will adopt animals. I'm sure that you have friends or family members." }, { "from": "human", "value": "Uh, this is a little too much for me now. First of all, John Carlo is taken care of. That's fine. He doesn't have- no asthma from the dog. It's just me. I don't ha—" }, { "from": "gpt", "value": "It's you that I'm worried about, Sal. It's you that I'm worried about, okay? The-the symptoms are worse. You've had two or three major asthma attacks. And-and do you appreciate how-- This is, uh, a risk to your life that there are some-some adults with severe asthma who actually can die as a result of their symptoms? It-it truly is something to take very, very seriously. I can't emphasize that enough." }, { "from": "human", "value": "So, Oscar is gonna make me die? He hasn't made me die in 12 years, and the doctor is saying, \"Oh, I don't know if it's the stress, the finances, the drinking.\" So, what are we doing saying Oscar could make me die? I've had him for 12 years." }, { "from": "gpt", "value": "Sal, what, uh, do you understand that what happened 6 years ago or 10 years ago, your asthma is progressively getting worse. You know very well that the puffers, the strength of the medication is getting higher and higher, and there's only so much that can be done with medication alone. You know this." }, { "from": "human", "value": "Well, they can keep giving me more medicine and give me the strongest one, and I'll keep Oscar." }, { "from": "gpt", "value": "Sal, you're almost on the strongest one. And if Oscar is that important to you, then do you put Oscar higher than your baby, than your wife? Like, uh, that makes no sense to me. Do you understand how important this is?" }, { "from": "human", "value": "I understand, but I don't think you get my situation. I've had this dog for 12 years. So, I'm not just gonna up and get him out of my house when I don't even know if that's the main thing." }, { "from": "gpt", "value": "Uh, okay, well" } ]
28_ cessation
[ { "from": "gpt", "value": "Hi Carrie, thanks for coming in today." }, { "from": "human", "value": "Thank you, my doctor [unintelligible 00:00:05]" }, { "from": "gpt", "value": "What brings you in?" }, { "from": "human", "value": "Well am having, um-- I've been an ongoing problem with smoking and trying to quit." }, { "from": "gpt", "value": "So, you'd like to give up those cigarettes?" }, { "from": "human", "value": "Oh I've been wanting to, for a long long time in years." }, { "from": "gpt", "value": "Yeah, so then it's, um, right now, uh, tell me a little bit about, um, right now at this point in your life why it's so important to quit." }, { "from": "human", "value": "Well I have a 15-year-old daughter and she's highly against it. And, um, health issues, you know, I'm getting-- not getting any younger and I have asthma and I have chronic bronchi-- bronchitis and, um, I'm having a hard time breathing when I exercise and not to mention it's socially unacceptable really." }, { "from": "gpt", "value": "Like being a leper in a leper colony right now to be a smoker." }, { "from": "human", "value": "Actually it's like being a leper in a non-leper colony." }, { "from": "gpt", "value": "'Cause you can't find a leper colony anymore. So, um, so it-it's really important for you to be a good mum-" }, { "from": "human", "value": "Right." }, { "from": "gpt", "value": "-and model for your- for your daughter who's at this age where 15 would be a really common age at which she might decide to smoke." }, { "from": "human", "value": "Right and, um, she's been expressing, you know, she walks in and she's like shhh and it's embarrassing for her friends and, um, and in-in turn, it's embarrassing for me." }, { "from": "gpt", "value": "Okay. So, you-you wanna look good, you know, and she's proud of you I'm sure anyway and then this just would be an added benefit. Yeah." }, { "from": "human", "value": "Right right, yeah." }, { "from": "gpt", "value": "So, and then you mentioned quite a few things about medical problems. So, um, you mentioned, um, asthma, um, acute bronchitis did you say—" }, { "from": "human", "value": "Oh and emphysema the beginning stages of emphysema." }, { "from": "gpt", "value": "Oh my goodness. Okay. And so, and that-- yeah, that's very-- that's really scary beginnings of emphysema, I'm sorry to hear that." }, { "from": "human", "value": "Thank you." }, { "from": "gpt", "value": "Well, I mean that's-that's, you know, tell me about when you were diagnosed with that." }, { "from": "human", "value": "I really couldn't tell you, um, I remember when my daughter was like five, um, I was-- it was humid out and I have a problem with humidity-" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "-you know, for breathing, um, and, um, I was trying to stick my head out the window to gasp for air-" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "-and my daughter became so frightened that she went next door to our neighbor and called 911 and it really—" }, { "from": "gpt", "value": "Smart girl." }, { "from": "human", "value": "Yeah-Yeah she's very intelligent, yeah. Um, and they came they took me, you know, on this chair type of thing in my robe and my daughter was in sure panic, um, thinking she's was gonna lose me and she's 15 so its been 10 years since then and I still I've tried this Chantix-" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "-unsuccessfully, uh,--" }, { "from": "gpt", "value": "Tell me a little bit about what happened with the-the Chantix." }, { "from": "human", "value": "Well, um, I don't know if it's my lack of willpower but, um, also had ve-very bad side effects from it so." }, { "from": "gpt", "value": "Mm-hmm. Mm-hmm. Wh-What sort of if-if you are willing to talk about what kind of side effect—" }, { "from": "human", "value": "Um, I had nightmares-" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "-nausea-" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "-um, stomach problems, and agitation. Yeah." }, { "from": "gpt", "value": "Oh really. You know, and I've heard that too, Carrie, that people especially you know those are, um, some people seem to have a lot of success but when people do have the adverse side effects they are really pronounced like the ones you just described." }, { "from": "human", "value": "Right and it didn't stop me from smoking as well, so that's, uh, [laughs]—" }, { "from": "gpt", "value": "Want the good [crosstalk] no good right? And how long ago was that that you—" }, { "from": "human", "value": "Um, that was about two to three years ago." }, { "from": "gpt", "value": "Okay, all right." }, { "from": "human", "value": "I tried it a couple of times." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "I would get a, um, a new prescription refilled thinking, \"Oh I could try it this time.\"" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "And I had friends that it worked for-" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "Um, and there is a support group that they have that you can go online or call-" }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "-but of course I didn't do either but-" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "-um—" }, { "from": "gpt", "value": "It just didn't fit for you to do the online." }, { "from": "human", "value": "No. Yeah." }, { "from": "gpt", "value": "Okay. So, um, but you gave it a good try and it was just not a good fit for you like you-you really listened to what your body told you like nightmares, nausea, I mean those are really bad things." }, { "from": "human", "value": "And agitation really-" }, { "from": "gpt", "value": "Oh yeah." }, { "from": "human", "value": "-because, um, you know, um, being at my age I'm going through the menopause stage which is part, you know, you'll have that anyways and then having 15-year-old that causes a little bit more stress so you don't need any extra stress, I don't think, as far as I'm concerned." }, { "from": "gpt", "value": "So, it's already piled I'm thinking up for you, you don't need anything else so you're looking for some relief and not something to make you feel worse." }, { "from": "human", "value": "Right, exactly." }, { "from": "gpt", "value": "Um, have there been some times in the past where you were able to quit smoking completely?" }, { "from": "human", "value": "Only when I was in the hospital. [chuckles]" }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "And even then I-I snuck out and had a cigarette, you know." }, { "from": "gpt", "value": "Okay. So, what's the longest you've ever gone without a cigarette including being in the hospital?" }, { "from": "human", "value": "Oh God, I would have to say, uh, three days." }, { "from": "gpt", "value": "Oh, three days. You know, that's a long time and I felt, you know, that's a pretty long time to go without smoking and I would imagine, I think that's pretty good." }, { "from": "human", "value": "But it was not really by choice, it was by, um, the situation I was in, I wasn't able to smoke so, yeah." }, { "from": "gpt", "value": "You were forced to-" }, { "from": "human", "value": "Right." }, { "from": "gpt", "value": "-not smoke?" }, { "from": "human", "value": "Mm-hmm. Yeah." }, { "from": "gpt", "value": "What did you notice during those three days when you weren't smoking?" }, { "from": "human", "value": "Um, constant thoughts about smoking." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "Um, uh, just as, um, a chocoholic craves chocolate-" }, { "from": "gpt", "value": "Mm." }, { "from": "human", "value": "-I was craving my cigarette." }, { "from": "gpt", "value": "You were [unintelligible 00:06:04]" }, { "from": "human", "value": "Yeah, exactly. Mm-hmm. Yeah. Um, and the first thing when I was able to smoke, I didn't care if I smoke my brand or anybody else's brand, I just wanted that cigarette." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "The nicotine is the addiction." }, { "from": "gpt", "value": "Right." }, { "from": "human", "value": "And-and also the-the psyche thing, you know, with-- I mean, I wake up in the morning, I want a coffee with- I want coffee with a cigarette." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "Um, if I'm stressed, coffee with a cigarette." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "I mean, just cigarette. Um, so it's always, like, it's-it's a duel kind of problem I think-" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "-you know-" }, { "from": "gpt", "value": "Mm." }, { "from": "human", "value": "-I'm finding it to be." }, { "from": "gpt", "value": "It does, uh, it does a lot of positive things for you." }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "And it sounds like it's paired, like a coffee and a cigarette. I mean, you know, probably hard to think about, \"How will I have a cup of coffee without a cigarette?\"" }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "You know, and, um, that's actually, yeah, that's a-- I think it does become very paired with lots of different things. And, um, you might already know this, and so let me know if you do, um, because of the way cigarettes you're describing it and accurately is-- it is really what we call an almost perfect drug in a lot of ways. And-" }, { "from": "human", "value": "Oh, really?" }, { "from": "gpt", "value": "-it will do whatever you need it to do at any given time. The downside is-is it-it kinda get, it gets in the end with the health." }, { "from": "human", "value": "Oh, yeah." }, { "from": "gpt", "value": "It'll-it'll take a good usually 10 years off your life minimum." }, { "from": "human", "value": "As they say, my aunt was like, \"Put another nail in your coffin,\" you know." }, { "from": "gpt", "value": "Okay. What do you think when she says that to you?" }, { "from": "human", "value": "More on kind of cocky and I say, \"Well, you know, Aunt Kathy, you were my role model, and back in the day, um, I used to envy and watch and think you were so sexy, and all the movies, the old movies.\"" }, { "from": "gpt", "value": "Glamourous." }, { "from": "human", "value": "Yes, yeah. And that's what I associated with at the time and now it's almost, I'm ostracized for it." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "So, it's kind of like a double-edged sword." }, { "from": "gpt", "value": "So, and I would- I would-- it really is because it wasn't like that 20 years ago." }, { "from": "human", "value": "Mm." }, { "from": "gpt", "value": "It wasn't like that for sure 30 years ago." }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "So, it's become harder to be a smoker. You light up a cigarette-cigarette and people make assumptions about you." }, { "from": "human", "value": "Oh, yeah, and you have to travel like 10 miles-" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "-in order to have a cigarette. And not say you're in a situation and you only have a 15-minute break-" }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "-you can't even finish your cigarette, um, because you have to be back within a certain amount of time and it takes you, like, let's say seven minutes to get to the place where you can smoke and seven minutes to get back-" }, { "from": "gpt", "value": "Mm." }, { "from": "human", "value": "-and a cigarette, um, for me takes five minutes to smoke." }, { "from": "gpt", "value": "Okay-okay. So—" } ]
29_ loss
[ { "from": "gpt", "value": "So you shared that you're, um, here today because you're having some dissatisfaction with your body and your confidence and your mood and your energy. And you're looking for, um, some different patterns to kind of turn things around for yourself. And what I like to do as I get to know clients is-is let them know a little bit about my philosophies, about health and wellbeing. Um, but first, I'd love to hear what are your philosophies about health and wellbeing?" }, { "from": "human", "value": "Um, I definitely, uh, you know, I-I strive to be physically healthy, but I also have in my life seeing how that impacts me mentally. Um, so I think if I'm- if I'm able to do the things that I wanna do and, um, you know, that I'm feeling good about where I'm at mentally, then that's kind of my end goal, always. Um, yeah, so this body dissatisfaction piece has really just kinda thrown a wrench in that and it's been enough of a challenge that I thought I should seek out someone who can really help me through that piece." }, { "from": "gpt", "value": "Yeah. Well, I'm so glad that you reached out for help, um, and just know that you're not alone. And-and so, yeah, is that okay if I share a little bit about, um, how I tend to work with clients on that topic?" }, { "from": "human", "value": "Yes, please." }, { "from": "gpt", "value": "Yeah. Well, um, first of all, I really am passionate about looking at the whole picture, um, physical health and emotional wellbeing and what I found in working with clients in the past is when, um, we make a focus of weight loss, sometimes, uh, physical health improves, but at the cost of emotional wellbeing." }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "Um, many people find that when then- when they are restricting their intake or starting some, uh, ac-activity patterns that are really rigorous, that, um, a piece of their mental health suffers because they start to obsess, um, more than they'd like to be about those things. So, my approach with clients is just a more holistic approach. Looking at certainly some behavior changes that you could make to be more physically active, improve your energy levels." }, { "from": "gpt", "value": "Um, and also look at activities that enhance your mood. We can also take a look at some dietary patterns and see if-if there are ways you could tweak how you're fueling your body throughout the day, but at the same time, sort of letting go of what happens on the scale. Letting go of, um, the final, you know, weight outcome of that, and really focusing instead on healing your relationship with food and also adopting sustainable physical activity patterns. What do you make of all that?" }, { "from": "human", "value": "So, like, for example, having like a-a set out meal plan, um, you know, where I'm eating certain food groups or certain macronutrients, for example, that wouldn't necessarily follow that same approach." }, { "from": "gpt", "value": "Yeah, I-I found in the past when working with clients that creating a prescriptive meal plan, um, tends to work for a few days, but then clients usually get really tired of the foods on there. Um, and so instead, I'm really more interested in equipping you to learn how to space your meals and snacks out in a way that makes your body feel energized. Um, and then I can also support you, you know, in looking at the grocery shopping patterns and the meal planning patterns that come alongside all of that. Um, so really teaching you how to do more of your own meal planning, um, to fuel your body in a way that gives you energy, but also in a way where you're really still enjoying food." }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "Food is meant to be enjoyed, and it's a source of pleasure. So I'd want to help you certainly look for ways to add more fruits and vegetables and-and things that nourish your body, but also look for ways to add pleasure-" }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "-to your meals and snacks." }, { "from": "human", "value": "Okay, yeah." }, { "from": "gpt", "value": "Think about all of that." }, { "from": "human", "value": "Well, I think it makes sense, especially like-like you said, to be sustainable. Um, yeah, I definitely wouldn't wanna try something where I'm going to crash and burn for days in." }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "Um, when you talk about activity and you mentioned like really, um, like rigorous activity types, um, like I go to a gym and I enjoy going to the gym when I was active." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "Um, would that be kind of against that philosophy too or I guess, can you explain that a bit more?" }, { "from": "gpt", "value": "Yeah, I'm all about trying to help you figure out what types of physical activity bring you the most joy because those are the things that you'll make time for." }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "So if-if the gym is what brings you the most joy, then we can work with that, but if you, um, start to think about it and discover there other activities that you're more excited to attend and you're more, um, you're looking at rear-rearranging your schedule too because you really want to be there-" }, { "from": "human", "value": "Mm-hmm." }, { "from": "gpt", "value": "-um, then we can pursue those things. So it's really just about what brings you joy in terms of how you move your body and I'm just here to help you figure that out." }, { "from": "human", "value": "Cool, so both with the foods and the activity, we would be working to find things that I like to do-" }, { "from": "gpt", "value": "Yeah." }, { "from": "human", "value": "-that I could do for longer periods versus more of like you said, the prescriptive approach." }, { "from": "gpt", "value": "Exactly. Yeah. So helping you find changes that feel sustainable because they bring you both nourishment health, but also pleasure." }, { "from": "human", "value": "Mm-hmm. Yeah, no, I think that-that all sounds good. Um, you know, I still would want to lose weight." }, { "from": "gpt", "value": "Mm-hmm." }, { "from": "human", "value": "Um, and I know you said weight loss isn't really the goal, so I-" }, { "from": "gpt", "value": "Sure." }, { "from": "human", "value": "-I just want to be upfront about that part with me and maybe that changes or maybe it doesn't, but what do you think about that." }, { "from": "gpt", "value": "Absolutely, I appreciate you sharing that piece with me and you absolutely get to have that desire. And, um, we certainly are bombarded all day long with messages about how a body is supposed to look and so we all, um, certainly have moments of feeling dissatisfied with how our bodies look. And so you're absolutely, um, welcome to hold that and we can have space for that and you can certainly talk about that in these sessions. And I'll check in with you as we're going through the process of behavior change, um, to see how your body confidence is, um, as we talk more." }, { "from": "human", "value": "Great. Yeah, now that sounds good." }, { "from": "gpt", "value": "Fantastic. Thanks, Natalie." } ]
30_ battery
[ { "from": "gpt", "value": "Hey, Mary. I wanted to bring up to you, um, that your battery died last night. So, can you tell me what happened?" }, { "from": "human", "value": "I don't know, and I still don't wanna charge it." }, { "from": "gpt", "value": "So, it's something you just aren't willing to do?" }, { "from": "human", "value": "No. I got a lot of stuff to do, I don't need to charge it." }, { "from": "gpt", "value": "So, it's not really a priority for you right now, to be charging it?" }, { "from": "human", "value": "No." }, { "from": "gpt", "value": "Okay. Um, and do you understand then the con-consequences of-of what that would be?" }, { "from": "human", "value": "I guess so. I don't know. I-I-I honestly don't care what the consequences are." }, { "from": "gpt", "value": "Okay. Um, would it be okay if I do share you what will happen if you don't charge your battery." }, { "from": "human", "value": "Sure. I'll listen." }, { "from": "gpt", "value": "Um, you will be getting violations for that, and then if you get so many violations, I mean, we'd have to write a warrant for your arrest, which is looking more of, um, detention time." }, { "from": "human", "value": "Whatever." }, { "from": "gpt", "value": "And that's still doesn't seem to bother you." }, { "from": "human", "value": "No. I just-- I don't care." }, { "from": "gpt", "value": "Okay." }, { "from": "human", "value": "It really [unintelligible 00:00:58]-- I don't care." }, { "from": "gpt", "value": "Um, so I know that you, you know, you know the consequences of it, and yet you're sharing with me it's just not a priority for you at this time." }, { "from": "human", "value": "Nope." }, { "from": "gpt", "value": "Okay. You know, that is your choice. I mean, I-I-I can't make those choices for you, it is something that you decide to do. Um, so with that being said then, these will be the consequences. I'll have to read the-the violation for you." }, { "from": "human", "value": "Yeah, whatever. I Know you got to do your job, but I don't care." }, { "from": "gpt", "value": "Okay. Um, any questions about that? Any questions about kind of the next steps from here?" }, { "from": "human", "value": "I mean, whatever happens happens. I'll deal with it when it happens." }, { "from": "gpt", "value": "So, your confidence that you'll be able to deal with possibly going back to detention?" }, { "from": "human", "value": "I mean, I'll just deal with it when it comes." }, { "from": "gpt", "value": "Okay, and it sounds like you know that it's probably coming then?" }, { "from": "human", "value": "Yeah, I guess so." }, { "from": "gpt", "value": "Okay. Well, you know I will be back later. If any questions would arise, we can always talk about that then. Um, otherwise, again, I will have to write a violation, and, um, if you have any questions or need anything from me, please let me know. Um, otherwise, again, I'll be back later today." }, { "from": "human", "value": "Okay." }, { "from": "gpt", "value": "All right." } ]
YAML Metadata Warning: The task_categories "conversational" is not in the official list: text-classification, token-classification, table-question-answering, question-answering, zero-shot-classification, translation, summarization, feature-extraction, text-generation, text2text-generation, fill-mask, sentence-similarity, text-to-speech, text-to-audio, automatic-speech-recognition, audio-to-audio, audio-classification, voice-activity-detection, depth-estimation, image-classification, object-detection, image-segmentation, text-to-image, image-to-text, image-to-image, image-to-video, unconditional-image-generation, video-classification, reinforcement-learning, robotics, tabular-classification, tabular-regression, tabular-to-text, table-to-text, multiple-choice, text-retrieval, time-series-forecasting, text-to-video, image-text-to-text, visual-question-answering, document-question-answering, zero-shot-image-classification, graph-ml, mask-generation, zero-shot-object-detection, text-to-3d, image-to-3d, image-feature-extraction, other

Dataset Card for Dataset Name

Converted the AnnoMI motivational interviewing dataset into sharegpt format. It is the first public collection of expert-annotated MI transcripts. Source.

Dataset Details

Dataset Description

AnnoMI, containing 133 faithfully transcribed and expert-annotated demonstrations of high- and low-quality motivational interviewing (MI), an effective therapy strategy that evokes client motivation for positive change.

Sample conversation number 40, regarding drug use:

Pretty good. It's been three months now.


Um, and—

Since the-- since you used, uh-- since the last time you used meth, right?



Right. It's been three months, and I've been doing pretty well.


Um, and I met a couple new friends.



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--


And how is that going for you?

Right. It's been good. I haven't answered the phone when he's called-


-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.

Yeah, the new friends, and I've been using the, you know, the breathing exercises you taught me, when I get-- start to feel a little stressed out, and I've been- I've been using those and it helps me. I go for a walk and do my breathing exercises, and it calms me down and kind of gets me through that time.

So it sounds like--

Dataset Sources


Training on longer conversations and medical advice.

Direct Use

[More Information Needed]

Out-of-Scope Use

[More Information Needed]

Dataset Structure

Sharegpt format to allow for long conversations back and forth.

therapist is gpt

client is human

id is a concatenation of:

  • transcript_id: the unique numerical identifier of the conversation/transcript where this utterance belongs. Note that this identifier is NOT used for ordering, and it is only to distinguish between different conversations in the dataset.
  • video_url: the URL of the original video of the conversation/transcript where this utterance belongs.
  • topic: the topic(s) of the conversation/transcript where this utterance belongs.
    "id": "40_ drug use",
    "conversations": [
        "from": "human",
        "value": "Pretty good. It's been three months now"
        "from": "gpt",
        "value": "Nice."
        "from": "human",
        "value": "Right. It's been three months, and I've been doing pretty well."
        "from": "gpt",
        "value": "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--"

Dataset Creation

Curation Rationale

Despite the remarkable growth of research in recent years on the analysis of counselling conversations through natural language processing methods, the potential of this field has been greatly limited by the lack of access to publicly available therapy dialogues, especially those with expert annotations.

Personal and Sensitive Information

It is anonymized.

Bias, Risks, and Limitations

[More Information Needed]


Users should be made aware of the risks, biases and limitations of the dataset. More information needed for further recommendations.

Citation [optional]

@INPROCEEDINGS{9746035, author={Wu, Zixiu and Balloccu, Simone and Kumar, Vivek and Helaoui, Rim and Reiter, Ehud and Reforgiato Recupero, Diego and Riboni, Daniele}, booktitle={ICASSP 2022 - 2022 IEEE International Conference on Acoustics, Speech and Signal Processing (ICASSP)}, title={Anno-MI: A Dataset of Expert-Annotated Counselling Dialogues}, year={2022}, volume={}, number={}, pages={6177-6181}, doi={10.1109/ICASSP43922.2022.9746035}} }

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