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12 classes
Yeah.
7ack
Do you ever do anything to try to get those thoughts to go away like focusing on something else?
1irq
Um, well, I have like a ceiling fan above me. So sometimes, I'll just like, count how many times it goes around and just to distract myself from thinking about it. But I still think about the door being unlocked. Sometimes it helps.
0id
Right? So you have have a fear that somebody is going to enter break in To where you live, and you're staying up at night thinking about whether the doors been secured. That's been that's been troubling. Anything else?
1irq
Um, sometimes if I'm leaving for work, I'll get to my car and I'll think I let the hair Sugarland. And I'll think to myself, should I go back? I don't know what to do. And I'll just, like, kind of debate whether or not I should just go double check. I'm just worried that if I left the straightener on something, you know, that would happen,
0id
What do you think happen?
11orq
Well, I mean, if I left the strainer on something, you know, it's if I have like clothes or something and it's it's on a quad like that burn, or if it's I just don't want anything. I don't want to place the burn down was nervous about.
10od
So when you leave, you're thinking about it was a hairspray Are you thinking about whether you unplugged it or not? Or turn it off or not?
5yq
Yeah.
7ack
And how long those thoughts go on for?
1irq
Normally I think about it before I get to my car, and I'm like, well, maybe I should just go just to make sure I unplugged it and I turned it off. And then sometimes during the day, I'll be at work and I can't focus just because I'm thinking about, I'll come back and I'll see you know, my apartment burned down so I left the strainer plugged in.
0id
Alright, so remember with the door you're saying that you you struggle with those thoughts, but you don't get up and check the door. Have you ever come back and checked to see if something was left on?
4crq
No, I haven't. But it just I think about it. I would if I did leave it. If I did leave it on or plugged in.
6cd
So you're worried anxious
5yq
Yeah.
7ack
Yeah, afraid?
5yq
Yeah, definitely. All three.
7ack
And how, how often does this happen? Like the cycle of thoughts?
1irq
Probably throughout the day.
0id
So every day?
5yq
every day, yeah.
7ack
And how long has this been going on?
1irq
For Ever since I moved, I guess into the apartment. So about I guess a year
0id
this specific a year
4crq
yeah.
6cd
And in that year timeframe hasn't become any worse.
5yq
Yeah.
7ack
Yeah. How did it start out?
1irq
Um, it started out with just, you know, I would go to bed and I would wake up in the light and think to myself tonight, the door I'm pretty sure I locked the door. And then I would just be fine. I could go back to sleep and be like, no, I remember I locked it. But then as it progressed, I really, I would wake up multiple times throughout the night. And I would
0id
it would just keep me up.
0id
I should as you thought about it.
5yq
yeah
7ack
All right, I want to ask a few other questions, try to help me figure out what's going on. Have you ever been diagnosed with any condition like a mental health condition?
5yq
No
9on
Have a medical condition?
5yq
No, never.
9on
Have you ever used alcohol or any other substances?
5yq
No
9on
And is this been the first time in your life you've experienced these symptoms? Starting a year ago up till now?
5yq
Yeah,
7ack
never anything like this before.
5yq
No
7ack
okay
7ack
I appreciate you spending this time with me. It's been helpful for me to try to understand what's going on.
2gt
Thank you.
2gt
Thanks
2gt
Mr. Smith that your medication sorted out, blood pressure's a little on the high side. Okay. I wonder if I could raise the subject of your weight
0id
what?
4crq
I wondered if we could spend just a couple of hours minutes talking about your weight
6cd
You're joking on you, aren't you. I mean, look, I've made time in my day to come here. I'm kept in your waiting room for 45 minutes. Yeah, it's not acceptable. You know, I make an appointment time for 10. I expect him to start at 10. Not quarter to 11.
3gc
Right. And you so you're busy enough?
5yq
Yeah, I've got other things to do. I've got to do I've got clients to coming in.
8op
Yeah, you know, and it wasn't necessarily easy for you to make the time to come down. And you had to wait in the waiting room. And now are raised the subject of wait.
3gc
Yeah, I mean, Okay, fair enough. I've got to have my blood pressure, medication change, but I really haven't got time to talk about my weight. I mean, you know, I'm aware of my weight. I'm aware of the problems and I'm also aware of the solutions. So I don't really need a discussion. It's just I've got too much to do at the moment, you know,
3gc
It's been it's bad for me, you know
3gc
Exactly, exactly. It's up to you. Just a couple of minutes.
3gc
Well, I'm here now so yeah, okay. If it's a couple of minutes, yeah
3gc
About what what? Losing weight? Well, obviously I want to Yeah, I mean, who doesn't? I mean, I'm aware that I'm over my body weight, but know that it's causing problems. I mean, obviously, I get out of breath. If I have to do something about Harry and I realize that I'm on this blood pressure. Right. And maybe that's probably contributing to it.
0id
Right. So you can see the links between your weights and your health. And you'd like things to be.
3gc
Yeah. I mean, there are other things, but I mean, yeah, the weight is a, something I would like to get hold of you get on the handle,
3gc
you'd like to, if you could.
3gc
Yeah, I mean, I know the theories of bit of exercise on a regular basis, a balanced diet. But unfortunately, because of my lifestyle, because of being self employed as an accountant, it's finding the time to exercise but also finding the time to sort of think, Okay, I'm going to go shopping for this, that and the other. Yeah, prepare a meal. Yeah, with me. It's very often
3gc
ready meals and that sort of thing?
4crq
Yeah, yeah. Food on the run, you know, grazing.
6cd
Okay, I'm up for that. But it's going to be the same problem of A finding time and B if I make an appointment. I don't expect to be kept waiting for half an hour, whatever. Because it's
0id
exactly I tell you what my Be a nice solution is if you come down first appointment, and I give you an appointment at 830. And then there'll be absolutely no waiting. And the purpose of that of that visit will be to have a look at how you really feel about how you could move forward and somehow fit in a more healthier lifestyle into the busy work like that you've got
3gc
all maybe have a look at my schedule, see whether anything can be arranged, or I can pass something on to some and so like, so it's not a wasted interview. So I can come in and say, okay, I've looked at my schedules, I've looked at things
3gc
good good and see if you can fix it up and also give some thought to what we've talked about.
3gc
Hi Lacey Nice to meet you.
2gt
Hi
2gt
So I understand that you refer to her by your GP because you've been feeling quite down recently.
4crq
Yeah, I thought I should. I've been feeling quite bad for quite a while. So I thought maybe it's time to see someone about it because I don't want to feel like this anymore.
6cd
Okay, so from your notes, I saw that you saw the GP about three months ago and how long have you been feeling down all together?
1irq
And quite a few months before that as well, actually, but it's gotten pretty bad these past few months. So that's kind of why I came.
0id
Okay, so as it got worse since you saw your GP?
5yq
Yeah
8op
okay so tell me I'm How are things at the moment?
1irq
Like kind of started just feeling a bit low and about things but I don't know Just recently I just can't really be bothered to do anything at all I kind of find it hard to get motivated for things and I want to buy I really want to be better but it's just kind of reaching the head now I just want to do something about it.
0id
Yeah.
8op
Okay, and you haven't got any motivation, but it sounds like you put in quite a lot of pressure on yourself to try and feel a bit better.
3gc
so you say you've been, you've been in quite isolated. There's not many people around.
4crq
Yeah, no one I can talk to about it. Don't put less than on stand anyway.
6cd
Okay, so I'm just going to try and find out a little bit more about you. So I understand that you're an English student at Uni.
3gc
Yeah.
7ack
And you live away from home with some friends. Is that right?
4crq
Yeah, I live with friends.
6cd
Okay, so you don't live any far from the Uni. But you say you feel like University friends, but you don't feel like you can talk to them?
4crq
Yeah, I mean, they're lovely. I, I get on really well with them. But I didn't know I recently whenever they want to go out or stuff, I just, I don't want to bring them down. I can't, they don't understand what I'm going through. They kind of they don't make fun of how I feel, but they don't really understand what it's like. I don't want to go out with them and bring them down.
6cd
Okay, so it sounds to try and hide the way you're feeling from them.
3gc
I guess I mean, it's easier to hide it than to try to explain it all the time when no one really wants to know.
3gc
No, I don't really talk to my parents about it.
0id
Okay, I'm just gonna go back in time a little bit, I suppose, I'm just wondering when when did all of this start? You said it's been going on for quite a few months.
1irq
Yeah. I guess kind of started, When I was actually when I was revising for my exams. I guess the stress. I put a lot of stress on myself. I think I've always wanted to do well for me, and I guess my parents, so the stress of exams, and it was, was kind of hard because my parents were going through trouble time that
0id
Okay, so this would be like last March last April?
4crq
Yeah, I think so
6cd
Around that time, so about six months if and it sounds like a lot was happening so you had a lot of uni pressure on and you said that your parents were having marital problems?
4crq
Yes.
6cd
Okay, and it sounds like that was a real shock to you.
4crq
Okay, so it sounds like you were trying to work hard and be more successful because you thought that that would make them happier and try and fix things.
4crq
Yeah, I wanted to make them feel better, but it just kind of terrified me like
6cd