Utterance
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| D_ACT
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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
|
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