minoosh/HOPE · Datasets at Hugging Face

Utterance stringlengths 2 4.06k	D_ACT class label 12 classes
It's my perception,	3gc
your perception of what's happening. What could happen. I guess in this case, not so much what is happening is what you worried. could could	3gc
definitely,	7ack
because nothing's happened yet.	3gc
No, not yet.	9on
So, how many? Well, there's I guess there's a few different. There's a few different issues here. Right? How many vacations you take a year.	1irq
I don't really take long vacations I've taken only I've only taken like two week long vacations ever. For like, five, six days, and I was fine. Well, same anxiety when I was younger. And now it's more like long weekends or you know a night here or there I don't really take long vacations but probably maybe three or four times a year I'm like go away overnight versus just not just a friend's house like an actual vacation where I go into the city or something	0id
Yeah, '	7ack
it's been this way for years	1irq
probably since a teenager and he hasn't stopped me I've always where every now I work more than ever I'm the more it doesn't stop me from working the kind of overtime working three jobs doesn't stop me and but I mean, like I said in as a teenager early 20s it did I would just be like, on my way out somewhere to go stay the night my boyfriend was like, Nope, I can't do it not to come home. But now that doesn't happen. And may not I may not go for a week long vacation, but I'll go for a few nights.	0id
Oh, yeah. '	7ack
Approved. Yeah, he's actually pretty good. working a lot sounds like	4crq
Yeah.	7ack
Because this uncomfortable anxiety. This is painful for you.	4crq
Yeah, I mean, it doesn't like so it doesn't really seem to stop me from working obviously, because I work it's just the leading up to leaving for work or	6cd
going on vacation. Alright, so let's say	11orq
Well think about making sure I have everything I need for work, you know, don't have, I usually take my dinner.	10od
Do you feel less anxious when you With those prevention, okay, so that helps. Right? So physically preparing your house so that your pets are safer that helps you. So what else is going through your mind so you do that right you take all the precautions you can to keep them safe and prepare your dinner for work and everything. So what's the next thought?	1irq
Just gotta go to work. I just think about I'll come home later. You know if I get a break. I mean usually I do especially if I do the overnight as I got downtime, so run home and check on and then I'm off to work and then I kind of forget about it. And then I said some lights is burned out not every night I come home and check off but some nights I just get started feel anxious and get thinking about them and I go on the trip.	0id
So every time when you felt anxious and you wanted to check on them, but you couldn't leave	11orq
for now from out working with clients. Yeah, so what	10od
happens then terms of thinking and feeling?	1irq
I don't dwell on it because my focus is with the client. So it just kind of think about it, I need to get home but you know, and I just focus back on the client, I don't let it overwhelm me or	0id
Well, just so it doesn't change your function, but society has their anxiety associated with	10od
it goes away. I mean, I want what I'm thinking about, but then it goes away.	10od
Alright, so depending on what you're thinking about, that can change the level of anxiety you're experiencing.	10od
there's something or Yeah.	3gc
Okay, so there's that is the that is the thought you're having something like that	4crq
about older cats. I mean, he's really old something cool. You know what if, you know he's, something's happened to hell I mean, I don't honestly thinking I'm dying, but I think you know what he needs because he has he's really old. So I do think about him.	6cd
I still have that you have that thought like,	4crq
Yes.	7ack
just comes naturally when I'm getting ready to leave.	0id
You're challenging, you're disputing that automatic thought, this be my own thoughts.	0id
I do tell them that I tell them thank them and I feel like them that well does someone want sometimes I run from me when I try to kiss them goodbye. And I'm like, Oh, no, what I have to go to work because you will have to eat. I know it sounds silly, but I do tell him that and then I kind of thinks it does. Most things. I think I didn't realize that's kind of what I was. But I do do that sometimes.	0id
So you're actively responding.	4crq
Well, I think that's a productive, adaptive response. I mean, you know, you're right. If you don't, if you don't earn income, then they'll have worse problems.	1irq
Yeah, I can't take care of them being left alone.	0id
So really good working. You're, you're being more of service to them and protecting them more so	1irq
So that might be one adaptive response you may want to consider applying when you have this, this feeling of anxiety	11orq
and then there's times I think, you know, they're just cats are probably the last to go on.	10od
So they're not striking you as anxious when you get home.	4crq
Yeah. Well, sometimes sometimes sometimes after a 12 hour shift, yes, I have one of them. She won't show me let me sleep the first hour, she literally were around again and stuff. And I take it and she's mad because I've been gone, but she's fine.	6cd
yeah, that's true.	7ack
how bad could it be for them?	1irq
Yeah. And they don't know. I'm worrying or anxious. They could care less like they don't believe no, it's not bothering them. I mean,	0id
yeah, I mean, their level awareness clearly different than than yours. Right. So yeah, I mean, that's another good adaptive response that, you know, much higher level awareness, whereas you're not sure that Have any awareness that you're experiencing anxiety? Or maybe a little bit with a one cat who runs or think they do?	1irq
And that's just an animal person but I think they do but yeah, I probably give them think they have more feelings than what they probably really do. But they're my kids I treat them as kids my kids are all gods are important too. Yeah,	0id
Yeah.	7ack
So you implement behaviors that are practical and that I've worked in making the house safe and keeping the plants away from them and so I think one route here if you're okay with it would be to use work as like the first point I know you have the trip. I know that's, that appears to be causing more anxiety than thinking the worst But you have more chances? Well, one way you have more chances to test out these step responses at work because it's more or less a daily thing, right? five days a week, or whatever it is. So some of those adaptive responses that we kind of worked on together, right? You could apply those. And you know, think about that the responses are not always short. Right? The automatic thoughts could be short. It can even be images, do not necessarily even complete sentences, right? Like maybe have an image of your cat in an unfortunate situation. So it's not necessarily spelled out in English, like a sentence, but adaptive responses. Well, they could be images too, but the ones I'm talking about are really sentences that you're repeating back consciously to yourself. So it's important to have them prepared and ready to go. So I often ask clients To kind of write them out and have them available. So that when that thought comes about, and it seems like you're pretty good at identifying, you know, what thoughts are triggering anxiety you would read eventually would have to read because you've memorized initially you'd read the automatic thought I mean, the upside of the adaptive response and that would counter the deal on that thought. Okay, might not the first time might not the second time but over time we believe it and I found that it changes how often and how intense to aback thoughts come in. Conscious thinking, adaptive responding, does that make sense?	0id
That's us. Because like I said, I kind of said these things to myself anyway, I just didn't realize that's what was probably lessening the anxiety because I do say that things those things to myself pretty frequently when I say I have to go to work, or else you guys won't be able to take care of didn't even dawned on me that that's	3gc
you've already adapted Yeah, you've already used cognitive behavioral techniques, in a way to reduce anxiety. So what we're really doing is just expanding and formalizing what you've already been doing to achieve some success.	11orq
That makes sense. Definitely, yes.	7ack
Yeah. And and putting in a security type measure. You could lessen anxiety, or it could create anxiety,	10od
but make it worse,	10od
and I don't know which, you know. So I think if you're okay with it, we'll start with the adaptive responses.	0id
See how that works out. And we have other options. Putting security systems in such to shy out in the future if necessary. Let's try the adaptive responding. Then trying to keep track of how well it works for you like, what your what your thoughts and feelings were. After you applied it,	3gc
should I like try to measure my level of anxiety? Absolutely. Okay.	1irq
Yeah. So you know, maybe like a one to 10 with 10 being the worst, okay, and measure it when you first had that experience of it. I'm pretty sure you can measure fairly accurately, you've experienced it for a long time. You suffer with it for a long time. And then after applying the adapter response, especially after a few minutes, applying a few times, maybe shoot for ones, see what it is that and note that, again, the beginning of might not see much of a change at all. Right? So be persistent with it. Okay. Give it a chance to work and see how it does. Okay. We'll start there and we'll kind of review how you do that. And then we'll work toward the things Analyze the bigger stressor right? And we'll see what we can do in terms of planning adaptive responses for that. Okay. So a good plan. Yes.	3gc
Yes, Harris will be your doctor today. Well, let me just wash my hands really quick.	3gc
I have a terrible headache	0id
looks really bad. Um, is there anything else besides your headache that you want to address here today at the clinic?	5yq
No,	9on
Was there anything? Because what we can do is while we're talking and doing your history and physical, I will have my office Secretary look into it the insurance plan that you have. All right, so you don't have to worry about that. That's good.	1irq
Okay, sounds great.	7ack
Um, is there anything else?	4crq
So what I'd like to do today and is let's let's take a look at what's causing your headache. I will go over history fiscal, and then we'll do our Ghana physical exam. And then we will look into your insurance policy and make sure that's all taken care of that sounds like a good plan. So that's	1irq
good. Perfect.	7ack
Well, it started about three days ago and nothing has helped it's it's just laid me flat. I haven't been able to go to work. It's nothing helped. I, it's it's all over. I really bad when I move so I'm trying not to move too much and the light is bothering me alive.	0id
No.	3gc
Can you tell me anything that makes it better?	1irq
Is there anything that makes it worse?	1irq
Yeah, like movement and light. Okay. And it's just constant though there's you know, it doesn't it's just constant it's, it's all over. Okay.	0id
So if you had to rate on a pain scale, zero being no pain 10 being the worst pain you've ever had to 10	1irq
I've never had a headache like this. Okay,	0id
yeah, that sounds really bad. Now as far as radiation doesn't move, doesn't that you said the head. The pain is all up front. He is kind of all over. Okay?	1irq
But it also I've got this shooting pain down my neck and my neck is very stiff. Okay?	0id
as far as in the in the timing you said that started three days ago music uses constant yeah	3gc
it It started gradually but once once it got there it's it hasn't gone away it doesn't get better doesn't get worse it's just the same. Okay	3gc
so do you what I want to get is your perception of what you think is going on.	1irq
I just I can hardly think it's so painful. I just because it's so bad I was afraid. I knew neighbor had a headache and ignored it. Last year and he suddenly started having seizures and it turns out he had a brain tumor. So I thought I just should come in and	0id
I can understand your concern.	3gc
I can't go to work. I can't do anything. Yeah.	0id
So it sounds like it's really impacting your life.	4crq
Yeah, I can't okay.	6cd
If it's okay, I would like to go some talk about a little bit about your medical history and your social history. All right. Can you tell me as far as your medical history have you have any medical conditions I should be aware of.	1irq
Not I was diagnosed with high blood pressure about three years ago, but we have been addressing it with diet changes, and it's controlled and monitored. Yeah, I go in. yearly, I had been just in it's been well controlled. So okay, I haven't been on Medicaid. For that, other than that, I haven't had any problems.	0id
Okay. Any surgical history?	5yq
No.	9on
Any hospitalizations?	5yq
No.	9on
All right. In You said your own medicine you're taking was telling all my training.	5yq
Yeah.	7ack
And they didn't help you? Okay. Just wanted to verify. Given a drug allergies,	5yq
no.	9on
Okay. What about family history? Do you have any medical history of headaches or in my family right now?	1irq
You know, my mom said she used to get migraines when she was in her 20s and 30s. Okay, but I don't remember her saying anything else about it. My sister. I have one sister. She's She's healthy. My dad. He has high blood pressure other than that he's healthy. And that's about it. I don't have any kids.	0id
All right. I'm sorry. I would like to ask you some social history questions that just for the record. Records. Do you smoke?	5yq
Yeah, I do.	7ack
Okay. Is it cigarettes or?	5yq
Yes.	7ack

It's my perception,

3gc

your perception of what's happening. What could happen. I guess in this case, not so much what is happening is what you worried. could could

3gc

definitely,

7ack

because nothing's happened yet.

3gc

No, not yet.

9on

So, how many? Well, there's I guess there's a few different. There's a few different issues here. Right? How many vacations you take a year.

1irq

I don't really take long vacations I've taken only I've only taken like two week long vacations ever. For like, five, six days, and I was fine. Well, same anxiety when I was younger. And now it's more like long weekends or you know a night here or there I don't really take long vacations but probably maybe three or four times a year I'm like go away overnight versus just not just a friend's house like an actual vacation where I go into the city or something

0id

Yeah, '

7ack

it's been this way for years

1irq

probably since a teenager and he hasn't stopped me I've always where every now I work more than ever I'm the more it doesn't stop me from working the kind of overtime working three jobs doesn't stop me and but I mean, like I said in as a teenager early 20s it did I would just be like, on my way out somewhere to go stay the night my boyfriend was like, Nope, I can't do it not to come home. But now that doesn't happen. And may not I may not go for a week long vacation, but I'll go for a few nights.

0id

Oh, yeah. '

7ack

Approved. Yeah, he's actually pretty good. working a lot sounds like

4crq

Yeah.

7ack

Because this uncomfortable anxiety. This is painful for you.

4crq

Yeah, I mean, it doesn't like so it doesn't really seem to stop me from working obviously, because I work it's just the leading up to leaving for work or

6cd

going on vacation. Alright, so let's say

11orq

Well think about making sure I have everything I need for work, you know, don't have, I usually take my dinner.

10od

Do you feel less anxious when you With those prevention, okay, so that helps. Right? So physically preparing your house so that your pets are safer that helps you. So what else is going through your mind so you do that right you take all the precautions you can to keep them safe and prepare your dinner for work and everything. So what's the next thought?

1irq

Just gotta go to work. I just think about I'll come home later. You know if I get a break. I mean usually I do especially if I do the overnight as I got downtime, so run home and check on and then I'm off to work and then I kind of forget about it. And then I said some lights is burned out not every night I come home and check off but some nights I just get started feel anxious and get thinking about them and I go on the trip.

0id

So every time when you felt anxious and you wanted to check on them, but you couldn't leave

11orq

for now from out working with clients. Yeah, so what

10od

happens then terms of thinking and feeling?

1irq

I don't dwell on it because my focus is with the client. So it just kind of think about it, I need to get home but you know, and I just focus back on the client, I don't let it overwhelm me or

0id

Well, just so it doesn't change your function, but society has their anxiety associated with

10od

it goes away. I mean, I want what I'm thinking about, but then it goes away.

10od

Alright, so depending on what you're thinking about, that can change the level of anxiety you're experiencing.

10od

there's something or Yeah.

3gc

Okay, so there's that is the that is the thought you're having something like that

4crq

about older cats. I mean, he's really old something cool. You know what if, you know he's, something's happened to hell I mean, I don't honestly thinking I'm dying, but I think you know what he needs because he has he's really old. So I do think about him.

6cd

I still have that you have that thought like,

4crq

Yes.

7ack

just comes naturally when I'm getting ready to leave.

0id

You're challenging, you're disputing that automatic thought, this be my own thoughts.

0id

I do tell them that I tell them thank them and I feel like them that well does someone want sometimes I run from me when I try to kiss them goodbye. And I'm like, Oh, no, what I have to go to work because you will have to eat. I know it sounds silly, but I do tell him that and then I kind of thinks it does. Most things. I think I didn't realize that's kind of what I was. But I do do that sometimes.

0id

So you're actively responding.

4crq

Well, I think that's a productive, adaptive response. I mean, you know, you're right. If you don't, if you don't earn income, then they'll have worse problems.

1irq

Yeah, I can't take care of them being left alone.

0id

So really good working. You're, you're being more of service to them and protecting them more so

1irq

So that might be one adaptive response you may want to consider applying when you have this, this feeling of anxiety

11orq

and then there's times I think, you know, they're just cats are probably the last to go on.

10od

So they're not striking you as anxious when you get home.

4crq

Yeah. Well, sometimes sometimes sometimes after a 12 hour shift, yes, I have one of them. She won't show me let me sleep the first hour, she literally were around again and stuff. And I take it and she's mad because I've been gone, but she's fine.

6cd

yeah, that's true.

7ack

how bad could it be for them?

1irq

Yeah. And they don't know. I'm worrying or anxious. They could care less like they don't believe no, it's not bothering them. I mean,

0id

yeah, I mean, their level awareness clearly different than than yours. Right. So yeah, I mean, that's another good adaptive response that, you know, much higher level awareness, whereas you're not sure that Have any awareness that you're experiencing anxiety? Or maybe a little bit with a one cat who runs or think they do?

1irq

And that's just an animal person but I think they do but yeah, I probably give them think they have more feelings than what they probably really do. But they're my kids I treat them as kids my kids are all gods are important too. Yeah,

0id

Yeah.

7ack

So you implement behaviors that are practical and that I've worked in making the house safe and keeping the plants away from them and so I think one route here if you're okay with it would be to use work as like the first point I know you have the trip. I know that's, that appears to be causing more anxiety than thinking the worst But you have more chances? Well, one way you have more chances to test out these step responses at work because it's more or less a daily thing, right? five days a week, or whatever it is. So some of those adaptive responses that we kind of worked on together, right? You could apply those. And you know, think about that the responses are not always short. Right? The automatic thoughts could be short. It can even be images, do not necessarily even complete sentences, right? Like maybe have an image of your cat in an unfortunate situation. So it's not necessarily spelled out in English, like a sentence, but adaptive responses. Well, they could be images too, but the ones I'm talking about are really sentences that you're repeating back consciously to yourself. So it's important to have them prepared and ready to go. So I often ask clients To kind of write them out and have them available. So that when that thought comes about, and it seems like you're pretty good at identifying, you know, what thoughts are triggering anxiety you would read eventually would have to read because you've memorized initially you'd read the automatic thought I mean, the upside of the adaptive response and that would counter the deal on that thought. Okay, might not the first time might not the second time but over time we believe it and I found that it changes how often and how intense to aback thoughts come in. Conscious thinking, adaptive responding, does that make sense?

0id

That's us. Because like I said, I kind of said these things to myself anyway, I just didn't realize that's what was probably lessening the anxiety because I do say that things those things to myself pretty frequently when I say I have to go to work, or else you guys won't be able to take care of didn't even dawned on me that that's

3gc

you've already adapted Yeah, you've already used cognitive behavioral techniques, in a way to reduce anxiety. So what we're really doing is just expanding and formalizing what you've already been doing to achieve some success.

11orq

That makes sense. Definitely, yes.

7ack

Yeah. And and putting in a security type measure. You could lessen anxiety, or it could create anxiety,

10od

but make it worse,

10od

and I don't know which, you know. So I think if you're okay with it, we'll start with the adaptive responses.

0id

See how that works out. And we have other options. Putting security systems in such to shy out in the future if necessary. Let's try the adaptive responding. Then trying to keep track of how well it works for you like, what your what your thoughts and feelings were. After you applied it,

3gc

should I like try to measure my level of anxiety? Absolutely. Okay.

1irq

Yeah. So you know, maybe like a one to 10 with 10 being the worst, okay, and measure it when you first had that experience of it. I'm pretty sure you can measure fairly accurately, you've experienced it for a long time. You suffer with it for a long time. And then after applying the adapter response, especially after a few minutes, applying a few times, maybe shoot for ones, see what it is that and note that, again, the beginning of might not see much of a change at all. Right? So be persistent with it. Okay. Give it a chance to work and see how it does. Okay. We'll start there and we'll kind of review how you do that. And then we'll work toward the things Analyze the bigger stressor right? And we'll see what we can do in terms of planning adaptive responses for that. Okay. So a good plan. Yes.

3gc

Yes, Harris will be your doctor today. Well, let me just wash my hands really quick.

3gc

I have a terrible headache

0id

looks really bad. Um, is there anything else besides your headache that you want to address here today at the clinic?

5yq

No,

9on

Was there anything? Because what we can do is while we're talking and doing your history and physical, I will have my office Secretary look into it the insurance plan that you have. All right, so you don't have to worry about that. That's good.

1irq

Okay, sounds great.

7ack

Um, is there anything else?

4crq

So what I'd like to do today and is let's let's take a look at what's causing your headache. I will go over history fiscal, and then we'll do our Ghana physical exam. And then we will look into your insurance policy and make sure that's all taken care of that sounds like a good plan. So that's

1irq

good. Perfect.

7ack

Well, it started about three days ago and nothing has helped it's it's just laid me flat. I haven't been able to go to work. It's nothing helped. I, it's it's all over. I really bad when I move so I'm trying not to move too much and the light is bothering me alive.

0id

No.

3gc

Can you tell me anything that makes it better?

1irq

Is there anything that makes it worse?

1irq

Yeah, like movement and light. Okay. And it's just constant though there's you know, it doesn't it's just constant it's, it's all over. Okay.

0id

So if you had to rate on a pain scale, zero being no pain 10 being the worst pain you've ever had to 10

1irq

I've never had a headache like this. Okay,

0id

yeah, that sounds really bad. Now as far as radiation doesn't move, doesn't that you said the head. The pain is all up front. He is kind of all over. Okay?

1irq

But it also I've got this shooting pain down my neck and my neck is very stiff. Okay?

0id

as far as in the in the timing you said that started three days ago music uses constant yeah

3gc

it It started gradually but once once it got there it's it hasn't gone away it doesn't get better doesn't get worse it's just the same. Okay

3gc

so do you what I want to get is your perception of what you think is going on.

1irq

I just I can hardly think it's so painful. I just because it's so bad I was afraid. I knew neighbor had a headache and ignored it. Last year and he suddenly started having seizures and it turns out he had a brain tumor. So I thought I just should come in and

0id

I can understand your concern.

3gc

I can't go to work. I can't do anything. Yeah.

0id

So it sounds like it's really impacting your life.

4crq

Yeah, I can't okay.

6cd

If it's okay, I would like to go some talk about a little bit about your medical history and your social history. All right. Can you tell me as far as your medical history have you have any medical conditions I should be aware of.

1irq

Not I was diagnosed with high blood pressure about three years ago, but we have been addressing it with diet changes, and it's controlled and monitored. Yeah, I go in. yearly, I had been just in it's been well controlled. So okay, I haven't been on Medicaid. For that, other than that, I haven't had any problems.

0id

Okay. Any surgical history?

5yq

No.

9on

Any hospitalizations?

5yq

No.

9on

All right. In You said your own medicine you're taking was telling all my training.

5yq

Yeah.

7ack

And they didn't help you? Okay. Just wanted to verify. Given a drug allergies,

5yq

no.

9on

Okay. What about family history? Do you have any medical history of headaches or in my family right now?

1irq

You know, my mom said she used to get migraines when she was in her 20s and 30s. Okay, but I don't remember her saying anything else about it. My sister. I have one sister. She's She's healthy. My dad. He has high blood pressure other than that he's healthy. And that's about it. I don't have any kids.

0id

All right. I'm sorry. I would like to ask you some social history questions that just for the record. Records. Do you smoke?

5yq

Yeah, I do.

7ack

Okay. Is it cigarettes or?

5yq

Yes.

7ack