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we know we know that scenario that you know, you can't really make a change right now from what you're saying. Like that's the idea of stuffing chocolate is not going over well, with you
3gc
no, it's not gonna happen.
3gc
and that's fine. But the idea of stopping Skittles
11orq
Its fine.
10od
that doesn't seem as daunting?
5yq
No.
9on
Would you agree still on, say the 110 scale that it's important to stop Skittles?
5yq
Yeah.
8op
Okay.
3gc
Yeah.
3gc
How confident are you you could not eat ?
1irq
it's kind of funny now you're talking about it, I've sort of wants Skittles more. But, you know, I like from now till next week when I come in here, I'd say like I am 99% confident I could not eat Skittles and it would not be a major problem.
0id
So this is a change that you think you could accomplish.
4crq
Yeah
6cd
Even though you're not sure it'll actually contribute to solving the larger problem. We know that that's something that that's an area where you don't really see a change as as likely
3gc
If I don't eat Skittles, this week or even for the rest of my life, is it going to solve my problem? No, but will I do it? If that's what you want me to do? Yeah, that's fine.
3gc
Well, I would hope it's something that that you would want to do. I mean, what I want is one thing, what you want is really important here. Is this something that mean your Skittles, part of the problem?
11orq
Yeah,
10od
small?
4crq
Yeah
6cd
Alrigh. No pun intended, right. But it's a small part of the problem, but you'd agree it's still part of the problem.
3gc
Yeah, sure.
3gc
Not a huge change. But it's one that we can work on.
3gc
Alright
3gc
And we want you to be able to, you know, genuinely buy into the goal. I mean, if you don't think it's important, we can talk about other areas of change.
3gc
No, I guess I see what you're saying. I mean, if I'm gonna be completely honest with you, I Well, that's what I'm paying you for. Right? So I don't think it's gonna work. I'll just tell you that
3gc
right. You think you could stop eating Skittles, but you don't think it's gonna solve the larger problem or lead to?
4crq
Exactly.
6cd
But that's what we have to work with right now. Because the larger problem is not something you mean the way you put it is it has control.
3gc
Yeah. Yeah.
3gc
So if I introduced the idea of stopping brownies,
3gc
no, no, no, sorry.
3gc
So let's let's go after the change that we can achieve in this case. You know, it's not perfect. It's not ideal, but it's what you can do. you saw the plan so suffer so for this week so you can week for this week just Just continue eating Skittles.
3gc
Now Skittles alright
3gc
And let's see, let's see how we do with that change.
3gc
So that seemed to make sense.
3gc
Yeah.
3gc
So work with that and I'll see you again week.
3gc
Thanks.
3gc
Thank you
3gc
Hi Kylie, How are you doing today?
2gt
I'm doing all right. not doing too bad. How are you doing Dr. Grande ?
2gt
Um, so my girlfriend saw your ad in the paper. And she saw like out of some of the things that you work on one of them is smoking cessation and it bothers her that I smoke. Um, so she has been nagging me for like weeks to come in and talk to you. So I figured I would just kind of come in just so she would stop bugging me about it.
0id
So you came into therapy today? Because your girlfriend pressured you?
4crq
Yeah, I mean, it's just it's easier for me like if I come in here and talk to you like That's it. I can spend like 45 minutes with you compared to ours or her nagging me through the week so
6cd
so you weighed the cost benefit and decided to come in ?
4crq
Yeah, I mean, it's covered by insurance. It's just 45 minutes of my time, but
6cd
I don't really have one. Like, I don't think smoking is that bad. Well, I mean, smoking can be bad, but like it doesn't it's never bothered me like I I don't know. It's like, I really don't have any goals to come in besides just having herself on you may.
0id
So do you have a goal of quitting smoking?
5yq
No, not at all. Now there's I don't know. There's like so many good things about smoking. I get one what really got me into it was I smoke a lot at work because it gives me like one on one time with the boss. So like the fact that I can get that time with my boss is make worth it.
9on
Can you tell us some of the not so good things about smoking?
1irq
Um, I it's just a, it's how I meet people. So like, if I like, I'll have cigarettes on me, but like, I don't have a lighter and that kind of like keeps me from finishing off the pack. Because I can finish off a pack a day. But if I don't have a lighter than, like, I carry the cigarettes around with me. And then if I see other people are smoking, I can go and ask for a lighter and that's always kind of went away and to get to these groups and I've just met so many different people from from smoking like
0id
So smoking, the way you're presenting it, there's been a positive thing in your life ?
5yq
Yeah, I mean, like I only do it socially. So that's Yeah.
8op
Are there any negative aspects to smoking?
1irq
I mean, yeah, I mean, everyone, everyone knows smoking is unhealthy. But like I don't, I don't smoke a lot. Like I only only smoke from time to time and it's mostly just on the weekends. So it's like, I don't know, occasionally I go by smoker for the weekends, I might have like a cough. Maybe I get like a heavy cough on Mondays Tuesdays, part of me is gone by Wednesday. So it's not really that big of a deal.
0id
So you don't seem like you're too worried about the negative aspects ?
1irq
Now. I mean, like the obviously is unhealthy. But like one of the things I'm trying to do in my life now is get out there and meet new people and like the benefit of being able to do that smoking is better than like giving it up for health reasons. I think.
0id
I don't know. Maybe like, like a two. like it'd be cool to get rid of the cough on Mondays but that getting rid of that is not worth everything else I get from smoking.
0id
So not particularly important?
4crq
Yeah
6cd
I could say probably like an eight or nine like I could I could give it up actually I gave it up recently like for like a month and I didn't even crave it but eventually like just seeing all my friends got smoking like I missed that. So I just started off again, but I don't know if I like if I really wanted to give it up. Forget I'm sure I could
0id
I don't know. Like, I guess it would It would help to be able to, like explain to my girlfriend that like the stuff that I get from smoking and like you You seem you kind of seem like you get it so like, I don't know, maybe figure out ways to like explain to her the things that I get from smoking to like, I don't know just kind of help her like realize why I do it other than just to kill myself.
0id
So to help her to understand why smoking works for you.
4crq
Yeah.
6cd
That's that's one goal than any other goals you could think of I mean, you came in, in part because you're well, that seemed to appear like you came in completely because your girlfriend pressured you.
4crq
Yeah.
6cd
So any other relational goals you might want to work on there?
1irq
Well, no, we haven't really been like we've been fighting a lot because of the smoking. So I think like, maybe figuring out ways like to maybe communicate better or like having like good fights in a way like I don't ascribe that but like having fights that are productive like that just don't always end like with us just like going our separate ways or like one of us leaving the house but like, I guess being able to like wrap up a fight so it doesn't last for like days.
0id
So productive communication and productive arguments
4crq
right yeah, yeah.
6cd
So so one goal would be to illustrate clearly the advantages of smoking to your girlfriend.
11orq
Right
10od
She understands how important it is to you
4crq
Yeah.
6cd
Because it does seem like it's really important to you. But another would be to work on your relation, your relational style, so that you, you can end argument and feel like you're not at a stalemate?
4crq
right Yeah, yeah, I think that'd be cool.
6cd
All right. Well, you want to make those two goals. We work one so we can spend this time going up too fast.
3gc
Yeah, I can do it that it's kind of like killing two birds with one stone.
3gc
Does that make sense to me. Well, that's what we'll do. So what I'd like to do, I'll see you again and about a week.
3gc
Right, right.
3gc
So if you could reflect on some of these changes you think you can make with this relationship where you could do in the relationship to be a more effective communicator. Because a lot of this revolves around communication.
3gc
yeah
3gc
communicating the advantages of smoking, but also communicating in the arguing, so that you have productive end to these arguments, right. So it's really more moving from arguments to collegial conversations that have a positive result.
3gc
Yeah. Yeah, that'd be cool. We can do that.
3gc
Okay. So if you could work on kind of thinking that through, and then next time we meet, we'll talk about those different goals and maybe ways to make some small changes in that relationship to to meet those goals.
3gc
Right. All right. Sounds good.
3gc
All right. Thanks for coming in Kylie.
3gc
Thank you.
3gc
Hi Ann, how are you doing today ?
2gt
Hi Dr. Grande, about the same.
2gt
About the same ?
4crq
Yeah
6cd
what was going on ?
1irq
Well, it might be a little worse had you know, I've been talking about my problems with the perks. The past couple of times I've seen you and I don't know I think at work, they might be starting to notice a little bit.
0id
They might be starting to notice that you're under the influence of the Percocet?
4crq
Yeah.
6cd
Could before I remember when we talked, it seemed like you felt safe in that No one was gonna find you out.
3gc
Well, yeah, because when I take them, I feel normal. Like, it makes me feel like I can function. And I feel normal. But like, definitely last week, my coworker in the cubicle across the way was she was looking at me, she was just looking at me really funny and, and then also, I've been having a little bit of trouble with the numbers. I'm just not. I'm not on my game the way I used to be. And I know that there is a connection to the drugs.
3gc
So in terms of concentrating, focusing?
4crq