Utterance
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D_ACT
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Umm not not too good.
2gt
Not so good ?
4crq
No, I just got into a fight my parents
6cd
what's been going on?
1irq
Well, I I've been doing heroin for for a few months now. And I didn't think my parents knew but I guess they they found a needle in my room. And I mean they knew what I was doing. And they they told me that I have to start shaping up and I need to I need to stop doing any kind of drugs because they said they said the next time that they find find any kind of drugs and it's, it's it, they're gonna kick me out of the house.
0id
Alright, so they're at the point where anything else happens they discover it and you're on the street.
3gc
Right
3gc
What are your feelings about being on the street?
1irq
Who want to be out there ever? I don't know who would be. I mean it would be hard just to kind of stop cold turkey and I know a couple buddies that did that and it's it's not good when you get junk sick. And I mean, I'm kind of stuck because I don't know. I don't want to be out in the streets, but it's just gonna be so hard. So hard to give
0id
So there are conflicting feelings here. You don't want to be out in the street. But you don't want to give up the heroin same time.
4crq
So you want to stop to avoid the consequences could happen.
4crq
Right. But to this point haven't been able to.
6cd
So this is the first consequence or potential consequences motivated you Right since you started using
4crq
Yeah
6cd
How strong is the craving to use?
1irq
I mean when I first started it was I mean it was pretty freakin great. I mean the rush that you get from it it's it's just mind blowing it's it's just amazing. But of I've noticed recently that like the rush isn't as intense anymore and it's even like it's even kind of started to backfire a little bit where like actually I'll feel all sick without using it. And I mean that kind of scares me but the cravings are definitely still there.
0id
Right so when you when you try to cut back, have you tried to cut back?
1irq
I had before but a minute like there there is no reason to so I didn't try very hard.
0id
When you did try Did you have the feeling Were you getting sick?
1irq
I did. Yeah, it was an A it wasn't as bad as as any of my buddies but I definitely I mean I didn't I didn't feel well
0id
have your parents given you any options in terms of like Do they understand that your seems like you're a little dependent on
1irq
Yeah, I mean they they do I definitely like I don't hold anything against my parents I got you I have a pretty good relationship with them. I know what I'm doing isn't isn't good for me. And they they said that they would completely support me they they told me that they have a place picked out where I can go and that they'd be willing to pay for it and everything but they said if I you know if I don't meet them halfway then it's just that's it like it's they're done.
0id
So they have a solution in a sense for what's going on. silica is like a detox.
3gc
It is
3gc
I mean, that you know, I think I think I'm starting to come to terms and it's that it's time to stop and it might be good that maybe I'm stopping so early. I know. I know. My friends have been doing it for a lot longer than I have. But I just Yeah, I don't I don't know if the detox gonna work. I mean, it's, it's hard for me to focus on like anything until sometimes until I get my next fix.
0id
right It's tough right now cuz actually my, my dealer lives in my neighborhood. I mean, he's, I mean, he's just like a few few houses down. My my girlfriend lives in our community too. And like, he's he's on the way to her house. So a girl kind of just maybe pick it up on my way. And third, third, my bookbag and getting out my girlfriend bit and then maybe on my way back home, I'll shoot up the buddy. So
6cd
right. So you so really, you're running into them as you walk to your girlfriend's house.
4crq
Right. Yeah.
6cd
And he's there and the temptations is great. And
4crq
I mean, it's like that house is kind of, that's actually where I shoot up a lot. So it's like whenever it is
6cd
in his house?
4crq
It is. Yeah, it's Yeah. I mean, my, my definite plan is to go into detox and if the detox works, like, I mean, I think I can be done with it. But it's just I don't I don't know if the detox can work. And I mean, I've never only tried to cut back that one time. And I mean, I don't know how good I'll be at it. You know,
0id
let's let's presume for a second that the detox would be successful and you you wouldn't be one even you wouldn't be on heroin coming out of detox.
3gc
Right, right.
3gc
Are you worried at that point that you'll go right back?
1irq
That's that's the point of worry right?
4crq
Right.
6cd
so there's there is a concern that you'll you could, you could go back if you run into them?
4crq
right.
6cd
If you could stay away from him. You think you increase your chances of being successful?
11orq
When you plans in terms of going into detox?
1irq
Pretty soon I think I'm supposed to go on Monday after the weekend. So like three days
0id
okay. So it it actually sounds like what your parents have put in place you believe will work. Right? You have confidence that will work. And that your worry is what will you have is when you get out can you avoid it when your friends
3gc
right
3gc
You don't buy from anybody else other than your friends.
4crq
No No
6cd
So so that's really becomes the maybe one of your key goals here since since your cake. Sounds like you're committed to the detox part. Right and you know, some reading that incorrectly that that seems to be something you're
3gc
no Yeah, if it works, and then I can try.
3gc
So it's it's preparing for life after detox
4crq
right?
6cd
right
3gc
She would never even see his house.
4crq
Right Right.
6cd
because she can walk right by the house without problem,
4crq
right right I if I are walking out of the house, it'd be harder for me to actually do what I'm supposed to. So if I can't even leave, and she comes at I might be best,
6cd
and to get to work, do you have to pass his house?
5yq
No, no, I, like I worked on the road. So I just drive like I drive all the way out to the community.
9on
So there's kind of some like, really, there's a physical kind of slash behavioral strategy here, which is just physically keeping you away from having to go by his house and sounds like the only reason other than to, to buy and use drugs is to see your girlfriend.
4crq
Right.
6cd
Yeah, I could do that. I'm gonna work.
6cd
Is there ever a time where he comes to you?
1irq
I'm honestly not that much. Now. He obviously he doesn't. He doesn't really like to leave his house much. He's he's kind of going on always there. So that's kind of he just deals out of there and then shoots up there. So he, he stays in his house most of the time and he doesn't even come out.
0id
And we, you know, we know that there's on my thoughts, we've talked about this before, right, that is on Mac thoughts that lead to feelings and behaviors.
3gc
Right, right.
3gc
And can you identify a specific thought that may occur or maybe has occurred? Not really. walking by his house, but when you've been in your house like this, maybe it's motivated you to go walk to his house,
3gc
right. I'm bored.
3gc
Okay,
3gc
yeah, just straight up. I mean, when when there's nothing to do in the house, my parents are gone. So it's a it's the best way to have fun.
3gc
So you've identified a thought that that directly connects to the behavior you want, which is on board. So onboard leads to using the drug assuming because that would alleviate the boredom?
4crq
right.
6cd
Is there an adaptive response that you can put in right there that you can interject right at that moment? When you say, board? Is there a depth of response to couplets as soon as this post detox.
4crq
Right, right.
6cd
Sounds like that's your plan. You're sitting in your house detox is done. There's no more you know, we would hope withdrawal type symptoms
3gc
right.
3gc
The thought comes upon you I'm bored. What's It's a self talk piece that could be interjected there.
3gc
So to the adaptive responses, call you girlfriend.
3gc
right yeah.
3gc
On board and, and she, you know, sounds like what's voice that she's really supportive of?
1irq
Yeah, yeah, I mean, she wasn't too happy with me doing it she doesn't use so I mean there's there's that social All, she'll be on board for that.
0id
right
3gc
So getting kicked out of house, I don't want to, you know, I don't want to get kicked out my house. I'm clean. And there's something else I can do here other than drugs,
3gc
right
3gc
Like I'm thinking in times and your girlfriend might not be around. Okay. Right. So you still want to have you want to have adaptive response. That's not necessarily tied to a person in case she isn't around.
3gc
Right
3gc
Good, good. So it sounds like you have some some adaptive responses to use. Nothing occurs to me is your parents around much
3gc
Yeah, I mean, they're my dad works a lot. My mom's usually she works to a single part time job. So she's usually like home at night.
3gc
And night one of the times and you have gone over to your friend's house,
4crq
well it's actually it's more during the day, it's more kind of day.
6cd
So she could be an asset in terms of trying to stop you from leaving the house, but only when she's there.
4crq
Right.
6cd
And similar to your father, you know, so it's really, I guess we kind of narrow it down to when you're home alone and particularly when your girlfriend's not available, that's your highest risk time right?
4crq
Yeah.
6cd
So we have the cognitive adaptive responses to come employment, what was anything more behavioral, we can do like can you can you go somewhere else?
1irq
Well, I think like one of the one of the other things I do to kind of clear my head as I like to go for a drive. So like if I if I start feeling bored I think maybe if I like get in my car And like I said, all of that that's his stuff. I just drive away, like, just physically leave the temptation. And then like from there, I can go to a bookstore or like a comic book store like I can, I could spend hours in there. So maybe if I can, like I can remind myself to drive away, go to the stores, and like, maybe I can just kind of stay out there like enough till either like my girlfriend's home or my parents come home.
0id
right.
3gc
So while it may be only convenient to drive someplace, every time no one's available, and you'd have thought that might not be something I do forever.
3gc
Right, right.
3gc
But that'll That'll minimize the risk for now. And we want to, we want to focus on the short term first. And then we'll worry more about the midterm and long term
3gc
right?
3gc
Then circumstances may change, maybe you he reside there forever. Maybe some of his work schedule change. Maybe there are other adaptations you can make.
10od