Utterance
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Right
3gc
But But for now, I think this would be a good way to go. Just keeping you away from the circumstance,
3gc
right?
3gc
You definitely don't want,
3gc
right.
3gc
So good news, a few behavioral pieces we have in here and then a few cognitive as well. So I want to see in a couple of days before we go into detox
3gc
okay
3gc
so that we can practice some of these adaptive responses are like good practice some at home. Between now right as well.
3gc
Right. Yeah
3gc
and these behavioral responses as well. But we'll try to get them shored up before detox and I'll see it right after you come out as well.
3gc
Okay.
3gc
I appreciate you coming in Jesse, and I'll see you in a couple days.
3gc
Yeah. Thank you. Thank you.
3gc
Thanks.
3gc
Hi Hazel, how are you doing today?
2gt
Okay
2gt
What's been going on?
1irq
Well, last time I started to tell you a little bit about one of my friends, my best friend Actually, she had this issue. So what happened was she went to a bathroom at our local library, and she found a video camera when she was going to the bathroom
0id
in the bathroom?
4crq
probably didn't catch the person?
4crq
A lot of anxiety just not knowing maybe, you know, what if someone were to videotape me like that, I've been very aware, shall I say, of cameras.
0id
Okay, so anxious and aware,
3gc
right, Like, I know you have one in your office and people on their cell phone cameras.
3gc
Right
3gc
So you have covered a lot of ground there. So you have the you have the feeling of being like worried nervous, whether that's gonna happen to you. But you've also had to kind of change your routine or you have to change routine to feel safer.
4crq
Right
6cd
has that helped has has changed in the way you dressed or changing where you go and when you go is that help reduce the anxiety?
5yq
Not really no, I would say it's really starting. That's why I wanted to come in. It's really starting to affect my life.
9on
You mentioned specifically your husband has, like what's been going on here?
1irq
He just wants to go places with our kids like go out to eat and and I don't really want to go anywhere that because you know cameras are everywhere nowadays.
0id
They are
7ack
And I just kind of worried like public bathrooms Could they be there someone being you know, sometimes baby monitors or you know have two phones and people can hack into that. Laptop cameras. So even in my own house, I've just been really nervous. So I feel like I'm not really getting relief from that anxiety.
0id
Have you taken any precautions because of this persistent worry.
1irq
I mean, I've read
0id
I was already mentioned like with the camera specifically. I mean,
3gc
and that seems reasonable. Once you take reasonable precautions to try to avoid being video recorded,
3gc
right
7ack
against your will.
3gc
Exactly.
7ack
But still, you have this feeling of worry anxiety and your your schedules being interfered with?
4crq
right.
6cd
skewed you'd like to cope more effectively with your feelings, reduces anxiety. So when you enter into a public bathroom and we talked about automatic thoughts before those thoughts it just kind of pop into our head and they connect to feelings. That can be unpleasant
3gc
right.
3gc
Like anxiety and worry. So when you walk into a public restroom, what's the first thing that goes through your mind?
1irq
that there might be a video camera that I don't see that that's maybe like with my friend that was big enough, but I might not catch it in that someone's going to use that in a vulgar way.
0id
Okay, so when you walk in, you're wondering if there's a camera there.
3gc
Yeah.
7ack
And when that automatic thought occurs, what follows that in terms of a feeling or behavior?
1irq
Usually I'll try and find the camera but it's usually anxiety fear. My heart rate starts going up, I start getting really anxious and then you know, I try and either rush to use the bathroom if I really have to go or a lot of times if I don't, I'll just leave. Sometimes I try and use bathroom at home so I don't have to go out.
0id
So you behaviors looking for the camera or sometimes just leaving without using a restroom. And you're You're feeling is that that anxiety worry there?
4crq
Yeah,
7ack
right,
3gc
you know, committed that crime. And then, you know, that's combining with situations that you encounter, and that's where you're getting those automatic thoughts. So that sort of makes sense.
3gc
Exactly.
3gc
I could say if when I walked in the bathroom?
0id
Umm hmm
3gc
maybe I could say, Umm you know, while there could be a chance that there's a camera in this bathroom, the chance of it happening is not very likely. And You know, I'm gonna take steps to keep myself safe, so that I won't be in a vulnerable position such as looking for the camera.
3gc
But it's good. So you have, you have a low probability of it happening, and you're taking useful behaviors to minimize your risk even further.
3gc
Right.
3gc
right.
3gc
okay,
3gc
I mean, I think I would be really upset. I think I would feel vulnerable probably for a while and be hesitant. I mean, I would think ultimately, that would be okay. My friend is happened a while ago, she's starting to get to get over it and get back to her usual routine, although she's still hesitant, so I think I would be okay. Eventually, although I'd be really upset that it happened.
10od
And it would make sense to feel upset. But that would be upsetting for anybody. But as you noted, that would probably be relatively temporary.
3gc
That's right.
3gc
distress, right? Well, acute, and certainly, you wouldn't be happy about it. It shouldn't be happy about it.
3gc
Right
7ack
Probably it happened like two months, two months?
0id
And how many days and the average week are you affected by these feelings?
1irq
Every day,
0id
every day?
4crq
Yeah.
6cd
And that's true. I never thought about it that way.
3gc
right, Because right now I'm suffering every day.
0id
Now you're suffering, right? And if, if you could adaptively respond effectively, you you're still gonna have that risk of being recorded. But you know, you could survive that event if it happened late.
3gc
I can get it
3gc
Maybe, you know, like I said, I'm worried about all the cameras, maybe I could say, you know, I understand there's some cameras that, you know, use for good purposes, security,
0id
probably most are
3gc
That's great. That's a great adaptive Yeah. And actually, that's kind of a few adaptive responses.
3gc
Right, right.
7ack
Right. And, and kind of, you know, we're being we're preparing ourselves to apply that adaptive response. And in order to be prepared you, you have to know what it is. So it's good to have it written down to kind of more or less commit to memory.
3gc
Okay.
3gc
Does that make sense?
5yq
Yeah.
8op
Yeah. I think that will be helpful
3gc
So we'll go from there. And I appreciate you coming in today.
3gc
Thank you very much.
3gc
Thanks.
3gc
Hey Michelle, how are you doing today?
2gt
Umm I am kind of doing, I'm feeling a little bit stressed out
2gt
stressed?
4crq
Yeah, I feel like I have a lot on my plate. I have this test that I have to take for work.
6cd
What kind of test?
1irq
It's like an aptitude test. It has like math problems on it and like scenarios in order for me to move up to the system manager position.
0id
Now, that's a job that you've been interested in for a while.
4crq
Yes. Yes. So I've been just feeling a lot of anxiety about taking the test and then they actually scheduled for me to take the test. And I want and I just got really overwhelmed. And I started like I felt my heart was racing. I felt like I wish my hands were shaking. And I just really couldn't concentrate on the test. Even though the night before me and my friend that practice problems, and I knew all the answers with no proper like, I didn't miss any of the questions
6cd
so you know the material on this test pretty well?
5yq
yes.
8op
But the feelings and that the physiological response to heart rate and sweating, that feelings of anxiety plus those physiological responses they got in the way of you completing it, like you were unable to complete it.
3gc
So you weren't you weren't feeling great about taking the test in the first place?
1irq
Today, the night before, I felt like I know all the answers, but the minute I walked into the room, all of a sudden, all these fears kind of took over.
0id