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But did you know that was coming? | 5yq
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Yes, | 8op
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you did ?Okay. | 4crq
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Yes. | 6cd
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So you had some anxiety in advance? | 4crq
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Yes, | 6cd
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or no, you did. Okay. | 3gc
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I had some anxiety the day before. But when I reviewed it with my friend, I'm like, Oh, I know the answers. I thought that would kind of push it down. But I think once I got there, it all came back up to the surface, | 0id
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Well, I've always kind of struggled with tests. I'm like, I can remember when I was in third grade, I had to take this test, because I was really struggling in math. And I had to pass this test in order to move to the next grade. And I thought just like this test that I was ready for it, I had a tutor, and I felt really prepared for it. And then when I took it, I failed. And I was held back. And I feel like, you know, that was so it was, it was really embarrassing for me to be held back. And I felt like I don't want to say but I did feel like a failure at the time. Because I felt like I really didn't know this. I don't know why I couldn't pass the test. | 10od
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And since that this was third grade. | 3gc
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Yeah. | 7ack
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And since that bad testing experience. Have you had trouble with tests since? | 5yq
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Yes, I always feel really anxious. I mean, I'm able to pass tests obviously because I graduated from college. School went on to high school. But it's so hard for me because of this anxiety that I feel that even though I may think I know it, I may still fail the test anyway, maybe like a repeat of what happened. | 8op
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Alright, so in third and third grade, you had a really bad testing experience. And as you move forward from there, you've never really been thrilled about taking tests | 4crq
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no | 6cd
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But you've been able to adapt. You've been able to take them and still, like pass them. | 5yq
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Yeah, I mean, sometimes I get an A. | 8op
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So that's, that's good, right? | 11orq
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Yeah. I mean, yeah, it is good. Yeah, it's good. | 10od
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But this particular test, which is not for scorches for work, yeah, this one, this is more of a stumbling block for you. | 3gc
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Yes. | 7ack
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You have any ideas as to what may what may be what may be making this test such a point of anxiety for you? | 3gc
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So it really that same feeling you've had in third grade. That's coming up with this test. | 4crq
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Yeah, I mean, I didn't put them together until now. But yeah. | 6cd
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And the other test you take in throughout the rest of grade school in high school they didn't, they didn't have that same value attached to them. | 3gc
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Now because they didn't have all that pressure that it was either win win or lose, basically, | 3gc
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you could, you could take them again or take the course again or? | 4crq
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or I could take another test to raise the grade if I didn't do good on that. | 6cd
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so you have you maybe had more options in school? | 5yq
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Yes. Was it fail, you know, pass or fail? | 8op
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So this a lot of pressure. | 4crq
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Yeah it is | 6cd
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So is there any time limit to this test for work? | 1irq
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Um, no, there isn't. | 0id
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There's no time. | 4crq
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No | 6cd
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How many Is it like a, like a multiple choice? | 1irq
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Yes, it is. | 0id
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Okay. And you seem like, like you said, you said the night before with your friend. | 3gc
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Yeah. | 7ack
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You're really well prepared for it. | 3gc
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Yes. | 3gc
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So I have a few a few thoughts about this. One is I'm wondering you know, we've talked before about cognitive therapy core beliefs. So I'm curious as to what you think about what core beliefs may be operating. For you now with this with this test, this work test | 3gc
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that I could fail that if I fail I could end up being a failure at all, you know, the things that I try | 3gc
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something like, I am a failure or I'm bound to be a failure, I'm destined to be a failure. | 11orq
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I would say like I'm destined to be. | 10od
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Okay, so destined to be failure. So that, so that, potentially, is a core belief. Right? That's, that's operating. | 3gc
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I mean, that's what scares me. That's, that's exactly the thought that I'm thinking when I'm about to take the test. And if I don't pass that, it's just gonna have like this domino effect of failure. | 3gc
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Okay, so it could be a core belief, but it's also seems like you're still on that thought. Like as you get ready to take that test. You're thinking I'm just destined to be a failure. | 3gc
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Yeah. | 7ack
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And you're having what sounds like a panic response to heart racing. | 1irq
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Yeah, my hands shaking. | 0id
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Are you in the room alone? You're taking the test? | 5yq
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Yes, | 8op
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you are. So no one's really seeing you have this. I wouldn't want to call it a panic attack yet we haven't really gotten too far into it. But it sounds like it has some panic like features. | 3gc
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Yeah. | 3gc
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No, not really. I mean, sometimes I get worked out when I'm about to take a test, okay, but it's only around test. | 0id
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And what happens once you get worked up like once your heart rate increases and You have any other physiological symptoms would | 1irq
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want to actually do take the test? | 4crq
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hmmm | 6cd
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Um, I kind of try to work through it and start trying to answer one question at a time to get to the last question. | 0id
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Yeah, that's true. | 6cd
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I mean, the panic responses only maintained for so long | 3gc
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and I could also choose like maybe questions that are no the answer to automatically so that could help maybe release some of that stress | 3gc
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to get some in a sense to get some minor victories under your belt by like, answering those right you know, you're closer to achieving your goal | 3gc
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yes and then I feel like I know, at least I know that like, Don't validate the feeling that I maybe I can pass this test. | 3gc
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So the more items you you answer correctly, the less anxious you're gonna feel because you're closer to the end of. | 4crq
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Yeah, definitely. Because then I start to feel more calm because I know that I know these questions are definitely going to be right. | 6cd
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So that's so that's one well, that's a cognitive and behavioral strategy, right? Like you can you can wait out the panic. I mean, you're in the room alone. | 3gc
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Yeah, that's true. Nobody's there. Nobody's gonna see me. I'm kind of trying to get myself together. | 3gc
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Yeah. Now the panic painful. Right, the you know, the panic symptoms are painful. So what you could tell yourself is, this isn't pleasant. But I can write out these symptoms because they only last so long. | 11orq
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Probabiy, I could use like self talk. | 10od
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Yeah, | 6cd
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yeah so if you can just kind of use that time to focus on the items, as you mentioned, you could get right. And kind of, at the same time be telling yourself I can ride this out. | 3gc
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Yeah, I mean, I've done that in the past, so I can apply it to this test. | 0id
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So if that's worked for you that ? | 4crq
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yes, that has worked and I passed. | 6cd
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So that's, that's certainly that's certainly one adaptive response to try writing. Another one could be that, although it wouldn't be great to fail, you can retake the test in a year. Right. You could try it. | 3gc
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Yeah, that's true. | 3gc
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I mean, I know that's not what you want, but, but the alternative is kind of buying into that automatic thought we know that's not working. Right. The I'm I'm Destin, that was the word right like I'm destined to be a failure. We know that's not working for you. | 3gc
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So even if I have to take the test again and in a year, then I'm not going to be a failure because I still have the chance to take it again. It's not like I'll never be able to take this test again. | 3gc
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Yeah, you just have, you just have another years of study, right? And, of course, you wouldn't have that promotion that time and that would be an outcome, I know you don't want. But it's not the end of your career, It's not like something so drastic it's important to you and I can appreciate that. But it's not the end of your career. You're not going to be unemployed. | 3gc
|
No, no, definitely not. And just thinking back and relating it back to the third grade, even though I had to stay back. I still managed to, you know, do well the next year and keep moving up. And it hasn't really, in the long run prevented me from doing anything that I've wanted to do. | 3gc
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So that's great. That's another adaptive response, which you've survived this before. | 3gc
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Yes, I definitely have. | 3gc
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So this one event, I mean, I had the the incident third grade with the unpleasant experience but this one event you don't want that this kind of fashion. While use your word, your destiny by like this was one that seemed to catch you off guard but the the panic like symptoms. And fortunately your employer is going to give you the chance to retake and try this again. And, and I met you know, so you have I imagine you could you can write out these, these symptoms. And I think you have the other adaptive response, which is I've been successful this before. | 3gc
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Yeah. I mean, definitely I feel a lot better now because I just know that no matter what happens, I've been here before, and I can get through it as opposed to like that feeling that I'm going to just fail together. | 3gc
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Oh, it's so good, when you have to take the test? | 1irq
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on next week. | 0id
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So let's schedule one more appointment right before that. | 3gc
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Okay, right. | 3gc
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Okay. Yeah, I mean, that sounds good. That helped me prepare for the test. | 3gc
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Great. So, Michelle, I'll see you. I'll see you then and work through it. I really appreciate you coming in today. | 3gc
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Sometimes when people are feeling sad, they have thoughts of wanting to hurt themselves. If you had ever had any of those thoughts, | 5yq
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yes. | 8op
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Have you ever hurt yourself? | 5yq
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Sometimes I cut myself. | 8op
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Have you ever cut deep enough so that you needed stitches? | 5yq
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No, no, | 9on
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or had to go to the hospital? | 4crq
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