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D_ACT
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But did you know that was coming?
5yq
Yes,
8op
you did ?Okay.
4crq
Yes.
6cd
So you had some anxiety in advance?
4crq
Yes,
6cd
or no, you did. Okay.
3gc
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
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
And since that this was third grade.
3gc
Yeah.
7ack
And since that bad testing experience. Have you had trouble with tests since?
5yq
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
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
no
6cd
But you've been able to adapt. You've been able to take them and still, like pass them.
5yq
Yeah, I mean, sometimes I get an A.
8op
So that's, that's good, right?
11orq
Yeah. I mean, yeah, it is good. Yeah, it's good.
10od
But this particular test, which is not for scorches for work, yeah, this one, this is more of a stumbling block for you.
3gc
Yes.
7ack
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
So it really that same feeling you've had in third grade. That's coming up with this test.
4crq
Yeah, I mean, I didn't put them together until now. But yeah.
6cd
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
Now because they didn't have all that pressure that it was either win win or lose, basically,
3gc
you could, you could take them again or take the course again or?
4crq
or I could take another test to raise the grade if I didn't do good on that.
6cd
so you have you maybe had more options in school?
5yq
Yes. Was it fail, you know, pass or fail?
8op
So this a lot of pressure.
4crq
Yeah it is
6cd
So is there any time limit to this test for work?
1irq
Um, no, there isn't.
0id
There's no time.
4crq
No
6cd
How many Is it like a, like a multiple choice?
1irq
Yes, it is.
0id
Okay. And you seem like, like you said, you said the night before with your friend.
3gc
Yeah.
7ack
You're really well prepared for it.
3gc
Yes.
3gc
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
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
something like, I am a failure or I'm bound to be a failure, I'm destined to be a failure.
11orq
I would say like I'm destined to be.
10od
Okay, so destined to be failure. So that, so that, potentially, is a core belief. Right? That's, that's operating.
3gc
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
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
Yeah.
7ack
And you're having what sounds like a panic response to heart racing.
1irq
Yeah, my hands shaking.
0id
Are you in the room alone? You're taking the test?
5yq
Yes,
8op
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
Yeah.
3gc
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
And what happens once you get worked up like once your heart rate increases and You have any other physiological symptoms would
1irq
want to actually do take the test?
4crq
hmmm
6cd
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
Yeah, that's true.
6cd
I mean, the panic responses only maintained for so long
3gc
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
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
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
So the more items you you answer correctly, the less anxious you're gonna feel because you're closer to the end of.
4crq
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
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
Yeah, that's true. Nobody's there. Nobody's gonna see me. I'm kind of trying to get myself together.
3gc
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
Probabiy, I could use like self talk.
10od
Yeah,
6cd
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
Yeah, I mean, I've done that in the past, so I can apply it to this test.
0id
So if that's worked for you that ?
4crq
yes, that has worked and I passed.
6cd
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
Yeah, that's true.
3gc
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
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
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
So that's great. That's another adaptive response, which you've survived this before.
3gc
Yes, I definitely have.
3gc
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
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
Oh, it's so good, when you have to take the test?
1irq
on next week.
0id
So let's schedule one more appointment right before that.
3gc
Okay, right.
3gc
Okay. Yeah, I mean, that sounds good. That helped me prepare for the test.
3gc
Great. So, Michelle, I'll see you. I'll see you then and work through it. I really appreciate you coming in today.
3gc
Sometimes when people are feeling sad, they have thoughts of wanting to hurt themselves. If you had ever had any of those thoughts,
5yq
yes.
8op
Have you ever hurt yourself?
5yq
Sometimes I cut myself.
8op
Have you ever cut deep enough so that you needed stitches?
5yq
No, no,
9on
or had to go to the hospital?
4crq