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or not go at all, that's fine. Either way, | 0id
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um, I would like to try that | 7ack
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And if it doesn't work, can we tweak? Oh yeah, we can always make changes. Maybe certain things will work really well. It Certain things, we'll have to take off the list altogether, maybe substitute something else. Yeah, we can, we can make edits to it the whole time you're here. Okay, we can just make a document that changes as as needed. But if you think it's a good starting place, I'll go and print this up as it is, and give you a copy and we can resume with today's session. And then next time I see in a week, or call the rest of the treatment plan. Beside the plan, yes. Thanks, Allison. | 1irq
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Thank you. | 2gt
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Hi Joe, How are doing today? | 2gt
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I am alright | 0id
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Just alright? | 4crq
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I mean obviously I'm not doing great I you know asked you to have this session we didn't we weren't scheduled for today. I just I don't know I just I'm feeling you know, depressed as usual but it's just it's stronger and I'm just feeling I just don't want to wake up I just | 6cd
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rough time of things? | 4crq
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Yeah | 7ack
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what was causing it? | 1irq
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Not really. I mean, it's just the same except one You know, like, I just I feel like what's the point? I don't feel like continuing on. | 0id
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You don't feel like continuing with your life. | 4crq
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Yeah, kind of | 6cd
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Have you been having thoughts of suicide? | 5yq
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I mean, I think about what it would be like to just end things. I think it would be a lot easier. But at the same time, like, I can't imagine doing it. But you know, I can't say I haven't thought about it. | 0id
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So you have some thoughts about it, what prevents you from doing it? | 1irq
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I don't know. I mean, I guess I know what it would be like for my family. I don't want to hurt them. | 0id
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They would be hurt? | 4crq
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Yes and it's scary, I mean, the thought of dying is scary, but the thought of going on is painful. | 6cd
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So it almost sounds as if by squaring it down a bit. | 0id
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Yeah, I kind of feel like I'm stuck between a rock and a hard place. Like I just don't know where to go from here. | 0id
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Have you worked out in a specific plan or so? | 5yq
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No, I mean, you know, you know, I thought like if I were to do it, you know, ways but not not specific because I just don't think that I could do it, you know, like, I don't. I thought about suicide, but I don't like, seriously consider it as an option. But it's starting to like creep into my thoughts. And it never has before so that I'm like, kind of concerned about that. Like, I guess I know. Sometimes people like really planted and but for me, I've it's an I've never really considered it before so it's really scaryfor me. | 0id
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So, this how long been going on this feelings? | 1irq
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Um, I think like in the past couple of days, it started you know, more so and then like today, it was just like the first thought in my head and I couldn't stop thinking about it and that's why I wanted to see you because I'm just feeling I'm starting to feel like a little bit out of control. | 0id
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Okay, so and today and maybe the past few days been kind of new feeling that a new thought you don't want to continue life continue living. But at the same time, you don't want to commit suicide. You don't have a plan. | 0id
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Yeah, I don't want to I, I really don't want to but, you know, like I said, I feel like I'm stuck between a rock and a hard place like it. It's not, I know it's not a good option. I just like Sometimes I feel like I'm so stuck. I just don't know where else to go. | 7ack
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So if, we'll call it feeling depression, right, because that's what we've talked about before, is the depression will go away? Do you think that would change your outlook on? | 5yq
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Definitely, I think that is like the reason why I, the reason why the thought of not living anymore comes into my head is because of my depression because I just feel so like, my emotions are out of control, because I wake up feeling so down and so useless and pointless, that it makes me wish that I was dead. But if I didn't have that feeling, then I wouldn't wish that I was dead. Because I know that my life has value and I know that my family would want me around and I know there's a future for me, but my feelings make me feel like my future is just dark and pointless | 0id
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Alright these suicidal ideations I know you're, you're telling me you haven't had them before, so I can appreciate that they're scary. They could be scary, even if you hadn't had them before, are fairly common with depression. And you've, it sounds like what you're really saying is you're frustrated, and you're tired of being sick. And I think that you make a valid point when you say your family would be upset if you happen to regularly talk about your family before and it would seem to be very upset. When I see your life has value. I want to try to hang on to that thought. After we're done here today, tell me what you have planned for us today. | 0id
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Well, I didn't I didn't really have plans because I kind of you know, came here feeling like I really needed to see you so I kind of put things on hold but I mean, I guess I would go home and, and, you know, I'm not really sure. | 0id
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Anywhere else you will go? | 5yq
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No. But, I mean, I probably could go to my parents house if I needed to, I could probably call them in and see, you know, it's getting close to the afternoon so they get off work soon. | 9on
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Can you do that for me? Can you go there? | 5yq
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Yeah, I think that's a good idea. | 8op
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And we'll kind of play by here from that point. I'm going to see you today. We'll we'll do some work today. Well, I'll see you again tomorrow. All right. So if you could spend a night there that that would be a wiser choice, given your thoughts and your feelings right now. Have you ever haven't used the term contract for safety? | 1irq
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I think you mentioned it before. I'm not really sure. | 0id
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Okay. So what it means is you kind of an only if it's authentic, I want this to be true is kind of where you promised me that you're going to be safe until I see you again, right for the foreseeable future that you don't have any intent or plan to harm yourself. Can you make that promise to me now? | 5yq
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Yeah | 8op
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Okay. All right. So give me a minute and I'll come back and overcome a bit today. And now I'm going to schedule you see tomorrow as well. | 0id
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yeah. | 8op
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okay | 7ack
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Thank you. | 2gt
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Thanks, Joe. | 2gt
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Hi Rebecca, How are you doing? | 2gt
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I am good, how are you? | 2gt
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my right hand | 0id
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Your right hand would be all right to ask you some questions about your memory. | 3gc
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I guess | 7ack
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Okay, thank you. I'm gonna ask you some questions and give you some problems to solve. Please try to answer them as best as you can. | 3gc
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Okay | 7ack
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What year is this? | 1irq
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2015 | 0id
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what season of the year is this? | 1irq
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winter | 0id
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what is the date today? | 1irq
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January 20. | 0id
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what day of the week is this ? | 1irq
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Tuesday | 0id
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What month is this | 1irq
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January | 0id
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Can you tell me what country we are in? | 1irq
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United States | 0id
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Do you know what county we're in? | 1irq
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Newcastle | 0id
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Do you know what city we're in? | 1irq
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Newcastle | 0id
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do the name or the address of this building? | 1irq
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was it Graduate Center? Three weeks away 31 weeks away | 0id
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What floor of the building are we on? | 1irq
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First floor | 0id
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remember what they are because I'm going to ask you to name them again in a few minutes. | 3gc
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okay | 7ack
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What were the three objects I asked you to remember earlier? | 1irq
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world? No. Apple. I can't remember. | 0id
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Thank you. That concludes this test on that. Thank you for your cooperation. | 3gc
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Thank you | 3gc
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Hi Smith How you doing today? | 2gt
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Good. How are you? | 2gt
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Um, things you know, I've been really sort of preoccupied and anxious a lot this week. My daughter got sick. So I had to take three days off of work to take care of her and I'm starting to worry, she's been sick a lot since I've gone back to work she's in daycare. And I've had to take a lot of time off work and I'm getting close to going over my allotted amount of days. And so I'm finding myself being very anxious about that and then feeling guilty because when I'm trying to take care of her, I'm always worrying about work so, | 0id
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okay, sounds like a couple things may be going on. In child has been sick so youre taken off days. So there's a little worried about your relationship with your employer. At the same time, you want to make sure you're taking good care of your child having trouble reconciling those two. | 3gc
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Yeah. | 7ack
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All right. What was the last time it happened, can you described what happened? | 1irq
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The last time I had to take off work? | 0id
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Hmm | 7ack
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It was just this week. She woke up one morning with a really high fever. So I had to call out that day and then she still had a favourites The next day, and then I had to take a third day because she has to be fever free before she can go back to daycare. So the first day was, I was okay with that. But then like the second and then when I started realizing that I was going to have to take a third day, and I really start to get kind of panicky and were worried about it. | 0id
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Alright, so let me see. Let's go through each day. Right. So the first day when we discovered that she was sick, right well, we Thinking that when you had to call out of work | 3gc
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Okay, so you're thinking was this isn't ideal, but I can I can live with it. | 4crq
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Yes | 6cd
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Just one, just one day? | 4crq
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right | 6cd
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How about one on one, day two, when you realize that you're gonna have to take a second day, | 1irq
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and I got a little bit more worried and then I did start to also, you know, add the worry of I was going to start to get behind at work. Not only was I missing more time, but I was also going to be behind on my work. So then I started thinking, when I go back, it's going to be a mad scramble and kind of catch up and keep up with everything. And you know, so it was going to became worrying about my workload and worrying about taking more time. | 0id
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Okay. So a little more stressful version of what happened on day one. And then how about when you discovered that you had to take a third day off? | 1irq
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I was then it was just more amplified, you know, amplified worry, and it was a lot harder for me to let it go. I just kept thinking I kept going back to it. And then I started feeling guilty. Because I was so preoccupied worried about that. And I was trying to answer emails and do some stuff and send out some emails to people that I work with to try to help me out with things at work since I wasn't there. And then I felt guilty because I wasn't really caring for my child as best as I felt I should have been, you know, I started feeling kinda like a bad mom. | 0id
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So guilty and a bad mom. And that was mostly on third. That was the worst of it. | 3gc
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Yes. | 7ack
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Well, I checked in with the main office and you know, I just said I'm really you know, I'm starting to worry I'm getting I know I'm had to take a lot of time. But you know, I've done the best I can to try to make other arrangements but my, you know, just starting back in, starting in daycare, she's just been sick a lot, and I can't control it. I'm doing the best I can. You know, I asked them if there was anything I needed to do as far as providing doctor's notes and stuff. And they said no, that they you know, they don't need a doctor's note since it was my daughter that was sick. They said there's nothing nothing that I really couldn't do and just try to not have it happen much more if I can | 0id
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just do what I can to not miss more. So they said that? | 4crq
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