Utterance
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D_ACT
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12 classes
Yeah.
7ack
You're you're just not getting a word, which you would like, right and which would be great. Right, and certainly accomplishment. But the reason you came to the program was to get the degree,
3gc
right and even know about the award until probably like the second year anyway, so that wasn't the reason I entered. But,
3gc
but it's now it's now taken on some importance for you winning award has been a real goal.
3gc
Yeah.
7ack
So with the new student choice coming in, I have this increased competition.
3gc
Right.
7ack
Yeah.
8op
Yeah. So this desire to be perfect or to win the award is potentially causing you not even to perform well. Right?
4crq
Right
6cd
you're still getting the A's but it's called the anxiety and you're working hard and
3gc
I mean, it kind of sounds silly when you when you're reflecting it back to me how, you know that I have to read the words like I, I think that it makes sense. You know, that wasn't my goal going into it. You know, why does it matter so much to me that there's different degrees of success. I think if you've said before that is Not all about the award, I think I would be happy with just, you know, getting the degree and all the stuff that I've learned. And I would feel like it was, if I didn't get the award rather, I would feel like it was still a worthwhile journey. But in the moment, sometimes it's really upsetting at the thought of not getting the award. But that's a possibility.
0id
Your word validates all the hard work you've done.
3gc
Right, exactly.
7ack
yep
6cd
With this award have any impact on employment?
1irq
I don't think so I am thinking about I don't think of a long term many people would know about it besides me, or if I put it, you know, on a resume or something, but I don't think it would make that much of a difference.
0id
And you didn't know about it when you first came in, and you're already working hard.
3gc
right at the beginning, I didn't even know about it.
7ack
So in a sense, and of course, we can't do this, for the sense of you could forget about the award. Right? You probably win it.
3gc
Right, Right.
7ack
Because you're already doing so well. But the thought of this potential failure, right away the word that's holding you back,
3gc
right, It makes me it makes me paranoid to make mistakes or to try and take risks or to really, you know, do well because I'm so worried about judgment, like from my teachers, if I'm doing well enough.
3gc
Yeah, there's no there's no tolerance for any type of mistake?
11orq
Right. Right.
10od
So so now that with the award out there, you really feel like you can't make any type of mistake or you just go right to, to a catastrophe?
1irq
Right, like I'm walking on eggshells, and I'm just expecting my grades to tank if I if I kind of like deviate from that line.
0id
So free so for you to feel better about this one way, I guess right would be to not help have to not place so much value in way.
3gc
It's really hard.
3gc
if I'm you If I want when I'm just doing the work,
0id
I guess I'm just kind of like running through a checklist. Did I do this? Did I do this? Did I do this? Making sure I did everything that was expected of me
0id
to ensure that you're gonna get that award?
4crq
Right.
6cd
Right. So at a higher level, one of your thoughts is, I must win that award.
3gc
Right.
7ack
Yeah.
7ack
Okay, so so you could say, it'd be nice to win the award. But in the end, it's not really gonna make the difference in my life in terms of my career
3gc
right.
7ack
I feel like sometimes I do. And then sometimes it's really hard in the heat of the moment to kind of talk myself down from that, that kind of spiral of not doing this assignment, right? I'm not doing well. I'm going to get to be in this class, I'm going to lose this award. So I feel like it starts. It's hard in the moment to spiral out of that.
10od
So what percentage of the time Do you believe that adaptive response is true?
1irq
Maybe like half the time,
0id
so 50% of time?
4crq
right? depends on what's going on in my stress.
6cd
And the other half, you're not really buying.
3gc
Right
7ack
Your advice to her seems positive and uplifting. Mostly, your advice to her is more positive, uplifting what you're telling yourself internally,
3gc
definitely it is.
7ack
I don't know sometimes I feel like I just hold myself to a higher standard than I hold other people to like if some a friend of mine like Joyce would come and tell me the same situation, you know, I'd be able to give her a whole bunch of, you know, suggestions or some positive feedback, but it's really hard for me sometimes because I hold myself to a higher standard than other people.
0id
But you would agree your advice to choice as you frame it to me is useful, right? But you're just having trouble applying that to yourself?
4crq
Yes.
6cd
Smooth. That's what you need to work on a bit. So you can kind of see the logic of all this, but your feelings don't match.
3gc
Correct. Makes sense in my head and I would know what to tell someone else but I don't always believe it. When I say to myself,
3gc
I know after having set it all might seem like doubling the work. But I think it's something changes when you write something down. Okay, I have to face it on paper. And also, it's a good tool to remember exactly what you're thinking. And then work through the adaptive response section and their smiles at the bottom of thought record questions you can ask yourself to help you form that adaptive response. And maybe write out a few different ones. But there's plenty of room on the forum. You see it, right,
3gc
right.
7ack
I thinl the adaptive response kicked out is to the downside of not having success, okay? It doesn't have to be completely positive. Okay, has to be realistic and useful. And, as importantly, you have to believe it. Okay, there's a place on there to note what percentage you believe that you could write that in. Okay, I know we'll look at that from week to week and, you know, as we move closer to your graduation, hopefully it'll bring you some relief for missing anxiety.
3gc
Okay
7ack
that's sounds like a good plan?
5yq
Hmm
8op
Thanks.
3gc
Thanks.
3gc
Hi Alice, how you doing today?
2gt
I'm doing okay.
2gt
You make it here okay to the office?
1irq
I did traffic wasn't too bad.
0id
Good, good. So I understand that you come to see me because you have a situation, how?
1irq
yeah, I'm just been a lot of anxiety right now my oldest child is moving out. And I know as a mom that that's the goal is to, you know, let them be independent and you start on their own but still a little concerned that it's gonna work out and that you know that he's in a good place and living where he should and kind of eat dinner and do those things that you worry about him doing.
0id
Okay. I'll try to help you that I'm sure your your get started. Right?
3gc
Absolutely. The sooner the better.
3gc
Good. I want to make sure I go over a few disclosures about the counseling relationship before we get into assessment, which is the first stage.
3gc
Okay.
7ack
Right. We'll ask you a lot of questions. Okay, that's your past and what's going on now. And then after assessment, we'll move into counseling. So we come in roughly once a week.
3gc
Okay.
7ack
But first I want to get through kind of a piece on confidentiality.
0id
Okay. So like attorneys what you what you can do and not do.
4crq
We kind of I'm glad you brought that up, about attorneys. Attorneys and clients have confidentiality, and counselors and clients have confidentiality, but the two types are different. So I'll explain to you how it worked between you and I. But no, that is a little bit different than it works between the attorney and their client.
6cd
Absolutely. So, one thing about a casting lationship all this time you spend here, the notes they'll take in during the assessment and the progress notes later on. Because all of a chart with your name on it will be stored in a secure place. All that is confidential, and next to that word confidential as an astress. Right? There's exceptions. Okay. And what I want to explain to you are those exceptions to confidentiality, because confidentiality isn't absolute.
4crq
So there's times you might tell someone else something that I said,
6cd
Yes.
7ack
Okay.
3gc
Yeah. I'd like to know that before I tell you.
8op
I do? Yes.
8op
So depending on we talk about you may want him or her to know about discussions. So you may sign a release, that gives that physician the right to talk to me directly.
3gc
That makes sense,
3gc
right. Furthermore, your issues with are part of your concern with your son. So say and I don't necessarily foresee this but say, later on, as we work together, you want him to come in for a session just to talk about something right? You would have to sign release confidentiality, so we could be here and talk with me.
3gc
Okay.
3gc
That makes sense?
5yq
That makes a lot of sense.
8op
so it goes automatically whatever progress made you have automatically go to the insurance company?
4crq
the progress notes, don't for standard billing, but information about the type of session we had length of the session. any of that and some other personal information about you to identify you would go to them also they know a service was provided.
6cd
Okay.
7ack
Like I said, There They're generally very responsible information, large companies that have done this for a while, right,
3gc
taking all your medical stuff too. So they have,
3gc
I don't know why I not hurt anybody, but I should know this
3gc
I know. Yeah, but I just want to let you know that these know this confidentiality information I release is limited to just what I need to release.
3gc
Okay
7ack
Similarly, if you have any type of suicide ideation, and I was had to contact somebody come pick you up like law enforcement. I would only tell them I knew tell them from the get to the hospital and get you in a safe environment.
0id
Okay
7ack
So you say, so, if someone's thinking about it, you are not just gonna call the police and send you to the hospital. You're gonna try to get to the bottom of it.
4crq
Absolutely.
6cd
Okay.
7ack