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D_ACT
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Yeah. That, you know, I responsibility to make sure you're safe and I feel like I can do that. If we talk to Through an issue and you don't have any, any reason to believe you're going to harm yourself, but just had a suicidal thought, okay, okay, that's a lot different than you, you came in to me and told me about detail plan, and you really seem like you're going to do it, then I'd be a lot more worried.
0id
Okay That makes sense. Okay.
7ack
So that exception to confidentiality is really used in the most extreme cases of suicidal or homicidal ideation. Another exception in the state that will let you know about is if I have any reason to believe that a child or an elderly person is being abused. I have to report it was called a mandated reporter.
0id
Okay.
7ack
It Does. Yes.
8op
So no matter how I find out about it, or who it is, I have to act on that.
0id
Okay.
7ack
And then the last exception I want to review is, again, as with many of these very unlikely, but if for some reason you're involved in any type of civil or criminal litigation, and a judge orders me to testify. I have to testify. I can tell you this happens. Very Rarely, but it can happen. And I can and will try not to disclose me, I'll ask the judge to not disclose if you don't want me to, but ultimately a judge can order me and I have to. So in the end, it's up to the judge.
0id
Okay.
7ack
So, again, most of these pretty unlikely, yeah. But I'd rather have all the information going forward so you don't have any concerns about where the information you're revealing or talking about where the information is going. Okay. Do you have any questions about that?
0id
seems pretty clear.
7ack
Okay. Well, I appreciate you sitting through that. Talk on confidentiality. So we're gonna get started now with the assessment.
3gc
Okay.
3gc
Yes, I'd like that.
8op
Yes. It'll be fine.
8op
Umm a few weeks ago, I was due to meet up with some friends from antenatal classes. We used to meet up every week. But I felt so tired and low. Just couldn't go
0id
when I started thinking about the other mothers laughing and chatting, and I wouldn't have anything to say.
0id
And what would that mean, if you didn't have anything to say?
1irq
They'd probably think that I was boring. Why would they want me there? If I was just going to make everyone else miserable?
0id
It sound like some really difficult thoughts to have and how did it make you feel when you're thinking that ?
1irq
really low
0id
Will the other children always seem so happy, I started thinking maybe the other mother is doing a better job than me. And I worry a lot about Molly and wondered if she'd be better off for one or the other mums.
0id
That made me feel really sad
0id
What tells you that Molly might be better off with one or the other moms?
1irq
We seem so in control with my depression. I just feel guilty that I'm not very good mother.
0id
You've mentioned a number of emotional feelings. You said you feel fed up, low, sad and sometimes guilty. Do you have any physical symptoms or body reactions?
1irq
I get quite tearful, although that's mainly when I'm on my own. I'm so tired. I just don't have the energy.
0id
Are you getting good sleep at the moment?
5yq
Molly keeps me up sometimes at night that makes me tired. But even after a good night's sleep, I'm still exhausted
8op
right
7ack
No, I am feeling a lot better now. It was a stupid thing to do. I'm not going to do it again.
9on
this is really concerning for me Steph, perhaps you need to be admitted.
3gc
Fine, I'll fill up the plan.
3gc
I don't I don't think it'll happen again. I was feeling really down, but I don't really want to die.
0id
I guess I could have called someone.
0id
maybe my aunt Jenny, She's great. She's really easy to talk to.
0id
it was so late. I didn't want to Call at like three in the morning, it would have woken her and my uncle and all of my cousins up and they probably just be mad.
0id
I don't know.
0id
I'm wondering maybe if I could bring your dad in right now. And we could maybe all talk about this together.
3gc
Yeah, that's okay.
7ack
Okay.
3gc
Yeah, I drove today and the traffic wasn't too bad. Actually, I got here in about 15 or 20 minutes.
0id
Oh, that's good. I was held out there's a big smash on the road so took me a little bit longer. So I'm glad that you're able to make it in. That's good.
3gc
Thank you
3gc
Well, I was talking to a friend and saying that I thought I might benefit from having a chat to somebody. and she told me that one of her friends had actually come to your service before and said that it was very good.
0id
that sounds good. Thank you.
8op
Yes, that's fine. I understand. Thank you.
8op
Well, my husband and I have been fighting on and off for last couple of months, and I'm just noticing that we can't seem to come to any agreement lately, I'm losing sleep. I'm feeling exhausted. And I'm at a point where I feel like I might like to leave the marriage.
0id
Okay, how long have you been married for?
1irq
We've been together for eight years.
0id
Yes, we have three children. I have two little ones that are under five and we have a seven year old who's at school.
8op
Okay, so you must be kept busy then?
5yq
I'm always very busy. This just always so much to do and I'm really feeling very tired.
8op
Okay. And the children today we're about who's looking after them today for you.
1irq
Well, my two younger children today are being cared for by my mom and my oldest one is at school today.
0id
Um, he's gone to work.
0id
I am I'm I feel now that that I can't come to any solution with the problems and he's been drinking a lot and and He always enjoyed a social drink when when we first got married, but I'm noticing now that he's drinking more and more, he seems to be drinking most days of the week. And when he does drink, he's very, very difficult to talk to.
0id
Yes, I do. I think that the drinking has definitely changed his behavior significantly. And he's very unreasonable and he's has a very short fuse. He's very, very easy to to make angry over the smallest of things.
10od
Well, he does have a very good relationship with the children and he actively participates in their in their daily lives and the children haven't mentioned anything to me and they don't seem to have changed their behavior in any way, the arguments don't tend to happen in front of the children either.
8op
Well, the arguments can start over something small, can be just a simple argument over a task in the house that can escalate into an argument about his family or about my mother or about money issues, and it just seems to escalate out of control.
0id
that that's true, that's right. I think the drinking is my my main issue with with his behavior. And I think the drinking is greatly contributing to the way that he's behaving towards me.
0id
Have you spoken to him about this?
5yq
I have. I've tried to talk to him about the drinking a couple of times, and he just gets very, very defensive with me.
8op
Potentially, he's not acknowledging then that he may have a drinking problem.
3gc
That's true. That's correct. Yes.
3gc
Well, I'm hopeful that we could resolve the issues that we're having and although at the moment, I feel like I need a break away from him. If he was able to get the support that he needed, and we were able to get the support together. I think that I would be willing to to give the marriage an opportunity to continue into to resolve our issues.
0id
Well, I have I spoke to my girlfriend who recommended your service and she Very good support to me and to the children. And I have a very supportive family network as well. I have sisters who live in Sydney, and also my mom. So they're all around me. And they're very, very caring towards me.
0id
Have any of those note any of the family or friends noticed a change in your husband's behavior?
5yq
Yes, I have actually recently we had a social function and my brother did comment to me on how much alcohol my husband consumed at this some social event.
8op
Yes, that's right. That's correct. I would be happy to work on things if he was willing to do that as well.
8op
I think he would I think if I was able to approach him when he was calm and relaxed, I think that yes, he probably will be receptive to that.
10od
Around this time is a good is a good time for me and any Thursday or Friday during during the day is good.
0id
There would be good, I'd appreciate that. Thank you.
0id
Okay. Well, thank you, Julie, for taking the time. I'm really happy that you were able to come in today. And it's, I look forward to going on this journey with you. It's not a solution. We can't, you know, fix everything here today. It will be a process and but you know, hopefully together, you know, we can see a really positive outcome for you and your family.
3gc
Thank you very much for talking to me today, it's been great. Thank you.
3gc
I look forward to seeing you next week.
3gc
Thank you very much.
3gc
Am I doing today?
2gt
I'm doing good thanks. How are you?
2gt
I'm doing well. Thank you for asking. I understand you've been having some symptoms that have been bothering you lately.
2gt
Can you? Can you tell me about that?
1irq
Well, I just moved into an apartment.
0id
It's the first time that
0id
I'm on my own. And I kind of had heard that someone got robbed and ever since then. I'm kind of nervous about my apartment getting wrong.
0id
Someone someone was robbed. near where you live.
4crq
Yeah. Someone in the same complex. Okay. So Sometimes when I'm sleeping, I'll wake up in the middle of the night, and I'll think that
6cd
I locked the door. Is the door locked? And I can't fall back asleep.
6cd
How long does it take you to fall back to sleep?
1irq
Sometimes it takes maybe an hour two.
0id
And what are you thinking about during that time?
1irq
I'm just worried that I left the door unlocked. And sometimes I'll hear sounds. And I think maybe someone's in the apartment or I just, I get nervous. I just get scared.
0id
That sounds scary.
7ack
And you said a couple hours to stay away.
3gc
Yeah. So
3gc
yeah. So this is this is troubling for you. Have you ever gotten up and check the door?
1irq
Now I sit in bed, and I just try to I just think about it.
0id
So you just keep thinking about it. Does it get worse as the time goes on? Or does it get better? What happens?
1irq
It gets, it gets worse.
0id
I mean, I try to fall back asleep, and I stay in bed and I just think, you know, maybe I did leave the door unlocked. And then I just keep thinking that maybe it isn't locked.
0id
So keep cycling through the same
5yq