minoosh/HOPE · Datasets at Hugging Face

Utterance stringlengths 2 4.06k	D_ACT class label 12 classes
How did it backfire?	1irq
It just ended up with them getting worse and I've just been feeling worse since then.	0id
Okay, so after the summer, after the exam period, and how did that exam period go for you in the end?	1irq
Not very well.	0id
Okay, there's an awful lot of pressure to put on yourself, you suppose	3gc
Its just annoying because I know, I should have done better. And I just didn't and I guess I beat myself up a lot.	3gc
So you say, I know, I know, I should have done better. I mean, I suppose that hearing it from my perspective, I'm thinking it sounds like you had an awful lot going on. At the time. It'd be understandable, absolutely, that you wouldn't do as well as normal. I suppose. I'm just wondering if you have very high standards for yourself.	3gc
Maybe more than other people. My parents have always kind of taught me not in a loving way, I guess but But you should do your best, but also get the best and I agree with that. I think that's the right thing to think. But when I don't do that, I don't know, annoys me a lot. I worried that it annoys them.	3gc
no.	9on
I think it doesn't sound good. I don't really talk to them a lot, but I don't think they're going through very good. I don't like to talk to them about it because it just makes me feel worse. But I don't think it's getting any better.	0id
The may be this summer ?	1irq
A fair little bit Yeah	0id
and how was that?	1irq
Not very fun. No, it was quite tense all the time. stressed me out more than relaxed me over the summer.	0id
Okay. Okay, so it sounds like quite a lot has been happening you've been feeling very low you've had uni pressure on, and we've had problems with your parents marriage and sounds like you feel that you can't really reach out to anyone mate, you can't understand we can't really reach out to your parents right now. You can't really confide in your friends. So I suppose I'm just wondering if you can tell me a bit more about how you've been feeling. I mean, say this past week.	3gc
Right. So I suppose I'm just wondering and let's see if we can think about one thing, say a lecture on, what kind of thoughts do you have about going to a lecture before it happens?	1irq
I don't really see the point anymore. If, if I can't do as well as I should be doing, then what's the point in putting myself in those positions? I can't be bothered anymore to try it just stresses me out more than I need to.	0id
Okay, so it sounds like the kind of thoughts you've got in your head are, it's pointless, and it's not worth it.	3gc
Yeah.	7ack
Do you have any other thoughts in your head when you're just at that point before you go to the lecture?	5yq
Like I said, No, I I don't really even deserve to be here. If I can't do well enough. I feel these other students are doing well and doing better and want to be there. I don't know why I'm here even you need to be.	9on
So it sounds like you feel like you're not as good as other people here.	3gc
Yeah.	7ack
Very unworthy. Probably will be the best way to put it kind of I didn't know lower than normal. It makes me think about all the Things I should have been doing better.	0id
Sad not happy with. I have kind of anger and frustration as well.	0id
Yes. embarrassed. I've never yet talked about it, So it's quite uncomfortable to be in this situation.	0id
I used to be, I think from those emotions very wound up very kind of stressed all the time. Recently, it's just a lot more draining than anything, just quite lethargic and can't be bothered anymore. And it's, my body reflects that. But then when I try and sleep I just can't seem to have a satisfied by sleep. It's really, really frustrating.	0id
kind of focus on the negative thoughts when I probably should not think about them, but I focus on them and then I don't really want to do anything gonna stay in bed or	0id
I guess I felt slightly worse, but then a bit numb in a way, kind of once you've felt bad because I do feel tired all the time, I just try and push it out. And then you don't really think about anything. And it's almost nicer that way than to keep focusing on how much you're getting wrong and how much you can't do stuff. Sometimes it's better just to not think about it at all.	0id
So it sounds like in some ways, it's a bit of a relief to do that, But in other ways, maybe you think it might make things worse,	3gc
probably in the long run.	3gc
Hello Kelly, how are you doing today?	2gt
I am doing alright, I guess.	2gt
Okay	7ack
Specifically related to things that happening in your life and your symptoms. You're comfortable with them?	5yq
Sure.	8op
Okay.	7ack
So, so let's start at, everything's confidential. And then I'll explain the exceptions to you, like make sense.	3gc
Sure.	7ack
Okay	7ack
you might sign a release that allows me to communicate with your physician. Oftentimes, the physician will require the same thing. So that should be two releases, okay, one that he or she keeps, and one that I keep. Okay. Similarly, if you have a family member, that you want to bring in for a session, because somehow it might be related to what's going on with you, you would have to sign a release. If you did That I then could communicate with that family member.	0id
Oh, okay.	7ack
Does that make sense?	5yq
Yeah	8op
Even though releases have to be in writing to be in effect, except in extreme circumstances, you can discontinue release at anytime I call an agency and tell them that you want your release canceled. So say that, you know, I have no reasonably this is the case. Let's say you have a family member that comes in and there's a session and it goes, Okay. But then your relationship with that family member breaks down at a point. And now you think well, I don't want them calling in and being able to talk to your counselor. All you have to do is call in and the administrative staff will cancel that.	0id
Okay.	7ack
Umm yeah	8op
So you can tell them my deep dark secrets,	4crq
I could, I generally would try to avoid that	6cd
good.	3gc
But if you know there's a a treatment team meeting, and your particular case was being discussed, then, you know, other clinicians and the director would have access to information now they're bound by the same rules of confidentiality, but I'm bound by okay. We do this because it promotes good care.	0id
That makes sense	7ack
So we have information that you voluntarily release, right cognitive care another exception is if I have reason to believe that you're going to harm somebody. It's called a tarifs of duty. Right? It's a duty to warn. So again, I imagine this is why. I know this is unlikely in general. And your specific case, I imagine it's unlikely. But if you were to tell me that you were going to harm somebody, and then you left this office, I would have to contact them and warn them that you're on your way to harm. Again, this wouldn't involve disclosing a family secrets and all kinds of diagnoses. This would just be Hey, Kelly coming out to harm you. Okay, and I'm warning you, and you should probably do something about that, like call the police or flee.	0id
Okay. That's not gonna happen.	3gc
Yeah, I think again, I want to cover these things. They're oftentimes not used, but that's one of those rare things that has happened in the past, I don't imagine having by one time about it anyway.	0id
Okay. Okay.	7ack
Another exception to confidentiality is if I believe that, in general, you're a danger to yourself or others, meaning without a specific target in mind, you're, I feel that I have evidence to support that you're going to be a danger to someone else or the public in general, or a danger to yourself. I have to and I have the ability to, an authority to take steps to prevent you from harming yourself or somebody else. I'll only disclose what information I need to to prevent you from harming yourself or somebody else.	0id
Okay, that makes sense.	7ack
And the same would apply in the case if you had been threatened harm somebody else.	0id
Okay.	7ack
So I want to emphasize at this point, that if you tell me that you have suicidal thoughts or homicidal thoughts, that doesn't necessarily mean law enforcement or inpatient facilities are going to be involved. Okay, we can talk about it. And a lot of people, especially if they have any type of depression, have suicidal thoughts. It's extremely common, and homicidal thoughts are actually fairly common as well. Rarely are they acted upon, but they're common thoughts. So I want you to feel free to discuss those without fear that I'm just going to reach up the phone and call the police because that's not gonna be the case. But if there's a clear threat, and I'm really worried then I will act and all this is actually to protect you and the public.	0id
Okay	7ack
Yeah	8op
Okay, and the last thing exception and confidentiality would be and this is very rare, but it can happen. So I want to tell you about it. If for some reason, during the course of this therapy or even after this therapy has terminated, you get involved with the civil legal system in the criminal legal system, and a judge orders me to disclose information from your chart or from our experiences, okay. Technically, a judge can do that, and I'll have to follow his or her orders. Before I would make a such disclosure, I would certainly make my case to the judge, that I don't want to make that disclosure and try to restrict that disclosure as much as possible. But in the end, it's important to know that I don't have the power to make the final decision, it would be in the hands of a judge. Again, this happens very rarely, but I do on but you know, there's an exception to confidentiality.	0id
Okay. Okay.	7ack
Do you understand all those as I'm describing to you?	5yq
Yeah.	8op
And you have any questions about any of those?	5yq
No. So, like, if I told you that I was feeling really sad, and I thought about killing myself, you're not gonna?	9on
we're gonna have a discussion about that. Yeah, I'm not gonna, okay. I don't have the authority actually to lock anybody. Yeah, all I could do is to, well, the first thing I would do is assess the seriousness, and we'll try to work out some sort of safety plan that we can both be happy with. Okay, and that keeps you safe. But in terms of the extreme, whereas you said, Look, I really, you know, I'm going to harm myself and I'm going to do it soon. And here's I'm going to do it. My recourse would be to call law enforcement and they have a variety of options that are available to them. Of course, one is taking into an inpatient facility or something like that. Sometimes they arrive in Scituate is changed by then all kinds of possibilities. That's really a move of last resort. That's not going to be my first call. My first or my first action, my first action is going to be communicating with you and seeing where we are. And it's not unusual that clients have suicidal ideation to some degree for many sessions in a row. Right?	0id
Okay, so that's not unusual	3gc
Yeah.	8op
Any Other questions about those limits of confidentiality.	4crq
No, its pretty clear	6cd
If you're ever at a point where you're unsure, you don't remember what they are, of course, they're included in the information received screening, and there's a sheet that had them on there. But feel free to ask me about them. Right. And I'll be happy to clarify any points, anything that you might have forgot from now until that point, and I'll be happy to explain it again.	0id
Okay.	7ack
All right. So let's move to the next step. Let's go with you	3gc
check.	3gc
Sure	8op
Okay, ready, get started.	3gc
Yeah.	7ack
All right. What brings you in to our agency? What's been bothering?	1irq
Well, I guess it's really well, I've been feeling kind of down and But really what it is, I think it's work. I'm not, I'm not getting along very well with my boss and some of the other women at work, and it's kind of embarrassing, but it's not the first time that this has happened. And I'm starting to feel like there's something wrong with me	0id
So you're saying you're a little down, but you're also having some relational difficulties with people that you work with.	4crq
Yeah, and maybe more than a little down. Like I'm feeling pretty good right now. But I've been pretty sad.	6cd
Okay, we'll talk about that some more.	3gc
Okay	7ack
Any feelings of anxiety?	5yq
I think a little bit But yeah, like, like being worried, huh?	8op
Worried nervous on edge, anything?	1irq
Well, I'm kind of a worrywart. So yeah, I'm always pretty worried.	0id
So I'm going to ask you some questions, call this a symptom checklist. Many of these likely will not apply to you. I like to cover everything in the section, regardless. Okay. So as I touch on a topic, like the first one is memory loss. Okay. As I touch on a topic, let me know if it's happening currently. If it's happened, or if you've noticed it in the last 30 days, if it's ever happened, okay, so we have current last month or so three days ever happened or if it's never happened,	0id
okay	7ack
right. If you need me to remind you those four categories, just let me know	3gc
Alright	7ack
No, I mean, there's some things I can't remember from my childhood, but I think that's kind of normal.	9on
Yeah. any substance related problems or issues?	5yq
No. Never Well, maybe when I was like a teenager	9on
you tell me it happened?	1irq
Well, I was, I was at the university and well, I mean. I didn't like drink or party too much, you know, but one time the campus police raided this party where I was and they caught me. I just had like, a nickel bag on the way. And they actually brought me down to the station was like taken to the police. But like nothing came of it.	0id

How did it backfire?

1irq

It just ended up with them getting worse and I've just been feeling worse since then.

0id

Okay, so after the summer, after the exam period, and how did that exam period go for you in the end?

1irq

Not very well.

0id

Okay, there's an awful lot of pressure to put on yourself, you suppose

3gc

Its just annoying because I know, I should have done better. And I just didn't and I guess I beat myself up a lot.

3gc

So you say, I know, I know, I should have done better. I mean, I suppose that hearing it from my perspective, I'm thinking it sounds like you had an awful lot going on. At the time. It'd be understandable, absolutely, that you wouldn't do as well as normal. I suppose. I'm just wondering if you have very high standards for yourself.

3gc

Maybe more than other people. My parents have always kind of taught me not in a loving way, I guess but But you should do your best, but also get the best and I agree with that. I think that's the right thing to think. But when I don't do that, I don't know, annoys me a lot. I worried that it annoys them.

3gc

no.

9on

I think it doesn't sound good. I don't really talk to them a lot, but I don't think they're going through very good. I don't like to talk to them about it because it just makes me feel worse. But I don't think it's getting any better.

0id

The may be this summer ?

1irq

A fair little bit Yeah

0id

and how was that?

1irq

Not very fun. No, it was quite tense all the time. stressed me out more than relaxed me over the summer.

0id

Okay. Okay, so it sounds like quite a lot has been happening you've been feeling very low you've had uni pressure on, and we've had problems with your parents marriage and sounds like you feel that you can't really reach out to anyone mate, you can't understand we can't really reach out to your parents right now. You can't really confide in your friends. So I suppose I'm just wondering if you can tell me a bit more about how you've been feeling. I mean, say this past week.

3gc

Right. So I suppose I'm just wondering and let's see if we can think about one thing, say a lecture on, what kind of thoughts do you have about going to a lecture before it happens?

1irq

I don't really see the point anymore. If, if I can't do as well as I should be doing, then what's the point in putting myself in those positions? I can't be bothered anymore to try it just stresses me out more than I need to.

0id

Okay, so it sounds like the kind of thoughts you've got in your head are, it's pointless, and it's not worth it.

3gc

Yeah.

7ack

Do you have any other thoughts in your head when you're just at that point before you go to the lecture?

5yq

Like I said, No, I I don't really even deserve to be here. If I can't do well enough. I feel these other students are doing well and doing better and want to be there. I don't know why I'm here even you need to be.

9on

So it sounds like you feel like you're not as good as other people here.

3gc

Yeah.

7ack

Very unworthy. Probably will be the best way to put it kind of I didn't know lower than normal. It makes me think about all the Things I should have been doing better.

0id

Sad not happy with. I have kind of anger and frustration as well.

0id

Yes. embarrassed. I've never yet talked about it, So it's quite uncomfortable to be in this situation.

0id

I used to be, I think from those emotions very wound up very kind of stressed all the time. Recently, it's just a lot more draining than anything, just quite lethargic and can't be bothered anymore. And it's, my body reflects that. But then when I try and sleep I just can't seem to have a satisfied by sleep. It's really, really frustrating.

0id

kind of focus on the negative thoughts when I probably should not think about them, but I focus on them and then I don't really want to do anything gonna stay in bed or

0id

I guess I felt slightly worse, but then a bit numb in a way, kind of once you've felt bad because I do feel tired all the time, I just try and push it out. And then you don't really think about anything. And it's almost nicer that way than to keep focusing on how much you're getting wrong and how much you can't do stuff. Sometimes it's better just to not think about it at all.

0id

So it sounds like in some ways, it's a bit of a relief to do that, But in other ways, maybe you think it might make things worse,

3gc

probably in the long run.

3gc

Hello Kelly, how are you doing today?

2gt

I am doing alright, I guess.

2gt

Okay

7ack

Specifically related to things that happening in your life and your symptoms. You're comfortable with them?

5yq

Sure.

8op

Okay.

7ack

So, so let's start at, everything's confidential. And then I'll explain the exceptions to you, like make sense.

3gc

Sure.

7ack

Okay

7ack

you might sign a release that allows me to communicate with your physician. Oftentimes, the physician will require the same thing. So that should be two releases, okay, one that he or she keeps, and one that I keep. Okay. Similarly, if you have a family member, that you want to bring in for a session, because somehow it might be related to what's going on with you, you would have to sign a release. If you did That I then could communicate with that family member.

0id

Oh, okay.

7ack

Does that make sense?

5yq

Yeah

8op

Even though releases have to be in writing to be in effect, except in extreme circumstances, you can discontinue release at anytime I call an agency and tell them that you want your release canceled. So say that, you know, I have no reasonably this is the case. Let's say you have a family member that comes in and there's a session and it goes, Okay. But then your relationship with that family member breaks down at a point. And now you think well, I don't want them calling in and being able to talk to your counselor. All you have to do is call in and the administrative staff will cancel that.

0id

Okay.

7ack

Umm yeah

8op

So you can tell them my deep dark secrets,

4crq

I could, I generally would try to avoid that

6cd

good.

3gc

But if you know there's a a treatment team meeting, and your particular case was being discussed, then, you know, other clinicians and the director would have access to information now they're bound by the same rules of confidentiality, but I'm bound by okay. We do this because it promotes good care.

0id

That makes sense

7ack

So we have information that you voluntarily release, right cognitive care another exception is if I have reason to believe that you're going to harm somebody. It's called a tarifs of duty. Right? It's a duty to warn. So again, I imagine this is why. I know this is unlikely in general. And your specific case, I imagine it's unlikely. But if you were to tell me that you were going to harm somebody, and then you left this office, I would have to contact them and warn them that you're on your way to harm. Again, this wouldn't involve disclosing a family secrets and all kinds of diagnoses. This would just be Hey, Kelly coming out to harm you. Okay, and I'm warning you, and you should probably do something about that, like call the police or flee.

0id

Okay. That's not gonna happen.

3gc

Yeah, I think again, I want to cover these things. They're oftentimes not used, but that's one of those rare things that has happened in the past, I don't imagine having by one time about it anyway.

0id

Okay. Okay.

7ack

Another exception to confidentiality is if I believe that, in general, you're a danger to yourself or others, meaning without a specific target in mind, you're, I feel that I have evidence to support that you're going to be a danger to someone else or the public in general, or a danger to yourself. I have to and I have the ability to, an authority to take steps to prevent you from harming yourself or somebody else. I'll only disclose what information I need to to prevent you from harming yourself or somebody else.

0id

Okay, that makes sense.

7ack

And the same would apply in the case if you had been threatened harm somebody else.

0id

Okay.

7ack

So I want to emphasize at this point, that if you tell me that you have suicidal thoughts or homicidal thoughts, that doesn't necessarily mean law enforcement or inpatient facilities are going to be involved. Okay, we can talk about it. And a lot of people, especially if they have any type of depression, have suicidal thoughts. It's extremely common, and homicidal thoughts are actually fairly common as well. Rarely are they acted upon, but they're common thoughts. So I want you to feel free to discuss those without fear that I'm just going to reach up the phone and call the police because that's not gonna be the case. But if there's a clear threat, and I'm really worried then I will act and all this is actually to protect you and the public.

0id

Okay

7ack

Yeah

8op

Okay, and the last thing exception and confidentiality would be and this is very rare, but it can happen. So I want to tell you about it. If for some reason, during the course of this therapy or even after this therapy has terminated, you get involved with the civil legal system in the criminal legal system, and a judge orders me to disclose information from your chart or from our experiences, okay. Technically, a judge can do that, and I'll have to follow his or her orders. Before I would make a such disclosure, I would certainly make my case to the judge, that I don't want to make that disclosure and try to restrict that disclosure as much as possible. But in the end, it's important to know that I don't have the power to make the final decision, it would be in the hands of a judge. Again, this happens very rarely, but I do on but you know, there's an exception to confidentiality.

0id

Okay. Okay.

7ack

Do you understand all those as I'm describing to you?

5yq

Yeah.

8op

And you have any questions about any of those?

5yq

No. So, like, if I told you that I was feeling really sad, and I thought about killing myself, you're not gonna?

9on

we're gonna have a discussion about that. Yeah, I'm not gonna, okay. I don't have the authority actually to lock anybody. Yeah, all I could do is to, well, the first thing I would do is assess the seriousness, and we'll try to work out some sort of safety plan that we can both be happy with. Okay, and that keeps you safe. But in terms of the extreme, whereas you said, Look, I really, you know, I'm going to harm myself and I'm going to do it soon. And here's I'm going to do it. My recourse would be to call law enforcement and they have a variety of options that are available to them. Of course, one is taking into an inpatient facility or something like that. Sometimes they arrive in Scituate is changed by then all kinds of possibilities. That's really a move of last resort. That's not going to be my first call. My first or my first action, my first action is going to be communicating with you and seeing where we are. And it's not unusual that clients have suicidal ideation to some degree for many sessions in a row. Right?

0id

Okay, so that's not unusual

3gc

Yeah.

8op

Any Other questions about those limits of confidentiality.

4crq

No, its pretty clear

6cd

If you're ever at a point where you're unsure, you don't remember what they are, of course, they're included in the information received screening, and there's a sheet that had them on there. But feel free to ask me about them. Right. And I'll be happy to clarify any points, anything that you might have forgot from now until that point, and I'll be happy to explain it again.

0id

Okay.

7ack

All right. So let's move to the next step. Let's go with you

3gc

check.

3gc

Sure

8op

Okay, ready, get started.

3gc

Yeah.

7ack

All right. What brings you in to our agency? What's been bothering?

1irq

Well, I guess it's really well, I've been feeling kind of down and But really what it is, I think it's work. I'm not, I'm not getting along very well with my boss and some of the other women at work, and it's kind of embarrassing, but it's not the first time that this has happened. And I'm starting to feel like there's something wrong with me

0id

So you're saying you're a little down, but you're also having some relational difficulties with people that you work with.

4crq

Yeah, and maybe more than a little down. Like I'm feeling pretty good right now. But I've been pretty sad.

6cd

Okay, we'll talk about that some more.

3gc

Okay

7ack

Any feelings of anxiety?

5yq

I think a little bit But yeah, like, like being worried, huh?

8op

Worried nervous on edge, anything?

1irq

Well, I'm kind of a worrywart. So yeah, I'm always pretty worried.

0id

So I'm going to ask you some questions, call this a symptom checklist. Many of these likely will not apply to you. I like to cover everything in the section, regardless. Okay. So as I touch on a topic, like the first one is memory loss. Okay. As I touch on a topic, let me know if it's happening currently. If it's happened, or if you've noticed it in the last 30 days, if it's ever happened, okay, so we have current last month or so three days ever happened or if it's never happened,

0id

okay

7ack

right. If you need me to remind you those four categories, just let me know

3gc

Alright

7ack

No, I mean, there's some things I can't remember from my childhood, but I think that's kind of normal.

9on

Yeah. any substance related problems or issues?

5yq

No. Never Well, maybe when I was like a teenager

9on

you tell me it happened?

1irq

Well, I was, I was at the university and well, I mean. I didn't like drink or party too much, you know, but one time the campus police raided this party where I was and they caught me. I just had like, a nickel bag on the way. And they actually brought me down to the station was like taken to the police. But like nothing came of it.

0id