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Are you recovered enough from accident in which you could go fishing sad it that reality, something that you could do?
5yq
Yeah, I mean, I think I could.
8op
Okay, great.
8op
Yeah.
7ack
So fishing is something that that with Are there any other activities or meeting with people? Nice remind me Is your wife out of town and the kids so it's a little bit more difficult to maybe see them on a regular basis. Okay, other activities besides fishing that might enjoy doing or being with people or things you enjoy doing? When you pleasure?
1irq
I used to get together my buddies and they usually had like a cookout or something in somebody's house and watch football or sit around and talk. Yeah, we always and we all had family. So that was kind of we'd all get together. Get away for a little bit.
0id
That's something that might be able to be planned or you might be able to have a get together with at least one if it's not the whole group, you know, one or two old buddies.
0id
Yeah, I mean, I think I think we could do that. I mean, I just hadn't talked to me recovered. After the accident since I've been feeling so down, I haven't really made any effort with them at all. And they kind of tried it first, but then I just never followed up with any
0id
Okay
7ack
I guess I might not be willing to try.
0id
That's another good suggestion. As far as what do you Is there an activity you should do even by yourself either playing an instrument or listen to music or exercising or watching movies or something that gives you pleasure that you don't necessarily need. I mean, fishing is a good way you don't really need anybody else for but just thinking in case your bodies were busy, I'm thinking of another thing you might want to do that brings you pleasure.
0id
Um, I mean, working out was all the something that I did.
0id
and how that make you feel?
11orq
Well, during the workout, I always felt really good afterwards. Like I've done something. Working out, definitely get a lot out of okay.
10od
And those are some good suggestions of things that you might want. It's your product To start out slow and scheduling some things, it's nice to have, if you can, something on your agenda every day in order for you to get a bit for it might be a workout, it might be going fishing. It might be calling a buddy to schedule something or might be hanging out with the friend. Okay. So, Tom, I'd like your goal this next week and you can you can write it on this piece of paper right here kind of kind of journal about it you know, put the date and go ahead and put I'd like you to have some. When you can first talk about maybe when you're in bed and can't get out. You can write about your thought the automatic thoughts coming into your mind you know, in bed. My automatic thought is ?
0id
no reason you get out of bed.
0id
Okay, No reason to get out of bed. Man very Use the word worthless, whatever that automatic thought that comes in your mind, write that down, and then write down how that makes you feel.
0id
Okay
7ack
And then you mentioned often your action or your that response to that feeling is just to stay in bed. All right. So I'd like for you to go ahead and log those emotions when those situations occur, you know that the situation, the thought, the emotion and your reaction to it, good. Another thing I'd like you to do is, if you can schedule one event today, alright, that you would enjoy doing. And it couldn't be a phone call doesn't have to be getting that and give yourself a break, know that this is going to be difficult. And you're going to start out slow, and you're going to work up to it, but just one event a day.
0id
Okay
7ack
Now, I want you to log in as well. You know, whether it is I called my kids, or I called my buddy to schedule something or I went to work out all right. And also we'd like you to write down how you felt about yourself. After you did that after the phone call, how you felt about yourself after the workout, how it makes you feel, all right after you got together with your buddies, alright, so go ahead and document this progression, and then log, the different activities that's here, and then we'll talk about it next week. We can talk about what's you know, these automatic thoughts, and then any of these activities and if any of these activities are actually helping
0id
Okay
7ack
you might take a while time you have to be patient with the process. Be patient with yourself and, and other other people. I mean, you mentioned a while ago that your buddies you know, they they tried connecting with you and it was difficult to party. Glad that you're wanting to be engaged as well. Something That you Can do this week?
1irq
Yeah.
8op
feel overwhelming Or?
5yq
I think that's a big part of this, the willingness to try. The patience, process will take time one step at a time we can talk about and see what's working, and what's not working, and we can make changes on it. But it I think this CBT really helps you think about, you know, what's going on and why am I feeling this way, you know, identifying the thoughts in your mind and While I might be thinking of this, and while I'm reacting because of this, and you might even write your emotion and say, yesterday, I felt, you know, my feeling of worthlessness on a scale from one to 100 was 90. But today, it's actually 80. And maybe next week, it might be 70. So you want to add a particular number to associate your, your association with that feeling of worthlessness if you want to kind of put a value on it, you know, and we can kind of see how that adjusts with time. might be helpful.
0id
We will talk about that next time
0id
okay.
7ack
Oh Hello there is there Ms Dorsey?
5yq
yeah.
8op
How can I help you today?
1irq
I'm sorry, I might be wasting your time a bit, but I can't. I'm not sleeping very well. I'm just exhausted. And just wondered if you could give me something anything to help me sleep some sleeping tablets.
0id
Okay. It really helped me if I could ask a few more questions about how you feeling? Yeah, maybe symptoms and then we can sort of see how it can help you with that'd be okay.
0id
Yeah, I think yes.
7ack
So why don't you tell me a bit more about what's brought you here today?
1irq
Umm but a year ago my husband were split up and since I was coping very much. I'm just tired all the time. And kids, job just punch him very well. I can't sleep.
0id
Okay, why don't we just look at one of those things at a time. Tell me a bit more about you say having trouble sleeping.
1irq
I just lie awake at night. I don't know what it is but just seems to go on and on and on the night. No, I must have got sleep in the morning. I just feel so dreadful.
0id
Okay, and you have problems with your apetite.
5yq
Yeah, I make the kids dinner but I can't eat
0id
And what's about sort of life in general you kind of lost you get up and go?
1irq
Sorry, I don't understand
4crq
you get up and go you your energy levels are low.
6cd
Yeah, I used to enjoy swimming with the kids and stuff but I just want to be on my own and composite I just in a very moment moment as well. I just so exhausted really.
0id
Can you just came back to sleep? Can you tell me a bit more about that? How much sleep Are you getting each night?
1irq
So just a lie awake and think about him and her together Things that we used to do and I Just wake up exhausted.
0id
Sounds like your lack of energy and lack of sleep and lack of appetite. Seems to me that thing that seemed to really get you down.
0id
I'm just a mess. Just not coping, I'm just exhausted.
0id
You say you're a mess.
4crq
I just, you know, I just need some sleep.
6cd
Okay. It would be helpful for me just to sort of find out a bit more about home life or work life and ask a few questions in that area. Would that be okay?
5yq
Yeah, it's fine. sorry.
8op
So do you work?
5yq
I work in a Job Center gets a bit stressful at times. We've got seasons So many people of course that's why I stressed
0id
I've got some patients who work in the same environments very high pressures
0id
Yeah. Some mornings I just can't be bothered to get out of bed and it's some that's worry makers are finding the second its not record is that it's not like me
0id
and who else is at home with you?
1irq
I've got two kids one girl one boy how Rich It is his youngest is Steven I am Marie she's kind
0id
Do they get to their their father much?
1irq
No, we can't be bothered. No, he's got a new family doesn't see them at all. They're very good kids
0id
must be quite hard on both you and them.
4crq
Its very difficult but cant get any help or support. My mom, she's, she's wonderful, but she has arthritis. So she, you know, she does what she can.
6cd
Does she live locally?
5yq
What about you? What about your hobbies and things you enjoy?
1irq
I used to enjoy going to the cinema, my friends, even line dance and we used to go down to the little line dancing. But that's been a while ago. Nobody wants that misery around, do they and I'd rather be on my own now.
0id
Well I know you've you're not a doctor but you must have had thoughts about what's causing all these feelings that you thought about about these these type of things
1irq
I guess I was on automatic pilot when he first left or I guess that's why I'm in the state I am now I don't know could Arizona kids I don't know but I suppose that's why I keep going down I just feel everything's useless I can't sleep. You know,
0id
what tends to bother you the most Is it the sleep or the your appetite or the energy or sleep coping with the kids asleep.
5yq
Just feel if I had a bit more energy that could just have something just to, you know, help me out with them so I can do the normal things
0id
that was gonna be really well I'm going to ask next. I mean, what are your thoughts about how he could help you today?
11orq
Well, I just thought with sleeping tablets I thought they might help.
10od
Would it be a good idea perhaps if we think about all the options available to you and then decide which which ones may be best for you
5yq
we might have heard of some of the talking therapies, being able to sit down and talk with us, sort of a trained counselor about about your feelings and about what's been happening.
0id
Well, that will hekp my sleep. Well, let me be able to cope the next day to sleep.
0id
It may help you deal with some of your feelings. I take on board about the thoughts about using a sleeping tablet. I think that could be another option. Obviously, when the concerns we have is that we don't want to have you on sleeping tablets for a long period of time because their issues about becoming dependent on them and reliant on them. We can use them for a short period of time, say, for a week to help you get back into a bit more of a normal sleep.
0id
Yeah. That sounds good to me.
7ack
What's about those the two options as option the counselor, or perhaps sleeping pills?
1irq
counseling, Chair counseling, I'd like I mean, I just feel if I had some sleeping tablets, I might just Just give me a spare really, and I'm quite happy with the counseling as well.
0id
Okay, so you'd like to try both. I think that that sounds a good idea. Would you be happy to the counselor here at surgery?
5yq
Yes. That'd fine
8op
Okay, so I can organize that I can speak to her and ask her to contact you to make an appointment. It also be really helpful for me as well, if you could complete one of our heads questionnaires.
0id
Most question perhaps question.
0id
Sorry. It's a short questionnaire just asking some questions about your feelings and it'll help me to find out. If there's any more help, I can give you an annex, see if that's okay. From what you've told me today, I mean, it sounds really for the last 12 months or so you've felt really low. Since split from you, your husband.
0id
Yeah.
7ack
Your sleeps not being good. your appetite is not being good.
0id
I am mess
0id
is sounds to me. Self esteems taking a real not because I certainly think the help we can give you with some counts in which we have a counselor that comes here in the surgery that will be it'll be a benefit to you. And then we'll try the short course of sleep tablets to try and get you back into a state sleep pattern.
0id
Okay
7ack
maybe I can see you in about two, three weeks time. And I don't want you to think that you have to sort of manage all this by yourself. I mean, that's why we're here. We're here to, to help and support you.
0id
Yeah. Okay.
7ack
Let me do the prescription then.
0id
Thank you
2gt
So that's gone to reception as you can catch up on the way out.
0id
Okay.
7ack
And I'll give you one of the heads question as well.
0id
Okay.
7ack
Okay. Thank you, doctor. Thank you for seeing me
2gt
Okay, see you next time.
2gt
Thank you.
2gt
Okay, bye bye.
2gt