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Thank you. | 2gt
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Thanks, Rhonda. | 2gt
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All right, let's How are you? | 2gt
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Good, good. | 2gt
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It's good to see you. Yeah. | 2gt
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Yeah, I mean, good week with the roommates. I had a good conversation with her about like, what times are good for boyfriend to be over and kind of giving him better heads up on when I'm really mean. | 3gc
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Silence. Terrific. So what was what specifically? I mean, I know we've talked a lot about that, but what specifically did you say to her, or how did you bring it up | 1irq
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is just telling her that like, my studies are really important and I understand like, it's also important that she time with her boyfriend, but that I would really appreciate that this is both our space and that there are times when like, we really need to respect each other's space. And yeah, she responded really well. Yeah, she was like, just really give me a good heads up before. Terrific. You. Yeah. And that we kind of decided like certain times are more appropriate for them to have the living room and not | 0id
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right. Right. Right. Because I think that's really similar No, we kind of talked about that. Because I remember like a few sessions ago, I was kind of wondering whether or not she really got it in terms of what you were feeling because it seems like one of the ways that you've we talked about that before in terms of like, you know, first starting that oftentimes one of the ways that you manage your feelings that you kind of you think you're letting people know what you're you know, feeling but it doesn't really come out. And I know that it's something that you and I had to really like you know, kind of work out but sounds like that. You were able to talk with her in that She heard you. And as I want, as I kind of thought that she was actually really responsive in a very positive way. | 1irq
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So I think being a little way direct was helpful. | 0id
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It's really nice, I think to you've been able to do that more with me, and I feel like that, that I feel like it's been really helpful. I know, they've been kind of pushing you on that. And that's been hard, but I feel like it's been really nice to feel like it's really been helpful with your relationship with Kathy. So that's fantastic. And also, you know, again, I know that I've keep, you know, like saying this over and over again. But you know, as you've worked on these things, it's been really notable that it's really had a nice positive effect on your eating because it seems like it's really you've really seen a lot of real nice improvements. So awesome. Anything else that you know, so you had a really good conversation with Kathy, anything else go on this week? Yeah, I got to spend some time with Brooke. | 1irq
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At home for two days, and it was with my mom and Okay, | 0id
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okay. So she's still sixers. Did she have a birthday recently? | 1irq
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He's awesome. | 0id
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Oh, that's great. almost seven great. You plans for birthday for her or what are you | 1irq
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She really into frozen? | 0id
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Okay? Like anything frozen. Okay, okay, okay. Yes. Okay, that sounds terrific. And so then you spend some time with her. So obviously that was real positive for you. Did you? When you were there? Did you have any opportunity to, you know, visit with your mom? or How did that go? I | 1irq
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I think my mom was around like we kind of all spent time together. And like she asked about school. They were like, tell her a little more about school and how things are going. Yeah, we don't really get a one on one time. | 0id
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How does it feel for you in terms of like for her? I know you've talked about not really liking that. She all the sudden, is deciding now that she wants to really be kind of like, you know, the good mother and kind of like be involved in your life. But how is it for her to kind of like want to want to know how things have been going for you. I mean, | 1irq
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I've kind of like allowed myself to tell her I guess I don't think have been going. I mean, like, to an extent, like it was like it broke and whatnot like we don't really sit down just do together. | 0id
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So kind of what we had discussed kind of that you've been, you've like, you've been allowing yourself to be more connected with her, but you're still kind of keeping up keeping a little bit of a boundary. Yeah. Yeah. Well, I'm sure that would be really hard to trust her after everything that's gone on, you know, with, you know, kind of the infidelity issue with your dad, or at least it's just, you know, kind of like the wondering about that. I mean, I think you kind of know that that was probably what was going on, but then, you know, and then moving you how harsh and critical she was issues with Brooke, you know, even I still even remember to, for her to have gotten to the point where she wouldn't even let you like go to your grandmother's funeral or at least you know, kind of, so all those things have been so like, you know, front and center, you know, and so now I feel like that she's made this real dramatic shift and, you know, wanting to start being a mom, that sounds like that. You're really working to try to manage that in, you know, in a better way? | 1irq
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Yeah. I mean, like we still butt heads a little bit. I'm sure Shane but | 0id
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yeah, yeah, but when you do butt heads, what is it how what happens in terms of your eating when you guys kind of like you feel like that there's a little bit of a friction. | 1irq
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I mean, I guess that's like, kind of leaps back to things like things are really good this weekend for the most part and then kind of when I was leaving she just like, either just brought up things about wanting to know more about life and whatnot and what's going on at school and if I'm seeing anyone, yeah, it's just like, we don't have that relationship. | 0id
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Right. So that really, that's a really stressful time? | 1irq
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like when I got back to school like right after that. And like caught me. | 0id
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Well, it makes a lot of sense because again, you know, like, you know, we've really reviewed this quite a bit but You know, historically, that's how it's been, you know that that's really been a real enemy. It really clarifies why we're working on this because it's so clear that when the two of you have like these rough patches, that it really all of a sudden evokes all these like negative feelings. And that's when food like really, you know, | 1irq
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you know, all comments, though. Yeah. What I'm wearing. Right. Right. | 0id
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Right. Right. Yeah. So it's really hard to, you know, I can understand it's really hard to let that go. I mean, cuz obviously, there's a lot of lot of feelings that you have about that. Yeah. Yeah. But on the other hand, too, it seems like that, you know, things have been going really well. How have things been going in terms of just in general like school friendships, you know, anything else that's on the horizon? | 1irq
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yeah, kind of scene guy. | 0id
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I won't get too excited about that. But tell me about him telling you about him. | 4crq
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Yeah, he felt like my mother. | 6cd
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Now what's this? You have to at least give me his name? What's his name? | 1irq
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His name's Alan. | 0id
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Alan. Okay. Okay. All right. Well, did you like, I'm not gonna blow this out of proportion. But how? How did that kind of come about? | 4crq
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Yeah, cost together and kind of went and studied at a coffee shop. Yeah. And then just kind of asked to, like, do a movie night. And I was like, chill and good. Nice. Ya know, like, | 6cd
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Yeah. Nice. Nice. That's great. Oh, I'm really happy. That's great. So, a lot of really nice things that are going on. Yeah, that's terrific. Yeah. So then for you to go like from, you know, because, you know, we kind of got going with this thing. It was kind of like, you were full on binge eating, you know, virtually every day, sometimes twice a day, and now it'd be down to, you know, three, like in the space of like, you know, just like seven eight weeks is pretty remarkable. So no, I'm really pleased with how hard you've been working cuz you've really been pushing yourself. And I really appreciate it. I know this stuff with your mom is particularly hard. It's hard for you | 11orq
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is like not being able to, like I don't feel comfortable really telling her yet about. | 10od
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And you may not, you know, I mean it's like, you know, another we talked about there's like maybe there are times when you just don't really want to share some of that stuff. You know, and and I think sometimes my experience has been some parents, like, you know, the goal is not to make her feel bad. If you would want to share it, you'd want to share it knowing that she would hold on to that and keep it and really connect with you around it and want to be helpful rather than like, like, Oh, yeah, you were so mean to me now have an eating disorder, you know, because then that that feels, you know, that doesn't feel quite right. And know that that's, you know, I know that you have a lot of hard feelings, but I don't really feel like that. That's how you'd want that to go, you know? Yeah. And I know we've talked about it a lot, but how are things going with your dad? Yeah, | 1irq
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yeah. Yeah, he's doing well, hoping that he's coming up here to school to see me once he plays a couple weeks. Great. | 0id
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So nice. They'll be really nice for you to spend time with them. That's great. That's really great. Yeah. So let's talk some more about this thing with your mom, because I feel like that. I mean, I know it's tough, but I guess I've been thinking about this a lot, especially after last session that that given the fact that, you know, you and Brooke are so close, and it does feel like that your mom is, at least she seems like she's making she's trying to make an attempt to connect with you. Whether or not, you know, at what point would you feel like that you? Well, what would you need from her in order to feel like that you could kind of like, maybe not let down the walls, but kind of soften those a little bit. I mean, is there something is there something that like, if you could ask They're like, okay, mom, if you did this, then I would do this. Not that you would do that. But just wondering if like, what would you? ideally what would you like to see in order to feel like that you could connect with her more. | 1irq
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I mean, like, I wish she really recognized like, kind of the pressures that she put on me back in the day, huh? Yeah, and just like now to just know just kind of be there in the moment. So like, trying so hard to like, things still come out. Like she still makes her little comments that they. | 0id
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Yeah, I know. We talked about this, but have you gotten to the point yet where you felt like that you could? Like, even let her know that. That that puts a lot of pressure on you or that that comment that she makes kind of hurt your feelings because I know that in the moment you feel it. But what would it be like for you if you were to just like, yeah, say like, you know, I know that you're I know that you mean Well, I mean, maybe she doesn't, but maybe it's sometimes important to approach it that way, but it really hurts my feelings or, you know, I feel like that that really puts a lot of pressure on me to look a particular way. And, you know, | 1irq
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so I mean, I am seeing that I like starting to see that she does mean well. | 0id
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right, because I know that you did that. You've done that with your roommate. I know there's been other times when people have done that. So I know that that's been kind of part of the bigger issue is just knowing what it is you're feeling and also being able to kind of give voice to that and you know, thinking about that relationship with your mom because it does seem like that every once in a while she kind of like jabs here, she'll send something out and and, and the way that you take it in is more like harsh, critical. You know her and, and I just don't know like color. It's kinda like with Kathy. When you Talk with her how it's like, it was like, it was like, Oh, of course, like, you know, uh, you know, I'll try to be more sensitive and I'm not really sure. You know whether or not your mom would be. | 11orq
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Yeah, I mean, I guess she could do. Yes, I worry that, because we've always been kind of defensive towards each other. I just worry that like, that will happen again. I mean, I don't know, like it might not because of things happen. Right. But | 10od
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Well, I could see these types of decisions where you're talking about potentially breaking families up and having real consequences to families. I could see how these decisions could be. I'm sure there's guidelines you are supposed to follow that you really don't have a whole lot of choice in. But you could also really agonize and overanalyze a decision like that because the consequences are so great. Maybe somehing that could be happening. | 0id
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Yeah, I think so. I mean, you're right. To a certain extent, we have guidelines and everything like that. But I also feel like certain things, it just isn't black and white, and I have to make a judgment call. And I used to trust my judgment, but now I feel like how do I know that I'm making the right decisions? | 0id
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Yeah. Well, and this is really the one of the key parts of what may be causing this distress. We talked about this insecurity. You're on this I'm sure. And so you know, one question may be, did you make a efficient or less efficient decision with this particular family but the larger question is, you as a person can you can you do this, this job and if you do it and make money Like, what would you do then? Could you go through this again? | 0id
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Yeah, I think that's where the fear is, is that if 99 times out of 100 I do it right, there's still gonna be that one that I messed up. And I'm starting to feel like that one mistake could be like, life changing for somebody. | 0id
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And it could be you certainly in a job where, like, most jobs where mistakes have consequences. You also do a lot of good for a lot of people. So by you not being in the field. They're not getting the benefit of the skills you have. | 0id
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I guess that's true. Like, yeah, maybe somebody else could come and replace me but do I think that they would be better at it? I don't know. I feel like I was pretty good at it before I started. have all these doubt. | 0id
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So, so mostly This was good until recently. Well, alright, let's look at this from another point of view. You really seem like, you can empathize with these families. You really, to me, it seems like you really know what they're feeling. | 0id
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Yeah I care about them | 7ack
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and appreciating their perspective. Take a moment and try to walk in their shoes. If a professional like yourself came to you and your family situation and maybe you're engaged in the activities where it was warranted that your family we've broken up temporarily. What would you want? How would you want them to process that? Like you said, thinking about the caseworker from the point of view of the family? How would you want them to feel that? Would you want them to process that decision? | 1irq
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I don't know. That's a hard question. I mean, if they took my kids away, even if it was the right thing, I would want them to be at least a little bit, you know, feel a little bit bad about having to make such a hard decision. But I guess if, you know, if they fell apart, every time that they made that kind of decision, they wouldn't be able to help other people. | 0id
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So from the family's point of view, if you're in that situation, you can appreciate what the caseworker has to do. Well, you'd like to have some compassion for you. Okay, that seems reasonable. Yeah. So now flip back into the role you're in. You made the decision you had to make although you're second guessing it That's separate. Do you have compassion for them? | 0id
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Yeah, I mean, I think that might be the problem is I have too much of it. You know, I worry about how they feel, even if maybe taking the kids away was the right thing. It's just like so devastating. To lose your kids, whether you're doing the right things or not, you know, you want your kids with you. You want to be able to take care of them, even if you're not doing a really good job at it. | 0id
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Sarah, how are you doing today? | 2gt
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I'm doing okay. It could be a little better but could always be worse, but I'm going okay, | 2gt
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good. Okay. I understand you have some symptoms that have been bothering you. | 1irq
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They have been bothering me. Well, I just started back to school last year, I was staying at home while my husband was working with the kids are crawling now out of the house. So I said I was gonna go back to school. I have been in school in 20 years, and I thought I could handle it. But right now, I just find myself so anxious and just so worried all the time. And I just don't know what to do with it. It's been going on for around the past seven, eight months now. | 0id
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About seven or eight months? | 5yq
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Yeah. | 7ack
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Would you say that this anxiety has been affecting you? more days? That doesn't? | 1irq
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Um, I would say it's been affecting me. Yes. For some time, though. Yes. More often than not, yes. | 0id
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More often than not. Yeah. Do you find yourself struggling to control the anxiety? | 1irq
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So control it. I'm just anxious all the time. Yes. | 0id
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Sounds like you're struggling to get under control. | 5yq
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Yes. | 7ack
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Tell me about how it's been affecting. You mentioned in school. | 1irq
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It's, I'm not doing too well at school right now. | 0id
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Not at all? | 1irq
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I thought it would be a better student. I was always a steady student back. Back before when I was an undergrad. I was always a straight A student, but now I'm failing and I just can't, I can't concentrate school failing. I'm just so worried all the time about what how I'm going to do in this class, what assignments are due. If I'm getting the work done in time, it's controlling. It's taking over everything I do in school. So I'm so more I'm more worried about how I'm going to do, then having time to focus on my grades. Like it's just to that level. | 0id
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It's really distressing for you. Yes, that's a school about a home | 1irq
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and home. I'm so worried about school, that it's affecting my life at home. Like I'm okay, I have this assignment but then, oh my goodness, I'm so focused on this assignment. We'll have time to make dinner for the kids. Oh, my husband's been all over the house is such a mess all the time. And it's just causing so much conflict at home. My husband thinks I should be doing my house workout. I'm so consumed with school and then it's just such a big mess right now. So I'm constantly worried when I'm when I'm at school, I'm worried about home and when I'm home, I'm worried Got school. | 0id
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So good deal with deal worrying | 1irq
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all the time, all the time. | 0id
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Okay, so I'll ask you a few questions about this. And some that might be related to drink or use any drugs? | 5yq
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No, not at all. Not at all. | 9on
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Do you have any medical conditions? | 5yq
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No, not at all. | 9on
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Nothing. Have you ever been diagnosed with any other mental health disorders? | 5yq
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No. | 9on
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Not ever have panic attacks , have you ever had one in the past? | 5yq
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No, no. | 9on
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So a lot of anxiety but no panic just just | 1irq
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anxiety like overwhelming anxiety. | 0id
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Intense anxiety? | 5yq
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Yes, | 7ack
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but but never situation where you felt you had to flee from a room or anything like that. | 1irq
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Any past trauma | 5yq
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No | 9on
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Okay, | 7ack
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Do you sometimes feel keyed up on edge or restless? | 1irq
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restless? | 4crq
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restless, yes | 6cd
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restless. | 0id
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Do you find yourself easily fatigued? I'm | 1irq
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tired all the time. | 0id
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