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D_ACT
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tired all the time.
5yq
Yes.
7ack
Do you have any trouble concentrating or finding your mind go blank?
5yq
No, not really notice.
9on
How about irritability find yourself. irritable.,
1irq
no, not really irritable.
0id
Any muscle tension?
5yq
Not really. No. Okay.
9on
Hello. trouble sleeping. So to be falling asleep, staying asleep having unsatisfying sleep, anything like that?
1irq
Well, I have unsatisfied sleep. But we just moved and we live next to a factory. There's trucks in and out all the time who can sit with that? There's crackling noise
0id
so you think that might be causing Your sleep disturbance.
11orq
It's entirely possible. It's like who can sleep? Well, we got trucks in and out all hours of the night overnight, and in the wee hours of the morning, so it's pretty much impossible to fall asleep when you have just this noise
10od
about before you moved there.
4crq
I don't remember.
6cd
How long ago was it that you moved to the florida?
1irq
Um, a couple years
0id
couple years?
5yq
Yes.
7ack
So you've had the stories that by for a couple years?
5yq
Yes.
7ack
So symptoms started eight months ago.
1irq
Yes. So I don't know if they've made it. I don't know if it made it if made it worse, or just the noises just been. So I don't know if it's the noise or why but I can't sleep.
0id
Okay, how about any vacations or anything?
1irq
I'm sorry.
0id
No vacation.
3gc
So you've pretty much been sleeping. Your home every night for as long as the symptoms have been around.
5yq
Oh, yes, yeah.
7ack
All right.
3gc
All right, sir.
3gc
I appreciate you answering these questions. For me. This has been helpful. I'm gonna get your schedule with a counselor. And they should be. I'll see you in a couple of days.
2gt
Oh, thank you. Thank you. I would I would so appreciate it just to get this under control.
2gt
Absolutely. Take care, sir.
2gt
Thank you.
2gt
How are you today?
2gt
oh I'm okay could be better could be worse. I'm hanging in there
2gt
hanging in there. I understand you've been having some symptoms that have been bothering you can you tell me about those?
1irq
Oh, I'm worried all the time and just everyday all day just so worried about everything I I've just started back to school. After 20 years I've been a housewife the kids are now grown. So why not go back to school and now for the past seven, eight months it's just been nothing but Worry, worry worry constantly all the time worried about home worried about school and it's affecting Life.
0id
So, so a lot of lot of worrying, and how many? How many days? Would you say you're worried a typical week?
1irq
How many days Don't worry,
0id
I would say most days, Monday to Friday, Saturday, so it's always worrying when I'm on Monday through Friday, I'm worried about school, or when I'm at school, I'm worried about home and then on the weekends, I noticed school is coming up. And then they're just worried about managing everything. How am I going to deal with everything so it's a it's a lot.
0id
So it's very, very distressing for you
1irq
very much so.
0id
And you mentioned it's impacting school
1irq
on school. I'm not doing too well right now. When I was in undergrad, I used to be a straight A student. I thought I could do it again. Just pick up where I left off, but right now I'm worried so much that I'm so focused on worrying worrying that I'm worried about what assignment is too worried about Dude, I have just turned in the microwave. They're slipping right now. Because I'm so or when I'm in school, I'm still worried about home. What's going on at home that I can't pay attention in class and it's just all consuming.
0id
Right? So both at school and at home? Oh,
5yq
yes, definitely. You
7ack
find difficult to control the anxiety.
5yq
Yes.
7ack
That's affecting in a major way.
5yq
Yes. Very much.
7ack
So might ask you some other questions that may be tied in with this. Okay. Do you do you use any alcohol or drugs?
1irq
Some, some some. I have a drink occasionally. But I'm so worried right now. My nerves are always on edge right now. I find it helps. So I mean, I got him troll, but
0id
it's under control. Yeah. How often would you say you drink?
1irq
Um, maybe some here and there every day.
0id
And how much would you So you drink.
1irq
Um, maybe it's a question of wine at night, but I'm not an alcoholic or anything but, okay, about the drug use a little pot.
0id
But I find it helps my nerves.
0id
So just down then
1irq
I'm like maybe a couple times a week, a couple
0id
times a week.
4crq
All right. Have you ever had a panic attack? No.
6cd
Have you ever had
1irq
any trauma in your history?
1irq
Well, my grandma, she died. When I was young. She used to take care of us. She was like a second mom to me. And I saw her that way. And she died when I was young, and she was really young. And it just, I was really close to her. And just I think about her a lot and especially since I have started back to school, been thinking about she's always encouraged me to get to education, get along with 10 and now just up Thinking about our ally. So she's,
0id
she's been on your mind. And when you think about her, what's the feeling that comes up?
11orq
Um, I worry a lot about because I'm thinking I'm upsetting her and her memory that if I don't do well then she will be upset even though she's not here anymore. She'll be upset if I'm not doing well.
10od
Alright, so when you're when you're thinking about her, you're having some sort of worry.
5yq
Yes.
7ack
That's been distressing.
5yq
yes
7ack
Alright, so I'm going to ask you some different symptoms. Let me know if you've had these symptoms as part of what's going on now. Do you feel restless, keyed up or on edge?
5yq
all the time
7ack
Yeah.
3gc
So tense.
7ack
How about you feel like you get tired easily.
1irq
I'm tired all the time.
0id
Yes. How about do you find your mind going blank or having trouble concentrating?
1irq
Well, I find my head trying to think of so many things at once so I can't focus just on things on Yes, definitely I'm in trouble concentration
0id
will concentrate.
1irq
Have you noticed that you're more irritable
1irq
I'm not sleeping a lot, so I'm cranky,
0id
cranky? Maybe a little safe.
11orq
According to my husband a lot irritable. Okay.
10od
You mentioned you're tense all the time. Is that like a muscle tension.
1irq
I'm pretty much so just feel awake. Like my muscles are going to snap. Just I feel so rigid all the time.
0id
And tell me about your sleep.
1irq
Sleep span. With sleep. It's just like non existent pretty much right now is like the actors think trying to go to sleep when you have so much on your mind is hard.
0id
So you have difficulty falling asleep. But once you fall asleep
4crq
I'm no because I find like even though
6cd
I'll have nightmares that would just wouldn't be up and better just by myself when I get up. Oh my gosh. What do I have to do? What am I forgetting? So I just always feel like there's something always on my mind that just makes it if I'm asleep, I can't stay asleep because I wake up thinking about it. I can't go back to sleep. This is some ugly cycle going on right now.
6cd
Versus sleep has been a big, big problem for you.
5yq
Yes.
7ack
That's okay. Oh, I would appreciate it that
7ack
that'd be helpful. Yes, yes.
2gt
And I want to thank you for answering these questions. For me. This has been very helpful.
2gt
Thank you very much.
2gt
Thanks.
2gt
Sir, how you doing today?
2gt
All right today? Yes,
2gt
I understand that you've been having some symptoms and that's what brought you into our agency. Could you tell me about that?
1irq