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Right. So you, you went out to Cory so some damage reminded you of an accident. Yeah, | 0id
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I was I was in an accident at the end of last year, and, you know, I didn't get hurt. There was no real damage to the car that I that I noticed. I just went on about my business I you know, didn't have any issues after the accident. And now all of a sudden, I'm Thinking about this car accident again. And I don't know where it's coming from. | 0id
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They said the exit occurred at the end of last year. | 0id
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Yeah, um | 7ack
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So maybe about eight months ago. | 4crq
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That's right. Yeah, probably around Halloween or so. | 6cd
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And when did the symptoms start being anxious when you're getting ready to go to work? | 1irq
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I would say at least a month ago, maybe six weeks. | 0id
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And you've been having those continuously from then. | 4crq
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Every morning I get up I'm just really nervous about going to work and you know, have come out to get in the car and sometimes I can barely get in just thinking about been in a car accident again. | 0id
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Ever been late to work because of the anxiety? | 5yq
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I'm late almost every day | 0id
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almost every day. So this has been this has been a problem for you in a few different ways. | 6cd
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Yeah, I even called out a couple times because I was just paralyzed. | 0id
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Have you tried a thing to reduce things IE like using another car or anything else? | 1irq
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Well yeah, I live in a house with multiple cars. So I tried driving my mom's car one day and you know, I have the same feelings. And initially I thought it was just my car because I did notice some damage to the back of the car. I was in the bag and I was going through the trunk one day and I saw that the the core was actually pushed in. I didn't think there was any real damage and I noticed damage to the back of the car. And I was like, wow, you know, I have been seriously hurt in this accident. And that's when I started having these feelings like I just started thinking about how bad the accident could have been. So, you asked if I tried to do anything different. I tried driving my mom's car. I tried driving my dad's car, but it seems to be just driving any car, having all this anxiety. | 0id
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Right, and you're having physical distress, too? Yeah. Like you're feeling. You're feeling | 1irq
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physical while I do a lot of like, swelling in my chest, like really panicky. | 0id
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Or you're having dreams about the accident or anything related to the accident? | 5yq
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No, not really. | 9on
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Do you ever have a point when you're not asleep? Where you feel like you're kind of taken back to the time of the accident happened like a reliving it anyway? | 1irq
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No nothing like that. | 0id
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Do you remember the accident? | 5yq
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Oh, yeah, I remember it pretty well. I was waiting at a stop sign and I think the person behind me they must not have been paying attention but they rear ended me | 8op
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Who do you believe is responsible for the accident? | 11orq
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Nobody really. I mean, it was it was an accident. There was no real damage. You know, accidents happen all the time, just a fender bender. | 10od
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So from the time that you notice these anxiety symptoms, have you had periods where you were happy and positive emotional experiences. | 1irq
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I've been really down since I've been since I started having these | 0id
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The whole time you've been down or the moments where you haven't been there's been consistently down | 4crq
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I would say more down or down | 6cd
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but but sometimes up | 4crq
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I can't really remember any not sure. | 6cd
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How about your relationships with other people they changed from when was the anxiety started? | 1irq
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No, not really. | 9on
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You feel detached from people? | 5yq
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not detach to be like separated. Yeah. not want to be about | 0id
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not connecting with people? | 4crq
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No, not really like that. | 0id
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Do you have any feelings of irritability or anger outbursts or anything like that? | 5yq
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Nothing. | 9on
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You feel like you've been behaving more reckless way? | 5yq
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What do you mean by reckless? | 4crq
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That you take more chances in relationships or another nothing like that you're aware of like when something surprises us, we kind of have the startle response. Jump. It's natural. Have you noticed that? responses changed? Oh | 6cd
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yeah have been a little a little on edge things have been like scaring me the phone ring in people knocking at the door dogs barking is kind of hit me on edge a little bit. | 0id
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And you feel like the responses more than it used to be more just the natural star response. | 4crq
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Yeah, yeah, that's kind of worries me a little bit that's running. | 6cd
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A trouble concentrating.? | 4crq
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No | 9on
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Okay, Australia. staying focused has been | 3gc
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good in that area. | 3gc
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How about troubled sleep? trouble falling asleep staying asleep? | 1irq
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No trouble falling asleep, but I have had trouble staying asleep. I've been waking up pretty much around the clock throughout the night. | 0id
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So you're getting to sleep Okay, falling asleep. Okay, but just having trouble staying asleep. Are you thinking of anything specific when you wake up? | 1irq
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Not really just maybe like thinking about going to work in the morning. But no, nothing, nothing major. | 0id
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any use of drugs or alcohol? | 5yq
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No. | 9on
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How about medical problems? | 5yq
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no | 9on
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Are there ever points from an anxiety started, that you feel kind of outside of your own body Come an unreal feeling where you're separated from your body? | 5yq
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No. | 9on
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How about times when you feel disconnected from the environment, like an unreal feeling about what's going on around you? | 1irq
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No, nothing like that. | 9on
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Jessica, I'm going to get you in to see a counselor here. If you're open to that, that's something you want to do. Yes. And I appreciate you taking the time to tell me what's going on and answer these questions. It's been helpful. | 0id
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Thank you for seeing me. Sure. | 2gt
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Hello, Peggy, how you doing today? | 2gt
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I'm okay, | 2gt
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you're okay. Glad to hear that. Yesterday, when you're here at the agency, you took a few different tests. Remember that? | 5yq
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I did. | 8op
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One of the tests you took is called the SCL 90, the symptom checklist 90. Do you remember taking that test? | 5yq
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I think so. | 3gc
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It's 90 items. And they are ranked | 0id
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asked me like true and false questions? | 4crq
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Not true and false are numbers that you solve. | 6cd
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Oh, okay. I do remember that. Okay. | 0id
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So I have the results from that test. I want to review some of those findings with you. | 0id
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Okay. All right. Sure. | 7ack
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So this particular instrument has a number of what we refer to as sub scales. So these are areas that are measured by the instrument, right? For example, depression or anxiety. So I'm going to review a few of these sub scales, ones where you scored a little higher than we might expect. And just review those with you and see. See what you're thinking we can talk about. | 0id
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Okay, are you recording this? | 5yq
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No | 9on
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Are very worried about that? | 3gc
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Is it what makes you think I'm recording? | 5yq
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Because that happens to me a lot. | 0id
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It happens to you a lot that you get recorded. | 6cd
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I think so. Yeah. Yeah. | 7ack
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Remember the last time it happened? | 5yq
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You probably yesterday | 0id
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And you think you were recorded while you're taking this? | 11orq
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probably. Yeah. | 10od
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That sounds worrisome. That's that's a feeling you get a lot that you're being recorded. | 4crq
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I worry about it a lot. | 6cd
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You worry about it a lot. | 6cd
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But you know, it's happening. That's why I worry about it. | 0id
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You're certain that's happening? | 5yq
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Yeah. | 8op
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Where you're not being recorded now. I know. It probably feels like you are, but you're not. Okay. | 0id
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Okay. But I appreciate you bringing up that concern with me. I think so in school, | 7ack
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in school, right? I that would make sense. So, say for instance, you had a percentile rank of 65% Right percentile, that would mean that your score is equal to or higher than 65% of people that took that test. Okay, so that makes sense. So if you took a test on math or English, and you would say 75 percentile, you'd be higher than three quarters of people took the test. 75% Okay, understand? Does that make sense? I think so. Okay. If you want me to come back to that later, just let me know as I go through if it doesn't make sense, okay. So areas here on on the SCL results, or you were a bit higher than we would normally see. A one is the phobic anxiety scale. on that one, you were about 64 percentile. So your score was as high or higher. Than 64% of people who take it | 0id
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to more than half the people in the population, | 4crq
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more than half the number and half the people in the same situation as you in outpatient mental health treatment. | 6cd
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So I have more phobic anxiety than most people. | 4crq
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Subsets and Splits