Utterance
stringlengths
2
4.06k
D_ACT
class label
12 classes
It does seem that way. Yeah. So this construct would measure things like being afraid of going out being afraid of being a crowds. Does that connect with you? Is that seem like a fear that you have?
6cd
Yeah. Okay.
7ack
Tell me about that.
1irq
I don't like being on public transportation. Hmm. And crowds make me nervous. If I ever have to public speak, I feel like I'm just going to pass out.
0id
So it does appear you have kind of phobic anxiety symptoms. So that that score today that 64 percentile. That kind of makes sense.
6cd
I kind of get that
7ack
I want to move on to the next one, which is paranoia. On this one, you were at the 84th. percentile. So quite a bit higher.
0id
Is that why you were recording me?
5yq
But this, this wasn't recorded, nothing was recorded here. Understand that's a worry that you have.
0id
Are you going to share those results with anybody?
5yq
in your particular case, the only people will be shared with this the rest of the treatment team and anybody that you sign a release for,
0id
but if the government asks you, you'd have to give them those results.
4crq
There's no reason right now I did that there are certain limits to confidentiality. But in your situation here at this clinic, there's no reason I would share this information with the government or, or anybody else other than people indicated. So the rest of the people here to treat you. And if you wanted to release the results to somebody, you could sign a release I would let them have the results.
0id
Well, I'm worried that I know people are recording me. And I think that that results shows that I know that's happening. And now, you want to make it look like that means I have a problem. When I'm just reporting what I know is true.
0id
Well, I assume you're worried that
10od
no, I think that I know these things are happening. But this test says that I'm wrong to think that it makes me paranoid.
10od
Oh, I understand. Okay. So these things are really happening. Yeah. Right. But the test is arranged so that it's making it look paranoid when you're not exactly
0id
Exactly. Okay.
7ack
So that would explain why your score is elevated on the scale. Okay. Is that? Is that what you're thinking?
5yq
I do. Yeah.
8op
And I wanted you to know that. I appreciate you telling me that. Do you think it's possible that it's working the other way around that the test is measuring something that is actually there?
5yq
No, I don't think so.
9on
You don't think so. Okay.
4crq
I understand that. I'm higher than most people.
6cd
you believe their situation is different than yours. Okay, I understand. So the last area, the last subscale I want to discuss this one global scale on discuss. Glass subscale is one that's referred to as psychoticism. And there you are at the 93rd percentile. And that's when maybe you can hear things other people hear or see things that people don't see, or have beliefs or thinking that are far outside the norm and can't be supported by evidence. They feel like that's happening to you.
0id
Are you going to put me away?
5yq
There's There's nothing here that would indicate that I'm gonna put you away or center anywhere. Yeah, I just really this The purpose of this is just to discuss the results to make sure you understand kind of how these inform our treatment of you. Like so we're gonna provide treatment to impart based on these results.
0id
Sometimes I hear things other people don't hear.
0id
Okay, so this is a this is a score that makes makes sense to retake the test might be right.
0id
but you believe you're being recorded, you're starting to that.
4crq
close to normal.
3gc
Well, a little bit higher than we want to see.
0id
Me I don't like to go out much.
0id
So at the Paranoid if that if that scale was accurate, in your estimation, your global severity might be lower, I think, yeah. Closer to the 50 percentile, I think. So, even if you were closer to the 50 percentile, you can To understand how we're concerned that your symptoms are somewhat severe, and we want to make sure we deliver treatment to address that. Sure. Is that okay?
5yq
It is. Okay.
8op
So I will meet with the counselor that will be treating, you're here, and I'm going to go over these scores now explain to her what you've explained to me. Okay, in terms of why you think you might have received the score. Okay, I'll go over that with her. And of course, you could discuss it with her too, and she'll have the results of this test in your chart.
0id
Okay. Okay. She's not going to record our session.
6cd
She, she's not going to be recording. Okay.
6cd
It does.
7ack
Okay. I appreciate you allow me to go over this set of results with you. And I'm going to show you assigned to that counselor and we'll move forward with treatment.
2gt
Okay. Thank thanks, Peggy.
2gt
Hello, Peggy, how you doing today?
2gt
I'm okay,
2gt
you're okay. Glad to hear that. Yesterday, when you're here at the agency, you took a few different tests. Remember that?
5yq
I did.
8op
One of the tests you took is called the SCL 90, the symptom checklist 90. Do you remember taking that test?
5yq
I think so.
3gc
It's 90 items. And they are ranked
0id
asked me like true and false questions?
4crq
Not true and false are numbers that you solve.
6cd
Oh, okay. I do remember that. Okay.
0id
So I have the results from that test. I want to review some of those findings with you.
0id
Okay. All right. Sure.
7ack
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
Okay, are you recording this?
5yq
No
9on
Are very worried about that?
3gc
Is it what makes you think I'm recording?
5yq
Because that happens to me a lot.
0id
It happens to you a lot that you get recorded.
6cd
I think so. Yeah. Yeah.
7ack
Remember the last time it happened?
5yq
You probably yesterday
0id
And you think you were recorded while you're taking this?
11orq
probably. Yeah.
10od
That sounds worrisome. That's that's a feeling you get a lot that you're being recorded.
4crq
I worry about it a lot.
6cd
You worry about it a lot.
6cd
But you know, it's happening. That's why I worry about it.
0id
You're certain that's happening?
5yq
Yeah.
8op
Where you're not being recorded now. I know. It probably feels like you are, but you're not. Okay.
0id
Okay. But I appreciate you bringing up that concern with me. I think so in school,
7ack
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
to more than half the people in the population,
4crq
more than half the number and half the people in the same situation as you in outpatient mental health treatment.
6cd
So I have more phobic anxiety than most people.
4crq
It does seem that way. Yeah. So this construct would measure things like being afraid of going out being afraid of being a crowds. Does that connect with you? Is that seem like a fear that you have?
6cd
Yeah. Okay.
7ack
Tell me about that.
1irq
I don't like being on public transportation. Hmm. And crowds make me nervous. If I ever have to public speak, I feel like I'm just going to pass out.
0id
So it does appear you have kind of phobic anxiety symptoms. So that that score today that 64 percentile. That kind of makes sense.
6cd
I kind of get that
7ack
I want to move on to the next one, which is paranoia. On this one, you were at the 84th. percentile. So quite a bit higher.
0id
Is that why you were recording me?
5yq
But this, this wasn't recorded, nothing was recorded here. Understand that's a worry that you have.
0id
Are you going to share those results with anybody?
5yq
in your particular case, the only people will be shared with this the rest of the treatment team and anybody that you sign a release for,
0id
but if the government asks you, you'd have to give them those results.
4crq
There's no reason right now I did that there are certain limits to confidentiality. But in your situation here at this clinic, there's no reason I would share this information with the government or, or anybody else other than people indicated. So the rest of the people here to treat you. And if you wanted to release the results to somebody, you could sign a release I would let them have the results.
0id
Well, I'm worried that I know people are recording me. And I think that that results shows that I know that's happening. And now, you want to make it look like that means I have a problem. When I'm just reporting what I know is true.
0id
Well, I assume you're worried that
10od
no, I think that I know these things are happening. But this test says that I'm wrong to think that it makes me paranoid.
10od
Oh, I understand. Okay. So these things are really happening. Yeah. Right. But the test is arranged so that it's making it look paranoid when you're not exactly
0id
Exactly. Okay.
7ack
So that would explain why your score is elevated on the scale. Okay. Is that? Is that what you're thinking?
5yq
I do. Yeah.
8op
And I wanted you to know that. I appreciate you telling me that. Do you think it's possible that it's working the other way around that the test is measuring something that is actually there?
5yq
No, I don't think so.
9on
You don't think so. Okay.
4crq