Utterance
stringlengths
2
4.06k
D_ACT
class label
12 classes
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
Hi Chucky, How are you doing ?
2gt
I'm doing good. What about you?
2gt
Yeah me too thanks for asking. I understand you've been having some difficulties that brought you in to our agency.
1irq
Yeah, I'm really worried about my drinking.
0id
You're worried about your drinking. Tell me about your drinking.
1irq
So sometimes at work, you've been having cravings for alcohol and the other There are times when you will have a craving?
4crq
Yes, kind of at home, you know, not really doing anything for a period Hmm.
0id
So other than that feeling of having the craving, is there anything you do after you have a craving?
1irq
Um, yeah, sometimes I'll, I'll have a drink. And I just feel like I want to get into it.
0id
How much do you drink?
1irq
Like a beer or two.
0id
Is this when you work in a day?
5yq
No
9on
So when you're having cravings at work, you're not drinking there?
5yq
No, no.
9on
Right. So tell me about your typical alcohol consumption week.
1irq
Like Do on Fridays after work, you know, after a long week, that's kind of when I really crave it. Like, go have a drink with some friends. I'll have a drink sometimes with dinner. If I'm at a social event, kind of feel like I want to have a drink, and I don't really want to feel that way. I feel like that might be a problem.
0id
You're worried that the craving is indicating you have an alcohol problem?
4crq
Yeah.
8op
Have you ever tried to cut down your drinking and you're unable to do so?
5yq
Um, well, I mean, usually I'm, I'm able to limit my days if I say I'll just going to go to a party this weekend. I'll have one and then Yeah, usually I can stick to it, too, I guess.
0id
You spend a lot of time trying to obtain alcohol.
1irq
Um, no, I, I guess not. I've I mean, I think about where I want to have a craving I think about like, when I want to have it, but I don't really spend a lot of time thinking about it or trying to get it.
9on
How about in terms of your responsibilities? Have you failed to uphold any responsibilities because you're drinking? Or you have any social problems because you're drinking.
5yq
Well. No, I guess not. I mean, I get really friendly when I have a drink. So I don't really think that's a problem. But you know, I guess not.
9on
It doesn't cause social problems. Do you find yourself giving up important activities because you're drinking instead?
1irq
So thinking about it, maybe still some craving, but you're still going. You're still participating.
4crq
Yeah.
8op
Are you engaging in activities that are dangerous?
5yq
Because of the drinking, no.
9on
Drinking and driving?
5yq
Well, no.
9on
There's nothing like that. Yeah.
4crq
No. I wouldn't say worse. No.
6cd
Do you have any medical or mental health problems in general?
5yq
No.
9on
Do you find that you have to increase the amount of alcohol you're drinking to get the same effect?
5yq
No.
9on
all right, and you've been drinks you save a drink about the same amount each time you drink. Have you noticed that the effect has been diminished, like you're not getting the same effect from the alcohol?
5yq
I usually feel the same.
0id
Goes same way. Yeah. Have you ever noticed any symptoms when you stop drinking, like withdrawal?
5yq
What do you mean by withdrawal?
4crq
Like when you stop using alcohol, are you finding that you're anxious, depressed, you have physical reactions like that.
6cd
No.
9on
Okay, Jackie, I appreciate you. Tell me about what's going on and answer my questions. If you're okay with it, I'll get you in to see a counselor. I'll get that scheduled. And we can go from there.
2gt
Okay, thank you very much.
2gt
Okay, thanks for asking. I understand you've been having some difficulties that have facilitated you come into our agency.
2gt
Yeah. Well, I mean, I've been drinking a lot more than usual, but it's kind of just part of my life. But I don't know, I think there is an increase. So it's, that's worrying me a little bit.
0id
so you feel like you're, you're drinking more than usual. How much are you drinking now?
6cd
I'm gonna go out with my friends a couple nights a week. Then about once or so we go out with my co workers. So yeah, maybe three, four nights a week,
0id
three or four nights a week?
4crq
Yeah
6cd
And how much are you drinking each time to go?
1irq
Um, you know, kind of depends on who I'm with. But usually when I go out my friends on the weekend, I'll stay for a pretty long time. I mean, I think the problem is when we're going out during the week with my co workers, you know, I'll stay longer than I want to, and then when I have to get up in the morning, it's kind of like I should have gone check out a little earlier, but now they're all out with me. So when I get there, they understand.
0id
Alright, so do you know how much alcohol you consume in the time period. Do you know how much you're actually drinking?
1irq
Each night we approximately I used to drink, like, maybe two beers an hour, but they really like to party so and I was trying to keep up with him. So, friends, yeah. And so I've been drinking like a shot with the beers I have. So maybe like three or four drinks an hour.
0id
So do you find that you need to drink more to get the desired effect?
1irq
Um, yeah, you know, everyone else is getting to that level. So I feel like I need to keep up with them. And usually before I would get that from maybe one or two drinks. So now, I've been working a little bit more, I think,to get there.
0id
Have you made any attempts to cut down on consumption?
1irq
You know, at the beginning of the week, I'll kind of say I'm only going to go out twice this week. But then they invite me and I'm like, Well, I don't want to miss out or my, my friends, you know, it's my show my social time during the week, so so I usually go, they don't really stick to the plan. So that's kind of been a little frustrating, but I know it's still good.
0id
It's okay. So, I want to talk about the time you spend using alcohol. Are you are you okay with the amount of time you mentioned that you're using for longer periods? But are you okay with? Or is that something that's distressing you?
1irq
Um, I think I could probably be doing better things with my time, but it's not a huge problem. I think a lot of people do it. So you know.
0id
Do you find that you have a craving for alcohol?
5yq
Yeah, yeah. I would say like, one of the work just Ready to get finished so I can go go to happy hour with my co workers or, you know, from just kind of at a barbecue or something with family. Think about how I want to be here. So yeah, great things, but no, everyone kind of does that. Like I could go for a beer right now.
8op
So you're thinking about it, but you also like feeling the craving.
4crq
Yeah, yeah, yeah. Yeah.
8op
You mentioned work, you're having trouble with responsibilities at work or any other area?
1irq
No, my work life has been pretty going pretty well. I haven't missed work because of it or anything like that. So because of the drinking.
9on
Have you had any social problems due to the alcohol?
5yq
No, I think my social life is actually great because of it. You know, hang out with my friends and you'll get along really well. So that's my social time.
9on
All right. So no social problems.
4crq
Yeah, no problems.
6cd
activities? Well, usually the important activities involve drinking so that I haven't given up important activities that don't involve drinking. But that's been pretty easy because there's usually alcohol at that point.
9on
You haven't missed any important activities. How about engaging in activities that are physically dangerous?
1irq
Because I'm also involved now and I'm usually pretty safe. Yeah. So
0id
Do you have any medical or mental health history?
5yq
Um, well, like when I was a kid, I was diagnosed with I think, maybe ADHD or something like that, but I think I teachers were annoyed by me because I was just like, damn good time. So but that's why Got an issue lately
8op
some issue now? Has any medical problem or mental health problem become worse because of alcohol?
4crq
Um No, I started drinking after that so not now it's not become an issue with that.
9on
So you mentioned the alcohol use. Has there been any drug use?
5yq
No, not with my drinking or anything you know, typical teenage smoking marijuana and stuff when I was younger, but I don't anymore so.
9on
So it's just alcohol?
4crq