| Hi. I am xxxx. I will interview today and later examine you. | Greet 04/03/20 1:57 AM EST |
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| Hey. | ||
| What is your name? | Question 04/03/20 2:00 AM EST |
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| Tina Jones. | ||
| What brought you to the clinic today | Question 04/03/20 2:00 AM EST |
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| I’m here because I’ve been having a lot of trouble sleeping. . . I just feel much more nervous lately, especially right before bed. | ||
| I am sorry to learn about your sleep problems and nervousness. I am glad you came. i will be able to assess you further | Empathize 04/03/20 2:04 AM EST |
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| I appreciate you saying that. | ||
| How long have the symptoms been there? | Question 04/03/20 2:05 AM EST |
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| Well. . . I’ve known I have a lot coming up for a while, so I was a little worried about stuff starting a few months ago, but it really feels like the stress and the sleeping problems started at around the same time, three and a half weeks ago. . . | ||
| How often do you experience stress and sleeping problems? | Question 04/03/20 2:06 AM EST |
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| It used to be I’d just get nervous right before a test or something, but now it’s happening, like, every night before bed. | ||
| Sorry about that Ms. Jones. We will further explore to find about the root cause | Empathize 04/03/20 2:09 AM EST |
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| Thanks for saying that. | ||
| What worsens your stress and sleep problems | Question 04/03/20 2:10 AM EST |
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| I guess it’s like. . . when I need to go to sleep, I start stressing that I won’t be able to, and then I start worrying about everything else–graduating, the CPA exam, finding a job, moving out of my mom’s–and everything sort of piles up. So it’s, like, having the time and space to let myself start thinking about what I’m worried about that makes me really start stressing, I guess. | ||
| I understand. We will learn more about what you are experiencing as we progress with the interview | Empathize 04/03/20 2:12 AM EST |
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| I appreciate you telling me that. | ||
| Do you sleep during the day | Question 04/03/20 2:13 AM EST |
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| No. I’ll definitely wake up two or three times a night, for at least ten minutes. [AUDIO COMING SOON] | ||
| Do you drink caffeine at night | Question 04/03/20 2:15 AM EST |
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| I know caffeine can make it hard to sleep, so I try to only drink it in the morning and early afternoon. . . I never have caffeine after 4 PM. | ||
| That is nice | Empathize 04/03/20 2:20 AM EST |
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| Thanks. | ||
| Do you drink alcohol before sleeping? | Question 04/03/20 2:21 AM EST |
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| I haven’t been drinking at all lately. I have too much to get done. | ||
| It seems like you have too much on your plate. Am sorry are dealing with alot | Empathize 04/03/20 2:23 AM EST |
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| Thanks for understanding. | ||
| Do you take any drug before sleeping? | Question 04/03/20 2:23 AM EST |
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| No. . . I don’t do drugs. | ||
| Do you have any respiratory problems interfering with your sleep? | Question 04/03/20 2:24 AM EST |
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| Yeah, I have asthma. | ||
| Sorry about asthma | Empathize 04/03/20 2:24 AM EST |
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| Thanks for saying that. | ||
| Could asthma be interfering with your sleep? (No matching questions found.) | Question 04/03/20 2:25 AM EST |
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| Could asthma be interfering with your sleep?What relieves stress and sleeping problems? | Question 04/03/20 2:26 AM EST |
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| My sleep problems definitely aren’t related to my breathing. . . I haven’t been having any breathing problems, really, since I started the daily inhaler. | ||
| What makes you less stressed? | Question 04/03/20 2:26 AM EST |
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| Usually I try to stay organized, you know, make to-do lists, plan my time, that kind of thing. Sometimes I’ll talk to friends or family. . . going to church usually helps, too. Lately, though, none of that is really helping like it should. | ||
| I see you have a strong support system, That is great | Empathize 04/03/20 2:27 AM EST |
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| I appreciate you telling me that. | ||
| What relieves your sleep problems? | Question 04/03/20 2:28 AM EST |
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| I just feel really nervous before bed–I start worrying about stuff and stressing about the future and my thoughts start to race. | ||
| Am sorry to hear that you are very nervous | Empathize 04/03/20 2:28 AM EST |
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| Thanks for understanding. | ||
| Do you exercise? | Question 04/03/20 2:29 AM EST |
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| I just don’t have time to exercise, honestly. | ||
| How have your sleep problems affected your daily life? | Question 04/03/20 2:29 AM EST |
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| Question 04/03/20 3:05 AM EST |
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| No. | ||
| Have you been diagnosed with obsessive compulsive disorder? | Question 04/03/20 3:05 AM EST |
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| No. I feel really lucky that I haven’t had to deal with that. | ||
| have you ever taken psychotropic medication? | Question 04/03/20 3:06 AM EST |
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| No, luckily I’ve never needed that. | ||
| Do you have depressive symptoms? | Question 04/03/20 3:07 AM EST |
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| No. . . I don’t think so. | ||
| Do you have difficulty making decisions? | Question 04/03/20 3:07 AM EST |
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| Only in the sense that, like, everything I do is a little harder because I’m out of it from not sleeping. | ||
| Sorry about that Ms. Jones | Empathize 04/03/20 3:07 AM EST |
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| I appreciate you saying that. | ||
| Are you feeling sad? | Question 04/03/20 3:08 AM EST |
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| I’m not really feeling sad. . . more just stressed out. | ||
| Any loss of appetite? | Question 04/03/20 3:08 AM EST |
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| I’m feeling less hungry lately, actually. . . I think not sleeping is making me feel a little queasy during the day. | ||
| Have you having any suicidal thoughts? (Clarified to Have you ever had thoughts of suicide?.) | Question 04/03/20 3:09 AM EST |
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| No, never. (Clarified to if I have ever thought about suicide.) | ||
| Have you ever attempted suicide? | Question 04/03/20 3:09 AM EST |
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| No, I’ve always turned to God in tough times, and He’s helped me through. | ||
| Any self-harm? | Question 04/03/20 3:10 AM EST |
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| I’m not hurting myself–like cutting–or anything like that. I’ve never done that. [AUDIO COMING SOON] | ||
| Good to hear that | Empathize 04/03/20 3:11 AM EST |
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| Thanks for understanding. | ||
| Do you have a past trauma? | Question 04/03/20 3:11 AM EST |
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| No, not really. | ||
| Do you sometimes have angry outburst? | Question 04/03/20 3:12 AM EST |
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| I don’t really get angry a lot. I try to be patient with people. . . it just makes everything easier that way. | ||
| Yeah, that is true. Though sometimes anger may be a sign of mental disturbance | Educate 04/03/20 3:13 AM EST |
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| Alright, thanks for letting me know. | ||
| Have you ever been violent in the past? | Question 04/03/20 3:14 AM EST |
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| No, never. | ||
| Are you currently employed? | Question 04/03/20 3:14 AM EST |
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| I’m a supervisor at Mid-American Copy & Ship. I’ve been working there since high school, and I’ve just kept moving up. | ||
| Glad to hear that you have a source of income | Empathize 04/03/20 3:15 AM EST |
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| Thanks for saying that. | ||
| How many hours do you work per week? | Question 04/03/20 3:15 AM EST |
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| I work about thirty two hours a week right now, sometimes a little more if things are busy. I used to be full-time, but my bosses let me cut my hours a bit so that I could get my degree at the same time. | ||
| That is good. At least you are able to manage both your job and education | Empathize 04/03/20 3:16 AM EST |
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| Thanks. | ||
| Question 04/03/20 3:33 AM EST |
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| I do sometimes, yeah, when I go out with my friends. | ||
| How often do you drink alcohol? | Question 04/03/20 3:34 AM EST |
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| No more than once or twice a week. . . a lot of time less than that. | ||
| Excessive alcohol is harmful to your health. | Educate 04/03/20 3:34 AM EST |
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| Sure, I think I understand what you mean. | ||
| Do you drink and drive? | Question 04/03/20 3:35 AM EST |
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| We usually take a cab when we go out. | ||
| That is good. Driving under the influence of alcohol is dangerous | Educate 04/03/20 3:37 AM EST |
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| Alright, thanks for letting me know. | ||
| Do you take any prescription medication? | Question 04/03/20 3:38 AM EST |
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| All I have is a Proventil inhaler and a Flovent inhaler for my asthma. | ||
| Do you abuse prescription drugs? | Question 04/03/20 3:38 AM EST |
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| No! I don’t know why I’d want to take someone else’s prescriptions. . . I hate having to take my own medicines. | ||
| That is great. Some people abuse prescription drugs as recreational drugs | Educate 04/03/20 3:39 AM EST |
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| That makes sense. | ||
| Are you in a relationship? | Question 04/03/20 3:40 AM EST |
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| No, I’m not in a relationship right now. | ||
| When was your last relationship? | Question 04/03/20 3:40 AM EST |
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| I broke up with my last boyfriend about three years ago. | ||
| Have you ever been married? | Question 04/03/20 3:40 AM EST |
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| Nope. | ||
| Are you sexually active? | Question 04/03/20 3:40 AM EST |
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| No, I haven’t been in a while. | ||
| Do you use condoms during sex? | Question 04/03/20 3:41 AM EST |
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| No, not really. I’m single right now, but before that I was using the pill. | ||
| Using protection during sex is important | Educate 04/03/20 3:42 AM EST |
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| OK, I understand. | ||
| Have you ever been abused? | Question 04/03/20 3:42 AM EST |
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| No, never. | ||
| What do you think is the cause of your stress? | Question 04/03/20 3:43 AM EST |
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| I’m stressed now because I can’t sleep, but I can’t sleep because I keep worrying about all this other stuff, like graduating, and passing this exam that’s coming up, and getting a job, and finding my own place to live. . . it’s a lot. | ||
| I am sorry you are dealing with too much a a go | Empathize 04/03/20 3:43 AM EST |
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| I appreciate you telling me that. | ||
| How do you cope with stress? | Question 04/03/20 3:44 AM EST |
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| Usually I try to stay organized, you know, make to-do lists, plan my time, that kind of thing. Sometimes I’ll talk to friends or family. . . going to church usually helps, too. Lately, though, none of that is really helping like it should. | ||
| That is great. Social networks can help someone with stress | Educate 04/03/20 3:44 AM EST |
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| Sure, I think I understand what you mean. | ||
| Any family history of mental illness? | Question 04/03/20 3:44 AM EST |
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| No. They’re crazy, but nobody’s diagnosed with anything. | ||
| Any family history of addiction? | Question 04/03/20 3:45 AM EST |
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| My uncle, my dad’s brother, has an alcohol problem, but we never see him anymore. | ||
| Any family history of sleep problems? | Question 04/03/20 3:46 AM EST |
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| I don’t think anyone in my family has trouble sleeping. Just me. [AUDIO COMING SOON] | ||
| Have ever had any sleep problems in the past? | Question 04/03/20 3:46 AM EST |
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| Well. . . the only other time I’ve had sleep problems was right after Dad died. It felt a little like this, with my mind racing, but honestly, not as bad. Other than that month or two, I’ve always been a really good sleeper. I could fall asleep right away, and then I’d sleep like a log. | ||
| How frequent are the sleep problems? | Question 04/03/20 3:47 AM EST |
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| It’s happening most nights, I’d say. Four. . . more like five nights a week. | ||
| I am sorry about that. Sleeplessness can be a challenge. We will see how this will be addressed | Empathize 04/03/20 3:48 AM EST |
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| Thanks for understanding. |