I say am i doing today alright you doing
alright yeah I see that this is the
first time you come in you filled out
some of the other paperwork yeah yeah 20
of them a lot of pages yeah
how'd that go it went I mean I've seen
that stuff before but it was too bad
nothing surprising in there yeah
pretty standard pretty standard nothing
distressing not yet not yet okay I'm
going to ask you a series of questions
as part of the process called intake all
right so this document that I'll be
making notes on will go in your chart
and it will help guide your care for the
time that you're with me okay
so these questions are going to be more
detailed and more emotionally oriented
than all those questions and you were
answering all the forms you feel that
before okay that was more like factual
information that we need for insurance
or record-keeping and this is more about
you and we've been going through okay
you're comfortable with that yeah it's
okay if at any time you don't like one
of the questions or you don't want to
answer my other questions just let me
know and we'll just we'll just skip over
that okay fair enough
so what brings you in today I brought
myself in and
things have just not been fantastic so I
figured I might as well
get some help before it get worse things
haven't been fantastic and you're
worried they're gonna get worse
seems like it yeah what would you say
that's your main problem is that the
motivation comin
and probably my anxiety I'm just nervous
about a lot of things a lot of the time
kind of trickling into every area of my
life now so anxiety says like a
nervousness it's yeah just like nervous
about going places nervous about doing
things or school or work or you know
graduating college just kind of devil
stage and it's been like that for a
while
oh um I can remember as far back as like
13 and 14 maybe how old are you now 23
so this is around 10 years you've been
yeah off and on yeah
so there's times when you're not anxious
not as bad I mean I'm still anxious but
not as extreme or I don't deal with it
the same way
if you were to rate your anxiety on a
scale of one to ten with one being
really knowing something 10 being the
worst spin in the last 10 years
how much anxiety have right now because
it's
when was the last time your attempt last
weekend
almost last time here one
not really sure
approximately
maybe like a couple months ago and I'm
just saying
we went out and we were partying a
little bit and it was nice
I wasn't - branches come on back up once
again yeah okay
so the anxiety is is one problem any
other problems I don't think it's a huge
problem but I have been drinking a lot
that it helps with the anxiety but it
makes going out and you know more
relaxed that way and that I can be kind
of a compulsive person so once I start I
keep going so it's not all the time it's
just happy you know when I'm going out
but I end up drinking too much and so
sometimes when you go out you drink more
than you want to yeah what happens then
I make bad decisions or I get sick or
the next morning I'm showing up hungover
going to class if I make class
and you know it's fun for the time being
afterwards so the consequences of
drinking in the longer run you're not
too fond of those but in the short run
yeah it helps in the moment so you want
the anxiety to be lessened do you want
the drinking to be lessened probably
yeah I mean I'd like to still have fun
from college but I would like to not be
like
blacking out they're being out of stock
would be nice is that what happens now
you pluck occasionally not not every
time but sometimes sometimes yeah
remember the last time you blacked out
maybe a month ago UNK ago yeah
it's not always
at what age did you start drinking
14:14
all right and the other problems you
have anxiety you have drinking alcohol
the other problems don't think so
so the two main things that are gentler
bother yeah all right so I want to ask
you some questions about your history
okay all right I'm going to try to
divide this up into different areas and
just kind of move from one area to the
next they'll be some overlap okay so if
I ask you the same question more than
once it's just kind of our that overlap
it curves
first I'm going to cover your family
history so can you tell me about your
immediate family one sister
my sister is really successful
and she's doctor
- so
a family
all right what type of relationship do
you have with your sister
kind of like a Merry Christmas Happy
Easter type of relationship or more like
acquaintances than me are siblings would
you describe as distant yeah I'd say so
anymore nice we're not like that we're
not going to be like involved in each
other's lives
really
do you know what causes the relationship
to end up that way
I don't know she was always kind of you
like ideal child she went and did
everything that she was supposed to do
and it was easy for her
constantly being compared to that
doesn't really foster a great
relationship who compared to your sister
my dad usually sometimes my mom end on
the day
was this a frequent occurrence the
comparison yeah for sure
do you feel like it had an impact on you
you know wasn't like I wasn't trying but
not everything can be as easy as it is
for some people so a little analogous
knowledge meant like the nice
all right let's move that a little
further so you talked about your mother
your father your sister any other
siblings no have a grandparents they're
around typical grandparents not super
involved but they're there sometimes
good relationship yeah I mean
you know grandparents show up and it's
always like hey how's it going in you
know you see them at the next holiday
type of thing alright says there's not
one grandparent you're particularly
close to I do have one grandfather I
talk to you on like on a more personal
level than I would my other ones but
that's gotten more just in the past
couple years
how about aunts uncles cousins I have a
couple of cousins that I would hang out
with or I'll see out when I'm hanging
out with my friends or whatever so we'll
hang out if we run into each other aunts
and uncles I do have they're not super
involved either but everybody's cordial
everybody's cordial yeah nice when I see
you type of thing all right
so when's the last time you spoke say
for example with one of your cousins um
I think I ran into one of only two weeks
ago we're just out a couple weeks ago
yeah
to any of the relatives that you
mentioned by them aware of your anxiety
and/or your drinking my parents are yeah
nobody else my sister knows about being
a part of it
anything I'm pretty sure she knows about
the drinking but she doesn't bring it up
but if my parents know I'm sure she
knows
so you believe that they told her I'm
sure
but she's not mention that to you
directly now we don't have those types
of conversations it's more like oh she
messed up again and it's just quarter
like this like funny thing and they move
on so
so you see this bothers you
yeah it's annoying no I
some of these topics that we're going to
touch on in the syntek we can we can
talk about greater detail later on okay
all right so and maybe your relationship
with your mother and father and your
sister would be would be topics we touch
on later on maybe not but while I know
that we can come back to anything and
review it okay so I want to move out of
family history a bit and through to
social relationships again it's got
similar a little bit overlap here can
tell me about any romantic interests
friends they like that oh yeah I have a
guy fantasy like six times
it's pretty serious for college okay and
some of my college friends are really
close with so therefore a lot about how
many oh there's three girls that I'm
super close with
and you know college there's a lot of
people I'm acquaintances with or LCE or
talk to you in class or whatever but
those three girls are kind of ones I
would go to if I needed something
and then you have some other friends
they're not as opposed to yeah I mean
it's we're nice and we have fun and you
know I'm sure if something happened they
would bail me out but they're not like
people going to talk to about my
problems or anything like that
they know about your problems um I don't
know I guess you could knit like when I
show up to class hungover but I'm sure
I'm not the only one doing that so how
about these are the guy you're seeing
for six months I seen about the pounds
somewhat yeah he is about definitely
knows about the anxiety and she's with
me off when I go out so if something
does happen
helping counter you can try get home or
whatever
so is supportive yeah
so some of the questions I'm going to
ask you this gives me a good opportunity
to talk about this I probably could
guess the answer to I still want to ask
not be presumptuous okay do you have any
children
okay how about in these scissor nephews
yeah
any other social relationships I missed
here that are important to you
I don't think so those are the main ones
right now yeah
all right she said you're 23
I'm gonna ask you some questions about
your medical history okay
have you had any surgeries my time yeah
my appendix removed Penix remove can any
other serious medical conditions no pen
my wisdom teeth taken out wisdom teeth
extracted
yeah
are you on any medications for physical
problems No
how about your activity level to stay
fairly active yeah I try to I got a gym
like twice a week or whatever and
I go to uni sometime so yeah they try to
get out
so you consider yourself an active
person yeah I try to be in between you
know classes and everything else but
when I do have the time I like I enjoy
being going after
okay would you generally say you're in
good health then yeah good look like
here basically yeah
fine no other illnesses surgeries
procedures note yeah so I want to shift
gears a little bit again and now talk
about psychiatric history okay
and what I'm getting at here is kind of
a history of any diagnosis medications
other times been treated by a counselors
and they like a counselor let's start
with medications for any medications
how about history of diagnosis have been
diagnosed with a mental health condition
um yeah I was um I was seeing a
therapist before a couple of years ago I
saw him a couple of times I think he
said I had some sort of anxiety disorder
or something
you remember specifically what he said
um something more general
it wasn't about anybody do anything
and so I saw him for a little while but
it just really wasn't on board but with
everything at that point anything was
gonna help so hold power over yourself
15 years Jean yeah alright so and that
was a counselor yeah yeah
all right so you saw the counselor
counselor indicated you had some type of
anxiety disorder yeah
do you feel that was a fair assessment I
think so
how long did you see the counselor I
think five or six times maybe five or
six sessions yeah
and why did you discontinue the
treatment
and I just didn't really feel like I was
really involved in it and it felt like
it was more waste of my time and his
wasn't ready
know that I was super onboard with
following by anything at that point I
mean he was nice there wasn't like an
issue with him I just don't I wasn't
there any mention at that time about the
drinking I think I brought it up but I
didn't really see it as an issue then
how the other mental health
professionals like a psychiatrist a
psychologist a marriage and Family
Therapist my parents sent me to see a
psychiatrist like maybe once or twice
but generally stick with that either you
want prescribed a medication No and what
do you think happened there that you
didn't stick with that I think kind of
the same thing
I know that probably there's something
going on but I don't think I was ready
to deal with it
and I kind of felt like I had it under
control at that point
can you tell me about when you saw the
psychiatrist in relation to when you saw
the counselor it was all within that
same time period
I think I saw the counselor first
animated a psychiatrist like a week or
two later and then followed up with a
counselor but I just wasn't
you feel you a different state of mind
now yeah I think so talk about that and
I realize now that I'm not handling it
like I thought it was and it's affecting
other areas of my life and you know my
senior college need to get my life
together and not really doing that -
welcome so well so
it's time to
figure something out
so you feel like you're ready to commit
to treatment a little more
vigorously yeah at this point I want the
help
and back then
and no other treatment providers nope
justice
okay just those two