transcript_id,interlocutor,mi_quality,utterance_text,utterance_context,question_exists,question_subtype,reflection_exists,i
4,therapist,high,"-with me, and also before I do the exam, you know, I'm always on your case about flossing, so maybe we can take [inaudible 00:02:46]-","client: Yeah.\ntherapist: -hopefully forever. So, okay, well thanks for-for talking about it-\nclient: Yeah.\ntherapist: -with me, and also before I do the exam, you know, I'm always on your case about flossing, so maybe we can take [inaudible 00:02:46]-\n",FALSE,n/a,FALSE,2.388965804129839e-4
16,therapist,high,What's your thinking around that?,"client: Oh, it's a nice place. It's close to work. It's good living with a mate.\ntherapist: Yeah. So, in terms of being supportive and a sort of support you're gonna need to make these changes.\nclient: Yeah.\ntherapist: What's your thinking around that?\n",TRUE,open,FALSE,4.05043363571167e-4
53,therapist,low,"Oh, cool. What are your plans for after high school?","client: Uh, yeah, if it's school-related, maybe like a game or two, or go to the mall, like, to shop or go to the movies or something, and at night, maybe like a party or something if someone's throwing.\ntherapist: Okay. And what kind of hobbies do you have?\nclient: Um, I like to read and I like to go outside and, like, take walks and, like, hike and stuff. I'm very outdoorsy, so-\ntherapist: Oh, cool. What are your plans for after high school?\n",TRUE,open,FALSE,7.331292144954205e-4
39,therapist,high,"Um, so you've talked a bit about like the emphysema. Um, what did the doctors say to you when you were diagnosed? I mean the obvious, right?","therapist: Um, so you've talked a bit about like the emphysema. Um, what did the doctors say to you when you were diagnosed? I mean the obvious, right?\n",TRUE,closed,FALSE,0.0012725281994789839
5,therapist,high,Mm-hmm.,"client: Yeah.\ntherapist: So, where are the forms now?\nclient: They're still at home.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.0013808435760438442
53,therapist,low,"Uh-huh. So, I mean, do you think it's the thing to do if you wanna be an attorney?","client: Yeah. Definitely, yeah.\ntherapist: But you're still drinking.\nclient: Um, yeah, I mean, I guess it's the thing to do at a party, so-\ntherapist: Uh-huh. So, I mean, do you think it's the thing to do if you wanna be an attorney?\n",TRUE,open,FALSE,0.0014975867234170437
43,therapist,high,I'd love to hear from you. When was the time in the past that you were feeling anxious about something and you actually did it and it turned out well?,"client: Yeah. But then I do worry, you know, that negative talk that, you know, when you have anxiety. So then I worry about if I don't pass it, you know, like people are going to ask me how I did and if I don't pass it I'm gonna have to tell them, it's embarrassing for me. Um, so that makes me really anxious.\ntherapist: Yeah. You kind of want to avoid that. Yeah. Have those other feelings that could come up and if you don't have.\nclient: Right.\ntherapist: I'd love to hear from you. When was the time in the past that you were feeling anxious about something and you actually did it and it turned out well?\n",TRUE,open,FALSE,0.001533848699182272
4,therapist,high,Mm-hmm.,"client: Thanks.\ntherapist: Um, I guess, you know, as your dentist, I have- I have a couple of concerns about lip piercings, oral piercings. I wonder what have you heard about how having an oral piercing can affect your-your teeth or your gums?\nclient: I don't actually, really. I-I mean, I'm sure that it might push on my gums or teeth, but I don't know how much it will impact that much. I've pretty good teeth. I don't know.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.0015705542173236609
131,therapist,low,Okay.,"client: Mm-hmm.\ntherapist: What you'd like to do is stop and you'd like to sort of like choose a time to quit when it's going to be there's not as much stress around as possible. When do you think would be a good time for you to choose to be your quit date?\nclient: I guess, um, at the weekend I've got a party coming up.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.0015728066209703684
5,therapist,high,Mm-hmm.,"client: Yeah.\ntherapist: Okay. So, where did you get to in terms of telling her that, uh, reading and writing is not that [unintelligible 00:27:23] for you?\nclient: Just-- I-I asked her to fill that out for me because I said I'd be too messy.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.0022729660850018263
12,therapist,high,"I have a readiness ruler in my pocket here, 0 means not ready to stop smoking at all and 10 means absolutely ready to stop smoking. Where do you see yourself on that scale?","client: Well, I-I'm just kinda surprised because, I mean, I don't smoke or drink that much. And I mean, compared to people I work with, you know, I-I smoke a lot less, and I feel like I've actually been trying to keep it pretty low.\ntherapist: So you're consciously trying to cut back.\nclient: Yeah.\ntherapist: I have a readiness ruler in my pocket here, 0 means not ready to stop smoking at all and 10 means absolutely ready to stop smoking. Where do you see yourself on that scale?\n",TRUE,closed,FALSE,0.0034677039366215467
23,therapist,high,"Okay. So you're describing quite a lot there to me. So you're saying that you, you kind of got hot and sweaty, you said that you- you held the camera.","client: I just felt really- just really kind of hot. I couldn't really breathe and just felt like I wanted to just get out. And I was kind of trying really, really hard to just focus, and just, you know, like kind of hold the camera and just not think about anything, but I just felt like everyone was looking at me and like, when they'd say 'action' and they're trying to get me to start and I was just felt like everyone was just thinking I was really stupid and I shouldn't have been there and—\ntherapist: I can tell you're getting kind of anxious, even just thinking about that day.\nclient: Yeah.\ntherapist: Okay. So you're describing quite a lot there to me. So you're saying that you, you kind of got hot and sweaty, you said that you- you held the camera.\n",FALSE,n/a,TRUE,0.0035914063919335604
55,therapist,high,"Thanks. Just so you know, when I talk to patients about drug use, my job is to be helpful. I'm not going to tell you what to do or what you should do. What I can do is share some information and be a resource. Does that make sense?","therapist: Thanks. Just so you know, when I talk to patients about drug use, my job is to be helpful. I'm not going to tell you what to do or what you should do. What I can do is share some information and be a resource. Does that make sense?\ntherapist: Thanks. Just so you know, when I talk to patients about drug use, my job is to be helpful. I'm not going to tell you what to do or what you should do. What I can do is share some information and be a resource. Does that make sense?\ntherapist: Thanks. Just so you know, when I talk to patients about drug use, my job is to be helpful. I'm not going to tell you what to do or what you should do. What I can do is share some information and be a resource. Does that make sense?\ntherapist: Thanks. Just so you know, when I talk to patients about drug use, my job is to be helpful. I'm not going to tell you what to do or what you should do. What I can do is share some information and be a resource. Does that make sense?\n",TRUE,closed,FALSE,0.003642739960923791
1,therapist,high,"Mm-hmm. Well, technically, we define binge drinking as having more than four drinks on one occasion.","client: Well, I don't consider my drinking binge drinking.\ntherapist: Why is that?\nclient: I don't chug a lot of beers in a row. I have about five or six beers throughout the entire evening.\ntherapist: Mm-hmm. Well, technically, we define binge drinking as having more than four drinks on one occasion.\n",FALSE,n/a,FALSE,0.00394833879545331
66,therapist,high,"So you just- you just saw the doctor and, uh, you know, you sound like you just got blindsided, uh, with, uh, not only how, how frightening this seems that you have diabetes and that, uh, she-- you say she told you a whole lot of things that can happen with your eyes and circulation and all those kinds of things.","client: Yeah. I'm supposed to learn how to manage it. I just learned that I got diabetes and apparently, it's pretty bad 'cause, uh, she said my blood sugar was sky high, and then she laid all these huge consequences on things that can happen. That just sounds so disastrous and, uh, and then she told me I gotta do all this stuff. And man, I'm just sort of disappointed right now.\nclient: Yeah. I'm supposed to learn how to manage it. I just learned that I got diabetes and apparently, it's pretty bad 'cause, uh, she said my blood sugar was sky high, and then she laid all these huge consequences on things that can happen. That just sounds so disastrous and, uh, and then she told me I gotta do all this stuff. And man, I'm just sort of disappointed right now.\ntherapist: So you just- you just saw the doctor and, uh, you know, you sound like you just got blindsided, uh, with, uh, not only how, how frightening this seems that you have diabetes and that, uh, she-- you say she told you a whole lot of things that can happen with your eyes and circulation and all those kinds of things.\ntherapist: So you just- you just saw the doctor and, uh, you know, you sound like you just got blindsided, uh, with, uh, not only how, how frightening this seems that you have diabetes and that, uh, she-- you say she told you a whole lot of things that can happen with your eyes and circulation and all those kinds of things.\n",FALSE,n/a,TRUE,0.004479119088500738
61,therapist,high,Uh-huh.,"client: Yeah.\ntherapist: So, in order for you to feel more confident, you would like some help in making those arrangements?\nclient: I would.\ntherapist: Uh-huh.\n",FALSE,n/a,FALSE,0.004739876836538315
73,therapist,high,He said that it would help you with some of the pain that you've been having.,"client: Yeah.\ntherapist: Okay. And he encouraged you to do that.\nclient: Well, yeah he said it was a pain- a pain medicine.\ntherapist: He said that it would help you with some of the pain that you've been having.\n",FALSE,n/a,TRUE,0.0047407683450728655
49,therapist,high,Mm.,"client: What, on my confidence to stop? [chuckles]\ntherapist: Well, to get it sorted. Not necessarily to stop. But we don't- we don't know whether-whether stopping's the right answer here, I don't know, but-but, your confidence to sort it out.\nclient: It's hard when it's part of your lifestyle, you know?\ntherapist: Mm.\n",FALSE,n/a,FALSE,0.0047553719487041235
55,therapist,high,"Thanks. When I looked at your form, it looks like you use heroin weekly and you injected. What part of your body do you normally inject in?","client: Uh, yeah. Yeah, that's fine.\nclient: Uh, yeah. Yeah, that's fine.\ntherapist: Thanks. When I looked at your form, it looks like you use heroin weekly and you injected. What part of your body do you normally inject in?\ntherapist: Thanks. When I looked at your form, it looks like you use heroin weekly and you injected. What part of your body do you normally inject in?\n",TRUE,open,FALSE,0.00532734184525907
36,therapist,high,Right.,"client: Uh, well, it's had quite-quite a big impact. Um, I mean, the first thing, the biggest thing, I suppose, is that I-I went from being full-time to part-time at work.\ntherapist: Mm-hmm.\nclient: I just couldn't sit all day comfortably.\ntherapist: Right.\n",FALSE,n/a,FALSE,0.005706669995561242
9,therapist,low,"Yeah, that's certainly true. I'd also like to ask about some health habits that can contribute to high blood pressure.","client: Okay.\ntherapist: Okay. Have you had any major stressful events recently or any change in your work situation?\nclient: Not really, I haven't been stressed. Uh, I've been working steady, you know, these days, I'm glad to have a job, I really am happy that I'm working, so.\ntherapist: Yeah, that's certainly true. I'd also like to ask about some health habits that can contribute to high blood pressure.\n",FALSE,n/a,FALSE,0.006283025722950697
61,therapist,high,"Yes, I think when you were in last time.","therapist: Hi Mrs. Smith, my name is Terri, I'm one of the nurses who works with Dr. Fields.\nclient: Well, I remember you. Yeah, we met once before.\ntherapist: Yes, I think when you were in last time.\n",FALSE,n/a,FALSE,0.006331014214083552
29,therapist,high,Mm-hmm.,"client: Well, I think it makes sense, especially like-like you said, to be sustainable. Um, yeah, I definitely wouldn't wanna try something where I'm going to crash and burn for days in.\ntherapist: Yeah.\nclient: Um, when you talk about activity and you mentioned like really, um, like rigorous activity types, um, like I go to a gym and I enjoy going to the gym when I was active.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.006921039894223213
1,therapist,high,"Can I ask you, uh, what do you like about drinking alcohol?","client: But I'm healthy. What health problems are you talking about?\ntherapist: Well, uh, we know if someone binge drinks over time, there's kind of two categories of risk. There's the short-term risk where someone who binge drinks is more likely to fall down, hurt themselves through an accident, uh, they're more likely to drive while under the influence. Uh, but over the long term, binge drinking can also, uh, cause things like heart disease, uh, different kinds of cancer, liver problems obviously, and then even mental health issues like depression and anxiety are more likely to happen.\nclient: Well, I didn't know about those things.\ntherapist: Can I ask you, uh, what do you like about drinking alcohol?\n",TRUE,open,FALSE,0.007334146881476045
33,therapist,high,Mm-hmm.,"client: I've smoked for 40 years, since I was 14-\ntherapist: Mm-hmm.\nclient: -and quit a couple of times, off and on in my 20s, but, you know, it's been consistent. And I can't see myself changing now.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.007417523069307208
68,therapist,high,Wow.,"client: Yeah, [crosstalk].\ntherapist: When did you start?\nclient: Oh, I started playing about 10 years ago, actually.\ntherapist: Wow.\n",FALSE,n/a,FALSE,0.007698254659771919
4,therapist,high,Hmm.,"client: Yeah.\ntherapist: What made you decide to get-get a lip piercing?\nclient: Um, I don't know. I just felt like something different. I was getting bored and, I don't know, it's kind of nice to stand out a bit, I guess.\ntherapist: Hmm.\n",FALSE,n/a,FALSE,0.00788473873399198
55,therapist,high,"Miguel, before we end the call, I did want to go over the answers you gave me on the questionnaire about drug use. Is it okay if we go over that right now?","therapist: Miguel, before we end the call, I did want to go over the answers you gave me on the questionnaire about drug use. Is it okay if we go over that right now?\ntherapist: Miguel, before we end the call, I did want to go over the answers you gave me on the questionnaire about drug use. Is it okay if we go over that right now?\ntherapist: Miguel, before we end the call, I did want to go over the answers you gave me on the questionnaire about drug use. Is it okay if we go over that right now?\ntherapist: Miguel, before we end the call, I did want to go over the answers you gave me on the questionnaire about drug use. Is it okay if we go over that right now?\n",TRUE,closed,FALSE,0.00802978384308517
64,therapist,high,"So coming out, feeling-- being gay-","client: Um, now, I guess, now, I'm just a little used to it. [clears throat] When I first got here, I was like, ""Wow, this is amazing."" This is hard, I guess, but, you know, it's been three years now, so it's just kinda like I've gotten used to it.\ntherapist: Mm-hmm.\nclient: I mean, I guess, I'm, let's say I take it for granted but, um, yes, it's just comfortable now. And, um, it's just a sort of what I do really. Yeah, so, I guess that the drugs are linked to that, I suppose. It's j-- Well, it's just a part of it, I don't really think-- I didn't really differentiate it. It's just kinda, ""Okay, I'm gonna go hang with my friends,"" and that sort of thing, you know, that Saturday, Friday night thing. And then it just happens really as part of that.\ntherapist: So coming out, feeling-- being gay-\n",FALSE,n/a,TRUE,0.008304643211886287
22,therapist,high,And you want them to know?,client: Yes.\ntherapist: Is that what you're saying? Yes?\nclient: Yeah.\ntherapist: And you want them to know?\n,TRUE,closed,FALSE,0.008982624160125852
65,therapist,high,Mm.,"client: Many people have told me, um, if I quit smoking, I'm going to gain weight.\ntherapist: Mm.\n",FALSE,n/a,FALSE,0.009255755227059126
95,therapist,high,Yeah. You're-you're tired. You're stressed. You feel so sad to the point that you're hurting yourself physically so that you can feel something other than what you're feeling right now.,"client: No, it just seems that cutting myself is the only way out. And I just get suicidal thoughts and [foreign language], I'm just very, very like depressed and what's going on at home.\ntherapist: So you feel really, really like you've had it up to here.\nclient: Yeah.\ntherapist: Yeah. You're-you're tired. You're stressed. You feel so sad to the point that you're hurting yourself physically so that you can feel something other than what you're feeling right now.\n",FALSE,n/a,TRUE,0.009375227382406592
83,therapist,high,Right.,"client: It's, uh, um, it's hard because-because I'm, uh, I'm not a bad person. I've just done some stupid shit, but I'm not a bad person.\ntherapist: Right.\nclient: In-in regards to my kids, I'd be100- 100%.\ntherapist: Right.\n",FALSE,n/a,FALSE,0.010638768086209893
126,therapist,low,"Oh, it looks like he called in cholesterol statin. Do you know how you're supposed to take this medication?","therapist: All right. Great. Have a good day.\ntherapist: Hello, Kaylie. I see you're here to pick up a prescription today.\nclient: Yeah. My doctor said he called something in.\ntherapist: Oh, it looks like he called in cholesterol statin. Do you know how you're supposed to take this medication?\n",TRUE,closed,FALSE,0.010674861958250403
51,therapist,high,Mm.,"client: Okay.\ntherapist: So having shared that information with you, how do you feel about the idea of the flu vaccine?\nclient: Well, my grandparents probably wouldn't handle the flu very well-\ntherapist: Mm.\n",FALSE,n/a,FALSE,0.010924828937277198
64,therapist,high,Alright.,"client: Yeah, I guess. I-I suppose I hadn't really thought about it till they sat me down, and you know- I mean I could, uh, I could understand a little bit of where they were coming from, so yeah, I thought I'd—\ntherapist: They were concerned for you?\nclient: Yeah.\ntherapist: Alright.\n",FALSE,n/a,FALSE,0.01093121524900198
22,therapist,high,"Uh, that it's okay with you, and you-you know that it's gonna change because that's been your, uh, experience.","client: You know?\ntherapist: And it sounds like right now you're at a place of acceptance about that also.\nclient: Yes.\ntherapist: Uh, that it's okay with you, and you-you know that it's gonna change because that's been your, uh, experience.\n",FALSE,n/a,TRUE,0.011009040987119079
66,therapist,high,How are you doing today? I'm Bruce Berger.,therapist: How are you doing today? I'm Bruce Berger.\ntherapist: How are you doing today? I'm Bruce Berger.\ntherapist: How are you doing today? I'm Bruce Berger.\ntherapist: How are you doing today? I'm Bruce Berger.\n,TRUE,open,FALSE,0.01136884093284607
49,therapist,high,"Yeah? But, what would-","client: About 80. [chuckles]\ntherapist: About 80? Right up there, yeah, yeah? And another question that's, sort of, related to that, how confident are you that you can, you know, you can actually get it sorted and get on with life?\nclient: I'm gonna say, I'm completely confident.\ntherapist: Yeah? But, what would-\n",TRUE,closed,FALSE,0.011369918705895543
23,therapist,high,What kind of work is the most difficult for you in your job?,"client: Yeah.\ntherapist: And what was happening around that time?\nclient: Uh, I guess I'd finished school about a year before that. Um, and I mean, I-I've always been a bit shy, um, at school, but it was never ever, uh, like it didn't really affect the things as much as not at all as much as it has been doing the last few years ago, I guess. It just started when I- like my friends went to university, and, I don't know, I felt like I was expected to kind of move out or do something and then it just kind of escalated from there.I just stop going to parties or I'd just say no to invitations or I don't know, I thought my job would help because I mean, I love it. I've- I really like doing photography, but I'm just kind of getting less and less work as it goes on, so, which is my thing, you know, but—\ntherapist: What kind of work is the most difficult for you in your job?\n",TRUE,open,FALSE,0.011393569642677903
34,therapist,high,"While this baby's growing in you and you think of all the opportunities that could come out of this, there's a part of you that says, ""I'm still that same girl that was drinking and partying,"" and-and maybe not living the life you wanted to live.","client: Well, I-I kept the kid because I wanted-- It was almost like that push, that sign for me to, like, move forward and become like an adult because it's scary, right? Like I-I still feel like a teenager sometimes. And having that push to be a real person is really-- It's a lot of pressure and I-I want to raise this kid well. I don't wanna- I don't wanna let my kid down. I don't wanna, you know, I don't wanna regret choosing to have this kid because I think it's the right time, but I don't wanna- I don't wanna make mistakes that make me realize maybe I'm not ready for this 'cause sometimes it feels like I'm not ready for this.\ntherapist: You put your heart there that the baby is really- it was almost kind of like a sign for you that was saying, ""This baby is giving you a kind of a new chance at life, or giving you a plan B,"" and you guys both get to decide what plan B is gonna look like.\nclient: Yeah, I just guess it's easier said than done though. Like, it's, like, great, I can make all these changes and I can be a completely new person, but it's, like, at the end of the day, I'm still just who I am.\ntherapist: While this baby's growing in you and you think of all the opportunities that could come out of this, there's a part of you that says, ""I'm still that same girl that was drinking and partying,"" and-and maybe not living the life you wanted to live.\n",FALSE,n/a,TRUE,0.011438249377533793
28,therapist,high,Mm-hmm.,"client: Um, I had nightmares-\ntherapist: Mm-hmm.\nclient: -nausea-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.011537225218489766
49,therapist,high,"Okay, okay. So, there's a shift from last time?","client: I suppose, my expectations are a wee bit clearer as to why I'm here.\ntherapist: Yeah.\nclient: I guess, I'm-- It made me think about how much money I have been losing recently. So, yeah. I'm happier to be here. [chuckles]\ntherapist: Okay, okay. So, there's a shift from last time?\n",TRUE,closed,FALSE,0.01212539547123015
80,therapist,high,Sure.,"client: I think I'd just like to do what I did this first week. I liked the idea of marking it down.\ntherapist: Okay, so you can continue with that.\nclient: I-- And it took me a week and I'm down two cigarettes a day, I-I figure.\ntherapist: Sure.\n",FALSE,n/a,FALSE,0.01263756980188191
53,therapist,low,"Mm-hmm. So, do you think you can quit?","client: Okay.\ntherapist: Um, obviously, you shouldn't be drinking at all. Um, what do you think about that?\nclient: I definitely agree. I know that there are some other risks involved in alcohol, they are the ones you mentioned, like, health-wise and things like that, so, I agree that alcohol may not be the best thing.\ntherapist: Mm-hmm. So, do you think you can quit?\n",TRUE,open,FALSE,0.013016533106565475
54,therapist,high,All right. All right. Bye.,"client: Okay.\ntherapist: All right, so I'll see you next week.\nclient: Okay. Very good. Thanks.\ntherapist: All right. All right. Bye.\n",FALSE,n/a,FALSE,0.013675045687705278
43,therapist,high,"And this time, it seems like it's a little bit different this time. How come this time you feel like you might not reschedule this time around?","client: Yes. And I already kind of put it off after s-scheduling it too. So, um, now I'm actually enjoying that because I-I already like changed date and everything. So now it's actually coming.\ntherapist: Okay. So, you've made this appointment before in the past and the anxiety has kind of taken over where you've rescheduled it.\nclient: Yes.\ntherapist: And this time, it seems like it's a little bit different this time. How come this time you feel like you might not reschedule this time around?\n",TRUE,open,FALSE,0.014161413768306375
23,therapist,high,It's quite interesting. Was that a fashion shoot or something?,"client: Um, like a work situation or just--?\ntherapist: Yeah, time when you were maybe doing a job with some people and you felt the social anxiety, you know, that you're describing, you felt that kick in.\nclient: Yeah. I was doing a job where it was kind of like a- a Nature issue and I was having to work with a lot of different people. Um, and, um, when they told me about the job, I thought it would be fine. I thought it was just going to be a few other photographers, but there were actually people and, you know, I was taking photos of people kind of in the trees and stuff like that. And I guess- they asked me to, um—\ntherapist: It's quite interesting. Was that a fashion shoot or something?\n",TRUE,closed,FALSE,0.014304436044767499
55,therapist,high,"Do you mind if I take a look at your arm, please?","client: Uh, mostly in my left arm.\ntherapist: Do you mind if I take a look at your arm, please?\ntherapist: Do you mind if I take a look at your arm, please?\ntherapist: Do you mind if I take a look at your arm, please?\n",TRUE,closed,FALSE,0.014316667104139924
44,therapist,low,Okay. And how much are you drinking on the days that you're-- on the days that you drink?,"client: Um, depending on how much schoolwork there is When there's not, it might be like every other weekend or like three weekends out of the month or something like that.\ntherapist: Oh, so you're drinking a lot?\nclient: A little, yeah.\ntherapist: Okay. And how much are you drinking on the days that you're-- on the days that you drink?\n",TRUE,open,FALSE,0.014555073576048017
77,therapist,high,What kind of things have you been in your rehab?,client: [signs] Kind of slow.\ntherapist: Kind of slow?\nclient: Yeah.\ntherapist: What kind of things have you been in your rehab?\n,TRUE,open,FALSE,0.014911244623363018
81,therapist,high,So you're feeling uncomfortable with changes in your body?,"client: Okay. I guess I've been getting bigger.\ntherapist: Mm, what's that like for you?\nclient: Uh, scary I guess.\ntherapist: So you're feeling uncomfortable with changes in your body?\n",FALSE,n/a,TRUE,0.015313090290874243
115,therapist,low,"Well, I don't think I'm giving you a lecture, that's certainly not what I meant. I--","client: It was a waste and it caused more side effects\ntherapist: .No, it-- but David, it's not a waste. Research shows that people take on average about seven tries before they quit smoking, so think of it as you're one step closer to quitting, so--\nclient: Or seven lectures along the road.\ntherapist: Well, I don't think I'm giving you a lecture, that's certainly not what I meant. I--\n",FALSE,n/a,FALSE,0.01550431433133781
76,therapist,high,"Inner harmony was number two, and having that peace of then to allow yourself to help other people or to serve-service.","client: Mm-hmm. Yeah.\ntherapist: It sounds as though your list is like definitely a story. I-It kind of attracts you in the beginning as far as your health and the number two was being service. Number three. Uh—\nclient: Inner harmony.\ntherapist: Inner harmony was number two, and having that peace of then to allow yourself to help other people or to serve-service.\n",FALSE,n/a,TRUE,0.015508756507188082
85,therapist,high,Yeah.,client: Very dull.\ntherapist: Very dull.\nclient: Very dull.\ntherapist: Yeah.\n,FALSE,n/a,FALSE,0.015516811516135931
86,therapist,high,It's something that's always on your mind.,"client: I really want to get off the program.\ntherapist: You seem motivated to follow the rules.\nclient: Mm-hmm. I still crave smoking, even though I've stopped.\ntherapist: It's something that's always on your mind.\n",FALSE,n/a,TRUE,0.017010010546073318
16,therapist,high,Right.,"client: And Tristan is a good flatmate.\ntherapist: Yeah.\nclient: I have no-- We're going in different-different directions now. He doesn't have the same kind of responsibilities I have and stuff, and so-- And I can't expect him to change his whole life around, just because I wanna change mine.\ntherapist: Right.\n",FALSE,n/a,FALSE,0.017291825264692307
7,therapist,high,Yeah.,therapist: Yeah.\ntherapist: Yeah.\ntherapist: Yeah.\ntherapist: Yeah.\n,FALSE,n/a,FALSE,0.017548324773088098
55,therapist,high,"Do you mind if I take a look at your arm, please?","therapist: Do you mind if I take a look at your arm, please?\ntherapist: Do you mind if I take a look at your arm, please?\ntherapist: Do you mind if I take a look at your arm, please?\ntherapist: Do you mind if I take a look at your arm, please?\n",TRUE,closed,FALSE,0.01863409671932459
25,therapist,high,"So, on a scale from 1 to 10, 1 being not important and 10 being very important, where would you rate yourself on how important it is to start exercising more?","client: Just to find the time to be able to do it, or what works in our schedule.\ntherapist: So, it's that balance of doing something for yourself, but it sounds like you don't want that schedule to affect too much into your family routine.\nclient: Right, yeah.\ntherapist: So, on a scale from 1 to 10, 1 being not important and 10 being very important, where would you rate yourself on how important it is to start exercising more?\n",TRUE,closed,FALSE,0.01916127884760499
66,therapist,high,How are you doing today? I'm Bruce Berger.,therapist: How are you doing today? I'm Bruce Berger.\ntherapist: How are you doing today? I'm Bruce Berger.\ntherapist: How are you doing today? I'm Bruce Berger.\ntherapist: How are you doing today? I'm Bruce Berger.\n,TRUE,open,FALSE,0.0199966614600271
52,therapist,high,"I'm gonna make sure I understand. You have tried drinking a couple of times, and you almost got in trouble once. Did I get that right?","client: Yeah, it was. If my mom would have found out, she would've killed me.\ntherapist: I understand. So tell me, how often do you drink?\nclient: Well, I've only tried drinking once or twice.\ntherapist: I'm gonna make sure I understand. You have tried drinking a couple of times, and you almost got in trouble once. Did I get that right?\n",TRUE,closed,TRUE,0.020921601448208094
22,therapist,high,"Okay, and the three- the three other ones, inner harmony-- Let me see if I can remember them. Inner harmony, health and, what was the other one?","client: Mm-hmm.\ntherapist: And the top two are family happiness and religion?\nclient: And religion.\ntherapist: Okay, and the three- the three other ones, inner harmony-- Let me see if I can remember them. Inner harmony, health and, what was the other one?\n",TRUE,open,FALSE,0.021196302259340882
7,therapist,high,You're still feeling the effects of-,therapist: You're still feeling the effects of-\ntherapist: You're still feeling the effects of-\ntherapist: You're still feeling the effects of-\ntherapist: You're still feeling the effects of-\n,FALSE,n/a,TRUE,0.02145022852346301
61,therapist,high,"Uh-huh. What is it that makes it a five instead of a one, no confidence?","client: Yeah.\ntherapist: Uh-huh, so-\nclient: I-I mean, I know I can, but it's really difficult.\ntherapist: Uh-huh. What is it that makes it a five instead of a one, no confidence?\n",TRUE,open,FALSE,0.021646432112902403
53,therapist,low,"Okay, so, um, that's great 'cause it pretty much covers all the stuff that I think I needed to go over with you. Um, let's see. I guess we didn't talk about what would happen if your parents found out you were drinking.","client: Okay, yeah.\ntherapist: Um, and then, then you'll be better set for college too because, you know, the issue is you're getting good grades now, but when you get to college, it's a lot harder and, you know, if you're needing really good grades to get into law school, which you will need, then you really can't be distracted by alcohol.\nclient: Okay, yeah, definitely.\ntherapist: Okay, so, um, that's great 'cause it pretty much covers all the stuff that I think I needed to go over with you. Um, let's see. I guess we didn't talk about what would happen if your parents found out you were drinking.\n",FALSE,n/a,FALSE,0.021779045462608337
55,therapist,high,"Okay. Well, I don't see any redness. Um, can you go ahead and touch that Miguel, and tell me if it feels warm to you or if it hurts?","therapist: Okay. Well, I don't see any redness. Um, can you go ahead and touch that Miguel, and tell me if it feels warm to you or if it hurts?\ntherapist: Okay. Well, I don't see any redness. Um, can you go ahead and touch that Miguel, and tell me if it feels warm to you or if it hurts?\ntherapist: Okay. Well, I don't see any redness. Um, can you go ahead and touch that Miguel, and tell me if it feels warm to you or if it hurts?\ntherapist: Okay. Well, I don't see any redness. Um, can you go ahead and touch that Miguel, and tell me if it feels warm to you or if it hurts?\n",TRUE,closed,FALSE,0.02217671019025147
33,therapist,high,Yeah. And it really is your choice. You're absolutely right-,"client: -and then they fight it, but [sighs] it's my choice-\ntherapist: Mm-hmm.\nclient: -and I don't like lectures about it.\ntherapist: Yeah. And it really is your choice. You're absolutely right-\n",FALSE,n/a,FALSE,0.022227320820093155
46,therapist,high,"A five? So, I'm curious. Why didn't you pick a lower number like a two or three that would mean you're only a little bit ready to stop drinking?","client: Okay.\ntherapist: That's why I recommend that all my adolescent patients not drink at all. So if you were thinking today about how ready you feel to stop drinking alcohol on a scale of zero to ten, with zero not being ready at all and ten feeling very ready, what number would you pick?\nclient: Um, probably a five.\ntherapist: A five? So, I'm curious. Why didn't you pick a lower number like a two or three that would mean you're only a little bit ready to stop drinking?\n",TRUE,open,FALSE,0.022245679516345263
36,therapist,high,"- and you've had some investigations, but you're not entirely happy that-that you haven't been investigated thoroughly enough.","client: Mm.\ntherapist: Um, you've tried a lot of tablets. Some prescribed, some herbal remedies-\nclient: Mm.\ntherapist: - and you've had some investigations, but you're not entirely happy that-that you haven't been investigated thoroughly enough.\n",FALSE,n/a,TRUE,0.02233104035258293
73,therapist,high,You tried oxy? Okay.,"client: He, um, introduced me to it too, so I've tried it.\ntherapist: So with his encouragement, you-you tried some drugs.\nclient: Oxy.\ntherapist: You tried oxy? Okay.\n",FALSE,n/a,TRUE,0.02286617597565055
55,therapist,high,"Thanks. When I looked at your form, it looks like you use heroin weekly and you injected. What part of your body do you normally inject in?","therapist: Thanks. When I looked at your form, it looks like you use heroin weekly and you injected. What part of your body do you normally inject in?\ntherapist: Thanks. When I looked at your form, it looks like you use heroin weekly and you injected. What part of your body do you normally inject in?\ntherapist: Thanks. When I looked at your form, it looks like you use heroin weekly and you injected. What part of your body do you normally inject in?\ntherapist: Thanks. When I looked at your form, it looks like you use heroin weekly and you injected. What part of your body do you normally inject in?\n",TRUE,open,TRUE,0.022918443428352475
36,therapist,high,Mm-hmm.,"client: Mm.\ntherapist: So, what is it you'd spend your average day doing now?\nclient: Well, I potter around the house-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.023683182895183563
35,therapist,high,"You had energy, and you were like the Energizer Bunny, just keep going and going and going.","client: Right. Yeah. Especially during times when I'm more active is when I noticed the biggest cha-change in energy and mood.\ntherapist: Yeah. Tell me more about that, those previous times that you've been active.\nclient: Yeah. Um, well, I played sports in college, so that kept me pretty busy, and that was really fun, um, and I just think back now to, as much that I would cram into a 24 -hour period, and like, wonder how I did that, but I think that part of it was because I was so active physically, um, I just had way more energy throughout the day, mentally and physically to, um, you know, go to school full-time and-and still socialize with friends and do all that stuff. Um, so when I think back to like, probably like the peak of my life of when I felt my best physically, mentally it was that time.\ntherapist: You had energy, and you were like the Energizer Bunny, just keep going and going and going.\n",FALSE,n/a,TRUE,0.024814600124955177
63,therapist,high,"Um, what do you think would make it easier for you to cut down or quit using Methamphetamine?","client: Well, I do just snort it but you don't know what it's cut with, you know, there could be something, you know. It could be really bad, um, if it was cut with something dangerous or something. I mean, I-I worry about that sometimes.\ntherapist: Mm, so when I was first talking to you, I thought that you'd have a very, um, really not much interest in not stoping using Methamphetamine but it sounds like you have a number of reasons why you really would like to stop using Methamphetamine. And that is, um, that it might be cut with something else, um, you could get another ST- STD including HIV.\nclient: Yeah.\ntherapist: Um, what do you think would make it easier for you to cut down or quit using Methamphetamine?\n",TRUE,open,FALSE,0.024861557641997933
49,therapist,high,"Yeah, thanks for that, okay. So, let's think about the-- It has to do with how you just sorted out the thing around the gambling 'cause last time you were here, you told me that you get a buzz, you know, it seemed like you were gambling a bit more than your girlfriends were aware of, and-and you said you owe one of your friends some money.","client: Okay.\ntherapist: Yeah?\nclient: Mm-hmm.\ntherapist: Yeah, thanks for that, okay. So, let's think about the-- It has to do with how you just sorted out the thing around the gambling 'cause last time you were here, you told me that you get a buzz, you know, it seemed like you were gambling a bit more than your girlfriends were aware of, and-and you said you owe one of your friends some money.\n",FALSE,n/a,TRUE,0.025600940454751253
89,therapist,high,Okay.,"client: I mean, yeah, I guess- I guess if I think about it, that's kind of the common theme.\ntherapist: Okay. Okay, um, how do you think that your substance use is going to affect your employment?\nclient: I'm pretty worried that I'm gonna get fired.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.02560617425478995
118,therapist,low,Okay.,"therapist: Hi, come in. [door closes] Sit- sit yourself down. Uh, what can I do for you today?\nclient: Well, I've got myself all worked up now I've been sat outside.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.025849039433524013
65,therapist,high,It's become a more important part of your life because you found yourself smoking at times that you thought I'll never smoke then.,"client: That means a new wardrobe, which I'd like to have, but I can't afford it.\ntherapist: Okay. So right now you're seeing that it's a part of your life. It's been a part of your life off and on for 18 years.\nclient: Mm-hmm.\ntherapist: It's become a more important part of your life because you found yourself smoking at times that you thought I'll never smoke then.\n",FALSE,n/a,TRUE,0.026096164248883724
16,therapist,high,"Okay. You're good to explore, but I just want to ask you about, how much does Chris-Christian-Christian know-- Tristan know about you changing your life? What does he really know about the changes you wanna make?","client: I have no-- We're going in different-different directions now. He doesn't have the same kind of responsibilities I have and stuff, and so-- And I can't expect him to change his whole life around, just because I wanna change mine.\ntherapist: Right.\nclient: I just-- I don't know how keen I am to move in with my- with my aunty and uncle, though.\ntherapist: Okay. You're good to explore, but I just want to ask you about, how much does Chris-Christian-Christian know-- Tristan know about you changing your life? What does he really know about the changes you wanna make?\n",TRUE,open,FALSE,0.02673547132872045
38,therapist,high,"Yeah. So, these are not problems that are going to go away in a week. It's going to take some time to resolve. Okay, great. So, um, it sounds like we have a couple of things, uh, to pursue.","client: Mm-hmm.\ntherapist: -um, try to tackle, um, your childcare issue, um, with some assistance. Is there anything else you'd like to do, um, for example, would you be interested in talking with me again, um, just as things progress?\nclient: Yeah, I-I think I would. I mean, it's-it's been nice to just talk about everything that's going on.\ntherapist: Yeah. So, these are not problems that are going to go away in a week. It's going to take some time to resolve. Okay, great. So, um, it sounds like we have a couple of things, uh, to pursue.\n",FALSE,n/a,FALSE,0.026919776340946555
30,therapist,high,"Um, so I know that you, you know, you know the consequences of it, and yet you're sharing with me it's just not a priority for you at this time.","client: No. I just-- I don't care.\ntherapist: Okay.\nclient: It really [unintelligible 00:00:58]-- I don't care.\ntherapist: Um, so I know that you, you know, you know the consequences of it, and yet you're sharing with me it's just not a priority for you at this time.\n",TRUE,closed,FALSE,0.0271177776157856
68,therapist,high,Okay.,"client: I really, you know, I really enjoy being in that team setting of, you know, being with other people and all working toward- together towards that one goal.\ntherapist: Mm-hmm.\nclient: And then in terms of respect, I-I kind of view that as one of like my major like rules. Like, I-I really do think respect is important, to respect myself and respect those around me, so.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.027518528047949076
80,therapist,high,"Okay, so you can continue with that.","client: And then, uh-uh, what I'd like to do is try not to smoke in my house.\ntherapist: Okay. So, from now to the next time you come back and see me, what is it that you'd like to-to work on?\nclient: I think I'd just like to do what I did this first week. I liked the idea of marking it down.\ntherapist: Okay, so you can continue with that.\n",FALSE,n/a,FALSE,0.02781824371777475
23,therapist,high,Okay. So how do you feel about being here today?,"client: Yeah.\ntherapist: So how has that, uh, changed things for you?\nclient: Um, don't know, it's kind of, I haven't really told anyone, so, I mean, it's made it like better in sense. I feel, hopefully this is, this is it like, it- it'll help, but I don't know. I don't like thinking that I've like have to do this. I never thought I'd like be the kind of person you'd have to actually go and like get help if that makes sense.\ntherapist: Okay. So how do you feel about being here today?\n",TRUE,open,FALSE,0.028121191076934338
37,therapist,high,Here in Christchurch?,"client: Mm-hmm.\ntherapist: Any other whānau members? You talked about your brothers and sisters last time.\nclient: Uh, I didn't speak to my brothers and sisters this time, I just spoke to my mom, but, uh, she, uh, she suggested that I go and stay with my, uh, auntie and my uncle. Uh—\ntherapist: Here in Christchurch?\n",TRUE,closed,FALSE,0.028196206083521247
83,therapist,high,"Okay. I see you've had a bit of experience with, uh, coming to prevention services.","client: Um, I was thinking about what you might ask me, what I would say. I'm thinking about my kids, thinking about having to take a day off work.\ntherapist: Right.\nclient: It's a bit of a bitch.\ntherapist: Okay. I see you've had a bit of experience with, uh, coming to prevention services.\n",FALSE,n/a,FALSE,0.028399477247148752
53,therapist,low,"Um, and then, then you'll be better set for college too because, you know, the issue is you're getting good grades now, but when you get to college, it's a lot harder and, you know, if you're needing really good grades to get into law school, which you will need, then you really can't be distracted by alcohol.","client: Yeah.\ntherapist: -they're probably not a good influence.\nclient: Okay, yeah.\ntherapist: Um, and then, then you'll be better set for college too because, you know, the issue is you're getting good grades now, but when you get to college, it's a lot harder and, you know, if you're needing really good grades to get into law school, which you will need, then you really can't be distracted by alcohol.\n",FALSE,n/a,FALSE,0.028487719362601638
34,therapist,high,"And your parents are a support for you and support you from giving up the drinking, the alcohol use, that's something that they would support-","client: A little bit.\ntherapist: It's not easy to be in that world and also having that constant reminder that the baby is coming and this baby is saying, ""I want this better life,"" and you want to give the baby a better life too. Who can support you, do you think when-when you look around who's in your circle right now, who do you think can support you in moving towards path B?\nclient: Definitely my parents, um, and I probably need to, uh, go and meet some other-other people who are maybe, you know, having kids too so that I can see, like how it's done 'cause like, I only have a younger brother who's like not-not even close to that. So I don't really have anyone in my life that I know that's had kids recently. So I-I would like to meet other, you know, young moms out there who, you know, are kind of struggling with the same stuff I am.\ntherapist: And your parents are a support for you and support you from giving up the drinking, the alcohol use, that's something that they would support-\n",FALSE,n/a,TRUE,0.02865096810273826
31,therapist,high,"Uh, and so at this point, you're gonna get the medication and-","client: Oh yeah.\ntherapist: Uh, you seem fairly committed to taking the medicine to reduce your risk so that you can enjoy your retirement.\nclient: Yeah.\ntherapist: Uh, and so at this point, you're gonna get the medication and-\n",FALSE,n/a,FALSE,0.030377038521692157
85,therapist,high,I didn't even know they had a spice channel. [chuckles],"client: Yeah. And, uh- and so, she-- Actually, she-- When I first went on the medicine, she thought I was maybe messing around with somebody else, 'cause, I-I just wasn't interested in it at all.\ntherapist: Oh, okay.\nclient: I canceled my subscription to the spice channel.\ntherapist: I didn't even know they had a spice channel. [chuckles]\n",FALSE,n/a,FALSE,0.03123036352917552
12,therapist,high,Okay. And that's changed over what period of time?,"client: Yeah, um, normally, I'm smoking, you know, like once in the morning, uh, once during my lunch break and then in the evening maybe like five or six.\ntherapist: Okay. So about eight cigarettes. So over the course of a day, just under half a pack?\nclient: Yeah.\ntherapist: Okay. And that's changed over what period of time?\n",TRUE,closed,FALSE,0.03204482444562018
80,therapist,high,And any thoughts about what concretely you could do to make that happen?,"client: And, um, 'cause I smoke a large pack and small pack, maybe just two small packs.\ntherapist: You said five cigarettes this time.\nclient: Yes.\ntherapist: And any thoughts about what concretely you could do to make that happen?\n",TRUE,open,FALSE,0.032344065606594086
35,therapist,high,"Yeah, you feel more accomplished and-and you feel less irritated by the small stuff.","client: Mm-hmm.\ntherapist: Tell me more about that. What do you notice specifically about your mood on the days you're physically active?\nclient: Just, I'm-I'm just happier and more upbeat and I think that even my outlook is more positive. So like, if I'm sitting in traffic, and I haven't been physically active, I'll probably grumble about it but if I'm sitting in traffic, and I have been, it's like, I just have a different outlook on things and I already feel like I've gotten something accomplished that day. So it just kind of like helps with that ripple effect into my day of like getting more things done.\ntherapist: Yeah, you feel more accomplished and-and you feel less irritated by the small stuff.\n",FALSE,n/a,TRUE,0.03284422098658979
94,therapist,high,And he's that extra trunk.,"client: Um.\ntherapist: And it's kind of scary.\nclient: Oh, God, yeah, yeah. But, you know, and it's scary to have an extra, a huge extra trunk that you have to carry with you [chuckles].\ntherapist: And he's that extra trunk.\n",FALSE,n/a,TRUE,0.033157290890812874
84,therapist,high,"Yes, tell me a bit more about that, Billy? Kind of give me the [unintelligible 00:05:46] the cops have got it on for you?","client: Just unlucky.\ntherapist: Okay, so getting into trouble and, uh, getting caught and-and we see [unintelligible 00:05:36] does about luck and this time being unlucky.\nclient: Yeah, the cops just have it out for me.\ntherapist: Yes, tell me a bit more about that, Billy? Kind of give me the [unintelligible 00:05:46] the cops have got it on for you?\n",TRUE,open,FALSE,0.0338777017313987
67,therapist,high,"We know marijuana has effects on the developing brain. For example, it can make it harder for you to concentrate, it can make it harder for you to remember things, and vaping can seriously hurt your lungs. About one in six people who begin using marijuana as a teenager, later on, become addicted. So what do you think about all this information that I've shared?","client: I did a peppermint oil once, someone shared it with me.\ntherapist: Okay. Is it okay if I share some information with you?\nclient: Mm-hmm.\ntherapist: We know marijuana has effects on the developing brain. For example, it can make it harder for you to concentrate, it can make it harder for you to remember things, and vaping can seriously hurt your lungs. About one in six people who begin using marijuana as a teenager, later on, become addicted. So what do you think about all this information that I've shared?\n",TRUE,open,FALSE,0.03508408251218498
34,therapist,high,That would be a concern for them as well as for you now.,"client: I don't think they realize, uh, that I'm doing it or how much I'm doing it.\ntherapist: Okay.\nclient: And I know that if they found out, they would be really pissed.\ntherapist: That would be a concern for them as well as for you now.\n",FALSE,n/a,TRUE,0.03558352845720947
94,therapist,high,So whe-when-when are you gonna do it?,"client: Been there, done that. [laughs]\ntherapist: Okay. Are you-- This is something you've done before.\nclient: Yeah.\ntherapist: So whe-when-when are you gonna do it?\n",TRUE,closed,FALSE,0.03634266695007682
94,therapist,high,"Okay. Well, I have a funny feeling your plans will prevail. [laughter]","client: Um, that's the goal, you know.\ntherapist: Okay.\nclient: And I don't know what his plans are, but those are my plans.\ntherapist: Okay. Well, I have a funny feeling your plans will prevail. [laughter]\n",FALSE,n/a,FALSE,0.03637604042887688
89,therapist,high,"Okay. And that's a very good reason for being here. Um, can you talk to me about maybe some of your-- the goals that you have?","client: And, I mean, I love her, you know, but I'm here because she's making me be here.\ntherapist: Okay. Um, what is it that you wanna get out of being here?\nclient: Um, I mean, I guess- I guess I need some strategies for figuring out how to ease stress without, I guess, getting high.\ntherapist: Okay. And that's a very good reason for being here. Um, can you talk to me about maybe some of your-- the goals that you have?\n",TRUE,open,FALSE,0.036829143296927214
28,therapist,high,Mm-hmm. Mm-hmm. Wh-What sort of if-if you are willing to talk about what kind of side effect—,"client: -unsuccessfully, uh,--\ntherapist: Tell me a little bit about what happened with the-the Chantix.\nclient: Well, um, I don't know if it's my lack of willpower but, um, also had ve-very bad side effects from it so.\ntherapist: Mm-hmm. Mm-hmm. Wh-What sort of if-if you are willing to talk about what kind of side effect—\n",TRUE,open,FALSE,0.03690322954207659
24,therapist,high,"Okay. So you feel like, right now, smoking's a pretty important part of your life. It's not something you're ready to change, but if the time came when you did decide to quit, you feel pretty confident that you could go ahead and do that.","client: No. I'm not gonna quit smoking. I mean, I like it. It helps me relax. So, I mean, I don't see what the big deal is.\ntherapist: Okay. Tell me a little bit about how smoking fits in your day. It'll help with the—\nclient: I mean, I smoke a little less than a pack a day. It's not too bad. Um, I've probably smoked for the last five years, but I-I-I mean, could quit if I wanted to, but I don't really want to right now.\ntherapist: Okay. So you feel like, right now, smoking's a pretty important part of your life. It's not something you're ready to change, but if the time came when you did decide to quit, you feel pretty confident that you could go ahead and do that.\n",FALSE,n/a,TRUE,0.036923782201483846
1,therapist,high,"Okay. Well, I like to give this handout to patients. Uh, it defines risky drinking, it talks about what the consequences are, uh, and it also lists signs of what an alcohol use disorder is. So thanks again for taking the time to fill this out and being honest with me, uh, to talk about it. I provide better care, uh, when I know about my patient's substance use. When we come back for a three-month follow-up appointment for your ADHD, I'd also like to talk to you and check in about your alcohol use too, if that's okay with you.","client: Uh, I don't know. Maybe if I got sick or something, uh, maybe I'd wanna change things then.\ntherapist: So if you experienced a negative consequence from your drinking, uh, that would feel meaningful to you?\nclient: Yeah.\ntherapist: Okay. Well, I like to give this handout to patients. Uh, it defines risky drinking, it talks about what the consequences are, uh, and it also lists signs of what an alcohol use disorder is. So thanks again for taking the time to fill this out and being honest with me, uh, to talk about it. I provide better care, uh, when I know about my patient's substance use. When we come back for a three-month follow-up appointment for your ADHD, I'd also like to talk to you and check in about your alcohol use too, if that's okay with you.\n",TRUE,closed,FALSE,0.03743103286251426
58,therapist,high,"If you were to pick one of those, which one do you enjoy the most, um, would be most likely to do?","client: -and do all the other things in a gym that you can do when you’re not running, so, it just nakes you to [unintelligible 00:02:23]\ntherapist: Oh, and yet and at the same time you know your body well enough, and you-you’re willing to pay attention to your doctor’s advice about the running, right now, for you, not the best thing. Um, so, riding a stationary bike. Um, what else do you like to do that's cardiovascular?\nclient: Um, well, um, I like-- The bike is pretty good. Uh, even the uh, you know, the kind of a rolling machine is okay. And the uh, the elliptical. Any of that’s fine. I-I really don’t, uh-- I don’t dislike any of it. Kind of once you get into the rhythm, yeah, it’s fine\ntherapist: If you were to pick one of those, which one do you enjoy the most, um, would be most likely to do?\n",TRUE,closed,FALSE,0.03744014073163271
48,therapist,high,"Yeah, clearly, you made a decision because you didn't want to stand out in some way I'm guessing. So, let's-let's talk more about that. Tell me where would you like to take this?","client: -but yes I guess it's unavoidable that we address it. [laughter]\ntherapist: Yeah and I-- Yeah, you really-- You're already like, you're taking a look at this and sure don't need me like-- Obviously, you don't want to be doing that in the first place, but—\nclient: Yeah.\ntherapist: Yeah, clearly, you made a decision because you didn't want to stand out in some way I'm guessing. So, let's-let's talk more about that. Tell me where would you like to take this?\n",TRUE,open,TRUE,0.03745326353237033
64,therapist,high,And that's led you to being here today?,"client: Sure. Um, I guess, you know, maybe two or three weeks ago, I had sort of like this group of friends come around to my place, and um, you know, they-they were sort of saying that it was just like a night to hang out and watch DVDs and stuff, and then they sort of sat me down and were like, ""You know, maybe you need to get a bit of help for, you know, drug stuff."" Then, you know, I was sort of like, ""Well, mm."" And I was quite annoyed by that at first, but I-I suppose, you know, I thought about it for a bit and then I was like, ""Well, I guess it can't hurt to talk to someone about it, maybe.""\ntherapist: Right.\nclient: Yeah.\ntherapist: And that's led you to being here today?\n",TRUE,closed,FALSE,0.03748672967776656
27,therapist,low,Yeah.,"client: Mm-hmm. Yeah, I de-I definitely don't wanna come back here. But, uh, the doc said Oscar, my dog, is connected to my asthma symptoms. But the-\ntherapist: Yeah.\ntherapist: Yeah.\ntherapist: Yeah.\n",FALSE,n/a,FALSE,0.0377923334017396
59,therapist,low,"So, what you told me earlier was that you've got into a car with someone you knew had smoked marijuana earlier. What were you thinking?","therapist: So, what you told me earlier was that you've got into a car with someone you knew had smoked marijuana earlier. What were you thinking?\n",TRUE,open,FALSE,0.03783416887745261
58,therapist,high,Very clear you understand the whole idea of giving yourself a day off in between.,"client: I wanna get there on Saturdays or Sundays and Tuesdays and Fridays, or something like that, then I could probably [unintelligible 00:07:34]\ntherapist: And days that you know of on your less rigorous schedule that you're more likely to succeed [unintelligible 00:07:40] I really like how you're picking like three days a week instead of some days a week.\nclient: Right, yeah. Well, it's just not-\ntherapist: Very clear you understand the whole idea of giving yourself a day off in between.\n",FALSE,n/a,TRUE,0.03808358567766845
14,therapist,high,"Okay, all right.","client: But I want to be like-- I don't want to be like stick-thin, but I really want to be like really healthy and really active.\ntherapist: Okay.\nclient: And like be able to look nice, you know.\ntherapist: Okay, all right.\n",FALSE,n/a,FALSE,0.038815931184217334
2,therapist,high,"All right. So, you're not a zero. So, that tells me that you've got some confidence that this is doable, this is something you certainly can do it. Why are you not a zero?","client: Obviously, I need to cut back on the fruit juice. But boy, do I love that OJ.\ntherapist: Oh, I understand. Let me ask you this, on a scale from 0 to 10, 0 meaning that there's no way you can do it, and 10 meaning that you're 100% confident that you can do it, how confident are you that you'll be able to reduce the amount of juice you're currently taking in.\nclient: Um, six or seven.\ntherapist: All right. So, you're not a zero. So, that tells me that you've got some confidence that this is doable, this is something you certainly can do it. Why are you not a zero?\n",TRUE,open,TRUE,0.03893649112433195
34,therapist,high,Okay. He's thinking you were a little irresponsible.,"therapist: Thank you for coming in to see me today, Nina. I'm looking forward to getting to know you a little bit and hearing a little bit about you and what brought you in here today.\nclient: Um, my doctor referred me. He said I had to come because I've- I've been a little irresponsible with this pregnancy. Yeah.\ntherapist: Okay. He's thinking you were a little irresponsible.\n",FALSE,n/a,TRUE,0.039423247100785375
63,therapist,high,"Well, great. I recommend that you not use Methamphetamine at all but what you do is up to you.","client: Yes.\ntherapist: And there's some things that you might be able to do that would make it easier to not use methamphetamine including talking to your sister and getting some support.\nclient: Yes.\ntherapist: Well, great. I recommend that you not use Methamphetamine at all but what you do is up to you.\n",FALSE,n/a,FALSE,0.03987602889537811
106,therapist,low,"Okay. Well, I think you really need to think about this seriously. Like I said, it's really putting yourself and your child in danger.","client: I don't know.\ntherapist: I really need you to tell me that you're gonna quit smoking. This is really important.\nclient: I'll-I'll-I'll go look at all those things and-and I'll find-- I guess I'll-I'll try to find something, and-and I'll talk to my doctor about it.\ntherapist: Okay. Well, I think you really need to think about this seriously. Like I said, it's really putting yourself and your child in danger.\n",FALSE,n/a,FALSE,0.040750101674348116
58,therapist,high,"And in for right now it just be, you'll be happy with getting there one time.","client: Yeah, that's right, well I-\ntherapist: And if you arrange to meet somebody there, you're very good at, uh, you know, uh, keeping the agreement.\nclient: Okay, that's a great idea I hadn't thought of that-that's- I hadn't really, uh, I-I kinda dismissed that early on, I hadn't really even considered that, yeah.\ntherapist: And in for right now it just be, you'll be happy with getting there one time.\n",FALSE,n/a,TRUE,0.04148458410054445
38,therapist,high,"Okay. Well, so, the recommendation for women is to have no more than three drinks a day, and no more than seven drinks over the course of a week. Yeah, um, and, really, the reason for those recommendations is to just reduce the risk that people have trouble with accidents, or chronic diseases. Like certain types of cancers, or high blood pressure, and then also psychological problems. I don't know what you think about all that?","client: Not much.\ntherapist: Okay, will you be interested in hearing about those recommendations?\nclient: Sure.\ntherapist: Okay. Well, so, the recommendation for women is to have no more than three drinks a day, and no more than seven drinks over the course of a week. Yeah, um, and, really, the reason for those recommendations is to just reduce the risk that people have trouble with accidents, or chronic diseases. Like certain types of cancers, or high blood pressure, and then also psychological problems. I don't know what you think about all that?\n",TRUE,open,FALSE,0.0415701731108129
34,therapist,high,"Okay. So, you've got a lot of concerns about what's happened to- up until this point, as far as your drinking. What do you know about, um, drinking alcohol throughout pregnancy?","client: There's, yeah, there's part of me that still wants to live that out because I'm not going to have another chance, like once this kid comes, it's-it's going to be over. I know I'm gonna- I know I'm going to have to change.\ntherapist: So, for you, you're feeling like once the baby comes and actually in your arms, then things are going to change, but right now, while you're pregnant, you're thinking, ""I can kind of hang out in both worlds a little bit,"" but part of you may be thinking maybe that's not the case. It's time to go to the mom world maybe.\nclient: Yeah. Probably. And I'm also feeling like it's too late. I already screwed it up.\ntherapist: Okay. So, you've got a lot of concerns about what's happened to- up until this point, as far as your drinking. What do you know about, um, drinking alcohol throughout pregnancy?\n",TRUE,open,TRUE,0.0427343740593642
4,therapist,high,"Hi, Emily.","therapist: Hi, Emily.\n",FALSE,n/a,FALSE,0.04298879601992667
63,therapist,high,And do you mind if we talk about a screening form that you filled out earlier today on drug use?,"therapist: So Tom, this infection is been pretty painful for you but we have antibiotics. If you take it faithfully for 10 days, I'm sure that your infection will be gone. Can you do that?\nclient: Definitely.\ntherapist: And do you mind if we talk about a screening form that you filled out earlier today on drug use?\n",TRUE,closed,TRUE,0.04312017164193094
66,therapist,high,"Hi, Mr. Stowe.","therapist: Hi, Mr. Stowe.\ntherapist: Hi, Mr. Stowe.\ntherapist: Hi, Mr. Stowe.\ntherapist: Hi, Mr. Stowe.\n",FALSE,n/a,FALSE,0.0435076963622123
91,therapist,high,Mm-hmm.,"client: Yeah. I'd like to say more, but, um-\ntherapist: Okay. Now, help me understand why you said 40 and not something like 10 or zero because you mentioned that you don't even want to quit.\nclient: Well, I'm- I guess I'm still a fighter, and I-I-I- it's starting to- I'm starting to realize it and I do feel pretty good that I came to see you. I-I- it was a step and a couple of people who care about me actually, uh, gave me a pat on the back that I came to see you. So-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.04427630314603448
90,therapist,low,How much are you drinking?,"client: I-I get what you're coming from, but I-I-I really did. I-I thought that I had it under control and I didn't let myself get too far gone. I-I didn't want to be, um, how do I put this? Like, I want it to be in control and I wanted to make sure that all my friends were okay, so I didn't let myself drink too much.\ntherapist: There's really no such thing as not drinking too much. I mean, anything that's drinking when you're underage is drinking too much, you know. Like, think about it, think about all the things that can happen to you.\nclient: Yeah. I-I understand exactly what you're saying. And—\ntherapist: How much are you drinking?\n",TRUE,open,FALSE,0.045080149779096246
35,therapist,high,Great. And you've noticed a mood enhancement effect of exercise.,"client: Mm-hmm.\ntherapist: I want to be more physically active than I've been.\nclient: Yeah, yeah, I think so. Um, that's not to say like, I wanna go run a marathon but I do think that it would help me a lot in terms of just having a better outlook on life, um, and better energy to- if I were to pick up some type of activity.\ntherapist: Great. And you've noticed a mood enhancement effect of exercise.\n",FALSE,n/a,TRUE,0.04525750270113349
41,therapist,high,Yeah.,"client: Yes, yes.\ntherapist: So, do you think sometimes you weren't even aware\nclient: Not aware at all. Completely unaware. Totally unaware, yeah. And so to me, I feel like it's a celebration. I used to, uh, moan and complain about my childhood and about all the things that I didn't get to have, and all the cruel, mean things that people said and did, and I felt-- I feel like I had this aha moment where I realized that I could be my own parent, and I could give myself the things that weren't given to me, now. I can give myself a voice. I can give myself an opinion. I can live like that, if I want to. Nobody's stopping me from it, only me.\ntherapist: Yeah.\n",FALSE,n/a,FALSE,0.04539115820080042
66,therapist,high,"And so you're really kind of reeling right now from, uh, all of that. And you sound a little bit pretty, pretty scared actually.","client: She mentioned my legs having troubles and-\nclient: She mentioned my legs having troubles and-\ntherapist: And so you're really kind of reeling right now from, uh, all of that. And you sound a little bit pretty, pretty scared actually.\ntherapist: And so you're really kind of reeling right now from, uh, all of that. And you sound a little bit pretty, pretty scared actually.\n",FALSE,n/a,TRUE,0.045801722444593906
21,therapist,high,Okay.,"client: Through college.\ntherapist: Great. Well, one thing I want to ask about is, you know, different people have sort of different values or things that are important to them. They might, you know, be really close with family or really have, you know, their friends as being something particularly important. So, I'm gonna show you just a few things on this sheet, and if you can look at them all. So, there's things like belonging, community, cultural identity, family, friendship, modesty, religion, respect, self-determination and spirituality. Which of those do you think is sort of important to you?\nclient: Um, family definitely, uh, friendship, and belonging.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.04623781354166567
27,therapist,low,"Well, you sound a bit surprised by that. But I'm sure that you've seen some of the material that-that the clinic gave you about asthma symptoms and managing your asthma, and pets are a really big source of problems in that respect.","therapist: Well, you sound a bit surprised by that. But I'm sure that you've seen some of the material that-that the clinic gave you about asthma symptoms and managing your asthma, and pets are a really big source of problems in that respect.\ntherapist: Well, you sound a bit surprised by that. But I'm sure that you've seen some of the material that-that the clinic gave you about asthma symptoms and managing your asthma, and pets are a really big source of problems in that respect.\ntherapist: Well, you sound a bit surprised by that. But I'm sure that you've seen some of the material that-that the clinic gave you about asthma symptoms and managing your asthma, and pets are a really big source of problems in that respect.\ntherapist: Well, you sound a bit surprised by that. But I'm sure that you've seen some of the material that-that the clinic gave you about asthma symptoms and managing your asthma, and pets are a really big source of problems in that respect.\n",FALSE,n/a,FALSE,0.04629115271382034
34,therapist,high,"Mm-hmm. So, there's this external pressure coming from the people you care about to sort of stay in the scene.","client: Yeah. Um, I didn't find out I was pregnant until probably two-ish months in-\ntherapist: Okay.\nclient: -and I had already been drinking then. Um, I've been really trying not to, but, you know, weekends come around, and, um, all my friends are kind of partying and stuff, and it's been hard to, like, break that habit.\ntherapist: Mm-hmm. So, there's this external pressure coming from the people you care about to sort of stay in the scene.\n",FALSE,n/a,TRUE,0.046608188888058066
23,therapist,high,"So you're kind of worried about how, where this is going to lead to.","client: Um, I mean, I'm-I'm a photographer. Um, so I kind of-- It's-it's been stopping me a bit, my anxiety, from being able to get work and because every time, you know, there's, uh, an opportunity that is kind of involving me having to interact with people, I just tend to just turn it down. So it was kind of making things hard in that respect and um, just kind of friends wise and everything. I just feel like I'm just kind of increasingly more alone. So it's kind of stopping me from making friends and, you know, like relationships and stuff.\ntherapist: Okay. So you said that, um, your difficulties are getting in the way of you doing certain things. So they're, they're stopping you from taking up kind of certain types of work and as a freelance photographer, I guess that- that can be kind of a problem. And they're also stopping you or you feel like it's stunting you, uh, socially. You're not kind of able to make new friends and get to meet new people.\nclient: Yeah, yeah. Um, it was kind of easier when I was at home because I was obviously, I mean, my parents, so it's fine, but you know, they would, I'd go to places with, um, or I'd kind of have people there, but more and more, I'm just finding myself just staying in a lot. I mean-- I went like two weeks ago for coffee with my friends and the whole time I was just kind of wanting to go home again. So I don't, I just don't want to-- I don't want that to happen. I don't want to lose everyone. So-\ntherapist: So you're kind of worried about how, where this is going to lead to.\n",FALSE,n/a,TRUE,0.046853686682879925
67,therapist,high,"So, what steps could you take to help you stop using for a month?","client: Um, seven.\ntherapist: A seven. Why do you think you picked that instead of a lower number like five?\nclient: Well, I'm pretty sure, um, I can stop using for a month. I want to play well.\ntherapist: So, what steps could you take to help you stop using for a month?\n",TRUE,open,FALSE,0.04686400666832924
78,therapist,high,"It-it-it-- Yeah. It may not- it may not when she uses the chronic inhaler, uh, but you'll need to keep an eye on that. Obviously, it would be- what would be best if it didn't get on your clothes, or you quit smoking.","client: Oh, even when it's just on my clothes?\ntherapist: Yeah. Yeah.\nclient: She's that sensitive. If I realized that—\ntherapist: It-it-it-- Yeah. It may not- it may not when she uses the chronic inhaler, uh, but you'll need to keep an eye on that. Obviously, it would be- what would be best if it didn't get on your clothes, or you quit smoking.\n",FALSE,n/a,FALSE,0.04706946760416031
60,therapist,high,Yeah. Is it appealing the thought of quitting with a group at the same time?,"client: Yeah. And I mean and that's-that's a reasonable thing- [crosstalk]\ntherapist: You get to decide.\nclient: -I don't feel like I'm like you know, it's gonna be-- I think gradually getting my- wrapping my brain around it will help, you know, before I just do, you know.\ntherapist: Yeah. Is it appealing the thought of quitting with a group at the same time?\n",TRUE,open,FALSE,0.047430104576051235
66,therapist,high,"Hi, Mr. Stowe.","therapist: Hi, Mr. Stowe.\ntherapist: Hi, Mr. Stowe.\ntherapist: Hi, Mr. Stowe.\n",FALSE,n/a,FALSE,0.0479102551471442
23,therapist,high,So you said that you first noticed the anxiety kicking in about five or six years ago.,"client: Yeah, yeah. Um, it was kind of easier when I was at home because I was obviously, I mean, my parents, so it's fine, but you know, they would, I'd go to places with, um, or I'd kind of have people there, but more and more, I'm just finding myself just staying in a lot. I mean-- I went like two weeks ago for coffee with my friends and the whole time I was just kind of wanting to go home again. So I don't, I just don't want to-- I don't want that to happen. I don't want to lose everyone. So-\ntherapist: So you're kind of worried about how, where this is going to lead to.\nclient: Yeah. Um, yeah.\ntherapist: So you said that you first noticed the anxiety kicking in about five or six years ago.\n",FALSE,n/a,TRUE,0.04814049927517772
14,therapist,high,Okay.,"client: And so I'm just sort of like, well, I'm not.\ntherapist: Okay.\nclient: But I want to be like-- I don't want to be like stick-thin, but I really want to be like really healthy and really active.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.04819332296028733
131,therapist,low,Yeah. And what is your favorite cigarette of the day?,"client: Just, uh, when I- when I go down, uh, for-for a break at work.\ntherapist: Mm-hmm.\nclient: I never go down, I just need a break away from it all, just shut off. So, uh, I-I really enjoyed that. The cigarette just helps me calm down.\ntherapist: Yeah. And what is your favorite cigarette of the day?\n",TRUE,closed,FALSE,0.04821786284446716
7,therapist,high,Sounds like a wild night.,therapist: Sounds like a wild night.\ntherapist: Sounds like a wild night.\ntherapist: Sounds like a wild night.\ntherapist: Sounds like a wild night.\n,FALSE,n/a,TRUE,0.04834677674807608
76,therapist,high,Okay.,"client: Yeah.\ntherapist: Well, it was nice talking to you.\nclient: Yeah, it was nice being here and having you listen to me. Encouraging me was okay.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.04851136705838144
43,therapist,high,"Um, how do you think you could relate that to what you're dealing with now?","client: Yeah, I did.\ntherapist: Yeah. And that must've been really brave for you to do something that seems really daunting at first, yet you were really successful at it.\nclient: Yeah.\ntherapist: Um, how do you think you could relate that to what you're dealing with now?\n",TRUE,open,FALSE,0.05021323706023395
56,therapist,high,"Hi, Mrs. Smith. I'm Denise. I'm the social worker here at the clinic work that's working with Dr. Fields and the rest of the team. And, um, I know you were here to see Dr. Fields today, and I-I just wanted to let you know, I usually work with people who are similar to- have situations similar to you, and that have gone back home from rehab. And, uh, so I'd like to find out a little bit if you would, if that's okay, about how it's been going since you got home.","therapist: Hi, Mrs. Smith. I'm Denise. I'm the social worker here at the clinic work that's working with Dr. Fields and the rest of the team. And, um, I know you were here to see Dr. Fields today, and I-I just wanted to let you know, I usually work with people who are similar to- have situations similar to you, and that have gone back home from rehab. And, uh, so I'd like to find out a little bit if you would, if that's okay, about how it's been going since you got home.\ntherapist: Hi, Mrs. Smith. I'm Denise. I'm the social worker here at the clinic work that's working with Dr. Fields and the rest of the team. And, um, I know you were here to see Dr. Fields today, and I-I just wanted to let you know, I usually work with people who are similar to- have situations similar to you, and that have gone back home from rehab. And, uh, so I'd like to find out a little bit if you would, if that's okay, about how it's been going since you got home.\ntherapist: Hi, Mrs. Smith. I'm Denise. I'm the social worker here at the clinic work that's working with Dr. Fields and the rest of the team. And, um, I know you were here to see Dr. Fields today, and I-I just wanted to let you know, I usually work with people who are similar to- have situations similar to you, and that have gone back home from rehab. And, uh, so I'd like to find out a little bit if you would, if that's okay, about how it's been going since you got home.\ntherapist: Hi, Mrs. Smith. I'm Denise. I'm the social worker here at the clinic work that's working with Dr. Fields and the rest of the team. And, um, I know you were here to see Dr. Fields today, and I-I just wanted to let you know, I usually work with people who are similar to- have situations similar to you, and that have gone back home from rehab. And, uh, so I'd like to find out a little bit if you would, if that's okay, about how it's been going since you got home.\n",TRUE,open,FALSE,0.05106883775442839
34,therapist,high,Kind of feels like you're climbing Mt. Everest.,"client: I think so, yeah, like the telling my parents and [unintelligible 00:13:45] this to my parents is probably the scariest thing.\ntherapist: Mm-hmm.\nclient: And having to talk to those friends, like right now I don't want to do that. It's- it puts them in a weird place.\ntherapist: Kind of feels like you're climbing Mt. Everest.\n",FALSE,n/a,TRUE,0.051444088807329535
53,therapist,low,"Okay. Great. Sounds like you have, like I said, really good goals and you're working hard in school. Um, you said that when you're going out with your friends, you like to hang out and shop and stuff like that and also go to parties, so do you drink alcohol?","client: Um, I'm not sure yet, but I'm looking into schools like in the area, so maybe, I don't know, maybe I'll leave home or something.\ntherapist: Okay. Cool. And, you know, what made you decide maybe law school or-or journalism?\nclient: Um, well, I'm definitely not a math or science person, so I started off by there that I started looking at careers that maybe I would like. So-\ntherapist: Okay. Great. Sounds like you have, like I said, really good goals and you're working hard in school. Um, you said that when you're going out with your friends, you like to hang out and shop and stuff like that and also go to parties, so do you drink alcohol?\n",TRUE,open,FALSE,0.05165217909961939
18,therapist,high,"Yeah, yeah, yeah? So that's 12 times. So how many times would you have walked away with money in your pocket after, any out of the 12, what's your- what's your sense?","client: Mm-hmm.\ntherapist: Okay. So-so thinking about this, say a couple times a week, you know, two or three?\nclient: Mm-hmm.\ntherapist: Yeah, yeah, yeah? So that's 12 times. So how many times would you have walked away with money in your pocket after, any out of the 12, what's your- what's your sense?\n",TRUE,closed,FALSE,0.052015604451298714
6,therapist,high,Yep.,"client: Okay.\ntherapist: It really-- You're in the driver's seat, so it's just to kind of put all the cards on the table, so to speak.\nclient: Okay. Um, okay, that sounds good. As long as I'm not changing anything and we're just kind of putting, um, I guess, pen to paper or something.\ntherapist: Yep.\n",FALSE,n/a,FALSE,0.053129483480006456
57,therapist,low,"You- you really need to take it, and-and like I said, the-the muscle weakness is rare. If you feel muscle weakness, just let your doctor know. He can take you off or switch. It's not permanent.","client: Well, right now it's the muscle weakness that-that I'm concerned about, and that's, uh, you know, that's the present, uh, I've got to do my job.\ntherapist: Well, I-I-I understand that. Um, but like I said, it's very rare. If you feel some muscle weakness, you'll let your doctor know. It's not permanent, okay? Yeah, it won't get to the blood- it won't get to the point where it affects your job—\nclient: Well, you know- why don't you just give me the medicine, I'll take it home and I'll think about it? But you know, I'm worried about my job.\ntherapist: You- you really need to take it, and-and like I said, the-the muscle weakness is rare. If you feel muscle weakness, just let your doctor know. He can take you off or switch. It's not permanent.\n",FALSE,n/a,FALSE,0.05320186330936849
45,therapist,high,"You know that I will be stopping by every day just to make sure that you're here and following and-and responding to your GPS and making sure that that's charged up every day and that, um, if you're leaving the house without permission, that we will be aware of that as well. Um, and kinda just to get to know you as well when I come for these visits 'cause, um, you know that's kind of my role as your caseworker is just to-to monitor your day-to-day stuff.","client: Yup.\ntherapist: Okay. Would it be okay with you if I kind of explained again kind of what this program is about?\nclient: I guess so.\ntherapist: You know that I will be stopping by every day just to make sure that you're here and following and-and responding to your GPS and making sure that that's charged up every day and that, um, if you're leaving the house without permission, that we will be aware of that as well. Um, and kinda just to get to know you as well when I come for these visits 'cause, um, you know that's kind of my role as your caseworker is just to-to monitor your day-to-day stuff.\n",FALSE,n/a,FALSE,0.05384915671311319
49,therapist,high,"Yeah, yeah. If you could just say, ""Ken, hi, I am starting to, you know, tune it out here, starting to get uncomfortable,"" that would be really helpful.","client: [chuckles]\ntherapist: So-so, what would be really helpful maybe because I might miss it, you know, so, like, could you tell me? It would be really helpful if—\nclient: When I'm feeling uncomfortable?\ntherapist: Yeah, yeah. If you could just say, ""Ken, hi, I am starting to, you know, tune it out here, starting to get uncomfortable,"" that would be really helpful.\n",FALSE,n/a,FALSE,0.05391099979169667
126,therapist,low,"Okay. Well, then that sounds like a perfect location for you. Medicines keep best if they're stored away from light and heat and moisture. What did the doctor tell you to expect in terms of side effects?","client: I store my medications, uh, in my nightstand, right by my bed.\ntherapist: All right. Do you have any children in your home?\nclient: No.\ntherapist: Okay. Well, then that sounds like a perfect location for you. Medicines keep best if they're stored away from light and heat and moisture. What did the doctor tell you to expect in terms of side effects?\n",TRUE,open,TRUE,0.05400606268085539
55,therapist,high,"Okay. Well, I don't see any redness. Um, can you go ahead and touch that Miguel, and tell me if it feels warm to you or if it hurts?","therapist: Okay. Well, I don't see any redness. Um, can you go ahead and touch that Miguel, and tell me if it feels warm to you or if it hurts?\ntherapist: Okay. Well, I don't see any redness. Um, can you go ahead and touch that Miguel, and tell me if it feels warm to you or if it hurts?\ntherapist: Okay. Well, I don't see any redness. Um, can you go ahead and touch that Miguel, and tell me if it feels warm to you or if it hurts?\ntherapist: Okay. Well, I don't see any redness. Um, can you go ahead and touch that Miguel, and tell me if it feels warm to you or if it hurts?\n",TRUE,closed,FALSE,0.05451729823835194
38,therapist,high,"Okay. So, you can give it a go and, I think doing managing, you might just learn a little bit about how easy or difficult it's going to be, and-and also what it's like to cope with stress in other ways.","client: Well, I mean, I could at least try to going back to one drink a night instead of two.\ntherapist: Okay. Try to cut back a bit and see how that goes.\nclient: Yeah. I mean, I-I don't know how it's going to go, especially with trying to cut back on smoking already, but, I mean, I can try.\ntherapist: Okay. So, you can give it a go and, I think doing managing, you might just learn a little bit about how easy or difficult it's going to be, and-and also what it's like to cope with stress in other ways.\n",FALSE,n/a,TRUE,0.054518099408596754
36,therapist,high,Sounds as though that's something you quite enjoyed.,"client: I miss the girls. We used to, uh, we used to go out at least once a week.\ntherapist: Right.\nclient: To the pictures or for a drink. That's one thing.\ntherapist: Sounds as though that's something you quite enjoyed.\n",FALSE,n/a,TRUE,0.05521929054521024
23,therapist,high,"Okay. So it sounds like you have quite a lot of thoughts rushing through your head then at the point where you get that invitation and you think, ""People will look, people will stare, people will think I'm a weirdo."" So there's quite a lot about what you- what you think other the people will think. And how does that make you feel?","client: I guess when it- I have to kind of be working with other people. Um, I don't like that. It's like when I'm trying to kind of- would do an event or something where there's a lot of people there, not just photographers, but actual, you know, if I'm like taking places with people that I don't know, I just kind of find myself saying, you know, I mean, I want to do them, but just is scary. So I just don't do it.\ntherapist: So I guess, tell me a bit more about what happens then. So let's focus on maybe an invitation to do a job with, uh, you know, it's going to involve, uh, photography with- with a group of people and you're going to have to have social interaction. What kind of thoughts go through your head?\nclient: Um, just, I mean, I get really hot and sweaty, and I don't-- I feel like everyone's kind of looking at me and thinking that I'm just like really stupid, and I feel like they're all going to be staring and thinking, I just can't do my job. And I'm just an idiot. And I mean, they'll think that I just look like a weirdo and I just try and-- I mean, I just kind of just try and get out of the situation or just focus on something else. So that's why I like doing shots where it's just me and the camera 'cause I- then I can just put all my attention on that instead of having to, you know, be with other people.\ntherapist: Okay. So it sounds like you have quite a lot of thoughts rushing through your head then at the point where you get that invitation and you think, ""People will look, people will stare, people will think I'm a weirdo."" So there's quite a lot about what you- what you think other the people will think. And how does that make you feel?\n",TRUE,open,TRUE,0.0559375686571002
88,therapist,high,And who are these people?,"client: Yes.\ntherapist: Okay. What a great goal. So why do you want to make this goal for yourself?\nclient: Uh, so people will get off my back.\ntherapist: And who are these people?\n",TRUE,closed,FALSE,0.05663841054774821
36,therapist,high,Right.,"client: That was very uncomfortable.\ntherapist: Okay.\nclient: Um, but, um, no, I've tried-- Well, you-- I don't think he's tried enough tests because he said after that, that they didn't find anything-\ntherapist: Right.\n",FALSE,n/a,FALSE,0.05710703623481095
41,therapist,high,Right.,"client: Uh, yeah, when I don't have self-respect and I am only giving my family a say on who I am and what I should do, I'm angry at them, I quarrel them.\ntherapist: You feel resentful.\nclient: I resent them, I really do, when I am in the mode. But when I just say, ""Hey, I'm a person of this family and I deserve this much time and energy and attention and just more than anybody else,"" I don't care, you do what I do I do what I do life goes on [chuckles].\ntherapist: Right.\n",FALSE,n/a,FALSE,0.057134592439979315
21,therapist,high,"Mm-hmm. So, you've seen a lot of other kids who-","client: So, I-I wouldn't be able to tell you.\ntherapist: Okay. And, any not-so-good things about alcohol?\nclient: Um, definitely, yeah. I mean, when I'm at parties and stuff and it's getting a little later, some people, um, that drink-- Like, drank too much, they start throwing up, or they get hurt, or they're really loud and obnoxious, and that's not fun for anybody.\ntherapist: Mm-hmm. So, you've seen a lot of other kids who-\n",FALSE,n/a,TRUE,0.057471152395009995
38,therapist,high,"So, you're drinking, perhaps, two drinks a day. Um, and I'm wondering, what have you heard about the recommendations for drinking levels?","client: Mm-hmm.\ntherapist: So, tell me a little bit more about your drinking. Tell me a little bit about how much you're drinking, and, um, the pattern, and what raised concern.\nclient: Well, that's the thing. I-I don't really understand what raised concern. I mean, I don't drink that much, you know. I've-I've gone up to maybe two drinks a day max, you know.\ntherapist: So, you're drinking, perhaps, two drinks a day. Um, and I'm wondering, what have you heard about the recommendations for drinking levels?\n",TRUE,open,TRUE,0.05754862423054874
94,therapist,high,"And so, what have you done in order to start getting them to Hit The Road, Jack?","client: Yeah, I-I- yeah. I mean I- thank you. I-I-I appreciate you saying that I'm a good person. Like I feel I am. Um—\ntherapist: But you've done your duty. Duty is done.\nclient: Yeah. Oops, it's just hard to- it's just hard to, um, er, yeah. I- my j- my job is done and I have to start to realize that I have to be a little bit more assertive, I think, and a little bit more, um, sure of myself.\ntherapist: And so, what have you done in order to start getting them to Hit The Road, Jack?\n",TRUE,open,FALSE,0.0577448804397136
36,therapist,high,You've-you've got a lot of various symptoms in your stomach.,"client: No, he's not. There's loads more he could do. I'm sure.\ntherapist: Right. Okay. It sounds like you-you've had these problems now for about four years.\nclient: Mm.\ntherapist: You've-you've got a lot of various symptoms in your stomach.\n",FALSE,n/a,TRUE,0.05835894658230245
33,therapist,high,"Yeah. And what's been your past experience with smoking? Tell me-- Can you tell me a little bit about kind of how the role it plays in your life, how long you've smoked?","client: -if you [unintelligible 00:01:34] was gonna make it like that.\ntherapist: Yeah.\nclient: I-I just hear it every day.\ntherapist: Yeah. And what's been your past experience with smoking? Tell me-- Can you tell me a little bit about kind of how the role it plays in your life, how long you've smoked?\n",TRUE,closed,FALSE,0.05902965017594397
36,therapist,high,"Okay, that's fine. Okay. So, Barbara, I'm seeing you today, um, but I think it's usually Dr. Brown that sees you, is that right?","client: Hello.\ntherapist: My name's Dr. Betty. I'm one of the new GPs in the practice. First of all, what would you like me to call you?\nclient: Well, you can call me Barbara. That'll be fine. Thank you.\ntherapist: Okay, that's fine. Okay. So, Barbara, I'm seeing you today, um, but I think it's usually Dr. Brown that sees you, is that right?\n",TRUE,open,FALSE,0.05923052621074021
31,therapist,high,"Now, you don't wanna let that go on for months at a time, that's when it can become serious.","client: That'd be fine.\ntherapist: Okay. The muscle weakness with this drug is very rare, uh, usually doesn't even happen, okay? Uh, if it happens it usually happens within the first month of taking the medicine, you'll notice it in terms of weakness in the arms, uh, or some muscle pain, it's not usual. If this should happen, uh, if you let the doctor or me know right away, we can get you off the medicine, it's completely reversible. It's, the muscle weakness will go away within a couple of days, right.\nclient: Oh.\ntherapist: Now, you don't wanna let that go on for months at a time, that's when it can become serious.\n",FALSE,n/a,FALSE,0.05950676649808884
86,therapist,high,You're feeling regretful.,client: Mm-hmm. I really shouldn't have done it.\ntherapist: You realize it's something you shouldn't have done.\nclient: Mm-hmm. I really shouldn't have done it.\ntherapist: You're feeling regretful.\n,FALSE,n/a,TRUE,0.0596022205427289
62,therapist,high,"And then, you know, it might be, I definitely think that if you're committed and it's summer break, it's something you could easily get done in a week.","client: Yeah, I think, just to keep track of it better.\ntherapist: Okay.\nclient: I think it's a good idea.\ntherapist: And then, you know, it might be, I definitely think that if you're committed and it's summer break, it's something you could easily get done in a week.\n",FALSE,n/a,FALSE,0.060320031363517046
7,therapist,high,So I know we've determined that you sprained your ankle yesterday and I'm wondering if you can tell me a little bit about how that happened?,therapist: So I know we've determined that you sprained your ankle yesterday and I'm wondering if you can tell me a little bit about how that happened?\ntherapist: So I know we've determined that you sprained your ankle yesterday and I'm wondering if you can tell me a little bit about how that happened?\ntherapist: So I know we've determined that you sprained your ankle yesterday and I'm wondering if you can tell me a little bit about how that happened?\ntherapist: So I know we've determined that you sprained your ankle yesterday and I'm wondering if you can tell me a little bit about how that happened?\n,TRUE,open,FALSE,0.06094974628649652
25,therapist,high,Mm-hmm.,"client: Um, I'm sick of feeling the way I do. I feel kinda sluggish. Especially with the winter coming, I think I want to have more energy.\ntherapist: Mm-hmm.\nclient: Um, I don't like the way my clothes fit or don't fit me.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.06105990684591234
94,therapist,high,"Okay. All right. So, it sounds like you-you've actually worked this out until be out within a couple of days.","client: Yeah, yeah.\ntherapist: Okay.\nclient: But I-I mean and it's not that I don't care about him, I do. But you know, it's just like, we're both- we're all adults here, come on.\ntherapist: Okay. All right. So, it sounds like you-you've actually worked this out until be out within a couple of days.\n",FALSE,n/a,TRUE,0.06165461312048137
88,therapist,high,"Tomorrow. Okay, great. So who would be able to help you get to bed on time and make sure you're up on time by 6:15?","client: Uh, either tomorrow or the next day.\ntherapist: Okay, so if I would write down here, um, what do you think- what would you want me to write? Tomorrow or the next day?\nclient: Let's start tomorrow.\ntherapist: Tomorrow. Okay, great. So who would be able to help you get to bed on time and make sure you're up on time by 6:15?\n",TRUE,closed,FALSE,0.061877651838585734
33,therapist,high,"Yeah, yeah.","client: No matter what kinda talk I get or what they come up with.\ntherapist: It sounds like almost you've tried a lot of things that are out there and it's not something that you're—\nclient: Not gonna worked for me.\ntherapist: Yeah, yeah.\n",FALSE,n/a,FALSE,0.06274633179418743
74,therapist,low,You're-,"client: Oh, I got my lip pierced.\ntherapist: Emily, why? Why did you get your lip pierced?\nclient: Why? I don't know. I wanted a change and-\ntherapist: You're-\n",FALSE,n/a,FALSE,0.06342127523384988
36,therapist,high,You got the tube down-down from the top?,"client: Yes, uh, I had, uh, in the early days, I had a gastros-gas-- What are they called?\ntherapist: A gastroscopy.\nclient: That's it. Yes.\ntherapist: You got the tube down-down from the top?\n",TRUE,open,FALSE,0.06356799160130322
102,therapist,low,Yeah.,"client: Mm-hmm.\ntherapist: -feel like this is something that you need to do soon because, um, a lot of times, you're just a lot of talk. And then, there's no action. And if you really wanna see results, I think it's something that needs to be done. And, you know, stop being lazy about it and just do it.\nclient: Well, I don't know if I'm really being lazy about it. I think it's just that I have a busy schedule.\ntherapist: Yeah.\n",FALSE,n/a,FALSE,0.0639180934522301
53,therapist,low,That's great. What do you think you'll study?,"client: Um, I like to read and I like to go outside and, like, take walks and, like, hike and stuff. I'm very outdoorsy, so-\ntherapist: Oh, cool. What are your plans for after high school?\nclient: Well, I plan to apply to college and maybe, you know, have a good career and something like that, hopefully.\ntherapist: That's great. What do you think you'll study?\n",TRUE,open,FALSE,0.06454366561956704
40,therapist,high,Okay.,client: Right.\ntherapist: And how is that going for you?\nclient: Right. It's been good. I haven't answered the phone when he's called-\ntherapist: Okay.\n,FALSE,n/a,FALSE,0.06530847121030092
61,therapist,high,"So, you haven't seen the results that you want yet-","client: Oh, I don't really know yet after just one time.\ntherapist: Uh-huh.\nclient: Yeah. It's-it's-- I can't make that-- It wouldn't be fair for me to say it does or doesn't. It didn't that one time, but you know.\ntherapist: So, you haven't seen the results that you want yet-\n",FALSE,n/a,TRUE,0.06541119399480522
22,therapist,high,"I really applaud you for being open-minded enough to realize that where you are now is not necessarily where you are, that you don't have to always have it be the same.","client: So, and I just went ahead and blanked that out and I just went and I-\ntherapist: Yes.\nclient: -compared and I was like, ""Oh wow.""\ntherapist: I really applaud you for being open-minded enough to realize that where you are now is not necessarily where you are, that you don't have to always have it be the same.\n",FALSE,n/a,FALSE,0.06560563528910279
131,therapist,low,"What have you got in mind, what do you want from us?","therapist: Good morning. It's really nice that you've come along to see me to talk about stopping smoking.\nclient: Good morning.\ntherapist: What have you got in mind, what do you want from us?\n",TRUE,open,FALSE,0.06591775827109814
72,therapist,low,"Yeah. Well, maybe you can start leading as a non-drinker then.","client: I don't know, like being in a sports team, y-you feel very, you have to like be unified with the group.\ntherapist: Yeah, but you're one of the leaders.\nclient: Right. And as being one of the leaders, my fellow teammates expect me to be-- I expect them to lead not only in the sports but also in social environments. And if that's a social- that's a social custom in our society. So it's like—\ntherapist: Yeah. Well, maybe you can start leading as a non-drinker then.\n",FALSE,n/a,FALSE,0.06604853994213045
71,therapist,high,Yeah?,"client: [sighs] Mechanic, or panel [unintelligible 00:18:02], or just-- I wouldn't care, I just-- as long as it's cars.\ntherapist: Mm-hmm. So, as long as it has to do with cars, you'd be sweet with that?\nclient: Yes, pretty much.\ntherapist: Yeah?\n",TRUE,closed,FALSE,0.06670877547003329
39,therapist,high,"Yes, it is true. Yeah. It is. I mean, people don't come walking through the door who are not interested in it, you know? So, um, yeah, so that's-- So you'd be interested in something like that and, um, what- what other ideas have you thought about that would work for you?","client: That's- that's something I'd be really interested in.\ntherapist: Yeah, okay.\nclient: Yeah. I mean, I- I, um, I've always liked therapy itself, and I- I've heard, I don't know if it's accurate, but if you have the willingness that is you're ease- more easily hypnotized, I don't know is it true?\ntherapist: Yes, it is true. Yeah. It is. I mean, people don't come walking through the door who are not interested in it, you know? So, um, yeah, so that's-- So you'd be interested in something like that and, um, what- what other ideas have you thought about that would work for you?\n",TRUE,open,FALSE,0.06677858554758132
76,therapist,high,"Yes, um, so you did do your Values Clarification Sheet. Is there anything that you'd like to talk about that you discovered?","client: Hi.\ntherapist: Hi, Deborah. How are you doing today?\nclient: Good, I'm doing really good.\ntherapist: Yes, um, so you did do your Values Clarification Sheet. Is there anything that you'd like to talk about that you discovered?\n",TRUE,closed,FALSE,0.06707571935839951
7,therapist,high,"No, I guess that that would be the end of your, uh, shaking and moving. I know-- I wonder if you'd be open to exploring your alcohol use and what that looks like during the week.","client: It was a lot of fun but I didn't do any dancing after that.\nclient: It was a lot of fun but I didn't do any dancing after that.\nclient: It was a lot of fun but I didn't do any dancing after that.\ntherapist: No, I guess that that would be the end of your, uh, shaking and moving. I know-- I wonder if you'd be open to exploring your alcohol use and what that looks like during the week.\n",TRUE,closed,TRUE,0.06763681909069419
82,therapist,high,Would you like to answer some questions and kind of do a self-evaluation about how you're feeling around alcohol and the contraception?,therapist: Would you like to answer some questions and kind of do a self-evaluation about how you're feeling around alcohol and the contraception?\n,TRUE,closed,FALSE,0.0677608447149396
66,therapist,high,"I, uh, I'm a case manager with your health plan. I understand that you came in today to talk about your diabetes.","client: Pleasure to meet you.\nclient: Pleasure to meet you.\nclient: Pleasure to meet you.\ntherapist: I, uh, I'm a case manager with your health plan. I understand that you came in today to talk about your diabetes.\n",FALSE,n/a,FALSE,0.06831853347830474
88,therapist,high,When would be a great day for you to start this?,"client: I go about midnight now, so if I tried maybe 11:00. I can try 11:00.\ntherapist: Okay. Okay, so you're willing to go to bed at 11:00 and then you're going to set your alarm for 6:15 the next morning?\nclient: Yes.\ntherapist: When would be a great day for you to start this?\n",TRUE,closed,FALSE,0.06900980998761952
56,therapist,high,"Hi, Mrs. Smith. I'm Denise. I'm the social worker here at the clinic work that's working with Dr. Fields and the rest of the team. And, um, I know you were here to see Dr. Fields today, and I-I just wanted to let you know, I usually work with people who are similar to- have situations similar to you, and that have gone back home from rehab. And, uh, so I'd like to find out a little bit if you would, if that's okay, about how it's been going since you got home.","therapist: Hi, Mrs. Smith. I'm Denise. I'm the social worker here at the clinic work that's working with Dr. Fields and the rest of the team. And, um, I know you were here to see Dr. Fields today, and I-I just wanted to let you know, I usually work with people who are similar to- have situations similar to you, and that have gone back home from rehab. And, uh, so I'd like to find out a little bit if you would, if that's okay, about how it's been going since you got home.\ntherapist: Hi, Mrs. Smith. I'm Denise. I'm the social worker here at the clinic work that's working with Dr. Fields and the rest of the team. And, um, I know you were here to see Dr. Fields today, and I-I just wanted to let you know, I usually work with people who are similar to- have situations similar to you, and that have gone back home from rehab. And, uh, so I'd like to find out a little bit if you would, if that's okay, about how it's been going since you got home.\ntherapist: Hi, Mrs. Smith. I'm Denise. I'm the social worker here at the clinic work that's working with Dr. Fields and the rest of the team. And, um, I know you were here to see Dr. Fields today, and I-I just wanted to let you know, I usually work with people who are similar to- have situations similar to you, and that have gone back home from rehab. And, uh, so I'd like to find out a little bit if you would, if that's okay, about how it's been going since you got home.\ntherapist: Hi, Mrs. Smith. I'm Denise. I'm the social worker here at the clinic work that's working with Dr. Fields and the rest of the team. And, um, I know you were here to see Dr. Fields today, and I-I just wanted to let you know, I usually work with people who are similar to- have situations similar to you, and that have gone back home from rehab. And, uh, so I'd like to find out a little bit if you would, if that's okay, about how it's been going since you got home.\n",TRUE,open,FALSE,0.06907469732686877
41,therapist,high,All the chattering.,"client: Well, one of the things about this list that kind of surprised me is almost every time I have done this list, uh, creativity and freedom have been really high up there. And it didn't even make it to my top five. It was in my top 12.\ntherapist: Uh-uh.\nclient: But I think the conclusion that I came to is that I can be more creative and have more freedom if I have inner peace and self-respect. Part of what- part of what binds me, part of what takes my freedom away is when I just explain all over the place and I don't give any attention to myself. Part of what steals my creativity is when I'm- my mind is reeling around in stress and I am not- I can't even hear myself. I can't even hear myself think. How can you be creative if you can't even hear yourself?\ntherapist: All the chattering.\n",FALSE,n/a,TRUE,0.06915471190586686
77,therapist,high,"Yeah, yeah, I understand. So there are lots of places around that have it. Your local senior center would have it. And what I recommend is that you start by doing it in a chair. Just sitting in the chair.","client: Like I said, my friend talks about it and-and it's very pretty. I've seen pictures, you know.\ntherapist: Yeah, yeah, yeah. Well, it's not that easy to get started. You do certainly have to have some motivation to want to do it. Um, and when you first start, oftentimes you do feel a little wobbly or a little insecure.\nclient: Well, I don't see how I could do it. I-I'm still in a walker, you know.\ntherapist: Yeah, yeah, I understand. So there are lots of places around that have it. Your local senior center would have it. And what I recommend is that you start by doing it in a chair. Just sitting in the chair.\n",FALSE,n/a,FALSE,0.0692252570297569
50,therapist,high,Um--,"client: Yeah, yeah but, I mean, how-how much are we talking?\ntherapist: I don't-- you tell me. I mean, um, you're-you're drinking four a day.\nclient: Mm-hmm.\ntherapist: Um--\n",FALSE,n/a,FALSE,0.06923679448664188
60,therapist,high,"Okay. Yeah, no, all those things are good. I mean, I think you know, the will- picking a quit date has been found to be really effective. And, um, uh, I know you had talked earlier and then we'll end in just a couple minutes, but about, you know, like, the willingness or the readiness and most-- a lot of people, a lot of my clients have shared with me that when they woke up that morning, they truly had no idea that was going to be their last cigarette.","client: And maybe I don't know if-if that's like something that you'd be, you know, willing to do with me is to- help me set a date.\ntherapist: Sure.\nclient: And then you know, the next time I see, see progress, or maybe write-- have like a diary or something, I don't know.\ntherapist: Okay. Yeah, no, all those things are good. I mean, I think you know, the will- picking a quit date has been found to be really effective. And, um, uh, I know you had talked earlier and then we'll end in just a couple minutes, but about, you know, like, the willingness or the readiness and most-- a lot of people, a lot of my clients have shared with me that when they woke up that morning, they truly had no idea that was going to be their last cigarette.\n",FALSE,n/a,FALSE,0.06966290017589927
29,therapist,high,"-um, then we can pursue those things. So it's really just about what brings you joy in terms of how you move your body and I'm just here to help you figure that out.","client: Mm-hmm.\ntherapist: So if-if the gym is what brings you the most joy, then we can work with that, but if you, um, start to think about it and discover there other activities that you're more excited to attend and you're more, um, you're looking at rear-rearranging your schedule too because you really want to be there-\nclient: Mm-hmm.\ntherapist: -um, then we can pursue those things. So it's really just about what brings you joy in terms of how you move your body and I'm just here to help you figure that out.\n",FALSE,n/a,FALSE,0.07008262653835118
28,therapist,high,Mm-hmm.,"client: I really couldn't tell you, um, I remember when my daughter was like five, um, I was-- it was humid out and I have a problem with humidity-\ntherapist: Mm-hmm.\nclient: -you know, for breathing, um, and, um, I was trying to stick my head out the window to gasp for air-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.0702937594614923
130,therapist,low,"So it sounds like if you have alcohol, then smoking is very difficult to avoid and you know what you need to do. You need to go home and as your-your son's doctor, I need to tell you you need to go home and throw out those cigarettes. You need to quit.","therapist: So it sounds like if you have alcohol, then smoking is very difficult to avoid and you know what you need to do. You need to go home and as your-your son's doctor, I need to tell you you need to go home and throw out those cigarettes. You need to quit.\ntherapist: So it sounds like if you have alcohol, then smoking is very difficult to avoid and you know what you need to do. You need to go home and as your-your son's doctor, I need to tell you you need to go home and throw out those cigarettes. You need to quit.\ntherapist: So it sounds like if you have alcohol, then smoking is very difficult to avoid and you know what you need to do. You need to go home and as your-your son's doctor, I need to tell you you need to go home and throw out those cigarettes. You need to quit.\ntherapist: So it sounds like if you have alcohol, then smoking is very difficult to avoid and you know what you need to do. You need to go home and as your-your son's doctor, I need to tell you you need to go home and throw out those cigarettes. You need to quit.\n",FALSE,n/a,FALSE,0.07032265374436975
22,therapist,high,"Mm-hmm. Do you feel that there are some parts of your life where you'd like to be more in line with your values, or do you feel like you're really on target with them?","client: I don't limit myself to change anymore, I just kind of fill it out, and then [unintelligible 00:05:38] I'm like, ""Okay.""\ntherapist: All right.\nclient: That's cool, so I'll focus more on that, than on the unnecessary stuff in my life.\ntherapist: Mm-hmm. Do you feel that there are some parts of your life where you'd like to be more in line with your values, or do you feel like you're really on target with them?\n",TRUE,closed,FALSE,0.07042565988376737
7,therapist,high,"No, I guess that that would be the end of your, uh, shaking and moving. I know-- I wonder if you'd be open to exploring your alcohol use and what that looks like during the week.","client: It was a lot of fun but I didn't do any dancing after that.\ntherapist: No, I guess that that would be the end of your, uh, shaking and moving. I know-- I wonder if you'd be open to exploring your alcohol use and what that looks like during the week.\ntherapist: No, I guess that that would be the end of your, uh, shaking and moving. I know-- I wonder if you'd be open to exploring your alcohol use and what that looks like during the week.\ntherapist: No, I guess that that would be the end of your, uh, shaking and moving. I know-- I wonder if you'd be open to exploring your alcohol use and what that looks like during the week.\n",TRUE,closed,TRUE,0.07072189426980913
30,therapist,high,"Okay, and it sounds like you know that it's probably coming then?","client: I mean, whatever happens happens. I'll deal with it when it happens.\ntherapist: So, your confidence that you'll be able to deal with possibly going back to detention?\nclient: I mean, I'll just deal with it when it comes.\ntherapist: Okay, and it sounds like you know that it's probably coming then?\n",TRUE,open,FALSE,0.07082723476924002
6,therapist,high,"It really-- You're in the driver's seat, so it's just to kind of put all the cards on the table, so to speak.","client: Mm-hmm.\ntherapist: So if you were to-to list all of the different things that people around you are saying that you need to work on or you need to change, what would some of those things be? And, Sal, just because we write them down here, it doesn't mean that you have to change them.\nclient: Okay.\ntherapist: It really-- You're in the driver's seat, so it's just to kind of put all the cards on the table, so to speak.\n",FALSE,n/a,FALSE,0.07225311128422618
29,therapist,high,"Um, and also look at activities that enhance your mood. We can also take a look at some dietary patterns and see if-if there are ways you could tweak how you're fueling your body throughout the day, but at the same time, sort of letting go of what happens on the scale. Letting go of, um, the final, you know, weight outcome of that, and really focusing instead on healing your relationship with food and also adopting sustainable physical activity patterns. What do you make of all that?","therapist: Yeah. Well, um, first of all, I really am passionate about looking at the whole picture, um, physical health and emotional wellbeing and what I found in working with clients in the past is when, um, we make a focus of weight loss, sometimes, uh, physical health improves, but at the cost of emotional wellbeing.\nclient: Mm-hmm.\ntherapist: Um, many people find that when then- when they are restricting their intake or starting some, uh, ac-activity patterns that are really rigorous, that, um, a piece of their mental health suffers because they start to obsess, um, more than they'd like to be about those things. So, my approach with clients is just a more holistic approach. Looking at certainly some behavior changes that you could make to be more physically active, improve your energy levels.\ntherapist: Um, and also look at activities that enhance your mood. We can also take a look at some dietary patterns and see if-if there are ways you could tweak how you're fueling your body throughout the day, but at the same time, sort of letting go of what happens on the scale. Letting go of, um, the final, you know, weight outcome of that, and really focusing instead on healing your relationship with food and also adopting sustainable physical activity patterns. What do you make of all that?\n",TRUE,open,FALSE,0.07240187865681946
126,therapist,low,"Okay. Well, you take this one once a day. Did he tell you what side effects to expect?","client: Yeah. My doctor said he called something in.\ntherapist: Oh, it looks like he called in cholesterol statin. Do you know how you're supposed to take this medication?\nclient: No, not really.\ntherapist: Okay. Well, you take this one once a day. Did he tell you what side effects to expect?\n",TRUE,closed,FALSE,0.07246383232995868
36,therapist,high,"All right. So, quite a few symptoms there-","client: Well, I've come about my tummy problem. I've got terrible trouble with my stomach and, uh, Dr. Brown just doesn't seem to be able to get to the bottom of it. And I thought perhaps, uh, I'd come and see you to see if you could help.\ntherapist: All right. Okay. Can you tell me a bit more about your tummy problems?\nclient: Um, well, I-I have this terrible discomfort nearly all the time. Um, it very often feels bloated. I, um, uh, I swing between being constipated and having diarrhea. Um, I have sort of cramping feelings sometimes, and other times it stabs. It's a real stabbing feeling. Um, I often have the urge to go to the toilet and, um, and I pass very smelly wind.\ntherapist: All right. So, quite a few symptoms there-\n",FALSE,n/a,TRUE,0.0728554199449718
123,therapist,low,"However, I'm pretty concerned about something I'm noticing in your mouth. Actually, if you look up here, the roof of your mouth, I'm noticing a lot of irritation that's really consistent with tobacco use. And you had said on your form that you're not a tobacco user, so I'm just wondering what's going on.","therapist: Okay, I finished the exam. I have some good news and I have some not-so-good news. Looks like you don't have any cavities, so that's the good news.\nclient: That's great.\ntherapist: However, I'm pretty concerned about something I'm noticing in your mouth. Actually, if you look up here, the roof of your mouth, I'm noticing a lot of irritation that's really consistent with tobacco use. And you had said on your form that you're not a tobacco user, so I'm just wondering what's going on.\n",FALSE,n/a,FALSE,0.07293472671881318
23,therapist,high,W-why was that? Why was that helpful?,"client: I was just trying to focus on it. I was just thinking if I could just hold it really tightly, it would just-- I don't know. I'd kind of just be able to just get through it and just focus.\ntherapist: So you're holding the camera very tightly.\nclient: Yeah.\ntherapist: W-why was that? Why was that helpful?\n",TRUE,open,FALSE,0.07303838455118239
77,therapist,high,"You could. You can talk to the instructor and that way you won't fall, you'll feel confident and you'll start to learn some of the moves. And then gradually over time, as you get a little bit better at doing the moves in a chair, you can start to stand up, use the chair to lean on, and then eventually, you'll be able to get to the point where you can do it on your own.","client: Well, I don't see how I could do it. I-I'm still in a walker, you know.\ntherapist: Yeah, yeah, I understand. So there are lots of places around that have it. Your local senior center would have it. And what I recommend is that you start by doing it in a chair. Just sitting in the chair.\nclient: I could?\ntherapist: You could. You can talk to the instructor and that way you won't fall, you'll feel confident and you'll start to learn some of the moves. And then gradually over time, as you get a little bit better at doing the moves in a chair, you can start to stand up, use the chair to lean on, and then eventually, you'll be able to get to the point where you can do it on your own.\n",FALSE,n/a,FALSE,0.07399596855975688
86,therapist,high,You're willing to take steps to improve on that.,client: Mm-hmm. This is not what I want for my life.\ntherapist: This is not what you've envisioned.\nclient: This is not what I want for my life.\ntherapist: You're willing to take steps to improve on that.\n,FALSE,n/a,TRUE,0.07470407127402723
30,therapist,high,"Okay. Um, any questions about that? Any questions about kind of the next steps from here?","client: Nope.\ntherapist: Okay. You know, that is your choice. I mean, I-I-I can't make those choices for you, it is something that you decide to do. Um, so with that being said then, these will be the consequences. I'll have to read the-the violation for you.\nclient: Yeah, whatever. I Know you got to do your job, but I don't care.\ntherapist: Okay. Um, any questions about that? Any questions about kind of the next steps from here?\n",TRUE,open,FALSE,0.075042779091745615
88,therapist,high,Okay. What a great goal. So why do you want to make this goal for yourself?,"client: Um, I have to start getting the school on time for my first hour. I always miss that class.\ntherapist: Okay, so for you getting on time for first hour is something you'd like to work on the next 30 days?\nclient: Yes.\ntherapist: Okay. What a great goal. So why do you want to make this goal for yourself?\n",TRUE,open,FALSE,0.07555640675127506
126,therapist,low,"Just so I know we're on the same page, can you repeat back to me how you'll take this medicine?","therapist: Okay. Well, then that sounds like a perfect location for you. Medicines keep best if they're stored away from light and heat and moisture. What did the doctor tell you to expect in terms of side effects?\nclient: He didn't mention anything about that.\ntherapist: All right. Well, this medication is pretty well tolerated, which means it doesn't have very many side effects. But you might experience some mild muscle aches and pains. If they seem really severe to you, then you should call Dr. Ferris and talk to him about that. Also this medicine can interact with a lot of other medications, and even over the counter things. So check with the doctor or myself before you start anything new. And lastly, grapefruit juice can interact with cholesterol statin 20. So if you use grapefruit juice every day, I probably would switch to a different juice while you're on this medication.\ntherapist: Just so I know we're on the same page, can you repeat back to me how you'll take this medicine?\n",TRUE,open,FALSE,0.0777601005975157
66,therapist,high,"And so you're really kind of reeling right now from, uh, all of that. And you sound a little bit pretty, pretty scared actually.","therapist: And so you're really kind of reeling right now from, uh, all of that. And you sound a little bit pretty, pretty scared actually.\ntherapist: And so you're really kind of reeling right now from, uh, all of that. And you sound a little bit pretty, pretty scared actually.\ntherapist: And so you're really kind of reeling right now from, uh, all of that. And you sound a little bit pretty, pretty scared actually.\ntherapist: And so you're really kind of reeling right now from, uh, all of that. And you sound a little bit pretty, pretty scared actually.\n",FALSE,n/a,TRUE,0.07796257524751127
27,therapist,low,"Well, you sound a bit surprised by that. But I'm sure that you've seen some of the material that-that the clinic gave you about asthma symptoms and managing your asthma, and pets are a really big source of problems in that respect.","therapist: Well, you sound a bit surprised by that. But I'm sure that you've seen some of the material that-that the clinic gave you about asthma symptoms and managing your asthma, and pets are a really big source of problems in that respect.\ntherapist: Well, you sound a bit surprised by that. But I'm sure that you've seen some of the material that-that the clinic gave you about asthma symptoms and managing your asthma, and pets are a really big source of problems in that respect.\ntherapist: Well, you sound a bit surprised by that. But I'm sure that you've seen some of the material that-that the clinic gave you about asthma symptoms and managing your asthma, and pets are a really big source of problems in that respect.\ntherapist: Well, you sound a bit surprised by that. But I'm sure that you've seen some of the material that-that the clinic gave you about asthma symptoms and managing your asthma, and pets are a really big source of problems in that respect.\n",FALSE,n/a,TRUE,0.07868638797663152
39,therapist,high,"Oh, you have one?","client: Yeah.\ntherapist: So, I don't even know where you can get those. I think—\nclient: Oh, I already have one.\ntherapist: Oh, you have one?\n",TRUE,closed,FALSE,0.07870148424990475
84,therapist,high,Yeah.,client: I-I don't care that you're a woman. It's just- it's that you don't know what it's like to be me.\ntherapist: Okay.\nclient: You have a different upbringing and live in a different place of town. Just-\ntherapist: Yeah.\n,FALSE,n/a,FALSE,0.079412562539801
67,therapist,high,How could you get in trouble at school?,"client: Um, I don't know. It makes me relax, and it's fun to laugh with my friend.\ntherapist: Is there anything about marijuana that worries you, many things that you don't like?\nclient: Well, I don't want to get in trouble like at school.\ntherapist: How could you get in trouble at school?\n",TRUE,open,FALSE,0.08009691955521703
89,therapist,high,"Okay. So that's where you wanna get to. Um, what do you think that you need to do in the next, like, month or so to maybe help going in that direction?","client: Still have a wife and, uh, yeah, if I-- If those two things can happen then, you know—\ntherapist: Mm-hmm.\nclient: I mean, I know if-if I lose my job, she leaving me. She's been getting after me about smoking weed for a long time, so—\ntherapist: Okay. So that's where you wanna get to. Um, what do you think that you need to do in the next, like, month or so to maybe help going in that direction?\n",TRUE,open,FALSE,0.0801833919249475
5,therapist,high,"Okay. So what-wh-- in the moment, what are you thinking?","client: Mm.\ntherapist: And it sounds like sometimes when you're in there with your mates and had a few drinks, it's hard to hold on to that vision of the future.\nclient: Yeah. You don't really think about that. Well, just in the moment.\ntherapist: Okay. So what-wh-- in the moment, what are you thinking?\n",TRUE,open,FALSE,0.08026446658186615
23,therapist,high,"So how has that, uh, changed things for you?","client: Yeah, I am- Yeah. It's the first time actually, yeah. Um, I was going to a few years ago. I just thought it'd be easier to stay at home, so.\ntherapist: Okay. So it has been quite a big step and a big change and it sounds like that that was what led you to go to your GP.\nclient: Yeah.\ntherapist: So how has that, uh, changed things for you?\n",TRUE,open,FALSE,0.08037846605293453
61,therapist,high,-it sounds like you'd like to try and give it another chance?,"client: Yeah.\ntherapist: -and it sounds like you like the instructor-\nclient: Yeah, I do.\ntherapist: -it sounds like you'd like to try and give it another chance?\n",FALSE,n/a,TRUE,0.08084839675575495
44,therapist,low,"Hey, hi, Andrea. Thanks for coming in today. So I don't know how much you've been told about why you're here, but basically, it's my job just to meet with all the students. I usually meet with you once or twice a semester. And I'm going to be talking to you kind of about your life and your goals and some behaviors that you might engage in and just the sorts of things like that.","therapist: Hey, hi, Andrea. Thanks for coming in today. So I don't know how much you've been told about why you're here, but basically, it's my job just to meet with all the students. I usually meet with you once or twice a semester. And I'm going to be talking to you kind of about your life and your goals and some behaviors that you might engage in and just the sorts of things like that.\n",FALSE,n/a,TRUE,0.0808627053629607
53,therapist,low,"Okay, so, yeah, just another reason why you probably need to just quit then. Um, okay, yeah. I-- Okay, so, like I said, I'm gonna right down here that you've decided to quit and, um, uh, you know, I'm gonna be meeting with you again probably in the next semester sometime, so we can kinda check-in and-and make sure that, you know, that's still going well-","client: They would be pretty upset. Yeah. They don't really condone alcohol use.\ntherapist: Mm-hmm.\nclient: So-\ntherapist: Okay, so, yeah, just another reason why you probably need to just quit then. Um, okay, yeah. I-- Okay, so, like I said, I'm gonna right down here that you've decided to quit and, um, uh, you know, I'm gonna be meeting with you again probably in the next semester sometime, so we can kinda check-in and-and make sure that, you know, that's still going well-\n",FALSE,n/a,FALSE,0.0812416230328381
53,therapist,low,"It's, uh, hard work to get into law school. Are you doing well in school? What kind of grades do you get?","client: -which is a little different, but-\ntherapist: Yeah, that's great. That's a really good goal.\nclient: Yeah. Thanks.\ntherapist: It's, uh, hard work to get into law school. Are you doing well in school? What kind of grades do you get?\n",TRUE,open,FALSE,0.08163292519748211
72,therapist,low,"All right. Yeah. I mean, we got to have a deal here if you're going to be on the team. Okay?","client: Well, I'll dedicate the time, not to party and night. Well, not-not-not party, but, you know, get involved with alcohol to that extent. And like, have it publicized on the internet.\ntherapist: What do you mean?\nclient: Like on Facebook, all the pictures that you saw on the internet. Like I w- I will avoid those situations where I have to go to a party where I feel pressured to actually drink alcohol and allow what I do in my own private time to put on the internet so others can see, even though.\ntherapist: All right. Yeah. I mean, we got to have a deal here if you're going to be on the team. Okay?\n",TRUE,closed,FALSE,0.08164367475546896
60,therapist,high,And you're instant friends.,"client: Mm-hmm, yeah.\ntherapist: That's very common. I mean, you go where you know, um, no one's gonna look down on you.\nclient: Yeah.\ntherapist: And you're instant friends.\n",FALSE,n/a,TRUE,0.08168593607842922
64,therapist,high,Yeah,"client: Yeah. Yeah, yeah, yeah.\ntherapist: Alright.\nclient: Yeah. Yeah. pretty straightforward-\ntherapist: Yeah\n",FALSE,n/a,FALSE,0.08179129636846483
0,therapist,high,"Great. So, let's see how well you're doing with these new meds.","client: Yes.\ntherapist: Great. I'd be interested to see how well you do on your goal in the next few weeks. Would you be willing to come back and talk to me about it?\nclient: Sure.\ntherapist: Great. So, let's see how well you're doing with these new meds.\n",FALSE,n/a,FALSE,0.0824375580996275
21,therapist,high,"Hi, Laura.","therapist: Hi, Laura.\n",FALSE,n/a,FALSE,0.0827168372925371
56,therapist,high,"Hi, Mrs. Smith. I'm Denise. I'm the social worker here at the clinic work that's working with Dr. Fields and the rest of the team. And, um, I know you were here to see Dr. Fields today, and I-I just wanted to let you know, I usually work with people who are similar to- have situations similar to you, and that have gone back home from rehab. And, uh, so I'd like to find out a little bit if you would, if that's okay, about how it's been going since you got home.","therapist: Hi, Mrs. Smith. I'm Denise. I'm the social worker here at the clinic work that's working with Dr. Fields and the rest of the team. And, um, I know you were here to see Dr. Fields today, and I-I just wanted to let you know, I usually work with people who are similar to- have situations similar to you, and that have gone back home from rehab. And, uh, so I'd like to find out a little bit if you would, if that's okay, about how it's been going since you got home.\n",TRUE,open,FALSE,0.08383349352516234
94,therapist,high,Okay.,"client: Oh, God, yeah, yeah. But, you know, and it's scary to have an extra, a huge extra trunk that you have to carry with you [chuckles].\ntherapist: And he's that extra trunk.\nclient: Yeah, yeah.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.0842246264219284
43,therapist,high,"And so, it's easier for you to just not do it.","client: Um, well, you know, I have a lot of anxiety, and so there's this test that I have to take. It's a big test and I've kind of been putting it off just 'cause I get very anxious. I don't trust in myself that I'm going to do good at it. Um, and so that's something that's like always on my mind, it's been on my mind for many years and it's like, I gotta just do it. Um, but I always stop myself from doing that because of the anxiety. And I just want to, I don't want to feel that way.\ntherapist: Yeah. This anxiety is this obstacle for you and it sounds like it, then you're just not feeling confident that you could do it and do it successfully to this exam.\nclient: Yeah.\ntherapist: And so, it's easier for you to just not do it.\n",FALSE,n/a,TRUE,0.0843401097226888
85,therapist,high,"Okay, thanks. Um, we could if you're-- 'Cause, as you can tell, this is really more of an art than a science, um, try some other medications and see how you do on them, and perhaps, you won't have these side effects. And, um, it-it really is just a matter of kind of experimenting around to get, uh, to see if we can get to a point that at least you're not having these really bad things happen of getting into the hospital and getting arrested and stuff versus feeling more like that-that spirited Scott that, you know, watches Spice channel, you know, I mean-- Because I can tell the spirit of Scott is, uh, a hoot.","client: Yeah.\ntherapist: Yet, at the same time, I know running around and getting in trouble for being naked or having to go to the hospital, not such a good thing either. Um, I'm wondering if, um- if I could run some ideas by you that some other patients of mine have tried?\nclient: I suppose.\ntherapist: Okay, thanks. Um, we could if you're-- 'Cause, as you can tell, this is really more of an art than a science, um, try some other medications and see how you do on them, and perhaps, you won't have these side effects. And, um, it-it really is just a matter of kind of experimenting around to get, uh, to see if we can get to a point that at least you're not having these really bad things happen of getting into the hospital and getting arrested and stuff versus feeling more like that-that spirited Scott that, you know, watches Spice channel, you know, I mean-- Because I can tell the spirit of Scott is, uh, a hoot.\n",FALSE,n/a,FALSE,0.08482709084637463
64,therapist,high,You were surprised?,"client: Yeah.\ntherapist: Alright.\nclient: Yeah. Yeah, which kind of was a bit of a sh-shock, I suppose.\ntherapist: You were surprised?\n",TRUE,closed,FALSE,0.0853019708301872
4,therapist,high,"Emily, you said it so well it-","client: Yeah. I guess if I really start to see a problem-- I mean, this might not last forever, but my teeth, I'm hoping-\ntherapist: Mm-hmm.\nclient: -will kind of stick [unintelligible 00:02:30]\ntherapist: Emily, you said it so well it-\n",FALSE,n/a,FALSE,0.08561206492595375
56,therapist,high,Yeah.,therapist: Yeah.\ntherapist: Yeah.\ntherapist: Yeah.\ntherapist: Yeah.\n,FALSE,n/a,FALSE,0.08583757001906633
34,therapist,high,"So, you don't wanna be that- that- that woman that's just sort of living in this house with the baby carriage, and at the same time, that world's kind of saying it's behind you.","client: And so many people, when they have kids, they just vanish from their friends. And I don't wanna be that person. I don't wanna be that person that just has a kid and they're completely-completely different.\ntherapist: Mm. So, embraces this life of the picket fence and the, you know, the little house and having the baby in this-\nclient: Yeah, suburbs. Yeah.\ntherapist: So, you don't wanna be that- that- that woman that's just sort of living in this house with the baby carriage, and at the same time, that world's kind of saying it's behind you.\n",FALSE,n/a,TRUE,0.08589622750878334
54,therapist,high,"Oh, hello Scott.","therapist: Oh, hello Scott.\n",FALSE,n/a,FALSE,0.08601816021837294
7,therapist,high,Yeah.,therapist: Yeah.\ntherapist: Yeah.\ntherapist: Yeah.\ntherapist: Yeah.\n,FALSE,n/a,FALSE,0.086580601753667
67,therapist,high,Is it okay if we go over the form you had filled out? We give this out to everybody who comes in.,therapist: Is it okay if we go over the form you had filled out? We give this out to everybody who comes in.\n,TRUE,open,FALSE,0.08676967490464449
36,therapist,high,Barbara Roberts?,therapist: Barbara Roberts?\n,TRUE,open,FALSE,0.08687023655511439
73,therapist,high,"You've been managing in the best way you can. You also have some doubts about it too, it sounds like?","client: Right.\ntherapist: Yeah, okay. Um, and-and so that's a lot going on right now for you? Yeah.\nclient: Yeah, it is.\ntherapist: You've been managing in the best way you can. You also have some doubts about it too, it sounds like?\n",FALSE,n/a,TRUE,0.08715846366249025
83,therapist,high,Okay. Similar sort of offending in the past that's brought you back again this time?,"client: Uh, it's been okay. Um, it hasn't been bad.\ntherapist: Right.\nclient: I don't know. Kind of nothing, really.\ntherapist: Okay. Similar sort of offending in the past that's brought you back again this time?\n",TRUE,closed,FALSE,0.08727534837089479
91,therapist,high,Mm-hmm.,"client: A respirologist.\ntherapist: A respirologist diagnosed that, and-and how are you feeling right now?\nclient: I'm- I'm really scared, uh, 'cause I don't feel well.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.08735200250521302
38,therapist,high,"Okay. Well, that sounds good. So, why don't we meet again in a couple of weeks and you kind of update me on how cutting back on your drinking has gone, and also, what it was like when you met with a social worker? Sound good?","client: Yeah.\ntherapist: Okay. So, it sounds like we have two avenues to pursue, anything else?\nclient: I don't think so.\ntherapist: Okay. Well, that sounds good. So, why don't we meet again in a couple of weeks and you kind of update me on how cutting back on your drinking has gone, and also, what it was like when you met with a social worker? Sound good?\n",TRUE,closed,FALSE,0.0877724748570472
54,therapist,high,"Yeah. And so that might mean, you know, like giving up an hour's sleep, getting up an hour earlier in the day, and going there and getting it done then. That's what I do.","client: I've gotta make time.\ntherapist: Yeah.\nclient: I've gotta make time.\ntherapist: Yeah. And so that might mean, you know, like giving up an hour's sleep, getting up an hour earlier in the day, and going there and getting it done then. That's what I do.\n",FALSE,n/a,FALSE,0.08785267686471343
27,therapist,low,Yeah.,therapist: Yeah.\ntherapist: Yeah.\ntherapist: Yeah.\ntherapist: Yeah.\n,FALSE,n/a,FALSE,0.08828801359049976
71,therapist,high,Yeah.,"client: Mm.\ntherapist: And harder to—\nclient: Like it's hard to get a job 'cause you have to say that you've done prison time and stuff, so it's pretty hard.\ntherapist: Yeah.\n",FALSE,n/a,FALSE,0.08877594233490527
4,therapist,high,-really watch-,"client: Yeah, I kinda-- Yeah.\ntherapist: Yeah, it looks nice. So, you want to monitor it and-and-\nclient: Yeah.\ntherapist: -really watch-\n",FALSE,n/a,FALSE,0.08998051634989679
27,therapist,low,Yeah.,therapist: Yeah.\ntherapist: Yeah.\ntherapist: Yeah.\ntherapist: Yeah.\n,FALSE,n/a,FALSE,0.0899948866572231
86,therapist,high,You realize it's something you shouldn't have done.,client: No one wants to help me.\ntherapist: You feel alone.\nclient: Mm-hmm. I really shouldn't have done it.\ntherapist: You realize it's something you shouldn't have done.\n,FALSE,n/a,TRUE,0.09079134976491332
131,therapist,low,And so that-that can't feel a little uncomfortable being by yourself. So that sounds like one of the reasons you have to quit is it's a little getting smelly and it's getting embarrassing.,"client: It's, uh, just these days-- I think these days I'm-I'm finding that, um, I'm smoking 20, 30 a day, I'm getting sick of it. It's, you know, I've seen my friends have stopped smoking too and it's kind of they're looking at me weird these days like I'm the only one left who's still smoking.\ntherapist: Oh, good, and so feeling under pressure here.\nclient: Especially the other night I was at the restaurant, it was a bit-- you know, it was a bit embarrassing I'm the only one walk walking out.\ntherapist: And so that-that can't feel a little uncomfortable being by yourself. So that sounds like one of the reasons you have to quit is it's a little getting smelly and it's getting embarrassing.\n",FALSE,n/a,TRUE,0.0910710352472961
131,therapist,low,So your pack a day—,"client: It's-it's about-- Um, I'll buy and go through a pack a day, so it's almost £7.\ntherapist: £7 a week or a day?\nclient: £7 a day today, so-\ntherapist: So your pack a day—\n",FALSE,n/a,FALSE,0.0918428294826299
89,therapist,high,Mm-hmm.,"client: I'll still have a job.\ntherapist: Okay.\nclient: Still have a wife and, uh, yeah, if I-- If those two things can happen then, you know—\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.09194084885530174
41,therapist,high,"Yeah, is that on your top five also","client: Well, it makes me feel jubilant. It makes me feel joyful. It makes me feel hopeful. It makes me feel like I count, like I matter. Uh, it makes me feel like I'm going to be able to do what I want to do with more joy and more passion, and less dread and a sense of responsibility, because one of the things that kind of happened along the way I really didn't notice, is that, um-- Like, let's say for example I like being a teacher or I like being a teacher or I like being a counselor to a certain degree but because of all the shoulds and all of the sense of responsibility and all of the caring about what people think, I started to lose joy doing things I actually enjoy doing.\ntherapist: Because you're- felt so obligated.\nclient: Yes, because it turned into an obligation instead of just really really a sense of like you know passion you know. My passion is gone completely. I don't know I'm just happy to, I feel like I got back in touch with myself. It's like I was like lost for a while and now I'm like back again, yes, now I remember why I wanted to do this or like why this is important to me because it is actually one of my values to be and help, but it just has to be, uh, balanced.\ntherapist: Yeah, is that on your top five also\n",TRUE,closed,FALSE,0.09205442201346159
91,therapist,high,Right.,"client: Well, doctor, I-I made an appointment with you finally, because I was diagnosed over three months ago with a pulmonary disease, COPD.\ntherapist: Yes.\nclient: And although I didn't call right away. I really need some help in quitting smoking.\ntherapist: Right.\n",FALSE,n/a,FALSE,0.0925522530451417
53,therapist,low,"And then their parents find out or the school finds out and, you know, we have a no-tolerance policy here about drugs and alcohol, and really can get you into trouble, and it could put your whole college career in jeopardy. Have you thought about that?","client: So-\ntherapist: And then, um, you know, people get in fights more often when they've been drinking too. Um, also, you know, there have been a lot of kids, even at this school, who've gotten in trouble because they were drinking and someone took pictures with their cell phone and put it up on Facebook-\nclient: Yeah.\ntherapist: And then their parents find out or the school finds out and, you know, we have a no-tolerance policy here about drugs and alcohol, and really can get you into trouble, and it could put your whole college career in jeopardy. Have you thought about that?\n",TRUE,open,FALSE,0.09272413654252887
14,therapist,high,"So, again, I hear your overall goal is really, to not give up these things you'd like but to cut back on how much you have-","therapist: So, again, I hear your overall goal is really, to not give up these things you'd like but to cut back on how much you have-\n",FALSE,n/a,TRUE,0.09285939577966928
72,therapist,low,What do you mean?,"client: I understand.\ntherapist: -I'm not saying I know what it's like. I-I get that you want to have fun in your teenage years. I get that. But, you know, you are a star player, we want to keep you on the team. You know, we got to figure out a way to get through this.\nclient: Well, I'll dedicate the time, not to party and night. Well, not-not-not party, but, you know, get involved with alcohol to that extent. And like, have it publicized on the internet.\ntherapist: What do you mean?\n",TRUE,open,FALSE,0.0940890097990632
12,therapist,high,"Okay. Well, we do know that an increase in smoking and alcohol is associated with certain kinds of cancer; colon cancer, cervical cancer, breast cancer, lung cancer, and, um, also pancreatic cancer. It's also associated with liver and lung disease as well as heart disease, diabetes, and hypertension. So that's a lot of information, but I'm-","client: I don't know. I mean, I don't really get why you're asking me that. I mean, I just came here, you know, for a regular visit. I-I am not here to talk about my drinking.\ntherapist: No, I understand- I understand. And I'm certainly not here to tell you what to-to do, Sarah. I'm interested in hearing your thoughts and sharing some information with you, and what you do with that information is totally up to you. You've got a lot going on. You're a mother, you're working, you're going to school, and our healthcare team wants to make sure that you have all the resources available to you to meet your goals, including good health. And my job as your healthcare provider is to listen to you and to share information with you, including healthcare concerns associated with smoking and alcohol. Would that be okay with you?\nclient: Yeah, I guess.\ntherapist: Okay. Well, we do know that an increase in smoking and alcohol is associated with certain kinds of cancer; colon cancer, cervical cancer, breast cancer, lung cancer, and, um, also pancreatic cancer. It's also associated with liver and lung disease as well as heart disease, diabetes, and hypertension. So that's a lot of information, but I'm-\n",FALSE,n/a,FALSE,0.09506826801225543
21,therapist,high,"So, basically, we're here, I'm just gonna talk to you for a little bit about sort of what your goals are for your life, um, get to know you a little bit better and talk about some different behaviors that you might be engaging in. It's not my job at all to judge you or to try and change you, you know. Basically, I'm gonna talk to you about how things are going, any changes you might want to make in your life, how I could help you with that, and just what I can do that's going to be most beneficial for you.","client: Hi.\ntherapist: Thanks for coming in. Um, so, I'm not sure how much you know already about sort of what you're doing here. If it's okay, I'll give you a little rundown.\nclient: Yeah.\ntherapist: So, basically, we're here, I'm just gonna talk to you for a little bit about sort of what your goals are for your life, um, get to know you a little bit better and talk about some different behaviors that you might be engaging in. It's not my job at all to judge you or to try and change you, you know. Basically, I'm gonna talk to you about how things are going, any changes you might want to make in your life, how I could help you with that, and just what I can do that's going to be most beneficial for you.\n",FALSE,n/a,FALSE,0.09566140733659267
28,therapist,high,Tell me a little bit about what happened with the-the Chantix.,"client: Yeah-Yeah she's very intelligent, yeah. Um, and they came they took me, you know, on this chair type of thing in my robe and my daughter was in sure panic, um, thinking she's was gonna lose me and she's 15 so its been 10 years since then and I still I've tried this Chantix-\ntherapist: Mm-hmm.\nclient: -unsuccessfully, uh,--\ntherapist: Tell me a little bit about what happened with the-the Chantix.\n",TRUE,open,FALSE,0.0961472901981324
28,therapist,high,"So, you'd like to give up those cigarettes?","client: Thank you, my doctor [unintelligible 00:00:05]\ntherapist: What brings you in?\nclient: Well am having, um-- I've been an ongoing problem with smoking and trying to quit.\ntherapist: So, you'd like to give up those cigarettes?\n",FALSE,n/a,TRUE,0.09764266549609601
22,therapist,high,Especially in the church.,"client: I know that it's normal.\ntherapist: But sometimes it's not something that people talk about.\nclient: Yeah, well, it's a—\ntherapist: Especially in the church.\n",FALSE,n/a,TRUE,0.09764465852640569
33,therapist,high,Yeah.,"client: Oh, that was fixed really nice.\ntherapist: Yeah.\nclient: You got rid of that bad-\ntherapist: Yeah.\n",FALSE,n/a,FALSE,0.09769294154830277
84,therapist,high,"Yeah, okay. So in terms of the things that have brought you here, in terms of the things that have got you into trouble and got you into offending, I'm wondering how interested you are in, um, really getting an understanding of it. So one or zero is like, ""Ugh, not interested at all.""","client: Yeah.\ntherapist: Yeah, okay. So I guess the invitation for both of us really over the next few months of, um, on the sentence is for us to get an understanding about what it's like to be you.\nclient: Yeah, so it is.\ntherapist: Yeah, okay. So in terms of the things that have brought you here, in terms of the things that have got you into trouble and got you into offending, I'm wondering how interested you are in, um, really getting an understanding of it. So one or zero is like, ""Ugh, not interested at all.""\n",TRUE,closed,FALSE,0.09792348719201982
39,therapist,high,"It's the same thing. It's Wellbutrin, and when they found out by accident through what we call serendipity that you know what, Viagra. [laughs] That when- when people were on Wellbutrin that they tended to decrease and stop smoking, and, um, there were a couple of different reasons for that. Number one, people tend to get depressed when they quit smoking, because it puts you in such a state of deprivation and, um also-- well, so Wellbutrin really is a good antidepressant for them.","client: My girlfriend quit smoking. She quit drinking. She quit doing everything with this Wellbutrin. Now I- I- I am on some medications, like some, like I think that's an antidepressant.\ntherapist: Yes, it is.\nclient: Okay. Um, I'd be open to that and then I'm not sure-- I'm not familiar with the other thing that you had suggested. Um, I don't know what that is.\ntherapist: It's the same thing. It's Wellbutrin, and when they found out by accident through what we call serendipity that you know what, Viagra. [laughs] That when- when people were on Wellbutrin that they tended to decrease and stop smoking, and, um, there were a couple of different reasons for that. Number one, people tend to get depressed when they quit smoking, because it puts you in such a state of deprivation and, um also-- well, so Wellbutrin really is a good antidepressant for them.\n",FALSE,n/a,FALSE,0.09858031454496086
92,therapist,low,"Hi, I'm Bruce Berger, I work in the clinic. I know you're here to pick up a prescription today.","therapist: Hi, are you Julie Thompson?\nclient: Mm-hmm. Yeah.\ntherapist: Hi, I'm Bruce Berger, I work in the clinic. I know you're here to pick up a prescription today.\n",FALSE,n/a,TRUE,0.09867074503563344
91,therapist,high,Okay. Is there anything I missed?,"client: I mean, I feel like it is. I know when I've got that package in my pocket, or I know if there- if I'm going through some stress, I say, ""Oh, well, I'll have a cigarette and think this out.""\ntherapist: Sure. So, Jean, I want to make sure that I've understood what you've told me of what you find good about smoking. So it helps you calm down. It gives you something to do. It's been part of your image. You know, you feel sophisticated. You feel like a movie style. In fact, the way you talk about it, it seems like that's what it makes you feel like. Is that right?\nclient: That's right.\ntherapist: Okay. Is there anything I missed?\n",TRUE,closed,FALSE,0.09927717712707818
53,therapist,low,"Yeah, that's great. That's a really good goal.","client: Well, I'm-I'm looking at the journalism, maybe pre-law.\ntherapist: Oh, neat.\nclient: -which is a little different, but-\ntherapist: Yeah, that's great. That's a really good goal.\n",FALSE,n/a,FALSE,0.09961318364366889
64,therapist,high,Yeah.,"client: Yeah. Yeah. Yeah, 'cause, I mean, you know, they are my friends and-\ntherapist: Mm-hmm.\nclient: - you know, I'm not gonna be so narrow-minded as to say for sure that, you know, they're entirely wrong 'cause there's a big group of them, you know? And they do care, so obviously, there's something there that I might have overlooked. But on the other hand, I'm sort of like, ""Well, was it that bad?"" And you know, ""Was that- was that really necessary?"" But I, you know, I thought I'd give them the benefit of the doubt and-\ntherapist: Yeah.\n",FALSE,n/a,FALSE,0.09983246144838631
20,therapist,high,Mm-hmm. The risks were so scary then that you were able to stop?,"client: I don't know. I-I think about it now, I don't even know how I did it. I just- I just did it. You know, I just- I just couldn't imagine like him not being born or going into labor early-\ntherapist: Mm-hmm.\nclient: -and-and him having problems and stuff like that, all the stuff that they talk about with women who smoke. So I-- that was just enough to-to say, ""Okay, you know what, I'm-I'm not going to risk that."" so.\ntherapist: Mm-hmm. The risks were so scary then that you were able to stop?\n",FALSE,n/a,TRUE,0.10022935434244573
35,therapist,high,"Hi, Natalie. I'm Dawn.","therapist: Hi, Natalie. I'm Dawn.\n",FALSE,n/a,FALSE,0.10035423305816948
37,therapist,high,And-and-and your kids and developing that whānau. Have you had an opportunity to get in touch with her and—,"client: Well, I hope it tells you that, um, that I'm a good bloke. That I'm a good dad. That I really- that I'm really serious. I am really serious.\ntherapist: Grand. You talked a little bit about, uh, you'd really like to get back with Kristie?\nclient: Yeah.\ntherapist: And-and-and your kids and developing that whānau. Have you had an opportunity to get in touch with her and—\n",TRUE,closed,FALSE,0.10037002270109951
61,therapist,high,"So, what has to happen in order for you to get to tai chi again?","client: Yeah, I do.\ntherapist: -it sounds like you'd like to try and give it another chance?\nclient: Yeah, I would.\ntherapist: So, what has to happen in order for you to get to tai chi again?\n",TRUE,open,FALSE,0.10046161618083715
49,therapist,high,"Okay. Okay. Okay. Yeah, yeah. So, you were saying before that, you know, there was, you know, money you couldn't really afford-","client: Yeah.\ntherapist: Yep. Okay, okay. And-and when they stopped fluttering, were you still fluttering or did you stop with them? Where-where were you with—\nclient: Oh, I had to stop halfway 'cause I'd ran out of money. [chuckles]\ntherapist: Okay. Okay. Okay. Yeah, yeah. So, you were saying before that, you know, there was, you know, money you couldn't really afford-\n",FALSE,n/a,TRUE,0.10099878977052867
83,therapist,high,Right down the bottom? Down Bluff?,"client: I'm from down south.\ntherapist: Oh, okay.\nclient: Mm-hmm.\ntherapist: Right down the bottom? Down Bluff?\n",TRUE,closed,FALSE,0.10134994913823903
126,therapist,low,"Hello, Kaylie. I see you're here to pick up a prescription today.","therapist: It's for your dyslipidemia. Oh yeah, just one tablet a day. Do you have any questions for me?\nclient: No, I guess not.\ntherapist: All right. Great. Have a good day.\ntherapist: Hello, Kaylie. I see you're here to pick up a prescription today.\n",FALSE,n/a,FALSE,0.10208759177476168
95,therapist,high,"Okay. So then even by you coming here today, Ruth, and talking to me and opening up and telling me that you don't feel like you want to continue moving in and telling me and-and confiding in me that, you know, you hurt yourself and all this pain that you feel, that is you trying to help yourself out in one way or another. And that shows that you care. And even more, it shows that you care about your mom and that, in the end, it doesn't sound like you wanna leave her alone because you're still worried about ot-you're still worried about all the burdens on her that you're even thinking of removing yourselves to make her life easier. That shows me that you care about her so, so much, but right now the immediate solution that you have in your mind, it seems like it's-it's-","client: Because she has to pay for my food and my uniforms, um, to have a roof over our heads.\ntherapist: And how do you help her now?\nclient: Um, I try to be a good kid. I tried to go to school. I may not have the best grades, but I'm not failing any classes.\ntherapist: Okay. So then even by you coming here today, Ruth, and talking to me and opening up and telling me that you don't feel like you want to continue moving in and telling me and-and confiding in me that, you know, you hurt yourself and all this pain that you feel, that is you trying to help yourself out in one way or another. And that shows that you care. And even more, it shows that you care about your mom and that, in the end, it doesn't sound like you wanna leave her alone because you're still worried about ot-you're still worried about all the burdens on her that you're even thinking of removing yourselves to make her life easier. That shows me that you care about her so, so much, but right now the immediate solution that you have in your mind, it seems like it's-it's-\n",FALSE,n/a,TRUE,0.1022160267457366
44,therapist,low,"Oh, cute. Have you had him a long time?","client: Charlie.\ntherapist: Charlie.\nclient: He's a big boy. Yeah.\ntherapist: Oh, cute. Have you had him a long time?\n",TRUE,open,FALSE,0.10258094384334981
86,therapist,high,You seem excited about that.,client: It's actually been a fabulous week.\ntherapist: You've really had a good week.\nclient: It's actually been a fabulous week.\ntherapist: You seem excited about that.\n,FALSE,n/a,TRUE,0.10298108449205756
80,therapist,high,Sure.,"client: So, if I [unintelligible 00:02:59] between two of them-\ntherapist: Sure.\nclient: -and also coming back and-and talking to you really helps 'cause I have someone to-\ntherapist: Sure.\n",FALSE,n/a,FALSE,0.10429133288562298
60,therapist,high,"Right, yeah, but with cigarettes, there is a sharing. You don't see that with any other drugs?","client: Mm-hmm.\ntherapist: -whereas like, you can't go up to him and say, ""Hey, can I have some of your McDonald's French fries,"" and take them out—\nclient: I like that piece of jewelry, can I? [laughs]\ntherapist: Right, yeah, but with cigarettes, there is a sharing. You don't see that with any other drugs?\n",FALSE,n/a,TRUE,0.10469984030351043
77,therapist,high,Kind of slow?,"therapist: Hi, Mrs. Smith. It's really nice to see you again. I see you're back to follow up on the stroke you had. How are things going for you at the rehab facility?\nclient: [signs] Kind of slow.\ntherapist: Kind of slow?\n",TRUE,closed,FALSE,0.10516236908733845
53,therapist,low,Mm-hmm.,"client: Yeah.\ntherapist: You know, especially if you've been drinking, then, you know, you're at a lot more risk because a guy can take advantage of you. Did- have you thought about that?\nclient: Yeah, yeah, I have. That's, uh, one of the main reasons that I don't like to drink that much.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.10521700675599277
41,therapist,high,Wow.,"client: For myself or for someone else, either way, yeah.\ntherapist: You think it is so much of a fact that you put yourself on the back burner that you were neglecting yourself, or that you were putting others so much before you that you just didn't even think about yourself?\nclient: I-it's almost-- Like, I think that some people might not even think that I put that first, but in my mind and my emotions, I was carrying concern about what other people think, and I was letting that concern dictate my actions. Instead of letting my own values dictate my actions, I was letting what I thought other people wanted me to do to dictate my actions.\ntherapist: Wow.\n",FALSE,n/a,FALSE,0.1053171013481915
66,therapist,high,How are you doing today? I'm Bruce Berger.,therapist: How are you doing today? I'm Bruce Berger.\ntherapist: How are you doing today? I'm Bruce Berger.\ntherapist: How are you doing today? I'm Bruce Berger.\ntherapist: How are you doing today? I'm Bruce Berger.\n,TRUE,open,FALSE,0.10577543871477246
18,therapist,high,"Okay. But you owe her some money and you get the sense that-- Or I'm picking up, you get a sense that she's not terribly happy.","client: I don't know. You don't have any money, so-- And that she-she'll probably be quite happy if I stopped.\ntherapist: Okay.\nclient: But, um, I don't know. She-she doesn't really discuss it with me.\ntherapist: Okay. But you owe her some money and you get the sense that-- Or I'm picking up, you get a sense that she's not terribly happy.\n",FALSE,n/a,TRUE,0.1063096213620156
13,therapist,high,It's really important for you to make sure that she's protected and that you make good decisions and do your research before you make any medical decisions for her.,"client: Wow, I didn't realize it was so dangerous. I've never heard of polio.\ntherapist: Hmm. Some of these things I've mentioned to you, you're-you're not familiar with. Uh, and I think that's because we've done such a good job of eliminating some of these diseases that a lot of people your age, and even my age, are unfamiliar with those things.  Um, so having shared this information with you, what do you think about the idea of vaccines for-for Lilly?\nclient: Uh, I guess it's okay. I mean, I just I want her to be healthy and safe.\ntherapist: It's really important for you to make sure that she's protected and that you make good decisions and do your research before you make any medical decisions for her.\n",FALSE,n/a,TRUE,0.10699468688108027
71,therapist,high,"Mm-hmm. Yeah, so what in particular? Like, if you could have whatever you wanted, in terms of that sort of work, what would you do?","client: Yeah.\ntherapist: Yeah? So, what-what would interest you about going down that same, sort of, path?\nclient: Just learn more about cars and just, kind of, hands-on job.\ntherapist: Mm-hmm. Yeah, so what in particular? Like, if you could have whatever you wanted, in terms of that sort of work, what would you do?\n",TRUE,open,FALSE,0.10810148622840643
36,therapist,high,Okay.,client: That's it. Yes.\ntherapist: You got the tube down-down from the top?\nclient: Yes. Yeah.\ntherapist: Okay.\n,FALSE,n/a,FALSE,0.10820350772701204
41,therapist,high,The very first time that you can remember?,"therapist: Yeah.\nclient: So, that's what I want to do.\nclient: Mm-hmm.And it's the first time in my life I haven't felt guilty for saying that.\ntherapist: The very first time that you can remember?\n",TRUE,closed,FALSE,0.10882320255041122
123,therapist,low,"Uh-huh. Well, that's, I mean, at least you're not doing that, so that's good, but it's still causing a lot of problems. And as I said, I can see that the evidence in the roof of your mouth, you're causing some serious damage, and this needs to stop. Have you thought about quitting?","client: Really? Bad? But they're just little, mini, little, cute little girly cigars.\ntherapist: Right. They're still cigars and they're still tobacco and so they still cause lung cancer, oral cancer, emphysema, all those same kinds of things that you would see with cigarette, so it's really important.\nclient: Well, I only use them just to relax. I mean, it's not like it's something that I would smoke 20 or 30 cigarettes a day, I mean, I only do it when we go out.\ntherapist: Uh-huh. Well, that's, I mean, at least you're not doing that, so that's good, but it's still causing a lot of problems. And as I said, I can see that the evidence in the roof of your mouth, you're causing some serious damage, and this needs to stop. Have you thought about quitting?\n",TRUE,closed,FALSE,0.10911183874122798
82,therapist,high,Okay.,"client: Okay.\ntherapist: Okay. And if you need more information, we can get that for you.\nclient: Okay.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.1097438174765557
7,therapist,high,You're still feeling the effects of-,therapist: You're still feeling the effects of-\ntherapist: You're still feeling the effects of-\ntherapist: You're still feeling the effects of-\ntherapist: You're still feeling the effects of-\n,FALSE,n/a,TRUE,0.11033510020934045
83,therapist,high,Okay. And what's it like for you?,"client: Yeah.\ntherapist: Yeah. And do you have your kids with you full-time or-\nclient: No. No, I don't. I see them, um, once a fortnight.\ntherapist: Okay. And what's it like for you?\n",TRUE,open,FALSE,0.11097991256974638
33,therapist,high,[chuckles] You're glad to keep him as a doctor?,"client: [unintelligible 00:03:34] options. I had some-- I had my surgeon just go like, ""You're- you're--"" like, ""Why do I even keep you as a patient?""\ntherapist: Hmm.\nclient: He's good, though. [laughs]\ntherapist: [chuckles] You're glad to keep him as a doctor?\n",FALSE,n/a,TRUE,0.11107839923352003
41,therapist,high,Mm-hmm. By not putting yourself on the back burner so much?,"client: I do have an idea, I think, why that is. Um, I think that there's been a few things that have happened recently and something that really came to my awareness, when I visited with my family, is that I have consistently through my whole life, probably, put other people first. And I have consistently, uh, almost not even considered myself in the equation. It was, uh, kind of sad in a way, at the time that I realized it. Uh, I didn't realize how severe it actually was, but I was kind of glad that I realized it because I feel like it's never too late to change-\ntherapist: True.\nclient: -and I feel like I can- I can, uh, respect and value myself just as much as I have other people. I know that's important. And I feel like when I do that, I'm a better person for other people as well.\ntherapist: Mm-hmm. By not putting yourself on the back burner so much?\n",FALSE,n/a,TRUE,0.11166909942403436
6,therapist,high,What else?,"client: Um, okay, so my asthma.\ntherapist: Okay, so asthma is one.\nclient: Yeah.\ntherapist: What else?\n",TRUE,open,FALSE,0.11230824165977538
42,therapist,high,"Uh, so you feel like you're doing this all alone?","client: Yes.\ntherapist: And you're not feeling so good about that?\nclient: No, and even when I'm coming home, like, I'll go to the gym and then I'm noticing nothing is happening and I'll come home and I try to talk to my mama about it or even my father, and no one even cares about it. Like no one wants to support in it anyway.\ntherapist: Uh, so you feel like you're doing this all alone?\n",FALSE,n/a,TRUE,0.11258458206430078
82,therapist,high,"Okay. So it's kind of linked to your drinking, the fact that, um, that you can-- if you can take care of that drinking, you can take care of the-","client: Probably a six.\ntherapist: Probably a six. Okay. So you're pretty confident that you can do it. And why are you a six and not a two or three?\nclient: Um, I'm a six because I think if I drink less, I'll be more reliable with using birth control. I tend to not use it when I'm-- I drank too much and I don't really care too much.\ntherapist: Okay. So it's kind of linked to your drinking, the fact that, um, that you can-- if you can take care of that drinking, you can take care of the-\n",FALSE,n/a,TRUE,0.11294816853478551
67,therapist,high,How do you think it affects you?,"client: Mm-hmm.\ntherapist: We know marijuana has effects on the developing brain. For example, it can make it harder for you to concentrate, it can make it harder for you to remember things, and vaping can seriously hurt your lungs. About one in six people who begin using marijuana as a teenager, later on, become addicted. So what do you think about all this information that I've shared?\nclient: Well, I don't think it's going to hurt me.\ntherapist: How do you think it affects you?\n",TRUE,open,FALSE,0.11303806467913091
64,therapist,high,That surprised you?,"client: -maybe noticing some things that I hadn't noticed but—\ntherapist: Tell me about those things you're noticing that you hadn't noticed before.\nclient: Oh, I mean, e-even just now, you know, when you asked me how often.\ntherapist: That surprised you?\n",TRUE,open,FALSE,0.11306097288616002
45,therapist,high,"Well, you can sign right there. Seems like you're not in the mood to talk today.","therapist: Hi, Mary, how was your day?\nclient: Fine. Where do you want me to sign?\ntherapist: Well, you can sign right there. Seems like you're not in the mood to talk today.\n",FALSE,n/a,TRUE,0.11317001772113144
52,therapist,high,"sI see from the questionnaire, did you have got in trouble while using alcohol? Can you tell me more about that?","therapist: Hi, Nick. Thank you for completing the CRAFFT questionnaire. I also appreciate you sharing some information about yourself.\nclient: You're welcome.\ntherapist: sI see from the questionnaire, did you have got in trouble while using alcohol? Can you tell me more about that?\n",TRUE,open,TRUE,0.11367624369449914
27,therapist,low,Mm-hmm.,therapist: Mm-hmm.\ntherapist: Mm-hmm.\ntherapist: Mm-hmm.\ntherapist: Mm-hmm.\n,FALSE,n/a,FALSE,0.11368802119977772
5,therapist,high,-kids and stuff like that and how you were saying that the offending doesn't fit in with that dream or that idea.,"client: Just kind of stupid. Well, it's pointless, but still a bit of a laugh.\ntherapist: Mm. Yeah. 'Cause I was thinking about that dream that you've got about the job and a life with Donna and-\nclient: Mm.\ntherapist: -kids and stuff like that and how you were saying that the offending doesn't fit in with that dream or that idea.\n",FALSE,n/a,TRUE,0.1137186090927571
34,therapist,high,"When you think about, you know, embracing this new life, and taking that different path, turning away from path A and moving into path B, how confident are you that you can take path B and be successful in raising this baby, and letting go with the drinking and the life that you were in-in path A?","client: Yeah, I guess that voice is just a little more stifled by the other one.\ntherapist: Mm-hmm. You got a lot of people around you that are kind of pulling it down, and it's kind of taking you back to the old life. And the baby is a constant reminder that there’s this new life ahead.\nclient: Yeah, it's gonna be very different when it actually comes.\ntherapist: When you think about, you know, embracing this new life, and taking that different path, turning away from path A and moving into path B, how confident are you that you can take path B and be successful in raising this baby, and letting go with the drinking and the life that you were in-in path A?\n",TRUE,closed,FALSE,0.113804851192981
8,therapist,high,"Wow, that she's been showing you and making you read.","client: Yeah, yeah. I'm only here because my wife forced me to come, you know. Like this has come to a head six months of just nagging me, relentless every day, because she was able to quit smoking and now I have to quit.\ntherapist: So, let me ask you this, Bob, what are some of your wife's concerns about your smoking?\nclient: Well, she's concerned about my health and she cuts out all these articles from the paper about second-hand smoke and—\ntherapist: Wow, that she's been showing you and making you read.\n",FALSE,n/a,TRUE,0.11536201252602041
66,therapist,high,"So you just- you just saw the doctor and, uh, you know, you sound like you just got blindsided, uh, with, uh, not only how, how frightening this seems that you have diabetes and that, uh, she-- you say she told you a whole lot of things that can happen with your eyes and circulation and all those kinds of things.","client: Yeah. I'm supposed to learn how to manage it. I just learned that I got diabetes and apparently, it's pretty bad 'cause, uh, she said my blood sugar was sky high, and then she laid all these huge consequences on things that can happen. That just sounds so disastrous and, uh, and then she told me I gotta do all this stuff. And man, I'm just sort of disappointed right now.\nclient: Yeah. I'm supposed to learn how to manage it. I just learned that I got diabetes and apparently, it's pretty bad 'cause, uh, she said my blood sugar was sky high, and then she laid all these huge consequences on things that can happen. That just sounds so disastrous and, uh, and then she told me I gotta do all this stuff. And man, I'm just sort of disappointed right now.\nclient: Yeah. I'm supposed to learn how to manage it. I just learned that I got diabetes and apparently, it's pretty bad 'cause, uh, she said my blood sugar was sky high, and then she laid all these huge consequences on things that can happen. That just sounds so disastrous and, uh, and then she told me I gotta do all this stuff. And man, I'm just sort of disappointed right now.\ntherapist: So you just- you just saw the doctor and, uh, you know, you sound like you just got blindsided, uh, with, uh, not only how, how frightening this seems that you have diabetes and that, uh, she-- you say she told you a whole lot of things that can happen with your eyes and circulation and all those kinds of things.\n",FALSE,n/a,TRUE,0.1154525347519666
46,therapist,high,Okay. What things would make it easier for you to not drink?,"client: I don't know.\ntherapist: Do you think you could go two months without drinking?\nclient: Yeah, probably.\ntherapist: Okay. What things would make it easier for you to not drink?\n",TRUE,open,FALSE,0.11557330912910402
49,therapist,high,"Yeah. Yeah, so-so, you fluttered last night with them?","client: When I went with my girlfriends to the pub last night and I went and hit a bit of a flutter-\ntherapist: Hmm.\nclient: -so, you know, I think I'm a bit weird if I just sit-sit at the bar on my own. [chuckles]\ntherapist: Yeah. Yeah, so-so, you fluttered last night with them?\n",TRUE,closed,FALSE,0.11565312906168401
19,therapist,high,Okay.,"client: Yeah. I-I just-- I can't shoplift anymore. You know, I got- I got caught again. And uh, you know, I-I got suspended, I got back to school, so I'm-I'm uh-- I'm gonna mess up my whole life here, unless I can stop this.\ntherapist: Mm-hmm.\nclient: Yeah, it's bad. My friends and I, we just-- I mean, it's fun and uh-- so I don't know what to do, but I- but I gotta change.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.1158171424176544
91,therapist,high,"Okay, okay. Now, have you thought about when you wanted to quit by?","client: I haven't felt well for a while. I'm getting coughing fits even when I'm on the telephone with customers.\ntherapist: All right. So it sounds like you've been smoking for such a long time and then this diagnosis was given to you, uh, and now that's really causing you to be afraid and frightened.\nclient: Mm-hmm. I-I don't know what I'm going to do about it.\ntherapist: Okay, okay. Now, have you thought about when you wanted to quit by?\n",TRUE,closed,FALSE,0.11612079967744648
80,therapist,high,"You-- Sounds like you did that, and that allowed you to really focus on the time [unintelligible 00:00:57] delaying your cigarettes. So-so that's gone well. So, what are the things that are not going as well as you'd liked?","client: Yeah.\ntherapist: So, you were able to keep the, uh, the journal?\nclient: Yes.\ntherapist: You-- Sounds like you did that, and that allowed you to really focus on the time [unintelligible 00:00:57] delaying your cigarettes. So-so that's gone well. So, what are the things that are not going as well as you'd liked?\n",TRUE,open,TRUE,0.11622450454160571
33,therapist,high,"Mm-hmm, and if it was as easy as the doctor is saying or your partner-","client: Yeah, yeah, yeah, yeah, [unintelligible 00:01:13] hmm.\ntherapist: Mm, and I'm sorry, that's not how I mean to come across at all.\nclient: Yeah, I-I-I know I'm not an idiot and people know that smokers are, you know, ""How can you smoke today?"" [coughs] It's just not that easy to, uh, quit.\ntherapist: Mm-hmm, and if it was as easy as the doctor is saying or your partner-\n",FALSE,n/a,TRUE,0.1171572997700423
0,therapist,high,Okay. Why do you think it's not something less like a six?,"client: Well, I don't think that I'm ready to cut down to seven drinks a week. That seems like a lot but I would consider cutting back to two drinks a night. I think that would be my goal.\ntherapist: If I gave you a scale from 0 to 10, 0 being not ready at all to cut back on drinking and 10 being very ready, what number would you be at?\nclient: I'd say an eight.\ntherapist: Okay. Why do you think it's not something less like a six?\n",TRUE,open,FALSE,0.11748736165463924
130,therapist,low,"Yeah. Well, the good news is he doesn't have pneumonia. It's just an upper re-respiratory tract infection and a cold. So there's some things you can do to make- to help him get better. You can avoid excessive dust. You can keep him hydrated, avoid over-the-counter cold remedies. Keep him away from people who have flu or cold-like symptoms and avoid smoke. And the last one should be easy because you quit smoking during your pregnancy.","client: Wow. I can't believe he fell asleep after all of that crying, poor guy.\ntherapist: Yeah. Well, the good news is he doesn't have pneumonia. It's just an upper re-respiratory tract infection and a cold. So there's some things you can do to make- to help him get better. You can avoid excessive dust. You can keep him hydrated, avoid over-the-counter cold remedies. Keep him away from people who have flu or cold-like symptoms and avoid smoke. And the last one should be easy because you quit smoking during your pregnancy.\ntherapist: Yeah. Well, the good news is he doesn't have pneumonia. It's just an upper re-respiratory tract infection and a cold. So there's some things you can do to make- to help him get better. You can avoid excessive dust. You can keep him hydrated, avoid over-the-counter cold remedies. Keep him away from people who have flu or cold-like symptoms and avoid smoke. And the last one should be easy because you quit smoking during your pregnancy.\ntherapist: Yeah. Well, the good news is he doesn't have pneumonia. It's just an upper re-respiratory tract infection and a cold. So there's some things you can do to make- to help him get better. You can avoid excessive dust. You can keep him hydrated, avoid over-the-counter cold remedies. Keep him away from people who have flu or cold-like symptoms and avoid smoke. And the last one should be easy because you quit smoking during your pregnancy.\n",FALSE,n/a,FALSE,0.11768113449215889
28,therapist,high,Mm-hmm.,"client: Um, and there is a support group that they have that you can go online or call-\ntherapist: Okay.\nclient: -but of course I didn't do either but-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.11770437797531486
61,therapist,high,And is that something that your daughter can do for you?,client: I would.\ntherapist: Uh-huh.\nclient: I would.\ntherapist: And is that something that your daughter can do for you?\n,FALSE,n/a,TRUE,0.1181560973636806
131,therapist,low,"Generally, it works well if you find a time when you're not under a huge amount of other stresses and strains.","client: Yeah.\ntherapist: Great, okay. So have you got a date in mind when you'd like to stop smoking?\nclient: Well, what you do-- What do you suggest?\ntherapist: Generally, it works well if you find a time when you're not under a huge amount of other stresses and strains.\n",FALSE,n/a,FALSE,0.11823028605431318
25,therapist,high,"So, knowing this, what do you think you'll do next?","client: Not ha-- I just don't like being unhealthy. It doesn't make me feel good, so I'm motivated to change, it's just getting there.\ntherapist: So, to summarize, it's important for you to do this. You're starting to feel sluggish, you're not feeling healthy, and you know that you've got other people in your family watching you, and you want to be a good role model for them to know that this is gonna be just a part of your life, is your exercise. Yet for you, you're struggling just a little with the logistics of when to schedule time for you so it doesn't interfere too much with your family.\nclient: Exactly, yeah.\ntherapist: So, knowing this, what do you think you'll do next?\n",TRUE,open,FALSE,0.11867221561260521
58,therapist,high,[unintelligible 00:04:45]?,"client: Um, knowing that my schedule isn’t gonna be too crazy that day where I could spare an hour or so, and-and just go do it.\ntherapist: Mm-hmm.\nclient: And then I-- [unintelligible 00:04:41] kinda nice [unintelligible 00:4:42] gonna be troublesome.\ntherapist: [unintelligible 00:04:45]?\n",FALSE,n/a,FALSE,0.11889764969237149
55,therapist,high,"Miguel, before we end the call, I did want to go over the answers you gave me on the questionnaire about drug use. Is it okay if we go over that right now?","therapist: Miguel, before we end the call, I did want to go over the answers you gave me on the questionnaire about drug use. Is it okay if we go over that right now?\ntherapist: Miguel, before we end the call, I did want to go over the answers you gave me on the questionnaire about drug use. Is it okay if we go over that right now?\ntherapist: Miguel, before we end the call, I did want to go over the answers you gave me on the questionnaire about drug use. Is it okay if we go over that right now?\ntherapist: Miguel, before we end the call, I did want to go over the answers you gave me on the questionnaire about drug use. Is it okay if we go over that right now?\n",TRUE,closed,FALSE,0.11901915911585093
58,therapist,high,Okay.,client: I think that'd be great. I-I never have really found anybody that like to exercise with the pace that I wanted to. They were all either going way too fast or not even moving at all.\ntherapist: Okay.\nclient: So it's kinda hard to meet up with somebody that can kind of maybe kind of give you a push [unintelligible 00:06:38]-\ntherapist: Okay.\n,FALSE,n/a,FALSE,0.11966217961162329
44,therapist,low,"Okay. Um, so gosh, you're-you're actually really drinking quite a lot. Um, you know, your level of drinking puts you in what we call a high-risk group.","client: Oh, it's a red, you know, typical. Yeah.\ntherapist: It has a lot of alcohol in it.\nclient: Mm-hmm.\ntherapist: Okay. Um, so gosh, you're-you're actually really drinking quite a lot. Um, you know, your level of drinking puts you in what we call a high-risk group.\n",FALSE,n/a,FALSE,0.11980977188795805
58,therapist,high,Okay.,"client: I got into the whole culture. I was-- I-I felt as good as I’ve felt in many, many years. And now I’ve kind of let that all slide, and-- Well, I had a foot injury, too, which kind of started the whole problem.\ntherapist: Okay, alright. Cause it’s tough, it's really, it is. I mean I’ve, um, I’m sure you’ve been told before by whomever, uh, diagnosed your foot injury, but if not, let me know if it gets so tough on your body [unintelligible 00:02:10] let me know. So--\nclient: It-it is. And I-- it-it may be why I can’t really run again, but I can certainly, you know, ride a stationary bike-\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.11984222242608666
50,therapist,high,"Um, and then there's some negatives with, um, you know, your-your co-workers, um, that they don't, you know-- then your boss may not want you, you know, checking out-","client: Um, you know, and-and-- I mean, maybe my blood pressure is a little high, but—\ntherapist: Yeah. So let me see if I had this. So y- so you got some positives, the-the awareness, and then you feel kinda on your game?\nclient: Mm-hmm.\ntherapist: Um, and then there's some negatives with, um, you know, your-your co-workers, um, that they don't, you know-- then your boss may not want you, you know, checking out-\n",FALSE,n/a,TRUE,0.12010620348155499
17,therapist,low,Okay. And how often do you have a drink containing alcohol?,"client: No, I would bum cigarettes in college, but I was never a smoker.\ntherapist: Okay. How about in the last year?\nclient: No, not really anything.\ntherapist: Okay. And how often do you have a drink containing alcohol?\n",TRUE,closed,FALSE,0.12118544266559184
46,therapist,high,"Okay. I see that you filled out our, um, alcohol and drug questionnaire. Is it okay if we go through this together?","therapist: So, Jacob, everything looks very normal on your physical exam. Do you have any questions for me?\nclient: No.\ntherapist: Okay. I see that you filled out our, um, alcohol and drug questionnaire. Is it okay if we go through this together?\n",FALSE,n/a,FALSE,0.1213781654369086
48,therapist,high,Hmm.,"client: Yes, I know, I know, I know.\ntherapist: Yeah.\nclient: Like the learning is done but-\ntherapist: Hmm.\n",FALSE,n/a,FALSE,0.12138301390223205
61,therapist,high,"Uh-huh. So, how confident are you on a scale of 1 to 10 with one being not at all confident and 10 being very confident that you can make the arrangements in order to get to tai chi.","client: Well, I'd have to make the arrangements again, that was a little complicated, and, um, I'd have to get my head straight about feeling self-conscious, because I-I know that nobody's really looking at me, but I have to convince myself.\ntherapist: Uh-huh. Yeah.\nclient: Yeah, and the arrangement, arrangements a little complicated.\ntherapist: Uh-huh. So, how confident are you on a scale of 1 to 10 with one being not at all confident and 10 being very confident that you can make the arrangements in order to get to tai chi.\n",TRUE,open,FALSE,0.12237790506333113
27,therapist,low,"I understand that your asthma symptoms have been just really out of control. So, we need to look at some of the ways that you can get healthy and not be back here again.","therapist: I understand that your asthma symptoms have been just really out of control. So, we need to look at some of the ways that you can get healthy and not be back here again.\ntherapist: I understand that your asthma symptoms have been just really out of control. So, we need to look at some of the ways that you can get healthy and not be back here again.\ntherapist: I understand that your asthma symptoms have been just really out of control. So, we need to look at some of the ways that you can get healthy and not be back here again.\ntherapist: I understand that your asthma symptoms have been just really out of control. So, we need to look at some of the ways that you can get healthy and not be back here again.\n",FALSE,n/a,FALSE,0.1228229901753366
21,therapist,high,"All right, so, um, it sounds like, in general, your-- Things are going pretty well for you. How are your grades right now?","client: Yeah.\ntherapist: That's a good way to be, right?\nclient: Yeah. [chuckles]\ntherapist: All right, so, um, it sounds like, in general, your-- Things are going pretty well for you. How are your grades right now?\n",TRUE,open,TRUE,0.1229467005468905
83,therapist,high,Okay.,"client: Mm-hmm.\ntherapist: The other aspect of that is kind of like who we're going to be accountable to while we're doing the program. So one of the- one of the challenges, one of the riddle I'm going to put in front of you is like who else can we get involved to support you while you're going through this?\nclient: Um, I don't know. I don't, um, have that many people-\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.12397242500446737
53,therapist,low,Mm-hmm.,"client: Okay, yeah, definitely.\ntherapist: Okay, so, um, that's great 'cause it pretty much covers all the stuff that I think I needed to go over with you. Um, let's see. I guess we didn't talk about what would happen if your parents found out you were drinking.\nclient: They would be pretty upset. Yeah. They don't really condone alcohol use.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.12424099445343018
60,therapist,high,Okay.,"client: Um, you know, I guess I'll have to like, you know, get all of my information together.\ntherapist: Okay. Do your homework.\nclient: Right, do my homework and set up my like to have everything available to me.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.12453694827854633
21,therapist,high,Mm-hmm.,"client: Yeah.\ntherapist: All right, cool. Uh, what do you like to do for fun?\nclient: Well, um, on the weekends I like to hang out with my friends, maybe go to like a party, or go to the mall to shop, or if there's like a school-related event, we'll go to like a football game or-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.12469685380347073
31,therapist,high,Sure.,"client: Yeah, no-no we-we wanna able to be very active.\ntherapist: Okay, well this medicine can really help lower your risk of having a stroke or heart attack so that five years so now when you do retire you can enjoy it without any disability, uh, what are your thoughts about that?\nclient: Well, uh, I guess that's the-the way to go then cause I-I don't wanna be, you know, crippled by a stroke or a heart attack-\ntherapist: Sure.\n",FALSE,n/a,FALSE,0.12514858599752188
118,therapist,low,"Well, I mean, I'm sorry we're a bit late, but you know that's the general practice, isn't it? You know, sometimes these things happen. Um, but it doesn't alter the fact that you do just have a virus, uh, and they are very common. And the nice thing is that it will get better with paracetamol and fluids, and the paracetamol will help the pain. Um, with giving it to the kids, I'm afraid there's nothing we can do about that. It's unlikely they'll get it, but I can't guarantee it.","client: Ah.\ntherapist: Okay. Right. Uh, to be honest, you know, looking there, it just looks like one of those viruses that are going around at the moment that are causing these sore throats. So, uh, I think that we should just perhaps go for a bit of paracetamol and, uh, some fluids and let nature sort it out.\nclient: I've been sat here for half an hour. Do you not want to know a little bit more about it, or? I mean, it- it's really painful. I- I've barely been able to swallow today and I'm so worried about passing things on to the kids. Um—\ntherapist: Well, I mean, I'm sorry we're a bit late, but you know that's the general practice, isn't it? You know, sometimes these things happen. Um, but it doesn't alter the fact that you do just have a virus, uh, and they are very common. And the nice thing is that it will get better with paracetamol and fluids, and the paracetamol will help the pain. Um, with giving it to the kids, I'm afraid there's nothing we can do about that. It's unlikely they'll get it, but I can't guarantee it.\n",FALSE,n/a,FALSE,0.12534590903669596
28,therapist,high,Mm-hmm.,"client: And-and also the-the psyche thing, you know, with-- I mean, I wake up in the morning, I want a coffee with- I want coffee with a cigarette.\ntherapist: Mm-hmm.\nclient: Um, if I'm stressed, coffee with a cigarette.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.1254434750881046
31,therapist,high,"All right, good to meet you.","client: That'd be fine.\ntherapist: All right, uh, well they have your medication ready, and, uh, if you have any questions let us know.\nclient: Fair enough, hey thanks.\ntherapist: All right, good to meet you.\n",FALSE,n/a,FALSE,0.12595278513617814
58,therapist,high,"Okay. Get your rocking out, running on the elliptical playlist.","client: Yeah, I do headphones.\ntherapist: Yeah.\nclient: I got my headphones, and I got my, uh, kind of [unintelligible 00:03:24], if you know what I mean\ntherapist: Okay. Get your rocking out, running on the elliptical playlist.\n",FALSE,n/a,TRUE,0.12612671591341496
85,therapist,high,"So they-- So, um, before you started taking the medication, though, when she was, you know, um-- Even though now she's like, ""Where is my old Scott,"" and stuff, well, were there any times when she wanted you to go on the medication? And, if so, what-what prompted those?","client: I canceled my subscription to the spice channel.\ntherapist: I didn't even know they had a spice channel. [chuckles]\nclient: I don't know if they still have it or not. [chuckles]\ntherapist: So they-- So, um, before you started taking the medication, though, when she was, you know, um-- Even though now she's like, ""Where is my old Scott,"" and stuff, well, were there any times when she wanted you to go on the medication? And, if so, what-what prompted those?\n",TRUE,open,FALSE,0.12623363849706948
12,therapist,high,"Sarah, I'm so glad you came in for your well-woman exam today. I think we addressed a lot of your concerns. However, I would like to ask you more about your smoking. Would that be okay?","therapist: Sarah, I'm so glad you came in for your well-woman exam today. I think we addressed a lot of your concerns. However, I would like to ask you more about your smoking. Would that be okay?\n",TRUE,closed,FALSE,0.12700277450494468
27,therapist,low,"Well, you sound a bit surprised by that. But I'm sure that you've seen some of the material that-that the clinic gave you about asthma symptoms and managing your asthma, and pets are a really big source of problems in that respect.","client: -ridiculous part is I've had him for 12 years before, and now it's a problem.\nclient: -ridiculous part is I've had him for 12 years before, and now it's a problem.\nclient: -ridiculous part is I've had him for 12 years before, and now it's a problem.\ntherapist: Well, you sound a bit surprised by that. But I'm sure that you've seen some of the material that-that the clinic gave you about asthma symptoms and managing your asthma, and pets are a really big source of problems in that respect.\n",FALSE,n/a,TRUE,0.12737342342734337
22,therapist,high,Mm-hmm.,"client: Mm-hmm, and that's what I felt wasn't-- At first I was like, ""Is that not normal?"" You know?\ntherapist: Mm-hmm.\nclient: But, I noticed people go through things every day. I go through things in life. Things are gonna change.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.1274838673416525
27,therapist,low,"Well, uh, wait a second, Sal, what do you mean you-you- ha- If you-- As in-- You know to be informed about-- I'm just really taken aback by that because I understand from your chart that you have a young baby-","therapist: Well, uh, wait a second, Sal, what do you mean you-you- ha- If you-- As in-- You know to be informed about-- I'm just really taken aback by that because I understand from your chart that you have a young baby-\ntherapist: Well, uh, wait a second, Sal, what do you mean you-you- ha- If you-- As in-- You know to be informed about-- I'm just really taken aback by that because I understand from your chart that you have a young baby-\ntherapist: Well, uh, wait a second, Sal, what do you mean you-you- ha- If you-- As in-- You know to be informed about-- I'm just really taken aback by that because I understand from your chart that you have a young baby-\ntherapist: Well, uh, wait a second, Sal, what do you mean you-you- ha- If you-- As in-- You know to be informed about-- I'm just really taken aback by that because I understand from your chart that you have a young baby-\n",FALSE,n/a,FALSE,0.12830159277655184
80,therapist,high,"Okay. So, from now to the next time you come back and see me, what is it that you'd like to-to work on?","client: 'Cause I-I-I-\ntherapist: Sure.\nclient: And then, uh-uh, what I'd like to do is try not to smoke in my house.\ntherapist: Okay. So, from now to the next time you come back and see me, what is it that you'd like to-to work on?\n",TRUE,open,FALSE,0.12853595148772
126,therapist,low,"Just so we know we're on the same page, can you repeat back to me how you are going to take this medicine?","therapist: What did your doctor tell you to expect in terms of side effects?\nclient: He didn't mention anything about that.\ntherapist: All right. Well, this medication is usually well tolerated, which means that it doesn't have very many side effects, but you might experience some muscle aches or pains. If they seem really severe to you, then you should call Dr. Ferris and talk to him about that. Also, this medication can interact with over-the-counter medicines or even other medications. So before you start something new, you should check with either Dr. Ferris or myself. And lastly, this medication can interact with grapefruit juice. So while you're taking this medicine, I would avoid grapefruit juice.\ntherapist: Just so we know we're on the same page, can you repeat back to me how you are going to take this medicine?\n",TRUE,closed,FALSE,0.12870069476775825
115,therapist,low,"I'm-- okay, but you know--","client: Mm-hmm.\ntherapist: Like, that's the, I think, thing to really consider.\nclient: Okay. Well, can I go now?\ntherapist: I'm-- okay, but you know--\n",FALSE,n/a,FALSE,0.128706949763
6,therapist,high,"Okay. Well, one of the things that-that we use are these-- it's kind of like a worksheet and it's an agenda-setting worksheet basically.","client: Yeah, yeah, it is overwhelming. It is.\ntherapist: Well, we have about, I guess, 15 or 20 minutes together and I wonder, would it be okay, if we took a couple of minutes and just kind of looked at all of the different things that are going on for you and maybe you can let me know, what would be the most helpful to spend-spend some time on?\nclient: Yeah, it just feels like everything's all over the place but I guess we got to start somewhere.\ntherapist: Okay. Well, one of the things that-that we use are these-- it's kind of like a worksheet and it's an agenda-setting worksheet basically.\n",FALSE,n/a,FALSE,0.12887216173112392
102,therapist,low,"All right. Well, um, I look forward to talking to you tomorrow. And I'm hoping that you're gonna be able to tell me that you went to the gym.","client: -time there, time back. I mean, it's not just an hour, it's like two hours, realistically.\ntherapist: And it seems like if you really want to see the results you have to put the time in. And if it's gonna take you two hours, then it's gonna take you two hours. And, again, if you want the results that you want, you need to start, and you need to start now.\nclient: Well, oh, um, okay.\ntherapist: All right. Well, um, I look forward to talking to you tomorrow. And I'm hoping that you're gonna be able to tell me that you went to the gym.\n",FALSE,n/a,FALSE,0.12894715135917068
6,therapist,high,"So if you were to-to list all of the different things that people around you are saying that you need to work on or you need to change, what would some of those things be? And, Sal, just because we write them down here, it doesn't mean that you have to change them.","client: Yeah, it just feels like everything's all over the place but I guess we got to start somewhere.\ntherapist: Okay. Well, one of the things that-that we use are these-- it's kind of like a worksheet and it's an agenda-setting worksheet basically.\nclient: Mm-hmm.\ntherapist: So if you were to-to list all of the different things that people around you are saying that you need to work on or you need to change, what would some of those things be? And, Sal, just because we write them down here, it doesn't mean that you have to change them.\n",TRUE,open,FALSE,0.1290892835240811
34,therapist,high,And you're wondering a little bit about this time that we're going to spend together.,"client: Yeah. Yeah. Like I don't- I don't want to screw anything up with this baby, but, um, yeah, I'm just- I'm scared I already did.\ntherapist: Okay. So, you're concerned about the consequences, and you really care about your baby, and you want to give your baby the best start you can.\nclient: Mm-hmm. Yeah.\ntherapist: And you're wondering a little bit about this time that we're going to spend together.\n",FALSE,n/a,TRUE,0.12945368536747992
54,therapist,high,"Mm-hmm. Well, I think you know what to do. You've done it before.","client: I-I'm more comfortable-- I feel better. I think that's the main thing.\ntherapist: Okay. Yeah, because your-your health really, to me, it's more important than your-your looks. I mean, don't get me wrong, I understand what you're saying, but, you know, it'd be great to get back in those jeans, but—\nclient: Yeah, yeah. It-it-it-- I-I am- I'm not getting any younger than I [unintelligible 00:02:18]\ntherapist: Mm-hmm. Well, I think you know what to do. You've done it before.\n",FALSE,n/a,TRUE,0.12959903734736145
55,therapist,high,"Thanks. Just so you know, when I talk to patients about drug use, my job is to be helpful. I'm not going to tell you what to do or what you should do. What I can do is share some information and be a resource. Does that make sense?","client: Uh, nope. It feels okay.\nclient: Uh, nope. It feels okay.\ntherapist: Thanks. Just so you know, when I talk to patients about drug use, my job is to be helpful. I'm not going to tell you what to do or what you should do. What I can do is share some information and be a resource. Does that make sense?\ntherapist: Thanks. Just so you know, when I talk to patients about drug use, my job is to be helpful. I'm not going to tell you what to do or what you should do. What I can do is share some information and be a resource. Does that make sense?\n",TRUE,closed,FALSE,0.12962185335345566
76,therapist,high,Mm-hmm.,"client: Um, I really feel like-- yeah, I feel like really good about myself.\ntherapist: So, yoga, is that based on the number two, like inner harmony? That's where that comes from?\nclient: Yeah, that's part of it. Yeah, and then just feeling like, um, I don't have to please other people either. It's not a selfish thing to put myself first. And, uh, that's something I've always tried to do, make other people happy, please other people, and-and also put myself second, third, fourth, or whatever it is. And I always thought, ""Well, that's the way a good person should be.They should always put other people first, you know. And then there's times for that, you know. There's something going on, and you wanna go out of your way to help people, and you say, ""Well, my needs aren't so important right now."" I think that is okay to do once in a while. As long as you know- you know that you're not really, um, doing anything detrimental to yourself while you're doing it. And you realize, ""Well, I'm just-- I'm really helping this other person a lot, and it gives me satisfaction.""\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.1297811339609325
34,therapist,high,Mm-hmm.,"client: Yeah.\ntherapist: Yeah. Is that something that, um, maybe you and I could meet again about-and talk about having those conversations with-with the family, maybe having conversations about, you know, the folks, your-your friends that are currently in the lifestyle that you were involved with, um, and then sort of what it would look like to go down path B, is that something that you would be open to meeting with me about again?\nclient: I think so, yeah, like the telling my parents and [unintelligible 00:13:45] this to my parents is probably the scariest thing.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.1309689364861697
126,therapist,low,"Well, some of the common ones are nausea, vomiting, headache. There are some severe ones like dermatomyositis, liver failure, lupus, rhabdomyolysis, hemorrhagic cerebral infarction. If you have any of those, just call your doctor.","client: No, not really.\ntherapist: Well, you just take it once a day. Did he tell you what side effects to expect?\nclient: No.\ntherapist: Well, some of the common ones are nausea, vomiting, headache. There are some severe ones like dermatomyositis, liver failure, lupus, rhabdomyolysis, hemorrhagic cerebral infarction. If you have any of those, just call your doctor.\n",FALSE,n/a,FALSE,0.13166601373814046
45,therapist,high,It seems like that doesn't-isn't really a concern for you at this time?,"client: Not really.\ntherapist: Okay. You know it seems like you had uh, a day at school. I noticed that uh, you missed your first hour of class today as well.\nclient: Yeah, whatever. I just, yeah.\ntherapist: It seems like that doesn't-isn't really a concern for you at this time?\n",TRUE,closed,FALSE,0.1321118262130767
80,therapist,high,"Good. So, we'll see you in a week.","client: I wouldn't mind coming back in a week again because this is all new and-and a week, I can handle a week.\ntherapist: Absolutely. Okay.\nclient: Okay, thank you doctor.\ntherapist: Good. So, we'll see you in a week.\n",FALSE,n/a,FALSE,0.13213019934482872
21,therapist,high,"All right, cool. Uh, what do you like to do for fun?","client: Yeah, maybe um, pre-law.\ntherapist: Oh, wow. Okay, that's exciting.\nclient: Yeah.\ntherapist: All right, cool. Uh, what do you like to do for fun?\n",TRUE,open,FALSE,0.13266538339667022
6,therapist,high,"So your asthma has been acting up and there's a lot of stuff, not just the asthma going on?","client: Mm-hmm.\ntherapist: - and do you have a sense of-of what some of the doctor's concerns were that led her to refer you?\nclient: I don't know, something about changing my life even more. You know, the smoking's been changed, and now it's, you know, cut down the drinking, get rid of those extra smokes, get rid of my dog. I don't know what else have to do.\ntherapist: So your asthma has been acting up and there's a lot of stuff, not just the asthma going on?\n",TRUE,closed,TRUE,0.1333296182565391
21,therapist,high,Does that sound okay?,"client: Yeah.\ntherapist: So, basically, we're here, I'm just gonna talk to you for a little bit about sort of what your goals are for your life, um, get to know you a little bit better and talk about some different behaviors that you might be engaging in. It's not my job at all to judge you or to try and change you, you know. Basically, I'm gonna talk to you about how things are going, any changes you might want to make in your life, how I could help you with that, and just what I can do that's going to be most beneficial for you.\nclient: Okay.\ntherapist: Does that sound okay?\n",FALSE,n/a,FALSE,0.1333332359790802
28,therapist,high,Mm-hmm.,"client: Mm-hmm. Yeah.\ntherapist: What did you notice during those three days when you weren't smoking?\nclient: Um, constant thoughts about smoking.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.13355189841240644
87,therapist,high,Mm-hmm.,"client: And then she was like, ""Sarah, that's cra-- Like, that is crazy. Why are, you know, like, where are you drinking this?"" And I was- I was like, ""Well, you know, like, different places."" And I-I guess, like, I don't know, my friends didn't, like, know. Anyway, it's, yeah, I don't know.\ntherapist: Yeah, this information has opened your eyes in some ways and as you talked to your roommate about it, she was even shocked to know that you were drinking as much as you- as you realized when you did the questionnaire.\nclient: Yeah, and yeah, I guess it was just like, I thought that everybody was, like, doing it, you know-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.13363071717321873
17,therapist,low,"Yeah, I know that making changes isn't always easy. But when you drink more than what's recommended, it creates problems. You know, you said you hurt your ankle when you came out of the bar this time.","client: Okay.\ntherapist: So you're doing more than that right now. And when you drink more than this amount, it puts you at risk for a number of things, okay? Things like greater risk of injury, damage to different parts of your body, um, just a bunch of different problems. And, uh-- so I'm going to recommend that you cut down- cut down that amount to the recommended limit. Again, that's no more than seven drinks a week and no more than three on a given day. Do you think you could do that? Would that be a good goal for you?\nclient: That's a lot to change. I don't know.\ntherapist: Yeah, I know that making changes isn't always easy. But when you drink more than what's recommended, it creates problems. You know, you said you hurt your ankle when you came out of the bar this time.\n",FALSE,n/a,TRUE,0.13419089652597904
39,therapist,high,"Yeah. Well, and your daughter.","client: Uh-huh and I kind of go, let's move on, you know because I've heard the lecture. Um, and I really don't put much credence into what they say. I did have- I did have a neighbor who was smoked for many, many years and, um, she had the Oxygen-- Oxygen tank that she would have to sleep at night with the oxygen on and even that didn't deter me from that smoking. I don't really know. It's like, um, a power greater than myself. This is controlling me like this, you know, the angels on this side, the devil's on the other.\ntherapist: Mm-hmm. And there was a war going on?\nclient: Mm-hmm, yeah. And common sense somewhere in the middle.\ntherapist: Yeah. Well, and your daughter.\n",FALSE,n/a,TRUE,0.13429287588223815
39,therapist,high,"Oh, okay- okay.","client: Oh, I already have one.\ntherapist: Oh, you have one?\nclient: Yeah, [laughs].\ntherapist: Oh, okay- okay.\n",FALSE,n/a,FALSE,0.13445505662821233
0,therapist,high,"Yeah, you're surprised to hear that?","client: Hmm. Seven?\ntherapist: Seven.\nclient: Wow. I knew my doctor didn't like me drinking the amount that I did but I didn't know that seven was the limit.\ntherapist: Yeah, you're surprised to hear that?\n",TRUE,open,FALSE,0.1346665972378105
77,therapist,high,"Mm-hmm. Yeah, you're absolutely right. And it's also going to be very important that once you're home, you're able to continue on a regular activity program. Have you thought about what that might look like?","client: Everything. I wanna- I wanna, play with my dog. I miss my dog. I wanna cook for myself. I'm a very independent person and I wanna do things for myself.\ntherapist: Yeah, yeah. And so that's a very important goal to be able to get back home, to be able to get back to your independence. Have you thought about what it might take to get there?\nclient: Um, I guess the rehab.\ntherapist: Mm-hmm. Yeah, you're absolutely right. And it's also going to be very important that once you're home, you're able to continue on a regular activity program. Have you thought about what that might look like?\n",TRUE,closed,FALSE,0.13518786407075822
87,therapist,high,Okay.,"client: Yeah.\ntherapist: Mm-hmm.\nclient: Yeah, so, that was the thing that, like, was really the most weird about doing those-\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.1353552455548197
61,therapist,high,Not yet.,"client: Well, like Dr. Fields told me, it helps with balance, and I'm still having the wobblies. So, I was really hoping that I could get to the point where I could benefit from what they had to offer. Um, yeah, mostly my balance, mostly my balance.\ntherapist: Uh-huh. So, you're hoping that it would help with balance, but you didn't see the- maybe the results you were looking for?\nclient: Not yet.\ntherapist: Not yet.\n",FALSE,n/a,TRUE,0.13586419471539557
106,therapist,low,"Well, one of the primary risk factors for multiple ear infections in kids is actually smoke exposure. Are you smoking?","client: Yeah.\ntherapist: That's really a big problem.\nclient: Yeah, it's pretty stressful for both of us. He gets really upset.\ntherapist: Well, one of the primary risk factors for multiple ear infections in kids is actually smoke exposure. Are you smoking?\n",TRUE,closed,FALSE,0.13599904021248221
8,therapist,high,"So, what brings you here, Bob? What's, what can I do to help?","therapist: So, what brings you here, Bob? What's, what can I do to help?\n",TRUE,open,FALSE,0.13650520821101964
44,therapist,low,"Great. And then, um, tell me a little bit about your family?","client: I have, um, you know, I have two-two separate groups. I have my friends from class and then my friends from bra-- from band.\ntherapist: Okay.\nclient: So.\ntherapist: Great. And then, um, tell me a little bit about your family?\n",TRUE,open,FALSE,0.13695537019520998
33,therapist,high,-saying-,"client: Yeah, I-I-I know I'm not an idiot and people know that smokers are, you know, ""How can you smoke today?"" [coughs] It's just not that easy to, uh, quit.\ntherapist: Mm-hmm, and if it was as easy as the doctor is saying or your partner-\nclient: Yeah.\ntherapist: -saying-\n",FALSE,n/a,TRUE,0.13739716238342226
13,therapist,high,"Hmm. Some of these things I've mentioned to you, you're-you're not familiar with. Uh, and I think that's because we've done such a good job of eliminating some of these diseases that a lot of people your age, and even my age, are unfamiliar with those things.  Um, so having shared this information with you, what do you think about the idea of vaccines for-for Lilly?","client: Uh, okay.\ntherapist: Okay. So, uh, before vaccines were developed, often when children had a natural exposure to some of these diseases, they ended up with, uh, sometimes death, disability, measles caused brain damage and, uh, deafness and blindness. Polio caused, uh, paralysis in children. And so, allowing children to have natural exposure to these diseases, sometimes was a little bit of a gamble, it could be dangerous.\nclient: Wow, I didn't realize it was so dangerous. I've never heard of polio.\ntherapist: Hmm. Some of these things I've mentioned to you, you're-you're not familiar with. Uh, and I think that's because we've done such a good job of eliminating some of these diseases that a lot of people your age, and even my age, are unfamiliar with those things.  Um, so having shared this information with you, what do you think about the idea of vaccines for-for Lilly?\n",TRUE,open,TRUE,0.13751775864511728
23,therapist,high,"Oh, it was all-all that they could see that-that was-","client: Just-- I was just, just stupid and it was just really-- just felt really like kind of- like everyone was just going to be staring and just thinking that I-- Like- I just felt like everyone was looking at me and just, they could tell. And then just thinking of what was she doing?\ntherapist: They could tell what—\nclient: I was just really like sweaty and just—\ntherapist: Oh, it was all-all that they could see that-that was-\n",FALSE,n/a,TRUE,0.13767515518702567
61,therapist,high,Mm-hmm.,"client: Yes, I really do.\ntherapist: Mm-hmm, and what is it that's important to you about getting home?\nclient: [sighs] Everything. I want to be with my little dog.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.13791502127423882
37,therapist,high,"Good to know, excellent.","client: Actually, it's been pretty good. I, um, I talked to my mom, which, uh-\ntherapist: Right.\nclient: -which is a big deal. And, uh, she was excellent. Um, I knew she would be. Um, and, uh, I've made an appointment for the, uh, for Stopping Violence and [unintelligible 00:16:15]\ntherapist: Good to know, excellent.\n",FALSE,n/a,FALSE,0.13811263581737876
78,therapist,high,"So it sounds like right now where we are, is you're willing to-to have her use the chronic inhaler-","client: Yeah. [chuckles]\ntherapist: Okay.\nclient: It's really difficult.\ntherapist: So it sounds like right now where we are, is you're willing to-to have her use the chronic inhaler-\n",FALSE,n/a,TRUE,0.1381837206427008
0,therapist,high,"So, it's not just wine that helps you relax. Um, there's reading a book, watching a movie, and taking a hot bath too.","client: Yes.\ntherapist: What else besides drinking helps you relax and unwind in the evenings?\nclient: Well, I like to watch movies, read a book, and take a bath but sometimes I drink when I take a bath.\ntherapist: So, it's not just wine that helps you relax. Um, there's reading a book, watching a movie, and taking a hot bath too.\n",FALSE,n/a,TRUE,0.13871016772463918
82,therapist,high,Okay. So that gives you a good reason not to drink. Okay. Anything else?,"client: Mm-hmm.\ntherapist: Okay. And so let's look at those two. You're-you're thinking it's pretty important, but your confidence is down here, uh, a four, but it's not a one. What makes you confident that you can drink below risk levels and you remember what those are?\nclient: Um, I think it's because you've told me I'm at risk and I have alcoholism in my family and I really don't want to go down that path. So I'm-I'm confident that I can change that at this point.\ntherapist: Okay. So that gives you a good reason not to drink. Okay. Anything else?\n",TRUE,open,TRUE,0.13904609763994813
63,therapist,high,"Well, as I think you know, Methamphetamine use is associated with some health risks. And the amount that you're using it-it puts you in a category that we consider a risky user. And that contrasts with someone who it says addicted, um, someone who's a heavy user but it's not in a healthy category because people who use Methamphetamine tend to run to a number of consequences. And actually one of them is, um, sexually transmitted diseases. Do you suppose that your STD might be associated with your Methamphetamine use?","client: Right.\ntherapist: Only snort it?\nclient: Right.\ntherapist: Well, as I think you know, Methamphetamine use is associated with some health risks. And the amount that you're using it-it puts you in a category that we consider a risky user. And that contrasts with someone who it says addicted, um, someone who's a heavy user but it's not in a healthy category because people who use Methamphetamine tend to run to a number of consequences. And actually one of them is, um, sexually transmitted diseases. Do you suppose that your STD might be associated with your Methamphetamine use?\n",TRUE,closed,FALSE,0.13926374888978899
28,therapist,high,"It does, uh, it does a lot of positive things for you.","client: -you know-\ntherapist: Mm.\nclient: -I'm finding it to be.\ntherapist: It does, uh, it does a lot of positive things for you.\n",FALSE,n/a,TRUE,0.13938753586262465
85,therapist,high,"Right. So, you're-you're a, um-um, a patient who's been diagnosed with some s- maybe schizophrenia, bipolar.","client: Yeah.\ntherapist: -and you're gonna—\nclient: Well, you were asking me why I don't like to take my medicine.\ntherapist: Right. So, you're-you're a, um-um, a patient who's been diagnosed with some s- maybe schizophrenia, bipolar.\n",FALSE,n/a,FALSE,0.13962335628457367
63,therapist,high,Is there anyone in your life who doesn't use methamphetamine?,"client: Something else to do on weekends, you know, different social life.\ntherapist: How could you get a different social life?\nclient: It's the hard thing, I mean, almost everybody I know uses it.\ntherapist: Is there anyone in your life who doesn't use methamphetamine?\n",TRUE,open,FALSE,0.1398206001613289
22,therapist,high,Mm-hmm.,"client: But—\ntherapist: Is it because a lot of your time is being taken with the first two or?\nclient: A lot of my time is being taken with, um, number one especially-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.14040988264605403
4,therapist,high,It's been a while.,"therapist: Hi, Emily.\nclient: Hi.\ntherapist: It's been a while.\n",FALSE,n/a,FALSE,0.14047909411601722
22,therapist,high,Is that what you're saying? Yes?,"client: Yeah. Um, I can just pretty much say that my family hasn't been on one accord, so, like, if-- I feel like if we all just can fall in the middle, which I know everybody doesn't really follow that track. So, um, I think for my part, 'cause I can't change anybody, is to be more present and, um, just listen and understand my family members, and-and be able to voice what I feel as far as how important family happiness-happiness is to me.\ntherapist: Mm. Because even though it's important to you, maybe they don't know it's important to you.\nclient: Yes.\ntherapist: Is that what you're saying? Yes?\n",TRUE,closed,FALSE,0.14077835576608777
46,therapist,high,"Okay. I see on the questionnaire that you have not ridden in a car with someone who's been drinking and you haven't driven a car, um, after you've been drinking. Is that correct?","client: No, but I got grounded for two weeks after that. [chuckles]\ntherapist: So more negative things about your drinking, like getting into trouble with your mom and missing a class at school when you had a hangover?\nclient: Yeah, but I only missed school once.\ntherapist: Okay. I see on the questionnaire that you have not ridden in a car with someone who's been drinking and you haven't driven a car, um, after you've been drinking. Is that correct?\n",FALSE,n/a,FALSE,0.1414886328857392
51,therapist,high,"So you're right that you're young and healthy and you don't have a lot of complicating illnesses that mean that you would probably do okay if you got the flu. But we do know that the elderly are more at risk, pregnant people, babies are at risk of having serious complications from the flu, and by you getting the vaccine, that helps prevent you from passing it on to other people.","client: Yeah.\ntherapist: Would it be okay if I shared a little more information with you about the flu vaccine and the importance of it?\nclient: Okay.\ntherapist: So you're right that you're young and healthy and you don't have a lot of complicating illnesses that mean that you would probably do okay if you got the flu. But we do know that the elderly are more at risk, pregnant people, babies are at risk of having serious complications from the flu, and by you getting the vaccine, that helps prevent you from passing it on to other people.\n",FALSE,n/a,FALSE,0.1416635112836957
66,therapist,high,"I, uh, I'm a case manager with your health plan. I understand that you came in today to talk about your diabetes.","therapist: I, uh, I'm a case manager with your health plan. I understand that you came in today to talk about your diabetes.\ntherapist: I, uh, I'm a case manager with your health plan. I understand that you came in today to talk about your diabetes.\ntherapist: I, uh, I'm a case manager with your health plan. I understand that you came in today to talk about your diabetes.\ntherapist: I, uh, I'm a case manager with your health plan. I understand that you came in today to talk about your diabetes.\n",FALSE,n/a,TRUE,0.1423965950962156
34,therapist,high,"So, you were thinking because your-your friends weren't pressuring you to stop drinking, that-that it must be okay.","client: Yeah. Probably. And I'm also feeling like it's too late. I already screwed it up.\ntherapist: Okay. So, you've got a lot of concerns about what's happened to- up until this point, as far as your drinking. What do you know about, um, drinking alcohol throughout pregnancy?\nclient: Well, I know, like, they say not to, but I thought because my friends didn't really care, I thought, ""Okay. Like maybe-maybe it doesn't matter. Maybe it's just what they tell you."" Just like drinking, in general, is bad.\ntherapist: So, you were thinking because your-your friends weren't pressuring you to stop drinking, that-that it must be okay.\n",FALSE,n/a,TRUE,0.14283236395567656
52,therapist,high,That's a great goal to have for yourself.,"client: I really didn't think about how this would affect me playing sports.\ntherapist: Based on your reason for your visit today, I feel like you really wanted to play soccer, and you have great goals about that.\nclient: Yeah, I would like to play soccer in college.\ntherapist: That's a great goal to have for yourself.\n",FALSE,n/a,TRUE,0.14284203434363008
60,therapist,high,Yeah.,client: It's good.\ntherapist: Yeah.\n,FALSE,n/a,FALSE,0.14284842368215322
32,therapist,low,"You need to take responsibility for your actions. If you keep partying like this, your problems will only get worse. You're likely to face costly legal citations, poor grades, health problems. Getting kicked out of school and disappointing your parents. You don't want that to happen, do you?","client: Hmm. I mean, not really. I'm gonna be 21 in a couple of months. Um, once I turn 21, the cops can't give me a minor and I mean, I'm not a heavy drinker, like-like my friends or anything. I don't get wasted at all. And, uh, I just need to be careful. I just won't get caught. I'm just trying to find, like, a normal college student.\ntherapist: What were you thinking when you got into your car after having six beers, you could have caused an accident and killed somebody.\nclient: Whatever, I-I didn't though. I called my roommates for a ride. He was sleepy. So I had to get home somehow. And this isn't even my fault. I give him rides all the time, but I didn't do anything.\ntherapist: You need to take responsibility for your actions. If you keep partying like this, your problems will only get worse. You're likely to face costly legal citations, poor grades, health problems. Getting kicked out of school and disappointing your parents. You don't want that to happen, do you?\n",TRUE,closed,FALSE,0.14311058237217367
44,therapist,low,Mm-hmm.,"client: Uh, they're pretty good, you know, high three-point somethings.\ntherapist: Okay. Good. Very good. All right. Well, what are the kinds of things do you do for fun on weekends?\nclient: Uh, I usually go out with my friends. Uh, we'll go to the movies or we'll most likely we'll just meet up at someone's house-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.14334035199135542
131,therapist,low,"So, you're happy with the date for [unintelligible 00:06:16]?","client: Hmm.\ntherapist: So, I would strongly recommend that you have the patch. I'll talk to you about how to use that and that we have another product that I leave you to use as when any of those feelings of irritation are coming up, particularly in that first week.\nclient: Okay.\ntherapist: So, you're happy with the date for [unintelligible 00:06:16]?\n",TRUE,closed,FALSE,0.14337917836382985
84,therapist,high,"-one with cars, one that-","client: So it depends.\ntherapist: All right, so if you were in a good job-\nclient: Yeah.\ntherapist: -one with cars, one that-\n",FALSE,n/a,TRUE,0.14350192598067224
49,therapist,high,"So-so, what would be really helpful maybe because I might miss it, you know, so, like, could you tell me? It would be really helpful if—","client: That's why I am still a bit—\ntherapist: Yeah, that's okay.\nclient: [chuckles]\ntherapist: So-so, what would be really helpful maybe because I might miss it, you know, so, like, could you tell me? It would be really helpful if—\n",TRUE,closed,FALSE,0.14419665466994047
102,therapist,low,Thanks.,"client: Well, oh, um, okay.\ntherapist: All right. Well, um, I look forward to talking to you tomorrow. And I'm hoping that you're gonna be able to tell me that you went to the gym.\nclient: Okay.\ntherapist: Thanks.\n",FALSE,n/a,FALSE,0.14427126804366708
62,therapist,high,Is that all right?,"client: Exactly, yeah.\ntherapist: Okay. Um, so maybe if it's okay with you, I can share with you some of, um, the requirements, maybe go over the details a little bit more.\nclient: Yeah, yeah.\ntherapist: Is that all right?\n",FALSE,n/a,FALSE,0.14459894481115043
88,therapist,high,- and even actually turning the lights off and making sure that it's dark?,"client: Just go to bed and turn off the lights, don't have my phone.\ntherapist: Okay, so a phone is a distraction for you. So keeping your phone away-\nclient: Oh, yeah.\ntherapist: - and even actually turning the lights off and making sure that it's dark?\n",TRUE,closed,TRUE,0.14468180993571877
62,therapist,high,"Well, I mean, 24 hours in a weekend sounds to me like it might be a lot of time.","client: Okay.\ntherapist: And that is something that we'd kinda like to see you do on your own, but if you're really feeling like you're struggling, those are phone calls that either you and I can make together or you and your case manager can make together.\nclient: Okay, so I would do that. And then do you know, can I get all the 24 hours in in like a weekend or how does that work?\ntherapist: Well, I mean, 24 hours in a weekend sounds to me like it might be a lot of time.\n",FALSE,n/a,FALSE,0.145291977096349
22,therapist,high,Mm-hmm.,"client: Yeah.\ntherapist: You feel like you're not really paying as much attention to them as you would want to?\nclient: Yeah, because when I saw it I was like, ""Okay, yeah, that's one, that's one, and that's one.""\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.1458154295105487
62,therapist,high,Okay. So why don't you tell me what you remember from having your conversation with your case manager? What do you know so far about community service?,"client: I'm not sure of that.\ntherapist: So she talked to you a little bit about it, but it sounds like you're kind of unsure exactly the details.\nclient: Yeah, I know that she said I have to get so many hours in, but I don't- I don't know. I kind of was half-listening.\ntherapist: Okay. So why don't you tell me what you remember from having your conversation with your case manager? What do you know so far about community service?\n",TRUE,open,FALSE,0.1458973828703165
83,therapist,high,What was-- what was your partner's name?,"client: I have, um, I've-- it's important to me.\ntherapist: Good. One of the other things we're really conscious of with is, um, sometimes we do this work in isolation from others. And one of the things we want to ask people is about who they're going to be accountable to. I'm thinking like with your children, uh, your mom and other people that maybe you're interacting with. Who-who else in your life do you think would be supportive of you, and who would you need to let them know that you're actually going through this sort of program?\nclient: I, um, I'm separated at the moment from my missus and-\ntherapist: What was-- what was your partner's name?\n",TRUE,closed,FALSE,0.14639889867976308
8,therapist,high,"So, let me make sure I understand kind of the whole scenario 'cause there's a lot of pieces to it. Your wife is on your case and your kids are ganging up too. So, you're sort of isolated, you're put in a corner and you're being told this is something you have to do, you have no choice in the matter.","client: And she's got my kids on this against me, you know, my son and my daughter, they're, it's like, they're ganging up on me, you know what I mean?\ntherapist: So, from your perspective, do you see any consequences to your smoking?\nclient: Well, the big one of course is how it's affecting my wife and the family. Like my dad's 85, he still smokes. I mean, yeah, you know, sometimes I thought of quitting, but I mean, I don't know. I don't know if I can-- I don't know if I can quit.\ntherapist: So, let me make sure I understand kind of the whole scenario 'cause there's a lot of pieces to it. Your wife is on your case and your kids are ganging up too. So, you're sort of isolated, you're put in a corner and you're being told this is something you have to do, you have no choice in the matter.\n",FALSE,n/a,TRUE,0.1465723942965269
56,therapist,high,Yeah. What are you really glad about?,"client: Yeah. Um, I'm glad to be there.\ntherapist: Yeah. What are you really glad about?\ntherapist: Yeah. What are you really glad about?\ntherapist: Yeah. What are you really glad about?\n",TRUE,open,FALSE,0.14665022399276495
50,therapist,high,Yeah.,"client: Yeah. I mean, I've-- I mean, it's the co-workers that-that work at night. Gosh, they bring in a carafe.\ntherapist: Mm-hmm.\nclient: And, uh, I-I can only imagine-\ntherapist: Yeah.\n",FALSE,n/a,FALSE,0.14711591508239508
50,therapist,high,Yeah.,"client: Mm-hmm.\ntherapist: Yeah.\nclient: And then, of course, you know, working a 12-hour shift, I-I really think that, you know, the afternoon to keep me going until the evening is-is a really good idea too.\ntherapist: Yeah.\n",FALSE,n/a,FALSE,0.1476021376438439
41,therapist,high,You don't feel fulfilled.,"client: And then I have health and achievement, and to me, this one on achievement says a sense of accomplishment and to me that kind of goes along with what we were talking about earlier like I think I can show up and be a teacher and be a counselor in many different, uh, capacities. I could be your- I could be- I could be a teacher and I could be a really bad teacher. I could still be a teacher you know, I could show up an I could just do a really poor job and I could go home and I probably could keep my job for a while, it wouldn't be the first time right?\ntherapist: Right.\nclient: But I don't feel good about that.\ntherapist: You don't feel fulfilled.\n",FALSE,n/a,TRUE,0.14788543921895325
22,therapist,high,"You did your values clarification handout, and that was part of what I wanted to go over with you today. I wanted to hear about your values and just talk to you a little bit more about that. Do-do you wanna tell me what some of your top five values are?","therapist: You did your values clarification handout, and that was part of what I wanted to go over with you today. I wanted to hear about your values and just talk to you a little bit more about that. Do-do you wanna tell me what some of your top five values are?\n",TRUE,closed,FALSE,0.14806927647441626
5,therapist,high,"And it sounds like sometimes when you're in there with your mates and had a few drinks, it's hard to hold on to that vision of the future.","client: Yeah.\ntherapist: So you've got-got those two things going on at the same time. Yeah?\nclient: Mm.\ntherapist: And it sounds like sometimes when you're in there with your mates and had a few drinks, it's hard to hold on to that vision of the future.\n",FALSE,n/a,TRUE,0.14844660670496523
83,therapist,high,What part of the [unintelligible 00:01:22] are you from?,"client: Kia ora.\ntherapist: Good to see you here. I see on your file that you're, uh, [unintelligible 00:01:18].\nclient: Yup. That's right.\ntherapist: What part of the [unintelligible 00:01:22] are you from?\n",TRUE,closed,FALSE,0.14909249637275934
88,therapist,high,"Great. Well, thank you.","client: Well, yeah, I hope so.\ntherapist: What a great plan and you said you're going to start tomorrow.\nclient: I'll give it a try.\ntherapist: Great. Well, thank you.\n",FALSE,n/a,FALSE,0.14937443961389363
66,therapist,high,How are you doing today? I'm Bruce Berger.,client: Hey.\nclient: Hey.\nclient: Hey.\ntherapist: How are you doing today? I'm Bruce Berger.\n,TRUE,open,FALSE,0.1495357397943735
7,therapist,high,"No, I guess that that would be the end of your, uh, shaking and moving. I know-- I wonder if you'd be open to exploring your alcohol use and what that looks like during the week.","therapist: No, I guess that that would be the end of your, uh, shaking and moving. I know-- I wonder if you'd be open to exploring your alcohol use and what that looks like during the week.\ntherapist: No, I guess that that would be the end of your, uh, shaking and moving. I know-- I wonder if you'd be open to exploring your alcohol use and what that looks like during the week.\ntherapist: No, I guess that that would be the end of your, uh, shaking and moving. I know-- I wonder if you'd be open to exploring your alcohol use and what that looks like during the week.\ntherapist: No, I guess that that would be the end of your, uh, shaking and moving. I know-- I wonder if you'd be open to exploring your alcohol use and what that looks like during the week.\n",TRUE,closed,TRUE,0.14957899507135153
76,therapist,high,"Yes, yes, yes. So, basically, reflecting on how you felt before about you were coming second, third, and fourth. Um, it was- it was really a problem, you know, like, how could you be so, you know, selfish, and think about yourself when-","client: Yeah, that's part of it. Yeah, and then just feeling like, um, I don't have to please other people either. It's not a selfish thing to put myself first. And, uh, that's something I've always tried to do, make other people happy, please other people, and-and also put myself second, third, fourth, or whatever it is. And I always thought, ""Well, that's the way a good person should be.They should always put other people first, you know. And then there's times for that, you know. There's something going on, and you wanna go out of your way to help people, and you say, ""Well, my needs aren't so important right now."" I think that is okay to do once in a while. As long as you know- you know that you're not really, um, doing anything detrimental to yourself while you're doing it. And you realize, ""Well, I'm just-- I'm really helping this other person a lot, and it gives me satisfaction.""\ntherapist: Mm-hmm.\nclient: Not out of a sense of, uh, you know, ""I'm obligated to this person.""\ntherapist: Yes, yes, yes. So, basically, reflecting on how you felt before about you were coming second, third, and fourth. Um, it was- it was really a problem, you know, like, how could you be so, you know, selfish, and think about yourself when-\n",FALSE,n/a,TRUE,0.14960876177065074
76,therapist,high,"Now, have you done this sheet more than once?","client: Um, but it's kind of exciting, a different career path in my life. Being an office worker for so long is getting boring too-- physical activity, health, in that respect.\ntherapist: So, health being your number one, um, which is kind of pushing you into this new direction, as far as you being a prior officer worker? You're doing something that you're actually living to do.\nclient: Yeah, I like being active. You know, if I could, um, be more adept to tennis, and I would love to do something like that coaching people how to play tennis, but I don't. I know enough about the game and play it, but I-I don't think my skill level would be high enough to actually coach other people but—\ntherapist: Now, have you done this sheet more than once?\n",TRUE,closed,FALSE,0.149677716428414
84,therapist,high,Mmh. So how come you thought it was going to be a waste of your time? What was it based on?,"client: Just a waste of my time.\ntherapist: Just was feeling like, ""Ugh, it's gonna be a waste of my time coming here.""\nclient: Mm-hmm.\ntherapist: Mmh. So how come you thought it was going to be a waste of your time? What was it based on?\n",TRUE,open,FALSE,0.14970052102580667
18,therapist,high,How about then your-your kind of hunch about that?,"client: Yeah.\ntherapist: Have you put on a kind of real hat, you know, you get a real hat here, you know? What-what's your hunch about that? Is it a kind of-- that kind of realization it's a bit of a smoke screen, what's your hunch?\nclient: I don't know, you tell me.\ntherapist: How about then your-your kind of hunch about that?\n",TRUE,open,FALSE,0.15048409905284643
8,therapist,high,"So, it strikes me that the way that we're talking about it, it's like it's all or nothing. Either you keep smoking the way you are, things continue to go downhill and get worse, your wife gets more and more on your case, or you put your cigarettes down starting the moment you walk in the door tonight and never pick them up again. It's almost like one or the other. It strikes me that as well there might be some middle ground here that it took you a long time to learn how to be a smoker and maybe it's going to take some time to learn how to stop smoking.","client: Yeah. Yeah. I-I'm just, I don't want to lose her or my family over smoking.\ntherapist: I get the feeling that your relationship is really important to you. That you would do anything.\nclient: Well, yeah, I mean, we've been married over 25 years, and uh, we've never had any major problems. Like this is-- this is the first problem. I don't even really see it as a problem cause we used to both smoke and I was trying to accommodate them by smoking outside, but it's feeling like we're going like this and I'm just concerned, like if this keeps going, like.\ntherapist: So, it strikes me that the way that we're talking about it, it's like it's all or nothing. Either you keep smoking the way you are, things continue to go downhill and get worse, your wife gets more and more on your case, or you put your cigarettes down starting the moment you walk in the door tonight and never pick them up again. It's almost like one or the other. It strikes me that as well there might be some middle ground here that it took you a long time to learn how to be a smoker and maybe it's going to take some time to learn how to stop smoking.\n",FALSE,n/a,TRUE,0.1505976002663374
52,therapist,high,"As your provider, I'm a little concerned about your health. Drinking alcohol could harm you, and I would like to share some information with you. Is that okay?","client: Well, I've only tried drinking once or twice.\ntherapist: I'm gonna make sure I understand. You have tried drinking a couple of times, and you almost got in trouble once. Did I get that right?\nclient: Yeah, that's right.\ntherapist: As your provider, I'm a little concerned about your health. Drinking alcohol could harm you, and I would like to share some information with you. Is that okay?\n",TRUE,closed,FALSE,0.15073244832456112
27,therapist,low,Yeah.,therapist: Yeah.\ntherapist: Yeah.\ntherapist: Yeah.\ntherapist: Yeah.\n,FALSE,n/a,FALSE,0.15166095341555774
33,therapist,high,"Yeah. Okay. Well, I really appreciate you being willing to even talk about it. And I get that right now, this is not something that you wanna pursue. Would it be okay if I brought it up in our next visit? 'Cause I-I know that you've said you don't want a lecture, but on the other hand, I am- I am concerned.","client: -have to-\ntherapist: -pretty much see yourself doing for-\nclient: Yeah, a while, quite a while. Yeah.\ntherapist: Yeah. Okay. Well, I really appreciate you being willing to even talk about it. And I get that right now, this is not something that you wanna pursue. Would it be okay if I brought it up in our next visit? 'Cause I-I know that you've said you don't want a lecture, but on the other hand, I am- I am concerned.\n",TRUE,closed,TRUE,0.15169078460894525
44,therapist,low,"Okay. So, and then your friends drink too?","client: Um, it was a good amount. It was the first time I ever drank and it was like three or four cups, but it was mixing different things.\ntherapist: Okay, so you don't even know.\nclient: So, I'm not-- Yeah.\ntherapist: Okay. So, and then your friends drink too?\n",TRUE,open,FALSE,0.1522330183070153
68,therapist,high,Okay. So there's sort of pros and cons on both sides?,"client: -versus with a party it's a lot more energetic it's, uh, after it all, it's very draining.\ntherapist: Mm-hmm.\nclient: But in the moment it's quite fun to dance and have fun.\ntherapist: Okay. So there's sort of pros and cons on both sides?\n",TRUE,closed,FALSE,0.15351501293480396
79,therapist,high,"Here you are actually, three months on, three long months as you say, um, and things have been going really well, Uh, you even get a bit of—","client: Because of what-- Yeah, I guess, I think that's what I mean, yeah, yeah. Because you know, I mean- I mean I could have stayed, I could have got, I could have got absolutely hammered and I could have done it every night for the rest of the week.\ntherapist: So you saw yourself putting something that was important to you at risk.\nclient: But I don't know if I stopped because I knew I had to stop or because, you know, it was like right there, that's where I wanted to stay, you know? Anyway, I just, uh-- [crosstalk].\ntherapist: Here you are actually, three months on, three long months as you say, um, and things have been going really well, Uh, you even get a bit of—\n",FALSE,n/a,TRUE,0.15399575419723988
11,therapist,high,Mm-hmm.,therapist: What else has brought you here?\nclient: They found a little bag of weed.\ntherapist: Mm-hmm.\n,FALSE,n/a,FALSE,0.15443496825173497
43,therapist,high,"So to summarize, it sounds like you are still feeling kind of anxious about this test coming up, you've rescheduled it, um, over the past couple years. Yet, this time around, you seem more confident to just get it done. And you've even mentioned times in the past where you were feeling anxious and you were successful about it and that you felt proud about yourself. And you liked the way it means, you see yourself and how others saw you, and it seems like y-you're ready to finish this exam and-and remind yourself that you can be successful?","client: And maybe just having that faith in myself that, you know, that I can do it instead of just thinking that I can't.\ntherapist: So that positive self-talk could really go a long way for you?\nclient: Yeah. Mm-hmm.\ntherapist: So to summarize, it sounds like you are still feeling kind of anxious about this test coming up, you've rescheduled it, um, over the past couple years. Yet, this time around, you seem more confident to just get it done. And you've even mentioned times in the past where you were feeling anxious and you were successful about it and that you felt proud about yourself. And you liked the way it means, you see yourself and how others saw you, and it seems like y-you're ready to finish this exam and-and remind yourself that you can be successful?\n",TRUE,open,TRUE,0.15664351917803288
28,therapist,high,"You know, and, um, that's actually, yeah, that's a-- I think it does become very paired with lots of different things. And, um, you might already know this, and so let me know if you do, um, because of the way cigarettes you're describing it and accurately is-- it is really what we call an almost perfect drug in a lot of ways. And-","client: Mm-hmm.\ntherapist: And it sounds like it's paired, like a coffee and a cigarette. I mean, you know, probably hard to think about, ""How will I have a cup of coffee without a cigarette?""\nclient: Mm-hmm.\ntherapist: You know, and, um, that's actually, yeah, that's a-- I think it does become very paired with lots of different things. And, um, you might already know this, and so let me know if you do, um, because of the way cigarettes you're describing it and accurately is-- it is really what we call an almost perfect drug in a lot of ways. And-\n",TRUE,open,FALSE,0.1571302271913737
55,therapist,high,"Thanks. Just so you know, when I talk to patients about drug use, my job is to be helpful. I'm not going to tell you what to do or what you should do. What I can do is share some information and be a resource. Does that make sense?","therapist: Thanks. Just so you know, when I talk to patients about drug use, my job is to be helpful. I'm not going to tell you what to do or what you should do. What I can do is share some information and be a resource. Does that make sense?\ntherapist: Thanks. Just so you know, when I talk to patients about drug use, my job is to be helpful. I'm not going to tell you what to do or what you should do. What I can do is share some information and be a resource. Does that make sense?\ntherapist: Thanks. Just so you know, when I talk to patients about drug use, my job is to be helpful. I'm not going to tell you what to do or what you should do. What I can do is share some information and be a resource. Does that make sense?\ntherapist: Thanks. Just so you know, when I talk to patients about drug use, my job is to be helpful. I'm not going to tell you what to do or what you should do. What I can do is share some information and be a resource. Does that make sense?\n",TRUE,closed,FALSE,0.15751587809063494
6,therapist,high,"Right. Right, right. So the appointments and time.","client: Um, finances is a problem right now too.\ntherapist: Okay, so money.\nclient: Time, I got to come to all these appointments and I'm taking time off work, which obviously is the money factor, right?\ntherapist: Right. Right, right. So the appointments and time.\n",FALSE,n/a,TRUE,0.1578801004216075
4,therapist,high,"Um, so that's one-one thing, and the other is, um, I do see fair amount of chipped teeth-","client: Yeah.\ntherapist: Um, I mean I have had some patients with oral piercings and they can erode some of the gum right, um, just right there at the front.\nclient: Mm-hmm.\ntherapist: Um, so that's one-one thing, and the other is, um, I do see fair amount of chipped teeth-\n",FALSE,n/a,FALSE,0.1579052081797272
43,therapist,high,"And you just mentioned too, you feel really proud of yourself.","client: You know.\ntherapist: So for you to create opportunities to create those moments that you can have that feeling again\nclient: Right\ntherapist: And you just mentioned too, you feel really proud of yourself.\n",FALSE,n/a,FALSE,0.15845119068399072
131,therapist,low,"Absolutely, we're in the right place for that.","client: Good morning.\ntherapist: What have you got in mind, what do you want from us?\nclient: Well, I need some medication if you can offer me some.\ntherapist: Absolutely, we're in the right place for that.\n",FALSE,n/a,FALSE,0.15870040422305465
7,therapist,high,Yeah.,client: Yeah.\nclient: Yeah.\ntherapist: Yeah.\ntherapist: Yeah.\n,FALSE,n/a,FALSE,0.15902238176204264
7,therapist,high,"No, I guess that that would be the end of your, uh, shaking and moving. I know-- I wonder if you'd be open to exploring your alcohol use and what that looks like during the week.","therapist: No, I guess that that would be the end of your, uh, shaking and moving. I know-- I wonder if you'd be open to exploring your alcohol use and what that looks like during the week.\ntherapist: No, I guess that that would be the end of your, uh, shaking and moving. I know-- I wonder if you'd be open to exploring your alcohol use and what that looks like during the week.\ntherapist: No, I guess that that would be the end of your, uh, shaking and moving. I know-- I wonder if you'd be open to exploring your alcohol use and what that looks like during the week.\ntherapist: No, I guess that that would be the end of your, uh, shaking and moving. I know-- I wonder if you'd be open to exploring your alcohol use and what that looks like during the week.\n",TRUE,open,TRUE,0.15946985455229878
56,therapist,high,"I know, I-I understand that it was really-- That was your goal. That was a really important thing for you to be able to get home and it sounds like you've been able to really en- enjoy parts of it, and I know you've been going to the- both the physical therapy and the Tai Chi and how's-how's that going?","therapist: I know, I-I understand that it was really-- That was your goal. That was a really important thing for you to be able to get home and it sounds like you've been able to really en- enjoy parts of it, and I know you've been going to the- both the physical therapy and the Tai Chi and how's-how's that going?\ntherapist: I know, I-I understand that it was really-- That was your goal. That was a really important thing for you to be able to get home and it sounds like you've been able to really en- enjoy parts of it, and I know you've been going to the- both the physical therapy and the Tai Chi and how's-how's that going?\ntherapist: I know, I-I understand that it was really-- That was your goal. That was a really important thing for you to be able to get home and it sounds like you've been able to really en- enjoy parts of it, and I know you've been going to the- both the physical therapy and the Tai Chi and how's-how's that going?\ntherapist: I know, I-I understand that it was really-- That was your goal. That was a really important thing for you to be able to get home and it sounds like you've been able to really en- enjoy parts of it, and I know you've been going to the- both the physical therapy and the Tai Chi and how's-how's that going?\n",TRUE,open,TRUE,0.15964125166647136
80,therapist,high,Okay.,"client: Hello, doctor.\ntherapist: So, what's been different since the last time we talked a week ago?\nclient: Well, I did what we discussed. I did the journal-\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.16031756065785885
22,therapist,high,Right.,client: Yeah.\ntherapist: -if you're always running around taking care of everybody.\nclient: And I feel like inner harmony first comes with sleep. [laughter] I haven't been able to sleep lately.\ntherapist: Right.\n,FALSE,n/a,FALSE,0.16033573099412024
58,therapist,high,"I-it a-almost, um, feels like you identified as being a runner, like an athlete?","client: I don't know. I guess there's kind of an adrenaline rush to it. Kinda almost like, you know, uh, kind of a high, I guess.\ntherapist: Uh-huh.\nclient: So yeah-- That's-- I-I really enjoyed it. And I-I liked the feeling that I was doing something good for myself. I liked that, too. I-it kind of-- It so-- It gave me a little bit of self-esteem, I guess.\ntherapist: I-it a-almost, um, feels like you identified as being a runner, like an athlete?\n",FALSE,n/a,TRUE,0.16082847025245428
64,therapist,high,Quite a lot's changed over the last year from—,"client: Yep. Um. Uh, I suppose money is quite a big thing. Like, I used to have a lot more money sorta last year. I had a, quite a good job, like a, quite a regular acting job.\ntherapist: Mm-hmm.\nclient: Um, and it was like quite a lot of money that la-last year. So it wasn't such a problem then. And I suppose I sort of blew that money a little bit. Um, so now I don't have that acting income coming in as frequently and I'm working in a cafe like a sort of part-time and it's not bringing in as much. So now it's kinda like, and sometimes I need to borrow a bit of money or sorta need a bit of help with the rent sometimes.\ntherapist: Quite a lot's changed over the last year from—\n",FALSE,n/a,TRUE,0.16175446147099137
27,therapist,low,"I understand that your asthma symptoms have been just really out of control. So, we need to look at some of the ways that you can get healthy and not be back here again.","therapist: I understand that your asthma symptoms have been just really out of control. So, we need to look at some of the ways that you can get healthy and not be back here again.\ntherapist: I understand that your asthma symptoms have been just really out of control. So, we need to look at some of the ways that you can get healthy and not be back here again.\ntherapist: I understand that your asthma symptoms have been just really out of control. So, we need to look at some of the ways that you can get healthy and not be back here again.\ntherapist: I understand that your asthma symptoms have been just really out of control. So, we need to look at some of the ways that you can get healthy and not be back here again.\n",TRUE,open,TRUE,0.16185488575138152
56,therapist,high,Yeah.,therapist: Yeah.\ntherapist: Yeah.\ntherapist: Yeah.\ntherapist: Yeah.\n,FALSE,n/a,FALSE,0.16192736476659775
66,therapist,high,How are you doing today? I'm Bruce Berger.,therapist: How are you doing today? I'm Bruce Berger.\ntherapist: How are you doing today? I'm Bruce Berger.\ntherapist: How are you doing today? I'm Bruce Berger.\ntherapist: How are you doing today? I'm Bruce Berger.\n,TRUE,open,FALSE,0.16201524203643203
68,therapist,high,"Like belonging or sense of community. Again, cultural identity or family, friendship, modesty, religion, respect, self-determination and spirituality. So, when you think about yourself, which of these are kind of most important to you in terms of your life?","client: Yeah.\ntherapist: -and sort of be looking forward to the future and those things. All right. Well, one thing I'm going to ask you about is, um, you know, different people have sort of different things that they really value in their life. Whether it's, you know, their cultural identity or their family or their friends or job or hobbies, things like that. So here's the little sheet that goes through just some basic values that, um, might be more or less important to certain people.\nclient: Mm-hmm.\ntherapist: Like belonging or sense of community. Again, cultural identity or family, friendship, modesty, religion, respect, self-determination and spirituality. So, when you think about yourself, which of these are kind of most important to you in terms of your life?\n",FALSE,n/a,FALSE,0.16272804769687355
62,therapist,high,"Yup, absolutely.","client: Okay.\ntherapist: What other questions do you have for me about community service?\nclient: I think that's it. I think I was just worried about who was gonna do it for me, but I know I have to, I guess, do it myself and that 25 hours has to be done. It seems like that's the time I'd have to get done.\ntherapist: Yup, absolutely.\n",FALSE,n/a,FALSE,0.1639161508064717
18,therapist,high,"Yeah, yeah, yeah. Then, in terms of the pokies and stuff they much as they like doing the pokies so much as your doing the-- You know, compared to you doing the pokies?","client: Mm-hmm.\ntherapist: Yeah, yeah. So, in terms of their behavior, like how did your behavior sort of match with their behavior? Are they much the same as you, are they different than you?\nclient: Much the same, bunch of party girls.\ntherapist: Yeah, yeah, yeah. Then, in terms of the pokies and stuff they much as they like doing the pokies so much as your doing the-- You know, compared to you doing the pokies?\n",TRUE,open,FALSE,0.16392885567620397
71,therapist,high,Mm.,"client: I guess, I'd go pick them up and I don't know, I guess I could ask Donna, but she'd probably help me, I don't really want to.\ntherapist: She'd probably help you, but you don't really want to. It sounds like you're a bit embarrassed.\nclient: Well, I don't know. Plus, well, I don't know if I could bother getting up at nine o'clock every morning and having to go to Polytec. I've got used to sleeping in.\ntherapist: Mm.\n",FALSE,n/a,FALSE,0.16422327957116067
28,therapist,high,"Hi Carrie, thanks for coming in today.","therapist: Hi Carrie, thanks for coming in today.\n",FALSE,n/a,FALSE,0.164468809729442
78,therapist,high,"Okay. I-I also noticed that, uh, it's been about three months or so since you picked up the prescription for her chronic inhaler.","client: It's been- it's been really difficult. Um, I hate to see her gasping for breath. And, um, I'm really worried, you know, when she has to go. Uh, so that's been-- it's really difficult when I have to take her.\ntherapist: Yeah, it sounds like you'd be willing to do whatever you can to try to prevent that from happening.\nclient: Mm-hmm. Yeah.\ntherapist: Okay. I-I also noticed that, uh, it's been about three months or so since you picked up the prescription for her chronic inhaler.\n",FALSE,n/a,FALSE,0.16449604462832212
27,therapist,low,Yeah.,therapist: Yeah.\ntherapist: Yeah.\ntherapist: Yeah.\ntherapist: Yeah.\n,FALSE,n/a,FALSE,0.16464701341465116
130,therapist,low,"Yeah. Well, the good news is he doesn't have pneumonia. It's just an upper re-respiratory tract infection and a cold. So there's some things you can do to make- to help him get better. You can avoid excessive dust. You can keep him hydrated, avoid over-the-counter cold remedies. Keep him away from people who have flu or cold-like symptoms and avoid smoke. And the last one should be easy because you quit smoking during your pregnancy.","client: Wow. I can't believe he fell asleep after all of that crying, poor guy.\nclient: Wow. I can't believe he fell asleep after all of that crying, poor guy.\ntherapist: Yeah. Well, the good news is he doesn't have pneumonia. It's just an upper re-respiratory tract infection and a cold. So there's some things you can do to make- to help him get better. You can avoid excessive dust. You can keep him hydrated, avoid over-the-counter cold remedies. Keep him away from people who have flu or cold-like symptoms and avoid smoke. And the last one should be easy because you quit smoking during your pregnancy.\ntherapist: Yeah. Well, the good news is he doesn't have pneumonia. It's just an upper re-respiratory tract infection and a cold. So there's some things you can do to make- to help him get better. You can avoid excessive dust. You can keep him hydrated, avoid over-the-counter cold remedies. Keep him away from people who have flu or cold-like symptoms and avoid smoke. And the last one should be easy because you quit smoking during your pregnancy.\n",FALSE,n/a,FALSE,0.16493285913020372
27,therapist,low,Yeah.,therapist: Yeah.\ntherapist: Yeah.\ntherapist: Yeah.\ntherapist: Yeah.\n,FALSE,n/a,FALSE,0.1652228250168264
53,therapist,low,"Okay. Cool. And, you know, what made you decide maybe law school or-or journalism?","client: Um, I think all my grades are A's and B's, so, yeah.\ntherapist: Okay. And do you know where you're going to apply to college?\nclient: Um, I'm not sure yet, but I'm looking into schools like in the area, so maybe, I don't know, maybe I'll leave home or something.\ntherapist: Okay. Cool. And, you know, what made you decide maybe law school or-or journalism?\n",TRUE,open,FALSE,0.16527174226939678
131,therapist,low,Have you managed to stop smoking in the past?,"client: I guess, um, I'll just- I'll just have, you know, some fresh air as well, but this time without a cigarette in my hand but to try and give myself regular breaks maybe, I don't know.\ntherapist: Okay.\nclient: It's one of those tough things.\ntherapist: Have you managed to stop smoking in the past?\n",TRUE,closed,FALSE,0.16542023769579828
87,therapist,high,"Yeah, the fact that your drinking stands out from others is clearly not something you had ever really taken into consideration before?","client: Yeah, and yeah, I guess it was just like, I thought that everybody was, like, doing it, you know-\ntherapist: Mm-hmm.\nclient: -but that's not really what was going on. [chuckles]\ntherapist: Yeah, the fact that your drinking stands out from others is clearly not something you had ever really taken into consideration before?\n",FALSE,n/a,TRUE,0.1655596885830164
71,therapist,high,"Yeah. So, wondering what that's about, about not actually liking writing.","client: I don't really deal with it. I s-- I don't really like writing.\ntherapist: You don't like writing?\nclient: No.\ntherapist: Yeah. So, wondering what that's about, about not actually liking writing.\n",TRUE,open,FALSE,0.16667583538219333
33,therapist,high,Okay. [chuckles],"client: Okay, yeah. I could go for that. I-I, uh, I'm always open to some-- you know, to listen. Yeah.\ntherapist: As long as I don't talk too much?\nclient: Yeah. [laughs]\ntherapist: Okay. [chuckles]\n",FALSE,n/a,FALSE,0.16678303643129766
64,therapist,high,Alright.,"client: Um, dr-drugs, I guess.\ntherapist: Mm-hmm.\nclient: Mm, yeah. Sort of kind of do a bit of P now and again-\ntherapist: Alright.\n",FALSE,n/a,FALSE,0.1673650862649083
44,therapist,low,"Okay, so it's one cup, but it's not-not one drink.","client: Yeah. Yes. Not all of them, but some of them do.\ntherapist: Okay. And how much do they typically drink?\nclient: More or less the same amount. So right now the most we'll have is maybe like one cup after that one time, but sometimes one or two, but they can be kind of heavy.\ntherapist: Okay, so it's one cup, but it's not-not one drink.\n",FALSE,n/a,FALSE,0.16750234854407609
61,therapist,high,"And I know that, uh, Dr. Fields talked with you last time about maybe trying a tai chi class to see how that would go, and I wanted to-to check in with you and see how tai chi went.","client: Well, I remember you. Yeah, we met once before.\ntherapist: Yes, I think when you were in last time.\nclient: Yeah.\ntherapist: And I know that, uh, Dr. Fields talked with you last time about maybe trying a tai chi class to see how that would go, and I wanted to-to check in with you and see how tai chi went.\n",TRUE,open,TRUE,0.16766793350689113
78,therapist,high,"The other thing I was going to tell you is that, unfortunately, uh, even though you are smoking outside and keeping the smoke away from her, the smoke on your clothes, because her lungs are so sensitive, can also affect her lungs and cause her to have a reaction. Now, something I'd like you to think about is that, if you use the chronic inhaler every day, she may not be sensitive to the smoke on your clothes, but she still maybe because her lungs are just very different than ours. Um, honestly, I'd love to see you quit smoking for you too because, you know, as you know, it's not real good for you.","client: Oh, okay.\ntherapist: And so this chronic inhaler can really prevent that from happening. Okay? Which is why it's so important to use it.\nclient: Mm-hmm.\ntherapist: The other thing I was going to tell you is that, unfortunately, uh, even though you are smoking outside and keeping the smoke away from her, the smoke on your clothes, because her lungs are so sensitive, can also affect her lungs and cause her to have a reaction. Now, something I'd like you to think about is that, if you use the chronic inhaler every day, she may not be sensitive to the smoke on your clothes, but she still maybe because her lungs are just very different than ours. Um, honestly, I'd love to see you quit smoking for you too because, you know, as you know, it's not real good for you.\n",FALSE,n/a,FALSE,0.16805281629785895
58,therapist,high,Um.,"client: You know, so I think the just running off the playlist. I-I guess maybe if I made a goal would helped too.\ntherapist: Mm-hmm- mm-hmm. So that-that-that half marathon was, uh, a very specific concrete thing and you could envision yourself, and you're ready for it and the day of and all that kinda stuff.\nclient: Yeah.\ntherapist: Um.\n",FALSE,n/a,FALSE,0.16850044252350926
55,therapist,high,"Thanks. Just so you know, when I talk to patients about drug use, my job is to be helpful. I'm not going to tell you what to do or what you should do. What I can do is share some information and be a resource. Does that make sense?","therapist: Thanks. Just so you know, when I talk to patients about drug use, my job is to be helpful. I'm not going to tell you what to do or what you should do. What I can do is share some information and be a resource. Does that make sense?\ntherapist: Thanks. Just so you know, when I talk to patients about drug use, my job is to be helpful. I'm not going to tell you what to do or what you should do. What I can do is share some information and be a resource. Does that make sense?\ntherapist: Thanks. Just so you know, when I talk to patients about drug use, my job is to be helpful. I'm not going to tell you what to do or what you should do. What I can do is share some information and be a resource. Does that make sense?\ntherapist: Thanks. Just so you know, when I talk to patients about drug use, my job is to be helpful. I'm not going to tell you what to do or what you should do. What I can do is share some information and be a resource. Does that make sense?\n",TRUE,closed,FALSE,0.16873236116953194
49,therapist,high,Yeah.,"client: Yeah. Just the, um, the outlook, and the culture and the history and-\ntherapist: Oh.\nclient: -somewhere I've always wanted to go.\ntherapist: Yeah.\n",FALSE,n/a,FALSE,0.16909258114174008
15,therapist,low,"Well, aside from the gum, you could try the nicotine lozenge, that would be another option for you. Again, that's not something you'd wanna use continuously throughout the day. The nicotine patch is the best for continuous nicotine replacement, but again, that's not something you can use while you're continuing to smoke.","client: Oh. Okay. Well, where is that?\ntherapist: Well, we have that here, but again, the-the idea would be for you to actually quit smoking.\nclient: Well, I-- [sighs] I'm probably not gonna buy anything today. I mean, I just came by to see what my options are. I-- if-- thanks for the input. I mean, do you have anything else, do you have any other advice for me?\ntherapist: Well, aside from the gum, you could try the nicotine lozenge, that would be another option for you. Again, that's not something you'd wanna use continuously throughout the day. The nicotine patch is the best for continuous nicotine replacement, but again, that's not something you can use while you're continuing to smoke.\n",FALSE,n/a,FALSE,0.1691831098869443
17,therapist,low,"So, it sounds like, you know, the amount you drink is pretty normal-","client: I mean, the stairs were really steep. So—\ntherapist: Yeah. Well, it's possible you strained your ankle as a result of the alcohol. You know, it can actually affect your balance and stability. So, really, you know, for where you are right now, you're drinking a good amount more than what's recommended. And, you know, I want you to be healthy. And I don't want to see you coming back in here for something else. So I'm really gonna recommend that you try to cut down to that amount. So, do you think you could do that, cut down to no more than three drinks on a given day?\nclient: Where are these limits from? Um, old- an older population? Because, uh, I drink just as much as my friends do. I mean, everybody drinks like I drink. I'm not even the biggest drinker in my group. So I'm pretty middle of the road.\ntherapist: So, it sounds like, you know, the amount you drink is pretty normal-\n",FALSE,n/a,TRUE,0.1696672656107694
64,therapist,high,Okay.,"client: I mean like I always-- Well, it's, you know it's kind of a thing that happens in the weekends but, I guess, sometimes in the weekdays. You know, I'll-I'll pretty much every weekend I'll have a big night, um, maybe two but sometimes, you know, in the weekdays like on a Tuesday or Wednesday or something if I just kinda feel like doing something then I might do that sometimes to see if someone else wants to come round and join me or, you know, occasionally by myself I might have a smoke by myself or something like that. And I guess that isn't entirely linked to that scene, I suppose.\ntherapist: It just sounds like something's worrying you about that there's-there's a part link there but there's not a link and that-that maybe that the drugs is-is becoming a more important part in your life.\nclient: Mm. Maybe. I suppose I hadn't really thought about it-\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.16969043505378067
55,therapist,high,"Miguel, before we end the call, I did want to go over the answers you gave me on the questionnaire about drug use. Is it okay if we go over that right now?","therapist: Miguel, before we end the call, I did want to go over the answers you gave me on the questionnaire about drug use. Is it okay if we go over that right now?\ntherapist: Miguel, before we end the call, I did want to go over the answers you gave me on the questionnaire about drug use. Is it okay if we go over that right now?\n",TRUE,closed,FALSE,0.16989364800974727
44,therapist,low,"So, is that surprising to you?","client: Mm-hmm.\ntherapist: Okay. Um, so gosh, you're-you're actually really drinking quite a lot. Um, you know, your level of drinking puts you in what we call a high-risk group.\nclient: Mm-hmm.\ntherapist: So, is that surprising to you?\n",TRUE,open,FALSE,0.17013151827268302
92,therapist,low,"Hi, are you Julie Thompson?","therapist: Hi, are you Julie Thompson?\n",FALSE,n/a,FALSE,0.17022834578529
66,therapist,high,"And so you're really kind of reeling right now from, uh, all of that. And you sound a little bit pretty, pretty scared actually.","therapist: And so you're really kind of reeling right now from, uh, all of that. And you sound a little bit pretty, pretty scared actually.\ntherapist: And so you're really kind of reeling right now from, uh, all of that. And you sound a little bit pretty, pretty scared actually.\ntherapist: And so you're really kind of reeling right now from, uh, all of that. And you sound a little bit pretty, pretty scared actually.\ntherapist: And so you're really kind of reeling right now from, uh, all of that. And you sound a little bit pretty, pretty scared actually.\n",FALSE,n/a,TRUE,0.17036992008797824
34,therapist,high,"So, for you, you're feeling like once the baby comes and actually in your arms, then things are going to change, but right now, while you're pregnant, you're thinking, ""I can kind of hang out in both worlds a little bit,"" but part of you may be thinking maybe that's not the case. It's time to go to the mom world maybe.","client: Yeah, like, I'm- I'm still, like, I'm only in my 20s, and-and for everyone else, it's like, ""Okay, it's party time,"" and now I kind of have to, like, break out of that.\ntherapist: Okay. So, this party-time world's- are you feeling like this is something you want to move out of and move into that mom world? Or does it feel like I want to hang out there still too?\nclient: There's, yeah, there's part of me that still wants to live that out because I'm not going to have another chance, like once this kid comes, it's-it's going to be over. I know I'm gonna- I know I'm going to have to change.\ntherapist: So, for you, you're feeling like once the baby comes and actually in your arms, then things are going to change, but right now, while you're pregnant, you're thinking, ""I can kind of hang out in both worlds a little bit,"" but part of you may be thinking maybe that's not the case. It's time to go to the mom world maybe.\n",FALSE,n/a,TRUE,0.17047221376560628
2,therapist,high,"Okay. Now, if the juice was still there, can you think of anything else you could do?","client: Yes.\ntherapist: But you're also not a 10, and that tells me that there may be some obstacles to your success. What would it take for you to be a 10 or even an 8 or 9?\nclient: Getting the fruit juice of the house because I know if it's there I'll drink it. My wife does the shopping for us, so maybe if I ask her not to get the juice, that would solve it.\ntherapist: Okay. Now, if the juice was still there, can you think of anything else you could do?\n",TRUE,open,FALSE,0.17126433039084077
89,therapist,high,"Okay. Um, so you said that your wife said it's a problem. Um, so do you not feel like it's a problem for you?","therapist: Tell me a little bit about what brings you today.\nclient: Well, my wife is making me be here today. Uh, she thinks that it's a problem that I'm smoking weed, so she said, ""You need to go and get some help.""\ntherapist: Okay. Um, so you said that your wife said it's a problem. Um, so do you not feel like it's a problem for you?\n",TRUE,closed,TRUE,0.1713122797664255
23,therapist,high,So you avoided looking at people. It sounds like you wore black as well in kind of preparation anyway.,"client: I think just very stupid and, like, I think my face was really red. I could feel it flushing and I knew that I'd- I was probably sweating and shaking, like my hands were definitely really really shaking. Um, and af-- it was, like definitely really noticeable. Everyone could definitely see.\ntherapist: Okay and what-what did you do about-- How did you try and conceal that or hide that?\nclient: Um, well, I again was trying to grip the camera, just look down, just trying not to do anything weird or-- 'Cause, I mean, they could probably tell I was being weird anyway, but hopefully if-- I just- I just tried really hard to just focus and look down, not trying, like not kind-- look at anyone else and just, yeah, just kind of trying get on with it as best as I could, but—\ntherapist: So you avoided looking at people. It sounds like you wore black as well in kind of preparation anyway.\n",FALSE,n/a,TRUE,0.17154134809970856
7,therapist,high,Sounds like a wild night.,"client: Um, it's really stupid. Uh, I was at a pub crawl last night and you know how pub crawls are. You have a few drinks and then I thought it was a really good idea to catch up with my friends who are, yeah, they're in front of me. So I just like jumped off the stairs of the bus and I was wearing these like stilettos 'cause it was a 90s-themed pub crawl. Anyway, and then I just like fell on my ankle. It was really embarrassing.\nclient: Um, it's really stupid. Uh, I was at a pub crawl last night and you know how pub crawls are. You have a few drinks and then I thought it was a really good idea to catch up with my friends who are, yeah, they're in front of me. So I just like jumped off the stairs of the bus and I was wearing these like stilettos 'cause it was a 90s-themed pub crawl. Anyway, and then I just like fell on my ankle. It was really embarrassing.\ntherapist: Sounds like a wild night.\ntherapist: Sounds like a wild night.\n",FALSE,n/a,TRUE,0.17163211316801608
84,therapist,high,"Okay, so actually having someone listen to you and hear about what you're saying is important to you?","client: Yeah, yeah, yeah.\ntherapist: Mm. So it felt like she bossed you around, didn't really listen to you.\nclient: Yeah, she didn't really care.\ntherapist: Okay, so actually having someone listen to you and hear about what you're saying is important to you?\n",FALSE,n/a,TRUE,0.17315546772442758
71,therapist,high,You've gone down that road of kind of going back to school in some ways and getting a tryout or-,"client: Yeah. Like, if they've got jobs now.\ntherapist: Okay, so you know some people?\nclient: Yeah.\ntherapist: You've gone down that road of kind of going back to school in some ways and getting a tryout or-\n",FALSE,n/a,TRUE,0.1735607988666743
12,therapist,high,"-been helpful, um, in-- with patients before. I'd also like to ask you, would you be willing to see one of our counselors?","client: Yeah, I-I think that would be very helpful.\ntherapist: Okay. Well, I've got a brochure here and this has-- it's a really good brochure. It has some distraction techniques in it in case you get those nicotine cravings. So it's-\nclient: Mm-hmm.\ntherapist: -been helpful, um, in-- with patients before. I'd also like to ask you, would you be willing to see one of our counselors?\n",TRUE,closed,FALSE,0.1745280222967267
53,therapist,low,Okay. And do you know where you're going to apply to college?,"client: Yeah, I'm doing okay. I'm getting mostly A's and B's, so I'm pretty good, I'm okay.\ntherapist: Okay. What classes are you not getting A's and B's in?\nclient: Um, I think all my grades are A's and B's, so, yeah.\ntherapist: Okay. And do you know where you're going to apply to college?\n",TRUE,open,FALSE,0.17534909583628178
71,therapist,high,"-so don't forget the nice car, and some kids, and be a- be a good dad-","therapist: So, you've got this dream by the sounds of it, which is, you know, to have a partner, and a house, and a nice car-\nclient: Yeah.\ntherapist: -so don't forget the nice car, and some kids, and be a- be a good dad-\n",FALSE,n/a,TRUE,0.1757272402755916
36,therapist,high,Right.,client: Yes.\ntherapist: It sounds- it sounds like you're doing the review of the things that you used to do.\nclient: Mm.\ntherapist: Right.\n,FALSE,n/a,FALSE,0.17584789195097983
44,therapist,low,Wow. And how long have you been in marching band?,"client: So I played that for like six years, once a clarinet, dabbled here and there with different things. And then I found the one- the one for me.\ntherapist: That's awesome. And you play tenor sax?\nclient: Yeah, the tenor sax.\ntherapist: Wow. And how long have you been in marching band?\n",TRUE,open,FALSE,0.1765679749660194
62,therapist,high,"But you know that if you have any more questions, you can always come to me or your case manager and we're here for- to be a support for you.","client: I think that's it. I think I was just worried about who was gonna do it for me, but I know I have to, I guess, do it myself and that 25 hours has to be done. It seems like that's the time I'd have to get done.\ntherapist: Yup, absolutely.\nclient: Okay.\ntherapist: But you know that if you have any more questions, you can always come to me or your case manager and we're here for- to be a support for you.\n",FALSE,n/a,FALSE,0.1768031029496342
8,therapist,high,"So, you're not too happy to be here. This is the last thing that you want to be doing this afternoon.","therapist: So, what brings you here, Bob? What's, what can I do to help?\nclient: Yeah. Yeah, well, the only reason I'm here is 'cause my wife thinks I've got a problem with smoking. I've been smoking all my life and, uh, six months ago, uh, she thought, she got into this health kick, right? And now everyone who smokes is evil. And, uh, so that's why I'm here just to please her, get her off my back and—\ntherapist: So, you're not too happy to be here. This is the last thing that you want to be doing this afternoon.\n",FALSE,n/a,TRUE,0.17713641142472625
55,therapist,high,"Thanks. When I looked at your form, it looks like you use heroin weekly and you injected. What part of your body do you normally inject in?","therapist: Thanks. When I looked at your form, it looks like you use heroin weekly and you injected. What part of your body do you normally inject in?\ntherapist: Thanks. When I looked at your form, it looks like you use heroin weekly and you injected. What part of your body do you normally inject in?\ntherapist: Thanks. When I looked at your form, it looks like you use heroin weekly and you injected. What part of your body do you normally inject in?\ntherapist: Thanks. When I looked at your form, it looks like you use heroin weekly and you injected. What part of your body do you normally inject in?\n",TRUE,open,FALSE,0.17753636767156422
91,therapist,high,"It's time to do something, okay. So you've been diagnosed by-","client: And although I didn't call right away. I really need some help in quitting smoking.\ntherapist: Right.\nclient: So I thought, well, this is my first step. So, uh, it's time to do something.\ntherapist: It's time to do something, okay. So you've been diagnosed by-\n",TRUE,closed,TRUE,0.1777227313723415
52,therapist,high,"Hi, Nick. Thank you for completing the CRAFFT questionnaire. I also appreciate you sharing some information about yourself.","therapist: Hi, Nick. Thank you for completing the CRAFFT questionnaire. I also appreciate you sharing some information about yourself.\n",FALSE,n/a,TRUE,0.17796195414848626
85,therapist,high,How-how often do you do that?,"client: I-I like to take the edge off-\ntherapist: Mm-hmm.\nclient: You know, with a few drinks, you know, not-not a lot, you know, and-and really-\ntherapist: How-how often do you do that?\n",TRUE,open,FALSE,0.17855908046476543
84,therapist,high,"Yeah, didn't- didn't work out very well.","client: Mm-hmm.\ntherapist: Mmh. So how come you thought it was going to be a waste of your time? What was it based on?\nclient: Last time didn't really work out that well.\ntherapist: Yeah, didn't- didn't work out very well.\n",FALSE,n/a,TRUE,0.17859868612140417
76,therapist,high,Mm-hmm.,"client: And when I think of the flip side of that, uh, um, I-I know there's gonna be pain, disappointment, upset in my life, um, too that I accept that and that's part of joy.\ntherapist: Mm-hmm.\nclient: True joy comes from knowing it's not always gonna be happy. I'm gonna- I'm gonna be bummed out sometimes.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.1786116890143603
123,therapist,low,"Okay, well, that's a good start, but cutting back isn't going to do it. If you actually quit the smoking, you can reverse all the damage you've done in your mouth, and you can stop yourself from- from being at risk for these other diseases. But as long as you're continuing to use these cigars you're really putting yourself in a lot of danger.","client: Well, it's something that I'll have to think about.\ntherapist: What's there to think about? [chuckles] You said it's not that something you do all that often, and there's all these negative side effects, there's all these risks that you're putting yourself in.\nclient: Well, it's just something that I do to relax, and I don't do it that often. And so I probably could cut back.\ntherapist: Okay, well, that's a good start, but cutting back isn't going to do it. If you actually quit the smoking, you can reverse all the damage you've done in your mouth, and you can stop yourself from- from being at risk for these other diseases. But as long as you're continuing to use these cigars you're really putting yourself in a lot of danger.\n",FALSE,n/a,FALSE,0.17953590862452984
48,therapist,high,Uh-huh. Uh-huh.,"client: But, it was an evening party and we all wore really nice dresses-\ntherapist: Mm-hmm.\nclient: -the short ones, the really huggy ones. [chuckles]\ntherapist: Uh-huh. Uh-huh.\n",FALSE,n/a,FALSE,0.1796932651195675
41,therapist,high,For your family?,client: And I can't be the best- the best me possible.\ntherapist: For someone else?\nclient: Yeah.\ntherapist: For your family?\n,TRUE,closed,FALSE,0.1797138813417405
55,therapist,high,"Thanks. Just so you know, when I talk to patients about drug use, my job is to be helpful. I'm not going to tell you what to do or what you should do. What I can do is share some information and be a resource. Does that make sense?","client: Uh, nope. It feels okay.\ntherapist: Thanks. Just so you know, when I talk to patients about drug use, my job is to be helpful. I'm not going to tell you what to do or what you should do. What I can do is share some information and be a resource. Does that make sense?\ntherapist: Thanks. Just so you know, when I talk to patients about drug use, my job is to be helpful. I'm not going to tell you what to do or what you should do. What I can do is share some information and be a resource. Does that make sense?\ntherapist: Thanks. Just so you know, when I talk to patients about drug use, my job is to be helpful. I'm not going to tell you what to do or what you should do. What I can do is share some information and be a resource. Does that make sense?\n",TRUE,open,FALSE,0.17984821554273367
38,therapist,high,Anything else?,"client: Yeah. I mean, she watches him so much. I think she's just probably getting stressed out too. And, I feel bad because, you know, it's not her son, so i-it shouldn't be her problem, but, I need something that I can rely on better.\ntherapist: So, one thing that could make a big difference is if you could figure out some sort of more reliable, affordable childcare, and that would help you not want to drink as much.\nclient: Yeah.\ntherapist: Anything else?\n",TRUE,open,FALSE,0.1805391744710505
66,therapist,high,"Hi, Mr. Stowe.","therapist: Hi, Mr. Stowe.\n",FALSE,n/a,FALSE,0.180575767531991
45,therapist,high,"Um, and I know some clients have expressed just really valuing their freedom. They didn't realize how much they really valued that until it was gone.","client: And you feel like there's all these rules.\ntherapist: Yeah. And there is and I'm sure that it is really struggling at times too.\nclient: Mm-hmm.\ntherapist: Um, and I know some clients have expressed just really valuing their freedom. They didn't realize how much they really valued that until it was gone.\n",FALSE,n/a,FALSE,0.18133941502310336
61,therapist,high,Mm-hmm.,"client: I-I mean, I know I can, but it's really difficult.\ntherapist: Uh-huh. What is it that makes it a five instead of a one, no confidence?\nclient: That I'm doing it by myself.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.18172713974490762
130,therapist,low,"No, wait a minute. That has everything to do with what we're talking about. I can't believe at the end of this appointment, you're just slipping in the fact that you've resumed smoking again. That's very, very important information for me to know. And I'd like to spend some time talking about it now.","therapist: No, wait a minute. That has everything to do with what we're talking about. I can't believe at the end of this appointment, you're just slipping in the fact that you've resumed smoking again. That's very, very important information for me to know. And I'd like to spend some time talking about it now.\ntherapist: No, wait a minute. That has everything to do with what we're talking about. I can't believe at the end of this appointment, you're just slipping in the fact that you've resumed smoking again. That's very, very important information for me to know. And I'd like to spend some time talking about it now.\ntherapist: No, wait a minute. That has everything to do with what we're talking about. I can't believe at the end of this appointment, you're just slipping in the fact that you've resumed smoking again. That's very, very important information for me to know. And I'd like to spend some time talking about it now.\ntherapist: No, wait a minute. That has everything to do with what we're talking about. I can't believe at the end of this appointment, you're just slipping in the fact that you've resumed smoking again. That's very, very important information for me to know. And I'd like to spend some time talking about it now.\n",FALSE,n/a,FALSE,0.18178705801256
25,therapist,high,"Yeah. So, you're not feeling comfortable with the way that, you said, your clothes fit.","client: Um, I don't like the way my clothes fit or don't fit me.\ntherapist: Mm-hmm.\nclient: Just, I don't feel comfortable.\ntherapist: Yeah. So, you're not feeling comfortable with the way that, you said, your clothes fit.\n",FALSE,n/a,TRUE,0.18204610561951995
74,therapist,low,All right. Okay.,"client: Well, I mean, if it starts to cause a problem, then maybe we talk about it, but at this point, I mean-\ntherapist: All right.\nclient: -it's fine.\ntherapist: All right. Okay.\n",FALSE,n/a,FALSE,0.18207227112725377
130,therapist,low,"No, wait a minute. That has everything to do with what we're talking about. I can't believe at the end of this appointment, you're just slipping in the fact that you've resumed smoking again. That's very, very important information for me to know. And I'd like to spend some time talking about it now.","client: Well, you're right. I-I did quit smoking when I was pregnant, but actually, um, a couple of weeks ago, I went out, my mom was able to take Jake for the night and my friends they were having a birthday party and we had a couple of glasses of wine and it felt like old times. So before I knew it, I was out having a cigarette with them. And since then I've been having a couple of cigarettes a day, you know, just at the end of the day after I put Jake to bed. But that sounds like it has nothing to do with what you're talking about, right?\nclient: Well, you're right. I-I did quit smoking when I was pregnant, but actually, um, a couple of weeks ago, I went out, my mom was able to take Jake for the night and my friends they were having a birthday party and we had a couple of glasses of wine and it felt like old times. So before I knew it, I was out having a cigarette with them. And since then I've been having a couple of cigarettes a day, you know, just at the end of the day after I put Jake to bed. But that sounds like it has nothing to do with what you're talking about, right?\ntherapist: No, wait a minute. That has everything to do with what we're talking about. I can't believe at the end of this appointment, you're just slipping in the fact that you've resumed smoking again. That's very, very important information for me to know. And I'd like to spend some time talking about it now.\ntherapist: No, wait a minute. That has everything to do with what we're talking about. I can't believe at the end of this appointment, you're just slipping in the fact that you've resumed smoking again. That's very, very important information for me to know. And I'd like to spend some time talking about it now.\n",FALSE,n/a,FALSE,0.18213030672632158
68,therapist,high,Okay. And do you notice a big difference or can you tell me about the difference in your enjoyment level at say a party versus a night you're playing board games?,"client: The days that we drink are mostly, like I said, they're parties, so it's more of that whole partying and dancing and, you know, having everyone have fun. And then when we don't, it's a lot more relaxed. It's a lot more hanging out, playing board games, watching a movie it's not yeah.\ntherapist: So it really depends on what the activity is, whether or not alcohol is gonna be there?\nclient: Definitely.\ntherapist: Okay. And do you notice a big difference or can you tell me about the difference in your enjoyment level at say a party versus a night you're playing board games?\n",TRUE,closed,FALSE,0.18239895929582417
84,therapist,high,You wanna stop getting into trouble.,"client: Mmh.\ntherapist: -and really thinking about what's got you into trouble and hence something about what gets you into trouble.\nclient: Maybe but, mm, yeah, I wanna stop getting into trouble.\ntherapist: You wanna stop getting into trouble.\n",FALSE,n/a,TRUE,0.1824634801596403
31,therapist,high,"But otherwise, again it's rare, and it's completely reversible if you let us know.","client: Oh.\ntherapist: Now, you don't wanna let that go on for months at a time, that's when it can become serious.\nclient: Okay.\ntherapist: But otherwise, again it's rare, and it's completely reversible if you let us know.\n",FALSE,n/a,FALSE,0.1826650849543512
61,therapist,high,"So, in order for you to feel more confident, you would like some help in making those arrangements?","client: My-my daughter can't visit that often and, um-\ntherapist: Uh-huh.\nclient: Yeah.\ntherapist: So, in order for you to feel more confident, you would like some help in making those arrangements?\n",TRUE,closed,TRUE,0.18374543776735663
118,therapist,low,"Oh, I'm sorry. But, you know, if you have just got a sore throat, then there's not much I can do about that. It's just, you know, something that we all get from time to time. Perhaps, what you really need to do is, uh, you know, just take some paracetamol and get some fluids.","client: Well, I don't think my employer are gonna take that. I mean, they- they've given us so much hassle at things in the past. I mean, can- can I get a private note? Can- can I ask you to write me a letter, at least?\ntherapist: Uh, well, obviously that's a non-NHS thing so we have to charge you for that and our going rate for that is, uh, £12.\nclient: Just- it's just not good enough. I just-- [sighs]\ntherapist: Oh, I'm sorry. But, you know, if you have just got a sore throat, then there's not much I can do about that. It's just, you know, something that we all get from time to time. Perhaps, what you really need to do is, uh, you know, just take some paracetamol and get some fluids.\n",FALSE,n/a,FALSE,0.18397282133810222
91,therapist,high,"Okay. Now, help me understand why you said 40 and not something like 10 or zero because you mentioned that you don't even want to quit.","client: Um, I, I'd say 35 or 40% competent.\ntherapist: 35-40%. Okay.\nclient: Yeah. I'd like to say more, but, um-\ntherapist: Okay. Now, help me understand why you said 40 and not something like 10 or zero because you mentioned that you don't even want to quit.\n",FALSE,n/a,TRUE,0.1842236379161477
88,therapist,high,Okay. Anything that your mom could do to help you with that?,client: My mom.\ntherapist: Your mom.\nclient: Mm-hmm.\ntherapist: Okay. Anything that your mom could do to help you with that?\n,TRUE,closed,FALSE,0.18501080083660781
7,therapist,high,Sounds like a wild night.,therapist: Sounds like a wild night.\ntherapist: Sounds like a wild night.\ntherapist: Sounds like a wild night.\ntherapist: Sounds like a wild night.\n,FALSE,n/a,TRUE,0.18545358115807176
64,therapist,high,-but you're not sure whether it's- whether-- just how bad it is or- and you're just wanting to check that out?,"client: I suppose.\ntherapist: I'm trying to understand you so far, something's concerning you and something's concerning your friends-\nclient: Yeah.\ntherapist: -but you're not sure whether it's- whether-- just how bad it is or- and you're just wanting to check that out?\n",TRUE,closed,FALSE,0.18552998499944806
38,therapist,high,"So, you're working, and then, on top of that, juggling being a single mom and going to school?","client: Yeah, exactly. You know, it's kind of like that me time at the end of the day.\ntherapist: Sort of escape from your hectic schedule.\nclient: Yeah. You know, I have a two-year-old son, and then, I work full-time. And, I also started going back to school. So, you know, just trying to juggle all that stuff. You know, it's tiring, and so, you know, at the end of the day, I just- I wanna relax and enjoy myself.\ntherapist: So, you're working, and then, on top of that, juggling being a single mom and going to school?\n",TRUE,closed,TRUE,0.18615145469084382
78,therapist,high,And-and it's hard to replace it with something.,"client: I mean, I know people who've tried to quit and it's-it's just it's- it's really difficult, you know. So I know, it'd be better—\ntherapist: Very hard. It's very relaxing, and-\nclient: Yeah.\ntherapist: And-and it's hard to replace it with something.\n",FALSE,n/a,FALSE,0.18703418294899166
88,therapist,high,Okay. So if you are feeling tempted to stay up later-,"client: [sighs] Not going to bed on time.\ntherapist: Not going to bed on time.\nclient: Yup, that's gonna be a struggle for me.\ntherapist: Okay. So if you are feeling tempted to stay up later-\n",FALSE,n/a,TRUE,0.18821265711449087
7,therapist,high,You're still feeling the effects of-,"client: Uh, sure, uh, as long as we don't talk too much about like vodka 'cause I'm still, ugh, a little—\nclient: Uh, sure, uh, as long as we don't talk too much about like vodka 'cause I'm still, ugh, a little—\ntherapist: You're still feeling the effects of-\ntherapist: You're still feeling the effects of-\n",FALSE,n/a,TRUE,0.18843432958237827
49,therapist,high,"So, one of the things that we started to touch on, last time, was this issue of gambling, and, um, you were talking, last time, about how the gambling had, sort of, got you into trouble with your family.","client: Mm.\ntherapist: -and, uh--"" So, really, what we'd like to talk about today is-is get a sense of, um-- Let's talk about the things that would be good to work with, um, over the next, you know, nine months together, really.\nclient: Mm-hmm.\ntherapist: So, one of the things that we started to touch on, last time, was this issue of gambling, and, um, you were talking, last time, about how the gambling had, sort of, got you into trouble with your family.\n",FALSE,n/a,TRUE,0.18866724614053965
44,therapist,low,No kidding.,"client: Well, saxophone. I started about four years ago, but I've been involved in music for about 10 years now, so.\ntherapist: Wow. That's a long time. What other instruments?\nclient: I started off on the violin first.\ntherapist: No kidding.\n",FALSE,n/a,FALSE,0.1887334822677076
3,therapist,high,Okay. Okay. And how about going to see the doctor? Have you gone to-- for a visit or anything recently?,"client: I mean, my-my work is really man-manual labor-intensive so I'm usually working out in-in the hot sun the majority of the day, so I'm usually sweating out any like bad things I put in my system, so—\ntherapist: Okay. Have you noticed putting on any weight, or anything like--?\nclient: Well, a little bit, but nothing too-- you know. I'm not blo- I'm not bloated or anything.\ntherapist: Okay. Okay. And how about going to see the doctor? Have you gone to-- for a visit or anything recently?\n",TRUE,open,FALSE,0.18947393540292978
118,therapist,low,"Okay, that's pretty unlikely with sore throat. I think that's so, you know, a little bit of grand staging there.","client: Just- it's just not good enough. I just-- [sighs]\ntherapist: Oh, I'm sorry. But, you know, if you have just got a sore throat, then there's not much I can do about that. It's just, you know, something that we all get from time to time. Perhaps, what you really need to do is, uh, you know, just take some paracetamol and get some fluids.\nclient: Parace- paracetamol. Do you understand how difficult this is gonna be for me? I mean, I could lose my job or something.\ntherapist: Okay, that's pretty unlikely with sore throat. I think that's so, you know, a little bit of grand staging there.\n",FALSE,n/a,FALSE,0.18957682861946523
51,therapist,high,Tell me what you know about the flu shot?,therapist: Tell me what you know about the flu shot?\n,TRUE,open,FALSE,0.18978358060121536
85,therapist,high,Mm-hmm.,"client: Maybe.\ntherapist: Okay.\nclient: Maybe not, uh-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.18987360736355186
42,therapist,high,"Right. So you feel like you're spinning your wheels, you're doing more exercising and it's not showing results on the scale?","client: I don't know, I'm just having a lot of hard trouble trying to lose the rest of the weight. Um, right now, it's like no matter how much I try to exercise, run, or whatever, it doesn't matter like nothing else is coming off.\ntherapist: Right, so you've hit a plateau in your weight and despite all the things that you're trying to do to increase your activity, it doesn't seem to be working on the scale?\nclient: No, and I don't know what I'm doing wrong because I keep trying the exercise but nothing's happening.\ntherapist: Right. So you feel like you're spinning your wheels, you're doing more exercising and it's not showing results on the scale?\n",FALSE,n/a,TRUE,0.19006293453276157
126,therapist,low,What did your doctor tell you to expect in terms of side effects?,"therapist: Do you have children in your house?\nclient: No. I don't have any kids.\ntherapist: All right. So that sounds like a perfect place for you to store those. Medications are best when they're stored away from light, heat and moisture.\ntherapist: What did your doctor tell you to expect in terms of side effects?\n",TRUE,open,FALSE,0.19069859758019447
77,therapist,high,"Well, you know, I-I understand that pain is hard to work through but a lot of time when you're having rehab after a stroke, that pain is telling you that your muscles and joints are starting to work again. So you can kind of think of it as a positive way to, you know, know that your-your body's getting back to normal.","client: Oh, they have me doing all kinds of things in different machines and stuff. Yeah, it hurts.\ntherapist: It hurts? Oh, I'm sorry to hear that. Where are you having pain?\nclient: Well, just about every joint like especially my knees. They're really-- They have me doing some leg things that-that-that is it really necessary?\ntherapist: Well, you know, I-I understand that pain is hard to work through but a lot of time when you're having rehab after a stroke, that pain is telling you that your muscles and joints are starting to work again. So you can kind of think of it as a positive way to, you know, know that your-your body's getting back to normal.\n",FALSE,n/a,FALSE,0.19097527163103223
55,therapist,high,"Do you mind if I take a look at your arm, please?","therapist: Do you mind if I take a look at your arm, please?\ntherapist: Do you mind if I take a look at your arm, please?\ntherapist: Do you mind if I take a look at your arm, please?\ntherapist: Do you mind if I take a look at your arm, please?\n",TRUE,open,FALSE,0.19097944162786007
56,therapist,high,Yeah?,therapist: Yeah?\ntherapist: Yeah?\ntherapist: Yeah?\ntherapist: Yeah?\n,FALSE,n/a,FALSE,0.19104523956775665
115,therapist,low,I um--,"client: I-I-I know it, I know- I know, doc, what you're trying to-- but I just don't want to get into that right now.\ntherapist: Okay. Well thanks for listening, and honestly, I- I am really worried about the smoking, so--\nclient: Okay.\ntherapist: I um--\n",FALSE,n/a,FALSE,0.1910715743433684
30,therapist,high,"Okay. Well, you know I will be back later. If any questions would arise, we can always talk about that then. Um, otherwise, again, I will have to write a violation, and, um, if you have any questions or need anything from me, please let me know. Um, otherwise, again, I'll be back later today.","client: I mean, I'll just deal with it when it comes.\ntherapist: Okay, and it sounds like you know that it's probably coming then?\nclient: Yeah, I guess so.\ntherapist: Okay. Well, you know I will be back later. If any questions would arise, we can always talk about that then. Um, otherwise, again, I will have to write a violation, and, um, if you have any questions or need anything from me, please let me know. Um, otherwise, again, I'll be back later today.\n",FALSE,n/a,FALSE,0.19112338335253298
21,therapist,high,"Okay. So, that's something that you've sort of made a decision about. It sound like you—","client: Um, like drunk driving?\ntherapist: Yeah. Do you ever go anywhere in a car after you've had any alcohol?\nclient: Um, definitely not. I've never drunk-driven, and I've never been in a car with a drunk driver.\ntherapist: Okay. So, that's something that you've sort of made a decision about. It sound like you—\n",FALSE,n/a,TRUE,0.1916241361759603
66,therapist,high,"So you just- you just saw the doctor and, uh, you know, you sound like you just got blindsided, uh, with, uh, not only how, how frightening this seems that you have diabetes and that, uh, she-- you say she told you a whole lot of things that can happen with your eyes and circulation and all those kinds of things.","therapist: So you just- you just saw the doctor and, uh, you know, you sound like you just got blindsided, uh, with, uh, not only how, how frightening this seems that you have diabetes and that, uh, she-- you say she told you a whole lot of things that can happen with your eyes and circulation and all those kinds of things.\ntherapist: So you just- you just saw the doctor and, uh, you know, you sound like you just got blindsided, uh, with, uh, not only how, how frightening this seems that you have diabetes and that, uh, she-- you say she told you a whole lot of things that can happen with your eyes and circulation and all those kinds of things.\ntherapist: So you just- you just saw the doctor and, uh, you know, you sound like you just got blindsided, uh, with, uh, not only how, how frightening this seems that you have diabetes and that, uh, she-- you say she told you a whole lot of things that can happen with your eyes and circulation and all those kinds of things.\ntherapist: So you just- you just saw the doctor and, uh, you know, you sound like you just got blindsided, uh, with, uh, not only how, how frightening this seems that you have diabetes and that, uh, she-- you say she told you a whole lot of things that can happen with your eyes and circulation and all those kinds of things.\n",FALSE,n/a,TRUE,0.1917076390236616
22,therapist,high,Okay.,"client: Yes.\ntherapist: You're not even on-- Are you on the schedule at all? Meaning of time in a day dedicated? Is most of it going to your family?\nclient: Most of it goes to everything else, but me.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.19234925392083824
86,therapist,high,"You know that, um, positive peer influences have been helpful for you.","client: Mm-hmm. I know who to hang out with, I'm not stupid.\ntherapist: You definitely know how to make good decisions.\nclient: I know who to hang out with, I'm not stupid.\ntherapist: You know that, um, positive peer influences have been helpful for you.\n",FALSE,n/a,TRUE,0.19251771597191691
28,therapist,high,What brings you in?,"therapist: Hi Carrie, thanks for coming in today.\nclient: Thank you, my doctor [unintelligible 00:00:05]\ntherapist: What brings you in?\n",TRUE,open,FALSE,0.1928839443717152
49,therapist,high,Yeah?,"client: Yeah.\ntherapist: Uh, what's that about Egypt, that, uh?\nclient: Oh, I just think it's just fascinating.\ntherapist: Yeah?\n",TRUE,closed,FALSE,0.19347491371445358
55,therapist,high,"Miguel, before we end the call, I did want to go over the answers you gave me on the questionnaire about drug use. Is it okay if we go over that right now?","therapist: Miguel, before we end the call, I did want to go over the answers you gave me on the questionnaire about drug use. Is it okay if we go over that right now?\ntherapist: Miguel, before we end the call, I did want to go over the answers you gave me on the questionnaire about drug use. Is it okay if we go over that right now?\ntherapist: Miguel, before we end the call, I did want to go over the answers you gave me on the questionnaire about drug use. Is it okay if we go over that right now?\ntherapist: Miguel, before we end the call, I did want to go over the answers you gave me on the questionnaire about drug use. Is it okay if we go over that right now?\n",TRUE,closed,FALSE,0.19362545083276927
42,therapist,high,At home or you think that they'll be supportive but they're not giving- they're not giving you what you need?,"client: No, and even when I'm coming home, like, I'll go to the gym and then I'm noticing nothing is happening and I'll come home and I try to talk to my mama about it or even my father, and no one even cares about it. Like no one wants to support in it anyway.\ntherapist: Uh, so you feel like you're doing this all alone?\nclient: Yes.\ntherapist: At home or you think that they'll be supportive but they're not giving- they're not giving you what you need?\n",FALSE,n/a,TRUE,0.1940888506360352
9,therapist,low,"So now that we've discussed a little bit of your medical history and- and taking your vitals, I'd like to ask you a few more questions. The-","therapist: So now that we've discussed a little bit of your medical history and- and taking your vitals, I'd like to ask you a few more questions. The-\n",FALSE,n/a,FALSE,0.19417272228747606
6,therapist,high,Almost overwhelming it sounds like.,"client: Yeah, there's a lot of stress too. My wife's still on maternity leave, she's not getting paid, she's with the baby right now. And I'm the only person that's working right now, and plus I got to change all these things that are going on in my life.\ntherapist: Mm-hmm. Almost—\nclient: Yeah, it's a lot.\ntherapist: Almost overwhelming it sounds like.\n",FALSE,n/a,TRUE,0.19467614381574094
33,therapist,high,As long as I don't talk too much?,"client: Yeah, a while, quite a while. Yeah.\ntherapist: Yeah. Okay. Well, I really appreciate you being willing to even talk about it. And I get that right now, this is not something that you wanna pursue. Would it be okay if I brought it up in our next visit? 'Cause I-I know that you've said you don't want a lecture, but on the other hand, I am- I am concerned.\nclient: Okay, yeah. I could go for that. I-I, uh, I'm always open to some-- you know, to listen. Yeah.\ntherapist: As long as I don't talk too much?\n",FALSE,n/a,TRUE,0.1947924355044961
50,therapist,high,So that one's important.,"client: So I-I definitely don't want to give that up, but—\ntherapist: I gotcha. Okay.\nclient: Uh—\ntherapist: So that one's important.\n",FALSE,n/a,TRUE,0.1948683497030288
77,therapist,high,"All right. Well, I'm delighted. It's a pleasure to see you again. I hope your rehab continues to go well and we can talk some more about this at our next visit.","client: You do Tai Chi?\ntherapist: I do Tai Chi. I do it three days a week and it's really helped my balance as well.\nclient: Oh, okay. Well, yeah. Um, listen, anything that's going to get me home and if you do it and you recommend it, I'll try it.\ntherapist: All right. Well, I'm delighted. It's a pleasure to see you again. I hope your rehab continues to go well and we can talk some more about this at our next visit.\n",FALSE,n/a,FALSE,0.19631026638671756
78,therapist,high,"Very hard. It's very relaxing, and-","client: Right. Um, so would it help, um-- You know, the thought of quitting smoking is a pretty daunting aspect.\ntherapist: Mm-hmm.\nclient: I mean, I know people who've tried to quit and it's-it's just it's- it's really difficult, you know. So I know, it'd be better—\ntherapist: Very hard. It's very relaxing, and-\n",FALSE,n/a,TRUE,0.19677759683690965
41,therapist,high,"Cool, that's great.","client: No-\ntherapist: Right.\nclient: -it's not, it's really not.\ntherapist: Cool, that's great.\n",FALSE,n/a,FALSE,0.19720562873408198
4,therapist,high,Hmm.,"client: Oh, oh, yeah, the—Yeah\ntherapist: You got your lip pierced. How long ago did you get that done?\nclient: About a month.\ntherapist: Hmm.\n",FALSE,n/a,FALSE,0.19741034228354692
126,therapist,low,"All right. Well, this medication is usually well tolerated, which means that it doesn't have very many side effects, but you might experience some muscle aches or pains. If they seem really severe to you, then you should call Dr. Ferris and talk to him about that. Also, this medication can interact with over-the-counter medicines or even other medications. So before you start something new, you should check with either Dr. Ferris or myself. And lastly, this medication can interact with grapefruit juice. So while you're taking this medicine, I would avoid grapefruit juice.","therapist: All right. So that sounds like a perfect place for you to store those. Medications are best when they're stored away from light, heat and moisture.\ntherapist: What did your doctor tell you to expect in terms of side effects?\nclient: He didn't mention anything about that.\ntherapist: All right. Well, this medication is usually well tolerated, which means that it doesn't have very many side effects, but you might experience some muscle aches or pains. If they seem really severe to you, then you should call Dr. Ferris and talk to him about that. Also, this medication can interact with over-the-counter medicines or even other medications. So before you start something new, you should check with either Dr. Ferris or myself. And lastly, this medication can interact with grapefruit juice. So while you're taking this medicine, I would avoid grapefruit juice.\n",FALSE,n/a,FALSE,0.19760540407150984
34,therapist,high,You don't wanna let your baby down.,"client: Yeah.\ntherapist: And you wanna be, um, take care of your baby as the baby's growing.\nclient: Like, I wanna- I wanna be responsible for this thing.\ntherapist: You don't wanna let your baby down.\n",FALSE,n/a,TRUE,0.1979281089734286
21,therapist,high,-and decided that's not for you?,client: Yeah.\ntherapist: -had some consequences-\nclient: Yeah.\ntherapist: -and decided that's not for you?\n,FALSE,n/a,TRUE,0.19799192692153156
22,therapist,high,Yeah.,"client: Yeah, it's like a shock to them when you say something like that. And it's like, ""Well, we all go through things where we're just not sure, and--"" I still have a little bit, I'm not saying that I'm off track, you know? I still have a little bit to go on. And the little bit that I do have are the positive things in my life that I look at and I'm like, ""Okay, well, I'm not in this situation, so I'm thankful,"" and-\ntherapist: Mm-hmm.\nclient: -you know, I'd still have faith to keep going on, but sometimes you feel as though, ""Where is God?""\ntherapist: Yeah.\n",FALSE,n/a,FALSE,0.19800057751126587
27,therapist,low,Mm-hmm.,therapist: Mm-hmm.\ntherapist: Mm-hmm.\ntherapist: Mm-hmm.\ntherapist: Mm-hmm.\n,FALSE,n/a,FALSE,0.1986787309870124
78,therapist,high,"You know. And so-- yeah, and that- and that does concern people. But I do want to reassure you that this is medication that only goes to her lungs, and won't get in her body and they're not the same kind of drugs as the ones you're worried about.","client: Which are the ones that cause all the problems and everything. So, um, if-if you can assure me that it's not going to have those same side effects and health problems-\ntherapist: Yeah, def-definitely would not. I mean, probably you saw the name corticosteroid and thought, ""uh-oh.""\nclient: Yeah.\ntherapist: You know. And so-- yeah, and that- and that does concern people. But I do want to reassure you that this is medication that only goes to her lungs, and won't get in her body and they're not the same kind of drugs as the ones you're worried about.\n",FALSE,n/a,TRUE,0.1986910596024245
13,therapist,high,"That's right. Having chickenpox as a child means that you are less likely to have chickenpox as an adult because you've developed a-a natural immunity. Uh, but is it okay if I offer you a little bit more information about the other vaccines that we're- we were going to give her Lily today?","client: Uh, yeah, well, I was just- I was reading that it's better to let them build up their immunity, like, naturally and stuff in their immune systems.\ntherapist: Okay, so you were thinking that maybe exposing Lily naturally to these diseases would be a better choice than using vaccines to help her get stronger?\nclient: Well, yeah. I mean, I had chickenpox as a kid, and now I'm immune. Right? So.\ntherapist: That's right. Having chickenpox as a child means that you are less likely to have chickenpox as an adult because you've developed a-a natural immunity. Uh, but is it okay if I offer you a little bit more information about the other vaccines that we're- we were going to give her Lily today?\n",TRUE,closed,TRUE,0.199198380112648
83,therapist,high,So is that different from when you've come in here before?,"client: Um, I hope that it says that I want to, um, make some changes.\ntherapist: Yeah.\nclient: Mm-hmm.\ntherapist: So is that different from when you've come in here before?\n",TRUE,closed,FALSE,0.1993966398295015
78,therapist,high,"Okay. When-when somebody has asthma, their lungs are like hypersensitive. If I could use an analogy, again, if-if you had the skin burnt off your arm, if somebody brushed up against you before he had the skin burned off your arm, it wouldn't bother you at all. But when the skin's burned off your arm, you literally react to it. Her lungs are exquisitely sensitive. Uh, and like the skin on your arm would be if the skin got burned off. And what this drug can do? This chronic inhaler is reduce the inflammation in her lungs so that her lungs don't remain exquisitely sensitive. Because otherwise, everything in the air like dust, pollen, uh, reacts with her, uh, in ways that it would not normally affect us.","client: Okay.\ntherapist: Do you mind if I talk to you a little bit about what your daughter's lungs are like when she's having these inflammations and needing to go to the emergency room?\nclient: Yeah.\ntherapist: Okay. When-when somebody has asthma, their lungs are like hypersensitive. If I could use an analogy, again, if-if you had the skin burnt off your arm, if somebody brushed up against you before he had the skin burned off your arm, it wouldn't bother you at all. But when the skin's burned off your arm, you literally react to it. Her lungs are exquisitely sensitive. Uh, and like the skin on your arm would be if the skin got burned off. And what this drug can do? This chronic inhaler is reduce the inflammation in her lungs so that her lungs don't remain exquisitely sensitive. Because otherwise, everything in the air like dust, pollen, uh, reacts with her, uh, in ways that it would not normally affect us.\n",FALSE,n/a,FALSE,0.19940178282558918
130,therapist,low,And let's talk some more about wine. You keep throwing wine into the conversation. It sounds like it's become a significant part of your daily routine. How much are you drinking?,therapist: And let's talk some more about wine. You keep throwing wine into the conversation. It sounds like it's become a significant part of your daily routine. How much are you drinking?\ntherapist: And let's talk some more about wine. You keep throwing wine into the conversation. It sounds like it's become a significant part of your daily routine. How much are you drinking?\ntherapist: And let's talk some more about wine. You keep throwing wine into the conversation. It sounds like it's become a significant part of your daily routine. How much are you drinking?\ntherapist: And let's talk some more about wine. You keep throwing wine into the conversation. It sounds like it's become a significant part of your daily routine. How much are you drinking?\n,TRUE,open,TRUE,0.19959967769682407
71,therapist,high,"Yeah, how doesn't it fit, Billy?","client: Yeah, it'd be good.\ntherapist: Yeah. Okay. So, what I'm really interested in is how offending fits in with that picture, that dream.\nclient: I guess it doesn't.\ntherapist: Yeah, how doesn't it fit, Billy?\n",TRUE,open,FALSE,0.19975039619021118
126,therapist,low,Where do you store your medications?,"therapist: All right. Well, you're going to take one tablet of cholesterol statin 20 one time a day by mouth, and you can take that with or without food. When do you usually take your medications?\nclient: I take all my other medications right before I go to bed. So I guess I could take it then.\ntherapist: That's perfect. This medication can be taken any time of the day, but it does work best if taken in the evening, and it's important to take it every day.\ntherapist: Where do you store your medications?\n",TRUE,open,FALSE,0.19988860050216317
77,therapist,high,"Hi, Mrs. Smith. It's really nice to see you again. I see you're back to follow up on the stroke you had. How are things going for you at the rehab facility?","therapist: Hi, Mrs. Smith. It's really nice to see you again. I see you're back to follow up on the stroke you had. How are things going for you at the rehab facility?\n",TRUE,open,FALSE,0.20066611072979867
82,therapist,high,Amount of four.,"client: I would say an eight.\ntherapist: You'd say an eight. Okay. And on a scale of 1 to 10, how confident are you at the present time that you can drink below risk levels?\nclient: I would say a four.\ntherapist: Amount of four.\n",FALSE,n/a,TRUE,0.20098855113610625
44,therapist,low,Cool. And do you have a lot of friends who are in band with you or-,"client: -it's very exciting, very exhilarating once you're in competition.\ntherapist: Okay.\nclient: It's very cool.\ntherapist: Cool. And do you have a lot of friends who are in band with you or-\n",TRUE,open,FALSE,0.20120243495330215
64,therapist,high,Alright.,client: Yeah.\ntherapist: And that's led you to being here today?\nclient: Yeah.\ntherapist: Alright.\n,FALSE,n/a,FALSE,0.20126153714954853
20,therapist,high,Mm-hmm.,"client: Yeah, exactly.\ntherapist: How were you successful when you quit before?\nclient: I don't know. I-I think about it now, I don't even know how I did it. I just- I just did it. You know, I just- I just couldn't imagine like him not being born or going into labor early-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.20180092309601605
61,therapist,high,Five.,client: That I can make the arrangement?\ntherapist: Mm-hmm.\nclient: Five.\ntherapist: Five.\n,FALSE,n/a,TRUE,0.20203178143128753
57,therapist,low,Okay.,"client: Whatever.\ntherapist: Okay? So a stroke or heart attack is much worse, so make sure you go ahead and pick up your medicine as you're on your way out and, uh, one-one every day to get your cholesterol down.\nclient: Okay, sure. Fine.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.20240350463427603
21,therapist,high,Okay. And what sort of situations are you in?,"client: Not really much.\ntherapist: So, one or two weekends a month you're in a situation where there is alcohol?\nclient: Yeah.\ntherapist: Okay. And what sort of situations are you in?\n",TRUE,open,FALSE,0.2025484829209745
80,therapist,high,Mm.,"client: Well, I did what we discussed. I did the journal-\ntherapist: Okay.\nclient: -for a week, uh, trying to mark down the-the difference in my smoking, being more aware when I had the urge, if I could stop the urge-\ntherapist: Mm.\n",FALSE,n/a,FALSE,0.20299477130174637
31,therapist,high,Hi Mr. Johnson?,therapist: Hi Mr. Johnson?\n,TRUE,closed,FALSE,0.20313350367359817
78,therapist,high,Hi. Are you Julie Thompson?,therapist: Hi. Are you Julie Thompson?\n,TRUE,closed,FALSE,0.20329269929789007
16,therapist,high,"So, Rick, just in regards to your flatmate situation at the moment with Tristan. Uh, you know, we talked about how walking through this program and with the support of your parents and having some positive influence to help you through this. I just want to rethink a bit if you stay living with Tristan. What are the sort of pros and cons of that? What are the good things about living there, what are the not-so-good things about living there?","therapist: So, Rick, just in regards to your flatmate situation at the moment with Tristan. Uh, you know, we talked about how walking through this program and with the support of your parents and having some positive influence to help you through this. I just want to rethink a bit if you stay living with Tristan. What are the sort of pros and cons of that? What are the good things about living there, what are the not-so-good things about living there?\n",TRUE,closed,FALSE,0.20394068537279963
57,therapist,low,"Okay. Well, the-the side effect is something that's very, very rare, it's not really something you need to worry about, and the risk of stroke or heart attack is much worse.","client: Well, to be honest with you, I'm not even certain I'm going to take the medicine. Now, I know I got high cholesterol, I've got to get that down, but on the other hand, this medicine can cause some severe muscle weakness and I just can't afford that. I'm a truck driver and I haul those heavy boxes in on the dollies and I just can't afford that, so you know.\ntherapist: So your-your-your doctor told you that if your cholesterol remains elevated, you're at risk of stroke or heart attack?\nclient: Yeah, down the line, but-\ntherapist: Okay. Well, the-the side effect is something that's very, very rare, it's not really something you need to worry about, and the risk of stroke or heart attack is much worse.\n",FALSE,n/a,FALSE,0.2041221340186894
115,therapist,low,"Okay. Well thanks for listening, and honestly, I- I am really worried about the smoking, so--","client: Okay. Well, can I go now?\ntherapist: I'm-- okay, but you know--\nclient: I-I-I know it, I know- I know, doc, what you're trying to-- but I just don't want to get into that right now.\ntherapist: Okay. Well thanks for listening, and honestly, I- I am really worried about the smoking, so--\n",FALSE,n/a,FALSE,0.20446870499290526
20,therapist,high,You have a lot of things going on and smoking's kind of a way to relax and destress.,"client: Okay.\ntherapist: Um, I did wanna talk to you though. I'm a little bit concerned looking through his chart of how many ear infections he's had recently. And I-I noticed that you had checked the box that someone's smoking in the home. So I was wondering if you can tell me a little more about that.\nclient: Well, um, It's just me and him and I do smoke. Um, I try really hard not to smoke around him, but I-I've been smoking for 10 years except when I was pregnant with him. But it-- everything is so stressful being a single mom and-and my having a full-time job. And so it's just-- that's why I started smoking again.\ntherapist: You have a lot of things going on and smoking's kind of a way to relax and destress.\n",FALSE,n/a,TRUE,0.20459270663559437
27,therapist,low,"Well, you sound a bit surprised by that. But I'm sure that you've seen some of the material that-that the clinic gave you about asthma symptoms and managing your asthma, and pets are a really big source of problems in that respect.","therapist: Well, you sound a bit surprised by that. But I'm sure that you've seen some of the material that-that the clinic gave you about asthma symptoms and managing your asthma, and pets are a really big source of problems in that respect.\ntherapist: Well, you sound a bit surprised by that. But I'm sure that you've seen some of the material that-that the clinic gave you about asthma symptoms and managing your asthma, and pets are a really big source of problems in that respect.\ntherapist: Well, you sound a bit surprised by that. But I'm sure that you've seen some of the material that-that the clinic gave you about asthma symptoms and managing your asthma, and pets are a really big source of problems in that respect.\ntherapist: Well, you sound a bit surprised by that. But I'm sure that you've seen some of the material that-that the clinic gave you about asthma symptoms and managing your asthma, and pets are a really big source of problems in that respect.\n",FALSE,n/a,FALSE,0.20486219855956733
73,therapist,high,"So with his encouragement, you-you tried some drugs.","client: He, um, introduced me to it too, so I've tried it.\ntherapist: So with his encouragement, you-you tried some drugs.\n",FALSE,n/a,TRUE,0.20562151679769158
34,therapist,high,"Mm-hmm. You got a lot of people around you that are kind of pulling it down, and it's kind of taking you back to the old life. And the baby is a constant reminder that there’s this new life ahead.","client: Yeah. And I'm just- you know, you can't just one day flick a switch and become a new person.\ntherapist: While this baby feels like this is your second chance, you're wondering, ""Do I deserve that second chance?"" And then this other part of you that says, ""Why not? It's here and I wanna go for it.""\nclient: Yeah, I guess that voice is just a little more stifled by the other one.\ntherapist: Mm-hmm. You got a lot of people around you that are kind of pulling it down, and it's kind of taking you back to the old life. And the baby is a constant reminder that there’s this new life ahead.\n",FALSE,n/a,TRUE,0.20562382647767663
14,therapist,high,Okay.,"client: I guess.\ntherapist: So, why are you at a four and not even a lower number? Why are you not like a zero or a one?\nclient: Because I've been wanting to do this for-for years, like-\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.20567359309643507
18,therapist,high,"Yeah, yeah, okay, okay. So Sarah might see it as an issue. And-and I guess there's a part of you also sees it as an issue, part of you, you know. Part of you may not, but a part of you does.","client: But, um, I don't know. She-she doesn't really discuss it with me.\ntherapist: Okay. But you owe her some money and you get the sense that-- Or I'm picking up, you get a sense that she's not terribly happy.\nclient: Mm.\ntherapist: Yeah, yeah, okay, okay. So Sarah might see it as an issue. And-and I guess there's a part of you also sees it as an issue, part of you, you know. Part of you may not, but a part of you does.\n",FALSE,n/a,TRUE,0.20652891811914742
16,therapist,high,Mm-hmm.,"client: Yeah.\ntherapist: What's your thinking around that?\nclient: That's the thing, isn't it? I am-- I don't know if it's the best place for me to be if I'm gonna make those changes.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.20657002506777644
68,therapist,high,"Okay. So sort of in the-the too much drinking or-or at times, can you tell me some of the less good things or not so good things about alcohol?","client: Um, it's, you know, when we drink, we-we tend to have more fun because I guess we're not, you know, everyone's drinking together. We're a lot more loosened up and relaxed-\ntherapist: Mm-hmm.\nclient: -and not really thinking about stresses or things like that, but it can be--When it's too much drinking, it can be- can be obviously bad.\ntherapist: Okay. So sort of in the-the too much drinking or-or at times, can you tell me some of the less good things or not so good things about alcohol?\n",TRUE,open,FALSE,0.20670703984797
1,therapist,high,And so what about your drinking do you not like or is there anything that worries you about your drinking?,"client: Well, I didn't know about those things.\ntherapist: Can I ask you, uh, what do you like about drinking alcohol?\nclient: Well, I-I like beer. I like the way it tastes, I like the way it makes me feel. Uh, like when I'm around friends and it's not a problem for me.\ntherapist: And so what about your drinking do you not like or is there anything that worries you about your drinking?\n",TRUE,open,FALSE,0.20765897282399237
74,therapist,low,"I'm good. Um, wow, what's changed? What do we have here?","therapist: Hi, Emily. How are you?\nclient: I'm doing all right. How are you?\ntherapist: I'm good. Um, wow, what's changed? What do we have here?\n",TRUE,open,FALSE,0.20799270854331553
25,therapist,high,"So, Liz, what's something that you'd like to change or maybe that you're feeling two ways about right now?","therapist: So, Liz, what's something that you'd like to change or maybe that you're feeling two ways about right now?\n",TRUE,open,FALSE,0.20825339457951486
18,therapist,high,Sorry?,"therapist: So I get a sense it's a little anxious being here today and, uh, meeting someone like me, and, um, what we're gonna be doing today is-is inducting, but also I wanna talk about, um, yeah, the issues that-that have got you here and we need to do some sorting out around, um, yeah how serious you are to sort of sort those issues. So?\nclient: I don't really know what issues I need to sort.\ntherapist: Sorry?\n",FALSE,n/a,FALSE,0.20828545466065407
5,therapist,high,"Hi, Billy.","therapist: Hi, Billy.\n",FALSE,n/a,FALSE,0.20856995694339275
27,therapist,low,Mm-hmm.,"client: Yeah, but I-- Um, let me just clarify, I've seen the materials, I have them-\nclient: Yeah, but I-- Um, let me just clarify, I've seen the materials, I have them-\nclient: Yeah, but I-- Um, let me just clarify, I've seen the materials, I have them-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.20902460208162665
43,therapist,high,"Well, thank you, Tanya, for meeting with me today and talking about this. So, there is something I'd like to ask you that we can kind of discuss in our conversation is what's one thing about yourself or something in your life that you'd like to change that maybe you've been feeling kind of ambivalent about?","therapist: Well, thank you, Tanya, for meeting with me today and talking about this. So, there is something I'd like to ask you that we can kind of discuss in our conversation is what's one thing about yourself or something in your life that you'd like to change that maybe you've been feeling kind of ambivalent about?\n",TRUE,open,FALSE,0.2100628053303808
72,therapist,low,All right. You promise?,"client: Like on Facebook, all the pictures that you saw on the internet. Like I w- I will avoid those situations where I have to go to a party where I feel pressured to actually drink alcohol and allow what I do in my own private time to put on the internet so others can see, even though.\ntherapist: All right. Yeah. I mean, we got to have a deal here if you're going to be on the team. Okay?\nclient: Right. I'll stop.\ntherapist: All right. You promise?\n",FALSE,n/a,FALSE,0.21031505009159446
7,therapist,high,"No, I guess that that would be the end of your, uh, shaking and moving. I know-- I wonder if you'd be open to exploring your alcohol use and what that looks like during the week.","therapist: No, I guess that that would be the end of your, uh, shaking and moving. I know-- I wonder if you'd be open to exploring your alcohol use and what that looks like during the week.\ntherapist: No, I guess that that would be the end of your, uh, shaking and moving. I know-- I wonder if you'd be open to exploring your alcohol use and what that looks like during the week.\ntherapist: No, I guess that that would be the end of your, uh, shaking and moving. I know-- I wonder if you'd be open to exploring your alcohol use and what that looks like during the week.\ntherapist: No, I guess that that would be the end of your, uh, shaking and moving. I know-- I wonder if you'd be open to exploring your alcohol use and what that looks like during the week.\n",TRUE,open,FALSE,0.21139193885028362
43,therapist,high,And before you've been putting it off.,"client: I mean, because I-I have it set up after like so many years, so I still have a ton of anxiety about it, but I think I'm like kind of making it, maybe that first step. And so that's why I would rate it as like a four or five because I'm making that first step, but it's still scary for me.\ntherapist: Yeah. Yeah, and you also mentioned that you've actually made the appointment that you have to take this exam.\nclient: Yeah.\ntherapist: And before you've been putting it off.\n",FALSE,n/a,TRUE,0.21158449887298048
43,therapist,high,"So to end our conversation, how do you think you couldn't move? You originally said, you were at four or five, what would have to happen to get you to like a seven, to feel more confident?","client: Right\ntherapist: And you just mentioned too, you feel really proud of yourself.\nclient: Yeah.\ntherapist: So to end our conversation, how do you think you couldn't move? You originally said, you were at four or five, what would have to happen to get you to like a seven, to feel more confident?\n",TRUE,open,FALSE,0.21187428338453174
66,therapist,high,"So you just- you just saw the doctor and, uh, you know, you sound like you just got blindsided, uh, with, uh, not only how, how frightening this seems that you have diabetes and that, uh, she-- you say she told you a whole lot of things that can happen with your eyes and circulation and all those kinds of things.","therapist: So you just- you just saw the doctor and, uh, you know, you sound like you just got blindsided, uh, with, uh, not only how, how frightening this seems that you have diabetes and that, uh, she-- you say she told you a whole lot of things that can happen with your eyes and circulation and all those kinds of things.\ntherapist: So you just- you just saw the doctor and, uh, you know, you sound like you just got blindsided, uh, with, uh, not only how, how frightening this seems that you have diabetes and that, uh, she-- you say she told you a whole lot of things that can happen with your eyes and circulation and all those kinds of things.\ntherapist: So you just- you just saw the doctor and, uh, you know, you sound like you just got blindsided, uh, with, uh, not only how, how frightening this seems that you have diabetes and that, uh, she-- you say she told you a whole lot of things that can happen with your eyes and circulation and all those kinds of things.\ntherapist: So you just- you just saw the doctor and, uh, you know, you sound like you just got blindsided, uh, with, uh, not only how, how frightening this seems that you have diabetes and that, uh, she-- you say she told you a whole lot of things that can happen with your eyes and circulation and all those kinds of things.\n",FALSE,n/a,TRUE,0.21314450236968696
12,therapist,high,"Okay, great. Let's quantify that a little bit. So how many cigarettes would that be?","client: Well, I mean, you brought up some kinda scary stuff like, you know, cancer risk or other things like that. And you know, being a mother, I-I don't want something to happen to me obviously.\ntherapist: Right. Well, that's a lot of information to think about. So given, the fact that these healthcare concerns are a possibility, and that you're worried about your family and you certainly have goals you want to succeed at, where are you in your consideration to making a change? In other words, what steps would you consider taking for this number to move closer to a 10?\nclient: Well, I mean, I could maybe try to cut back in the evenings a little bit.\ntherapist: Okay, great. Let's quantify that a little bit. So how many cigarettes would that be?\n",TRUE,closed,FALSE,0.21318555460311472
28,therapist,high,You were forced to-,"client: Oh God, I would have to say, uh, three days.\ntherapist: Oh, three days. You know, that's a long time and I felt, you know, that's a pretty long time to go without smoking and I would imagine, I think that's pretty good.\nclient: But it was not really by choice, it was by, um, the situation I was in, I wasn't able to smoke so, yeah.\ntherapist: You were forced to-\n",FALSE,n/a,TRUE,0.21328418143093586
118,therapist,low,"Hi, come in. [door closes] Sit- sit yourself down. Uh, what can I do for you today?","therapist: Hi, come in. [door closes] Sit- sit yourself down. Uh, what can I do for you today?\n",TRUE,open,FALSE,0.21397210261784494
73,therapist,high,"But it's not something that you wanna make a habit of becoming reliant on, or dependent?","client: -I don't wanna have to rely on having to take that.\ntherapist: Okay. So it's not something you wanna rely on, you don't see yourself continuing to use this. It's something that you'v found at least for the moment very helpful?\nclient: Mm-hmm. Yeah, and—\ntherapist: But it's not something that you wanna make a habit of becoming reliant on, or dependent?\n",FALSE,n/a,TRUE,0.21432487177662551
53,therapist,low,"Yeah. Probably if your friends won't quit drinking, you should just find new friends.","client: Um, I really can't control what they do, but I'll definitely try to get my closest friends to maybe stop like I will.\ntherapist: Okay, and-and what if they won't?\nclient: Well, then, I guess, I'll just try to hang around them less or something. I'll try to find things for us to do that don't involve alcohol like a party or anything.\ntherapist: Yeah. Probably if your friends won't quit drinking, you should just find new friends.\n",FALSE,n/a,FALSE,0.21490354579873383
53,therapist,low,"-and you're still not drinking and not hanging out with any people who are drinking. Um, is there anything else you'd like to talk about while you're here?","client: So-\ntherapist: Okay, so, yeah, just another reason why you probably need to just quit then. Um, okay, yeah. I-- Okay, so, like I said, I'm gonna right down here that you've decided to quit and, um, uh, you know, I'm gonna be meeting with you again probably in the next semester sometime, so we can kinda check-in and-and make sure that, you know, that's still going well-\nclient: Okay.\ntherapist: -and you're still not drinking and not hanging out with any people who are drinking. Um, is there anything else you'd like to talk about while you're here?\n",TRUE,open,FALSE,0.21500238846056163
82,therapist,high,Every time.,"client: I would say an eight.\ntherapist: An eight. Okay. And on a scale of 1 to 10, how confident are you at the present time that you- that you can use effective birth control?\nclient: Every time,-\ntherapist: Every time.\n",FALSE,n/a,FALSE,0.2160441109444946
18,therapist,high,Yeah.,"client: Yeah.\ntherapist: Okay. So, what other things have you've been open to at other times in your life when you've been open to-to new ideas and being able to talk about stuff, that may be tough to talk about?\nclient: I don't know. I am just usually pretty open with people. It's a bit different here tonight and-\ntherapist: Yeah.\n",FALSE,n/a,FALSE,0.21625967789441347
4,therapist,high,This is something new.,"client: Hi.\ntherapist: It's been a while.\nclient: Yeah, it's been a while.\ntherapist: This is something new.\n",FALSE,n/a,TRUE,0.21638541505672038
85,therapist,high,Okay.,"client: Yeah, just a little schizophrenia. I'm-I'm-- But, I'm okay with it, and so am I.\ntherapist: Okay. [laughs] And-and-and, uh, if you wanted to maybe even, you know, a little drinking and weed in there 'cause it's also very kind. [crosstalk]\nclient: Oh, that makes me f-- Yeah, that makes me feel-\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.21655583404935896
5,therapist,high,Mm.,"client: Nah. I didn't really think about it frankly.\ntherapist: Mm-hmm. So, what shifted that made it that you were actually able to go to the polytech and get the forms? What's shifted in you?\nclient: I don't know. I just thought if, uh, I could get a job and stuff, doing stuff I like, uh, it'll make things easier.\ntherapist: Mm.\n",FALSE,n/a,FALSE,0.2165673109702766
115,therapist,low,"Okay, so why don't you have a rinse, David. How are you feeling?","therapist: Okay, so why don't you have a rinse, David. How are you feeling?\n",TRUE,open,FALSE,0.21667926898226142
5,therapist,high,"Mm-hmm. So, what shifted that made it that you were actually able to go to the polytech and get the forms? What's shifted in you?","client: Yeah.\ntherapist: Yeah? I was thinking about the Billy, say, the Billy of six months ago. I'm wondering if the Billy of six months ago would've done that?\nclient: Nah. I didn't really think about it frankly.\ntherapist: Mm-hmm. So, what shifted that made it that you were actually able to go to the polytech and get the forms? What's shifted in you?\n",TRUE,open,FALSE,0.21715769823640585
58,therapist,high,"Hi. You were saying over the phone, uh, you want to talk about exercise?","therapist: Hi, Scott.\nclient: Hi.\ntherapist: Hi. You were saying over the phone, uh, you want to talk about exercise?\n",TRUE,closed,FALSE,0.21723658521659672
15,therapist,low,"Well, there are some products that you could use to take away some of your cravings, and probably the gum would be the best option for you. It's not something you would continue to use continuously throughout the day, however, but gum is something you use just when you have a craving.","client: Well, I mean, I s-- I-I-I smoke barely a pack a day. I mean, I've probably smoked for about five or six years now. It's not really a lot of cigarettes, but it's sort of hard to get through the day at work.\ntherapist: Okay. Well, we actually consider 20 cigarettes a day to be a significant amount, and in fact, I would then recommend to you that you would start on the highest dose of nicotine replacement.\nclient: Sounds good to me. The more nicotine, the better. Is it like gum or something? Could I chew it like while I'm in the office? That sounds pretty great. I mean, do you have—\ntherapist: Well, there are some products that you could use to take away some of your cravings, and probably the gum would be the best option for you. It's not something you would continue to use continuously throughout the day, however, but gum is something you use just when you have a craving.\n",FALSE,n/a,TRUE,0.21737005352042615
38,therapist,high,"So, if you could somehow tackle some of these stressful issues, um, that could make a difference, and, what-what would that be, for example?","client: Yeah.\ntherapist: So, I guess I'm wondering if you've given any thought to other ways in which you could cope with stress without relying on the drinking so much.\nclient: Well, you know, if there was some way that I could relieve some of my stress, I think I would feel better, and, you know, maybe at night, I wouldn't feel like I had to unwind in the same way.\ntherapist: So, if you could somehow tackle some of these stressful issues, um, that could make a difference, and, what-what would that be, for example?\n",TRUE,open,TRUE,0.21847048844210804
23,therapist,high,"So I guess, tell me a bit more about what happens then. So let's focus on maybe an invitation to do a job with, uh, you know, it's going to involve, uh, photography with- with a group of people and you're going to have to have social interaction. What kind of thoughts go through your head?","client: Uh, I guess I'd finished school about a year before that. Um, and I mean, I-I've always been a bit shy, um, at school, but it was never ever, uh, like it didn't really affect the things as much as not at all as much as it has been doing the last few years ago, I guess. It just started when I- like my friends went to university, and, I don't know, I felt like I was expected to kind of move out or do something and then it just kind of escalated from there.I just stop going to parties or I'd just say no to invitations or I don't know, I thought my job would help because I mean, I love it. I've- I really like doing photography, but I'm just kind of getting less and less work as it goes on, so, which is my thing, you know, but—\ntherapist: What kind of work is the most difficult for you in your job?\nclient: I guess when it- I have to kind of be working with other people. Um, I don't like that. It's like when I'm trying to kind of- would do an event or something where there's a lot of people there, not just photographers, but actual, you know, if I'm like taking places with people that I don't know, I just kind of find myself saying, you know, I mean, I want to do them, but just is scary. So I just don't do it.\ntherapist: So I guess, tell me a bit more about what happens then. So let's focus on maybe an invitation to do a job with, uh, you know, it's going to involve, uh, photography with- with a group of people and you're going to have to have social interaction. What kind of thoughts go through your head?\n",TRUE,open,FALSE,0.21847563819028437
55,therapist,high,"Miguel, before we end the call, I did want to go over the answers you gave me on the questionnaire about drug use. Is it okay if we go over that right now?","therapist: Miguel, before we end the call, I did want to go over the answers you gave me on the questionnaire about drug use. Is it okay if we go over that right now?\ntherapist: Miguel, before we end the call, I did want to go over the answers you gave me on the questionnaire about drug use. Is it okay if we go over that right now?\ntherapist: Miguel, before we end the call, I did want to go over the answers you gave me on the questionnaire about drug use. Is it okay if we go over that right now?\n",TRUE,closed,FALSE,0.21876107808202505
130,therapist,low,"No, wait a minute. That has everything to do with what we're talking about. I can't believe at the end of this appointment, you're just slipping in the fact that you've resumed smoking again. That's very, very important information for me to know. And I'd like to spend some time talking about it now.","therapist: No, wait a minute. That has everything to do with what we're talking about. I can't believe at the end of this appointment, you're just slipping in the fact that you've resumed smoking again. That's very, very important information for me to know. And I'd like to spend some time talking about it now.\ntherapist: No, wait a minute. That has everything to do with what we're talking about. I can't believe at the end of this appointment, you're just slipping in the fact that you've resumed smoking again. That's very, very important information for me to know. And I'd like to spend some time talking about it now.\ntherapist: No, wait a minute. That has everything to do with what we're talking about. I can't believe at the end of this appointment, you're just slipping in the fact that you've resumed smoking again. That's very, very important information for me to know. And I'd like to spend some time talking about it now.\ntherapist: No, wait a minute. That has everything to do with what we're talking about. I can't believe at the end of this appointment, you're just slipping in the fact that you've resumed smoking again. That's very, very important information for me to know. And I'd like to spend some time talking about it now.\n",FALSE,n/a,FALSE,0.2193413027562201
20,therapist,high,"Okay. So it sounds like you have a lot of reasons why you'd like to quit. You have been successful quitting in the past, and right now you're just feeling a little bit hesitant about your ability to do it?","client: Probably like a 5 . Kind of in the unsure area. Like I know I've done it before, so I know I can do it, but at the same time, it just seems really hard. And it's not the same situation.\ntherapist: Well, what made you say five rather than two or three?\nclient: I know- I know all the ways it's bad for me. And I don't want him to grow up thinking that it's okay to smoke. I don't want him to-to use any kind of-- I don't want him to chew or anything like that. Um, so I know I need to, especially before he gets old enough to understand what mommy's doing, but I just don't know if I can do it.\ntherapist: Okay. So it sounds like you have a lot of reasons why you'd like to quit. You have been successful quitting in the past, and right now you're just feeling a little bit hesitant about your ability to do it?\n",FALSE,n/a,TRUE,0.22003285982646048
40,therapist,high,Okay.,"client: Um, and—\ntherapist: Since the-- since you used, uh-- since the last time you used meth, right?\nclient: Right.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.22019782289862633
78,therapist,high,Which build people up and have masculinizing effects.,"client: Yeah.\ntherapist: Okay. Even though, uh, even though this medicine isn't the-the medicine that's in this is in the same broad family as the steroids you're worried about, and those are called anabolic steroids.\nclient: Okay.\ntherapist: Which build people up and have masculinizing effects.\n",FALSE,n/a,FALSE,0.22036089887842536
55,therapist,high,"Thanks. Just so you know, when I talk to patients about drug use, my job is to be helpful. I'm not going to tell you what to do or what you should do. What I can do is share some information and be a resource. Does that make sense?","therapist: Thanks. Just so you know, when I talk to patients about drug use, my job is to be helpful. I'm not going to tell you what to do or what you should do. What I can do is share some information and be a resource. Does that make sense?\ntherapist: Thanks. Just so you know, when I talk to patients about drug use, my job is to be helpful. I'm not going to tell you what to do or what you should do. What I can do is share some information and be a resource. Does that make sense?\ntherapist: Thanks. Just so you know, when I talk to patients about drug use, my job is to be helpful. I'm not going to tell you what to do or what you should do. What I can do is share some information and be a resource. Does that make sense?\ntherapist: Thanks. Just so you know, when I talk to patients about drug use, my job is to be helpful. I'm not going to tell you what to do or what you should do. What I can do is share some information and be a resource. Does that make sense?\n",TRUE,closed,FALSE,0.22092450479976833
80,therapist,high,Okay.,"client: I-- And it took me a week and I'm down two cigarettes a day, I-I figure.\ntherapist: Sure.\nclient: What I'd like to do is maybe go down to five cigarettes, in other words, another three a day.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.22095964499749243
64,therapist,high,"Well, let's do some checking out.","client: Yeah, pretty right.\ntherapist: Alright.\nclient: Yeah.\ntherapist: Well, let's do some checking out.\n",FALSE,n/a,FALSE,0.2210902685765177
21,therapist,high,"All right, so, I guess just to get started, can you tell me a little bit about yourself?","client: Okay.\ntherapist: Does that sound okay?\nclient: Yeah.\ntherapist: All right, so, I guess just to get started, can you tell me a little bit about yourself?\n",TRUE,open,FALSE,0.22112617804668844
18,therapist,high,"Yeah. Yeah, so you're not a bad person. Certainly, I don't make judgments about people being bad people. So that seems sort of actually thinking about this, you sensed that you could've stopped.","client: -I don't know.\ntherapist: Yeah, and-and in some ways getting caught might be a good thing. I know it might sound a re-really sort of strange thing to say, but I wonder if like getting caught might have been a good thing. Because you would have read the papers about other people's of-- you know. They're the hands that would turn on stuff and end up with gambling problems and big money. So I want- I want to hear much that it might have been a good thing that you got caught at this stage, and you got a chance to do some talking about it and working around some strategies to get it under control so it doesn't control you. What's your hunch about that?\nclient: I don't know. I-I don't think it would have been too much of a problem. I mean I'm not a bad person, I wouldn't have, you know, wouldn't have continued to steal. It was just at the time that I was going through a rough patch. I wasn't intending to make it a long-term thing.\ntherapist: Yeah. Yeah, so you're not a bad person. Certainly, I don't make judgments about people being bad people. So that seems sort of actually thinking about this, you sensed that you could've stopped.\n",TRUE,closed,FALSE,0.22395001258701086
12,therapist,high,"Okay. Well, it's very nice to meet you. I'll see you in a month.","client: I mean, I would like to talk about, you know, my stress, but I'm still not sure with the whole drinking thing.\ntherapist: Certainly, certainly. I'm glad you're willing to talk to him. So before you leave here today, we'll, uh, stop by the scheduler's desk and make an appointment for you to see me back in four weeks, as well as the appointment with Dr. Kirtley. And that way, before you leave, you're all set. So do you have any other questions for me, Sarah?\nclient: I don't think so.\ntherapist: Okay. Well, it's very nice to meet you. I'll see you in a month.\n",FALSE,n/a,FALSE,0.22487292322330177
27,therapist,low,"I understand that your asthma symptoms have been just really out of control. So, we need to look at some of the ways that you can get healthy and not be back here again.","therapist: I understand that your asthma symptoms have been just really out of control. So, we need to look at some of the ways that you can get healthy and not be back here again.\ntherapist: I understand that your asthma symptoms have been just really out of control. So, we need to look at some of the ways that you can get healthy and not be back here again.\ntherapist: I understand that your asthma symptoms have been just really out of control. So, we need to look at some of the ways that you can get healthy and not be back here again.\ntherapist: I understand that your asthma symptoms have been just really out of control. So, we need to look at some of the ways that you can get healthy and not be back here again.\n",FALSE,n/a,TRUE,0.2249461894389242
76,therapist,high,Mm-hmm.,"client: Yeah, mm-hmm, yeah. [crosstalk] And that it's not selfish.\ntherapist: Yeah that's not selfish. And so you feel as though you can help, you can be of help to others, um, just as long as it's not detrimental to yourself. It's true.\nclient: Yes. Yeah. Um, then, and but also service, that's third because I really do enjoy helping other people. Being there for other people, you know, and-and if it puts myself out. Like I have my brother, his-his daughter, and his granddaughter they come over and, uh, I slept on-on the air mattress and, uh, me with my mother and my dad and my sis-- my-- his daughter in the other spare room that I have.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.22508330596610904
84,therapist,high,"Mm. So it felt like she bossed you around, didn't really listen to you.","client: She didn't really listen to me, just told me what to do. She just bossed me around.\ntherapist: Okay, the probation officer we're talking about here?\nclient: Yeah, yeah, yeah.\ntherapist: Mm. So it felt like she bossed you around, didn't really listen to you.\n",FALSE,n/a,TRUE,0.22642494412139058
58,therapist,high,"Yeah, okay.","client: You gotta get over there.\ntherapist: When you find someone to go with, great, if not, you get your own [unintelligible 00:08:12] your own music and uh, I'll be- I'll be trying just to-to see um, what is like for you, having actually done that [unintelligible 00:08:20]\nclient: Very good.\ntherapist: Yeah, okay.\n",FALSE,n/a,FALSE,0.22644970659166574
23,therapist,high,And what was happening around that time?,client: Yeah.\ntherapist: So you would have been about 19.\nclient: Yeah.\ntherapist: And what was happening around that time?\n,TRUE,open,FALSE,0.22646675049327314
46,therapist,high,Okay. What could you do to avoid getting into trouble?,"client: Um, probably a five.\ntherapist: A five? So, I'm curious. Why didn't you pick a lower number like a two or three that would mean you're only a little bit ready to stop drinking?\nclient: Well, I guess I'm just tired of getting in trouble.\ntherapist: Okay. What could you do to avoid getting into trouble?\n",TRUE,open,FALSE,0.22779430961236358
56,therapist,high,Yeah?,client: Pretty good.\ntherapist: Yeah?\ntherapist: Yeah?\ntherapist: Yeah?\n,FALSE,n/a,FALSE,0.22802984528243542
38,therapist,high,"So, you've noticed that it's starting to call to you a little bit in the evenings.","client: Yeah.\ntherapist: So, I'm wondering, have you noticed any problems from your drinking?\nclient: No. I guess, you know, the one- the one thing I can think of is, I mean, there will be evenings when I just kind of want to get my son to bed a little earlier, just so that I can have that alone time to unwind, you know, maybe-maybe smoke, have a couple drinks. Um, but, I do feel guilty about that sometimes, because, I should enjoy spending time with my son, but, instead, you know, I'm just wanting to be by myself and relax, you know. So—\ntherapist: So, you've noticed that it's starting to call to you a little bit in the evenings.\n",FALSE,n/a,TRUE,0.22817205893807113
95,therapist,high,And how are you a burden now?,client: I-I think so?\ntherapist: How is she gonna be better off without you?\nclient: Because it won't be a burden to her.\ntherapist: And how are you a burden now?\n,TRUE,open,FALSE,0.2282803556881845
47,therapist,high,"Okay, I understand that sometimes if you're feeling angry or upset about something, the last thing you want to do is share with your caseworker at that time, but, um, you know I am here for you, and if there's anything you ever want to talk about or share with me, that is something that I would love to-to here, and I'll just see sit here and listen if that's something that you would find helpful.","client: Mm-hmm.\ntherapist: My guess is you're probably involved in that.\nclient: Hmm.\ntherapist: Okay, I understand that sometimes if you're feeling angry or upset about something, the last thing you want to do is share with your caseworker at that time, but, um, you know I am here for you, and if there's anything you ever want to talk about or share with me, that is something that I would love to-to here, and I'll just see sit here and listen if that's something that you would find helpful.\n",FALSE,n/a,TRUE,0.22840068326331675
56,therapist,high,Yeah.,therapist: Yeah.\ntherapist: Yeah.\ntherapist: Yeah.\ntherapist: Yeah.\n,FALSE,n/a,FALSE,0.228925752453506
12,therapist,high,So are there other things you do in the evening to relax?,"therapist: Yeah, exactly. You know, I told you, my-my schedule is kinda crazy right now. I, um, I work full-time and I just started back at night classes. So, you know, all that combined, you know, I enjoy that time to myself in the evening.\ntherapist: Sure. Sure. Well, it's a time to relax and you've got a lot going on.\nclient: Mm-hmm.\ntherapist: So are there other things you do in the evening to relax?\n",TRUE,closed,FALSE,0.229146477766335
8,therapist,high,"If you wanted to bring your wife along, I'd be more than happy to talk with both of you.","client: So, I can actually do it that way like gradual taber?\ntherapist: There are some medications and some different approaches that we can use that aren't so abrupt. Recognizing that it-it's going to take some time and practice to get to where you might want to be.\nclient: I wish my wife could have come today cause she's feels after like, just stop like right away. So do you think she could come with me at a future appointment or something and she could hear that message?\ntherapist: If you wanted to bring your wife along, I'd be more than happy to talk with both of you.\n",FALSE,n/a,FALSE,0.23012333107180893
123,therapist,low,"Okay, so I think that's a pretty common misconception, because they're fruit-flavored, people think they're okay. Those are really bad for you. Did you know that?","client: Well, the only thing-- I've never smoked cigarettes ever, um, but, um, when, um, when I go out with my friends, um, we like to go to, you know, we like to go out to lounges.\ntherapist: Mm-hmm.\nclient: And, um, you know, sometimes they're those- those, uh, nice young men that gift you different sorts of things. And we got some of those mini cigars that are Swisher sweets, they come in peach and-and grape and-and, you know, that's the only time that really, you know, I've ever really used anything that-that's got tobacco in it.\ntherapist: Okay, so I think that's a pretty common misconception, because they're fruit-flavored, people think they're okay. Those are really bad for you. Did you know that?\n",TRUE,closed,FALSE,0.23237319360487163
5,therapist,high,Mm. So the drinking is something that we talked about can make it easier for you to offend.,"client: Yeah.\ntherapist: Yeah? So, what temptations have you had to, kind of, go back to offending?\nclient: Like like getting on the piss, but with Donna, there kind of keeps me busy.\ntherapist: Mm. So the drinking is something that we talked about can make it easier for you to offend.\n",FALSE,n/a,TRUE,0.2335235255304724
4,therapist,high,Mm-hmm.,"client: I don't know, I guess if I started to see that it was actually causing a problem, then I might.\ntherapist: Mm-hmm.\nclient: But for now-- I mean, I just got and-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.23370339861139655
23,therapist,high,Okay. Can you give me an example of a-a recent situation? Maybe we can focus on that.,"client: Um, just, I mean, I get really hot and sweaty, and I don't-- I feel like everyone's kind of looking at me and thinking that I'm just like really stupid, and I feel like they're all going to be staring and thinking, I just can't do my job. And I'm just an idiot. And I mean, they'll think that I just look like a weirdo and I just try and-- I mean, I just kind of just try and get out of the situation or just focus on something else. So that's why I like doing shots where it's just me and the camera 'cause I- then I can just put all my attention on that instead of having to, you know, be with other people.\ntherapist: Okay. So it sounds like you have quite a lot of thoughts rushing through your head then at the point where you get that invitation and you think, ""People will look, people will stare, people will think I'm a weirdo."" So there's quite a lot about what you- what you think other the people will think. And how does that make you feel?\nclient: Um, just makes me feel like an idiot, makes me feel like I just shouldn't even bother trying to do it anymore. I should just go home and I just-- I think I just don't want to be in that situation. I just feel like everyone else is fine and they're normal and I'm just the freak, you can't, like do normal things and—\ntherapist: Okay. Can you give me an example of a-a recent situation? Maybe we can focus on that.\n",TRUE,closed,FALSE,0.23497214680537581
91,therapist,high,You're welcome.,"client: No, that gives me something to work towards until I see you next week.\ntherapist: Excellent. Well, thank you so much for coming in today.\nclient: Thank you for seeing me, doctor.\ntherapist: You're welcome.\n",FALSE,n/a,FALSE,0.23529913555830717
33,therapist,high,Right.,"client: Hard to tell 'cause I already had open-heart surgery. That didn't do it.\ntherapist: Mm-hmm.\nclient: Prostate cancer, that didn't do it.\ntherapist: Right.\n",FALSE,n/a,FALSE,0.2357152292970568
47,therapist,high,"Hey, Mary, how are you?","therapist: Hey, Mary, how are you?\n",TRUE,open,FALSE,0.23575475625693798
31,therapist,high,Okay?,"client: Yeah, I'll take the medicine.\ntherapist: Okay, um, and at some other point we can talk about some other things that you may be able to do including diet, changes in your eating habits, it can lower your cholesterol even more.\nclient: Okay.\ntherapist: Okay?\n",FALSE,n/a,FALSE,0.23638961068354547
46,therapist,high,[chuckles] Have you ever tried not drinking or stopping drinking?,"client: Well, I guess I'm just tired of getting in trouble.\ntherapist: Okay. What could you do to avoid getting into trouble?\nclient: Um, not drink.\ntherapist: [chuckles] Have you ever tried not drinking or stopping drinking?\n",TRUE,closed,FALSE,0.23646776471287012
131,therapist,low,£50 a week.,"client: £7 a day today, so-\ntherapist: So your pack a day—\nclient: -you're talking about £40, uh—\ntherapist: £50 a week.\n",FALSE,n/a,TRUE,0.23661308991722763
60,therapist,high,"All right. Well, I appreciate you coming in. We'll set up another appointment and, um, get our resources together. We'll take it from there and—","client: Yeah.\ntherapist: So, that would be can- the Cancer Society. So, we can look into that.\nclient: All right, great. Good. Great.\ntherapist: All right. Well, I appreciate you coming in. We'll set up another appointment and, um, get our resources together. We'll take it from there and—\n",FALSE,n/a,TRUE,0.23926337575539947
9,therapist,low,"Okay. And then we'll set up an appointment for about a month from now. We'll recheck your blood pressure and see how you're doing with all this, sound okay?","client: No, I don't- I don't, uh, really like the idea of taking pills. Uh, as a matter of fact, a couple of years ago, I had this jaw surgery. They gave me a prescription for Percocet. I took one, maybe feel weird. I think they're still sitting in the medicine cabinet.\ntherapist: Okay, excellent. Well, it sounds to me like the increase in your drinking could certainly be contributing to your high blood pressure. I think decreasing the number of drinks that you have when you go out and maybe decreasing the number of times that you go to the bar each week could be the best thing that you can do for your health.\nclient: Well, I guess I'll try.\ntherapist: Okay. And then we'll set up an appointment for about a month from now. We'll recheck your blood pressure and see how you're doing with all this, sound okay?\n",TRUE,closed,FALSE,0.23927501286379993
68,therapist,high,"Respect, okay. Can you tell me a little bit about why you picked those three?","client: Um, I think a sense of community and belonging.\ntherapist: Okay.\nclient: I think those two and, um, respect.\ntherapist: Respect, okay. Can you tell me a little bit about why you picked those three?\n",TRUE,open,TRUE,0.23964112624526024
84,therapist,high,"Just was feeling like, ""Ugh, it's gonna be a waste of my time coming here.""","client: Yeah.\ntherapist: Yeah, okay. So I'm noticing that this isn't the first time that you've been to see someone at probation and it's not your first, um, community sentence. So I was wondering when you're sitting on the bus thinking about coming here, what was- what was going through your head about being here?\nclient: Just a waste of my time.\ntherapist: Just was feeling like, ""Ugh, it's gonna be a waste of my time coming here.""\n",FALSE,n/a,TRUE,0.24018290406093
58,therapist,high,[unintelligible 00:01:40],client: I-I subscribed to the magazine a while.\ntherapist: Do you really?\nclient: I did.\ntherapist: [unintelligible 00:01:40]\n,FALSE,n/a,FALSE,0.24021284864284098
3,therapist,high,Okay. Good.,"client: Well, I mean, not really overreacting. I know that she loves me and I know she-she wants me, uh, you know, live a long time and be healthy, but just sometimes, especially if you work a hard job, like kinda going out to eat at these places kinda makes you feel a little bit better about your situation.\ntherapist: Sure. Sure. Okay. Um, and so one thing I'd just like to do is maybe give you some information on, um, maybe obesity or diabetes if you're interested or open to that. If you're, you know--?\nclient: Sure. [unintelligible 00:01:33]\ntherapist: Okay. Good.\n",FALSE,n/a,FALSE,0.24054473964497447
18,therapist,high,"Okay. So, what other things have you've been open to at other times in your life when you've been open to-to new ideas and being able to talk about stuff, that may be tough to talk about?","client: Just provided it will help me deal with it.\ntherapist: Yeah, yeah.\nclient: Yeah.\ntherapist: Okay. So, what other things have you've been open to at other times in your life when you've been open to-to new ideas and being able to talk about stuff, that may be tough to talk about?\n",TRUE,open,FALSE,0.24059213884174824
23,therapist,high,"Okay. So I guess just going back to why you went to the GP and how you've ended up kind of coming here today. So it sounds like you've been experiencing anxiety for quite a few years. Um, but just recently you moved out of home for the first time and, um, and that was what kind of led you to go to the GP. So how did that change things? How were things after you moved out?","client: It's like scared. I don't know. Hopefully, it will help.\ntherapist: Okay. So you'd, you're feeling a little bit anxious about today.\nclient: Yeah.\ntherapist: Okay. So I guess just going back to why you went to the GP and how you've ended up kind of coming here today. So it sounds like you've been experiencing anxiety for quite a few years. Um, but just recently you moved out of home for the first time and, um, and that was what kind of led you to go to the GP. So how did that change things? How were things after you moved out?\n",TRUE,open,TRUE,0.24120256886817515
83,therapist,high,Right.,"client: I just-- I'd love to be able to see them whenever I can, whenever I wanted to.\ntherapist: Yeah.\nclient: You know. I, um, they're my whole world and-and I've fucked things up.\ntherapist: Right.\n",FALSE,n/a,FALSE,0.24123983271420002
89,therapist,high,Okay.,"client: -If I lose my job, it's 'cause I failed the UA, so—\ntherapist: Okay. Um, so can you talk to me a little bit about, um, maybe where you wanna be 90 days from now? What do you want your life to look like?\nclient: I'll still have a job.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.24133967398665845
41,therapist,high,That's great and is there anything else on the list you felt like it was coming close to some of the other top five that you had or something similar?,"client: Yeah.\ntherapist: So all of these things put together feel like right now at this point in life, that it is really healthy change for you, like where you are right now.\nclient: Yeah. Yeah.\ntherapist: That's great and is there anything else on the list you felt like it was coming close to some of the other top five that you had or something similar?\n",TRUE,open,FALSE,0.2414156214799732
131,therapist,low,So something just happened-,"client: I've managed for a couple of weeks.\ntherapist: Okay. And what got you back?\nclient: It was, um-- To be honest, it was stress from an argument with my partner I remember.\ntherapist: So something just happened-\n",FALSE,n/a,TRUE,0.24160312511958182
58,therapist,high,Mm-hmm.,"client: Well, and I-- But I was working at a different company, where I had a little bit different schedule, a little more free time than I have now, so I just don't have the time like I used to.\ntherapist: Mm-hmm.\nclient: And I-- And really, it's kind of an excuse, I guess, cause I-I could probably make the time, but it's-it's easier to just keep working or-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.24175456329248846
29,therapist,high,"So you shared that you're, um, here today because you're having some dissatisfaction with your body and your confidence and your mood and your energy. And you're looking for, um, some different patterns to kind of turn things around for yourself. And what I like to do as I get to know clients is-is let them know a little bit about my philosophies, about health and wellbeing. Um, but first, I'd love to hear what are your philosophies about health and wellbeing?","therapist: So you shared that you're, um, here today because you're having some dissatisfaction with your body and your confidence and your mood and your energy. And you're looking for, um, some different patterns to kind of turn things around for yourself. And what I like to do as I get to know clients is-is let them know a little bit about my philosophies, about health and wellbeing. Um, but first, I'd love to hear what are your philosophies about health and wellbeing?\n",TRUE,open,FALSE,0.24185309233143926
46,therapist,high,"Okay, so how many do you usually have at a time?","client: Yeah.\ntherapist: Okay. So, let's take a look. So I see that you have marked that you sometimes use alcohol, and that you have used alcohol to relax, feel better about yourself or fit in. Do you mind telling me a little bit more about your alcohol use?\nclient: It's not a big deal. Sometimes with my friends, we'll drink a few beers and when we're hanging out or when we're at a party, and sometimes rum and cokes.\ntherapist: Okay, so how many do you usually have at a time?\n",TRUE,closed,FALSE,0.24192949570715427
36,therapist,high,"So, what is it you'd spend your average day doing now?","client: Mm.\ntherapist: Right.\nclient: Mm.\ntherapist: So, what is it you'd spend your average day doing now?\n",TRUE,open,FALSE,0.24197482271119952
46,therapist,high,"That's why I recommend that all my adolescent patients not drink at all. So if you were thinking today about how ready you feel to stop drinking alcohol on a scale of zero to ten, with zero not being ready at all and ten feeling very ready, what number would you pick?","client: Yeah.\ntherapist: That's great. And I hope you continue to avoid those things. As your doctor, I want you to know that I'm concerned about your drinking. When teens drink, things can go wrong, like injuring yourself. Even when you don't drink too excess, though, your brain is still developing and is very sensitive to the effects of alcohol.\nclient: Okay.\ntherapist: That's why I recommend that all my adolescent patients not drink at all. So if you were thinking today about how ready you feel to stop drinking alcohol on a scale of zero to ten, with zero not being ready at all and ten feeling very ready, what number would you pick?\n",TRUE,closed,FALSE,0.24293213477358222
34,therapist,high,You're wondering if they're gonna kind of be like children and you're gonna be like the parent saying-,"client: My parents or my friends?\ntherapist: Oh, oh, you're talking about your friends.\nclient: Yeah, lecture my-- Yeah.\ntherapist: You're wondering if they're gonna kind of be like children and you're gonna be like the parent saying-\n",FALSE,n/a,TRUE,0.2442761950660497
28,therapist,high,Mm-hmm.,"client: I would get a, um, a new prescription refilled thinking, ""Oh I could try it this time.""\ntherapist: Mm-hmm.\nclient: And I had friends that it worked for-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.244498279877007
40,therapist,high,"So it sounds like you've made some good changes. The change in your environment, and some of your behaviors, and, uh, and these new friends.","client: Right. It's been good. I haven't answered the phone when he's called-\ntherapist: Okay.\nclient: -and a couple of my other friends have tried to call me as well, and I haven't answered the phone. Um, so it's been good for me to just reach out and like, meet a couple of new people, um, in the neigh-neighborhood that I'm living in.\ntherapist: So it sounds like you've made some good changes. The change in your environment, and some of your behaviors, and, uh, and these new friends.\n",FALSE,n/a,TRUE,0.24454756383784115
78,therapist,high,"-to try to get the inflammation down, so she doesn't need to go to the emergency room and do whatever you can at this point to keep the smoke off your clothes. And I think you're gonna see big changes in terms of, uh, her not needing to go to the emergency room, and you probably won't need to use the rescue inhaler hardly at all.","client: It's really difficult.\ntherapist: So it sounds like right now where we are, is you're willing to-to have her use the chronic inhaler-\nclient: Mm-hmm.\ntherapist: -to try to get the inflammation down, so she doesn't need to go to the emergency room and do whatever you can at this point to keep the smoke off your clothes. And I think you're gonna see big changes in terms of, uh, her not needing to go to the emergency room, and you probably won't need to use the rescue inhaler hardly at all.\n",FALSE,n/a,FALSE,0.24492625938728452
88,therapist,high,"Okay, so for you getting on time for first hour is something you'd like to work on the next 30 days?","client: For me.\ntherapist: So, um, everyone that comes on the South Whisky program, we'd like them to pick at least three goals that they'd like to work on in the next 30 days. Because what we will do is we will monitor you and we'll check in 30 days to see how you're going with your goals. So with that being said, we want you to pick something that is relevant for you, something that you're willing to work on. So with that being said, is there anything that you would like to change your work on either at home or school, um, [unintelligible 00:00:30]?\nclient: Um, I have to start getting the school on time for my first hour. I always miss that class.\ntherapist: Okay, so for you getting on time for first hour is something you'd like to work on the next 30 days?\n",TRUE,closed,TRUE,0.24502010340802372
76,therapist,high,"So, health being your number one, um, which is kind of pushing you into this new direction, as far as you being a prior officer worker? You're doing something that you're actually living to do.","client: -uh, value. Yeah, because I really value physical and mental health, um, spiritual, emotional. Everything as a whole package, I guess, health. Um, and I'm working on, um, a certification to become a fitness trainer. Cal State [inaudible 00:00:40] there's a like extension program. I've been doing that for the last five weeks. I have a final exam coming up, like, Saturday. A little tense about it, I guess, but, um, I'm looking forward to, like, doing it, and I gotta wait for my results. Then, I got into an internship.\ntherapist: Mm-hmm.\nclient: Um, but it's kind of exciting, a different career path in my life. Being an office worker for so long is getting boring too-- physical activity, health, in that respect.\ntherapist: So, health being your number one, um, which is kind of pushing you into this new direction, as far as you being a prior officer worker? You're doing something that you're actually living to do.\n",TRUE,closed,TRUE,0.24539843667298555
7,therapist,high,Sounds like a wild night.,therapist: Sounds like a wild night.\ntherapist: Sounds like a wild night.\ntherapist: Sounds like a wild night.\ntherapist: Sounds like a wild night.\n,FALSE,n/a,TRUE,0.24567414727061987
16,therapist,high,"Okay. What are some of the pros and cons about moving in with whāna, moving in with your auntie and uncle?","client: He doesn't have kids.\ntherapist: Right.\nclient: He doesn't-- I don't know if he can really understand what it means to me. Um, he's a good mate.\ntherapist: Okay. What are some of the pros and cons about moving in with whāna, moving in with your auntie and uncle?\n",TRUE,open,FALSE,0.24585334793664515
79,therapist,high,How did you know you messed up?,"client: Something clicked, I'd had a bunch to drink and, uh, and I knew I'd messed up. I totally messed up.\ntherapist: How did you know you messed up?\n",TRUE,open,FALSE,0.24604500783607364
115,therapist,low,"I'm here to help, okay?","client: Okay.\ntherapist: I um--\nclient: I appreciate your care.\ntherapist: I'm here to help, okay?\n",FALSE,n/a,FALSE,0.2464632405899465
130,therapist,low,"Yeah. Well, the good news is he doesn't have pneumonia. It's just an upper re-respiratory tract infection and a cold. So there's some things you can do to make- to help him get better. You can avoid excessive dust. You can keep him hydrated, avoid over-the-counter cold remedies. Keep him away from people who have flu or cold-like symptoms and avoid smoke. And the last one should be easy because you quit smoking during your pregnancy.","client: Wow. I can't believe he fell asleep after all of that crying, poor guy.\nclient: Wow. I can't believe he fell asleep after all of that crying, poor guy.\nclient: Wow. I can't believe he fell asleep after all of that crying, poor guy.\ntherapist: Yeah. Well, the good news is he doesn't have pneumonia. It's just an upper re-respiratory tract infection and a cold. So there's some things you can do to make- to help him get better. You can avoid excessive dust. You can keep him hydrated, avoid over-the-counter cold remedies. Keep him away from people who have flu or cold-like symptoms and avoid smoke. And the last one should be easy because you quit smoking during your pregnancy.\n",FALSE,n/a,FALSE,0.2468958084937185
126,therapist,low,"Hello, Kaylie, I'm Lori, the pharmacist here at Bulldog Pharmacy. I see that you have a new prescription for cholesterol statin 20 called in by Dr. Ferris today. I wondered if you had a minute to talk to me. I just want to make sure that you know how best to take it, and if you have any questions.","therapist: It's for your dyslipidemia. Oh, and you should take one every day. Do you have any questions for me?\nclient: I guess not.\ntherapist: All right. Great. Well, have a good afternoon.\ntherapist: Hello, Kaylie, I'm Lori, the pharmacist here at Bulldog Pharmacy. I see that you have a new prescription for cholesterol statin 20 called in by Dr. Ferris today. I wondered if you had a minute to talk to me. I just want to make sure that you know how best to take it, and if you have any questions.\n",TRUE,open,FALSE,0.24850857839919627
68,therapist,high,Okay. Can you tell me a little bit about how alcohol fits into sort of your social scene?,"client: Um, sometimes we just, you know, go to the movies, go to the beach, like I had said, or sometimes we just get together at someone's house, play some good board games and hang out.\ntherapist: Mm-hmm, and when you're hanging out with friends, is there ever alcohol involved?\nclient: Yeah, sometimes.\ntherapist: Okay. Can you tell me a little bit about how alcohol fits into sort of your social scene?\n",TRUE,open,FALSE,0.24881260050460696
53,therapist,low,"Okay. Um, any questions or anything-","client: Okay.\ntherapist: -and you're still not drinking and not hanging out with any people who are drinking. Um, is there anything else you'd like to talk about while you're here?\nclient: Um, no, no. I think I'm good.\ntherapist: Okay. Um, any questions or anything-\n",TRUE,open,FALSE,0.2496708882972598
83,therapist,high,"Mm-hmm. If I was to put it on a scale of say 1 to 100, 1 being not really important, 100 being really, really important, whereabouts on that scale would you you be?","client: So, you know.\ntherapist: So coming along to see me and you and I are doing some work together, then you're going on to do a program, how important is that gonna be for you and your children?\nclient: It's really important.\ntherapist: Mm-hmm. If I was to put it on a scale of say 1 to 100, 1 being not really important, 100 being really, really important, whereabouts on that scale would you you be?\n",TRUE,closed,FALSE,0.25003475206904113
36,therapist,high,Right.,"client: Um, I used to go to Swing and Shape. I used to go to an exercise class-\ntherapist: Mm-hmm.\nclient: - that was, um, I miss the exercise, actually. That was, um, once a week, but you know, the thing was I wasn't comfortable, never felt quite right doing all this exercise. I was always worried I was gonna be taken short or-- So I stopped that.\ntherapist: Right.\n",FALSE,n/a,FALSE,0.25097806937992573
49,therapist,high,"Yeah? Yeah. Yep. So, it seems like almost, like, you're still in the behavior, you know, still creating some problems?","client: Mm-hmm.\ntherapist: -'cause you owed your mom and dad some money, and they weren't bailing you out anymore, and you had to go out and find some money, I think?\nclient: Yeah.\ntherapist: Yeah? Yeah. Yep. So, it seems like almost, like, you're still in the behavior, you know, still creating some problems?\n",TRUE,closed,FALSE,0.25143167306669056
53,therapist,low,-they're probably not a good influence.,"client: Okay.\ntherapist: 'Cause, you know, the problem is if they're drinking, they're gonna pressure you into drinking and then you're gonna feel awkward and, you know, you're gonna be stuck and-and not know what to do and really you'd just be better off probably without them. If they're- if they're the kind of people who are gonna keep drinking-\nclient: Yeah.\ntherapist: -they're probably not a good influence.\n",FALSE,n/a,TRUE,0.25160041241906583
14,therapist,high,Uh-huh.,"client: -honestly. Like, I mean, I know I'm gonna have to keep like telling myself like-\ntherapist: Mm-hmm.\nclient: -like this is something that you want- that you've wanted-\ntherapist: Uh-huh.\n",FALSE,n/a,FALSE,0.2516635812353343
84,therapist,high,"Yeah, caught the bus to-to that-- to the stop outside the office?","client: Yeah, I'm all right.\ntherapist: Yeah. Hey, it's good to see you here and good to see you here on time. Yeah, it's really good to see a good start to the-- to your probation time with us here is to see you being here on time. So how did you get here today?\nclient: Just caught the bus.\ntherapist: Yeah, caught the bus to-to that-- to the stop outside the office?\n",FALSE,n/a,TRUE,0.2521559991873801
59,therapist,low,"It's a big deal. You can't drink either. You're 16. The drinking age is 21. I think you know that. You could get into an auto crash. Uh, I just wanted you to hear this. I don't' tolerate it as a doctor drinking or driving with somebody who's under the influence, and if you do it again, I'm gonna tell your parents.","client: Well, it was raining. I didn't want my science fair project to get wet. I knew my parents were—\ntherapist: Science fair project or not, don't you know what happens when someone drives under the influence of marijuana or alcohol? It's bad. They can wreck the car, you can lose your life. I thought you were smart, you're taking AP classes, you wanna get into a Ivy League school. This is not the way you do that.\nclient: It really wasn't that big of a deal.\ntherapist: It's a big deal. You can't drink either. You're 16. The drinking age is 21. I think you know that. You could get into an auto crash. Uh, I just wanted you to hear this. I don't' tolerate it as a doctor drinking or driving with somebody who's under the influence, and if you do it again, I'm gonna tell your parents.\n",FALSE,n/a,FALSE,0.2524231132119894
6,therapist,high,Okay.,"client: No. It's just overwhelming when you see them everything they're, you know?\ntherapist: Right. Well, so where would you-- I mean, if you-you had to pick somewhere, one or two kind of high priorities or-or things to talk about in our time this morning, where would you wanna start?\nclient: I think- I think the thoughts about the dog has been definitely bothering me, that's been one.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.2524584394413978
62,therapist,high,-but you're a little fuzzy on the details.,"therapist: Okay, gotcha. So, you know, that it needs to get done-\ntherapist: Yes.-you know, you have till the end of your probation-\nclient: Yes.\ntherapist: -but you're a little fuzzy on the details.\n",FALSE,n/a,TRUE,0.2525425625499338
88,therapist,high,"Okay, so if I would write down here, um, what do you think- what would you want me to write? Tomorrow or the next day?","client: Yes.\ntherapist: When would be a great day for you to start this?\nclient: Uh, either tomorrow or the next day.\ntherapist: Okay, so if I would write down here, um, what do you think- what would you want me to write? Tomorrow or the next day?\n",TRUE,closed,FALSE,0.25264227599836886
8,therapist,high,I get the feeling that your relationship is really important to you. That you would do anything.,"client: Yeah.\ntherapist: You have a few concerns about your health, but that's not really the driving force. It sounds like it's most of all that it would be nice if things just went back to the way they were before she quit smoking and that all of this stuff wasn't something that you had to deal with anymore. Does that pretty much sum up--?\nclient: Yeah. Yeah. I-I'm just, I don't want to lose her or my family over smoking.\ntherapist: I get the feeling that your relationship is really important to you. That you would do anything.\n",FALSE,n/a,TRUE,0.2530024694278836
91,therapist,high,Definitely most important.,"client: Yes.\ntherapist: So-so let me ask you this, given everything going on in your life right now on a scale of 1 to 10, where 10 is the most important thing to do, and 1 would be the least important thing to do, how important is it for you to quit smoking?\nclient: It's for me, for my health, and for the money and everything I've said, I would say it's 10 or- out of 10 that I should quit smoking.\ntherapist: Definitely most important.\n",FALSE,n/a,TRUE,0.2534781296271831
55,therapist,high,"Thanks. When I looked at your form, it looks like you use heroin weekly and you injected. What part of your body do you normally inject in?","therapist: Thanks. When I looked at your form, it looks like you use heroin weekly and you injected. What part of your body do you normally inject in?\ntherapist: Thanks. When I looked at your form, it looks like you use heroin weekly and you injected. What part of your body do you normally inject in?\ntherapist: Thanks. When I looked at your form, it looks like you use heroin weekly and you injected. What part of your body do you normally inject in?\ntherapist: Thanks. When I looked at your form, it looks like you use heroin weekly and you injected. What part of your body do you normally inject in?\n",TRUE,closed,FALSE,0.25354779488407075
63,therapist,high,Anything else happening with Methamphetamine in your life? Is it affecting you in any way?,"client: Definitely, yeah.\ntherapist: And it seems to you that methamphetamine may have clouded your judgment?\nclient: Yeah.\ntherapist: Anything else happening with Methamphetamine in your life? Is it affecting you in any way?\n",TRUE,open,FALSE,0.25359553401358426
38,therapist,high,"But on the other hand, it does sound like there are things that you- that you value that you don't want the drinking to interfere with.","client: Yeah. I mean, i-it's part of my routine right now, and, you know, I-I don't want to sacrifice something I enjoy, but, you know, I'm trying really hard, you know, to be a good mom. I'm-I'm trying to, you know, go-go back to school. I'm trying to work. So, I don't know how I can do all of that if I don't have a way to enjoy myself or relax, you know?\ntherapist: So, it seems like it would be really difficult to change because it's something that's really important to you right now.\nclient: Yeah.\ntherapist: But on the other hand, it does sound like there are things that you- that you value that you don't want the drinking to interfere with.\n",FALSE,n/a,TRUE,0.2539884075522423
50,therapist,high,"Yeah. So let me see if I had this. So y- so you got some positives, the-the awareness, and then you feel kinda on your game?","client: Well, you know, sometimes it makes me a little jittery and, you know, I have to go to the bathroom more frequently than some of my co-workers, but-- And-and working, um, in the hospital, they don't really look so highly on-on going the bathroom frequently. But you know, it-it keeps me awake, it keeps me aware, it-it makes me more able to like, you know, do my job better. And so I really don't see that it's a-it's a real issue.\ntherapist: Yeah.\nclient: Um, you know, and-and-- I mean, maybe my blood pressure is a little high, but—\ntherapist: Yeah. So let me see if I had this. So y- so you got some positives, the-the awareness, and then you feel kinda on your game?\n",FALSE,n/a,TRUE,0.2545320049393922
0,therapist,high,So you're not proud of finishing a bottle?,client: Yes on occasion.\ntherapist: And sometimes you feel guilty after you drink.\nclient: Sometimes I just don't like how much I drink. I sometimes finish a bottle in one night.\ntherapist: So you're not proud of finishing a bottle?\n,TRUE,open,FALSE,0.2554288243409246
46,therapist,high,"Great. So you've come up with some reasons to stop drinking, like having hangovers and throwing up and getting into trouble. And you've developed some strategies to-to try to not drink, like spending more time with friends who don't drink or having non-alcoholic drinks when people around you are drinking alcohol. I think that's a great plan. I'm really proud of you for giving this a try. How about if I have you make an appointment for two months from now and then I'll see you back and we can see how things are going?","client: I can probably hang out with some of my friends who don't drink or inviting them to parties and having fun 'cause not everyone drinks at parties.\ntherapist: Okay. Is there anybody in your life that you can talk to about this, who give you some support for not drinking?\nclient: Yeah. The-- My friends who don't drink would probably be happy that I'm not drinking either and yes, they'd support me.\ntherapist: Great. So you've come up with some reasons to stop drinking, like having hangovers and throwing up and getting into trouble. And you've developed some strategies to-to try to not drink, like spending more time with friends who don't drink or having non-alcoholic drinks when people around you are drinking alcohol. I think that's a great plan. I'm really proud of you for giving this a try. How about if I have you make an appointment for two months from now and then I'll see you back and we can see how things are going?\n",TRUE,closed,TRUE,0.25548022612929344
78,therapist,high,"Uh, again, if you get to the point sometime down the road where you're willing to quit for both you and her, uh, we'd be glad to help you do that. Because you're right it is- it's not an easy thing to do.","client: Oh, absolutely. I never. Never.\ntherapist: Um, so yeah. If you're willing to do that, that certainly would help.\nclient: Okay.\ntherapist: Uh, again, if you get to the point sometime down the road where you're willing to quit for both you and her, uh, we'd be glad to help you do that. Because you're right it is- it's not an easy thing to do.\n",FALSE,n/a,FALSE,0.2558744181878865
37,therapist,high,Okay.,"client: Uh, I didn't speak to my brothers and sisters this time, I just spoke to my mom, but, uh, she, uh, she suggested that I go and stay with my, uh, auntie and my uncle. Uh—\ntherapist: Here in Christchurch?\nclient: Yeah.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.2563577403780073
47,therapist,high,"All right, take care, bye.","client: Okay.\ntherapist: All right, well, you know I will be by later today. If, um, you have any questions or if you want to talk, um, otherwise, again, I'll stop by and call you later.\nclient: Okay.\ntherapist: All right, take care, bye.\n",FALSE,n/a,FALSE,0.25646253069862723
17,therapist,low,All right. Thank you so much.,"client: I don't know. It's what we do. It's-- this is how we have fun, I guess. It is fun.\ntherapist: Well, I think you can still have fun within these amounts. So that's what I'm gonna recommend. Um, I think this is a really good goal, and hopefully, we won't see any more injuries. Okay? So why don't you try that?\nclient: Okay.\ntherapist: All right. Thank you so much.\n",FALSE,n/a,FALSE,0.2566106750164181
106,therapist,low,I really need you to tell me that you're gonna quit smoking. This is really important.,"client: I understand that. I know it is. I mean, everybody has problems, right? It's just really-- It's really, really hard.\ntherapist: Well, what can be more important to you than the health of your child?\nclient: I don't know.\ntherapist: I really need you to tell me that you're gonna quit smoking. This is really important.\n",FALSE,n/a,FALSE,0.2571292077191174
115,therapist,low,Mm-hmm. Yeah.,"client: I've heard it all. I-- but I just want to get my teeth fixed.\ntherapist: Yes, and I really want to be helpful. I really want to-- you know, my commitment is to your oral health, so um, there are lots of medications out there, David, that actually take away a lot of the cravings. They're-- they make quitting so much easier.\nclient: I did a pill thing, so I did try it. So like, I did try try it. I just did the pills and they didn't work.\ntherapist: Mm-hmm. Yeah.\n",FALSE,n/a,FALSE,0.2572649661451578
84,therapist,high,Mm-hmm.,"client: Yeah.\ntherapist: Cool. What else would, um, would help to kind of keep you out of trouble do you think?\nclient: Get some income, some good cash or something.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.2577819370198995
83,therapist,high,Kristy.,"client: I, um, I'm separated at the moment from my missus and-\ntherapist: What was-- what was your partner's name?\nclient: Uh, Kirsty.\ntherapist: Kristy.\n",FALSE,n/a,TRUE,0.2584490242879838
93,therapist,high,"Great. So on a scale from zero to 10, zero being not at all ready to make a change in the area of physical activity, and 10 being let's- let's do this. I'm excited. I'm ready. Um, where- where do you fall on that scale?","client: Yeah, I think just to feeling like physically stronger, um, like physically more able. Uh, last night I like struggled with the jar of salsa, like opening it. So I think that just stuff like that, um, you know, would be in addition to mood and being more productive and energy and all that stuff. Um, yeah, that that would be a definite end goal for me too. And then really to like, I think if I am more active, I think my body image or my body confidence would improve also.\ntherapist: Yeah. So you're wanting to feel stronger so that you can open jars and other things and- and also just have a better sense of confidence.\nclient: Mm-hmm.\ntherapist: Great. So on a scale from zero to 10, zero being not at all ready to make a change in the area of physical activity, and 10 being let's- let's do this. I'm excited. I'm ready. Um, where- where do you fall on that scale?\n",TRUE,closed,FALSE,0.25884420541115105
6,therapist,high,"Okay, and those are ones that are pretty related to each other-","client: I think- I think the thoughts about the dog has been definitely bothering me, that's been one.\ntherapist: Okay.\nclient: And, um, my-my asthma is out of control too. So maybe those two.\ntherapist: Okay, and those are ones that are pretty related to each other-\n",FALSE,n/a,TRUE,0.259689980186522
63,therapist,high,And there's some things that you might be able to do that would make it easier to not use methamphetamine including talking to your sister and getting some support.,"client: I haven't really talked to her about it. I think she knows it I do it sometimes. I mean, we're pretty close. I think I could talk to her about it, and I think she would probably help.\ntherapist: So on the one hand, it would be difficult to quit using Methamphetamine because there are so many positives that you get from using it. But on the other, there are reasons why you want to quit using methamphetamine.\nclient: Yes.\ntherapist: And there's some things that you might be able to do that would make it easier to not use methamphetamine including talking to your sister and getting some support.\n",FALSE,n/a,TRUE,0.2600756932515651
56,therapist,high,Yeah. What are you really glad about?,therapist: Yeah. What are you really glad about?\ntherapist: Yeah. What are you really glad about?\ntherapist: Yeah. What are you really glad about?\ntherapist: Yeah. What are you really glad about?\n,TRUE,open,TRUE,0.26042109867557883
38,therapist,high,"-um, try to tackle, um, your childcare issue, um, with some assistance. Is there anything else you'd like to do, um, for example, would you be interested in talking with me again, um, just as things progress?","client: Yeah, definitely.\ntherapist: Okay. Great. Well, I can definitely set you up with that, and you can-\nclient: Mm-hmm.\ntherapist: -um, try to tackle, um, your childcare issue, um, with some assistance. Is there anything else you'd like to do, um, for example, would you be interested in talking with me again, um, just as things progress?\n",TRUE,open,FALSE,0.260619594482705
56,therapist,high,Yeah. What are you really glad about?,therapist: Yeah. What are you really glad about?\ntherapist: Yeah. What are you really glad about?\ntherapist: Yeah. What are you really glad about?\ntherapist: Yeah. What are you really glad about?\n,TRUE,open,FALSE,0.2609306911472231
2,therapist,high,"Excellent. John, I get the impression that you want to stay in course with weight reduction. And the best way to do this will be to decrease the amount of juice that you're currently taking in. So if I saw you in two weeks and I asked you how much juice you're t- drinking and how you did it, what would you tell me?","client: Getting the fruit juice of the house because I know if it's there I'll drink it. My wife does the shopping for us, so maybe if I ask her not to get the juice, that would solve it.\ntherapist: Okay. Now, if the juice was still there, can you think of anything else you could do?\nclient: I suppose I could replace it with, um, a low-calorie drink or drink more water.\ntherapist: Excellent. John, I get the impression that you want to stay in course with weight reduction. And the best way to do this will be to decrease the amount of juice that you're currently taking in. So if I saw you in two weeks and I asked you how much juice you're t- drinking and how you did it, what would you tell me?\n",TRUE,open,TRUE,0.2610879638232291
43,therapist,high,Mm-hmm.,"client: Yeah.\ntherapist: Okay. Well, thank you, Tanya.\nclient: Thank you.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.2625735243782401
85,therapist,high,"And-and your wife, what does she have to say about that?","client: You-you can- you can understand why I don't take it.\ntherapist: To tell you, it sounds terrible, actually. Yeah. So, that that-that really-- And then- and then, to top it all off, literally, I mean, no sex drive.\nclient: Right-right.\ntherapist: And-and your wife, what does she have to say about that?\n",TRUE,open,FALSE,0.2634272128343582
44,therapist,low,"Okay, so you don't even know.","client: Like how many drinks?\ntherapist: Yeah.\nclient: Um, it was a good amount. It was the first time I ever drank and it was like three or four cups, but it was mixing different things.\ntherapist: Okay, so you don't even know.\n",TRUE,closed,FALSE,0.26350175752304494
23,therapist,high,Okay. So it was quite recent.,client: No. No.\ntherapist: So how long ago was that?\nclient: That was two weeks ago.\ntherapist: Okay. So it was quite recent.\n,FALSE,n/a,TRUE,0.26371861319057643
18,therapist,high,Yeah-,"client: Uh, I suppose I didn't expect the-the money would've added up to what it did, so I guess, at the time, I- [sighs] I wasn't thinking of the reality of it, you know, building up, so-\ntherapist: Mm.\nclient: -you know, it did, so I'm here-\ntherapist: Yeah-\n",FALSE,n/a,FALSE,0.2641079048626125
81,therapist,high,"Sure, we can do that together.","client: Yes.\ntherapist: How can I help you with these things?\nclient: Can you help me make the call?\ntherapist: Sure, we can do that together.\n",FALSE,n/a,FALSE,0.2645643609575927
65,therapist,high,Mm-hmm.,"client: I know I've got to stop. Uh, I'm having no health problems from cigarettes-\ntherapist: Mm-hmm.\nclient: -at present, but when the doctor told me this morning what could be waiting for me in the future-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.26530639873817563
56,therapist,high,"Hi, Mrs. Smith. I'm Denise. I'm the social worker here at the clinic work that's working with Dr. Fields and the rest of the team. And, um, I know you were here to see Dr. Fields today, and I-I just wanted to let you know, I usually work with people who are similar to- have situations similar to you, and that have gone back home from rehab. And, uh, so I'd like to find out a little bit if you would, if that's okay, about how it's been going since you got home.","therapist: Hi, Mrs. Smith. I'm Denise. I'm the social worker here at the clinic work that's working with Dr. Fields and the rest of the team. And, um, I know you were here to see Dr. Fields today, and I-I just wanted to let you know, I usually work with people who are similar to- have situations similar to you, and that have gone back home from rehab. And, uh, so I'd like to find out a little bit if you would, if that's okay, about how it's been going since you got home.\ntherapist: Hi, Mrs. Smith. I'm Denise. I'm the social worker here at the clinic work that's working with Dr. Fields and the rest of the team. And, um, I know you were here to see Dr. Fields today, and I-I just wanted to let you know, I usually work with people who are similar to- have situations similar to you, and that have gone back home from rehab. And, uh, so I'd like to find out a little bit if you would, if that's okay, about how it's been going since you got home.\ntherapist: Hi, Mrs. Smith. I'm Denise. I'm the social worker here at the clinic work that's working with Dr. Fields and the rest of the team. And, um, I know you were here to see Dr. Fields today, and I-I just wanted to let you know, I usually work with people who are similar to- have situations similar to you, and that have gone back home from rehab. And, uh, so I'd like to find out a little bit if you would, if that's okay, about how it's been going since you got home.\ntherapist: Hi, Mrs. Smith. I'm Denise. I'm the social worker here at the clinic work that's working with Dr. Fields and the rest of the team. And, um, I know you were here to see Dr. Fields today, and I-I just wanted to let you know, I usually work with people who are similar to- have situations similar to you, and that have gone back home from rehab. And, uh, so I'd like to find out a little bit if you would, if that's okay, about how it's been going since you got home.\n",FALSE,n/a,FALSE,0.26533841411583126
60,therapist,high,"Right, right. It's just like you-you-you-- Some people pick a quit date, like January 1st is still the most popular quit date—","client: Oh, really? So they didn't have an exact date, they just decided.\ntherapist: No. Or- or some of them didn't have an exact date, but m-more importantly, was they-they just didn't know that was the day.\nclient: Oh, they didn't realize-- They didn't look at the calendar.\ntherapist: Right, right. It's just like you-you-you-- Some people pick a quit date, like January 1st is still the most popular quit date—\n",FALSE,n/a,FALSE,0.2654648097231984
38,therapist,high,"Hi, Sarah, it's great to meet you. My name is Delwyn, and I'm a counselor here at the clinic. And I heard from your nurse practitioner that you recently had an annual exam in which the topics of smoking and alcohol use came up. Would you mind filling me in a little bit about that?","therapist: Hi, Sarah, it's great to meet you. My name is Delwyn, and I'm a counselor here at the clinic. And I heard from your nurse practitioner that you recently had an annual exam in which the topics of smoking and alcohol use came up. Would you mind filling me in a little bit about that?\n",TRUE,open,FALSE,0.26546898181550205
56,therapist,high,Yeah.,therapist: Yeah.\ntherapist: Yeah.\ntherapist: Yeah.\ntherapist: Yeah.\n,FALSE,n/a,FALSE,0.2659071886446327
35,therapist,high,"Mm-hmm. Okay, so it sounds like a sort of a vicious cycle and-and maybe the lacking physical activity has made you feel less confident in yourself. I wonder if that's also a piece of this puzzle since you mentioned that's been a big difference from what was happening in the past.","client: Yeah. And then also to, um, like I mentioned, I'm not totally happy with my weight, um, and so hoping too that that would have some impact there and-and maybe help me, um, if my activity kind of gets resolved or improves, then my nutrition also, maybe would go along with it and get better.\ntherapist: Yeah. Tell me more about your weight concerns. When did you start feeling dissatisfied with your body?\nclient: Uh, probably about three, four months ago. Um, yeah, just my clothes started fitting tighter, which wasn't as comfortable, and, um, yeah, just not really super happy with my appearance, which has never really been an issue, um, in my life up until now. I've usually been pretty okay with that, and then in the last three months, I just feel, um, like I've had a lot more of a negative outlook on it.\ntherapist: Mm-hmm. Okay, so it sounds like a sort of a vicious cycle and-and maybe the lacking physical activity has made you feel less confident in yourself. I wonder if that's also a piece of this puzzle since you mentioned that's been a big difference from what was happening in the past.\n",FALSE,n/a,TRUE,0.2661218836437911
11,therapist,high,Mm-hmm.,client: They found a little bag of weed.\ntherapist: Mm-hmm.\nclient: It's not a lot though.\ntherapist: Mm-hmm.\n,FALSE,n/a,FALSE,0.2663695686496794
12,therapist,high,"Yeah, exactly. You know, I told you, my-my schedule is kinda crazy right now. I, um, I work full-time and I just started back at night classes. So, you know, all that combined, you know, I enjoy that time to myself in the evening.","therapist: Okay. So over the past year, the smoking has increased. And that's been mainly in the evening?\nclient: Yeah. Um, I have a two-year-old son as I mentioned, so I try to never smoke around him. So I'm normally kinda waiting until he gets to bed.\ntherapist: Mm-hmm. Well, that's the time when you can relax and unwind.\ntherapist: Yeah, exactly. You know, I told you, my-my schedule is kinda crazy right now. I, um, I work full-time and I just started back at night classes. So, you know, all that combined, you know, I enjoy that time to myself in the evening.\n",FALSE,n/a,FALSE,0.26652057841420174
115,therapist,low,"Well, there's-there's a reason that [crosstalk] people are concerned.","client: Or seven lectures along the road.\ntherapist: Well, I don't think I'm giving you a lecture, that's certainly not what I meant. I--\nclient: No. No, I just feel that way. I get really-- I get very defensive about when they bring-- cause I get it from my family doc, from my cardiologist, everybody. I'm like, I'm not a complete fool. I am for smoking, but—\ntherapist: Well, there's-there's a reason that [crosstalk] people are concerned.\n",FALSE,n/a,FALSE,0.26655071158893406
41,therapist,high,Yeah? Good.,client: Yes.\ntherapist: How are you feeling today?\nclient: I feel great actually.\ntherapist: Yeah? Good.\n,FALSE,n/a,FALSE,0.2678515142761171
33,therapist,high,"Yeah. Well, and, David, honestly, wherever you're at, we'll work with it.","client: He's good, though. [laughs]\ntherapist: [chuckles] You're glad to keep him as a doctor?\nclient: Yeah.\ntherapist: Yeah. Well, and, David, honestly, wherever you're at, we'll work with it.\n",FALSE,n/a,FALSE,0.2680701066274196
82,therapist,high,"Now let's look at your self-evaluation of your birth control. So now we're doing the risk of pregnancy and the use of birth control. So on a scale of 1 to 10, how important is it to you to use effective birth control every time you have sex to keep from getting pregnant?","client: Yep.\ntherapist: Okay. Anything else?\nclient: Nope.\ntherapist: Now let's look at your self-evaluation of your birth control. So now we're doing the risk of pregnancy and the use of birth control. So on a scale of 1 to 10, how important is it to you to use effective birth control every time you have sex to keep from getting pregnant?\n",TRUE,closed,FALSE,0.2684645422268659
45,therapist,high,All right.,"client: Not really.\ntherapist: Okay, well just so you know, again, I do have to come back so I'll see you later today then.\nclient: All right.\ntherapist: All right.\n",FALSE,n/a,FALSE,0.26889689336530864
31,therapist,high,Okay.,"client: Fair enough, hey thanks.\ntherapist: All right, good to meet you.\nclient: Yeah.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.2693113989662379
7,therapist,high,You're still feeling the effects of-,"client: Uh, sure, uh, as long as we don't talk too much about like vodka 'cause I'm still, ugh, a little—\ntherapist: You're still feeling the effects of-\ntherapist: You're still feeling the effects of-\ntherapist: You're still feeling the effects of-\n",FALSE,n/a,TRUE,0.26971617829985917
131,therapist,low,Any other reasons?,"client: Especially the other night I was at the restaurant, it was a bit-- you know, it was a bit embarrassing I'm the only one walk walking out.\ntherapist: And so that-that can't feel a little uncomfortable being by yourself. So that sounds like one of the reasons you have to quit is it's a little getting smelly and it's getting embarrassing.\nclient: Mm-hmm.\ntherapist: Any other reasons?\n",TRUE,closed,FALSE,0.2701144115999341
42,therapist,high,Tell me about that.,"client: No, and specifically my father, he just-- Not only does he not want to support me with it but at the same time, he feels like I need to be gaining my weight back.\ntherapist: Oh, okay.\nclient: So I—\ntherapist: Tell me about that.\n",TRUE,open,FALSE,0.2702479010913521
67,therapist,high,Anything else?,"client: Well, if I'm stressed or unhappy, that's when I usually wanna vape.\ntherapist: What else could you do instead of vaping when you feel that way?\nclient: Hmm, I like to play video games.\ntherapist: Anything else?\n",TRUE,open,FALSE,0.2702579558826983
38,therapist,high,"Okay, great. I look forward to talking next time.","client: I don't think so.\ntherapist: Okay. Well, that sounds good. So, why don't we meet again in a couple of weeks and you kind of update me on how cutting back on your drinking has gone, and also, what it was like when you met with a social worker? Sound good?\nclient: Yeah.\ntherapist: Okay, great. I look forward to talking next time.\n",FALSE,n/a,FALSE,0.27028752909973264
85,therapist,high,"So, you'd really like to stay out of that hospital?","client: Don't like that hospital.\ntherapist: No.\nclient: Uh. [clears throat] I'm not sure that the hospital is worse than the cotton ball, but I don't like it either.\ntherapist: So, you'd really like to stay out of that hospital?\n",TRUE,closed,TRUE,0.27046740311197937
94,therapist,high,Mm-hmm.,"client: [laughs]\ntherapist: So, uh, you were telling me earlier though that you've talked to some other people and he has some options about some other places to go to.\nclient: Yeah. That's the good thing that he does. And I mentioned them. I-I-I discussed that with him.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.270615340443328
3,therapist,high,Okay. But you feel that you feel good?,"client: Well, a little bit, but nothing too-- you know. I'm not blo- I'm not bloated or anything.\ntherapist: Okay. Okay. And how about going to see the doctor? Have you gone to-- for a visit or anything recently?\nclient: Well, yeah, I've been to the doctor about maybe last year for a physical, but-- I mean, everything showed up to be fine, so—\ntherapist: Okay. But you feel that you feel good?\n",TRUE,closed,FALSE,0.27128661470487714
39,therapist,high,Might become a better friend when you quit.,"client: Well, I mean exercise, but really, you know, I have the mindset, you know, like, okay, tomorrow I'm going to get up and I'm going to do this, but I really am not a follow-through type of person with this.\ntherapist: Okay. Okay.\nclient: Because you know I've never been really athletic. I mean, so it's kind of like, I know that when you substitute something for something else, other than chocolate, which is my best friend too, [laughs].\ntherapist: Might become a better friend when you quit.\n",FALSE,n/a,TRUE,0.27192902681417763
62,therapist,high,So that's something that you can work with your case manager on.,"client: Mm-hmm.\ntherapist: Okay, great. Um, so with your community service I know you've got 25 hours left to do, um, so that does need to get done by the end of your probation, and your case manager is a really great resource to help you find a place where you can do it. So I know in the past some clients have done their community service at food pantries or shelters, or anywhere in the community that's not, you know, a family member or a friend. Um, the urban ecology center is a really great place. You can kind of work outside, work with younger kids. Do any of those options seem like a fit that you might be interested in?\nclient: Um, yeah, I just, so I still have to find the community service hours myself?\ntherapist: So that's something that you can work with your case manager on.\n",FALSE,n/a,FALSE,0.2723109289072454
34,therapist,high,"This part of you that says, ""I don't have an option to-to-to make this life better,"" it's wondering, ""Do I have the confidence to be able to make that life a reality?"" What do you think you need to increase your confidence that you can do this?","client: I think I'm gonna have to be successful. I don't really- I don't have any other choice. Like I have to- I have to take that path.\ntherapist: Mm-hmm. Tell me more about that, what makes you say, ""I have to take that path""? What makes you feel like you need that?\nclient: Because I need to for my kid. It's- it's gonna be all screwed up if I don't.\ntherapist: This part of you that says, ""I don't have an option to-to-to make this life better,"" it's wondering, ""Do I have the confidence to be able to make that life a reality?"" What do you think you need to increase your confidence that you can do this?\n",TRUE,open,FALSE,0.272961319424212
56,therapist,high,Yeah. What are you really glad about?,therapist: Yeah. What are you really glad about?\ntherapist: Yeah. What are you really glad about?\ntherapist: Yeah. What are you really glad about?\ntherapist: Yeah. What are you really glad about?\n,TRUE,open,FALSE,0.27312550717033446
123,therapist,low,"Right. They're still cigars and they're still tobacco and so they still cause lung cancer, oral cancer, emphysema, all those same kinds of things that you would see with cigarette, so it's really important.","client: And, um, you know, sometimes they're those- those, uh, nice young men that gift you different sorts of things. And we got some of those mini cigars that are Swisher sweets, they come in peach and-and grape and-and, you know, that's the only time that really, you know, I've ever really used anything that-that's got tobacco in it.\ntherapist: Okay, so I think that's a pretty common misconception, because they're fruit-flavored, people think they're okay. Those are really bad for you. Did you know that?\nclient: Really? Bad? But they're just little, mini, little, cute little girly cigars.\ntherapist: Right. They're still cigars and they're still tobacco and so they still cause lung cancer, oral cancer, emphysema, all those same kinds of things that you would see with cigarette, so it's really important.\n",FALSE,n/a,FALSE,0.2731828331016004
63,therapist,high,"-and 10 being ready, where would you put yourself?","client: Mm-hmm.\ntherapist: -with zero being not ready at all-\nclient: Mm.\ntherapist: -and 10 being ready, where would you put yourself?\n",TRUE,open,FALSE,0.2732932863291353
64,therapist,high,Alright.,"client: Mm. S-surprised me to-to think about, you know, when there's stuff, and you don't really think about it, but then if someone asked you, you know, how often or-- and then you kind of have to quantify it, I suppose it kinda sound shocking, you know, if I- if I imagine myself sort of saying, ""I do this, you know, a few times a week."" It-it-\ntherapist: Mm.\nclient: -sounds shocking. But to me it-it's- it doesn't feel that way, you know, that's kind of where that, where it kind of doesn't sit right. I, [clears throat] that's why I kind of got a bit miffed at my friends a little bit, or I dunno, a bit defensive there. 'Cause you know, it sounds a lot, but it doesn't feel out of control or anything, you know. It doesn't feel, I dunno, people that need to go and see therapists or whatever you kind of go, ""Oh, they're an addict."" You know. They-- Their health is really bad and they need urgent help right now quickly, Uh, well, at least that's kind of the-the feeling you get. And I don't feel that at all. I don't feel like it's a real urgent thing. So that-\ntherapist: Alright.\n",FALSE,n/a,FALSE,0.27379245357587934
21,therapist,high,"Okay. And, what kinds of things do you plan for your life?","client: Yeah.\ntherapist: All right, so, I guess just to get started, can you tell me a little bit about yourself?\nclient: Well, my name is Laura. I'm 17 years old, and I'm a senior in high school.\ntherapist: Okay. And, what kinds of things do you plan for your life?\n",FALSE,n/a,FALSE,0.2741195410490036
86,therapist,high,You feel like you're letting your family down.,"client: I know who to hang out with, I'm not stupid.\ntherapist: You know that, um, positive peer influences have been helpful for you.\nclient: Mm-hmm. I'm letting the whole family down. They had such high hopes for me.\ntherapist: You feel like you're letting your family down.\n",FALSE,n/a,TRUE,0.274427258875221
39,therapist,high,Could be?,"client: [laughs] but I mean I'd be interested I wish they'd make it more affordable for people or you know they haven't covered by insurance because you know the risk of it you know that the premiums for insurance- insurance for people who smoke are so high you would think that they would have like, um, what do they call that? Preventive. Um, I wish I never would have started and I'm proud of my daughter you know because I started smoking a little bit earlier than her age, and I'm proud that she is at this point not smoking this manifestation she might pick it up but it's- it's like-\ntherapist: That strong spirit of you got instilled with her.\nclient: Yeah-yeah, maybe I'm the best example of why she doesn't want to [laughs] you know\ntherapist: Could be?\n",TRUE,closed,FALSE,0.2745257958304137
91,therapist,high,"You've told me what is good about smoking for you. Uh, can you tell me what is not so good about smoking for you?","client: -have a cigarette and talk. That's how you make friends. A lot of people, um, we're like a little group now, we're all- a little bunch of us.\ntherapist: So it's hard for you to quit smoking when everybody else around you is smoking. And it's so easy to go out and take a break and have a cigarette.\nclient: I-I never thought of it that way, but probably you're right.\ntherapist: You've told me what is good about smoking for you. Uh, can you tell me what is not so good about smoking for you?\n",TRUE,open,FALSE,0.27494951779954135
66,therapist,high,"And so you're really kind of reeling right now from, uh, all of that. And you sound a little bit pretty, pretty scared actually.","therapist: And so you're really kind of reeling right now from, uh, all of that. And you sound a little bit pretty, pretty scared actually.\ntherapist: And so you're really kind of reeling right now from, uh, all of that. And you sound a little bit pretty, pretty scared actually.\ntherapist: And so you're really kind of reeling right now from, uh, all of that. And you sound a little bit pretty, pretty scared actually.\ntherapist: And so you're really kind of reeling right now from, uh, all of that. And you sound a little bit pretty, pretty scared actually.\n",FALSE,n/a,TRUE,0.275061261607334
44,therapist,low,You've got big dreams.,"client: Uh, well, I'm planning on going to school. I'd like to become a doctor one day, so.\ntherapist: Wow.\nclient: I'm interested in psychology, psychiatry, something like that, so.\ntherapist: You've got big dreams.\n",FALSE,n/a,FALSE,0.27543551940470934
131,therapist,low,How much does it actually cost you a week?,"client: Mm-hmm.\ntherapist: Any other reasons?\nclient: Um, it's expensive these days.\ntherapist: How much does it actually cost you a week?\n",TRUE,closed,FALSE,0.2754806384909898
22,therapist,high,"Inner harmony, health, and security.","client: Security.\ntherapist: Security.\nclient: Yeah.\ntherapist: Inner harmony, health, and security.\n",FALSE,n/a,TRUE,0.2762411611620337
23,therapist,high,Okay.,"client: I was just really like sweaty and just—\ntherapist: Oh, it was all-all that they could see that-that was-\nclient: Yeah.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.2763326489366591
58,therapist,high,What would help you do that?,"client: I should-- Or next to nothing. I walk to the grocery store or whatever’s handy when I have time, but yeah.\ntherapist: So what ideas do you have about initially just getting started, and what-what would you do [unintelligible 00:04:13] ?\nclient: Well, if I could just get myself over there once, 'cause usually that’s the hardest thing. It’s just going there. So I think that's-- You know, I’ve thought about it a little bit, I think I just need to make that first trip over there and just kind of to take it easy that first time. Just show up 'cause I think that’s really what I need to do. I justt need to go over there.\ntherapist: What would help you do that?\n",TRUE,open,FALSE,0.2764776414260268
62,therapist,high,Okay.,"client: Oh, yeah.\ntherapist: -and get it out of the way. Maybe I know in the past it's been helpful for some other clients to sit down and take a calendar and just mark out, okay, I'm gonna do five hours this day, I'm gonna do three hours this day, two hours of this day. Does that sound like something that might be helpful for you?\nclient: Yeah, I think, just to keep track of it better.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.276620882563293
41,therapist,high,You feel resentful.,"client: Yes, because I think that when I'm at peace with myself, uh, that automatically contributes to my family happiness. When I am unhappy with myself, I bring my unhappiness to my family.\ntherapist: Sure.\nclient: Uh, yeah, when I don't have self-respect and I am only giving my family a say on who I am and what I should do, I'm angry at them, I quarrel them.\ntherapist: You feel resentful.\n",FALSE,n/a,TRUE,0.276655831374228
14,therapist,high,"So, I'm gonna ask the question this way, on a scale of 0 to 10, where 0 is not at all confident, and 10 is like, ""I'm very, very confident,"" where would you put yourself on a scale right now of confidence in starting this new plan?","client: Yeah, I guess so.\ntherapist: -on that. All right. So, I'd like to ask you, uh, kind of a scaling question about this 'cause I'm hearing that this feels really important to you that you'd be way up there on the high- on the high end of importance.\nclient: Yeah.\ntherapist: So, I'm gonna ask the question this way, on a scale of 0 to 10, where 0 is not at all confident, and 10 is like, ""I'm very, very confident,"" where would you put yourself on a scale right now of confidence in starting this new plan?\n",TRUE,open,FALSE,0.2770604358520359
84,therapist,high,So I know that you're kind of 25% interested-,"client: Mmh, 25.\ntherapist: 25, okay.\nclient: Mmh.\ntherapist: So I know that you're kind of 25% interested-\n",FALSE,n/a,TRUE,0.27733932598493993
50,therapist,high,"Okay. Um, but we were talking a little bit earlier-- earlier in our conversation, you had said that you did feel like it was maybe causing some of your agitation. So it's a little bit of, I'm not sure of what-- Um, so where are we? Did-did you-- do you feel like you do have some agitation out of coffee, or is it just no problem at all?","client: So, uh, I guess the issue is that, um, you know, my doctor seems to think that my-my blood pressure's a little high, but I really don't think that there's a problem. And you know, I eat really well. Um. And, you know, she suggested that, um, I watch my caffeine but really, caffeine is not a problem for me.\ntherapist: Okay. Um, but we were talking a little bit earlier-- earlier in our conversation, you had said that you did feel like it was maybe causing some of your agitation. So it's a little bit of, I'm not sure of what-- Um, so where are we? Did-did you-- do you feel like you do have some agitation out of coffee, or is it just no problem at all?\n",TRUE,closed,TRUE,0.27823330112732947
28,therapist,high,"'Cause you can't find a leper colony anymore. So, um, so it-it's really important for you to be a good mum-","client: Well I have a 15-year-old daughter and she's highly against it. And, um, health issues, you know, I'm getting-- not getting any younger and I have asthma and I have chronic bronchi-- bronchitis and, um, I'm having a hard time breathing when I exercise and not to mention it's socially unacceptable really.\ntherapist: Like being a leper in a leper colony right now to be a smoker.\nclient: Actually it's like being a leper in a non-leper colony.\ntherapist: 'Cause you can't find a leper colony anymore. So, um, so it-it's really important for you to be a good mum-\n",FALSE,n/a,TRUE,0.279269986320287
9,therapist,low,"Okay. And how about the use of other drugs like cocaine, heroin, marijuana?","client: Maybe a little bit.\ntherapist: Alcohol can have some dangerous effects on your body. So along with contributing to high blood pressure, it can have a big impact on your liver, which you need to keep in mind. So your liver has several different roles in your body. First, it helps process excess fatty acids before they get distributed to the rest of your body. It also helps process alcohol and other drugs. So when you have an excess of alcohol, your liver can't work as efficiently and the fatty acids build up, and over time, your liver won't be able to work as well.\nclient: Okay.\ntherapist: Okay. And how about the use of other drugs like cocaine, heroin, marijuana?\n",TRUE,closed,FALSE,0.2796958612743765
63,therapist,high,And it seems to you that methamphetamine may have clouded your judgment?,"client: Yeah, it could be because, uh, I was high when I had unprotected sex and I would not do that if I were not high.\ntherapist: So you're normally very careful and you use protection when you have sex?\nclient: Definitely, yeah.\ntherapist: And it seems to you that methamphetamine may have clouded your judgment?\n",FALSE,n/a,TRUE,0.2798132065217942
94,therapist,high,Cause you wanna do the right thing because you're- because you're a good person and that's a- that's a really important value to you is that you- is that you help people out.,"client: Yeah, yeah. Maybe some guilt and I, um, uh, I just, you know, [sighs] I go back and forth a little bit, you know.\ntherapist: Uh-huh.\nclient: Yeah.\ntherapist: Cause you wanna do the right thing because you're- because you're a good person and that's a- that's a really important value to you is that you- is that you help people out.\n",FALSE,n/a,TRUE,0.27982831350527704
71,therapist,high,And we've talked about that idea of you getting a job and something to do with cars 'cause that's where your passion is.,"client: Like it's hard to get a job 'cause you have to say that you've done prison time and stuff, so it's pretty hard.\ntherapist: Yeah.\nclient: Yeah.\ntherapist: And we've talked about that idea of you getting a job and something to do with cars 'cause that's where your passion is.\n",FALSE,n/a,TRUE,0.2799948872998357
44,therapist,low,"Okay. Good. Very good. All right. Well, what are the kinds of things do you do for fun on weekends?","client: Everyone wants to shoot for the Ivy leagues, so [chuckles]\ntherapist: All right. And how about your grades?\nclient: Uh, they're pretty good, you know, high three-point somethings.\ntherapist: Okay. Good. Very good. All right. Well, what are the kinds of things do you do for fun on weekends?\n",TRUE,open,FALSE,0.2804454960860312
72,therapist,low,"Yeah. Chris, come on. You're getting peer pressure?","client: I understand.\ntherapist: -and you're on a team, you have to stick by the rules.\nclient: Okay. Um, I know that it's bad for me. It's-it's bad for my body. It's bad for-for-for-for being on the team, for being an athlete. It hinders my performance. Just, I don't know. I-I feel that my-my friends pressure me. I don't know. I feel I should like go with different friend groups. Maybe. I don't know.\ntherapist: Yeah. Chris, come on. You're getting peer pressure?\n",FALSE,n/a,FALSE,0.2805962045677006
94,therapist,high,"Mm-hmm. And what would, uh, what would help you get to the point of actually, um, booting them out?","client: You know, and it seems that, um, it's hard for me to be assertive and say I think the, um, the, uh, transitional period is- has come and it's beginning to time to transition. So.\ntherapist: So that's a really kind thing of you to do to take someone into your home like that when they need help like that. And, um, but right now, you're thinking that, uh, time is up you'd like to get this person, you know, you're-you're-you're ready to have him or her move out and have your place back to yourself.\nclient: Yeah, that's, it's absolutely right that I want, I-I want change but I'm not, I am kind of, like, weak in that area where it's, like, the ability to actually say the words. You're right, yeah. I'd like to be able to do that.\ntherapist: Mm-hmm. And what would, uh, what would help you get to the point of actually, um, booting them out?\n",TRUE,open,FALSE,0.28088355250656605
71,therapist,high,"Hmm. So, who else could you ask to help you?","client: Well, I don't know if it's that serious, it's just-\ntherapist: Okay.\nclient: -I'm sure most people can fill them out. I don't know, I just don't get it.\ntherapist: Hmm. So, who else could you ask to help you?\n",TRUE,open,FALSE,0.28126375935971737
76,therapist,high,Mm-hmm.,"client: Yeah.\ntherapist: Okay.\nclient: And when I think of the flip side of that, uh, um, I-I know there's gonna be pain, disappointment, upset in my life, um, too that I accept that and that's part of joy.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.2815387116279453
41,therapist,high,Meaningful.,"client: Right, right.\ntherapist: It's because you showed up and you gave out\nclient: It's not enough for me to just show up and get my paycheck. That doesn't, I don't feel fulfilled so it-it, that's the way I see it going together with the helping. It's not just about helping to like look good or to exhaust myself or do what I think I should do but to really give something needy, something substantive, something real.\ntherapist: Meaningful.\n",FALSE,n/a,TRUE,0.28262634272687137
18,therapist,high,"Yeah, you might be lucky then. So-so what do you reckon like in terms of like you're saying you're not sort of sure if that's an issue, and that's probably something that we can be working with, uh, figure it is an issue.","client: Yeah.\ntherapist: 'Cause you have to understand the odds are about-- sort of-of tend to be about 25% on the 100, that-that's [crosstalk]\nclient: It's the unlucky ones.\ntherapist: Yeah, you might be lucky then. So-so what do you reckon like in terms of like you're saying you're not sort of sure if that's an issue, and that's probably something that we can be working with, uh, figure it is an issue.\n",TRUE,closed,FALSE,0.28276422526687384
65,therapist,high,Mm.,"client: Mm-hmm.\ntherapist: I'm wondering what else might be on that list.\nclient: Um, withdrawal.\ntherapist: Mm.\n",FALSE,n/a,FALSE,0.2831185106188059
83,therapist,high,Okay.,"client: Yeah. That'll definitely be true.\ntherapist: Your family is down south. I mean,who-who-who else do you think would be really interested in sup-supporting you, rowing with you if you like on this journey?\nclient: Uh, I have a good relationship with my mum,-\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.2831443566828966
38,therapist,high,"Okay. Great. Well, I can definitely set you up with that, and you can-","client: Not really. I mean, I just normally see if my mom can watch my son, so, you know, I haven't really looked around.\ntherapist: Okay. Well, one thing you could consider is talking to one of our social workers, they sort of specialize in helping people who have a lot on their plate identifying resources that they may need, uh, things you haven't thought of or aren't aware of. So, I don't know, would you be interested in doing something like that?\nclient: Yeah, definitely.\ntherapist: Okay. Great. Well, I can definitely set you up with that, and you can-\n",FALSE,n/a,FALSE,0.28316093469038606
36,therapist,high,Right.,"client: Um, I miss that.\ntherapist: Right.\nclient: I miss the girls. We used to, uh, we used to go out at least once a week.\ntherapist: Right.\n",FALSE,n/a,FALSE,0.2839935924857855
49,therapist,high,"About 80? Right up there, yeah, yeah? And another question that's, sort of, related to that, how confident are you that you can, you know, you can actually get it sorted and get on with life?","client: -I suppose, I've gotta sort it out myself.\ntherapist: Okay. So, again, on a scale of 1 to 100, how serious-- how important is it to sort it out? Yeah.\nclient: About 80. [chuckles]\ntherapist: About 80? Right up there, yeah, yeah? And another question that's, sort of, related to that, how confident are you that you can, you know, you can actually get it sorted and get on with life?\n",TRUE,closed,FALSE,0.28401113650761545
83,therapist,high,Yeah.,"client: No.\ntherapist: So how might it be for her if she knew that you're talking like this today? That-- 'Cause it sounds to me like you're really serious this time making some changes.\nclient: Yeah, I am.\ntherapist: Yeah.\n",FALSE,n/a,FALSE,0.28407671255990863
67,therapist,high,What else could you do instead of vaping when you feel that way?,"client: Uh, I don't know.\ntherapist: How about this question? What might happen within a month that might make you want to vape?\nclient: Well, if I'm stressed or unhappy, that's when I usually wanna vape.\ntherapist: What else could you do instead of vaping when you feel that way?\n",TRUE,open,FALSE,0.28450911585241556
14,therapist,high,"Okay. So, what would help increase that confidence? What-- Because that sounds like where we really need to focus on. What's gonna help you feel more confident about this?","client: And like be able to look nice, you know.\ntherapist: Okay, all right.\nclient: I wanna be able to look nice.\ntherapist: Okay. So, what would help increase that confidence? What-- Because that sounds like where we really need to focus on. What's gonna help you feel more confident about this?\n",TRUE,open,FALSE,0.28457412985153496
78,therapist,high,Yeah. So we'll go ahead and get both of those prescriptions ready.,"client: Oh, that's great-\ntherapist: Okay.\nclient: -because that's always scary when she has to use that one.\ntherapist: Yeah. So we'll go ahead and get both of those prescriptions ready.\n",FALSE,n/a,FALSE,0.2846009361092001
66,therapist,high,"And so you're really kind of reeling right now from, uh, all of that. And you sound a little bit pretty, pretty scared actually.","client: She mentioned my legs having troubles and-\ntherapist: And so you're really kind of reeling right now from, uh, all of that. And you sound a little bit pretty, pretty scared actually.\ntherapist: And so you're really kind of reeling right now from, uh, all of that. And you sound a little bit pretty, pretty scared actually.\ntherapist: And so you're really kind of reeling right now from, uh, all of that. And you sound a little bit pretty, pretty scared actually.\n",FALSE,n/a,TRUE,0.28464062698185444
61,therapist,high,"Uh-huh. So, you're hoping that it would help with balance, but you didn't see the- maybe the results you were looking for?","client: Yeah.\ntherapist: What were you hoping to achieve with the, um, by going to tai chi?\nclient: Well, like Dr. Fields told me, it helps with balance, and I'm still having the wobblies. So, I was really hoping that I could get to the point where I could benefit from what they had to offer. Um, yeah, mostly my balance, mostly my balance.\ntherapist: Uh-huh. So, you're hoping that it would help with balance, but you didn't see the- maybe the results you were looking for?\n",FALSE,n/a,TRUE,0.2853761229198426
126,therapist,low,"All right, good. Well, here's your prescription. I even put it on autofill for you so it'll be ready at the same time every month for you. And if you have any questions later, our phone number is right here on the bottle, and you can call me at any time. Thanks so much. Have a great day.","client: Sure. I'm just gonna take one tablet of the cholesterol statin, uh, in the evening with all my other medications. And I guess I'll switch to orange juice. And if I notice any bad muscle pains, then I'll be sure to call Dr. Ferris right away.\ntherapist: That's great, Kaylie. I know we went over a lot today. What questions do you still have for me?\nclient: I think you answered all my questions. Thank you.\ntherapist: All right, good. Well, here's your prescription. I even put it on autofill for you so it'll be ready at the same time every month for you. And if you have any questions later, our phone number is right here on the bottle, and you can call me at any time. Thanks so much. Have a great day.\n",FALSE,n/a,FALSE,0.2856898754835129
78,therapist,high,Do you mind if I talk to you a little bit about what your daughter's lungs are like when she's having these inflammations and needing to go to the emergency room?,"client: Yeah.\ntherapist: You know. And so-- yeah, and that- and that does concern people. But I do want to reassure you that this is medication that only goes to her lungs, and won't get in her body and they're not the same kind of drugs as the ones you're worried about.\nclient: Okay.\ntherapist: Do you mind if I talk to you a little bit about what your daughter's lungs are like when she's having these inflammations and needing to go to the emergency room?\n",TRUE,closed,FALSE,0.285757013829425
0,therapist,high,"Okay. Just so you know, my role, um, when we talk about alcohol use, is just to share information about risk and to help patients who want help. This is different than telling them what I think they should do. I don't do that.","client: Usually three drinks and glasses of wine.\ntherapist: Okay. That's at least 12 drinks a week.\nclient: Something like that.\ntherapist: Okay. Just so you know, my role, um, when we talk about alcohol use, is just to share information about risk and to help patients who want help. This is different than telling them what I think they should do. I don't do that.\n",FALSE,n/a,FALSE,0.2861395347863436
15,therapist,low,"Okay. Well, we actually consider 20 cigarettes a day to be a significant amount, and in fact, I would then recommend to you that you would start on the highest dose of nicotine replacement.","client: Okay. Well, what are my options? You know, assuming that I'm right, what are my options?\ntherapist: Well, to be honest with you, you mentioned the patch. I can't recommend a patch to you if you're gonna continue smoking. That can actually be pretty dangerous for you. In order to advise you about this at all, I need you to tell me a little bit more about your smoking history and how much you're smoking now.\nclient: Well, I mean, I s-- I-I-I smoke barely a pack a day. I mean, I've probably smoked for about five or six years now. It's not really a lot of cigarettes, but it's sort of hard to get through the day at work.\ntherapist: Okay. Well, we actually consider 20 cigarettes a day to be a significant amount, and in fact, I would then recommend to you that you would start on the highest dose of nicotine replacement.\n",FALSE,n/a,FALSE,0.2863586354069412
34,therapist,high,Okay.,"client: Definitely my parents, um, and I probably need to, uh, go and meet some other-other people who are maybe, you know, having kids too so that I can see, like how it's done 'cause like, I only have a younger brother who's like not-not even close to that. So I don't really have anyone in my life that I know that's had kids recently. So I-I would like to meet other, you know, young moms out there who, you know, are kind of struggling with the same stuff I am.\ntherapist: And your parents are a support for you and support you from giving up the drinking, the alcohol use, that's something that they would support-\nclient: I don't think they realize, uh, that I'm doing it or how much I'm doing it.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.28717003925703466
20,therapist,high,"Okay. Well, if you're willing, then we could set up another appointment where you could come in and we could talk more about that.","client: That sounds nice, but I'm not sure if I have the time for all that.\ntherapist: Sure. It feels like something that would take up a lot of time and maybe not fit into your life. I wonder if we could talk about some options that might fit into your life.\nclient: That would be really nice.\ntherapist: Okay. Well, if you're willing, then we could set up another appointment where you could come in and we could talk more about that.\n",FALSE,n/a,FALSE,0.28732058755122125
84,therapist,high,"So the things about that have got you into trouble in the past, um, how confident are you that, um, that you can do something to not keep going down the same path? Zero is like, ""I'm not confident at all that I can make any changes,"" and 100 is like, ""I'm so supremely confident."" Where would you be?","client: A nice job.\ntherapist: Yeah.\nclient: A good-- yeah.\ntherapist: So the things about that have got you into trouble in the past, um, how confident are you that, um, that you can do something to not keep going down the same path? Zero is like, ""I'm not confident at all that I can make any changes,"" and 100 is like, ""I'm so supremely confident."" Where would you be?\n",TRUE,closed,FALSE,0.2875022771768272
83,therapist,high,Right.,"client: Uh, just my own.\ntherapist: Just your own whānau here. [unintelligible 00:01:51]. Well, Rick, I'm sort of, uh, interested in that, you know, you and I are gonna been doing some work together for a while. I'm sort of wondering what sort of thoughts you'd be having on your way here today.\nclient: Um, I was thinking about what you might ask me, what I would say. I'm thinking about my kids, thinking about having to take a day off work.\ntherapist: Right.\n",FALSE,n/a,FALSE,0.28764815046451986
6,therapist,high,Mm-hmm. Almost—,"client: I don't know, something about changing my life even more. You know, the smoking's been changed, and now it's, you know, cut down the drinking, get rid of those extra smokes, get rid of my dog. I don't know what else have to do.\ntherapist: So your asthma has been acting up and there's a lot of stuff, not just the asthma going on?\nclient: Yeah, there's a lot of stress too. My wife's still on maternity leave, she's not getting paid, she's with the baby right now. And I'm the only person that's working right now, and plus I got to change all these things that are going on in my life.\ntherapist: Mm-hmm. Almost—\n",FALSE,n/a,TRUE,0.28774975216947496
130,therapist,low,"Yeah. Well, the good news is he doesn't have pneumonia. It's just an upper re-respiratory tract infection and a cold. So there's some things you can do to make- to help him get better. You can avoid excessive dust. You can keep him hydrated, avoid over-the-counter cold remedies. Keep him away from people who have flu or cold-like symptoms and avoid smoke. And the last one should be easy because you quit smoking during your pregnancy.","therapist: Yeah. Well, the good news is he doesn't have pneumonia. It's just an upper re-respiratory tract infection and a cold. So there's some things you can do to make- to help him get better. You can avoid excessive dust. You can keep him hydrated, avoid over-the-counter cold remedies. Keep him away from people who have flu or cold-like symptoms and avoid smoke. And the last one should be easy because you quit smoking during your pregnancy.\ntherapist: Yeah. Well, the good news is he doesn't have pneumonia. It's just an upper re-respiratory tract infection and a cold. So there's some things you can do to make- to help him get better. You can avoid excessive dust. You can keep him hydrated, avoid over-the-counter cold remedies. Keep him away from people who have flu or cold-like symptoms and avoid smoke. And the last one should be easy because you quit smoking during your pregnancy.\ntherapist: Yeah. Well, the good news is he doesn't have pneumonia. It's just an upper re-respiratory tract infection and a cold. So there's some things you can do to make- to help him get better. You can avoid excessive dust. You can keep him hydrated, avoid over-the-counter cold remedies. Keep him away from people who have flu or cold-like symptoms and avoid smoke. And the last one should be easy because you quit smoking during your pregnancy.\ntherapist: Yeah. Well, the good news is he doesn't have pneumonia. It's just an upper re-respiratory tract infection and a cold. So there's some things you can do to make- to help him get better. You can avoid excessive dust. You can keep him hydrated, avoid over-the-counter cold remedies. Keep him away from people who have flu or cold-like symptoms and avoid smoke. And the last one should be easy because you quit smoking during your pregnancy.\n",FALSE,n/a,FALSE,0.2883019573055208
41,therapist,high,There's so much of your-- Part of your paradigm?,"client: I-it's almost-- Like, I think that some people might not even think that I put that first, but in my mind and my emotions, I was carrying concern about what other people think, and I was letting that concern dictate my actions. Instead of letting my own values dictate my actions, I was letting what I thought other people wanted me to do to dictate my actions.\ntherapist: Wow.\nclient: And that's something that I had done for so long, literally since I was a child, that I didn't even know I was doing it.\ntherapist: There's so much of your-- Part of your paradigm?\n",FALSE,n/a,TRUE,0.2885828905273229
71,therapist,high,Tell me- tell me what happened when you say they-- like it didn't help you? What-what-what happened?,"client: Yeah, but I just-- Like, they wouldn't help me out, so-\ntherapist: Okay.\nclient: -I got some forms and-\ntherapist: Tell me- tell me what happened when you say they-- like it didn't help you? What-what-what happened?\n",TRUE,open,FALSE,0.288729315623641
24,therapist,high,"Hey, can I help you?","therapist: Hey, can I help you?\n",TRUE,closed,FALSE,0.2887556473724544
88,therapist,high,So you're still kind of unsure if this is something that you could do yet you're saying you really wanna do it because you don't wanna go back for sanctions.,"client: Get up on time would probably be a good start of making me get there on time.\ntherapist: What time would you need to get up then?\nclient: [sighs] If I'm gonna catch the bus I'll probably need to be up by 6:15 and sometimes that's just so hard to do, 'cause I go to bed so late and I don't know if I can do it.\ntherapist: So you're still kind of unsure if this is something that you could do yet you're saying you really wanna do it because you don't wanna go back for sanctions.\n",FALSE,n/a,TRUE,0.28920865594409406
60,therapist,high,"Yeah, yeah, they really do, and smokers. Yeah, and drinkers, they do, yes. Yeah.","client: That seems to be like, uh, a false setting up, you know, like, come on.\ntherapist: Actually, you would be amazed how many people do it.\nclient: Really?\ntherapist: Yeah, yeah, they really do, and smokers. Yeah, and drinkers, they do, yes. Yeah.\n",FALSE,n/a,FALSE,0.29032750451005995
22,therapist,high,Yeah.,"client: But, I noticed people go through things every day. I go through things in life. Things are gonna change.\ntherapist: Mm-hmm.\nclient: Things do not stay the same. Um, you know, like, you may be here, you're gonna go there, you're gonna go over there, not necessarily saying you're gonna fall down, but your view on life changes the more experience, the more life, every day-\ntherapist: Yeah.\n",FALSE,n/a,FALSE,0.2913185185752809
44,therapist,low,"Okay. So it's, um, so it's good, because you're not drinking and driving, but you're still really drinking a lot. Um, and yeah. Okay. So, let's-let's talk a little bit about that, how you might be able to make some changes. Because I think you really need to- need to stop drinking like this.","client: -and we usually sleep over each other's house, we don't get into the problems of drinking and driving, and possibly sexual assaults and things like that.\ntherapist: Uh-huh.\nclient: But I haven't really thought about possible alcoholism or anything.\ntherapist: Okay. So it's, um, so it's good, because you're not drinking and driving, but you're still really drinking a lot. Um, and yeah. Okay. So, let's-let's talk a little bit about that, how you might be able to make some changes. Because I think you really need to- need to stop drinking like this.\n",FALSE,n/a,FALSE,0.29179489868693054
53,therapist,low,"Okay, and so that's maybe like 20 times a year.","client: Um, maybe like once or twice a month at the most.\ntherapist: Mm-hmm, so like once or twice a month you're having alcohol?\nclient: Yeah.\ntherapist: Okay, and so that's maybe like 20 times a year.\n",TRUE,open,TRUE,0.2921411267016083
118,therapist,low,Okay.,"client: Parace- paracetamol. Do you understand how difficult this is gonna be for me? I mean, I could lose my job or something.\ntherapist: Okay, that's pretty unlikely with sore throat. I think that's so, you know, a little bit of grand staging there.\nclient: I'm sorry, uh, I think I'm gonna say something that I don't- I don't want to, so I'm actually going to go.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.29215601505711675
82,therapist,high,Okay. Anything else?,"client: Um, well, I have a group of friends that doesn't drink that I hang out with. And I think when I hang out with them, it's not an issue. So that also helps me.\ntherapist: So you have a support group that gives you the ability to have fun and still drink below risk levels?\nclient: Yep.\ntherapist: Okay. Anything else?\n",TRUE,closed,FALSE,0.29234988591633737
84,therapist,high,"Okay, so you wanna kind of get some action, don't wanna sit around-","client: I don't know. I got a short attention span or something.\ntherapist: Yeah, what-what makes you say that?\nclient: Uh, just can't sit around home all day. I'd wanna go out and do something exciting.\ntherapist: Okay, so you wanna kind of get some action, don't wanna sit around-\n",FALSE,n/a,TRUE,0.29270595451816916
58,therapist,high,Do you really?,"client: So yeah-- That's-- I-I really enjoyed it. And I-I liked the feeling that I was doing something good for myself. I liked that, too. I-it kind of-- It so-- It gave me a little bit of self-esteem, I guess.\ntherapist: I-it a-almost, um, feels like you identified as being a runner, like an athlete?\nclient: I-I subscribed to the magazine a while.\ntherapist: Do you really?\n",TRUE,closed,FALSE,0.2929330097977072
63,therapist,high,Why not a one or a two?,"client: Mm.\ntherapist: -and 10 being ready, where would you put yourself?\nclient: Uh, three.\ntherapist: Why not a one or a two?\n",TRUE,open,FALSE,0.29329683003015816
45,therapist,high,"Okay. You know it seems like you had uh, a day at school. I noticed that uh, you missed your first hour of class today as well.","client: Fine. Where do you want me to sign?\ntherapist: Well, you can sign right there. Seems like you're not in the mood to talk today.\nclient: Not really.\ntherapist: Okay. You know it seems like you had uh, a day at school. I noticed that uh, you missed your first hour of class today as well.\n",FALSE,n/a,FALSE,0.29336987249553204
56,therapist,high,"Hi, Mrs. Smith. I'm Denise. I'm the social worker here at the clinic work that's working with Dr. Fields and the rest of the team. And, um, I know you were here to see Dr. Fields today, and I-I just wanted to let you know, I usually work with people who are similar to- have situations similar to you, and that have gone back home from rehab. And, uh, so I'd like to find out a little bit if you would, if that's okay, about how it's been going since you got home.","therapist: Hi, Mrs. Smith. I'm Denise. I'm the social worker here at the clinic work that's working with Dr. Fields and the rest of the team. And, um, I know you were here to see Dr. Fields today, and I-I just wanted to let you know, I usually work with people who are similar to- have situations similar to you, and that have gone back home from rehab. And, uh, so I'd like to find out a little bit if you would, if that's okay, about how it's been going since you got home.\ntherapist: Hi, Mrs. Smith. I'm Denise. I'm the social worker here at the clinic work that's working with Dr. Fields and the rest of the team. And, um, I know you were here to see Dr. Fields today, and I-I just wanted to let you know, I usually work with people who are similar to- have situations similar to you, and that have gone back home from rehab. And, uh, so I'd like to find out a little bit if you would, if that's okay, about how it's been going since you got home.\ntherapist: Hi, Mrs. Smith. I'm Denise. I'm the social worker here at the clinic work that's working with Dr. Fields and the rest of the team. And, um, I know you were here to see Dr. Fields today, and I-I just wanted to let you know, I usually work with people who are similar to- have situations similar to you, and that have gone back home from rehab. And, uh, so I'd like to find out a little bit if you would, if that's okay, about how it's been going since you got home.\n",TRUE,open,FALSE,0.29352264618501067
53,therapist,low,And do you hang out with them?,"client: Um, I mean, I have some friends that drink some more than others, like, my close group of friends don't really drink as much because I'm not really interested in that, but I know that there are people that drink a lot more.\ntherapist: Okay. What about at these parties you're going to, are there other kids there who are drinking a lot?\nclient: Yeah. There are kids that drink a lot more than I do. Definitely, yeah.\ntherapist: And do you hang out with them?\n",TRUE,open,FALSE,0.2954801148734987
45,therapist,high,Yeah. And there is and I'm sure that it is really struggling at times too.,client: It's just like a lot.\ntherapist: Mm-hmm.\nclient: And you feel like there's all these rules.\ntherapist: Yeah. And there is and I'm sure that it is really struggling at times too.\n,FALSE,n/a,TRUE,0.2956117775756866
49,therapist,high,Okay.,"client: Maybe I wanna have traveled and found the man of my dreams. [chuckles]\ntherapist: Yeah, yeah.\nclient: I don't know. Kids maybe, but-\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.295742022106424
31,therapist,high,"Okay, and, uh, so talk to me a little bit more about what the doctors told you about-about your risks of stroke or heart attack while you're ta- while you have high cholesterol.","client: Okay.\ntherapist: But otherwise, again it's rare, and it's completely reversible if you let us know.\nclient: Well, I guess it doesn't worry me quite as much if it's reversible like that. You know, I was thinking this was gonna be a big-time, but, uh, uh, yeah, I guess, it sounds manageable.\ntherapist: Okay, and, uh, so talk to me a little bit more about what the doctors told you about-about your risks of stroke or heart attack while you're ta- while you have high cholesterol.\n",TRUE,open,FALSE,0.29612166178412735
60,therapist,high,"Actually, you would be amazed how many people do it.","client: Because it's like people who will start and say, ""I'm going to stop drinking at New Year's Eve. After midnight, I'm not gonna drink.""\ntherapist: Yeah.\nclient: That seems to be like, uh, a false setting up, you know, like, come on.\ntherapist: Actually, you would be amazed how many people do it.\n",FALSE,n/a,FALSE,0.2969110256526619
49,therapist,high,"Yeah. So, thinking about, like, you know, last time, you-you started to say that, well, you thought it was-- you deserved it and there was some thinking around that, so I'm, sort of, wondering how open you are to-to exploring that from some different angles?","client: Mm-hmm.\ntherapist: So, one of the things that we started to touch on, last time, was this issue of gambling, and, um, you were talking, last time, about how the gambling had, sort of, got you into trouble with your family.\nclient: Mm-hmm.\ntherapist: Yeah. So, thinking about, like, you know, last time, you-you started to say that, well, you thought it was-- you deserved it and there was some thinking around that, so I'm, sort of, wondering how open you are to-to exploring that from some different angles?\n",TRUE,closed,FALSE,0.29707472026348114
115,therapist,low,"-coffee, tea. Yeah, you've heard this before, I'm sure.","client: Oh.\ntherapist: Possibly-\nclient: Gonna get that again.\ntherapist: -coffee, tea. Yeah, you've heard this before, I'm sure.\n",FALSE,n/a,FALSE,0.29726949729956686
21,therapist,high,Okay. What do you know about how that's dangerous?,"client: Um, definitely not. I've never drunk-driven, and I've never been in a car with a drunk driver.\ntherapist: Okay. So, that's something that you've sort of made a decision about. It sound like you—\nclient: Yeah, because I know that's extremely dangerous, so.\ntherapist: Okay. What do you know about how that's dangerous?\n",TRUE,open,TRUE,0.29789980105124414
21,therapist,high,"Okay. And, any not-so-good things about alcohol?","client: Um, no, not really. Like I said, I don't drink that much-\ntherapist: Mm-hmm.\nclient: So, I-I wouldn't be able to tell you.\ntherapist: Okay. And, any not-so-good things about alcohol?\n",TRUE,open,FALSE,0.2981522826012224
24,therapist,high,"Okay. Well, it sounds like you're really here just for information today. I'm happy to help you pick out some of these products if and when you decide that the time is right for you.","client: I don't know. I guess if my friends, like if one of my friends decided to like quit with me, that would probably help too, but I-- all my friends love to smoke, so I don't see that happening in the near future.\ntherapist: Sure. I wonder if now that your workplace is going smoke-free, if there will be some people at work who planning to quit.\nclient: That's a good point. I hadn't really thought about that. That-that's a good idea. Yeah.\ntherapist: Okay. Well, it sounds like you're really here just for information today. I'm happy to help you pick out some of these products if and when you decide that the time is right for you.\n",FALSE,n/a,FALSE,0.29826889536343515
91,therapist,high,Mm-hmm.,"client: I'm giving myself six months, six months and-and, uh, that seems like a long time away, but I have a feeling I'm going to fail at this point in time. I don't even have 50%, uh, faith in myself.\ntherapist: Okay. So what I'm hearing you say is that, although you want to quit smoking in the next six months, you're feeling a bit, um, under-confident that you'll actually be able to do this and you're-you're worried about failing.\nclient: I don't know what to do. I've tried to quit smoking. I've had, uh, I've taken pills, I've taken the patch.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.2985804113559425
33,therapist,high,Okay.,"client: Okay.\ntherapist: Um, and so thanks for- thanks for taking a couple of minutes and talking about smoking.\nclient: Thanks, doc.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.2989294081926346
21,therapist,high,Hm.,"client: Well, my name is Laura. I'm 17 years old, and I'm a senior in high school.\ntherapist: Okay. And, what kinds of things do you plan for your life?\nclient: Well, hopefully, go to college, get, you know, good enough grades to go to college.\ntherapist: Hm.\n",FALSE,n/a,FALSE,0.2990592496935278
74,therapist,low,"Okay. We'll continue with the exam, but you know where I stand on this. Okay?","client: Yeah.\ntherapist: Okay.\nclient: Yeah.\ntherapist: Okay. We'll continue with the exam, but you know where I stand on this. Okay?\n",FALSE,n/a,FALSE,0.299230900593102
38,therapist,high,"Yeah, you really feel like you need that reward.","client: I don't know, i-it just surprises me because, I mean, two drinks a day, that-that doesn't seem like a problem or risky, you know. And, I have family members who drink a lot more than that per day, and, it's not a problem for them. So, i-it just surprises me.\ntherapist: It just doesn't seem that abnormal to you, especially when you compare it with your family.\nclient: No. And then, I don't know, I-I'm just getting kind of annoyed, honestly, because, you know, I did agree I would try to work on my smoking, you know. But, with this whole drinking thing, it's like everything that I enjoy, you know, is being taken away from me right now. And so, if I give up drinking, like, what am I going to have to enjoy myself, you know.\ntherapist: Yeah, you really feel like you need that reward.\n",FALSE,n/a,TRUE,0.29960450693033636
55,therapist,high,"Do you mind if I take a look at your arm, please?","client: Uh, mostly in my left arm.\nclient: Uh, mostly in my left arm.\nclient: Uh, mostly in my left arm.\ntherapist: Do you mind if I take a look at your arm, please?\n",TRUE,closed,FALSE,0.2997651465702802
83,therapist,high,"So coming along to see me and you and I are doing some work together, then you're going on to do a program, how important is that gonna be for you and your children?","client: You know. I, um, they're my whole world and-and I've fucked things up.\ntherapist: Right.\nclient: So, you know.\ntherapist: So coming along to see me and you and I are doing some work together, then you're going on to do a program, how important is that gonna be for you and your children?\n",TRUE,open,FALSE,0.30013580550439656
63,therapist,high,So you're normally very careful and you use protection when you have sex?,"client: Right.\ntherapist: Well, as I think you know, Methamphetamine use is associated with some health risks. And the amount that you're using it-it puts you in a category that we consider a risky user. And that contrasts with someone who it says addicted, um, someone who's a heavy user but it's not in a healthy category because people who use Methamphetamine tend to run to a number of consequences. And actually one of them is, um, sexually transmitted diseases. Do you suppose that your STD might be associated with your Methamphetamine use?\nclient: Yeah, it could be because, uh, I was high when I had unprotected sex and I would not do that if I were not high.\ntherapist: So you're normally very careful and you use protection when you have sex?\n",FALSE,n/a,TRUE,0.3003871734254062
18,therapist,high,"A bit of a rush. Yeah. 'Cause other people I have worked with say that, yeah, sometimes they get a bit of a rush, that somehow the rush takes over and they don't know when to stop. Not sure if that's what- if that's what it's like for you, but other people have told me that, so.","client: Mm.\ntherapist: And, yeah, it might be an issue, I don't know if it's an issue at this point. It'll be interesting to sort of talk about that. But I'm wondering what happens, yeah, when-when you get on the pokies out there, they're certainly at the pub, pokies around? So what happens in your body when, um—\nclient: A bit of a rush, I suppose.\ntherapist: A bit of a rush. Yeah. 'Cause other people I have worked with say that, yeah, sometimes they get a bit of a rush, that somehow the rush takes over and they don't know when to stop. Not sure if that's what- if that's what it's like for you, but other people have told me that, so.\n",FALSE,n/a,FALSE,0.3038527618627995
7,therapist,high,Yeah.,client: Yeah.\ntherapist: Yeah.\ntherapist: Yeah.\ntherapist: Yeah.\n,FALSE,n/a,FALSE,0.3040979967918247
65,therapist,high,"Yeah. And your worry is that if you stop, you will end up gaining weight. So I'm hearing this kind of list of things that don't feel so positive about stopping.","client: Mm-hmm.\ntherapist: It's become a more important part of your life because you found yourself smoking at times that you thought I'll never smoke then.\nclient: Right.\ntherapist: Yeah. And your worry is that if you stop, you will end up gaining weight. So I'm hearing this kind of list of things that don't feel so positive about stopping.\n",FALSE,n/a,TRUE,0.30450742435641587
54,therapist,high,"All right, so I'll see you next week.","client: Okay.\ntherapist: Okay?\nclient: Okay.\ntherapist: All right, so I'll see you next week.\n",FALSE,n/a,FALSE,0.3050025552511215
4,therapist,high,"-the-the piercing might not last forever, but your teeth really are-","client: -will kind of stick [unintelligible 00:02:30]\ntherapist: Emily, you said it so well it-\nclient: Yeah.\ntherapist: -the-the piercing might not last forever, but your teeth really are-\n",FALSE,n/a,TRUE,0.30521836946718395
8,therapist,high,Okay. That sounds good.,"client: I wish my wife could have come today cause she's feels after like, just stop like right away. So do you think she could come with me at a future appointment or something and she could hear that message?\ntherapist: If you wanted to bring your wife along, I'd be more than happy to talk with both of you.\nclient: Okay. I'll have to talk to her as well because their schedule changes from week to week, she works shifts, so I'll call you back tomorrow and we'll set something up.\ntherapist: Okay. That sounds good.\n",FALSE,n/a,FALSE,0.3053993280045688
43,therapist,high,"Okay. So, four or five. How combat, like, not like a two or three.","client: Exactly. So, I just avoid it and put it off.\ntherapist: Yeah. So, on a scale from 1 to 10, 1 being not confident at all, 10 being very confident. How confident are you that you feel you can manage your anxiety in regards to taking this exam?\nclient: Um, maybe like a four or five.\ntherapist: Okay. So, four or five. How combat, like, not like a two or three.\n",TRUE,open,FALSE,0.30578000214882195
92,therapist,low,Okay.,"client: Fine. I'm in a really big hurry, and I need to get those prescriptions filled as soon as possible, please.\ntherapist: Okay, well, I-I hope you really listen to what I'm telling you about her using that chronic inhaler, and I hope you consider quitting smoking.\nclient: Fine. I just need to get my prescriptions.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.3058586474508047
93,therapist,high,Okay. So you're- you're feeling fairly motivated.,"client: Mm-hmm.\ntherapist: Great. So on a scale from zero to 10, zero being not at all ready to make a change in the area of physical activity, and 10 being let's- let's do this. I'm excited. I'm ready. Um, where- where do you fall on that scale?\nclient: Hmm, I'd say I'm about an eight.\ntherapist: Okay. So you're- you're feeling fairly motivated.\n",FALSE,n/a,TRUE,0.30609465832822025
63,therapist,high,"Snort it, smoke it?","client: Okay.\ntherapist: Let's take a look. It says that on occasion you use, uh, drugs other than medical reasons. Which drugs do you use?\nclient: I do some meth.\ntherapist: Snort it, smoke it?\n",TRUE,open,FALSE,0.3068187397439033
130,therapist,low,"Come on, Hailey. You're here because you thought he had pneumonia. You're telling me that Jake can't breathe, you're concerned about his breathing. And then you just slip in the fact that you're smoking cigarettes and you think there's no relationship? Do I really need to review all the risks of smoking in front of your-your child or exposing him to secondhand smoke not to mention the risks that you're posing to yourself and your own health?","therapist: Come on, Hailey. You're here because you thought he had pneumonia. You're telling me that Jake can't breathe, you're concerned about his breathing. And then you just slip in the fact that you're smoking cigarettes and you think there's no relationship? Do I really need to review all the risks of smoking in front of your-your child or exposing him to secondhand smoke not to mention the risks that you're posing to yourself and your own health?\ntherapist: Come on, Hailey. You're here because you thought he had pneumonia. You're telling me that Jake can't breathe, you're concerned about his breathing. And then you just slip in the fact that you're smoking cigarettes and you think there's no relationship? Do I really need to review all the risks of smoking in front of your-your child or exposing him to secondhand smoke not to mention the risks that you're posing to yourself and your own health?\ntherapist: Come on, Hailey. You're here because you thought he had pneumonia. You're telling me that Jake can't breathe, you're concerned about his breathing. And then you just slip in the fact that you're smoking cigarettes and you think there's no relationship? Do I really need to review all the risks of smoking in front of your-your child or exposing him to secondhand smoke not to mention the risks that you're posing to yourself and your own health?\ntherapist: Come on, Hailey. You're here because you thought he had pneumonia. You're telling me that Jake can't breathe, you're concerned about his breathing. And then you just slip in the fact that you're smoking cigarettes and you think there's no relationship? Do I really need to review all the risks of smoking in front of your-your child or exposing him to secondhand smoke not to mention the risks that you're posing to yourself and your own health?\n",TRUE,closed,FALSE,0.30703005217947066
7,therapist,high,Sounds like a wild night.,therapist: Sounds like a wild night.\ntherapist: Sounds like a wild night.\ntherapist: Sounds like a wild night.\ntherapist: Sounds like a wild night.\n,FALSE,n/a,TRUE,0.30705440044403076
85,therapist,high,"To tell you, it sounds terrible, actually. Yeah. So, that that-that really-- And then- and then, to top it all off, literally, I mean, no sex drive.","client: Well, you understand that.\ntherapist: Yeah.\nclient: You-you can- you can understand why I don't take it.\ntherapist: To tell you, it sounds terrible, actually. Yeah. So, that that-that really-- And then- and then, to top it all off, literally, I mean, no sex drive.\n",FALSE,n/a,TRUE,0.30705534596927464
47,therapist,high,So nothing you want to talk about right now?,"client: Fine.\ntherapist: Um, I noticed some yelling going on in the house, what's going on?\nclient: It's not really any of your business.\ntherapist: So nothing you want to talk about right now?\n",FALSE,n/a,TRUE,0.3072046907618642
80,therapist,high,"In marking it down, okay.","client: Yes.\ntherapist: -uh, and that you've noticed are more difficult than the others?\nclient: But I marked it in the book. Uh, that's one thing I said to myself, I'll be honest in my marking down.\ntherapist: In marking it down, okay.\n",FALSE,n/a,TRUE,0.3079509900417179
60,therapist,high,"So, for you, it's your, you know, it sounds like you really want to be prepared.","client: Or, like, you know, setting up-- but what is that that they say? Um, you know, like, it's- it's the terminology, you know, with all the anxiety and letting go, you know, like I'm gonna [crosstalk].\ntherapist: Like a new beginning.\nclient: Yeah. Uh-huh, uh-huh. Yeah.\ntherapist: So, for you, it's your, you know, it sounds like you really want to be prepared.\n",FALSE,n/a,TRUE,0.30822502356022596
49,therapist,high,What's your hunch? Yeah.,"client: Party girl at 30s is a bit sad, really, isn't it? [chuckles]\ntherapist: I don't know.\nclient: I don't know. It's been fun up to now-\ntherapist: What's your hunch? Yeah.\n",TRUE,open,FALSE,0.30870339716784656
85,therapist,high,Okay.,"client: Well, if I stay off the medication too long, I-- Some people might say there's a problem with that, you know.\ntherapist: You were right.\nclient: Well, I guess running around the neighborhood with no clothes on isn't really good.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.30894849612377584
27,therapist,low,"Well, uh, wait a second, Sal, what do you mean you-you- ha- If you-- As in-- You know to be informed about-- I'm just really taken aback by that because I understand from your chart that you have a young baby-","therapist: Well, uh, wait a second, Sal, what do you mean you-you- ha- If you-- As in-- You know to be informed about-- I'm just really taken aback by that because I understand from your chart that you have a young baby-\ntherapist: Well, uh, wait a second, Sal, what do you mean you-you- ha- If you-- As in-- You know to be informed about-- I'm just really taken aback by that because I understand from your chart that you have a young baby-\ntherapist: Well, uh, wait a second, Sal, what do you mean you-you- ha- If you-- As in-- You know to be informed about-- I'm just really taken aback by that because I understand from your chart that you have a young baby-\ntherapist: Well, uh, wait a second, Sal, what do you mean you-you- ha- If you-- As in-- You know to be informed about-- I'm just really taken aback by that because I understand from your chart that you have a young baby-\n",FALSE,n/a,FALSE,0.309037332655862
83,therapist,high,Okay. What do you think it might be like for you to explore that with them?,"client: I would- I would love f-f-for her to know that I'm doing this and for her to know that I mean it, but, um, I know she wouldn't give a shit right now actually.\ntherapist: Right. In terms of your employer, would they be supportive?\nclient: Uh, yeah, I don't know. Maybe, but I don't know if I want them to know though.\ntherapist: Okay. What do you think it might be like for you to explore that with them?\n",TRUE,open,FALSE,0.3090804028324783
34,therapist,high,"Okay. So, you're concerned about the consequences, and you really care about your baby, and you want to give your baby the best start you can.","client: Yeah. Um, he said that I was drinking too much with it. Um, I-I haven't been a lot, but he said it was still maybe, um, would screw things up.\ntherapist: And you're feeling kind of concerned about that.\nclient: Yeah. Yeah. Like I don't- I don't want to screw anything up with this baby, but, um, yeah, I'm just- I'm scared I already did.\ntherapist: Okay. So, you're concerned about the consequences, and you really care about your baby, and you want to give your baby the best start you can.\n",FALSE,n/a,TRUE,0.3095960954669863
58,therapist,high,Mm-hmm.,"client: And then I-- [unintelligible 00:04:41] kinda nice [unintelligible 00:4:42] gonna be troublesome.\ntherapist: [unintelligible 00:04:45]?\nclient: Um, I don’t know. I think- I think the time has just been the biggest thing, you know, and-and I-I guess the motivation really hasn’t been there. I mean, you know, it’s not like- I don’t really have a goal. I don’t really have a, you know I don't, other than maybe reducing my waistline, you know, I don't really have a-a set number like I'm gonna run a marathon and you know.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.3099266951903701
85,therapist,high,How would you know if it was a problem?,"client: You know, it's not all the time, it's-it's not- it's not a problem.\ntherapist: Okay.\nclient: Certainly not a problem.\ntherapist: How would you know if it was a problem?\n",TRUE,open,FALSE,0.31009590346366167
83,therapist,high,What's that been like for you in the past?,"client: It's a bit of a bitch.\ntherapist: Okay. I see you've had a bit of experience with, uh, coming to prevention services.\nclient: Mm-hmm.\ntherapist: What's that been like for you in the past?\n",TRUE,open,FALSE,0.3102945261634886
94,therapist,high,Mm-hmm.,"client: Um, how about if we talk about, uh, the problem that I'm really having is, um, getting somebody motivated to do something, um, such as move out of my house.\ntherapist: Okay, so, um, there would be, so what you're, what you're attempting to do is, um, well-- Tell me, I guess, uh, tell me a little bit more about it so I understand it a little bit more.\nclient: Well, I-I offered my home to somebody and, uh, for, you know, uh, a transitional period.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.31146233598701656
76,therapist,high,"So, live, um, having that as a priority, um, do you feel as though, like you said before you'll live, but you know that you're able to look at, okay, these are my values, you know, and you're able to acknowledge [unintelligible 00:07:30] values.","client: But I like I enjoy learning and experiencing different cultures going, um, to different places in the world and then just also being around people that live in the community that are from other cultures. And I think that brings a lot of wisdom. And just also being open to, uh, differences. And then like today, Election Day realizing that something might happen, uh, in the Congress or the Senate, that's gonna be sort of against my values but if it happens, it happens, and I have to deal with it and-and be at peace with myself with about whatever anybody else is doing I still have to have that inner peace within myself.\ntherapist: And in the sense of you saying in your words, you'll live.\nclient: Right. Mm-hmm.\ntherapist: So, live, um, having that as a priority, um, do you feel as though, like you said before you'll live, but you know that you're able to look at, okay, these are my values, you know, and you're able to acknowledge [unintelligible 00:07:30] values.\n",FALSE,n/a,TRUE,0.31153490021824837
29,therapist,high,"Absolutely, I appreciate you sharing that piece with me and you absolutely get to have that desire. And, um, we certainly are bombarded all day long with messages about how a body is supposed to look and so we all, um, certainly have moments of feeling dissatisfied with how our bodies look. And so you're absolutely, um, welcome to hold that and we can have space for that and you can certainly talk about that in these sessions. And I'll check in with you as we're going through the process of behavior change, um, to see how your body confidence is, um, as we talk more.","client: Um, and I know you said weight loss isn't really the goal, so I-\ntherapist: Sure.\nclient: -I just want to be upfront about that part with me and maybe that changes or maybe it doesn't, but what do you think about that.\ntherapist: Absolutely, I appreciate you sharing that piece with me and you absolutely get to have that desire. And, um, we certainly are bombarded all day long with messages about how a body is supposed to look and so we all, um, certainly have moments of feeling dissatisfied with how our bodies look. And so you're absolutely, um, welcome to hold that and we can have space for that and you can certainly talk about that in these sessions. And I'll check in with you as we're going through the process of behavior change, um, to see how your body confidence is, um, as we talk more.\n",FALSE,n/a,FALSE,0.3116551989223808
20,therapist,high,You're doing the best you can do.,"client: Yeah.\ntherapist: But they don't feel as scary to you now?\nclient: No, I mean, we're two separate people. And like I said, I don't, I try really hard not to smoke around him. I'm pretty good about that. I-I don't let other people smoke around him. Um, so I, you know.\ntherapist: You're doing the best you can do.\n",FALSE,n/a,TRUE,0.312179648084566
74,therapist,low,"-as well as your teeth. So, we can see some recession that's gonna start to happen-","client: Oh, I mean, it's my lip that's pierced, not my teeth.\ntherapist: Well, yes, except that, you know what's gonna happen. See how-- Do you feel how when you're moving your lips-- Smile for me. Okay. So, do you see how when your muscles are moving, that piercing is rubbing against your gums-\nclient: Yeah.\ntherapist: -as well as your teeth. So, we can see some recession that's gonna start to happen-\n",FALSE,n/a,FALSE,0.31249355361796916
81,therapist,high,Tell me about how your parents raised you?,therapist: Did you like how your parents raised you?\ntherapist: Tell me about how your parents raised you?\n,TRUE,open,FALSE,0.3126050792634487
37,therapist,high,"Kia ora, Ricky, welcome back.","therapist: Kia ora, Ricky, welcome back.\n",FALSE,n/a,FALSE,0.31261103809811175
71,therapist,high,"Okay. So, they gave you a horde of forms for a particular course?","client: I asked- I asked them what I had to do, and they said I had to fill out some forms, but-\ntherapist: Yeah.\nclient: -well, the forms, it's too confusing.\ntherapist: Okay. So, they gave you a horde of forms for a particular course?\n",FALSE,n/a,FALSE,0.3126429372932762
72,therapist,low,"You're a star player, who's going to pick on you?","client: Right. And as being one of the leaders, my fellow teammates expect me to be-- I expect them to lead not only in the sports but also in social environments. And if that's a social- that's a social custom in our society. So it's like—\ntherapist: Yeah. Well, maybe you can start leading as a non-drinker then.\nclient: I could, but that could also backfire on me. I feel that I could be ridiculed for being, having a stick up my butt, you know.\ntherapist: You're a star player, who's going to pick on you?\n",TRUE,closed,FALSE,0.3127726772800088
45,therapist,high,"Mm-hmm, yup that's one step, just sign the papers when I come by. Even though it seems like it's kinda annoying at times, it is something that we're contracted to do.","client: Mm-hmm.\ntherapist: What would be some ways you could go about being able to get your freedom back?\nclient: I guess like your sign your papers.\ntherapist: Mm-hmm, yup that's one step, just sign the papers when I come by. Even though it seems like it's kinda annoying at times, it is something that we're contracted to do.\n",FALSE,n/a,FALSE,0.3130378080531955
67,therapist,high,"Well, Good luck with basketball practice. If you want anything or need to talk about something before our next appointment, I'm here Monday through Thursday, and it's always good to see you.","client: Yeah.\ntherapist: Well, I'm glad to hear that you have a goal of quitting for a month and you are confident of reaching that goal. If you're willing to come back in a month or so, I would be curious to hear how your plan works out.\nclient: Mm-hmm.\ntherapist: Well, Good luck with basketball practice. If you want anything or need to talk about something before our next appointment, I'm here Monday through Thursday, and it's always good to see you.\n",FALSE,n/a,FALSE,0.3133691125549376
7,therapist,high,Sounds like a wild night.,therapist: Sounds like a wild night.\ntherapist: Sounds like a wild night.\ntherapist: Sounds like a wild night.\ntherapist: Sounds like a wild night.\n,FALSE,n/a,TRUE,0.3136838220525533
126,therapist,low,"All right. Well, this medication is pretty well tolerated, which means it doesn't have very many side effects. But you might experience some mild muscle aches and pains. If they seem really severe to you, then you should call Dr. Ferris and talk to him about that. Also this medicine can interact with a lot of other medications, and even over the counter things. So check with the doctor or myself before you start anything new. And lastly, grapefruit juice can interact with cholesterol statin 20. So if you use grapefruit juice every day, I probably would switch to a different juice while you're on this medication.","client: No.\ntherapist: Okay. Well, then that sounds like a perfect location for you. Medicines keep best if they're stored away from light and heat and moisture. What did the doctor tell you to expect in terms of side effects?\nclient: He didn't mention anything about that.\ntherapist: All right. Well, this medication is pretty well tolerated, which means it doesn't have very many side effects. But you might experience some mild muscle aches and pains. If they seem really severe to you, then you should call Dr. Ferris and talk to him about that. Also this medicine can interact with a lot of other medications, and even over the counter things. So check with the doctor or myself before you start anything new. And lastly, grapefruit juice can interact with cholesterol statin 20. So if you use grapefruit juice every day, I probably would switch to a different juice while you're on this medication.\n",FALSE,n/a,FALSE,0.31370414118282497
85,therapist,high,"So, we were, um- we were just talking a little bit about sustained talk, which most people call denial.","therapist: So, we were, um- we were just talking a little bit about sustained talk, which most people call denial.\n",FALSE,n/a,FALSE,0.3137259667273611
19,therapist,high,Mm-hmm.,"therapist: So you're sick of this?\nclient: Yeah. I-I just-- I can't shoplift anymore. You know, I got- I got caught again. And uh, you know, I-I got suspended, I got back to school, so I'm-I'm uh-- I'm gonna mess up my whole life here, unless I can stop this.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.31398168485611677
90,therapist,low,"Tommy, I'm just so concerned, you know, can't you think of anything better to do?","client: I-I don't think I'm drinking that much. I mean, it's-it's mainly for social gatherings. Like it's nothing that I do, like by myself or whatever. It's just the—\ntherapist: Is it like every weekend?\nclient: Every other weekends, I would say.\ntherapist: Tommy, I'm just so concerned, you know, can't you think of anything better to do?\n",TRUE,closed,FALSE,0.31558751966804266
67,therapist,high,So staying in school and playing on the basketball team is important to you?,"client: Well, I don't want to get in trouble like at school.\ntherapist: How could you get in trouble at school?\nclient: Well, I can get suspended and I would get kicked off the team, the basketball team.\ntherapist: So staying in school and playing on the basketball team is important to you?\n",TRUE,open,FALSE,0.31576557783409953
17,therapist,low,"Okay. So it sounds like you're drinking about four times a week, anywhere between three and eight drinks on a given day. So, maybe around 20 drinks a week?","client: No, not really anything.\ntherapist: Okay. And how often do you have a drink containing alcohol?\nclient: Um, a few times a week. Uh, Wednesdays, I'll go to happy hour and have about two or three. And then, um, Thursdays, seven, um, seven or eight. Fridays, probably just a couple of glasses of wine with dinner. Um, but Saturdays are bigger night. And I would probably have a few drinks before I went to the bar. And then have four or five at when-when I was out. So—\ntherapist: Okay. So it sounds like you're drinking about four times a week, anywhere between three and eight drinks on a given day. So, maybe around 20 drinks a week?\n",TRUE,closed,TRUE,0.3162162359803915
41,therapist,high,Yeah.,"client: -and I feel like I can- I can, uh, respect and value myself just as much as I have other people. I know that's important. And I feel like when I do that, I'm a better person for other people as well.\ntherapist: Mm-hmm. By not putting yourself on the back burner so much?\nclient: Yeah.\ntherapist: Yeah.\n",FALSE,n/a,FALSE,0.3163050424773246
106,therapist,low,"Okay, so I wrote a prescription for an antibiotic for Aiden and that should help with the ear infection, but in looking through the chart, I mean, it seems like he's had six or seven of these just in the past year or so.","therapist: Okay, so I wrote a prescription for an antibiotic for Aiden and that should help with the ear infection, but in looking through the chart, I mean, it seems like he's had six or seven of these just in the past year or so.\n",FALSE,n/a,FALSE,0.31652967166155577
18,therapist,high,"Yeah, yeah.","client: Um, I don't think there is much to sort. I have a few drinks like everybody else my age.\ntherapist: Yeah.\nclient: Pokies are at the pubs for the thrills, it's no worries.\ntherapist: Yeah, yeah.\n",FALSE,n/a,FALSE,0.3165616125334054
88,therapist,high,"So for you being in your class, when that bell rings, then you know, this is the goal.","client: Mm-hmm.\ntherapist: Great. So how will you know that you-your plan is working?\nclient: When I'm at school on time, when the bell rings and I'm in class.\ntherapist: So for you being in your class, when that bell rings, then you know, this is the goal.\n",FALSE,n/a,TRUE,0.3168953626882285
41,therapist,high,Like you've done anything helpful.,client: But I don't feel good about that.\ntherapist: You don't feel fulfilled.\nclient: No.\ntherapist: Like you've done anything helpful.\n,FALSE,n/a,TRUE,0.317381483502686
85,therapist,high,Okay.,client: I need that.\ntherapist: Yeah.\nclient: Um-\ntherapist: Okay.\n,FALSE,n/a,FALSE,0.31746985972858965
58,therapist,high,Mm-hmm.,"client: Okay, that's a great idea I hadn't thought of that-that's- I hadn't really, uh, I-I kinda dismissed that early on, I hadn't really even considered that, yeah.\ntherapist: And in for right now it just be, you'll be happy with getting there one time.\nclient: If I could get there-- I know if I could get there-- if I could pick, you know, uh, these are the days I'm going to go to the gym and I know these things last time.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.31790808076038957
44,therapist,low,"Oh, nice.","client: And, uh, my parents and my dog. [laughs]\ntherapist: Okay. What kind of dog do you have?\nclient: He's a golden retriever.\ntherapist: Oh, nice.\n",FALSE,n/a,FALSE,0.31883154483512044
25,therapist,high,"Okay, and-and why would you want to make this change?","therapist: So, Liz, what's something that you'd like to change or maybe that you're feeling two ways about right now?\nclient: Um, I really want to start working out again. Definitely wanna get back in it, have a routine, and just be healthy.\ntherapist: Okay, and-and why would you want to make this change?\n",TRUE,open,FALSE,0.3188964289147407
13,therapist,high,Hmm. Can you tell me more about your concerns about vaccines?,"therapist: Hi, Mrs. Smith. I wanted to let you know that at this appointment, we're gonna be giving Lilly some vaccines.\nclient: Oh, I-I don't know if I'm comfortable with that. I've been reading a bunch of stuff lately about them.\ntherapist: Hmm. Can you tell me more about your concerns about vaccines?\n",TRUE,open,FALSE,0.3198317599017173
68,therapist,high,"All right. Well, um, one of the things I wanted to talk to you about sort of relates to belonging and your friends. So what kinds of things do you like to do when you get together with your friends?","client: Yes.\ntherapist: Not just authority, but respecting yourself, respecting your teammates or your bandmates and other people around you. Okay, that's great.\nclient: Definitely, that's right.\ntherapist: All right. Well, um, one of the things I wanted to talk to you about sort of relates to belonging and your friends. So what kinds of things do you like to do when you get together with your friends?\n",TRUE,open,FALSE,0.3199975632596761
130,therapist,low,And let's talk some more about wine. You keep throwing wine into the conversation. It sounds like it's become a significant part of your daily routine. How much are you drinking?,therapist: And let's talk some more about wine. You keep throwing wine into the conversation. It sounds like it's become a significant part of your daily routine. How much are you drinking?\ntherapist: And let's talk some more about wine. You keep throwing wine into the conversation. It sounds like it's become a significant part of your daily routine. How much are you drinking?\ntherapist: And let's talk some more about wine. You keep throwing wine into the conversation. It sounds like it's become a significant part of your daily routine. How much are you drinking?\ntherapist: And let's talk some more about wine. You keep throwing wine into the conversation. It sounds like it's become a significant part of your daily routine. How much are you drinking?\n,TRUE,closed,TRUE,0.32043337100185454
49,therapist,high,"Yeah, that's okay.","client: Yeah, um. I'm sure you've already noticed. [chuckles] Um, I don't know, probably fidget.\ntherapist: Yeah?\nclient: That's why I am still a bit—\ntherapist: Yeah, that's okay.\n",FALSE,n/a,FALSE,0.32043453259393573
68,therapist,high,Wow. You really are involved in music.,"client: Sure. Um, as you know, I'm Andrea, I, uh, I'm a junior I'm in the marching band. I play the tenor sax.\ntherapist: Oh, neat.\nclient: Yeah, I'm also in the-- I'm a bit of a band geek. [laughter] I play, you know, in the wind ensemble and the jazz band, things like that.\ntherapist: Wow. You really are involved in music.\n",FALSE,n/a,TRUE,0.32057727687060833
85,therapist,high,"So, um, it also, um-- Anyway, it's-it's when people are just saying, ""Um, you know, this is why I don't wanna change. You know, I'm happy the way that I am. You know, it's, you know, um, God made it that marijuana stuff,"" you know, things like that. So-","client: Well, I'm glad I don't have any of that.[laughter]\ntherapist: You're a lucky man.\nclient: Thank you.\ntherapist: So, um, it also, um-- Anyway, it's-it's when people are just saying, ""Um, you know, this is why I don't wanna change. You know, I'm happy the way that I am. You know, it's, you know, um, God made it that marijuana stuff,"" you know, things like that. So-\n",FALSE,n/a,FALSE,0.3222079158294946
27,therapist,low,Mm-hmm.,"client: Yeah, but I-- Um, let me just clarify, I've seen the materials, I have them-\nclient: Yeah, but I-- Um, let me just clarify, I've seen the materials, I have them-\ntherapist: Mm-hmm.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.32264721067622304
46,therapist,high,Okay. What we talk about is confidential. I only tell your parents about what we say if you give your permission or if I become worried about a danger to-to you or to someone else. Does that make sense?,"client: No.\ntherapist: Okay. I see that you filled out our, um, alcohol and drug questionnaire. Is it okay if we go through this together?\nclient: Sure.\ntherapist: Okay. What we talk about is confidential. I only tell your parents about what we say if you give your permission or if I become worried about a danger to-to you or to someone else. Does that make sense?\n",TRUE,closed,FALSE,0.3229745510034263
43,therapist,high,So for you to create opportunities to create those moments that you can have that feeling again,"client: I mean, I think again, like all that anxiety, the same anxiety I had with that I have with those tests. And so, um, but that if I pass this test, if I could have that same feeling that I had, like when I did a good job like the-- you know, I mean, I would like to have that feeling again.\ntherapist: Mm-hmm\nclient: You know.\ntherapist: So for you to create opportunities to create those moments that you can have that feeling again\n",FALSE,n/a,TRUE,0.3230125973932445
55,therapist,high,"Miguel, before we end the call, I did want to go over the answers you gave me on the questionnaire about drug use. Is it okay if we go over that right now?","therapist: Miguel, before we end the call, I did want to go over the answers you gave me on the questionnaire about drug use. Is it okay if we go over that right now?\n",FALSE,n/a,FALSE,0.32319239852949977
18,therapist,high,Yeah.,"client: Mm.\ntherapist: So the part of you that does see this is-- as an issue, yeah, that the gambling sometimes can be out of control, you know, tell me that part of you that-that maybe knows that, uh, it's getting you into trouble and it's gone way-- just moved you off from that point, there have been some—\nclient: Um, I don't know if pfft-- maybe I wouldn't be here if it wasn't for gambling 'cause-\ntherapist: Yeah.\n",FALSE,n/a,FALSE,0.32382202381268144
21,therapist,high,"So, you're really are trying to be safe and-and make sure that-","client: Yeah, because I know that's extremely dangerous, so.\ntherapist: Okay. What do you know about how that's dangerous?\nclient: Um, well, alcohol definitely impairs your judgment. So, I mean, driving under the influence of alcohol can lead to like crashes and accidents and things like that, so I'd rather not be in that situation.\ntherapist: So, you're really are trying to be safe and-and make sure that-\n",FALSE,n/a,TRUE,0.32513126637786627
83,therapist,high,"What would you really like to happen in terms of, uh, you and your children?","client: It sucks.\ntherapist: Mm-hmm.\nclient: Yeah.\ntherapist: What would you really like to happen in terms of, uh, you and your children?\n",TRUE,open,FALSE,0.32527940766885877
54,therapist,high,What gym do you belong to?,"client: Well, I just can't seem to get back in the gym. I don't wanna-- I-I used to work out quite a bit, and in the last, I dunno, couple of years I've just-- I stopped going. I got busy, and now I'm out of the habit, and I-I really, I dunno, I feel like I need to get back.\ntherapist: Well, I mean, I think you just need to maybe sit down and write down a list of reasons why you need to get back to the gym, and then on the other side of the list, put down, you know, um, ideas about what's going to help you get there.\nclient: Okay. Um. All right. Um—\ntherapist: What gym do you belong to?\n",TRUE,closed,FALSE,0.32530933571979403
91,therapist,high,"Okay. Let me just step back a little bit and ask you a question so that I can better understand where the difficulty that you're having with is. Uh, could you tell me what is good about smoking for you?","client: I've gone through therapy. Uh, nothing's helped. I finally- I went to the doctor. I was actually in the hospital. They took me to the hospital for a week. That's the longest I quit.\ntherapist: Right. So you've been able to quit smoking, but only when you were in the hospital.\nclient: I had no choice, I had no choice. And then the next day I was back to smoking again what I smoked.\ntherapist: Okay. Let me just step back a little bit and ask you a question so that I can better understand where the difficulty that you're having with is. Uh, could you tell me what is good about smoking for you?\n",TRUE,open,FALSE,0.32540871761739254
68,therapist,high,"Okay, great, so you're doing well. What sorts of goals do you have for after college- oh, after high school?","client: My big boy.\ntherapist: [laughs] Very fun. All right. And how are things going in school for you?\nclient: They're pretty good. Grades have been pretty all right. Still like 3.7 ish.\ntherapist: Okay, great, so you're doing well. What sorts of goals do you have for after college- oh, after high school?\n",TRUE,open,FALSE,0.3264280299190432
38,therapist,high,"Um, we started off talking about how your drinking has sort of drifted into a risky area, and it would be advisable to cut back. Um, but it sounds like you feel like that's fairly important to you and not something you necessarily want to do. But on the other hand, we've talked about ways in which that perhaps could be made a bit easier, but I'm not sure if you're ready to tackle that or pursue that right now. I'm just kind of wondering where you are.","therapist: Anything else?\nclient: Well, I mean, most of my problems always go back to money. You know, i-if I had more money, I could afford daycare, I could work less hours, you know? So, yeah. It's-it's normally related to money.\ntherapist: Yeah. It-it sounds like, um, you know, money could make a big difference, and you are working full time and trying to go to school to address that in the long run. Um, but on the other hand, you know, it sounds like you have some other ideas of cope- of how you might cope with stress better. Um, so, I guess I'm-I'm wondering, given our conversation so far, kind of where you are with everything.\ntherapist: Um, we started off talking about how your drinking has sort of drifted into a risky area, and it would be advisable to cut back. Um, but it sounds like you feel like that's fairly important to you and not something you necessarily want to do. But on the other hand, we've talked about ways in which that perhaps could be made a bit easier, but I'm not sure if you're ready to tackle that or pursue that right now. I'm just kind of wondering where you are.\n",TRUE,open,FALSE,0.3265629825182259
39,therapist,high,"Um, because I know you mentioned you tried the Chantix. Um, what have you tried? Uh, Zyban or Wellbutrin?","client: Because you know I've never been really athletic. I mean, so it's kind of like, I know that when you substitute something for something else, other than chocolate, which is my best friend too, [laughs].\ntherapist: Might become a better friend when you quit.\nclient: Yeah.\ntherapist: Um, because I know you mentioned you tried the Chantix. Um, what have you tried? Uh, Zyban or Wellbutrin?\n",TRUE,closed,FALSE,0.3265803484246135
61,therapist,high,Uh-huh.,"client: Well, she's-- she could, but I'd have to wait at least a week.\ntherapist: Okay. Um, so is that something that you'd like us to help you with?\nclient: I would.\ntherapist: Uh-huh.\n",FALSE,n/a,FALSE,0.3269260546658188
53,therapist,low,"Hi, Laura. So, thanks for coming in. I'm not sure how much you know about why you're here or what we're supposed to talk about. So, basically, I'm going to be meeting with all the students in the school usually once or twice per semester. And we're going to talk about, you know, whatever's kind of going on in your life. I'll ask you some questions about, you know, your goals and what you like to do for fun and those sorts of things. And then we'll talk a little bit about, you know, different behaviors and-and stuff like that. And so, it's-it's pretty casual, pretty informal, just sort of a chance for me to get to know you if that's all right.","therapist: Hi, Laura. So, thanks for coming in. I'm not sure how much you know about why you're here or what we're supposed to talk about. So, basically, I'm going to be meeting with all the students in the school usually once or twice per semester. And we're going to talk about, you know, whatever's kind of going on in your life. I'll ask you some questions about, you know, your goals and what you like to do for fun and those sorts of things. And then we'll talk a little bit about, you know, different behaviors and-and stuff like that. And so, it's-it's pretty casual, pretty informal, just sort of a chance for me to get to know you if that's all right.\n",TRUE,open,FALSE,0.32717808964662254
28,therapist,high,"Okay. So, um, but you gave it a good try and it was just not a good fit for you like you-you really listened to what your body told you like nightmares, nausea, I mean those are really bad things.","client: -um—\ntherapist: It just didn't fit for you to do the online.\nclient: No. Yeah.\ntherapist: Okay. So, um, but you gave it a good try and it was just not a good fit for you like you-you really listened to what your body told you like nightmares, nausea, I mean those are really bad things.\n",FALSE,n/a,TRUE,0.32751111686229706
67,therapist,high,A seven. Why do you think you picked that instead of a lower number like five?,"client: For about a month.\ntherapist: Okay. If I asked you to pick a number, 0 through 10, 0 meaning you're not very confident at all in meeting your goal, or 10 meaning you're very confident, what number would you pick?\nclient: Um, seven.\ntherapist: A seven. Why do you think you picked that instead of a lower number like five?\n",TRUE,open,FALSE,0.32805446186102927
130,therapist,low,"Come on, Hailey. You're here because you thought he had pneumonia. You're telling me that Jake can't breathe, you're concerned about his breathing. And then you just slip in the fact that you're smoking cigarettes and you think there's no relationship? Do I really need to review all the risks of smoking in front of your-your child or exposing him to secondhand smoke not to mention the risks that you're posing to yourself and your own health?","therapist: Come on, Hailey. You're here because you thought he had pneumonia. You're telling me that Jake can't breathe, you're concerned about his breathing. And then you just slip in the fact that you're smoking cigarettes and you think there's no relationship? Do I really need to review all the risks of smoking in front of your-your child or exposing him to secondhand smoke not to mention the risks that you're posing to yourself and your own health?\ntherapist: Come on, Hailey. You're here because you thought he had pneumonia. You're telling me that Jake can't breathe, you're concerned about his breathing. And then you just slip in the fact that you're smoking cigarettes and you think there's no relationship? Do I really need to review all the risks of smoking in front of your-your child or exposing him to secondhand smoke not to mention the risks that you're posing to yourself and your own health?\ntherapist: Come on, Hailey. You're here because you thought he had pneumonia. You're telling me that Jake can't breathe, you're concerned about his breathing. And then you just slip in the fact that you're smoking cigarettes and you think there's no relationship? Do I really need to review all the risks of smoking in front of your-your child or exposing him to secondhand smoke not to mention the risks that you're posing to yourself and your own health?\ntherapist: Come on, Hailey. You're here because you thought he had pneumonia. You're telling me that Jake can't breathe, you're concerned about his breathing. And then you just slip in the fact that you're smoking cigarettes and you think there's no relationship? Do I really need to review all the risks of smoking in front of your-your child or exposing him to secondhand smoke not to mention the risks that you're posing to yourself and your own health?\n",TRUE,closed,TRUE,0.3283160764258355
83,therapist,high,"Hello, Rick. Welcome.","therapist: Hello, Rick. Welcome.\n",FALSE,n/a,FALSE,0.3287748717702925
27,therapist,low,"I understand that your asthma symptoms have been just really out of control. So, we need to look at some of the ways that you can get healthy and not be back here again.","therapist: I understand that your asthma symptoms have been just really out of control. So, we need to look at some of the ways that you can get healthy and not be back here again.\ntherapist: I understand that your asthma symptoms have been just really out of control. So, we need to look at some of the ways that you can get healthy and not be back here again.\ntherapist: I understand that your asthma symptoms have been just really out of control. So, we need to look at some of the ways that you can get healthy and not be back here again.\ntherapist: I understand that your asthma symptoms have been just really out of control. So, we need to look at some of the ways that you can get healthy and not be back here again.\n",FALSE,n/a,FALSE,0.32895464450120926
53,therapist,low,"And, um, that's gonna be your goal, and that's great, you know, that's really why we're here, is to talk about that and-and make sure that you come to that decision. Um, so, I guess, can you quit this weekend then?","client: Um, yeah, I mean, it's not, like, a really big part of my life, so.\ntherapist: Okay. So, I'm going to write down then that you've decided to quit.\nclient: Okay.\ntherapist: And, um, that's gonna be your goal, and that's great, you know, that's really why we're here, is to talk about that and-and make sure that you come to that decision. Um, so, I guess, can you quit this weekend then?\n",TRUE,open,FALSE,0.32936973334290087
50,therapist,high,I think so. So you've identified one of the four that might-- you might be willing to-to try-,"client: I could probably get up the mid-morning.\ntherapist: I think that's great.\nclient: Yeah, yeah, yeah.\ntherapist: I think so. So you've identified one of the four that might-- you might be willing to-to try-\n",FALSE,n/a,TRUE,0.3295259086880833
48,therapist,high,Okay.,"client: -they like all my stories, they are really receptive-\ntherapist: Mm-hmm.\nclient: -but they don't know that I have one diabetes story.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.33026978885754943
89,therapist,high,"Okay. Um, so are you here to maybe work on your marriage? Is that an area that you are wanting to-to work on?","client: Yeah. You know, like I said, you know, I'll come home, I'll, you know, smoke a couple rolls after a long day or something. I'm able to just relax, not really think about things. You know what I mean? I'm still working and, you know, paying the bills. We have a house, so I don't- I don't know why it's a problem.\ntherapist: Okay. Um, is it causing any problems in areas like your marriage or anything like that?\nclient: I mean, I guess a little bit, you know, like-- I mean, she's the one that-that has me being here. We've been fighting about it, you know. Uh, uh, I don't know, I-I guess I'm-I'm getting pretty frustrated with her. She just won't get off my back about it. So I finally said, ""Fine, I'll go see someone.""\ntherapist: Okay. Um, so are you here to maybe work on your marriage? Is that an area that you are wanting to-to work on?\n",TRUE,closed,FALSE,0.33059076010249555
39,therapist,high,"Yes, it is.","client: You know, I've heard of Welbutrin.\ntherapist: Okay.\nclient: My girlfriend quit smoking. She quit drinking. She quit doing everything with this Wellbutrin. Now I- I- I am on some medications, like some, like I think that's an antidepressant.\ntherapist: Yes, it is.\n",FALSE,n/a,FALSE,0.3307095973286778
71,therapist,high,"Okay. I'm wondering about-- because it sounds like this whole idea about filling out the forms, is getting in the way of this bigger dream that you've got which is around getting a qualification around something to do with cars-","client: No one. I guess you. You could do it. Would you do it?\ntherapist: Well, have you got the forms with you?\nclient: No.\ntherapist: Okay. I'm wondering about-- because it sounds like this whole idea about filling out the forms, is getting in the way of this bigger dream that you've got which is around getting a qualification around something to do with cars-\n",FALSE,n/a,TRUE,0.331604732433334
21,therapist,high,"Great. And, do you have an idea about what you might want to study or?","client: Yeah.\ntherapist: So, kind of keeping your options open.\nclient: Yeah, definitely.\ntherapist: Great. And, do you have an idea about what you might want to study or?\n",TRUE,open,FALSE,0.33192021306604147
9,therapist,low,Okay. Have you had any major stressful events recently or any change in your work situation?,"client: Sure.\ntherapist: -the rise in your blood pressure is concerning to me, so I'd like to gather a bit more information about your lifestyle.\nclient: Okay.\ntherapist: Okay. Have you had any major stressful events recently or any change in your work situation?\n",TRUE,closed,FALSE,0.33204140327870846
64,therapist,high,"Right. So it sounds like you thought there was something that, uh, that you needed to look at, something that was concerning you?","client: Yeah.\ntherapist: Alright.\nclient: Yeah. I just sort of did a bit of search on the internet and stuff and just read about this place, so I just thought I'll—\ntherapist: Right. So it sounds like you thought there was something that, uh, that you needed to look at, something that was concerning you?\n",TRUE,closed,FALSE,0.3321047555655241
56,therapist,high,Yeah.,therapist: Yeah.\ntherapist: Yeah.\ntherapist: Yeah.\ntherapist: Yeah.\n,FALSE,n/a,FALSE,0.33242952288128436
38,therapist,high,"So, tell me a little bit more about your drinking. Tell me a little bit about how much you're drinking, and, um, the pattern, and what raised concern.","client: Yeah, and then, you know, with going back to school, you know, I have to figure out how I'm going to pay for everything. So, you know, i-it's just a lot right now.\ntherapist: Yeah, it does. It sounds like a lot that you're trying to deal with, and it makes sense that you feel like you need some kind of break or reward.\nclient: Mm-hmm.\ntherapist: So, tell me a little bit more about your drinking. Tell me a little bit about how much you're drinking, and, um, the pattern, and what raised concern.\n",TRUE,open,FALSE,0.33261448447592556
126,therapist,low,"Okay. Well, you're going to take one tablet of cholesterol statin 20 one time a day by mouth, and you can take that with or without food. When do you normally take your medications?","client: Well, he told me that I had a blood test for cholesterol, and that I should start taking this.\ntherapist: He's right. This medicine is designed to help lower your cholesterol, and that means that it will help lower your risk of having a heart attack or a stroke. How did your doctor tell you to take this medicine?\nclient: He didn't really tell me. He just phoned it in.\ntherapist: Okay. Well, you're going to take one tablet of cholesterol statin 20 one time a day by mouth, and you can take that with or without food. When do you normally take your medications?\n",TRUE,closed,FALSE,0.3327720183879137
5,therapist,high,Yeah?,"client: Yeah, no, it's easy.\ntherapist: Yeah. Yeah. You know, I've been thinking about, um, thinking about you, and thinking about, um, that first meeting we had, and where you are now. So, wh-what do you think some of the changes are that-that you've made in this- in this, sort of, five-five to six weeks that we've been meeting?\nclient: Uh. Meeting's definitely helped.\ntherapist: Yeah?\n",FALSE,n/a,FALSE,0.33307198341935873
49,therapist,high,"When you think five years ahead, which-which position do you wanna be in? Which-which feels best? Party girl still, you know, with those four credit cards maxed out major, or would you wanna be actually, you know, thinking about having traveled and, you know, maybe, starting a family, those other things? Which-which direction feels best for you at this point?","client: Mm.\ntherapist: And, my sense, is that some of the challenge for you, at the moment? Yeah?\nclient: Yeah.\ntherapist: When you think five years ahead, which-which position do you wanna be in? Which-which feels best? Party girl still, you know, with those four credit cards maxed out major, or would you wanna be actually, you know, thinking about having traveled and, you know, maybe, starting a family, those other things? Which-which direction feels best for you at this point?\n",TRUE,closed,FALSE,0.33312853891402483
80,therapist,high,Right.,"client: -and-and say, ""Okay, I'm not gonna have it at home-\ntherapist: Right.\nclient: -I'll have it when I get to work or on the way to work.""\ntherapist: Right.\n",FALSE,n/a,FALSE,0.3333610096015036
2,therapist,high,"John, it's very important that you recognize that some fruits, but especially fruit juice can contain a huge amount of calories. Did you know that a glass of orange juice has almost as many calories as a can of cola?","client: Well, I think it's because I've been eating more fruits and vegetables, that- that's it.\ntherapist: And how many servings of fruits and vegetables on average per day would you have?\nclient: To be honest, I have four or five -- four to six glasses of orange juice a day. Um, I have fruit for lunch and breakfast. I have, uh, usually one to two servings of a vegetable like lettuce or broccoli with thinner.\ntherapist: John, it's very important that you recognize that some fruits, but especially fruit juice can contain a huge amount of calories. Did you know that a glass of orange juice has almost as many calories as a can of cola?\n",TRUE,closed,FALSE,0.3334272112697363
89,therapist,high,Mm-hmm.,"client: Um, I mean, I guess- I guess I need some strategies for figuring out how to ease stress without, I guess, getting high.\ntherapist: Okay. And that's a very good reason for being here. Um, can you talk to me about maybe some of your-- the goals that you have?\nclient: Well, I mean, I just failed the UA at work. Uh, I think I failed UA at work. I don't know. I-I use- I use some stuff that was [inaudible 00:02:00] not my system. But-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.3339279720094055
7,therapist,high,You're still feeling the effects of-,"client: Uh, sure, uh, as long as we don't talk too much about like vodka 'cause I'm still, ugh, a little—\nclient: Uh, sure, uh, as long as we don't talk too much about like vodka 'cause I'm still, ugh, a little—\nclient: Uh, sure, uh, as long as we don't talk too much about like vodka 'cause I'm still, ugh, a little—\ntherapist: You're still feeling the effects of-\n",FALSE,n/a,TRUE,0.33423132658936083
11,therapist,high,What else has brought you here?,therapist: What else has brought you here?\n,FALSE,n/a,FALSE,0.33459966676309705
78,therapist,high,"If-if I can draw an analogy-- Again, even though this medicine is in the same family as those big broad-broad family. If I could draw an analogy, a grape and a watermelon are in the same family of fruits, you know, and obviously, grape is much smaller than a watermelon. And if you eat one grape, you'd be fine. If you ate an entire watermelon, it can make you very sick. If we look at the grape as the medicine your daughter's taking, again, it's in the same broad family, the amount of drug that your daughter is getting is very small. Uh, and not only that it's not an anabolic steroid, even though it's in the same big family. And what this drug does is actually reduces the inflammation in your daughter's lungs. And-and it doesn't even get absorbed into the body. It only goes to her lungs. And as I said, I wouldn't want your daughter taking a medication that could have the impact of those anabolic steroids. This is really safe for your daughter to use. So what-what are your thoughts about considering having her using this?","client: Okay.\ntherapist: Which build people up and have masculinizing effects.\nclient: Mm-hmm.\ntherapist: If-if I can draw an analogy-- Again, even though this medicine is in the same family as those big broad-broad family. If I could draw an analogy, a grape and a watermelon are in the same family of fruits, you know, and obviously, grape is much smaller than a watermelon. And if you eat one grape, you'd be fine. If you ate an entire watermelon, it can make you very sick. If we look at the grape as the medicine your daughter's taking, again, it's in the same broad family, the amount of drug that your daughter is getting is very small. Uh, and not only that it's not an anabolic steroid, even though it's in the same big family. And what this drug does is actually reduces the inflammation in your daughter's lungs. And-and it doesn't even get absorbed into the body. It only goes to her lungs. And as I said, I wouldn't want your daughter taking a medication that could have the impact of those anabolic steroids. This is really safe for your daughter to use. So what-what are your thoughts about considering having her using this?\n",TRUE,open,FALSE,0.33481920533813536
82,therapist,high,"An eight. Okay. And on a scale of 1 to 10, how confident are you at the present time that you- that you can use effective birth control?","client: Nope.\ntherapist: Now let's look at your self-evaluation of your birth control. So now we're doing the risk of pregnancy and the use of birth control. So on a scale of 1 to 10, how important is it to you to use effective birth control every time you have sex to keep from getting pregnant?\nclient: I would say an eight.\ntherapist: An eight. Okay. And on a scale of 1 to 10, how confident are you at the present time that you- that you can use effective birth control?\n",TRUE,closed,TRUE,0.33486824412830174
20,therapist,high,"If you did decide to quit on a scale of 1 to 10, where 1 is not at all confident, and you don't think you could do it and 10 is you feel pretty certain that you could, where do you think you fall right now?","client: Yeah. I-I know that I need to, and I, you know, keep every new year I say, ""Okay, this year I'm gonna quit smoking"" but then something happens and it-it just doesn't. And quitting doesn't happen.\ntherapist: It's on your to-do list. It's just not making it to the top?\nclient: Yeah.\ntherapist: If you did decide to quit on a scale of 1 to 10, where 1 is not at all confident, and you don't think you could do it and 10 is you feel pretty certain that you could, where do you think you fall right now?\n",TRUE,closed,FALSE,0.33522928413003683
95,therapist,high,"It's okay, Ruth. I understand. Pain inside.","client: Yes. I am.\ntherapist: I'm sorry about that. It must be very, very frustrating to feel all that pain and not be able to do anything about it. And it seems like the only thing that you can do right now is to cry.\nclient: Yeah, yeah, suicide.\ntherapist: It's okay, Ruth. I understand. Pain inside.\n",FALSE,n/a,TRUE,0.3352815709076822
126,therapist,low,"It's for your dyslipidemia. Oh, and you should take one every day. Do you have any questions for me?","client: No.\ntherapist: All right. Well, some of the common side effects are nausea, vomiting, headache. There are some severe side effects like dermatomyositis, liver failure, lupus, rhabdomyolysis, hemorrhagic, cerebral infarction. If you have any of those, you should call your doctor.\nclient: Okay. Um, so why am I taking this medication?\ntherapist: It's for your dyslipidemia. Oh, and you should take one every day. Do you have any questions for me?\n",FALSE,n/a,FALSE,0.3354274523444474
56,therapist,high,Yeah?,client: Pretty good.\nclient: Pretty good.\nclient: Pretty good.\ntherapist: Yeah?\n,FALSE,n/a,FALSE,0.3354808248113841
131,therapist,low,Okay. What do you think you'll miss most about it?,"client: Um, it's just entertainment. Something, um, when I bored, it's got-- I've got-- I smoke-\ntherapist: Mm-hmm.\nclient: -or sometimes I go out, but as I said, I'm the only one kind of outside.\ntherapist: Okay. What do you think you'll miss most about it?\n",TRUE,open,FALSE,0.33638349059037864
7,therapist,high,So I know we've determined that you sprained your ankle yesterday and I'm wondering if you can tell me a little bit about how that happened?,therapist: So I know we've determined that you sprained your ankle yesterday and I'm wondering if you can tell me a little bit about how that happened?\ntherapist: So I know we've determined that you sprained your ankle yesterday and I'm wondering if you can tell me a little bit about how that happened?\ntherapist: So I know we've determined that you sprained your ankle yesterday and I'm wondering if you can tell me a little bit about how that happened?\n,TRUE,open,FALSE,0.3364191323053092
115,therapist,low,".No, it-- but David, it's not a waste. Research shows that people take on average about seven tries before they quit smoking, so think of it as you're one step closer to quitting, so--","client: I did a pill thing, so I did try it. So like, I did try try it. I just did the pills and they didn't work.\ntherapist: Mm-hmm. Yeah.\nclient: It was a waste and it caused more side effects\ntherapist: .No, it-- but David, it's not a waste. Research shows that people take on average about seven tries before they quit smoking, so think of it as you're one step closer to quitting, so--\n",FALSE,n/a,FALSE,0.33656693366356194
9,therapist,low,Okay. Have you ever used any prescription medications that weren't prescribed for you or in a way that wasn't prescribed?,"client: Okay.\ntherapist: Okay. And how about the use of other drugs like cocaine, heroin, marijuana?\nclient: I don't use heroin or cocaine. I've never even thought about using the hard drugs. Back in school, 20 years or so ago, I smoked reefer, you know. Once I got out of school, I haven't used that at all.\ntherapist: Okay. Have you ever used any prescription medications that weren't prescribed for you or in a way that wasn't prescribed?\n",TRUE,closed,FALSE,0.3366273033898324
58,therapist,high,[inaudible 00:05:55],"client: -regimen was so you get feedback too. And then [unintelligible 00:05:37] did this from this day and so on.\ntherapist: So sometimes-- almost sounds like, um, your feedback would be, uh, useful to you. Like some immediate feedback in terms of like, um, like [inaudible 00:05:53]\nclient: Yeah. Maybe.\ntherapist: [inaudible 00:05:55]\n",FALSE,n/a,FALSE,0.33675780589692295
66,therapist,high,"I, uh, I'm a case manager with your health plan. I understand that you came in today to talk about your diabetes.","therapist: I, uh, I'm a case manager with your health plan. I understand that you came in today to talk about your diabetes.\ntherapist: I, uh, I'm a case manager with your health plan. I understand that you came in today to talk about your diabetes.\ntherapist: I, uh, I'm a case manager with your health plan. I understand that you came in today to talk about your diabetes.\ntherapist: I, uh, I'm a case manager with your health plan. I understand that you came in today to talk about your diabetes.\n",FALSE,n/a,TRUE,0.3371106896083802
91,therapist,high,Mm-hmm.,"client: I-I never thought of it that way, but probably you're right.\ntherapist: You've told me what is good about smoking for you. Uh, can you tell me what is not so good about smoking for you?\nclient: Well, it's bad for my health and it's scaring me 'cause I don't feel well.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.3381678438745439
25,therapist,high,Mm-hmm.,"client: Mm-hmm.\ntherapist: What are some of the reasons why, um, it would be good for you to kinda make this change?\nclient: Um, I know exercise is-- in the past, has always made me feel good. I felt good about myself, and just in general, exercise, I know, makes me feel good. I want to be a good example for my kids. I want them to feel like that's a part of life-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.3382835742086172
63,therapist,high,"So Tom, this infection is been pretty painful for you but we have antibiotics. If you take it faithfully for 10 days, I'm sure that your infection will be gone. Can you do that?","therapist: So Tom, this infection is been pretty painful for you but we have antibiotics. If you take it faithfully for 10 days, I'm sure that your infection will be gone. Can you do that?\n",TRUE,closed,TRUE,0.3385498779825866
18,therapist,high,"Yeah, yeah.","client: I don't know. I'm usually an open person. [chuckles]\ntherapist: Yeah? Yeah.\nclient: Just provided it will help me deal with it.\ntherapist: Yeah, yeah.\n",FALSE,n/a,FALSE,0.3385869609192014
89,therapist,high,"Okay. Um, and if you lost your job, what do you see being the consequences of that?","client: I don't- I don't really know. We're the only shop in town that-that does the work that we use. So I don't- I don't know what else I'm gonna go do.\ntherapist: Okay.\nclient: So—\ntherapist: Okay. Um, and if you lost your job, what do you see being the consequences of that?\n",TRUE,open,FALSE,0.3389851348474622
123,therapist,low,"Okay. Well, as I said, there's a lot of irritation, in particular, like I was mentioning, up here in the roof of your mouth, it's turned really definitely white-colored and there's little red spots. And you probably didn't notice because we don't spend a lot of time looking at the roof of our mouth, but you're really damaging this tissue in your mouth, which can really cause some severe problems in terms of your oral health. It's called nicotinic stomatitis. And this is something we don't see in any patients who don't use tobacco. So, maybe you're not smoking cigarettes, are you smoking a pipe or cigars? Or is there something else that could be contributing to this? Because I don't know what else might be causing it.","client: That's great.\ntherapist: However, I'm pretty concerned about something I'm noticing in your mouth. Actually, if you look up here, the roof of your mouth, I'm noticing a lot of irritation that's really consistent with tobacco use. And you had said on your form that you're not a tobacco user, so I'm just wondering what's going on.\nclient: I don't smoke cigarettes.\ntherapist: Okay. Well, as I said, there's a lot of irritation, in particular, like I was mentioning, up here in the roof of your mouth, it's turned really definitely white-colored and there's little red spots. And you probably didn't notice because we don't spend a lot of time looking at the roof of our mouth, but you're really damaging this tissue in your mouth, which can really cause some severe problems in terms of your oral health. It's called nicotinic stomatitis. And this is something we don't see in any patients who don't use tobacco. So, maybe you're not smoking cigarettes, are you smoking a pipe or cigars? Or is there something else that could be contributing to this? Because I don't know what else might be causing it.\n",TRUE,closed,FALSE,0.33903568843379617
34,therapist,high,And you're feeling kind of concerned about that.,"client: Um, my doctor referred me. He said I had to come because I've- I've been a little irresponsible with this pregnancy. Yeah.\ntherapist: Okay. He's thinking you were a little irresponsible.\nclient: Yeah. Um, he said that I was drinking too much with it. Um, I-I haven't been a lot, but he said it was still maybe, um, would screw things up.\ntherapist: And you're feeling kind of concerned about that.\n",FALSE,n/a,TRUE,0.33982351003214717
18,therapist,high,"Okay. So-so thinking about this, say a couple times a week, you know, two or three?","client: I don't know. It's if you're at the pub, you're, you know, that-that you're out there.\ntherapist: That-that you're up for the money and-and then-then they slot you.\nclient: Mm-hmm.\ntherapist: Okay. So-so thinking about this, say a couple times a week, you know, two or three?\n",TRUE,closed,FALSE,0.34103990835137665
118,therapist,low,"All right. Um, okay. Um, well let's, uh, let's just have a look shall we? See what's going on. You just wanna open your mouth for me. Say ah.","client: Well, I've got myself all worked up now I've been sat outside.\ntherapist: Okay.\nclient: I'm not-- I'm now late. I'm sorry. Um, I've come to see you because I've got a really sore throat. It's been like this for a good few days, um, and I think I need some more antibiotics.\ntherapist: All right. Um, okay. Um, well let's, uh, let's just have a look shall we? See what's going on. You just wanna open your mouth for me. Say ah.\n",FALSE,n/a,FALSE,0.3420024688821286
61,therapist,high,"Uh-huh. So, you're wanting to get home to your dog, your garden, back to your life, your independence?","client: He's really so cute, and I miss my garden.\ntherapist: Yeah.\nclient: And I just miss being independent, going to sleep when I want to sleep and getting up when I want to get up and-and, uh, cooking for myself. The independence. Sure I miss being independent.\ntherapist: Uh-huh. So, you're wanting to get home to your dog, your garden, back to your life, your independence?\n",FALSE,n/a,TRUE,0.3424941801931709
28,therapist,high,Mm-hmm.,"client: I tried it a couple of times.\ntherapist: Okay.\nclient: I would get a, um, a new prescription refilled thinking, ""Oh I could try it this time.""\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.34330217726528645
85,therapist,high,"-so, you're gonna, um, play with me a little bit and, um-","client: Thank you.\ntherapist: So, um, it also, um-- Anyway, it's-it's when people are just saying, ""Um, you know, this is why I don't wanna change. You know, I'm happy the way that I am. You know, it's, you know, um, God made it that marijuana stuff,"" you know, things like that. So-\nclient: Yeah, okay.\ntherapist: -so, you're gonna, um, play with me a little bit and, um-\n",FALSE,n/a,FALSE,0.3438044290523976
131,therapist,low,"So, I would strongly recommend that you have the patch. I'll talk to you about how to use that and that we have another product that I leave you to use as when any of those feelings of irritation are coming up, particularly in that first week.","client: Yeah.\ntherapist: And that's exactly one of the symptoms of nicotine withdrawal that I'm looking to stop happening to you.\nclient: Hmm.\ntherapist: So, I would strongly recommend that you have the patch. I'll talk to you about how to use that and that we have another product that I leave you to use as when any of those feelings of irritation are coming up, particularly in that first week.\n",FALSE,n/a,FALSE,0.34400550718419254
91,therapist,high,"Hi, Jean. I'm Dr. Selby. Nice to meet you.","therapist: Hi, Jean. I'm Dr. Selby. Nice to meet you.\n",FALSE,n/a,FALSE,0.34501146618276834
73,therapist,high,"Okay, so for now you know that it makes you feel good.","client: Yeah, it is.\ntherapist: You've been managing in the best way you can. You also have some doubts about it too, it sounds like?\nclient: Yeah, well, I don't really know too much about it, other than it makes me feel good.\ntherapist: Okay, so for now you know that it makes you feel good.\n",FALSE,n/a,TRUE,0.3450771542266011
29,therapist,high,"Yeah, I-I found in the past when working with clients that creating a prescriptive meal plan, um, tends to work for a few days, but then clients usually get really tired of the foods on there. Um, and so instead, I'm really more interested in equipping you to learn how to space your meals and snacks out in a way that makes your body feel energized. Um, and then I can also support you, you know, in looking at the grocery shopping patterns and the meal planning patterns that come alongside all of that. Um, so really teaching you how to do more of your own meal planning, um, to fuel your body in a way that gives you energy, but also in a way where you're really still enjoying food.","therapist: Um, many people find that when then- when they are restricting their intake or starting some, uh, ac-activity patterns that are really rigorous, that, um, a piece of their mental health suffers because they start to obsess, um, more than they'd like to be about those things. So, my approach with clients is just a more holistic approach. Looking at certainly some behavior changes that you could make to be more physically active, improve your energy levels.\ntherapist: Um, and also look at activities that enhance your mood. We can also take a look at some dietary patterns and see if-if there are ways you could tweak how you're fueling your body throughout the day, but at the same time, sort of letting go of what happens on the scale. Letting go of, um, the final, you know, weight outcome of that, and really focusing instead on healing your relationship with food and also adopting sustainable physical activity patterns. What do you make of all that?\nclient: So, like, for example, having like a-a set out meal plan, um, you know, where I'm eating certain food groups or certain macronutrients, for example, that wouldn't necessarily follow that same approach.\ntherapist: Yeah, I-I found in the past when working with clients that creating a prescriptive meal plan, um, tends to work for a few days, but then clients usually get really tired of the foods on there. Um, and so instead, I'm really more interested in equipping you to learn how to space your meals and snacks out in a way that makes your body feel energized. Um, and then I can also support you, you know, in looking at the grocery shopping patterns and the meal planning patterns that come alongside all of that. Um, so really teaching you how to do more of your own meal planning, um, to fuel your body in a way that gives you energy, but also in a way where you're really still enjoying food.\n",FALSE,n/a,FALSE,0.3451390997506678
130,therapist,low,"Yeah. Well, the good news is he doesn't have pneumonia. It's just an upper re-respiratory tract infection and a cold. So there's some things you can do to make- to help him get better. You can avoid excessive dust. You can keep him hydrated, avoid over-the-counter cold remedies. Keep him away from people who have flu or cold-like symptoms and avoid smoke. And the last one should be easy because you quit smoking during your pregnancy.","therapist: Yeah. Well, the good news is he doesn't have pneumonia. It's just an upper re-respiratory tract infection and a cold. So there's some things you can do to make- to help him get better. You can avoid excessive dust. You can keep him hydrated, avoid over-the-counter cold remedies. Keep him away from people who have flu or cold-like symptoms and avoid smoke. And the last one should be easy because you quit smoking during your pregnancy.\ntherapist: Yeah. Well, the good news is he doesn't have pneumonia. It's just an upper re-respiratory tract infection and a cold. So there's some things you can do to make- to help him get better. You can avoid excessive dust. You can keep him hydrated, avoid over-the-counter cold remedies. Keep him away from people who have flu or cold-like symptoms and avoid smoke. And the last one should be easy because you quit smoking during your pregnancy.\ntherapist: Yeah. Well, the good news is he doesn't have pneumonia. It's just an upper re-respiratory tract infection and a cold. So there's some things you can do to make- to help him get better. You can avoid excessive dust. You can keep him hydrated, avoid over-the-counter cold remedies. Keep him away from people who have flu or cold-like symptoms and avoid smoke. And the last one should be easy because you quit smoking during your pregnancy.\ntherapist: Yeah. Well, the good news is he doesn't have pneumonia. It's just an upper re-respiratory tract infection and a cold. So there's some things you can do to make- to help him get better. You can avoid excessive dust. You can keep him hydrated, avoid over-the-counter cold remedies. Keep him away from people who have flu or cold-like symptoms and avoid smoke. And the last one should be easy because you quit smoking during your pregnancy.\n",FALSE,n/a,FALSE,0.3453566711395979
115,therapist,low,"Oh no, the smoking's going to cause you more problems than the-- than anything else. I can promise you that, David.","client: Yeah.\ntherapist: Then, can I write you a prescription for the medication? Can we talk about how you could use it? Because this is something that-that's very important. Not just for your overall physical health, for your oral health--\nclient: I guess I got to really want to and-- things I've tried usually caused me more problems than they helped.\ntherapist: Oh no, the smoking's going to cause you more problems than the-- than anything else. I can promise you that, David.\n",FALSE,n/a,FALSE,0.3455362142995
13,therapist,high,"Hi, Mrs. Smith. I wanted to let you know that at this appointment, we're gonna be giving Lilly some vaccines.","therapist: Hi, Mrs. Smith. I wanted to let you know that at this appointment, we're gonna be giving Lilly some vaccines.\n",FALSE,n/a,FALSE,0.34584976243786514
55,therapist,high,"Okay. Well, I don't see any redness. Um, can you go ahead and touch that Miguel, and tell me if it feels warm to you or if it hurts?","therapist: Okay. Well, I don't see any redness. Um, can you go ahead and touch that Miguel, and tell me if it feels warm to you or if it hurts?\ntherapist: Okay. Well, I don't see any redness. Um, can you go ahead and touch that Miguel, and tell me if it feels warm to you or if it hurts?\ntherapist: Okay. Well, I don't see any redness. Um, can you go ahead and touch that Miguel, and tell me if it feels warm to you or if it hurts?\ntherapist: Okay. Well, I don't see any redness. Um, can you go ahead and touch that Miguel, and tell me if it feels warm to you or if it hurts?\n",TRUE,closed,FALSE,0.34628991200588644
58,therapist,high,Thanks.,"client: Very good.\ntherapist: Yeah, okay.\nclient: Thank you.\ntherapist: Thanks.\n",FALSE,n/a,FALSE,0.3464685883373022
34,therapist,high,"It's just the scene that they're-they're still in because their life maybe hasn't taken that change that your life has made. And so now, you're here and you're not sure. You want the baby, but you're not sure about the suburbs and the picket fence thing. You're not sure—","client: Yeah, I-I guess. Like, I don't wanna- I don't wanna lose my friends because of this. And I don't wanna put pressure on them to change because they're, I mean, they're good people. They're just—\ntherapist: You care about them.\nclient: Yeah.\ntherapist: It's just the scene that they're-they're still in because their life maybe hasn't taken that change that your life has made. And so now, you're here and you're not sure. You want the baby, but you're not sure about the suburbs and the picket fence thing. You're not sure—\n",FALSE,n/a,TRUE,0.34671377181075513
2,therapist,high,"You're absolutely right, but keep in mind that the food pyramid is to be used as a guideline only. When it comes to nutrition, we have to have a more personalized approach. So I have a hunch, and that is the excess fruit that you were consuming probably caused your weight rebound. What's your impression?","client: To be honest, I have four or five -- four to six glasses of orange juice a day. Um, I have fruit for lunch and breakfast. I have, uh, usually one to two servings of a vegetable like lettuce or broccoli with thinner.\ntherapist: John, it's very important that you recognize that some fruits, but especially fruit juice can contain a huge amount of calories. Did you know that a glass of orange juice has almost as many calories as a can of cola?\nclient: No, I didn't know. Um, but doesn't the fruit- food pyramid classify, um, fruit juice as a- a serving?\ntherapist: You're absolutely right, but keep in mind that the food pyramid is to be used as a guideline only. When it comes to nutrition, we have to have a more personalized approach. So I have a hunch, and that is the excess fruit that you were consuming probably caused your weight rebound. What's your impression?\n",TRUE,open,FALSE,0.3467482482083142
56,therapist,high,"Hi, Mrs. Smith. I'm Denise. I'm the social worker here at the clinic work that's working with Dr. Fields and the rest of the team. And, um, I know you were here to see Dr. Fields today, and I-I just wanted to let you know, I usually work with people who are similar to- have situations similar to you, and that have gone back home from rehab. And, uh, so I'd like to find out a little bit if you would, if that's okay, about how it's been going since you got home.","therapist: Hi, Mrs. Smith. I'm Denise. I'm the social worker here at the clinic work that's working with Dr. Fields and the rest of the team. And, um, I know you were here to see Dr. Fields today, and I-I just wanted to let you know, I usually work with people who are similar to- have situations similar to you, and that have gone back home from rehab. And, uh, so I'd like to find out a little bit if you would, if that's okay, about how it's been going since you got home.\ntherapist: Hi, Mrs. Smith. I'm Denise. I'm the social worker here at the clinic work that's working with Dr. Fields and the rest of the team. And, um, I know you were here to see Dr. Fields today, and I-I just wanted to let you know, I usually work with people who are similar to- have situations similar to you, and that have gone back home from rehab. And, uh, so I'd like to find out a little bit if you would, if that's okay, about how it's been going since you got home.\ntherapist: Hi, Mrs. Smith. I'm Denise. I'm the social worker here at the clinic work that's working with Dr. Fields and the rest of the team. And, um, I know you were here to see Dr. Fields today, and I-I just wanted to let you know, I usually work with people who are similar to- have situations similar to you, and that have gone back home from rehab. And, uh, so I'd like to find out a little bit if you would, if that's okay, about how it's been going since you got home.\ntherapist: Hi, Mrs. Smith. I'm Denise. I'm the social worker here at the clinic work that's working with Dr. Fields and the rest of the team. And, um, I know you were here to see Dr. Fields today, and I-I just wanted to let you know, I usually work with people who are similar to- have situations similar to you, and that have gone back home from rehab. And, uh, so I'd like to find out a little bit if you would, if that's okay, about how it's been going since you got home.\n",TRUE,open,FALSE,0.347814780427143
66,therapist,high,"So you just- you just saw the doctor and, uh, you know, you sound like you just got blindsided, uh, with, uh, not only how, how frightening this seems that you have diabetes and that, uh, she-- you say she told you a whole lot of things that can happen with your eyes and circulation and all those kinds of things.","therapist: So you just- you just saw the doctor and, uh, you know, you sound like you just got blindsided, uh, with, uh, not only how, how frightening this seems that you have diabetes and that, uh, she-- you say she told you a whole lot of things that can happen with your eyes and circulation and all those kinds of things.\ntherapist: So you just- you just saw the doctor and, uh, you know, you sound like you just got blindsided, uh, with, uh, not only how, how frightening this seems that you have diabetes and that, uh, she-- you say she told you a whole lot of things that can happen with your eyes and circulation and all those kinds of things.\ntherapist: So you just- you just saw the doctor and, uh, you know, you sound like you just got blindsided, uh, with, uh, not only how, how frightening this seems that you have diabetes and that, uh, she-- you say she told you a whole lot of things that can happen with your eyes and circulation and all those kinds of things.\ntherapist: So you just- you just saw the doctor and, uh, you know, you sound like you just got blindsided, uh, with, uh, not only how, how frightening this seems that you have diabetes and that, uh, she-- you say she told you a whole lot of things that can happen with your eyes and circulation and all those kinds of things.\n",FALSE,n/a,TRUE,0.34781571803614497
29,therapist,high,Yeah.,"client: Mm-hmm.\ntherapist: -um, then we can pursue those things. So it's really just about what brings you joy in terms of how you move your body and I'm just here to help you figure that out.\nclient: Cool, so both with the foods and the activity, we would be working to find things that I like to do-\ntherapist: Yeah.\n",FALSE,n/a,FALSE,0.3478165310807526
36,therapist,high,Mm-hmm.,"client: - decided that I've had enough tests.\ntherapist: Right.\nclient: And, um, you know, if you go on the Internet-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.34853933565318584
85,therapist,high,No.,"client: Well, I-I ended up in the hospital.\ntherapist: What do you think about the hospital?\nclient: Don't like that hospital.\ntherapist: No.\n",FALSE,n/a,FALSE,0.348783872788772
14,therapist,high,Mm-hmm.,"client: I wanna be able to look nice.\ntherapist: Okay. So, what would help increase that confidence? What-- Because that sounds like where we really need to focus on. What's gonna help you feel more confident about this?\nclient: I don't even really know-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.3488098324742168
45,therapist,high,"Hi, Mary, how was your day?","therapist: Hi, Mary, how was your day?\n",TRUE,open,FALSE,0.3495993393007666
67,therapist,high,What would be the benefits of that?,"client: Right.\ntherapist: So when you think about these things, are there any things you would like to change about your marijuana use?\nclient: well, I was thinking to not use when basketball season start.\ntherapist: What would be the benefits of that?\n",TRUE,open,FALSE,0.34995400346815586
85,therapist,high,Maybe every other day?,"client: You know, with a few drinks, you know, not-not a lot, you know, and-and really-\ntherapist: How-how often do you do that?\nclient: Not every day.\ntherapist: Maybe every other day?\n",TRUE,closed,FALSE,0.35030887578614056
95,therapist,high,"So you feel really, really like you've had it up to here.","client: Mm-hmm.\ntherapist: You don't want to continue.\nclient: No, it just seems that cutting myself is the only way out. And I just get suicidal thoughts and [foreign language], I'm just very, very like depressed and what's going on at home.\ntherapist: So you feel really, really like you've had it up to here.\n",FALSE,n/a,TRUE,0.3506273052189499
11,therapist,high,Just enough for your own use?,client: It's not a lot though.\ntherapist: Mm-hmm.\nclient: It's not like I was gonna sell it or anything. It's like—\ntherapist: Just enough for your own use?\n,TRUE,closed,FALSE,0.3507546167820692
86,therapist,high,"It takes a lot of, um, strength to still not smoke, even though you're still craving.","client: Mm-hmm. I still crave smoking, even though I've stopped.\ntherapist: It's something that's always on your mind.\nclient: I still crave smoking, even though I've stopped.\ntherapist: It takes a lot of, um, strength to still not smoke, even though you're still craving.\n",FALSE,n/a,TRUE,0.3508714893832803
130,therapist,low,And let's talk some more about wine. You keep throwing wine into the conversation. It sounds like it's become a significant part of your daily routine. How much are you drinking?,therapist: And let's talk some more about wine. You keep throwing wine into the conversation. It sounds like it's become a significant part of your daily routine. How much are you drinking?\ntherapist: And let's talk some more about wine. You keep throwing wine into the conversation. It sounds like it's become a significant part of your daily routine. How much are you drinking?\ntherapist: And let's talk some more about wine. You keep throwing wine into the conversation. It sounds like it's become a significant part of your daily routine. How much are you drinking?\ntherapist: And let's talk some more about wine. You keep throwing wine into the conversation. It sounds like it's become a significant part of your daily routine. How much are you drinking?\n,TRUE,closed,TRUE,0.35101878456771374
7,therapist,high,Yeah.,client: Yeah.\nclient: Yeah.\nclient: Yeah.\ntherapist: Yeah.\n,FALSE,n/a,FALSE,0.3511069221422076
38,therapist,high,"So, it seems like it would be really difficult to change because it's something that's really important to you right now.","client: No. And, i-it's just, it's really hard to take in right now. I mean, yeah. I-I've never thought about it like this. And, so, you know, I-I do feel kind of worried.\ntherapist: I-it seems like it-it would be quite a hard pattern to change.\nclient: Yeah. I mean, i-it's part of my routine right now, and, you know, I-I don't want to sacrifice something I enjoy, but, you know, I'm trying really hard, you know, to be a good mom. I'm-I'm trying to, you know, go-go back to school. I'm trying to work. So, I don't know how I can do all of that if I don't have a way to enjoy myself or relax, you know?\ntherapist: So, it seems like it would be really difficult to change because it's something that's really important to you right now.\n",FALSE,n/a,TRUE,0.3513837263453752
18,therapist,high,"You want that acceptance, absolutely, yeah, yeah. But won't you say, you know, friends also-- good friends also can, you know, call you on stuff too, can't they? Yeah?","client: Uh, no friends or friends should-- She accepts me for who I am.\ntherapist: Absolutely, and that's what you want from friends, isn't it?\nclient: Mm-hmm.\ntherapist: You want that acceptance, absolutely, yeah, yeah. But won't you say, you know, friends also-- good friends also can, you know, call you on stuff too, can't they? Yeah?\n",TRUE,closed,FALSE,0.35179202212020755
23,therapist,high,"So, I mean, you've already described it to me a little bit, but if you think about how you looked that day, how'd-how'd you say, how'd you think you looked?","client: Yeah.\ntherapist: Okay.\nclient: Yeah, um, I was trying to wear black so this kind of tries to cover it up and just like a lot of layers, so they can't tell but, I mean, my hands, like, they were so shaken. I was really red and just was-- Just wishing that I just wasn't there.\ntherapist: So, I mean, you've already described it to me a little bit, but if you think about how you looked that day, how'd-how'd you say, how'd you think you looked?\n",TRUE,open,FALSE,0.3518435067962855
84,therapist,high,"100 is like, ""I'm totally interested and-and getting it nailed and sorted and, you know, getting on the straight and narrow."" Where would you be on that scale?","client: Yeah, so it is.\ntherapist: Yeah, okay. So in terms of the things that have brought you here, in terms of the things that have got you into trouble and got you into offending, I'm wondering how interested you are in, um, really getting an understanding of it. So one or zero is like, ""Ugh, not interested at all.""\nclient: Mm-hmm.\ntherapist: 100 is like, ""I'm totally interested and-and getting it nailed and sorted and, you know, getting on the straight and narrow."" Where would you be on that scale?\n",TRUE,closed,FALSE,0.3519494354259223
131,therapist,low,"Oh, good, and so feeling under pressure here.","client: And, uh, whatever else you can do just to get me to go smoke-free.\ntherapist: Okay. Well, just remind me again why it is you want to stop.\nclient: It's, uh, just these days-- I think these days I'm-I'm finding that, um, I'm smoking 20, 30 a day, I'm getting sick of it. It's, you know, I've seen my friends have stopped smoking too and it's kind of they're looking at me weird these days like I'm the only one left who's still smoking.\ntherapist: Oh, good, and so feeling under pressure here.\n",FALSE,n/a,TRUE,0.35228142351843417
38,therapist,high,"So, um, it would perhaps be helpful if you could narrow it down to just one thing, and what would that be?","therapist: Yeah. It-it sounds like, um, you know, money could make a big difference, and you are working full time and trying to go to school to address that in the long run. Um, but on the other hand, you know, it sounds like you have some other ideas of cope- of how you might cope with stress better. Um, so, I guess I'm-I'm wondering, given our conversation so far, kind of where you are with everything.\ntherapist: Um, we started off talking about how your drinking has sort of drifted into a risky area, and it would be advisable to cut back. Um, but it sounds like you feel like that's fairly important to you and not something you necessarily want to do. But on the other hand, we've talked about ways in which that perhaps could be made a bit easier, but I'm not sure if you're ready to tackle that or pursue that right now. I'm just kind of wondering where you are.\nclient: Yeah. I mean, I'm ready to consider changing my drinking, but, as far as actually doing it, I-I don't know. I mean, I have a lot of problems that I'm trying to work out right now.\ntherapist: So, um, it would perhaps be helpful if you could narrow it down to just one thing, and what would that be?\n",TRUE,open,FALSE,0.3524245913140476
94,therapist,high,Okay.,"client: But I-I mean and it's not that I don't care about him, I do. But you know, it's just like, we're both- we're all adults here, come on.\ntherapist: Okay. All right. So, it sounds like you-you've actually worked this out until be out within a couple of days.\nclient: Um, that's the goal, you know.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.3526614757720381
45,therapist,high,"Okay. Um, before I leave today is there anything else you'd like to add or-or need to share with me?","client: Yup.\ntherapist: That's okay. Well, I know that you are making an effort. I do appreciate then and when-when I do stop by that you still sign the paperwork even though you feel like it's annoying at times. So, thank you for, uh, at least doing that.\nclient: Mm-hmm.\ntherapist: Okay. Um, before I leave today is there anything else you'd like to add or-or need to share with me?\n",FALSE,n/a,FALSE,0.3528370033018291
27,therapist,low,"I understand that your asthma symptoms have been just really out of control. So, we need to look at some of the ways that you can get healthy and not be back here again.","therapist: I understand that your asthma symptoms have been just really out of control. So, we need to look at some of the ways that you can get healthy and not be back here again.\ntherapist: I understand that your asthma symptoms have been just really out of control. So, we need to look at some of the ways that you can get healthy and not be back here again.\ntherapist: I understand that your asthma symptoms have been just really out of control. So, we need to look at some of the ways that you can get healthy and not be back here again.\ntherapist: I understand that your asthma symptoms have been just really out of control. So, we need to look at some of the ways that you can get healthy and not be back here again.\n",FALSE,n/a,FALSE,0.3533258105162531
47,therapist,high,"Um, I noticed some yelling going on in the house, what's going on?","therapist: Hey, Mary, how are you?\nclient: Fine.\ntherapist: Um, I noticed some yelling going on in the house, what's going on?\n",TRUE,open,FALSE,0.35332959797233343
7,therapist,high,So I know we've determined that you sprained your ankle yesterday and I'm wondering if you can tell me a little bit about how that happened?,therapist: So I know we've determined that you sprained your ankle yesterday and I'm wondering if you can tell me a little bit about how that happened?\ntherapist: So I know we've determined that you sprained your ankle yesterday and I'm wondering if you can tell me a little bit about how that happened?\ntherapist: So I know we've determined that you sprained your ankle yesterday and I'm wondering if you can tell me a little bit about how that happened?\ntherapist: So I know we've determined that you sprained your ankle yesterday and I'm wondering if you can tell me a little bit about how that happened?\n,TRUE,open,FALSE,0.3533503774087876
19,therapist,high,Uh-huh.,"client: You know?\ntherapist: Mm-hmm.\nclient: Nothing-nothing much else going on that's as fun as this. We go in, we steal these CDs. It was working out fine, but—\ntherapist: Uh-huh.\n",FALSE,n/a,FALSE,0.3541603987105191
77,therapist,high,"Oh, of course, of course. And what are the things that you'd like to be able to do once you get home?","client: Okay.\ntherapist: But what are your goals for the long term?\nclient: I wanna go home.\ntherapist: Oh, of course, of course. And what are the things that you'd like to be able to do once you get home?\n",TRUE,open,FALSE,0.3543586479499936
44,therapist,low,Oh.,"client: Okay.\ntherapist: So why don't you start by telling me a little bit about yourself?\nclient: Uh, well, my name is Andrea, as you know, I'm, uh, in the marching band. I play the tenor sax.\ntherapist: Oh.\n",FALSE,n/a,FALSE,0.35482686874456704
56,therapist,high,Yeah. What are you really glad about?,therapist: Yeah. What are you really glad about?\ntherapist: Yeah. What are you really glad about?\ntherapist: Yeah. What are you really glad about?\ntherapist: Yeah. What are you really glad about?\n,TRUE,open,FALSE,0.3555311867967248
5,therapist,high,"So, what needs to happen next?","client: They're still at home.\ntherapist: Mm-hmm.\nclient: Yeah. If—\ntherapist: So, what needs to happen next?\n",TRUE,open,FALSE,0.35566595382988453
5,therapist,high,"Mm-hmm. So, by the end of this week, so by next time, when you come here, as in, those forms will be at the polytech?","client: Yeah. Uh, I think you can post them, but I'll just drop them in.\ntherapist: Mm-hmm. So, when do you think you're gonna do that?\nclient: Uh, probably by the end of this week.\ntherapist: Mm-hmm. So, by the end of this week, so by next time, when you come here, as in, those forms will be at the polytech?\n",TRUE,closed,FALSE,0.35672199935652316
131,therapist,low,£7 a week or a day?,"client: Um, it's expensive these days.\ntherapist: How much does it actually cost you a week?\nclient: It's-it's about-- Um, I'll buy and go through a pack a day, so it's almost £7.\ntherapist: £7 a week or a day?\n",TRUE,closed,FALSE,0.3567804414778948
36,therapist,high,- depending on what your stomach's doing?,client: Hmm.\ntherapist: - what you're gonna take-\nclient: Hmm.\ntherapist: - depending on what your stomach's doing?\n,TRUE,open,FALSE,0.3577341840136796
65,therapist,high,Mm-hmm.,"client: Um, withdrawal.\ntherapist: Mm.\nclient: They say it's awful. Um, being cranky.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.3587029839400202
86,therapist,high,You've really had a good week.,client: I couldn't help myself.\ntherapist: You're nervous that you've lost control of your behaviors.\nclient: It's actually been a fabulous week.\ntherapist: You've really had a good week.\n,FALSE,n/a,TRUE,0.3587428191676736
4,therapist,high,There's nothing yet.,"client: Well, I definitely don't want it mess with my teeth. I know I kinda already have low gums to begin with, like you've been telling me for a while, and I have to flo-floss, which I-\ntherapist: Yes, flossing.\nclient: Um, which I'm not doing but, um, yeah, I guess, I don't really wanna wreck my teeth 'cause-- Yeah, I didn't really notice any of the chipping.\ntherapist: There's nothing yet.\n",FALSE,n/a,TRUE,0.35902830585837364
39,therapist,high,It doesn't matter. So what- what ideas do you have about what might be most helpful for you in quitting smoking?,"client: Right.\ntherapist: And the social stigma, because you don't want your daughter to think of you like that, whatever that- that as a smoker, you know. You know there're people who make the assumption and it- it sounds like those are more important to you than the medical things, and who cares why it's important?\nclient: Right.\ntherapist: It doesn't matter. So what- what ideas do you have about what might be most helpful for you in quitting smoking?\n",TRUE,open,TRUE,0.35921368887647986
57,therapist,low,It's-it's not permanent.,"client: Well, you know- why don't you just give me the medicine, I'll take it home and I'll think about it? But you know, I'm worried about my job.\ntherapist: You- you really need to take it, and-and like I said, the-the muscle weakness is rare. If you feel muscle weakness, just let your doctor know. He can take you off or switch. It's not permanent.\nclient: Sure. Fine. Just—\ntherapist: It's-it's not permanent.\n",FALSE,n/a,FALSE,0.35961572895757854
41,therapist,high,Uh-uh.,"client: Yeah. Yeah.\ntherapist: That's great and is there anything else on the list you felt like it was coming close to some of the other top five that you had or something similar?\nclient: Well, one of the things about this list that kind of surprised me is almost every time I have done this list, uh, creativity and freedom have been really high up there. And it didn't even make it to my top five. It was in my top 12.\ntherapist: Uh-uh.\n",FALSE,n/a,FALSE,0.360150333493948
34,therapist,high,And then there's this other part of you that's- was thinking maybe it's not okay.,"client: Well, I know, like, they say not to, but I thought because my friends didn't really care, I thought, ""Okay. Like maybe-maybe it doesn't matter. Maybe it's just what they tell you."" Just like drinking, in general, is bad.\ntherapist: So, you were thinking because your-your friends weren't pressuring you to stop drinking, that-that it must be okay.\nclient: Yeah.\ntherapist: And then there's this other part of you that's- was thinking maybe it's not okay.\n",FALSE,n/a,TRUE,0.3605808415450156
41,therapist,high,Thank you so much for sharing.,"client: But I think the conclusion that I came to is that I can be more creative and have more freedom if I have inner peace and self-respect. Part of what- part of what binds me, part of what takes my freedom away is when I just explain all over the place and I don't give any attention to myself. Part of what steals my creativity is when I'm- my mind is reeling around in stress and I am not- I can't even hear myself. I can't even hear myself think. How can you be creative if you can't even hear yourself?\ntherapist: All the chattering.\nclient: Yeah, exactly, to me the creativity comes from the silence, comes from the quiet. It's literally-- I can just be in silence for even if for a few moments. It's amazing the ideas that come to me so quickly and so easily that would take me hours to figure out if I'm stressing.\ntherapist: Thank you so much for sharing.\n",FALSE,n/a,FALSE,0.3606952310074121
46,therapist,high,"So, for about six months. I'm curious. What do you like about drinking alcohol?","client: Um, probably about once or twice a month.\ntherapist: Okay. So, you drink with friends, sort of three or four beers or mixed drinks, one or two times a month. How long have you been doing that?\nclient: Probably since last October.\ntherapist: So, for about six months. I'm curious. What do you like about drinking alcohol?\n",TRUE,open,TRUE,0.3609167074318975
72,therapist,low,All right. Shake.,client: Right. I'll stop.\ntherapist: All right. You promise?\nclient: I promise.\ntherapist: All right. Shake.\n,TRUE,closed,FALSE,0.36160811176523566
23,therapist,high,Okay.,"client: Yeah. I was doing a job where it was kind of like a- a Nature issue and I was having to work with a lot of different people. Um, and, um, when they told me about the job, I thought it would be fine. I thought it was just going to be a few other photographers, but there were actually people and, you know, I was taking photos of people kind of in the trees and stuff like that. And I guess- they asked me to, um—\ntherapist: It's quite interesting. Was that a fashion shoot or something?\nclient: Yeah. Yeah. It was a fashion thing. I think it was for some kind of-- I'm not sure if it was a campaign or something, but, it was-\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.3617631683591753
55,therapist,high,"Thanks. Just so you know, when I talk to patients about drug use, my job is to be helpful. I'm not going to tell you what to do or what you should do. What I can do is share some information and be a resource. Does that make sense?","therapist: Thanks. Just so you know, when I talk to patients about drug use, my job is to be helpful. I'm not going to tell you what to do or what you should do. What I can do is share some information and be a resource. Does that make sense?\ntherapist: Thanks. Just so you know, when I talk to patients about drug use, my job is to be helpful. I'm not going to tell you what to do or what you should do. What I can do is share some information and be a resource. Does that make sense?\ntherapist: Thanks. Just so you know, when I talk to patients about drug use, my job is to be helpful. I'm not going to tell you what to do or what you should do. What I can do is share some information and be a resource. Does that make sense?\ntherapist: Thanks. Just so you know, when I talk to patients about drug use, my job is to be helpful. I'm not going to tell you what to do or what you should do. What I can do is share some information and be a resource. Does that make sense?\n",TRUE,closed,FALSE,0.3620822741650045
123,therapist,low,"What's there to think about? [chuckles] You said it's not that something you do all that often, and there's all these negative side effects, there's all these risks that you're putting yourself in.","client: Uh, maybe.\ntherapist: What do you mean, maybe? I just told you how bad it is for you. It's messing up your mouth, you're putting yourself at risk for all these other diseases. This is really important. You need to quit.\nclient: Well, it's something that I'll have to think about.\ntherapist: What's there to think about? [chuckles] You said it's not that something you do all that often, and there's all these negative side effects, there's all these risks that you're putting yourself in.\n",TRUE,open,FALSE,0.36256064870394766
93,therapist,high,"Okay. You're noticing there- there are too many great benefits to being physically active and, um, today you've mentioned energy, mood, strength and body confidence.","client: Mm-hmm.\ntherapist: Uh, why didn't you pick a six?\nclient: Well, like I said, I just, I've identified like a lot of things that I think would be good. Um, if I were to be more active and I definitely wanna have that improved mood and energy, um, and feel better about myself. Um, so yeah, all of those things I think are what's really driving that- that rating.\ntherapist: Okay. You're noticing there- there are too many great benefits to being physically active and, um, today you've mentioned energy, mood, strength and body confidence.\n",FALSE,n/a,TRUE,0.3629489706363529
53,therapist,low,"'Cause, you know, the problem is if they're drinking, they're gonna pressure you into drinking and then you're gonna feel awkward and, you know, you're gonna be stuck and-and not know what to do and really you'd just be better off probably without them. If they're- if they're the kind of people who are gonna keep drinking-","client: Well, then, I guess, I'll just try to hang around them less or something. I'll try to find things for us to do that don't involve alcohol like a party or anything.\ntherapist: Yeah. Probably if your friends won't quit drinking, you should just find new friends.\nclient: Okay.\ntherapist: 'Cause, you know, the problem is if they're drinking, they're gonna pressure you into drinking and then you're gonna feel awkward and, you know, you're gonna be stuck and-and not know what to do and really you'd just be better off probably without them. If they're- if they're the kind of people who are gonna keep drinking-\n",FALSE,n/a,TRUE,0.36317039048299193
34,therapist,high,And you don't have equipment.,"client: And having to talk to those friends, like right now I don't want to do that. It's- it puts them in a weird place.\ntherapist: Kind of feels like you're climbing Mt. Everest.\nclient: Yeah.\ntherapist: And you don't have equipment.\n",FALSE,n/a,TRUE,0.3639465228188783
61,therapist,high,"Uh-huh. So, you thought it was beautiful and you liked the instructor, but you were a little self-conscious because you were in a chair?","client: And I had to sit in the chair. I couldn't, you know, do what they were doing.\ntherapist: Mm-hmm.\nclient: So, it's-- it was-- I simply felt self-conscious.\ntherapist: Uh-huh. So, you thought it was beautiful and you liked the instructor, but you were a little self-conscious because you were in a chair?\n",FALSE,n/a,TRUE,0.36395721416920424
35,therapist,high,"Yeah, you're feeling a little bit dissatisfied with your health patterns?","client: Thanks for having me.\ntherapist: Yeah. Tell me a little bit about yourself.\nclient: So I am, um, 28. And I moved out to Arizona about six months ago. Um, I really enjoy spending time with my family and hanging out with friends whenever I can. Work keeps me pretty busy. Um, But I'm really, um, looking to kind of make some changes to my diet and physical activity. I'm not really happy with where my weight's at right now, and, uh, so I thought it'd be good to come and talk with you about some of that stuff.\ntherapist: Yeah, you're feeling a little bit dissatisfied with your health patterns?\n",FALSE,n/a,TRUE,0.36398465116508305
10,therapist,low,Mm-hmm. I see- I see that your A1C or your blood glucose is very high.,"client: Yeah.\ntherapist: Okay. Um, what brings you in?\nclient: Well, I'm supposed to come to learn about my-- how to manage my diabetes. Just got diagnosed.\ntherapist: Mm-hmm. I see- I see that your A1C or your blood glucose is very high.\n",FALSE,n/a,FALSE,0.36413660272955894
38,therapist,high,"Okay. Well, one thing you could consider is talking to one of our social workers, they sort of specialize in helping people who have a lot on their plate identifying resources that they may need, uh, things you haven't thought of or aren't aware of. So, I don't know, would you be interested in doing something like that?","client: Childcare, probably.\ntherapist: Okay. Yeah. It sounds like from everything you're saying, that keeps coming up as one of the main issues. Um, so there may be some resources I can point you towards, but I'm- guess I'm wondering, have you looked into alternatives, more affordable, reliable childcare?\nclient: Not really. I mean, I just normally see if my mom can watch my son, so, you know, I haven't really looked around.\ntherapist: Okay. Well, one thing you could consider is talking to one of our social workers, they sort of specialize in helping people who have a lot on their plate identifying resources that they may need, uh, things you haven't thought of or aren't aware of. So, I don't know, would you be interested in doing something like that?\n",TRUE,closed,FALSE,0.3645370693411678
85,therapist,high,Mm-hmm.,"client: -if-if you had, you know- if you had to ride around in the back of a garbage truck all day like I do-\ntherapist: Yeah.\nclient: -uh, it's, uh- it's stressful, you know. [clears throat] But, the doctor- you know, the other doctor put me on this medicine and-and I gotta take it every day. And, I-I don't like it. Uh, I'll just be honest with you, I don't like it.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.36490309657528996
39,therapist,high,It shows you your lung capacity.,"client: Well, you know, I was thinking along the lines of meditation. Um, you know, I- I do practice yoga, um, not consistently, but on and off. Um, and when I was in the hospital, I had to do that breathing apparatus and they didn't want to let me go now, like, you know- you know what, I'm not doing that it's already blurry then to this thing, to see the level, um, some pretty obstinate about it and yet I want to do it, you know?\ntherapist: So that was helpful for you that it's a, um, I can't remember. I know what you're trying to get a little ball.\nclient: Mm-hmm.\ntherapist: It shows you your lung capacity.\n",FALSE,n/a,FALSE,0.36593007086776197
80,therapist,high,Right.,client: Yes.\ntherapist: And any thoughts about what concretely you could do to make that happen?\nclient: I can try each day to count.\ntherapist: Right.\n,FALSE,n/a,FALSE,0.3662104008253664
28,therapist,high,"And it sounds like it's paired, like a coffee and a cigarette. I mean, you know, probably hard to think about, ""How will I have a cup of coffee without a cigarette?""","client: -I'm finding it to be.\ntherapist: It does, uh, it does a lot of positive things for you.\nclient: Mm-hmm.\ntherapist: And it sounds like it's paired, like a coffee and a cigarette. I mean, you know, probably hard to think about, ""How will I have a cup of coffee without a cigarette?""\n",FALSE,n/a,TRUE,0.3665805214550346
49,therapist,high,"Yeah, okay.","client: Mm.\ntherapist: So, um, how serious do you think this issue is to sort?\nclient: [sighs] I suppose it's really serious if I wanna get out of my-my-my debt.\ntherapist: Yeah, okay.\n",FALSE,n/a,FALSE,0.36666474491357803
126,therapist,low,Do you have children in your house?,"therapist: That's perfect. This medication can be taken any time of the day, but it does work best if taken in the evening, and it's important to take it every day.\ntherapist: Where do you store your medications?\nclient: I store them all in the nightstand by my bed.\ntherapist: Do you have children in your house?\n",TRUE,closed,FALSE,0.36853007483296096
34,therapist,high,You don't want that.,"client: Yeah.\ntherapist: It's just the scene that they're-they're still in because their life maybe hasn't taken that change that your life has made. And so now, you're here and you're not sure. You want the baby, but you're not sure about the suburbs and the picket fence thing. You're not sure—\nclient: I don’t want that.\ntherapist: You don't want that.\n",FALSE,n/a,TRUE,0.3693462233059108
130,therapist,low,"Come on, Hailey. You're here because you thought he had pneumonia. You're telling me that Jake can't breathe, you're concerned about his breathing. And then you just slip in the fact that you're smoking cigarettes and you think there's no relationship? Do I really need to review all the risks of smoking in front of your-your child or exposing him to secondhand smoke not to mention the risks that you're posing to yourself and your own health?","therapist: Come on, Hailey. You're here because you thought he had pneumonia. You're telling me that Jake can't breathe, you're concerned about his breathing. And then you just slip in the fact that you're smoking cigarettes and you think there's no relationship? Do I really need to review all the risks of smoking in front of your-your child or exposing him to secondhand smoke not to mention the risks that you're posing to yourself and your own health?\ntherapist: Come on, Hailey. You're here because you thought he had pneumonia. You're telling me that Jake can't breathe, you're concerned about his breathing. And then you just slip in the fact that you're smoking cigarettes and you think there's no relationship? Do I really need to review all the risks of smoking in front of your-your child or exposing him to secondhand smoke not to mention the risks that you're posing to yourself and your own health?\ntherapist: Come on, Hailey. You're here because you thought he had pneumonia. You're telling me that Jake can't breathe, you're concerned about his breathing. And then you just slip in the fact that you're smoking cigarettes and you think there's no relationship? Do I really need to review all the risks of smoking in front of your-your child or exposing him to secondhand smoke not to mention the risks that you're posing to yourself and your own health?\ntherapist: Come on, Hailey. You're here because you thought he had pneumonia. You're telling me that Jake can't breathe, you're concerned about his breathing. And then you just slip in the fact that you're smoking cigarettes and you think there's no relationship? Do I really need to review all the risks of smoking in front of your-your child or exposing him to secondhand smoke not to mention the risks that you're posing to yourself and your own health?\n",TRUE,closed,TRUE,0.3699804723728448
28,therapist,high,"So, and then you mentioned quite a few things about medical problems. So, um, you mentioned, um, asthma, um, acute bronchitis did you say—","client: Right and, um, she's been expressing, you know, she walks in and she's like shhh and it's embarrassing for her friends and, um, and in-in turn, it's embarrassing for me.\ntherapist: Okay. So, you-you wanna look good, you know, and she's proud of you I'm sure anyway and then this just would be an added benefit. Yeah.\nclient: Right right, yeah.\ntherapist: So, and then you mentioned quite a few things about medical problems. So, um, you mentioned, um, asthma, um, acute bronchitis did you say—\n",FALSE,n/a,TRUE,0.370921416208148
27,therapist,low,"Well, uh, wait a second, Sal, what do you mean you-you- ha- If you-- As in-- You know to be informed about-- I'm just really taken aback by that because I understand from your chart that you have a young baby-","therapist: Well, uh, wait a second, Sal, what do you mean you-you- ha- If you-- As in-- You know to be informed about-- I'm just really taken aback by that because I understand from your chart that you have a young baby-\ntherapist: Well, uh, wait a second, Sal, what do you mean you-you- ha- If you-- As in-- You know to be informed about-- I'm just really taken aback by that because I understand from your chart that you have a young baby-\ntherapist: Well, uh, wait a second, Sal, what do you mean you-you- ha- If you-- As in-- You know to be informed about-- I'm just really taken aback by that because I understand from your chart that you have a young baby-\ntherapist: Well, uh, wait a second, Sal, what do you mean you-you- ha- If you-- As in-- You know to be informed about-- I'm just really taken aback by that because I understand from your chart that you have a young baby-\n",FALSE,n/a,TRUE,0.3714728932827711
92,therapist,low,"Um, I noticed, uh, we noticed some of your records that, uh, you've been coming in and getting Sarah's resc-rescue inhaler for her asthma quite frequently, and you haven't got a chronic inhaler for quite some time now. I also know she has been in the emergency room several times this year. Is-- can you tell me what's going on there?","client: Mm-hmm. Yeah.\ntherapist: Hi, I'm Bruce Berger, I work in the clinic. I know you're here to pick up a prescription today.\nclient: Mm-hmm.\ntherapist: Um, I noticed, uh, we noticed some of your records that, uh, you've been coming in and getting Sarah's resc-rescue inhaler for her asthma quite frequently, and you haven't got a chronic inhaler for quite some time now. I also know she has been in the emergency room several times this year. Is-- can you tell me what's going on there?\n",TRUE,open,FALSE,0.3720493270084262
43,therapist,high,Mm-hmm,"client: Yeah.\ntherapist: So to end our conversation, how do you think you couldn't move? You originally said, you were at four or five, what would have to happen to get you to like a seven, to feel more confident?\nclient: Well, considering this test is coming on the way in a few days, um, I think, for me and just like practicing and just really seeing how I do and if I do well, then I think my confidence might go up a little bit.\ntherapist: Mm-hmm\n",FALSE,n/a,FALSE,0.3723154084291309
126,therapist,low,"Hello, Kaylie. It looks like you're here to pick up a prescription today.","therapist: Hello, Kaylie. It looks like you're here to pick up a prescription today.\n",FALSE,n/a,TRUE,0.37261894019320607
77,therapist,high,Mm-hmm.,"client: Absolutely. I do not want to fall, for sure.\ntherapist: So what do you think about Tai Chi? Is that something you think you might be able to try sometime?\nclient: Well, I-I hadn't really thought about it, but yeah I guess, I guess.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.3726642800029367
64,therapist,high,Nice to meet you.,"therapist: Well, welcome, Ricky.\nclient: Thank you.\ntherapist: Nice to meet you.\n",FALSE,n/a,FALSE,0.37289919261820614
34,therapist,high,"So here you are today and, um, you're sharing that you have been drinking alcohol throughout your pregnancy.","client: Mm-hmm. Yeah.\ntherapist: And you're wondering a little bit about this time that we're going to spend together.\nclient: Yeah. He didn't really tell me what to expect. He just said, ""Go- go see her as well.""\ntherapist: So here you are today and, um, you're sharing that you have been drinking alcohol throughout your pregnancy.\n",FALSE,n/a,TRUE,0.3738344849552959
50,therapist,high,Mm-hmm.,"client: Yeah. I have about four cups a day.\ntherapist: Okay. Okay. And that feels about right to you?\nclient: Yeah. I mean, I've-- I mean, it's the co-workers that-that work at night. Gosh, they bring in a carafe.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.374333020998165
63,therapist,high,-with zero being not ready at all-,"client: Yeah, I don't think it would be easy but I'm not saying that I'm not willing to try.\ntherapist: Well, if you were to, um, consider how ready you are to stop using Methamphetamine completely-\nclient: Mm-hmm.\ntherapist: -with zero being not ready at all-\n",TRUE,open,FALSE,0.37469227984547615
21,therapist,high,That's great.,"client: Well, hopefully, go to college, get, you know, good enough grades to go to college.\ntherapist: Hm.\nclient: Yeah.\ntherapist: That's great.\n",FALSE,n/a,FALSE,0.37478677253238857
55,therapist,high,"Thanks. When I looked at your form, it looks like you use heroin weekly and you injected. What part of your body do you normally inject in?","therapist: Thanks. When I looked at your form, it looks like you use heroin weekly and you injected. What part of your body do you normally inject in?\ntherapist: Thanks. When I looked at your form, it looks like you use heroin weekly and you injected. What part of your body do you normally inject in?\ntherapist: Thanks. When I looked at your form, it looks like you use heroin weekly and you injected. What part of your body do you normally inject in?\ntherapist: Thanks. When I looked at your form, it looks like you use heroin weekly and you injected. What part of your body do you normally inject in?\n",TRUE,closed,TRUE,0.37486678175628185
28,therapist,high,It just didn't fit for you to do the online.,client: -but of course I didn't do either but-\ntherapist: Mm-hmm.\nclient: -um—\ntherapist: It just didn't fit for you to do the online.\n,FALSE,n/a,TRUE,0.3749084551818669
94,therapist,high,Some guilt?,"client: Mm. Let's see. Well, you know, I'm really not sure, I kind of, you know. Um, I'm having a hard time with that. Um.\ntherapist: Tell me a bit more about that.\nclient: Mm, well, I have to really think about it because-\ntherapist: Some guilt?\n",TRUE,closed,TRUE,0.375030665891245
78,therapist,high,"Yeah, it sounds like you'd be willing to do whatever you can to try to prevent that from happening.","client: Mm-hmm.\ntherapist: -for her asthma. I noticed that she's been in the emergency room five times in the last year for her asthma. What's that- what's that been like for you?\nclient: It's been- it's been really difficult. Um, I hate to see her gasping for breath. And, um, I'm really worried, you know, when she has to go. Uh, so that's been-- it's really difficult when I have to take her.\ntherapist: Yeah, it sounds like you'd be willing to do whatever you can to try to prevent that from happening.\n",FALSE,n/a,TRUE,0.37505744211375713
68,therapist,high,Just kind of everyday sort of stuff?,"client: Um, you know, just hanging out with my friends or go to the beach, things like that.\ntherapist: Mm-hmm.\nclient: Yeah.\ntherapist: Just kind of everyday sort of stuff?\n",TRUE,closed,FALSE,0.3751086520496756
4,therapist,high,"Yeah, and it looks nice.","client: Um, I don't know. I just felt like something different. I was getting bored and, I don't know, it's kind of nice to stand out a bit, I guess.\ntherapist: Hmm.\nclient: Yeah, change.\ntherapist: Yeah, and it looks nice.\n",FALSE,n/a,FALSE,0.3754899646155536
31,therapist,high,"Okay, well how important would it be for you to-to, uh, do whatever you can to reduce your risks of stroke or heart attack down the line?","client: Well, I guess it doesn't worry me quite as much if it's reversible like that. You know, I was thinking this was gonna be a big-time, but, uh, uh, yeah, I guess, it sounds manageable.\ntherapist: Okay, and, uh, so talk to me a little bit more about what the doctors told you about-about your risks of stroke or heart attack while you're ta- while you have high cholesterol.\nclient: Oh, he just said that the risks are-are up, I think he called it elevated but, uh, you know, uh, that I'm at a higher risk of having a stroke or a heart attack down the line, uh, you know, that's down the line.\ntherapist: Okay, well how important would it be for you to-to, uh, do whatever you can to reduce your risks of stroke or heart attack down the line?\n",TRUE,open,FALSE,0.37607908621430397
23,therapist,high,"Okay. So you said that, um, your difficulties are getting in the way of you doing certain things. So they're, they're stopping you from taking up kind of certain types of work and as a freelance photographer, I guess that- that can be kind of a problem. And they're also stopping you or you feel like it's stunting you, uh, socially. You're not kind of able to make new friends and get to meet new people.","client: Um, I thought that they'd be better, but 'cause I thought I'd have to kind of be independent and I suppose actually a lot worse. So I'm-I'm just kind of staying in the house a lot. I don't really have any friends or anything. I mean my family come and visit a bit, but it's not-- I don't know. It's kind of scary because I've just been kind of-- that should just end the flight by myself, which I always thought I'd like, but I don't actually like it.\ntherapist: Okay. So what other kinds of difficulties that you have been experiencing?\nclient: Um, I mean, I'm-I'm a photographer. Um, so I kind of-- It's-it's been stopping me a bit, my anxiety, from being able to get work and because every time, you know, there's, uh, an opportunity that is kind of involving me having to interact with people, I just tend to just turn it down. So it was kind of making things hard in that respect and um, just kind of friends wise and everything. I just feel like I'm just kind of increasingly more alone. So it's kind of stopping me from making friends and, you know, like relationships and stuff.\ntherapist: Okay. So you said that, um, your difficulties are getting in the way of you doing certain things. So they're, they're stopping you from taking up kind of certain types of work and as a freelance photographer, I guess that- that can be kind of a problem. And they're also stopping you or you feel like it's stunting you, uh, socially. You're not kind of able to make new friends and get to meet new people.\n",FALSE,n/a,TRUE,0.3777367991860956
36,therapist,high,Right. Okay.,"client: To the pictures or for a drink. That's one thing.\ntherapist: Sounds as though that's something you quite enjoyed.\nclient: Yeah, so I-- Yes. Yes, we used to have a laugh.\ntherapist: Right. Okay.\n",FALSE,n/a,FALSE,0.3778742903377861
126,therapist,low,"Fantastic. All right. Well, here's your prescription. I even put it on auto fill for you so that it will be filled for you every- at the same time every month. And if you have any other questions later, our phone number is right here on the bottle, and you can call me at any time. Thanks so much. Have a great day.","client: Sure. I'm just gonna take one tablet right before I go to bed with my other medications. And I guess I will switched to orange juice. And if I notice any muscle pain that is severe, I'll call Dr. Ferris right away.\ntherapist: Great, Kaylie. I know we went over a lot today. What other questions do you have for me?\nclient: Uh, I think you answered all my questions. Thank you.\ntherapist: Fantastic. All right. Well, here's your prescription. I even put it on auto fill for you so that it will be filled for you every- at the same time every month. And if you have any other questions later, our phone number is right here on the bottle, and you can call me at any time. Thanks so much. Have a great day.\n",FALSE,n/a,FALSE,0.37813559267669916
44,therapist,low,Mm-hmm.,"client: A little, yeah.\ntherapist: Okay. And how much are you drinking on the days that you're-- on the days that you drink?\nclient: Um, I don't, we don't get blackout drunk or anything. It's more of like a little tipsy kind of thing.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.3781927637755871
54,therapist,high,What's going on with that?,"client: Hi.\ntherapist: Um, we were talking a little bit earlier, and you said you wanted to talk about exercising.\nclient: I do.\ntherapist: What's going on with that?\n",TRUE,open,FALSE,0.3786844911519438
69,therapist,low,"Yeah, I'm the pharmacist on duty. Citalopram, okay. It's an antidepressant and it comes in 10, 20, and 40-milligram strengths. It's excreted in the urine and it has a half-life of about 35 hours. For side effects, there are sexual side effects, heart side effects, and stomach side effects.","therapist: Hi, Dr. Martin. I heard you had a question for me. What did you want to talk about?\nclient: I'm sorry, but are you the pharmacist? I just had a question about citalopram.\ntherapist: Yeah, I'm the pharmacist on duty. Citalopram, okay. It's an antidepressant and it comes in 10, 20, and 40-milligram strengths. It's excreted in the urine and it has a half-life of about 35 hours. For side effects, there are sexual side effects, heart side effects, and stomach side effects.\n",FALSE,n/a,FALSE,0.3790544541552663
1,therapist,high,"Well, how about hypothetically if I were to ask you, how would your drinking have to impact your life in order for you to be ready to change your drinking?","client: E-exactly.\ntherapist: So weighing those things, you know, what you like about your drinking, what you don't like about your drinking, uh, where do you wanna go from here? Uh, what would you like to change about your drinking?\nclient: Hmm, I'm not sure. Uh, something I have to think about.\ntherapist: Well, how about hypothetically if I were to ask you, how would your drinking have to impact your life in order for you to be ready to change your drinking?\n",TRUE,open,FALSE,0.37955924053676426
63,therapist,high,Use any other drugs?,"client: Snort it, always snort it.\ntherapist: Don't inject it?\nclient: Mm-mm.\ntherapist: Use any other drugs?\n",TRUE,open,FALSE,0.3802125167567283
22,therapist,high,Mm-hmm.,"client: Yeah, well, it's a—\ntherapist: Especially in the church.\nclient: Yeah, it's like a shock to them when you say something like that. And it's like, ""Well, we all go through things where we're just not sure, and--"" I still have a little bit, I'm not saying that I'm off track, you know? I still have a little bit to go on. And the little bit that I do have are the positive things in my life that I look at and I'm like, ""Okay, well, I'm not in this situation, so I'm thankful,"" and-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.3802676403429359
17,therapist,low,"Okay, so I'm just gonna ask you a couple of more background questions.","therapist: Okay, so I'm just gonna ask you a couple of more background questions.\n",FALSE,n/a,FALSE,0.38043400715105236
53,therapist,low,"Okay. So, I'm going to write down then that you've decided to quit.","client: I definitely agree. I know that there are some other risks involved in alcohol, they are the ones you mentioned, like, health-wise and things like that, so, I agree that alcohol may not be the best thing.\ntherapist: Mm-hmm. So, do you think you can quit?\nclient: Um, yeah, I mean, it's not, like, a really big part of my life, so.\ntherapist: Okay. So, I'm going to write down then that you've decided to quit.\n",FALSE,n/a,FALSE,0.38077277643606067
22,therapist,high,Yes.,"client: -but the second time that I did it I was so focused on, ""What did I read about last time?"" You know?\ntherapist: Yeah.\nclient: So, and I just went ahead and blanked that out and I just went and I-\ntherapist: Yes.\n",FALSE,n/a,FALSE,0.3813756175804883
90,therapist,low,"Well, there's a lot of things that seem fun in the moment that we know aren't a good choice, right? That's some of the things we talk about all the time is making good choices for our life and-and really doing what's best for you. And I just, you know, I really think you should think about making a big change here.","client: Um, I-I guess I can. I-I can probably be more productive in my schoolwork and rather than going out to parties as much and I-I do get you're coming from and—\ntherapist: Yeah. Is-- are your friends the problem, like maybe you should just start hanging out with more kids in the youth group and not hang out with those kids that you were partying with?\nclient: Yeah, I guess I haven't really put it on myself. I guess it's really been forced on their account. And I've just been following in their footsteps just to-- just because it seems like what they're doing is a lot of fun. And I just want to make sure that I'm getting every bit of the high school experience that I can.\ntherapist: Well, there's a lot of things that seem fun in the moment that we know aren't a good choice, right? That's some of the things we talk about all the time is making good choices for our life and-and really doing what's best for you. And I just, you know, I really think you should think about making a big change here.\n",FALSE,n/a,FALSE,0.3822210063226521
28,therapist,high,"Oh my goodness. Okay. And so, and that-- yeah, that's very-- that's really scary beginnings of emphysema, I'm sorry to hear that.","client: Right right, yeah.\ntherapist: So, and then you mentioned quite a few things about medical problems. So, um, you mentioned, um, asthma, um, acute bronchitis did you say—\nclient: Oh and emphysema the beginning stages of emphysema.\ntherapist: Oh my goodness. Okay. And so, and that-- yeah, that's very-- that's really scary beginnings of emphysema, I'm sorry to hear that.\n",FALSE,n/a,TRUE,0.38231894839555025
73,therapist,high,Yeah.,"client: Well, yeah he said it was a pain- a pain medicine.\ntherapist: He said that it would help you with some of the pain that you've been having.\nclient: Mm-hmm.\ntherapist: Yeah.\n",FALSE,n/a,FALSE,0.3823641741182655
78,therapist,high,Okay.,"client: Mm-hmm.\ntherapist: Are you having some difficulties with that?\nclient: Well, I did research on the chronic inhaler and I found out that there were steroids in it and that-that I don't want her taking steroids. I did, uh, research on some of the potential side effects and some of the health problems that can result from taking steroids and I-I just don't want her to take those at all. I don't want her exposed to them at all. And then, uh, let me just go ahead and lay this out right now. Uh, because I'm sure it'll come up, but I-I do smoke. But I make sure that I do not smoke around her so that I make sure that it does not affect her. So-\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.3841174887493253
62,therapist,high,"So she talked to you a little bit about it, but it sounds like you're kind of unsure exactly the details.","client: Um, I guess everything's fine. I think my caseworker mentioned something about community service that I have to do or something. I don't know.\ntherapist: Okay.\nclient: I'm not sure of that.\ntherapist: So she talked to you a little bit about it, but it sounds like you're kind of unsure exactly the details.\n",FALSE,n/a,TRUE,0.3844126504845917
39,therapist,high,Okay.,"client: Yeah.\ntherapist: Um, because I know you mentioned you tried the Chantix. Um, what have you tried? Uh, Zyban or Wellbutrin?\nclient: You know, I've heard of Welbutrin.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.3850496269296855
29,therapist,high,Yeah.,"client: Okay, yeah.\ntherapist: Think about all of that.\nclient: Well, I think it makes sense, especially like-like you said, to be sustainable. Um, yeah, I definitely wouldn't wanna try something where I'm going to crash and burn for days in.\ntherapist: Yeah.\n",FALSE,n/a,FALSE,0.3851190456189215
22,therapist,high,Mm-hmm.,"client: Um, I mentioned before that it was kind of, like, out of place for me, because when I did this one in particular, um, as-as-- I stated that there were-- The other three were important to me, but I haven't focused on it so I'm like, ""Okay, it's important to me,"" so I lost track of that and the other three—\ntherapist: The other three?\nclient: Um, number three was health.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.3851902070455253
21,therapist,high,Mm-hmm.,"client: Yeah, yeah, relaxed.\ntherapist: Okay. Uh, anything else?\nclient: Um, no, not really. Like I said, I don't drink that much-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.3854385889135301
43,therapist,high,Yeah. You kind of want to avoid that. Yeah. Have those other feelings that could come up and if you don't have.,"client: Um, well I think it's this kind of long time coming. I just need to do it and then I can figure out, if I don't pass, I have to wait three more months to do it. And then I just study for the next three months. And if I do, then I can have that weight lifted off my shoulders cause it's been all a lot of weight on me and I think about it every single day. And I'm just sick of thinking about it.\ntherapist: So that's really encouraging you thinking about how good you'll feel afterwards once it's done and taken.\nclient: Yeah. But then I do worry, you know, that negative talk that, you know, when you have anxiety. So then I worry about if I don't pass it, you know, like people are going to ask me how I did and if I don't pass it I'm gonna have to tell them, it's embarrassing for me. Um, so that makes me really anxious.\ntherapist: Yeah. You kind of want to avoid that. Yeah. Have those other feelings that could come up and if you don't have.\n",FALSE,n/a,TRUE,0.3855496980249882
21,therapist,high,"Okay. So, the-the absolute most-","client: Thank you.\ntherapist: So, you mentioned, you pretty much will like hold a drink or maybe have a drink or two. What do you thinks is the most alcohol you've ever had in-in one day?\nclient: Not more than two drinks.\ntherapist: Okay. So, the-the absolute most-\n",FALSE,n/a,TRUE,0.38585253711789846
130,therapist,low,And let's talk some more about wine. You keep throwing wine into the conversation. It sounds like it's become a significant part of your daily routine. How much are you drinking?,"client: Okay. Um, well, yeah, I-I guess I can throw the cigarettes. And tomorrow night when I have my glass of wine, I'll-I'll just try to avoid that craving.\nclient: Okay. Um, well, yeah, I-I guess I can throw the cigarettes. And tomorrow night when I have my glass of wine, I'll-I'll just try to avoid that craving.\nclient: Okay. Um, well, yeah, I-I guess I can throw the cigarettes. And tomorrow night when I have my glass of wine, I'll-I'll just try to avoid that craving.\ntherapist: And let's talk some more about wine. You keep throwing wine into the conversation. It sounds like it's become a significant part of your daily routine. How much are you drinking?\n",TRUE,closed,TRUE,0.38687597680836916
54,therapist,high,"Well, I mean, I think you just need to maybe sit down and write down a list of reasons why you need to get back to the gym, and then on the other side of the list, put down, you know, um, ideas about what's going to help you get there.","client: I do.\ntherapist: What's going on with that?\nclient: Well, I just can't seem to get back in the gym. I don't wanna-- I-I used to work out quite a bit, and in the last, I dunno, couple of years I've just-- I stopped going. I got busy, and now I'm out of the habit, and I-I really, I dunno, I feel like I need to get back.\ntherapist: Well, I mean, I think you just need to maybe sit down and write down a list of reasons why you need to get back to the gym, and then on the other side of the list, put down, you know, um, ideas about what's going to help you get there.\n",FALSE,n/a,FALSE,0.3877205294556916
1,therapist,high,"You're not alone in feeling that way. Uh, binge drinking can feel normal to some people.","client: So I'm already at the week limit. And then I have four beers a night. Are you sure?\ntherapist: So a limit of four a night doesn't feel right to you?\nclient: I have five or six beers when I go out with friends to a bar. It's not a problem for me.\ntherapist: You're not alone in feeling that way. Uh, binge drinking can feel normal to some people.\n",FALSE,n/a,TRUE,0.388108282815665
15,therapist,low,"So you want nicotine replacement, but you don't wanna quit smoking?","therapist: Can I help you?\nclient: Uh, yeah. I just got off work, and apparently, they're going smoke-free, so I'm-- I-I thought I'd stop by the pharmacy here and see what my options are. Some of my friends have tried nicotine patches and the-- they say they don't work really well. I don't really wanna quit smoking, I just need something to get me through the day.\ntherapist: So you want nicotine replacement, but you don't wanna quit smoking?\n",FALSE,n/a,TRUE,0.3881317153573036
30,therapist,high,"Hey, Mary. I wanted to bring up to you, um, that your battery died last night. So, can you tell me what happened?","therapist: Hey, Mary. I wanted to bring up to you, um, that your battery died last night. So, can you tell me what happened?\n",TRUE,open,FALSE,0.38834028388373554
44,therapist,low,Okay.,"client: Uh, well, my name is Andrea, as you know, I'm, uh, in the marching band. I play the tenor sax.\ntherapist: Oh.\nclient: Yeah. I'm involved in music. So I'm also in the jazz band, the wind ensemble, and um, yeah, that's about—\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.3884965917095542
61,therapist,high,Uh-huh.,client: Yeah.\ntherapist: Uh-huh. What is your overall goal? What are you working towards?\nclient: I wanna go home.\ntherapist: Uh-huh.\n,FALSE,n/a,FALSE,0.38855912955477834
57,therapist,low,"So your-your-your doctor told you that if your cholesterol remains elevated, you're at risk of stroke or heart attack?","client: Uh, I talked with my doctor about my medicine. That's his job.\ntherapist: But well, it's my job too, uh, to-to help you understand how to use your medicine and, uh, give you information about getting the most benefits from it.\nclient: Well, to be honest with you, I'm not even certain I'm going to take the medicine. Now, I know I got high cholesterol, I've got to get that down, but on the other hand, this medicine can cause some severe muscle weakness and I just can't afford that. I'm a truck driver and I haul those heavy boxes in on the dollies and I just can't afford that, so you know.\ntherapist: So your-your-your doctor told you that if your cholesterol remains elevated, you're at risk of stroke or heart attack?\n",TRUE,open,FALSE,0.3887955828104168
5,therapist,high,"Yeah. Where have you got to with the forms? I mean, we talked about that quite a lot last time.","client: I don't know. I just thought if, uh, I could get a job and stuff, doing stuff I like, uh, it'll make things easier.\ntherapist: Mm.\nclient: Yeah.\ntherapist: Yeah. Where have you got to with the forms? I mean, we talked about that quite a lot last time.\n",TRUE,open,FALSE,0.3889450286515057
67,therapist,high,How about this question? What might happen within a month that might make you want to vape?,"client: Well, I'm pretty sure, um, I can stop using for a month. I want to play well.\ntherapist: So, what steps could you take to help you stop using for a month?\nclient: Uh, I don't know.\ntherapist: How about this question? What might happen within a month that might make you want to vape?\n",TRUE,open,FALSE,0.3893273549620062
63,therapist,high,"Mm, so when I was first talking to you, I thought that you'd have a very, um, really not much interest in not stoping using Methamphetamine but it sounds like you have a number of reasons why you really would like to stop using Methamphetamine. And that is, um, that it might be cut with something else, um, you could get another ST- STD including HIV.","client: I mean, this has been really uncomfortable, you know, gonorrhea is a really bad experience. And, uM, I know I don't think the same, you know, when I'm- when I'm on it. And, uh, I mean, what I have is bad enough, I could easily get AIDS. I could get HIV the same way. So that scares me a lot. That's why it's higher than a one or two.\ntherapist: Are there any other concerns that you have about Methamphetamine?\nclient: Well, I do just snort it but you don't know what it's cut with, you know, there could be something, you know. It could be really bad, um, if it was cut with something dangerous or something. I mean, I-I worry about that sometimes.\ntherapist: Mm, so when I was first talking to you, I thought that you'd have a very, um, really not much interest in not stoping using Methamphetamine but it sounds like you have a number of reasons why you really would like to stop using Methamphetamine. And that is, um, that it might be cut with something else, um, you could get another ST- STD including HIV.\n",FALSE,n/a,TRUE,0.3898640344850719
22,therapist,high,All right.,"client: -every day your eyes-- Well, to me, my eyes have gotten broader, and broader, and broader. So—\ntherapist: Right.\nclient: I don't limit myself to change anymore, I just kind of fill it out, and then [unintelligible 00:05:38] I'm like, ""Okay.""\ntherapist: All right.\n",FALSE,n/a,FALSE,0.3900239977519959
1,therapist,high,"Okay. Uh, thanks for filling this out. Uh, looks like you use alcohol two to three days a week?","therapist: And before you leave, uh, is it okay if we go over this screening form that you filled out today on your alcohol use?\nclient: Sure.\ntherapist: Okay. Uh, thanks for filling this out. Uh, looks like you use alcohol two to three days a week?\n",FALSE,n/a,TRUE,0.390203467104584
28,therapist,high,Mm-hmm.,"client: Thank you.\ntherapist: Well, I mean that's-that's, you know, tell me about when you were diagnosed with that.\nclient: I really couldn't tell you, um, I remember when my daughter was like five, um, I was-- it was humid out and I have a problem with humidity-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.39029775466769934
49,therapist,high,Yeah. Yeah.,"client: Yeah. I'm happy to explore it, so to speak. [chuckles]\ntherapist: Yeah. Yeah.\nclient: Yeah.\ntherapist: Yeah. Yeah.\n",FALSE,n/a,FALSE,0.39144326373934746
55,therapist,high,"Do you mind if I take a look at your arm, please?","therapist: Do you mind if I take a look at your arm, please?\ntherapist: Do you mind if I take a look at your arm, please?\ntherapist: Do you mind if I take a look at your arm, please?\ntherapist: Do you mind if I take a look at your arm, please?\n",TRUE,closed,FALSE,0.3914662739261985
36,therapist,high,Mm-hmm.,"client: Yes. Yes.\ntherapist: Okay. And what's- what sorts of treatments have you tried for-for this before?\nclient: Well, uh, Dr. Brown gave me some muscle relaxants at the beginning.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.39175297203473747
46,therapist,high,"So more negative things about your drinking, like getting into trouble with your mom and missing a class at school when you had a hangover?","client: Mm, mom got mad at me 'cause I wouldn't get out of bed and she said she knew I had a hangover.\ntherapist: Mm-hmm. Have you told your mother that you drink with your friends?\nclient: No, but I got grounded for two weeks after that. [chuckles]\ntherapist: So more negative things about your drinking, like getting into trouble with your mom and missing a class at school when you had a hangover?\n",TRUE,closed,FALSE,0.3919631515163928
34,therapist,high,You just wanna be like peers talking.,"client: Yeah, lecture my-- Yeah.\ntherapist: You're wondering if they're gonna kind of be like children and you're gonna be like the parent saying-\nclient: Yeah, and I don't wanna be like that.\ntherapist: You just wanna be like peers talking.\n",FALSE,n/a,TRUE,0.3919663969427347
45,therapist,high,It does kinda come off as nosy at times I'm sure.,"client: I guess so.\ntherapist: You know that I will be stopping by every day just to make sure that you're here and following and-and responding to your GPS and making sure that that's charged up every day and that, um, if you're leaving the house without permission, that we will be aware of that as well. Um, and kinda just to get to know you as well when I come for these visits 'cause, um, you know that's kind of my role as your caseworker is just to-to monitor your day-to-day stuff.\nclient: So you just wanna know my business?\ntherapist: It does kinda come off as nosy at times I'm sure.\n",FALSE,n/a,TRUE,0.3926104998681694
38,therapist,high,"And then it also sounds like, um, your drinking has perhaps increased a little bit over time?","client: No. And then, I don't know, I-I'm just getting kind of annoyed, honestly, because, you know, I did agree I would try to work on my smoking, you know. But, with this whole drinking thing, it's like everything that I enjoy, you know, is being taken away from me right now. And so, if I give up drinking, like, what am I going to have to enjoy myself, you know.\ntherapist: Yeah, you really feel like you need that reward.\nclient: Yeah, yeah.\ntherapist: And then it also sounds like, um, your drinking has perhaps increased a little bit over time?\n",TRUE,closed,FALSE,0.3934310805052519
118,therapist,low,"Okay. Right. Uh, to be honest, you know, looking there, it just looks like one of those viruses that are going around at the moment that are causing these sore throats. So, uh, I think that we should just perhaps go for a bit of paracetamol and, uh, some fluids and let nature sort it out.","client: I'm not-- I'm now late. I'm sorry. Um, I've come to see you because I've got a really sore throat. It's been like this for a good few days, um, and I think I need some more antibiotics.\ntherapist: All right. Um, okay. Um, well let's, uh, let's just have a look shall we? See what's going on. You just wanna open your mouth for me. Say ah.\nclient: Ah.\ntherapist: Okay. Right. Uh, to be honest, you know, looking there, it just looks like one of those viruses that are going around at the moment that are causing these sore throats. So, uh, I think that we should just perhaps go for a bit of paracetamol and, uh, some fluids and let nature sort it out.\n",FALSE,n/a,FALSE,0.39413527376018465
84,therapist,high,"Yeah. Hey, it's good to see you here and good to see you here on time. Yeah, it's really good to see a good start to the-- to your probation time with us here is to see you being here on time. So how did you get here today?","therapist: Hi Billy. How are you doing?\nclient: Yeah, I'm all right.\ntherapist: Yeah. Hey, it's good to see you here and good to see you here on time. Yeah, it's really good to see a good start to the-- to your probation time with us here is to see you being here on time. So how did you get here today?\n",TRUE,open,FALSE,0.39436784107238054
90,therapist,low,"There's really no such thing as not drinking too much. I mean, anything that's drinking when you're underage is drinking too much, you know. Like, think about it, think about all the things that can happen to you.","client: Um, I mean, it was just the, like a social gathering. It wasn't like I was looking for it, uh, the drinks were there and I-- all my friends were doing it and it was just-- it's-it's not something that I like do occa- on occasion, but whenever the opportunity presents itself, it-it's nice to just let loose and have a little bit of fun sometimes.\ntherapist: But, Tommy, there's so many consequences with drinking. You know, you're not even 21 yet, you could get arrested, you could, you know, have a drunk driving accident. You could, you know, mess up your schoolwork. You have such a bright future ahead of you. It just really, really concerns me.\nclient: I-I get what you're coming from, but I-I-I really did. I-I thought that I had it under control and I didn't let myself get too far gone. I-I didn't want to be, um, how do I put this? Like, I want it to be in control and I wanted to make sure that all my friends were okay, so I didn't let myself drink too much.\ntherapist: There's really no such thing as not drinking too much. I mean, anything that's drinking when you're underage is drinking too much, you know. Like, think about it, think about all the things that can happen to you.\n",FALSE,n/a,FALSE,0.39438745146617293
21,therapist,high,"Thanks for coming in. Um, so, I'm not sure how much you know already about sort of what you're doing here. If it's okay, I'll give you a little rundown.","therapist: Hi, Laura.\nclient: Hi.\ntherapist: Thanks for coming in. Um, so, I'm not sure how much you know already about sort of what you're doing here. If it's okay, I'll give you a little rundown.\n",TRUE,open,FALSE,0.3945175502449274
5,therapist,high,"So, all these changes that you've- that you've made, um, Billy, where-where is the offending fitting into all of that now?","client: Well, um-- Well, I don't know. Hopefully, there's not so much of that stuff. Um, oh, well, I don't know. I could find out maybe someone who can help you, like, at the school, at the polytech, maybe somebody can help you out and stuff, or there might be computers there or something.\ntherapist: Mm. Yeah?\nclient: Yeah.\ntherapist: So, all these changes that you've- that you've made, um, Billy, where-where is the offending fitting into all of that now?\n",TRUE,open,FALSE,0.39497304521501064
60,therapist,high,Like a new beginning.,"client: Really?\ntherapist: Yeah, yeah, they really do, and smokers. Yeah, and drinkers, they do, yes. Yeah.\nclient: Or, like, you know, setting up-- but what is that that they say? Um, you know, like, it's- it's the terminology, you know, with all the anxiety and letting go, you know, like I'm gonna [crosstalk].\ntherapist: Like a new beginning.\n",FALSE,n/a,TRUE,0.3951071591582149
89,therapist,high,Mm-hmm.,"client: I don't- I don't think it's gonna work. And so I really liked to be able to keep my job.\ntherapist: Mm-hmm.\nclient: Um, I'd l- I'd like to stop fighting with my wife. Um-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.395150686847046
60,therapist,high,Okay. Do your homework.,"client: Right. Right, yeah. You can't have my stash. [laughs]\ntherapist: You can't, no, not one of mine. So, um when are you thinking you might want to do this?\nclient: Um, you know, I guess I'll have to like, you know, get all of my information together.\ntherapist: Okay. Do your homework.\n",FALSE,n/a,TRUE,0.3953184357378632
130,therapist,low,"Come on, Hailey. You're here because you thought he had pneumonia. You're telling me that Jake can't breathe, you're concerned about his breathing. And then you just slip in the fact that you're smoking cigarettes and you think there's no relationship? Do I really need to review all the risks of smoking in front of your-your child or exposing him to secondhand smoke not to mention the risks that you're posing to yourself and your own health?","client: Well, I had no idea that it was such a big deal. I-I didn't think it would have anything to do with Jake getting sick or, you know, hurting him.\nclient: Well, I had no idea that it was such a big deal. I-I didn't think it would have anything to do with Jake getting sick or, you know, hurting him.\nclient: Well, I had no idea that it was such a big deal. I-I didn't think it would have anything to do with Jake getting sick or, you know, hurting him.\ntherapist: Come on, Hailey. You're here because you thought he had pneumonia. You're telling me that Jake can't breathe, you're concerned about his breathing. And then you just slip in the fact that you're smoking cigarettes and you think there's no relationship? Do I really need to review all the risks of smoking in front of your-your child or exposing him to secondhand smoke not to mention the risks that you're posing to yourself and your own health?\n",TRUE,closed,TRUE,0.39582704356871545
86,therapist,high,You're nervous that you've lost control of your behaviors.,"client: Mm-hmm. I couldn't help myself.\ntherapist: Uh, it's something that just happened.\nclient: I couldn't help myself.\ntherapist: You're nervous that you've lost control of your behaviors.\n",FALSE,n/a,TRUE,0.3963332267012447
81,therapist,high,Mm.,"client: Uh, scary I guess.\ntherapist: So you're feeling uncomfortable with changes in your body?\nclient: Yeah. I-I know there's something in there, I just don't know much about him.\ntherapist: Mm.\n",FALSE,n/a,FALSE,0.3970428849570453
85,therapist,high,"Yet, at the same time, I know running around and getting in trouble for being naked or having to go to the hospital, not such a good thing either. Um, I'm wondering if, um- if I could run some ideas by you that some other patients of mine have tried?","client: Well, I got a question for you. You're a doctor, why don't you guys come up with some- something else besides either being in the hospital or taking this stuff every day, can you come up with something? I mean, you guys, we put a man on the moon 50 years ago, I mean, and you still got to give me this stuff that makes me feel like a-a zombie with-- That hasn't had a drink or water in four days, it-it just doesn't seem right. Either you guys ought to come up with something better. That's what I think.\ntherapist: I agree with you, I really do. So-- And I- and I think that a lot of times, um, the medications, they do have a lot of side effects, and I completely understand why people don't wanna take them-\nclient: Yeah.\ntherapist: Yet, at the same time, I know running around and getting in trouble for being naked or having to go to the hospital, not such a good thing either. Um, I'm wondering if, um- if I could run some ideas by you that some other patients of mine have tried?\n",TRUE,closed,TRUE,0.3972287382930517
70,therapist,high,"All right. Well, do you have any specific questions?","therapist: Hi, Dr. Martin. I'm Lori. I'm the pharmacist on duty here today. I understand that you have some questions about the medication citalopram. Do you have a minute to talk about that?\nclient: Yeah, I do, just a couple of minutes though.\ntherapist: All right. Well, do you have any specific questions?\n",TRUE,closed,FALSE,0.39756739721633494
55,therapist,high,"Thanks. When I looked at your form, it looks like you use heroin weekly and you injected. What part of your body do you normally inject in?","therapist: Thanks. When I looked at your form, it looks like you use heroin weekly and you injected. What part of your body do you normally inject in?\ntherapist: Thanks. When I looked at your form, it looks like you use heroin weekly and you injected. What part of your body do you normally inject in?\ntherapist: Thanks. When I looked at your form, it looks like you use heroin weekly and you injected. What part of your body do you normally inject in?\ntherapist: Thanks. When I looked at your form, it looks like you use heroin weekly and you injected. What part of your body do you normally inject in?\n",TRUE,closed,TRUE,0.39760057954117656
45,therapist,high,So I know just kinda being here when you need to be here is one way of doing that.,"client: Mm-hmm.\ntherapist: I know uh, some clients have struggled with understanding that I really do care about you. And you know that when we first met that you had expressed a goal of, um, getting off this program as quickly as possible.\nclient: Mm-hmm.\ntherapist: So I know just kinda being here when you need to be here is one way of doing that.\n",FALSE,n/a,FALSE,0.39787889597937465
63,therapist,high,Only snort it?,"client: Um, two, three times a month.\ntherapist: So you're an occasional meth user. You don't use very often?\nclient: Right.\ntherapist: Only snort it?\n",TRUE,closed,TRUE,0.3983822523150593
2,therapist,high,"Indeed. Let me ask you something, knowing what you know now, how important is it to you to lose the weight by decreasing the amount of juice that you're currently taking in?","client: No, I didn't know. Um, but doesn't the fruit- food pyramid classify, um, fruit juice as a- a serving?\ntherapist: You're absolutely right, but keep in mind that the food pyramid is to be used as a guideline only. When it comes to nutrition, we have to have a more personalized approach. So I have a hunch, and that is the excess fruit that you were consuming probably caused your weight rebound. What's your impression?\nclient: Well, this changes quite a bit. I mean, here I'm thinking that my fruit intake is making me healthier and actually it's making me fatter.\ntherapist: Indeed. Let me ask you something, knowing what you know now, how important is it to you to lose the weight by decreasing the amount of juice that you're currently taking in?\n",TRUE,open,FALSE,0.3984854114241898
95,therapist,high,"And if you're not alive, that's gonna solve the issue for her. She'll do better.","client: Yeah, 'cause she's a single mom and she struggles a lot. I wanna help her, but I can't help her. So it just makes me sad. I feel like if I don't live anymore, she'll be okay. And she wouldn't have to worry about me or pay my stuff.\ntherapist: So you feel like your hands are tied, you feel like you're a burden to mom. She's a single parent. She works a lot. You have all of these problems in your life. And it sounds to me like you feel like you're just adding more problems to her.\nclient: Yeah.\ntherapist: And if you're not alive, that's gonna solve the issue for her. She'll do better.\n",FALSE,n/a,TRUE,0.39887486468069255
22,therapist,high,You feel like you're not really paying as much attention to them as you would want to?,"client: Yeah.\ntherapist: Inner harmony, health, and security.\nclient: Yeah.\ntherapist: You feel like you're not really paying as much attention to them as you would want to?\n",TRUE,closed,TRUE,0.3991269050166011
68,therapist,high,Uh-huh.,"client: Um, I think of them as-as different, I think, you know, like in playing board games and things, it's meant to be relaxing.\ntherapist: Mm-hmm.\nclient: So it's nice to have like that kind of breather-\ntherapist: Uh-huh.\n",FALSE,n/a,FALSE,0.3994976768735796
68,therapist,high,Cute. What kind of dog?,"client: Yeah [laughs].\ntherapist: Okay. Tell me a little bit about your family.\nclient: Uh, well I have one older brother he's about eight and a half old- years older than me. My parents, and I have a dog [laughs].\ntherapist: Cute. What kind of dog?\n",TRUE,closed,FALSE,0.3997066786978394
88,therapist,high,So what are some specific steps you would need to take to get to school on time for first hour?,client: Yes.\ntherapist: Okay. So getting to school for your first hour is something that you're going to work on as your goal.\nclient: I will try.\ntherapist: So what are some specific steps you would need to take to get to school on time for first hour?\n,TRUE,open,FALSE,0.3997354251332581
85,therapist,high,"Oh, okay.","client: Yeah.\ntherapist: With the libido out the door.\nclient: Yeah. And, uh- and so, she-- Actually, she-- When I first went on the medicine, she thought I was maybe messing around with somebody else, 'cause, I-I just wasn't interested in it at all.\ntherapist: Oh, okay.\n",FALSE,n/a,FALSE,0.40072924899868667
28,therapist,high,Mm-hmm.,"client: Well, um, I don't know if it's my lack of willpower but, um, also had ve-very bad side effects from it so.\ntherapist: Mm-hmm. Mm-hmm. Wh-What sort of if-if you are willing to talk about what kind of side effect—\nclient: Um, I had nightmares-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.40094012091867626
25,therapist,high,Mm-hmm.,"client: Mm, I would like to say a seven or an eight, that that's how important it is to me.\ntherapist: Okay, and how come not at like a five or a six?\nclient: Because I'm really sick of being overweight.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.401268495246768
84,therapist,high,"Okay, the probation officer we're talking about here?","client: Yeah, I'd say so.\ntherapist: Mm, okay. So what sort of things do you think made it a waste of time last time?\nclient: She didn't really listen to me, just told me what to do. She just bossed me around.\ntherapist: Okay, the probation officer we're talking about here?\n",FALSE,n/a,TRUE,0.40128696663305163
37,therapist,high,"Okay. So what do you think you're gonna need to do to show her and others, uh, to convince them that you are serious?","client: Uh, yeah, I talked to her about it. We talked a little bit. Um, and she's not completely convinced.\ntherapist: Right.\nclient: Um, but we'll see how it goes.\ntherapist: Okay. So what do you think you're gonna need to do to show her and others, uh, to convince them that you are serious?\n",TRUE,open,FALSE,0.4024938747752458
23,therapist,high,"Yeah, time when you were maybe doing a job with some people and you felt the social anxiety, you know, that you're describing, you felt that kick in.","client: Um, just makes me feel like an idiot, makes me feel like I just shouldn't even bother trying to do it anymore. I should just go home and I just-- I think I just don't want to be in that situation. I just feel like everyone else is fine and they're normal and I'm just the freak, you can't, like do normal things and—\ntherapist: Okay. Can you give me an example of a-a recent situation? Maybe we can focus on that.\nclient: Um, like a work situation or just--?\ntherapist: Yeah, time when you were maybe doing a job with some people and you felt the social anxiety, you know, that you're describing, you felt that kick in.\n",FALSE,n/a,FALSE,0.40269627002999187
15,therapist,low,"Well, we have that here, but again, the-the idea would be for you to actually quit smoking.","client: Sounds good to me. The more nicotine, the better. Is it like gum or something? Could I chew it like while I'm in the office? That sounds pretty great. I mean, do you have—\ntherapist: Well, there are some products that you could use to take away some of your cravings, and probably the gum would be the best option for you. It's not something you would continue to use continuously throughout the day, however, but gum is something you use just when you have a craving.\nclient: Oh. Okay. Well, where is that?\ntherapist: Well, we have that here, but again, the-the idea would be for you to actually quit smoking.\n",FALSE,n/a,FALSE,0.40368654299527407
31,therapist,high,"Hi, I'm Tonny Brownie, I'm a pharmacist here, uh, and I- and I was wanting to spend just a little time with you talking to you about your cholesterol. I found out you're newly diagnosed and your medicine for your cholesterol.","therapist: Hi Mr. Johnson?\nclient: Hey.\ntherapist: Hi, I'm Tonny Brownie, I'm a pharmacist here, uh, and I- and I was wanting to spend just a little time with you talking to you about your cholesterol. I found out you're newly diagnosed and your medicine for your cholesterol.\n",FALSE,n/a,FALSE,0.40376451052725315
43,therapist,high,"Okay. Well, thank you, Tanya.","client: Yeah. Mm-hmm.\ntherapist: So to summarize, it sounds like you are still feeling kind of anxious about this test coming up, you've rescheduled it, um, over the past couple years. Yet, this time around, you seem more confident to just get it done. And you've even mentioned times in the past where you were feeling anxious and you were successful about it and that you felt proud about yourself. And you liked the way it means, you see yourself and how others saw you, and it seems like y-you're ready to finish this exam and-and remind yourself that you can be successful?\nclient: Yeah.\ntherapist: Okay. Well, thank you, Tanya.\n",FALSE,n/a,FALSE,0.4037665568757802
68,therapist,high,"Very cool. I've always wanted to be good at music. [laughter] All right. So it sounds like you're in band and a-a few other musical ensembles, any other hobbies you have or things you like to do for fun?","client: Oh, I started playing about 10 years ago, actually.\ntherapist: Wow.\nclient: Yeah, I started on the violin first, and then I went on, explored a little with the piano, clarinet, finally found the tenor sax, and yeah.\ntherapist: Very cool. I've always wanted to be good at music. [laughter] All right. So it sounds like you're in band and a-a few other musical ensembles, any other hobbies you have or things you like to do for fun?\n",TRUE,open,FALSE,0.403977733803913
49,therapist,high,Mm.,"client: I don't know, but I'd like to get back on track, but—\ntherapist: Yeah.\nclient: Not really planning on spending my life in debt. [chuckles]\ntherapist: Mm.\n",FALSE,n/a,FALSE,0.40457265148870647
71,therapist,high,"Okay. So, it would be pretty easy. So, if it's pretty easy, what do you need to do next, Billy?","client: Yeah.\ntherapist: Yeah. So, how confident are you that you could do something similar to these-these friends that you've got?\nclient: Yeah. I could do it pretty easy. It's just, like, I probably know all this stuff already.\ntherapist: Okay. So, it would be pretty easy. So, if it's pretty easy, what do you need to do next, Billy?\n",TRUE,open,FALSE,0.4047492351382971
106,therapist,low,"There's no reason why you shouldn't be able to quit, this is really important.","client: I know, I know. I've heard-- People have told me before, I've heard all that. I just don't know how to do it. How am I supposed to quit? It's-it's so hard.\ntherapist: Well, there's all kinds of things you can use now. It's not as hard as it used to be. You can use nicotine replacement. There's patches, there's lozenges, there's gum, there's the inhaler, there's nasal spray. We can talk about medications. You can try Chantix, you can try Zyban, there's quit smoking groups you can go to, there's hotlines you can call.\nclient: I just don't have time for any of that.\ntherapist: There's no reason why you shouldn't be able to quit, this is really important.\n",FALSE,n/a,FALSE,0.40544399293139577
68,therapist,high,Mm-hmm.,"client: -and not really thinking about stresses or things like that, but it can be--When it's too much drinking, it can be- can be obviously bad.\ntherapist: Okay. So sort of in the-the too much drinking or-or at times, can you tell me some of the less good things or not so good things about alcohol?\nclient: Um, a lot of times, it'll make- it'll make people stupid. [laughs] Yeah, you know, people make dumb decisions and things like that. We-we usually try to be as safe about it\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.405601428123191
44,therapist,low,Uh-huh.,"client: Yeah, I think I could. I don't need it. For instance, it-it is-- it is used as a kind of, like, let's get the party going.\ntherapist: Uh-huh.\nclient: But we haven't always had it-\ntherapist: Uh-huh.\n",FALSE,n/a,FALSE,0.4060536306351423
64,therapist,high,Okay.,"client: -lift to get away from, um, you know parents mainly, and that kind of lifestyle, that Palmy sort of lifestyle. But then yeah, I discovered this other thing, um—\ntherapist: Which you weren't aware of in Palmerston?\nclient: No.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.40660469490103424
55,therapist,high,"Thanks. When I looked at your form, it looks like you use heroin weekly and you injected. What part of your body do you normally inject in?","therapist: Thanks. When I looked at your form, it looks like you use heroin weekly and you injected. What part of your body do you normally inject in?\ntherapist: Thanks. When I looked at your form, it looks like you use heroin weekly and you injected. What part of your body do you normally inject in?\ntherapist: Thanks. When I looked at your form, it looks like you use heroin weekly and you injected. What part of your body do you normally inject in?\ntherapist: Thanks. When I looked at your form, it looks like you use heroin weekly and you injected. What part of your body do you normally inject in?\n",TRUE,open,FALSE,0.4067419639322907
60,therapist,high,"Yeah. So, so if-if your doctor says it's okay with the Wellbutrin, one-- uh, we see very little if any weight gain-","client: Yeah, and you know, another thing, uh, uh, you know, it's so so bang, but the weight gain is like—\ntherapist: That worries you?\nclient: Uh-huh.\ntherapist: Yeah. So, so if-if your doctor says it's okay with the Wellbutrin, one-- uh, we see very little if any weight gain-\n",FALSE,n/a,FALSE,0.4067420589271933
53,therapist,low,"Okay. Uh, how much do your friends drink?","client: Um, yeah, yeah.\ntherapist: Okay. Um, so one of the things that, you know, is really important to talk to teenagers about is drinking and driving. So, um, you know, that's actually a really big problem. And even around here, we have kids die every year from getting in a drunk driving accident. So that's something that you really need to make sure you're not doing, all right? Have you ever done that? Have you ever gotten in the car-\nclient: No, I have drunk-driven and never got in a car with a drunk driver.\ntherapist: Okay. Uh, how much do your friends drink?\n",TRUE,open,FALSE,0.4082189043983817
85,therapist,high,-and you're gonna—,"client: Yeah, okay.\ntherapist: -so, you're gonna, um, play with me a little bit and, um-\nclient: Yeah.\ntherapist: -and you're gonna—\n",FALSE,n/a,FALSE,0.40836286055855453
22,therapist,high,Uh-huh.,"client: You know? And it's kind of like, well we all face those challenges every day, we're not perfect, you know? And I feel like my faith is still there but it's-- You know, as long as it's still there, that's all that matters.\ntherapist: Right. So, right now, it really is important to you to put the family values first? And religion is still very important to you, but you feel like maybe you're losing faith a little bit?\nclient: Yeah. I lost faith, and so I'm not afraid to say it.\ntherapist: Uh-huh.\n",FALSE,n/a,FALSE,0.40842121420428157
86,therapist,high,You seem at a loss of where to go from here.,client: I just feel helpless about this whole deal.\ntherapist: You're hopeless about what's going on.\nclient: Mm. I just feel helpless about this whole deal.\ntherapist: You seem at a loss of where to go from here.\n,FALSE,n/a,TRUE,0.4086158205755055
38,therapist,high,And it's perhaps taking you away from things that are more important to you?,"client: No. I guess, you know, the one- the one thing I can think of is, I mean, there will be evenings when I just kind of want to get my son to bed a little earlier, just so that I can have that alone time to unwind, you know, maybe-maybe smoke, have a couple drinks. Um, but, I do feel guilty about that sometimes, because, I should enjoy spending time with my son, but, instead, you know, I'm just wanting to be by myself and relax, you know. So—\ntherapist: So, you've noticed that it's starting to call to you a little bit in the evenings.\nclient: Yeah.\ntherapist: And it's perhaps taking you away from things that are more important to you?\n",TRUE,closed,TRUE,0.4087739400565624
35,therapist,high,"Nice to meet you, too. Thanks for coming in today.","therapist: Hi, Natalie. I'm Dawn.\nclient: Hi, Dawn. Nice to meet you.\ntherapist: Nice to meet you, too. Thanks for coming in today.\n",FALSE,n/a,FALSE,0.4096546149812639
5,therapist,high,And what-what happens next in terms of what happens once the forms are there?,"client: Uh, probably by the end of this week.\ntherapist: Mm-hmm. So, by the end of this week, so by next time, when you come here, as in, those forms will be at the polytech?\nclient: Yeah.\ntherapist: And what-what happens next in terms of what happens once the forms are there?\n",TRUE,closed,FALSE,0.41063512582331896
30,therapist,high,And that's still doesn't seem to bother you.,"client: Sure. I'll listen.\ntherapist: Um, you will be getting violations for that, and then if you get so many violations, I mean, we'd have to write a warrant for your arrest, which is looking more of, um, detention time.\nclient: Whatever.\ntherapist: And that's still doesn't seem to bother you.\n",TRUE,closed,FALSE,0.4107548233587295
91,therapist,high,"Excellent. Well, thank you so much for coming in today.","client: -and maybe mark that down that, uh, I didn't go right away when something went wrong. Um, yes, I-I can try that.\ntherapist: Okay. And I can give you a little card that can help you keep track of it. And if you can bring that back to the next appointment, it could be something we could discuss. Okay. Anything else?\nclient: No, that gives me something to work towards until I see you next week.\ntherapist: Excellent. Well, thank you so much for coming in today.\n",FALSE,n/a,TRUE,0.4111969252116978
44,therapist,low,Got it. So you've-you've had some pretty heavy drinking. What-what do you think is the most you've ever had?,"client: I have gotten blackout drunk before-\ntherapist: Mm-hmm.\nclient: -but I kind of did that, learned my lesson, didn't like it.\ntherapist: Got it. So you've-you've had some pretty heavy drinking. What-what do you think is the most you've ever had?\n",TRUE,open,FALSE,0.41183399432338774
29,therapist,high,Sure.,"client: Mm-hmm. Yeah, no, I think that-that all sounds good. Um, you know, I still would want to lose weight.\ntherapist: Mm-hmm.\nclient: Um, and I know you said weight loss isn't really the goal, so I-\ntherapist: Sure.\n",FALSE,n/a,FALSE,0.41300555458292365
70,therapist,high,Fantastic. Thank you.,"client: Um, what about does it interact with phenelzine?\ntherapist: Oh, that I'm not sure of. Um, can I get back to you later on this afternoon with that answer?\nclient: Oh, sure.\ntherapist: Fantastic. Thank you.\n",FALSE,n/a,FALSE,0.41307670483365655
88,therapist,high,Great. So how will you know that you-your plan is working?,client: Have my mom check on me to make sure everything's put away.\ntherapist: And-and also the support of your mom too.\nclient: Mm-hmm.\ntherapist: Great. So how will you know that you-your plan is working?\n,TRUE,open,FALSE,0.4134272672235966
22,therapist,high,But sometimes it's not something that people talk about.,"client: Yeah, I know that.\ntherapist: So, you know it's normal.\nclient: I know that it's normal.\ntherapist: But sometimes it's not something that people talk about.\n",FALSE,n/a,TRUE,0.41364646307192743
72,therapist,low,"Yeah, but you're one of the leaders.","client: Okay. Um, I know that it's bad for me. It's-it's bad for my body. It's bad for-for-for-for being on the team, for being an athlete. It hinders my performance. Just, I don't know. I-I feel that my-my friends pressure me. I don't know. I feel I should like go with different friend groups. Maybe. I don't know.\ntherapist: Yeah. Chris, come on. You're getting peer pressure?\nclient: I don't know, like being in a sports team, y-you feel very, you have to like be unified with the group.\ntherapist: Yeah, but you're one of the leaders.\n",FALSE,n/a,FALSE,0.4144944930449128
126,therapist,low,"All right. Well, you're going to take one tablet of cholesterol statin 20 one time a day by mouth, and you can take that with or without food. When do you usually take your medications?","client: He told me that I had a blood test for cholesterol so that I should start taking this medication.\ntherapist: All right, and he's right. This medication will help lower your cholesterol, and it will help lower your risk of having a heart attack or a stroke. How did the doctor tell you to take this medicine?\nclient: He didn't tell me, he just phoned it in.\ntherapist: All right. Well, you're going to take one tablet of cholesterol statin 20 one time a day by mouth, and you can take that with or without food. When do you usually take your medications?\n",TRUE,closed,FALSE,0.4146170353051275
74,therapist,low,All right.,"client: -I'm not gonna take it right out. It's-- Like you said, I've only had it in for a month, I mean.\ntherapist: Emily, I've been seeing you for so long and you know that I really just-- I think you have lovely teeth and I've watched you, you know, just mature, et cetera, and I hate-- I'd hate to see you wreck your teeth for something like this. I really would.\nclient: Well, I mean, if it starts to cause a problem, then maybe we talk about it, but at this point, I mean-\ntherapist: All right.\n",FALSE,n/a,FALSE,0.4157210506964475
89,therapist,high,Mm-hmm.,"client: I mean, I guess a little bit, you know, like-- I mean, she's the one that-that has me being here. We've been fighting about it, you know. Uh, uh, I don't know, I-I guess I'm-I'm getting pretty frustrated with her. She just won't get off my back about it. So I finally said, ""Fine, I'll go see someone.""\ntherapist: Okay. Um, so are you here to maybe work on your marriage? Is that an area that you are wanting to-to work on?\nclient: Uh, I mean, I'm just here because she said that I need to be in here. So, I mean, yeah, I wanna save my marriage, you know.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.41733688791282475
41,therapist,high,That's not a selfish thing.,"client: Mm-hmm.And it's the first time in my life I haven't felt guilty for saying that.\ntherapist: The very first time that you can remember?\nclient: I would say so, yeah. I don't know if I've ever said that in front of people and not felt the least twinge of guilt for it. [chuckles]\ntherapist: That's not a selfish thing.\n",FALSE,n/a,TRUE,0.417628007940948
91,therapist,high,Okay.,"client: Maybe if I could come to see you again, or maybe some ideas were suggested, maybe if there was a group or something. I-I don't know, but I-I need some help.\ntherapist: So if you got help, that would help you say that you went from 40% to 45%.\nclient: I-I think so because I feel a little better that I just came to see you today.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.4178177996072918
53,therapist,low,Okay. What do you think is the most you've ever had?,"client: Possibly, yeah.\ntherapist: So that's actually kind of a lot of drinking then?\nclient: Yeah, I guess you can say that.\ntherapist: Okay. What do you think is the most you've ever had?\n",TRUE,open,FALSE,0.4189338772557676
61,therapist,high,"Uh-huh. I think it's important, um, that you know that you're the one who has to make the decision about whether or not tai chi works for you.","client: Yeah.\ntherapist: And so, are you wanting to go back to tai chi?\nclient: [sighs] Um, yes-yes I-I do because I-- my friend, I think I told you, really, really loves it and I just, I wish I could go back, and yes I do. I'm not making much sense, but I do.\ntherapist: Uh-huh. I think it's important, um, that you know that you're the one who has to make the decision about whether or not tai chi works for you.\n",FALSE,n/a,FALSE,0.4193607035558671
126,therapist,low,Okay. What did the doctor tell you cholesterol statin is for?,"therapist: All right. Great. Well, have a good afternoon.\ntherapist: Hello, Kaylie, I'm Lori, the pharmacist here at Bulldog Pharmacy. I see that you have a new prescription for cholesterol statin 20 called in by Dr. Ferris today. I wondered if you had a minute to talk to me. I just want to make sure that you know how best to take it, and if you have any questions.\nclient: Sure. I'm just getting a few groceries.\ntherapist: Okay. What did the doctor tell you cholesterol statin is for?\n",TRUE,open,FALSE,0.42008466576226056
52,therapist,high,"It sounds like you're in the right track, looks like you care about your health, and you care about your goals in life. I'm here to answer any questions.","client: Yeah.\ntherapist: I would like to share with you these materials to show the risk of drinking at younger age. I also wanted to encourage you to think about these risks. What do you think about that?\nclient: Well, I will take a look at it, and I'll definitely read it, and I don't wanna become addicted, and I would like to continue to play sports as long as possible.\ntherapist: It sounds like you're in the right track, looks like you care about your health, and you care about your goals in life. I'm here to answer any questions.\n",FALSE,n/a,TRUE,0.42009253869764507
71,therapist,high,"Mm-hmm. So, as long as it has to do with cars, you'd be sweet with that?","client: Just learn more about cars and just, kind of, hands-on job.\ntherapist: Mm-hmm. Yeah, so what in particular? Like, if you could have whatever you wanted, in terms of that sort of work, what would you do?\nclient: [sighs] Mechanic, or panel [unintelligible 00:18:02], or just-- I wouldn't care, I just-- as long as it's cars.\ntherapist: Mm-hmm. So, as long as it has to do with cars, you'd be sweet with that?\n",FALSE,n/a,TRUE,0.4205169645138085
49,therapist,high,-your level be on a scale of 1 to 100? Where does your confidence sit?,"client: I'm gonna say, I'm completely confident.\ntherapist: Yeah? But, what would-\nclient: Yes.\ntherapist: -your level be on a scale of 1 to 100? Where does your confidence sit?\n",TRUE,closed,FALSE,0.42137201922014356
7,therapist,high,Yeah.,therapist: Yeah.\ntherapist: Yeah.\ntherapist: Yeah.\ntherapist: Yeah.\n,FALSE,n/a,FALSE,0.4213784218300134
33,therapist,high,"So, this is something that you-you-","client: I don't know. I really don't know. I just don't really want it.\ntherapist: Mm-hmm.\nclient: I just-\ntherapist: So, this is something that you-you-\n",FALSE,n/a,TRUE,0.42147389706224203
44,therapist,low,"Oh, okay.","client: It's fun. It's a- it's a lot of work, long summers taught, but it's fun.\ntherapist: What are your favorite parts about it?\nclient: Oh, I really like the-the group setting.\ntherapist: Oh, okay.\n",FALSE,n/a,FALSE,0.42207103478722274
85,therapist,high,Okay.,client: Not every day.\ntherapist: Maybe every other day?\nclient: Maybe.\ntherapist: Okay.\n,FALSE,n/a,FALSE,0.4221103342715651
22,therapist,high,Because you know that other people experience it too.,"client: Yeah. I lost faith, and so I'm not afraid to say it.\ntherapist: Uh-huh.\nclient: You know? And once you say [unintelligible 00:03:12] people that don't really feel like that's—\ntherapist: Because you know that other people experience it too.\n",FALSE,n/a,TRUE,0.4224393900949508
126,therapist,low,"Great, Kaylie. I know we went over a lot today. What other questions do you have for me?","therapist: All right. Well, this medication is pretty well tolerated, which means it doesn't have very many side effects. But you might experience some mild muscle aches and pains. If they seem really severe to you, then you should call Dr. Ferris and talk to him about that. Also this medicine can interact with a lot of other medications, and even over the counter things. So check with the doctor or myself before you start anything new. And lastly, grapefruit juice can interact with cholesterol statin 20. So if you use grapefruit juice every day, I probably would switch to a different juice while you're on this medication.\ntherapist: Just so I know we're on the same page, can you repeat back to me how you'll take this medicine?\nclient: Sure. I'm just gonna take one tablet right before I go to bed with my other medications. And I guess I will switched to orange juice. And if I notice any muscle pain that is severe, I'll call Dr. Ferris right away.\ntherapist: Great, Kaylie. I know we went over a lot today. What other questions do you have for me?\n",TRUE,open,FALSE,0.42257667146623135
40,therapist,high,Nice.,client: Pretty good. It's been three months now.\ntherapist: Nice.\n,FALSE,n/a,FALSE,0.4227854502387345
20,therapist,high,"Okay. There's also a lot of support groups and classes that you can take where you have other people to go through it with you. And sometimes just having that support can be a big part of it, especially for people like you where smoking is such a stress reliever.","client: I don't know. I-I'd like some help. I just don't know what kind of help I need.\ntherapist: Sure. Well, if you'd be interested, that's something I can definitely talk to you about. There are a lot of new options that can actually help people be way more successful in their attempt at quitting. There's different medications you can try.\nclient: I don't like medicine.\ntherapist: Okay. There's also a lot of support groups and classes that you can take where you have other people to go through it with you. And sometimes just having that support can be a big part of it, especially for people like you where smoking is such a stress reliever.\n",FALSE,n/a,FALSE,0.4234555377624929
84,therapist,high,"Mm-hmm, okay. So some stuff that you can think, ""Oh yeah, I had, you know, I did some stuff that yeah, got me into trouble.""","client: Yeah.\ntherapist: Yeah. So I'm wondering, um, if there are things that you think, ""Well, I can see that that's got me into trouble,"" and, you know, kind of cops aside, things that might have got you into-into trouble.\nclient: Just jacking cars and just stealing just, like, stuff and smokes and got done for that.\ntherapist: Mm-hmm, okay. So some stuff that you can think, ""Oh yeah, I had, you know, I did some stuff that yeah, got me into trouble.""\n",FALSE,n/a,TRUE,0.4239463512785733
12,therapist,high,"No, I understand- I understand. And I'm certainly not here to tell you what to-to do, Sarah. I'm interested in hearing your thoughts and sharing some information with you, and what you do with that information is totally up to you. You've got a lot going on. You're a mother, you're working, you're going to school, and our healthcare team wants to make sure that you have all the resources available to you to meet your goals, including good health. And my job as your healthcare provider is to listen to you and to share information with you, including healthcare concerns associated with smoking and alcohol. Would that be okay with you?","client: Um, maybe like two max.\ntherapist: Two max. How many drinks would you say you'd have over the course of a week?\nclient: I don't know. I mean, I don't really get why you're asking me that. I mean, I just came here, you know, for a regular visit. I-I am not here to talk about my drinking.\ntherapist: No, I understand- I understand. And I'm certainly not here to tell you what to-to do, Sarah. I'm interested in hearing your thoughts and sharing some information with you, and what you do with that information is totally up to you. You've got a lot going on. You're a mother, you're working, you're going to school, and our healthcare team wants to make sure that you have all the resources available to you to meet your goals, including good health. And my job as your healthcare provider is to listen to you and to share information with you, including healthcare concerns associated with smoking and alcohol. Would that be okay with you?\n",TRUE,closed,TRUE,0.4243346906732768
41,therapist,high,"Sometimes it's the small things that really count, too.","client: It's not enough for me to just show up and get my paycheck. That doesn't, I don't feel fulfilled so it-it, that's the way I see it going together with the helping. It's not just about helping to like look good or to exhaust myself or do what I think I should do but to really give something needy, something substantive, something real.\ntherapist: Meaningful.\nclient: Yeah, meaningful, even if it's-it's small.\ntherapist: Sometimes it's the small things that really count, too.\n",FALSE,n/a,TRUE,0.4247421126347035
83,therapist,high,"Yeah. What do you think it'd be like for your kids if they were sitting here now and they heard you say that this was really, really important to you and to them? That you gave this program 100%. Well, then what might that be like for them to hear that?","client: In-in regards to my kids, I'd be100- 100%.\ntherapist: Right.\nclient: If it means say, I can have my-- see my kids whenever I- whenever I want.\ntherapist: Yeah. What do you think it'd be like for your kids if they were sitting here now and they heard you say that this was really, really important to you and to them? That you gave this program 100%. Well, then what might that be like for them to hear that?\n",TRUE,open,FALSE,0.42626554192975163
18,therapist,high,Mm.,"client: It's a couple of grand or something.\ntherapist: Yeah, yeah. It's a little bit here, a little bit there, so it then adds up, yeah? Yeah.\nclient: Well, that a little bit here, a little bit there is nothing I didn't work for. [chuckles] I worked [unintelligible 00:10:35] and I was getting paid $18 an hour-\ntherapist: Mm.\n",FALSE,n/a,FALSE,0.42646492226049304
106,therapist,low,"Well, there's all kinds of things you can use now. It's not as hard as it used to be. You can use nicotine replacement. There's patches, there's lozenges, there's gum, there's the inhaler, there's nasal spray. We can talk about medications. You can try Chantix, you can try Zyban, there's quit smoking groups you can go to, there's hotlines you can call.","client: No, but I don't smoke. I'm-- I-I-I've thought about quitting, but it's just- It's really hard so I just don't know how to do it.\ntherapist: Well, now's the time to quit. It's really gotten to the point where you can't keep smoking. Not only for him, like I said, but also for you. You're putting yourself at risk for lung cancer, for emphysema, for oral cancers, for heart disease, for all kinds of things-\nclient: I know, I know. I've heard-- People have told me before, I've heard all that. I just don't know how to do it. How am I supposed to quit? It's-it's so hard.\ntherapist: Well, there's all kinds of things you can use now. It's not as hard as it used to be. You can use nicotine replacement. There's patches, there's lozenges, there's gum, there's the inhaler, there's nasal spray. We can talk about medications. You can try Chantix, you can try Zyban, there's quit smoking groups you can go to, there's hotlines you can call.\n",FALSE,n/a,FALSE,0.42696634656749666
60,therapist,high,"So if you have a stash Nicorette gum if you decide to use it, I mean, you'd have to have other stashes, you know.","client: Right, right.\ntherapist: And yet, on some level, you know, that it's gonna be a lot of hard work for you because of, you know, you've already known how anxious you get about a stash-\nclient: Right.\ntherapist: So if you have a stash Nicorette gum if you decide to use it, I mean, you'd have to have other stashes, you know.\n",FALSE,n/a,FALSE,0.42722187377512455
131,therapist,low,"Even more mess, you see.","client: -you're talking about £40, uh—\ntherapist: £50 a week.\nclient: £50 a week.\ntherapist: Even more mess, you see.\n",FALSE,n/a,FALSE,0.427746856585145
60,therapist,high,That worries you?,"client: Right.\ntherapist: So if you have a stash Nicorette gum if you decide to use it, I mean, you'd have to have other stashes, you know.\nclient: Yeah, and you know, another thing, uh, uh, you know, it's so so bang, but the weight gain is like—\ntherapist: That worries you?\n",TRUE,closed,TRUE,0.4282836786005646
31,therapist,high,"Uh, you seem fairly committed to taking the medicine to reduce your risk so that you can enjoy your retirement.","client: Yeah.\ntherapist: Okay, um, so if so where we are right now if I understand is you're feeling more comfortable about the concern about muscle weakness?\nclient: Oh yeah.\ntherapist: Uh, you seem fairly committed to taking the medicine to reduce your risk so that you can enjoy your retirement.\n",FALSE,n/a,TRUE,0.4292334350757301
85,therapist,high,Yeah.,"client: -I gotta be relaxed, you know-\ntherapist: Yeah.\nclient: -if-if you had, you know- if you had to ride around in the back of a garbage truck all day like I do-\ntherapist: Yeah.\n",FALSE,n/a,FALSE,0.4303393503651023
41,therapist,high,Do you have any idea why that is?,"client: Yes. It was a good, uh, experience for me. It was different. It was different than usual. There were several things that were different, and, uh, the number one value that I put was self-respect. And I-I don't even know if self-respect has ever been in my top five let alone my number one.\ntherapist: Really?\nclient: Yeah. And, um—\ntherapist: Do you have any idea why that is?\n",TRUE,open,FALSE,0.4309766055084765
2,therapist,high,"Hi, John. Nice to see you again. So, tell me, how are things going?","therapist: Hi, John. Nice to see you again. So, tell me, how are things going?\n",TRUE,open,FALSE,0.4317512488923967
106,therapist,low,Okay.,"client: I'll-I'll-I'll go look at all those things and-and I'll find-- I guess I'll-I'll try to find something, and-and I'll talk to my doctor about it.\ntherapist: Okay. Well, I think you really need to think about this seriously. Like I said, it's really putting yourself and your child in danger.\nclient: Okay, whatever. Okay.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.43231798708438873
10,therapist,low,Hi. You are [unintelligible 00:00:02]?,therapist: Hi. You are [unintelligible 00:00:02]?\n,TRUE,open,FALSE,0.43355033034458756
57,therapist,low,"Okay? So a stroke or heart attack is much worse, so make sure you go ahead and pick up your medicine as you're on your way out and, uh, one-one every day to get your cholesterol down.","client: Sure. Fine. Just—\ntherapist: It's-it's not permanent.\nclient: Whatever.\ntherapist: Okay? So a stroke or heart attack is much worse, so make sure you go ahead and pick up your medicine as you're on your way out and, uh, one-one every day to get your cholesterol down.\n",FALSE,n/a,FALSE,0.4339084483217448
18,therapist,high,"Yeah, yeah.","client: It's not an issue.\ntherapist: Yeah. See one of the things I'll be really interested in-in talking with you about is, um, yeah, what's-what's the, um, what's the worst thing that has happened in terms of pokies, in terms of you know behavior around the pokies, what's the worst thing that's happened?\nclient: Uh, I suppose when you've got no money in the pocket at the end of the night.\ntherapist: Yeah, yeah.\n",FALSE,n/a,FALSE,0.43397558154538274
24,therapist,high,Okay. What made you say two instead of one?,"client: Well, I mean, I don't see why I couldn't, I-- although I have not ever tried to quit, it's just something that I do for fun, you know, on breaks at work, in the morning, and after work.\ntherapist: Mm-hmm. And so in terms of, uh, uh, readiness to actually go ahead and make a quit attempt, where do you think you fall on the scale of 1 to 10, where one is, I'm not considering it at all, and 10 is, I'm definitely ready, I wanna quit.\nclient: I am probably a two. I-I haven't even thought about quitting and until this great announcement at work today, I- I'm totally not gonna quit smoking.\ntherapist: Okay. What made you say two instead of one?\n",TRUE,open,FALSE,0.4346224919427186
41,therapist,high,Sure.,"client: Yes, and then I put family happiness.\ntherapist: That's very good.\nclient: Yes, because I think that when I'm at peace with myself, uh, that automatically contributes to my family happiness. When I am unhappy with myself, I bring my unhappiness to my family.\ntherapist: Sure.\n",FALSE,n/a,FALSE,0.4357286957092583
1,therapist,high,"So if you experienced a negative consequence from your drinking, uh, that would feel meaningful to you?","client: Hmm, I'm not sure. Uh, something I have to think about.\ntherapist: Well, how about hypothetically if I were to ask you, how would your drinking have to impact your life in order for you to be ready to change your drinking?\nclient: Uh, I don't know. Maybe if I got sick or something, uh, maybe I'd wanna change things then.\ntherapist: So if you experienced a negative consequence from your drinking, uh, that would feel meaningful to you?\n",FALSE,n/a,TRUE,0.4357715849764645
77,therapist,high,All right. Thank you for coming in.,"client: Oh, okay. Well, yeah. Um, listen, anything that's going to get me home and if you do it and you recommend it, I'll try it.\ntherapist: All right. Well, I'm delighted. It's a pleasure to see you again. I hope your rehab continues to go well and we can talk some more about this at our next visit.\nclient: Okay, okay.\ntherapist: All right. Thank you for coming in.\n",FALSE,n/a,FALSE,0.4361000810749829
66,therapist,high,"I, uh, I'm a case manager with your health plan. I understand that you came in today to talk about your diabetes.","therapist: I, uh, I'm a case manager with your health plan. I understand that you came in today to talk about your diabetes.\ntherapist: I, uh, I'm a case manager with your health plan. I understand that you came in today to talk about your diabetes.\ntherapist: I, uh, I'm a case manager with your health plan. I understand that you came in today to talk about your diabetes.\ntherapist: I, uh, I'm a case manager with your health plan. I understand that you came in today to talk about your diabetes.\n",FALSE,n/a,TRUE,0.43614141386933625
24,therapist,high,"So your workplaces went smoke-free and you're not too pleased, huh?","therapist: Hey, can I help you?\nclient: Yeah, I hope so. Um, my workplace has just gone smoke-free. I-I'm not-not very happy about it. I'm gonna keep smoking, but I was wondering if there's anything that-that can help me like get through the day. It's like, you know, go get my beer and smoke cigarettes after work.\ntherapist: So your workplaces went smoke-free and you're not too pleased, huh?\n",TRUE,closed,TRUE,0.4367783160414547
36,therapist,high,Right.,"client: Um, then-- Well, my husband and I used to go out for meals.\ntherapist: Mm-hmm.\nclient: That's another thing we don't do anymore now.\ntherapist: Right.\n",FALSE,n/a,FALSE,0.4374882709234953
36,therapist,high,- and some of them sound-,"client: Um, well, I-I have this terrible discomfort nearly all the time. Um, it very often feels bloated. I, um, uh, I swing between being constipated and having diarrhea. Um, I have sort of cramping feelings sometimes, and other times it stabs. It's a real stabbing feeling. Um, I often have the urge to go to the toilet and, um, and I pass very smelly wind.\ntherapist: All right. So, quite a few symptoms there-\nclient: Mm.\ntherapist: - and some of them sound-\n",FALSE,n/a,FALSE,0.4377050541806966
85,therapist,high,Okay. What else?,"client: Um, I thought I had a, uh—\ntherapist: Might get you into trouble [unintelligible 00:05:06]\nclient: Yeah, well, I thought I had my gym shorts on, but they said that I didn't.\ntherapist: Okay. What else?\n",TRUE,open,FALSE,0.43834683019667864
56,therapist,high,"I know, I-I understand that it was really-- That was your goal. That was a really important thing for you to be able to get home and it sounds like you've been able to really en- enjoy parts of it, and I know you've been going to the- both the physical therapy and the Tai Chi and how's-how's that going?","client: Yeah. And my garden is coming along, and my neighbors have stuff-- It's-it's good. It's good to be home.\ntherapist: I know, I-I understand that it was really-- That was your goal. That was a really important thing for you to be able to get home and it sounds like you've been able to really en- enjoy parts of it, and I know you've been going to the- both the physical therapy and the Tai Chi and how's-how's that going?\ntherapist: I know, I-I understand that it was really-- That was your goal. That was a really important thing for you to be able to get home and it sounds like you've been able to really en- enjoy parts of it, and I know you've been going to the- both the physical therapy and the Tai Chi and how's-how's that going?\ntherapist: I know, I-I understand that it was really-- That was your goal. That was a really important thing for you to be able to get home and it sounds like you've been able to really en- enjoy parts of it, and I know you've been going to the- both the physical therapy and the Tai Chi and how's-how's that going?\n",TRUE,open,TRUE,0.4384936126880348
76,therapist,high,"And then, has health always been number one for you?","client: Yeah, I like being active. You know, if I could, um, be more adept to tennis, and I would love to do something like that coaching people how to play tennis, but I don't. I know enough about the game and play it, but I-I don't think my skill level would be high enough to actually coach other people but—\ntherapist: Now, have you done this sheet more than once?\nclient: Yes, I have.\ntherapist: And then, has health always been number one for you?\n",TRUE,closed,FALSE,0.4385119271464646
83,therapist,high,Okay.,"client: If it means say, I can have my-- see my kids whenever I- whenever I want.\ntherapist: Yeah. What do you think it'd be like for your kids if they were sitting here now and they heard you say that this was really, really important to you and to them? That you gave this program 100%. Well, then what might that be like for them to hear that?\nclient: Um, I-I-I'd hope that they'd be proud of me. I wouldn't want my kids to see me- to see me here though. But I- But I hope they would be proud of me.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.4406454733107239
130,therapist,low,And let's talk some more about wine. You keep throwing wine into the conversation. It sounds like it's become a significant part of your daily routine. How much are you drinking?,therapist: And let's talk some more about wine. You keep throwing wine into the conversation. It sounds like it's become a significant part of your daily routine. How much are you drinking?\ntherapist: And let's talk some more about wine. You keep throwing wine into the conversation. It sounds like it's become a significant part of your daily routine. How much are you drinking?\ntherapist: And let's talk some more about wine. You keep throwing wine into the conversation. It sounds like it's become a significant part of your daily routine. How much are you drinking?\ntherapist: And let's talk some more about wine. You keep throwing wine into the conversation. It sounds like it's become a significant part of your daily routine. How much are you drinking?\n,TRUE,open,FALSE,0.44137795409187675
18,therapist,high,"Oh, okay, okay. Who's-who's-- What's your girlfriend's name, your best- your best friend, best girl friend?","client: Much the same, bunch of party girls.\ntherapist: Yeah, yeah, yeah. Then, in terms of the pokies and stuff they much as they like doing the pokies so much as your doing the-- You know, compared to you doing the pokies?\nclient: Um, I don't know. I suppose they walk away a bit quicker than me.\ntherapist: Oh, okay, okay. Who's-who's-- What's your girlfriend's name, your best- your best friend, best girl friend?\n",TRUE,closed,FALSE,0.44177414989098907
58,therapist,high,Yeah.,"client: It is without any of the impact, so it is true.\ntherapist: Okay. And-and what do you- do you-- Some folks, you know, [unintelligible 00:03:18] put on music, kind of- kind of.\nclient: Yeah, I do headphones.\ntherapist: Yeah.\n",FALSE,n/a,FALSE,0.44231187039986253
58,therapist,high,Mm-hmm.,client: Yeah.\ntherapist: Um.\nclient: Plus there's people who have done that countless times and you can go read what their-\ntherapist: Mm-hmm.\n,FALSE,n/a,FALSE,0.4423210909590125
6,therapist,high,"Um, and some of these things are kind of related to each other I think we're already seeing.","client: Time, I got to come to all these appointments and I'm taking time off work, which obviously is the money factor, right?\ntherapist: Right. Right, right. So the appointments and time.\nclient: Mm-hmm.\ntherapist: Um, and some of these things are kind of related to each other I think we're already seeing.\n",FALSE,n/a,TRUE,0.4423246388323605
84,therapist,high,"Okay, so if you don't have a job you reckon, um, you'll probably gonna keep on offending.","client: Yeah, no. That's-\ntherapist: Okay.\nclient: -not an excuse but, yeah, I'll probably keep doing it. Just try not to get caught.\ntherapist: Okay, so if you don't have a job you reckon, um, you'll probably gonna keep on offending.\n",FALSE,n/a,TRUE,0.4425107352435589
6,therapist,high,"Okay, so money.","client: Yeah. Yeah, it's- it's a big stress, it's like my best friend, so that's one of the important things. Also, I guess, cutting down these last cigarettes I've been working on.\ntherapist: Okay, so smoking and-and I'm working towards quitting completely sounds like that's a goal for you?\nclient: Um, finances is a problem right now too.\ntherapist: Okay, so money.\n",FALSE,n/a,TRUE,0.442796268267557
126,therapist,low,"All right. So that sounds like a perfect place for you to store those. Medications are best when they're stored away from light, heat and moisture.","client: I store them all in the nightstand by my bed.\ntherapist: Do you have children in your house?\nclient: No. I don't have any kids.\ntherapist: All right. So that sounds like a perfect place for you to store those. Medications are best when they're stored away from light, heat and moisture.\n",FALSE,n/a,TRUE,0.44287710124626756
64,therapist,high,"Well, maybe, we c-- we can check that out to see whether-whether it's a lot or-- But maybe also importantly to-to discuss with you what the effects are and-and-and what your concerns are about it. But help me to understand a little bit more of what it's like for you. Tell me- tell me what are the things about your, uh, use of meth that you- that you've liked that you found good for you?","client: Yeah, yeah.\ntherapist: This is meth you're talking about? A couple of times a week?\nclient: Mm-hmm, yeah. Yeah. So I guess when I put it that way, it does sound quite a lot, but it doesn't feel a lot, you know? If you know what I mean?\ntherapist: Well, maybe, we c-- we can check that out to see whether-whether it's a lot or-- But maybe also importantly to-to discuss with you what the effects are and-and-and what your concerns are about it. But help me to understand a little bit more of what it's like for you. Tell me- tell me what are the things about your, uh, use of meth that you- that you've liked that you found good for you?\n",TRUE,open,FALSE,0.44332066271454096
38,therapist,high,"So, having more reliable childcare could make a big difference.","client: Well, you know, if there was some way that I could relieve some of my stress, I think I would feel better, and, you know, maybe at night, I wouldn't feel like I had to unwind in the same way.\ntherapist: So, if you could somehow tackle some of these stressful issues, um, that could make a difference, and, what-what would that be, for example?\nclient: Um, you know, probably my biggest problem is just childcare. You know, my mom normally watches my son, but she's been kind of backing out lately. And so, I'm worrying, am I going to have to call into work today, am-am I going to have to miss class? You know, so, you know, worrying about that really stresses me out, you know.\ntherapist: So, having more reliable childcare could make a big difference.\n",FALSE,n/a,TRUE,0.44336565351113677
39,therapist,high,It is becoming a pain in the butt,"client: Yeah-yeah, maybe I'm the best example of why she doesn't want to [laughs] you know\ntherapist: Could be?\nclient: Whatever you know and her friends. I think a lot of her friend's parents don't smoke and I'm constantly running like outside to smoke and-and-\ntherapist: It is becoming a pain in the butt\n",FALSE,n/a,TRUE,0.44461777503602207
115,therapist,low,"Like, that's the, I think, thing to really consider.","client: Okay.\ntherapist: The side effects from the medications are nothing compared to what can happen from the smoking.\nclient: Mm-hmm.\ntherapist: Like, that's the, I think, thing to really consider.\n",FALSE,n/a,FALSE,0.44499087636359036
66,therapist,high,How are you doing today? I'm Bruce Berger.,client: Hey.\nclient: Hey.\ntherapist: How are you doing today? I'm Bruce Berger.\ntherapist: How are you doing today? I'm Bruce Berger.\n,TRUE,open,FALSE,0.44499518745578825
68,therapist,high,"Oh, neat.","client: Yeah.\ntherapist: All right. So why don't we start by you telling me a little bit about yourself?\nclient: Sure. Um, as you know, I'm Andrea, I, uh, I'm a junior I'm in the marching band. I play the tenor sax.\ntherapist: Oh, neat.\n",FALSE,n/a,FALSE,0.44531702040694654
64,therapist,high,"So tell me then, um, Ricky, what- what's the other side of the good things that-that using meth or doing some smoking does for you? Is there a downside to it? Are there problems that you're experiencing?","client: Yeah.\ntherapist: Okay.\nclient: Definitely.\ntherapist: So tell me then, um, Ricky, what- what's the other side of the good things that-that using meth or doing some smoking does for you? Is there a downside to it? Are there problems that you're experiencing?\n",TRUE,open,FALSE,0.44598331884481013
58,therapist,high,"Hi, Scott.","therapist: Hi, Scott.\n",FALSE,n/a,FALSE,0.4459891328588128
31,therapist,high,"Okay, certainly glad to hear that your doctor did spend some time with you, um, I-I see myself as somebody who works with your doctor, uh, to help you get the most benefit from your medicine, uh, because you are gonna spend money on it we wanna make sure that you get the most benefit from it. Uh, also sometimes it may be difficult to reach your doctor we're also here, uh, and so we try to work together, wo-would that be okay?","client: Hey.\ntherapist: Hi, I'm Tonny Brownie, I'm a pharmacist here, uh, and I- and I was wanting to spend just a little time with you talking to you about your cholesterol. I found out you're newly diagnosed and your medicine for your cholesterol.\nclient: Yeah, my doctor talked to me about my cholesterol, that-that's-that's his job.\ntherapist: Okay, certainly glad to hear that your doctor did spend some time with you, um, I-I see myself as somebody who works with your doctor, uh, to help you get the most benefit from your medicine, uh, because you are gonna spend money on it we wanna make sure that you get the most benefit from it. Uh, also sometimes it may be difficult to reach your doctor we're also here, uh, and so we try to work together, wo-would that be okay?\n",TRUE,closed,FALSE,0.44618062814697623
94,therapist,high,"Well, thanks for-for talking and playing with our little things here.","client: And I don't know what his plans are, but those are my plans.\ntherapist: Okay. Well, I have a funny feeling your plans will prevail. [laughter]\nclient: I like your way of thinking, girl. I-I'll tell him that. [laughs].\ntherapist: Well, thanks for-for talking and playing with our little things here.\n",FALSE,n/a,FALSE,0.44626913010142744
93,therapist,high,Am I missing anything else?,"client: Well, like I said, I just, I've identified like a lot of things that I think would be good. Um, if I were to be more active and I definitely wanna have that improved mood and energy, um, and feel better about myself. Um, so yeah, all of those things I think are what's really driving that- that rating.\ntherapist: Okay. You're noticing there- there are too many great benefits to being physically active and, um, today you've mentioned energy, mood, strength and body confidence.\nclient: Mm-hmm.\ntherapist: Am I missing anything else?\n",TRUE,closed,FALSE,0.44685105327516794
1,therapist,high,"Okay. Well, the reason why I like to talk to patients when they fill out this form is because sometimes, uh, alcohol use can impact our health. Um, and my role is to be helpful. I can share some information with you about alcohol use, um, but I don't tell anyone what to do. It's always up to the patient to decide what they wanna do about their drinking. Um, so is it okay if we talk a little bit more about your alcohol use?","client: Yeah, but only on the weekend.\ntherapist: Okay. And then when you do drink alcohol, you typically have five or six drinks.\nclient: Yeah. Uh, maybe a couple more.\ntherapist: Okay. Well, the reason why I like to talk to patients when they fill out this form is because sometimes, uh, alcohol use can impact our health. Um, and my role is to be helpful. I can share some information with you about alcohol use, um, but I don't tell anyone what to do. It's always up to the patient to decide what they wanna do about their drinking. Um, so is it okay if we talk a little bit more about your alcohol use?\n",TRUE,closed,FALSE,0.44696962810121477
49,therapist,high,Yeah. Yeah.,"client: Mm-hmm.\ntherapist: Yeah. So, thinking about, like, you know, last time, you-you started to say that, well, you thought it was-- you deserved it and there was some thinking around that, so I'm, sort of, wondering how open you are to-to exploring that from some different angles?\nclient: Yeah. I'm happy to explore it, so to speak. [chuckles]\ntherapist: Yeah. Yeah.\n",FALSE,n/a,FALSE,0.4469866524450481
67,therapist,high,"Okay. If I asked you to pick a number, 0 through 10, 0 meaning you're not very confident at all in meeting your goal, or 10 meaning you're very confident, what number would you pick?","client: Well, I wouldn't get caught with using a pen, so I wouldn't get kicked off the basketball team.\ntherapist: Okay. Well, it sounds like you have a goal of not using marijuana once basketball starts. How long do you think you could not use?\nclient: For about a month.\ntherapist: Okay. If I asked you to pick a number, 0 through 10, 0 meaning you're not very confident at all in meeting your goal, or 10 meaning you're very confident, what number would you pick?\n",TRUE,open,FALSE,0.44764360482804477
43,therapist,high,"So, in that experience, it really built up your self-confidence and it almost not only changed the way you saw yourself, but maybe how other people saw you and you really, you liked that feeling.","client: And so, um, when I played the recording, it actually ended up being one of the best recordings and like my supervisor and our national consultant, they were very like shocked about it because it because of just was the way I carried myself. So I thought, I don't really like compliments that makes me, um, anxious too again people compliment me, but it was a nice feeling because I really didn't trust in myself. And to know that I did a good job.\ntherapist: Yeah.\nclient: Um, it made me feel good.\ntherapist: So, in that experience, it really built up your self-confidence and it almost not only changed the way you saw yourself, but maybe how other people saw you and you really, you liked that feeling.\n",FALSE,n/a,TRUE,0.4478259216994047
28,therapist,high,Okay. What do you think when she says that to you?,"client: Oh, yeah.\ntherapist: It'll-it'll take a good usually 10 years off your life minimum.\nclient: As they say, my aunt was like, ""Put another nail in your coffin,"" you know.\ntherapist: Okay. What do you think when she says that to you?\n",TRUE,open,FALSE,0.4478398342616856
59,therapist,low,"Science fair project or not, don't you know what happens when someone drives under the influence of marijuana or alcohol? It's bad. They can wreck the car, you can lose your life. I thought you were smart, you're taking AP classes, you wanna get into a Ivy League school. This is not the way you do that.","therapist: So, what you told me earlier was that you've got into a car with someone you knew had smoked marijuana earlier. What were you thinking?\nclient: Well, it was raining. I didn't want my science fair project to get wet. I knew my parents were—\ntherapist: Science fair project or not, don't you know what happens when someone drives under the influence of marijuana or alcohol? It's bad. They can wreck the car, you can lose your life. I thought you were smart, you're taking AP classes, you wanna get into a Ivy League school. This is not the way you do that.\n",FALSE,n/a,FALSE,0.4481791420839727
28,therapist,high,-and model for your- for your daughter who's at this age where 15 would be a really common age at which she might decide to smoke.,"client: Actually it's like being a leper in a non-leper colony.\ntherapist: 'Cause you can't find a leper colony anymore. So, um, so it-it's really important for you to be a good mum-\nclient: Right.\ntherapist: -and model for your- for your daughter who's at this age where 15 would be a really common age at which she might decide to smoke.\n",FALSE,n/a,TRUE,0.4490295790601522
60,therapist,high,Mm-hmm.,"client: It's good.\ntherapist: Yeah.\nclient: Um, another thing-- Wait, what, I had something, it's just [inaudible 00:00:03] that I wanted to ask you, um, now a lot of my friends have quit smoking. They're getting like ostracized, but, you know, I tend to, like, gravitate, you know, towards-- Like my ex-husband smokes, you know-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.44905222300440073
64,therapist,high,Mm-hmm.,"client: Yeah. Yeah, 'cause, you know, I don't know. You know, you see on movies when people sort of intervene or say, ""You know, you need to go and get help."" And then-- I don't know. Like you know those characters and, they-they do need help, you know-\ntherapist: Yep.\nclient: -because they're fucked.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.44991374015808105
68,therapist,high,"Mm-hmm. So you're trying to, like you said, not engage in really dangerous activities?","client: -as possible. So we'll like sleep over at a friend's house. And so that, you know, we're not driving and it's mostly within our friend group. So we're not worried about strangers putting weird things in our drinks.\ntherapist: Mm-hmm.\nclient: But, um, definitely some of the ideas people can have when they're stup- when they're drunk and can be really stupid.\ntherapist: Mm-hmm. So you're trying to, like you said, not engage in really dangerous activities?\n",TRUE,closed,FALSE,0.4501556030008942
83,therapist,high,Right.,"client: Mm-hmm.\ntherapist: What's that been like for you in the past?\nclient: Uh, it's been okay. Um, it hasn't been bad.\ntherapist: Right.\n",FALSE,n/a,FALSE,0.45075456611812115
18,therapist,high,"Yeah, that makes sense? Yeah? So how confident are you that-that, you know, you can sort out the issues related to, um, you know, uh, taking the money from your employer? And another thing, in your precinct's report, there were some issues around gambling, and some issues around alcohol use. So those seem to be important issues that are kind of getting out. So how confident are you that you can get those sorted in the nine months we've got?","client: So—\ntherapist: So first, it might be trying to sort out what are the important issues to sort out.\nclient: Mm-hmm.\ntherapist: Yeah, that makes sense? Yeah? So how confident are you that-that, you know, you can sort out the issues related to, um, you know, uh, taking the money from your employer? And another thing, in your precinct's report, there were some issues around gambling, and some issues around alcohol use. So those seem to be important issues that are kind of getting out. So how confident are you that you can get those sorted in the nine months we've got?\n",TRUE,open,FALSE,0.4507740365806967
7,therapist,high,So I know we've determined that you sprained your ankle yesterday and I'm wondering if you can tell me a little bit about how that happened?,therapist: So I know we've determined that you sprained your ankle yesterday and I'm wondering if you can tell me a little bit about how that happened?\ntherapist: So I know we've determined that you sprained your ankle yesterday and I'm wondering if you can tell me a little bit about how that happened?\ntherapist: So I know we've determined that you sprained your ankle yesterday and I'm wondering if you can tell me a little bit about how that happened?\ntherapist: So I know we've determined that you sprained your ankle yesterday and I'm wondering if you can tell me a little bit about how that happened?\n,TRUE,open,TRUE,0.45131085021421313
71,therapist,high,Yeah?,"client: I guess it doesn't.\ntherapist: Yeah, how doesn't it fit, Billy?\nclient: Uh, I guess I have to keep coming-coming back here and go into court and stuff.\ntherapist: Yeah?\n",TRUE,closed,FALSE,0.45135438768193126
76,therapist,high,"Well, it was nice talking to you.","client: Right.\ntherapist: Not being, you know, whatever you did for others. That being, um, as far as, like you said within yourself, that you won't be able to find, um, problems with helping other people. And, uh, that's when service which is your number three or number four, which has been wisdom. You learning different, you know, cultures and having that broad range of-of just opening your eyes and seeing the world in a whole another scope.And then five which being pleasure, which is also okay, I do see the whole world and I know that within myself that I'm able to, you know, accept that I will have things coming out of me as far as, you know, not being, you know, uh, it's like, okay, things might happen. You're gonna get bummed one day but finding joy and pieces [unintelligible 00:10:21]\nclient: Yeah.\ntherapist: Well, it was nice talking to you.\n",FALSE,n/a,FALSE,0.4520831296686083
5,therapist,high,"Yeah. Yeah, I can really see that you're making an effort. In fact, I can see that you're really making an effort in lots of areas, not just in terms of reading and writing.","client: Like, a big difference, but, like, it's not like I don't try.\ntherapist: Mm.\nclient: Like, I'm just not really good with it.\ntherapist: Yeah. Yeah, I can really see that you're making an effort. In fact, I can see that you're really making an effort in lots of areas, not just in terms of reading and writing.\n",FALSE,n/a,FALSE,0.4527315725572407
61,therapist,high,"What were you hoping to achieve with the, um, by going to tai chi?","client: A lot self-conscious.\ntherapist: A lot self-conscious, uh-huh.\nclient: Yeah.\ntherapist: What were you hoping to achieve with the, um, by going to tai chi?\n",TRUE,open,FALSE,0.45290133683010936
31,therapist,high,"Definitely, can lower your cholesterol to 50%.","client: Yeah.\ntherapist: Uh, and so at this point, you're gonna get the medication and-\nclient: And the medicine can get my cholesterol down?\ntherapist: Definitely, can lower your cholesterol to 50%.\n",FALSE,n/a,FALSE,0.4541686694137752
63,therapist,high,"Well, if you were to, um, consider how ready you are to stop using Methamphetamine completely-","client: I-I understand but it's I think that would be a hard thing for me to do. You know, I mean, I know I should but, I mean, that's like my whole social life. You know, I mean, all my friends go to these clubs. That's where- that's where I see them. You know, that's my sex life basically and, uh, meth is just- it's just a part of it. You know, I mean, everyone is doing it there. You know, so it's while I would like to stop it's-it's kind of hard to think about doing that right away.\ntherapist: So you recognize Methamphetamine has some problems associated with it and you also on the balance see that a lot of your social life and your sex life involves Methamphetamine, it would be difficult to quit using?\nclient: Yeah, I don't think it would be easy but I'm not saying that I'm not willing to try.\ntherapist: Well, if you were to, um, consider how ready you are to stop using Methamphetamine completely-\n",TRUE,open,FALSE,0.4543857495300472
68,therapist,high,Mm-hmm. So about half the time you're drinking and half the time you're not. Can you tell me what's different about the days when you choose to drink versus not to drink?,"client: Yeah.\ntherapist: Okay. And how often do you think you would say you're drinking?\nclient: I'd say, um, on a not busy month, for instance, I'd say about like two weekends out of the month. Two or three.\ntherapist: Mm-hmm. So about half the time you're drinking and half the time you're not. Can you tell me what's different about the days when you choose to drink versus not to drink?\n",TRUE,open,FALSE,0.45456171385012567
64,therapist,high,And you're not experiencing where these two things are separate? They just seem to be together more often than not?,"client: Yeah.\ntherapist: And at the same time, it's-it's linked closely with the- with the drug scene with the meth scene for you?\nclient: Yep.\ntherapist: And you're not experiencing where these two things are separate? They just seem to be together more often than not?\n",TRUE,closed,FALSE,0.45471933437511325
69,therapist,low,"Hi, Dr. Martin. I heard you had a question for me. What did you want to talk about?","therapist: Hi, Dr. Martin. I heard you had a question for me. What did you want to talk about?\n",TRUE,open,FALSE,0.4552346111740917
21,therapist,high,Hm.,"client: Um, not much, maybe like one or two drinks at the most.\ntherapist: Okay. Can you tell me a little bit about how alcohol fits into your overall social scene?\nclient: Um, I pretty much just have a drink to just have it like, so it looks like I'm drinking, even though I'm not.\ntherapist: Hm.\n",FALSE,n/a,FALSE,0.45597851648926735
91,therapist,high,Yes.,"client: Good morning, doctor.\ntherapist: How can I help you today?\nclient: Well, doctor, I-I made an appointment with you finally, because I was diagnosed over three months ago with a pulmonary disease, COPD.\ntherapist: Yes.\n",FALSE,n/a,FALSE,0.45603743358515203
57,therapist,low,"Well, I-I-I understand that. Um, but like I said, it's very rare. If you feel some muscle weakness, you'll let your doctor know. It's not permanent, okay? Yeah, it won't get to the blood- it won't get to the point where it affects your job—","client: Yeah, down the line, but-\ntherapist: Okay. Well, the-the side effect is something that's very, very rare, it's not really something you need to worry about, and the risk of stroke or heart attack is much worse.\nclient: Well, right now it's the muscle weakness that-that I'm concerned about, and that's, uh, you know, that's the present, uh, I've got to do my job.\ntherapist: Well, I-I-I understand that. Um, but like I said, it's very rare. If you feel some muscle weakness, you'll let your doctor know. It's not permanent, okay? Yeah, it won't get to the blood- it won't get to the point where it affects your job—\n",TRUE,open,FALSE,0.4563074253965169
45,therapist,high,Yet you still can seem kind of annoyed that this is something that we still have to do.,client: Mm-hmm.\ntherapist: So I know just kinda being here when you need to be here is one way of doing that.\nclient: Mm-hmm.\ntherapist: Yet you still can seem kind of annoyed that this is something that we still have to do.\n,FALSE,n/a,TRUE,0.4563701127190143
66,therapist,high,"So you just- you just saw the doctor and, uh, you know, you sound like you just got blindsided, uh, with, uh, not only how, how frightening this seems that you have diabetes and that, uh, she-- you say she told you a whole lot of things that can happen with your eyes and circulation and all those kinds of things.","therapist: So you just- you just saw the doctor and, uh, you know, you sound like you just got blindsided, uh, with, uh, not only how, how frightening this seems that you have diabetes and that, uh, she-- you say she told you a whole lot of things that can happen with your eyes and circulation and all those kinds of things.\ntherapist: So you just- you just saw the doctor and, uh, you know, you sound like you just got blindsided, uh, with, uh, not only how, how frightening this seems that you have diabetes and that, uh, she-- you say she told you a whole lot of things that can happen with your eyes and circulation and all those kinds of things.\ntherapist: So you just- you just saw the doctor and, uh, you know, you sound like you just got blindsided, uh, with, uh, not only how, how frightening this seems that you have diabetes and that, uh, she-- you say she told you a whole lot of things that can happen with your eyes and circulation and all those kinds of things.\ntherapist: So you just- you just saw the doctor and, uh, you know, you sound like you just got blindsided, uh, with, uh, not only how, how frightening this seems that you have diabetes and that, uh, she-- you say she told you a whole lot of things that can happen with your eyes and circulation and all those kinds of things.\n",FALSE,n/a,TRUE,0.45680383732542396
0,therapist,high,Okay. And how do you feel after you drink?,"client: Hmm. Well, that's not good news.\ntherapist: Well, how do you think your drinking relates to the depression you've experienced?\nclient: Well, to be honest, I drink sometimes when I'm feeling down and I find it more interesting and not so blur.\ntherapist: Okay. And how do you feel after you drink?\n",TRUE,open,FALSE,0.45774177624844015
36,therapist,high,"Um, you've tried a lot of tablets. Some prescribed, some herbal remedies-","client: Mm.\ntherapist: You've-you've got a lot of various symptoms in your stomach.\nclient: Mm.\ntherapist: Um, you've tried a lot of tablets. Some prescribed, some herbal remedies-\n",FALSE,n/a,TRUE,0.45811042631976306
45,therapist,high,"So you're kind of wondering what the point of these visits are, me coming to your house.","client: Yeah, whatever. I just, yeah.\ntherapist: It seems like that doesn't-isn't really a concern for you at this time?\nclient: It's just like the same thing every day like, I don't really know why. Like um, so I signed your paper, why are asking me all these questions?\ntherapist: So you're kind of wondering what the point of these visits are, me coming to your house.\n",FALSE,n/a,TRUE,0.45819948124699295
130,therapist,low,"Yeah. Well, the good news is he doesn't have pneumonia. It's just an upper re-respiratory tract infection and a cold. So there's some things you can do to make- to help him get better. You can avoid excessive dust. You can keep him hydrated, avoid over-the-counter cold remedies. Keep him away from people who have flu or cold-like symptoms and avoid smoke. And the last one should be easy because you quit smoking during your pregnancy.","therapist: Yeah. Well, the good news is he doesn't have pneumonia. It's just an upper re-respiratory tract infection and a cold. So there's some things you can do to make- to help him get better. You can avoid excessive dust. You can keep him hydrated, avoid over-the-counter cold remedies. Keep him away from people who have flu or cold-like symptoms and avoid smoke. And the last one should be easy because you quit smoking during your pregnancy.\ntherapist: Yeah. Well, the good news is he doesn't have pneumonia. It's just an upper re-respiratory tract infection and a cold. So there's some things you can do to make- to help him get better. You can avoid excessive dust. You can keep him hydrated, avoid over-the-counter cold remedies. Keep him away from people who have flu or cold-like symptoms and avoid smoke. And the last one should be easy because you quit smoking during your pregnancy.\ntherapist: Yeah. Well, the good news is he doesn't have pneumonia. It's just an upper re-respiratory tract infection and a cold. So there's some things you can do to make- to help him get better. You can avoid excessive dust. You can keep him hydrated, avoid over-the-counter cold remedies. Keep him away from people who have flu or cold-like symptoms and avoid smoke. And the last one should be easy because you quit smoking during your pregnancy.\ntherapist: Yeah. Well, the good news is he doesn't have pneumonia. It's just an upper re-respiratory tract infection and a cold. So there's some things you can do to make- to help him get better. You can avoid excessive dust. You can keep him hydrated, avoid over-the-counter cold remedies. Keep him away from people who have flu or cold-like symptoms and avoid smoke. And the last one should be easy because you quit smoking during your pregnancy.\n",FALSE,n/a,FALSE,0.4583170011173934
89,therapist,high,"Okay. Um, is it causing any problems in areas like your marriage or anything like that?","client: No, I don't think it's a problem at all. It's something I do to help me relax. In fact, I think it's something that is good for me, but—\ntherapist: Okay. Can you tell me a little bit more about how, like, it's-it's not an issue for you?\nclient: Yeah. You know, like I said, you know, I'll come home, I'll, you know, smoke a couple rolls after a long day or something. I'm able to just relax, not really think about things. You know what I mean? I'm still working and, you know, paying the bills. We have a house, so I don't- I don't know why it's a problem.\ntherapist: Okay. Um, is it causing any problems in areas like your marriage or anything like that?\n",TRUE,open,FALSE,0.4585208136122674
71,therapist,high,"Yeah. It kinda messes up that dream, that picture?","client: Uh, I guess I have to keep coming-coming back here and go into court and stuff.\ntherapist: Yeah?\nclient: Yeah. It kinda messes things up.\ntherapist: Yeah. It kinda messes up that dream, that picture?\n",TRUE,closed,FALSE,0.4585738033056259
18,therapist,high,Okay. Okay. So you're saying about 50-50?,"client: Mm-hmm.\ntherapist: Yeah, yeah, yeah? So that's 12 times. So how many times would you have walked away with money in your pocket after, any out of the 12, what's your- what's your sense?\nclient: I don't know. A few times, probably when I have it, I might drink a drink.\ntherapist: Okay. Okay. So you're saying about 50-50?\n",TRUE,closed,FALSE,0.4587231131736189
78,therapist,high,All right. Good.,client: Okay.\ntherapist: Okay?\nclient: That sounds good. Thank you.\ntherapist: All right. Good.\n,FALSE,n/a,FALSE,0.4590565606486052
27,therapist,low,Yeah.,therapist: Yeah.\ntherapist: Yeah.\ntherapist: Yeah.\ntherapist: Yeah.\n,FALSE,n/a,FALSE,0.45991075597703457
84,therapist,high,"Okay, so part of this, what's going on is you also getting bored?","client: -not an excuse but, yeah, I'll probably keep doing it. Just try not to get caught.\ntherapist: Okay, so if you don't have a job you reckon, um, you'll probably gonna keep on offending.\nclient: Yeah. Yeah, I just get bored and stuff.\ntherapist: Okay, so part of this, what's going on is you also getting bored?\n",FALSE,n/a,TRUE,0.460061255376786
47,therapist,high,"Okay. You know what? I-it seems like things have been really a struggle for you lately, and I have noticed that you haven't been in the best mood, so I'm really- I am concerned about you, but again, it's your choice if that's something that you feel like you want to share with me.","client: Hmm.\ntherapist: Okay, I understand that sometimes if you're feeling angry or upset about something, the last thing you want to do is share with your caseworker at that time, but, um, you know I am here for you, and if there's anything you ever want to talk about or share with me, that is something that I would love to-to here, and I'll just see sit here and listen if that's something that you would find helpful.\nclient: Okay.\ntherapist: Okay. You know what? I-it seems like things have been really a struggle for you lately, and I have noticed that you haven't been in the best mood, so I'm really- I am concerned about you, but again, it's your choice if that's something that you feel like you want to share with me.\n",FALSE,n/a,TRUE,0.46032826299779117
48,therapist,high,Mm-hmm.,"client: You know that my friends were happy, um, that I'm like this cool person who moved from in the middle of nowhere, has a strange accent that-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.4603743792977184
72,therapist,low,All right. I'll see you later.,client: I promise.\ntherapist: All right. Shake.\nclient: Shake.\ntherapist: All right. I'll see you later.\n,FALSE,n/a,FALSE,0.4610157005954534
85,therapist,high,Mm-hmm.,"client: Well, I don't really drink like people-- Like some alcoholic or something but, I do—\ntherapist: Mm-hmm.\nclient: I-I like to take the edge off-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.461363488342613
71,therapist,high,Mm-hmm.,"client: Like, sort of, um, just at the polytech. I don't know what exactly it was, but—\ntherapist: Mm-hmm.\nclient: It took them like-- And, it took them like a year or something, and then they went into apprenticeship.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.4621776689309627
0,therapist,high,"Right. By the way, binge drinking is defined for women as having more than, uh, three drinks and there are about five drinks in a bottle. So, you enjoy drinking wine because it helps make things, uh, a little bit more interesting when you're feeling down but at the same time you don't like drinking when you have more than you want it to and then the depression returns after you drink.","client: Sometimes I just don't like how much I drink. I sometimes finish a bottle in one night.\ntherapist: So you're not proud of finishing a bottle?\nclient: No, it's not like I get crazy or anything but I just don't like the amount that I'm drinking.\ntherapist: Right. By the way, binge drinking is defined for women as having more than, uh, three drinks and there are about five drinks in a bottle. So, you enjoy drinking wine because it helps make things, uh, a little bit more interesting when you're feeling down but at the same time you don't like drinking when you have more than you want it to and then the depression returns after you drink.\n",FALSE,n/a,TRUE,0.46229282254353166
126,therapist,low,"All right, and he's right. This medication will help lower your cholesterol, and it will help lower your risk of having a heart attack or a stroke. How did the doctor tell you to take this medicine?","client: Sure. I'm just getting a few groceries.\ntherapist: All right. What did the doctor tell you cholesterol statin is for?\nclient: He told me that I had a blood test for cholesterol so that I should start taking this medication.\ntherapist: All right, and he's right. This medication will help lower your cholesterol, and it will help lower your risk of having a heart attack or a stroke. How did the doctor tell you to take this medicine?\n",TRUE,open,TRUE,0.46229492663405836
64,therapist,high,Yep.,"client: Yeah. Yeah, which kind of was a bit of a sh-shock, I suppose.\ntherapist: You were surprised?\nclient: Yeah. Yeah, 'cause, you know, I don't know. You know, you see on movies when people sort of intervene or say, ""You know, you need to go and get help."" And then-- I don't know. Like you know those characters and, they-they do need help, you know-\ntherapist: Yep.\n",FALSE,n/a,FALSE,0.4629655904136598
115,therapist,low,"No. But as I said, these medications-- so you've tried the medication, you've been willing once.","client: No. No, I just feel that way. I get really-- I get very defensive about when they bring-- cause I get it from my family doc, from my cardiologist, everybody. I'm like, I'm not a complete fool. I am for smoking, but—\ntherapist: Well, there's-there's a reason that [crosstalk] people are concerned.\nclient: -but it's not easy to quit.\ntherapist: No. But as I said, these medications-- so you've tried the medication, you've been willing once.\n",FALSE,n/a,FALSE,0.46333809616044164
34,therapist,high,Okay.,"client: Yeah. He didn't really tell me what to expect. He just said, ""Go- go see her as well.""\ntherapist: So here you are today and, um, you're sharing that you have been drinking alcohol throughout your pregnancy.\nclient: Yeah. Um, I didn't find out I was pregnant until probably two-ish months in-\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.4649656289257109
93,therapist,high,"Uh, why didn't you pick a six?","client: Hmm, I'd say I'm about an eight.\ntherapist: Okay. So you're- you're feeling fairly motivated.\nclient: Mm-hmm.\ntherapist: Uh, why didn't you pick a six?\n",TRUE,open,FALSE,0.4666225279215723
130,therapist,low,"So it sounds like if you have alcohol, then smoking is very difficult to avoid and you know what you need to do. You need to go home and as your-your son's doctor, I need to tell you you need to go home and throw out those cigarettes. You need to quit.","therapist: So it sounds like if you have alcohol, then smoking is very difficult to avoid and you know what you need to do. You need to go home and as your-your son's doctor, I need to tell you you need to go home and throw out those cigarettes. You need to quit.\ntherapist: So it sounds like if you have alcohol, then smoking is very difficult to avoid and you know what you need to do. You need to go home and as your-your son's doctor, I need to tell you you need to go home and throw out those cigarettes. You need to quit.\ntherapist: So it sounds like if you have alcohol, then smoking is very difficult to avoid and you know what you need to do. You need to go home and as your-your son's doctor, I need to tell you you need to go home and throw out those cigarettes. You need to quit.\ntherapist: So it sounds like if you have alcohol, then smoking is very difficult to avoid and you know what you need to do. You need to go home and as your-your son's doctor, I need to tell you you need to go home and throw out those cigarettes. You need to quit.\n",FALSE,n/a,TRUE,0.46725952019914985
49,therapist,high,"Yeah, yeah.","client: -so I won't be doing any traveling any time soon.\ntherapist: Okay. So, again, that, sort of, sounds really important. So, what's-what's your dreams? What are your dreams? Where do you wanna be in five years' time? Where does Catherine wanna be? What do you wanna be doing? What are your dreams?\nclient: Maybe I wanna have traveled and found the man of my dreams. [chuckles]\ntherapist: Yeah, yeah.\n",FALSE,n/a,FALSE,0.4682322274893522
92,therapist,low,"Well, I-I need to tell you that the-the medicine that she's taking, the chronic inhaler, which is really essential to controlling her asthma does-- is not a steroid like you're thinking. It's-it's much safer, it's very safe, she-- and she needs to take it to get her asthma under control, and I also want to tell you that, uh, your smoking does affect her asthma, even if- even if it's outside, it gets on her clothes, and to be honest, I'd like to see you quit smoking for you anyway. But, uh, if you want to keep her out of the emergency room, she needs to use that chronic inhaler every day, and you need to watch your smoking.","client: Mm-hmm.\ntherapist: Um, I noticed, uh, we noticed some of your records that, uh, you've been coming in and getting Sarah's resc-rescue inhaler for her asthma quite frequently, and you haven't got a chronic inhaler for quite some time now. I also know she has been in the emergency room several times this year. Is-- can you tell me what's going on there?\nclient: Well, I did a research on the chronic inhaler, and I saw that there were steroids in it, and I do not want my daughter taking steroids. I read about all the side effects of steroids and all the potential health problems. I don't want her taking them, and I just want to tell you right up front, I do not want to hear anything about the fact that I do smoke. Um, I smoke outside, I smoke away from her. I do not ever do it around her. So I do not want to hear about that.\ntherapist: Well, I-I need to tell you that the-the medicine that she's taking, the chronic inhaler, which is really essential to controlling her asthma does-- is not a steroid like you're thinking. It's-it's much safer, it's very safe, she-- and she needs to take it to get her asthma under control, and I also want to tell you that, uh, your smoking does affect her asthma, even if- even if it's outside, it gets on her clothes, and to be honest, I'd like to see you quit smoking for you anyway. But, uh, if you want to keep her out of the emergency room, she needs to use that chronic inhaler every day, and you need to watch your smoking.\n",FALSE,n/a,FALSE,0.4683980457484722
27,therapist,low,"I understand that your asthma symptoms have been just really out of control. So, we need to look at some of the ways that you can get healthy and not be back here again.","therapist: I understand that your asthma symptoms have been just really out of control. So, we need to look at some of the ways that you can get healthy and not be back here again.\ntherapist: I understand that your asthma symptoms have been just really out of control. So, we need to look at some of the ways that you can get healthy and not be back here again.\ntherapist: I understand that your asthma symptoms have been just really out of control. So, we need to look at some of the ways that you can get healthy and not be back here again.\n",FALSE,n/a,FALSE,0.46983875916339457
41,therapist,high,You get peace with yourself?,"client: Yes, because it turned into an obligation instead of just really really a sense of like you know passion you know. My passion is gone completely. I don't know I'm just happy to, I feel like I got back in touch with myself. It's like I was like lost for a while and now I'm like back again, yes, now I remember why I wanted to do this or like why this is important to me because it is actually one of my values to be and help, but it just has to be, uh, balanced.\ntherapist: Yeah, is that on your top five also\nclient: No, but um, the other ones I have on there, uh are, number two, inner harmony. For the same reason, like I feel like I need to harmonious within myself before I can be harmonious with other people.\ntherapist: You get peace with yourself?\n",FALSE,n/a,TRUE,0.47040902986191213
20,therapist,high,Great.,"client: That would be really nice.\ntherapist: Okay. Well, if you're willing, then we could set up another appointment where you could come in and we could talk more about that.\nclient: I would like that. That would be great.\ntherapist: Great.\n",FALSE,n/a,FALSE,0.4707207006867975
36,therapist,high,Right. Right.,"client: I just couldn't sit all day comfortably.\ntherapist: Right.\nclient: Um, and so I went part-time, but in the end, I, uh, about a year ago, I stopped work altogether.\ntherapist: Right. Right.\n",FALSE,n/a,FALSE,0.47075322014279664
71,therapist,high,"Oh, you must be a doctor.","client: No, I'm just real messy, so people can't read it.\ntherapist: People can't read-- People can't read your handwriting?\nclient: [chuckles] Yeah, no. It's what they say, yeah.\ntherapist: Oh, you must be a doctor.\n",FALSE,n/a,FALSE,0.4712544425856322
31,therapist,high,"Okay, um, and at some other point we can talk about some other things that you may be able to do including diet, changes in your eating habits, it can lower your cholesterol even more.","client: Wow, okay.\ntherapist: So it's pretty effective.\nclient: Yeah, I'll take the medicine.\ntherapist: Okay, um, and at some other point we can talk about some other things that you may be able to do including diet, changes in your eating habits, it can lower your cholesterol even more.\n",FALSE,n/a,FALSE,0.4712764963041991
27,therapist,low,"Well, you sound a bit surprised by that. But I'm sure that you've seen some of the material that-that the clinic gave you about asthma symptoms and managing your asthma, and pets are a really big source of problems in that respect.","therapist: Well, you sound a bit surprised by that. But I'm sure that you've seen some of the material that-that the clinic gave you about asthma symptoms and managing your asthma, and pets are a really big source of problems in that respect.\ntherapist: Well, you sound a bit surprised by that. But I'm sure that you've seen some of the material that-that the clinic gave you about asthma symptoms and managing your asthma, and pets are a really big source of problems in that respect.\ntherapist: Well, you sound a bit surprised by that. But I'm sure that you've seen some of the material that-that the clinic gave you about asthma symptoms and managing your asthma, and pets are a really big source of problems in that respect.\ntherapist: Well, you sound a bit surprised by that. But I'm sure that you've seen some of the material that-that the clinic gave you about asthma symptoms and managing your asthma, and pets are a really big source of problems in that respect.\n",FALSE,n/a,TRUE,0.4713115394115448
63,therapist,high,Are there any other concerns that you have about Methamphetamine?,"client: Uh, three.\ntherapist: Why not a one or a two?\nclient: I mean, this has been really uncomfortable, you know, gonorrhea is a really bad experience. And, uM, I know I don't think the same, you know, when I'm- when I'm on it. And, uh, I mean, what I have is bad enough, I could easily get AIDS. I could get HIV the same way. So that scares me a lot. That's why it's higher than a one or two.\ntherapist: Are there any other concerns that you have about Methamphetamine?\n",TRUE,open,FALSE,0.4714049615431577
18,therapist,high,Mm.,"client: Um, I don't know if pfft-- maybe I wouldn't be here if it wasn't for gambling 'cause-\ntherapist: Yeah.\nclient: -you know, suppose in some way, I took the money for-for that but I don't know, you know? It's just a few dollars here and there and I didn't really think about it at the time, so-\ntherapist: Mm.\n",FALSE,n/a,FALSE,0.47171392501331866
53,therapist,low,Mm-hmm.,"client: Um, yeah, I mean, I guess it's the thing to do at a party, so-\ntherapist: Uh-huh. So, I mean, do you think it's the thing to do if you wanna be an attorney?\nclient: Um, definitely not. That's why I don't try to drink that much. Just-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.47182492911815643
43,therapist,high,"Yeah. So, on a scale from 1 to 10, 1 being not confident at all, 10 being very confident. How confident are you that you feel you can manage your anxiety in regards to taking this exam?","client: Yeah.\ntherapist: And so, it's easier for you to just not do it.\nclient: Exactly. So, I just avoid it and put it off.\ntherapist: Yeah. So, on a scale from 1 to 10, 1 being not confident at all, 10 being very confident. How confident are you that you feel you can manage your anxiety in regards to taking this exam?\n",TRUE,open,FALSE,0.471905849641189
27,therapist,low,"Well, you sound a bit surprised by that. But I'm sure that you've seen some of the material that-that the clinic gave you about asthma symptoms and managing your asthma, and pets are a really big source of problems in that respect.","therapist: Well, you sound a bit surprised by that. But I'm sure that you've seen some of the material that-that the clinic gave you about asthma symptoms and managing your asthma, and pets are a really big source of problems in that respect.\ntherapist: Well, you sound a bit surprised by that. But I'm sure that you've seen some of the material that-that the clinic gave you about asthma symptoms and managing your asthma, and pets are a really big source of problems in that respect.\ntherapist: Well, you sound a bit surprised by that. But I'm sure that you've seen some of the material that-that the clinic gave you about asthma symptoms and managing your asthma, and pets are a really big source of problems in that respect.\ntherapist: Well, you sound a bit surprised by that. But I'm sure that you've seen some of the material that-that the clinic gave you about asthma symptoms and managing your asthma, and pets are a really big source of problems in that respect.\n",FALSE,n/a,FALSE,0.47206256398931146
20,therapist,high,But they don't feel as scary to you now?,"client: -and-and him having problems and stuff like that, all the stuff that they talk about with women who smoke. So I-- that was just enough to-to say, ""Okay, you know what, I'm-I'm not going to risk that."" so.\ntherapist: Mm-hmm. The risks were so scary then that you were able to stop?\nclient: Yeah.\ntherapist: But they don't feel as scary to you now?\n",FALSE,n/a,TRUE,0.47258887463249266
55,therapist,high,"Miguel, before we end the call, I did want to go over the answers you gave me on the questionnaire about drug use. Is it okay if we go over that right now?","therapist: Miguel, before we end the call, I did want to go over the answers you gave me on the questionnaire about drug use. Is it okay if we go over that right now?\ntherapist: Miguel, before we end the call, I did want to go over the answers you gave me on the questionnaire about drug use. Is it okay if we go over that right now?\ntherapist: Miguel, before we end the call, I did want to go over the answers you gave me on the questionnaire about drug use. Is it okay if we go over that right now?\ntherapist: Miguel, before we end the call, I did want to go over the answers you gave me on the questionnaire about drug use. Is it okay if we go over that right now?\n",TRUE,open,FALSE,0.47266473062336445
61,therapist,high,Uh-huh.,client: And I haven't gotten there yet.\ntherapist: And do you agree that that's what you need to do in order to be able to get home?\nclient: Yeah.\ntherapist: Uh-huh.\n,FALSE,n/a,FALSE,0.47353929397650063
27,therapist,low,Mm-hmm.,therapist: Mm-hmm.\ntherapist: Mm-hmm.\ntherapist: Mm-hmm.\ntherapist: Mm-hmm.\n,FALSE,n/a,FALSE,0.47360730706714094
18,therapist,high,Yeah? Yeah.,"client: -$25, you do the math. [chuckles] And that's gonna support me?\ntherapist: Yeah. Okay. So-so, there's some-some questions you've got around some-some ways you, kind of, explained them. And then, as we work together, you know, we-- there might be some other ways we look at it and see it too, you know, that-that's part of working together. So, I'm wondering, how open are you to, you know, seeing this situation from lots of different angles?\nclient: I don't know. I'm usually an open person. [chuckles]\ntherapist: Yeah? Yeah.\n",FALSE,n/a,FALSE,0.474471707129851
0,therapist,high,What would help you cut back to two drinks?,"client: I'd say an eight.\ntherapist: Okay. Why do you think it's not something less like a six?\nclient: Well, I'm more ready than a six because I'm ready to cut back on my drinking and I don't wanna make my depression any worse.\ntherapist: What would help you cut back to two drinks?\n",TRUE,open,FALSE,0.47499708156101406
71,therapist,high,"Okay, so you feel like it would be embarrassing to ask Donna to give you some help-","client: But, we don't have a computer.\ntherapist: Okay. All right, so what-what do you need to do, Billy, to actually get to that point where you can fill out a form and post it off?\nclient: Just ask to get someone else to do it I guess. I guess I could ask Donna, but it's been embarrassing.\ntherapist: Okay, so you feel like it would be embarrassing to ask Donna to give you some help-\n",FALSE,n/a,TRUE,0.4754745534155518
50,therapist,high,Good.,client: I think that does sound all right.\ntherapist: Okay.\nclient: Yeah.\ntherapist: Good.\n,FALSE,n/a,FALSE,0.4760990219656378
66,therapist,high,"I, uh, I'm a case manager with your health plan. I understand that you came in today to talk about your diabetes.","client: Pleasure to meet you.\nclient: Pleasure to meet you.\ntherapist: I, uh, I'm a case manager with your health plan. I understand that you came in today to talk about your diabetes.\ntherapist: I, uh, I'm a case manager with your health plan. I understand that you came in today to talk about your diabetes.\n",FALSE,n/a,FALSE,0.4762604641728103
27,therapist,low,"I understand that your asthma symptoms have been just really out of control. So, we need to look at some of the ways that you can get healthy and not be back here again.","therapist: I understand that your asthma symptoms have been just really out of control. So, we need to look at some of the ways that you can get healthy and not be back here again.\ntherapist: I understand that your asthma symptoms have been just really out of control. So, we need to look at some of the ways that you can get healthy and not be back here again.\ntherapist: I understand that your asthma symptoms have been just really out of control. So, we need to look at some of the ways that you can get healthy and not be back here again.\ntherapist: I understand that your asthma symptoms have been just really out of control. So, we need to look at some of the ways that you can get healthy and not be back here again.\n",FALSE,n/a,TRUE,0.4763040617108345
25,therapist,high,That's great. It sounds like you've got some options and leads on how- on how to get that done.,"client: Exactly, yeah.\ntherapist: So, knowing this, what do you think you'll do next?\nclient: Mm, I'll probably, I don't know, find-- Now, while it's still somewhat okay outside, maybe pick days I'm gonna go for walks or runs, um, maybe look for a gym close to the house so that I know I can go there quickly or maybe that has daycare, um, yeah, maybe I'll just start to look for that, and find ways I can do it first.\ntherapist: That's great. It sounds like you've got some options and leads on how- on how to get that done.\n",FALSE,n/a,TRUE,0.476424339460209
45,therapist,high,I'm sure it's pretty overwhelming.,"client: No, 'cause this just kinda feels like why do you need to know my business? Why do you care?\ntherapist: Um, and-and I'm sure that does seem kind of confusing too 'cause I'm sure you've got a lot of other people involved in your life right now with the courts I'm sure, I know that your mom is concerned about you as well and there's this one other person kinda checking in on you as well.\nclient: Mm-hmm.\ntherapist: I'm sure it's pretty overwhelming.\n",FALSE,n/a,TRUE,0.4767181209754199
61,therapist,high,"Hi Mrs. Smith, my name is Terri, I'm one of the nurses who works with Dr. Fields.","therapist: Hi Mrs. Smith, my name is Terri, I'm one of the nurses who works with Dr. Fields.\n",FALSE,n/a,FALSE,0.4767664868850261
130,therapist,low,And let's talk some more about wine. You keep throwing wine into the conversation. It sounds like it's become a significant part of your daily routine. How much are you drinking?,"client: Okay. Um, well, yeah, I-I guess I can throw the cigarettes. And tomorrow night when I have my glass of wine, I'll-I'll just try to avoid that craving.\nclient: Okay. Um, well, yeah, I-I guess I can throw the cigarettes. And tomorrow night when I have my glass of wine, I'll-I'll just try to avoid that craving.\ntherapist: And let's talk some more about wine. You keep throwing wine into the conversation. It sounds like it's become a significant part of your daily routine. How much are you drinking?\ntherapist: And let's talk some more about wine. You keep throwing wine into the conversation. It sounds like it's become a significant part of your daily routine. How much are you drinking?\n",TRUE,open,FALSE,0.47681099036708474
18,therapist,high,What would she say about—,"client: Sarah.\ntherapist: Sarah, So what do you think Sarah would say?\nclient: I don't know.\ntherapist: What would she say about—\n",TRUE,open,FALSE,0.47691918862983584
71,therapist,high,And harder to—,"client: Yeah. It makes it harder.\ntherapist: Mm. Makes it harder? Yeah. Well, it can make it harder to keep a job, aye?\nclient: Mm.\ntherapist: And harder to—\n",FALSE,n/a,TRUE,0.47697244747541845
39,therapist,high,"Yeah, okay.","client: That'd be great, yeah, please.\ntherapist: So, um, since you like meditation so much, it's highly likely that you'd be a great candidate for hypnotherapy.\nclient: That's- that's something I'd be really interested in.\ntherapist: Yeah, okay.\n",FALSE,n/a,FALSE,0.47729995870031416
18,therapist,high,"Yeah, yeah. Thinking about your friends, you know, how would you soft of think about your friends 'cause, you know, I guess you go out with your girlfriends and stuff.","client: Yeah, I suppose.\ntherapist: Yeah, yeah. Yeah, yeah. So that could be an issue we could spend some time talking about here, 'cause obviously you know, you don't- you don't - you don't wanna be here, and then my interest now is just getting you o-out of the system, not getting you into the systems. So-so here, um-- how-how much do you think this is an issue for you, you reckon? The pokies and the gambling.\nclient: I don't know, I suppose it's lead me to be here, maybe. I don't know.\ntherapist: Yeah, yeah. Thinking about your friends, you know, how would you soft of think about your friends 'cause, you know, I guess you go out with your girlfriends and stuff.\n",TRUE,open,FALSE,0.47795077320188284
12,therapist,high,"Mm-hmm. Well, that's the time when you can relax and unwind.","client: Um, honestly, it's probably been over the past year or so that I- I've been smoking a little bit more.\ntherapist: Okay. So over the past year, the smoking has increased. And that's been mainly in the evening?\nclient: Yeah. Um, I have a two-year-old son as I mentioned, so I try to never smoke around him. So I'm normally kinda waiting until he gets to bed.\ntherapist: Mm-hmm. Well, that's the time when you can relax and unwind.\n",FALSE,n/a,TRUE,0.4784688870422542
4,therapist,high,You got your lip pierced. How long ago did you get that done?,"client: Yeah, it's been a while.\ntherapist: This is something new.\nclient: Oh, oh, yeah, the—Yeah\ntherapist: You got your lip pierced. How long ago did you get that done?\n",TRUE,closed,FALSE,0.479398564202711
68,therapist,high,Mm-hmm.,"client: Um, a lot of times, it'll make- it'll make people stupid. [laughs] Yeah, you know, people make dumb decisions and things like that. We-we usually try to be as safe about it\ntherapist: Mm-hmm.\nclient: -as possible. So we'll like sleep over at a friend's house. And so that, you know, we're not driving and it's mostly within our friend group. So we're not worried about strangers putting weird things in our drinks.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.47981808078475296
18,therapist,high,All right.,client: I don't really know what issues I need to sort.\ntherapist: Sorry?\nclient: I don't really know what issues I need to-\ntherapist: All right.\n,FALSE,n/a,FALSE,0.48061773576773703
9,therapist,low,Okay.,"client: Well, I guess I'll try.\ntherapist: Okay. And then we'll set up an appointment for about a month from now. We'll recheck your blood pressure and see how you're doing with all this, sound okay?\nclient: Okay.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.48074287944473326
20,therapist,high,How were you successful when you quit before?,"client: Well, he was inside me and we were sharing everything and I knew that he would get some of that. And I didn't-- I just didn't-didn't think I could live with myself if something happened to him.\ntherapist: Right now, though, it feels almost too difficult to even manage or even to try?\nclient: Yeah, exactly.\ntherapist: How were you successful when you quit before?\n",TRUE,open,FALSE,0.4808165153954178
86,therapist,high,You definitely know how to make good decisions.,"client: It's actually been a fabulous week.\ntherapist: You seem excited about that.\nclient: Mm-hmm. I know who to hang out with, I'm not stupid.\ntherapist: You definitely know how to make good decisions.\n",FALSE,n/a,TRUE,0.48131541814655066
63,therapist,high,Don't inject it?,"client: I do some meth.\ntherapist: Snort it, smoke it?\nclient: Snort it, always snort it.\ntherapist: Don't inject it?\n",FALSE,n/a,TRUE,0.4814187423326075
58,therapist,high,"When you find someone to go with, great, if not, you get your own [unintelligible 00:08:12] your own music and uh, I'll be- I'll be trying just to-to see um, what is like for you, having actually done that [unintelligible 00:08:20]","client: Oh yeah, yeah, it doesn't do any good to just try to injure your- injure yourself especially when you're a bit normal like me.\ntherapist: Okay, yeah, I know that, yeah, yeah. Okay, so. So, um, so are you sure you wanna try to start out with the- that initial [unintelligible 00:08:07]\nclient: You gotta get over there.\ntherapist: When you find someone to go with, great, if not, you get your own [unintelligible 00:08:12] your own music and uh, I'll be- I'll be trying just to-to see um, what is like for you, having actually done that [unintelligible 00:08:20]\n",FALSE,n/a,TRUE,0.48177973460406065
7,therapist,high,"No, I guess that that would be the end of your, uh, shaking and moving. I know-- I wonder if you'd be open to exploring your alcohol use and what that looks like during the week.","therapist: No, I guess that that would be the end of your, uh, shaking and moving. I know-- I wonder if you'd be open to exploring your alcohol use and what that looks like during the week.\ntherapist: No, I guess that that would be the end of your, uh, shaking and moving. I know-- I wonder if you'd be open to exploring your alcohol use and what that looks like during the week.\ntherapist: No, I guess that that would be the end of your, uh, shaking and moving. I know-- I wonder if you'd be open to exploring your alcohol use and what that looks like during the week.\ntherapist: No, I guess that that would be the end of your, uh, shaking and moving. I know-- I wonder if you'd be open to exploring your alcohol use and what that looks like during the week.\n",TRUE,open,TRUE,0.48198144836351275
44,therapist,low,Right.,"client: Yeah.\ntherapist: Cool. All right. Have you started thinking about schools or majors? I guess you're thinking about psychology as a major.\nclient: Yeah, psychology, I haven't really thought too about which school, I mean, I-\ntherapist: Right.\n",FALSE,n/a,FALSE,0.48201929219067097
126,therapist,low,Okay. It looks like cholesterol statin. Do you know how you're supposed to take the medication?,"therapist: Hello, Kaylie. It looks like you're here to pick up a prescription today.\nclient: Yeah. My doctor said he called something in.\ntherapist: Okay. It looks like cholesterol statin. Do you know how you're supposed to take the medication?\n",TRUE,closed,TRUE,0.4821775765158236
68,therapist,high,Mm-hmm.,"client: I think those two and, um, respect.\ntherapist: Respect, okay. Can you tell me a little bit about why you picked those three?\nclient: Yeah. Well, I think community and belonging, I kind of related them. Um, you know how I said I was in the marching band?\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.48218226875178516
39,therapist,high,"So, I don't even know where you can get those. I think—","client: Right- right.\ntherapist: Okay.\nclient: Yeah.\ntherapist: So, I don't even know where you can get those. I think—\n",FALSE,n/a,FALSE,0.4832607035059482
60,therapist,high,It's for the cancer society.,"client: And-and wait, I'm sorry, but—\ntherapist: There's a smoke update coming up.\nclient: Oh, yeah. [crosstalk] And you know what I've never done that.\ntherapist: It's for the cancer society.\n",FALSE,n/a,FALSE,0.4836272115353495
90,therapist,low,"Okay, sounds good.","client: You're-you're right. I-I don't want- I don't wanna be too far gone before it's too late. Like I-I can imagine something possibly happening where it's to a degree where I can't escape. And I-I guess I've never really had any-any real experience where the alcohol has really affected me that much or affected anybody close to me that much. So I guess it's something that I feel like I'm control of, but in reality, I might not have as much control as I think.\ntherapist: All right. Well, maybe it's something we can work on together. And, you know, I think we should come up with a plan that's gonna work for you so that you can get control here and stop drinking.\nclient: Yeah. I-I think that that would be a good step forward into-- and a life of possibly being sober and just experiencing the true- the true aspects of life rather than the-the haziness of alcohol.\ntherapist: Okay, sounds good.\n",FALSE,n/a,FALSE,0.48365884833037853
25,therapist,high,"What are some of the reasons why, um, it would be good for you to kinda make this change?","client: Just, I don't feel comfortable.\ntherapist: Yeah. So, you're not feeling comfortable with the way that, you said, your clothes fit.\nclient: Mm-hmm.\ntherapist: What are some of the reasons why, um, it would be good for you to kinda make this change?\n",TRUE,open,FALSE,0.48383660102263093
58,therapist,high,"Okay. And-and what do you- do you-- Some folks, you know, [unintelligible 00:03:18] put on music, kind of- kind of.","client: Well, it is.\ntherapist: [chuckles].\nclient: It is without any of the impact, so it is true.\ntherapist: Okay. And-and what do you- do you-- Some folks, you know, [unintelligible 00:03:18] put on music, kind of- kind of.\n",FALSE,n/a,FALSE,0.4843186486978084
6,therapist,high,"Right. Well, so where would you-- I mean, if you-you had to pick somewhere, one or two kind of high priorities or-or things to talk about in our time this morning, where would you wanna start?","client: Yeah, yeah. Yeah, there's something going on. And, um, also my drinking, I got to cut down my drinking too.\ntherapist: Okay, wow. So there's a lot happening right now, Sal. Anything else that that's concerning you?\nclient: No. It's just overwhelming when you see them everything they're, you know?\ntherapist: Right. Well, so where would you-- I mean, if you-you had to pick somewhere, one or two kind of high priorities or-or things to talk about in our time this morning, where would you wanna start?\n",TRUE,open,FALSE,0.48458792944438756
34,therapist,high,"Mm. So, embraces this life of the picket fence and the, you know, the little house and having the baby in this-","client: Um, I'm definitely it's not-- I think I could probably do it. It's just- it-it comes hard when you're, like, in that moment. You're around your friends and they're drinking and you don't wanna be- you don't wanna be the mom at that moment. You wanna be yourself. You wanna be who you were before.\ntherapist: So, you kind of have this identity, dual identity going on. I wanna be that person, yet, that person-\nclient: And so many people, when they have kids, they just vanish from their friends. And I don't wanna be that person. I don't wanna be that person that just has a kid and they're completely-completely different.\ntherapist: Mm. So, embraces this life of the picket fence and the, you know, the little house and having the baby in this-\n",FALSE,n/a,TRUE,0.4847465315833688
71,therapist,high,"Okay. So, you actually went to the polytech—","client: Yeah. I could do it pretty easy. It's just, like, I probably know all this stuff already.\ntherapist: Okay. So, it would be pretty easy. So, if it's pretty easy, what do you need to do next, Billy?\nclient: Like, well, I went out and picked some forms and stuff, but it's real confusing, like, having to apply, so I-I just couldn't-- I don't know. I couldn't do it.\ntherapist: Okay. So, you actually went to the polytech—\n",FALSE,n/a,TRUE,0.4850234866607934
78,therapist,high,"Okay. Even though, uh, even though this medicine isn't the-the medicine that's in this is in the same broad family as the steroids you're worried about, and those are called anabolic steroids.","client: Mm-hmm. Yeah.\ntherapist: Okay. Uh, would you mind if we talked a little bit about the chronic inhaler and the medicine that you're concerned about with, you know, the steroids because, you know, I certainly don't want her using a medicine that has steroids in it, like the ones that you're worried about for athletes. Uh, can we talk about that just a little bit?\nclient: Yeah.\ntherapist: Okay. Even though, uh, even though this medicine isn't the-the medicine that's in this is in the same broad family as the steroids you're worried about, and those are called anabolic steroids.\n",FALSE,n/a,FALSE,0.48560349526815116
28,therapist,high,Glamourous.,"client: As they say, my aunt was like, ""Put another nail in your coffin,"" you know.\ntherapist: Okay. What do you think when she says that to you?\nclient: More on kind of cocky and I say, ""Well, you know, Aunt Kathy, you were my role model, and back in the day, um, I used to envy and watch and think you were so sexy, and all the movies, the old movies.""\ntherapist: Glamourous.\n",FALSE,n/a,TRUE,0.48587457928806543
18,therapist,high,Yeah. Yeah.,"client: Well, I don't really keep track.\ntherapist: Yeah, yeah. So if we were to think back, say the last month, the last four weeks, how many times would you have gone down to the- to the pokies, the pub?\nclient: I don't know. A few times a week.\ntherapist: Yeah. Yeah.\n",FALSE,n/a,FALSE,0.48624216741882265
61,therapist,high,Uh-huh.,client: That I'm doing it by myself.\ntherapist: Mm-hmm.\nclient: And I would really fe-- If I could have some sup-- Like if somebody could help me do it.\ntherapist: Uh-huh.\n,FALSE,n/a,FALSE,0.4865302487742156
18,therapist,high,"So the part of you that does see this is-- as an issue, yeah, that the gambling sometimes can be out of control, you know, tell me that part of you that-that maybe knows that, uh, it's getting you into trouble and it's gone way-- just moved you off from that point, there have been some—","client: Mm.\ntherapist: Yeah, yeah, okay, okay. So Sarah might see it as an issue. And-and I guess there's a part of you also sees it as an issue, part of you, you know. Part of you may not, but a part of you does.\nclient: Mm.\ntherapist: So the part of you that does see this is-- as an issue, yeah, that the gambling sometimes can be out of control, you know, tell me that part of you that-that maybe knows that, uh, it's getting you into trouble and it's gone way-- just moved you off from that point, there have been some—\n",TRUE,closed,FALSE,0.4866429117973894
62,therapist,high,"Yes.-you know, you have till the end of your probation-","therapist: Okay. So why don't you tell me what you remember from having your conversation with your case manager? What do you know so far about community service?\nclient: I know that I have to get it done by the end of my probation, except I forgot like how many hours or if I'm supposed to find it or someone else is gonna find it for me or I-I told you I'm confused.\ntherapist: Okay, gotcha. So, you know, that it needs to get done-\ntherapist: Yes.-you know, you have till the end of your probation-\n",FALSE,n/a,TRUE,0.4867408396676183
41,therapist,high,"So all of these things put together feel like right now at this point in life, that it is really healthy change for you, like where you are right now.","client: Yeah, meaningful, even if it's-it's small.\ntherapist: Sometimes it's the small things that really count, too.\nclient: Yeah.\ntherapist: So all of these things put together feel like right now at this point in life, that it is really healthy change for you, like where you are right now.\n",FALSE,n/a,TRUE,0.48754464695230126
37,therapist,high,"Yeah. What does it tell me about you as a man, as a father, as someone who wants to get moving?","client: It was terrible. It was really hard. Uh, I think probably the hardest person to talk to about it, my mom. My, um, my old man, um-- Yeah, it was hard.\ntherapist: We-we talked about, uh, last time that this is hard stuff and that, um, we are prepared to kind of do the hard yard. So you've gone away, you've talked to your folks, put it out there about your issue of violence? Um, I'm thinking about, uh, with-with Tristan and the whole alcohol issue there. So it sounds like to me if you've- you've started to put quite a bit of stuff in place.\nclient: I try.\ntherapist: Yeah. What does it tell me about you as a man, as a father, as someone who wants to get moving?\n",TRUE,open,FALSE,0.4879056056961417
81,therapist,high,Tell me about how you've been feeling?,therapist: Did you like how your parents raised you?\ntherapist: Tell me about how your parents raised you?\ntherapist: Tell me about how you've been feeling?\n,TRUE,open,FALSE,0.4892034390941262
27,therapist,low,Mm-hmm.,therapist: Mm-hmm.\ntherapist: Mm-hmm.\ntherapist: Mm-hmm.\ntherapist: Mm-hmm.\n,FALSE,n/a,FALSE,0.4893453174736351
7,therapist,high,Sounds like a wild night.,"client: Um, it's really stupid. Uh, I was at a pub crawl last night and you know how pub crawls are. You have a few drinks and then I thought it was a really good idea to catch up with my friends who are, yeah, they're in front of me. So I just like jumped off the stairs of the bus and I was wearing these like stilettos 'cause it was a 90s-themed pub crawl. Anyway, and then I just like fell on my ankle. It was really embarrassing.\nclient: Um, it's really stupid. Uh, I was at a pub crawl last night and you know how pub crawls are. You have a few drinks and then I thought it was a really good idea to catch up with my friends who are, yeah, they're in front of me. So I just like jumped off the stairs of the bus and I was wearing these like stilettos 'cause it was a 90s-themed pub crawl. Anyway, and then I just like fell on my ankle. It was really embarrassing.\nclient: Um, it's really stupid. Uh, I was at a pub crawl last night and you know how pub crawls are. You have a few drinks and then I thought it was a really good idea to catch up with my friends who are, yeah, they're in front of me. So I just like jumped off the stairs of the bus and I was wearing these like stilettos 'cause it was a 90s-themed pub crawl. Anyway, and then I just like fell on my ankle. It was really embarrassing.\ntherapist: Sounds like a wild night.\n",FALSE,n/a,TRUE,0.48999057058244944
21,therapist,high,Do you have a plan as to where you might want to go or?,client: Yeah.\ntherapist: That's great.\nclient: Yeah.\ntherapist: Do you have a plan as to where you might want to go or?\n,TRUE,open,FALSE,0.4914524925407022
67,therapist,high,Okay. How often?,"client: Something like that.\ntherapist: Okay. When students and I talk about their substance use, the first thing I always say, I don't like to tell anyone what to do. That's not my job. Instead, I like to see if there's anything they would like to do, if anything, about their use. So what can you tell me about your marijuana use?\nclient: Uh, I vape. I have a pen, but I don't smoke it though.\ntherapist: Okay. How often?\n",TRUE,open,FALSE,0.4918170340824872
27,therapist,low,Mm-hmm.,therapist: Mm-hmm.\ntherapist: Mm-hmm.\ntherapist: Mm-hmm.\ntherapist: Mm-hmm.\n,FALSE,n/a,FALSE,0.492078410461545
131,therapist,low,Mm-hmm.,"client: The-- Um, it takes away a lot of my stresses.\ntherapist: Mm-hmm, what sort of stresses?\nclient: Just, uh, when I- when I go down, uh, for-for a break at work.\ntherapist: Mm-hmm.\n",TRUE,open,FALSE,0.4921598327346146
66,therapist,high,"I, uh, I'm a case manager with your health plan. I understand that you came in today to talk about your diabetes.","therapist: I, uh, I'm a case manager with your health plan. I understand that you came in today to talk about your diabetes.\ntherapist: I, uh, I'm a case manager with your health plan. I understand that you came in today to talk about your diabetes.\ntherapist: I, uh, I'm a case manager with your health plan. I understand that you came in today to talk about your diabetes.\ntherapist: I, uh, I'm a case manager with your health plan. I understand that you came in today to talk about your diabetes.\n",TRUE,open,FALSE,0.4923232651781291
49,therapist,high,Yeah.,"client: Not really planning on spending my life in debt. [chuckles]\ntherapist: Mm.\nclient: I don't mind traveling, and, you know, I've got friends that are saving for the [unintelligible 00:18:27] and I'm 25 and working in retail, and got four credit cards-\ntherapist: Yeah.\n",FALSE,n/a,FALSE,0.4923644042573869
126,therapist,low,"Okay. That's perfect because cholesterol statin works best if it's taken at night, though you can take it any time of the day. And you should take it every single day. It's important to keep that up. Where do you store your medications?","client: He didn't really tell me. He just phoned it in.\ntherapist: Okay. Well, you're going to take one tablet of cholesterol statin 20 one time a day by mouth, and you can take that with or without food. When do you normally take your medications?\nclient: Well, I take all of my other medications right before I go to bed. So I guess I could take it then.\ntherapist: Okay. That's perfect because cholesterol statin works best if it's taken at night, though you can take it any time of the day. And you should take it every single day. It's important to keep that up. Where do you store your medications?\n",TRUE,closed,TRUE,0.49282937683165073
131,therapist,low,And that's exactly one of the symptoms of nicotine withdrawal that I'm looking to stop happening to you.,client: I just get irritable.\ntherapist: Okay.\nclient: Yeah.\ntherapist: And that's exactly one of the symptoms of nicotine withdrawal that I'm looking to stop happening to you.\n,FALSE,n/a,FALSE,0.4933977711480111
55,therapist,high,"Okay. Well, I don't see any redness. Um, can you go ahead and touch that Miguel, and tell me if it feels warm to you or if it hurts?","therapist: Okay. Well, I don't see any redness. Um, can you go ahead and touch that Miguel, and tell me if it feels warm to you or if it hurts?\ntherapist: Okay. Well, I don't see any redness. Um, can you go ahead and touch that Miguel, and tell me if it feels warm to you or if it hurts?\ntherapist: Okay. Well, I don't see any redness. Um, can you go ahead and touch that Miguel, and tell me if it feels warm to you or if it hurts?\ntherapist: Okay. Well, I don't see any redness. Um, can you go ahead and touch that Miguel, and tell me if it feels warm to you or if it hurts?\n",TRUE,closed,FALSE,0.49474700214341283
55,therapist,high,"Okay. Well, I don't see any redness. Um, can you go ahead and touch that Miguel, and tell me if it feels warm to you or if it hurts?","client: Uh, no. That's okay. How's that?\nclient: Uh, no. That's okay. How's that?\ntherapist: Okay. Well, I don't see any redness. Um, can you go ahead and touch that Miguel, and tell me if it feels warm to you or if it hurts?\ntherapist: Okay. Well, I don't see any redness. Um, can you go ahead and touch that Miguel, and tell me if it feels warm to you or if it hurts?\n",TRUE,closed,FALSE,0.49477374483831227
51,therapist,high,Would it be okay if I shared a little more information with you about the flu vaccine and the importance of it?,"client: Uh, well, I know the flu can be pretty bad, but I'm in pretty good health, so I don't really feel like I need it. Uh, it's kind of just more for old people, right?\ntherapist: Mm, um, so you're thinking it's really just for people who are-are vulnerable to illness?\nclient: Yeah.\ntherapist: Would it be okay if I shared a little more information with you about the flu vaccine and the importance of it?\n",TRUE,closed,FALSE,0.4950915153604001
33,therapist,high,Mm-hmm.,"client: I-I just hear it every day.\ntherapist: Yeah. And what's been your past experience with smoking? Tell me-- Can you tell me a little bit about kind of how the role it plays in your life, how long you've smoked?\nclient: I've smoked for 40 years, since I was 14-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.49552329117432237
29,therapist,high,"Yeah. Well, um, first of all, I really am passionate about looking at the whole picture, um, physical health and emotional wellbeing and what I found in working with clients in the past is when, um, we make a focus of weight loss, sometimes, uh, physical health improves, but at the cost of emotional wellbeing.","client: Um, I definitely, uh, you know, I-I strive to be physically healthy, but I also have in my life seeing how that impacts me mentally. Um, so I think if I'm- if I'm able to do the things that I wanna do and, um, you know, that I'm feeling good about where I'm at mentally, then that's kind of my end goal, always. Um, yeah, so this body dissatisfaction piece has really just kinda thrown a wrench in that and it's been enough of a challenge that I thought I should seek out someone who can really help me through that piece.\ntherapist: Yeah. Well, I'm so glad that you reached out for help, um, and just know that you're not alone. And-and so, yeah, is that okay if I share a little bit about, um, how I tend to work with clients on that topic?\nclient: Yes, please.\ntherapist: Yeah. Well, um, first of all, I really am passionate about looking at the whole picture, um, physical health and emotional wellbeing and what I found in working with clients in the past is when, um, we make a focus of weight loss, sometimes, uh, physical health improves, but at the cost of emotional wellbeing.\n",FALSE,n/a,FALSE,0.4963870376814157
64,therapist,high,"Well, welcome, Ricky.","therapist: Well, welcome, Ricky.\n",FALSE,n/a,FALSE,0.49649039609357715
68,therapist,high,Okay. What are the things that you like about drinking or like about alcohol?,client: But in the moment it's quite fun to dance and have fun.\ntherapist: Okay. So there's sort of pros and cons on both sides?\nclient: Yeah.\ntherapist: Okay. What are the things that you like about drinking or like about alcohol?\n,TRUE,open,FALSE,0.49681375129148364
68,therapist,high,All right. So why don't we start by you telling me a little bit about yourself?,client: Okay.\ntherapist: Does that sound okay?\nclient: Yeah.\ntherapist: All right. So why don't we start by you telling me a little bit about yourself?\n,TRUE,open,FALSE,0.49688438163138926
18,therapist,high,"'Cause you have to understand the odds are about-- sort of-of tend to be about 25% on the 100, that-that's [crosstalk]","client: I don't know. A few times, probably when I have it, I might drink a drink.\ntherapist: Okay. Okay. So you're saying about 50-50?\nclient: Yeah.\ntherapist: 'Cause you have to understand the odds are about-- sort of-of tend to be about 25% on the 100, that-that's [crosstalk]\n",FALSE,n/a,FALSE,0.49815659038722515
46,therapist,high,Do you think you could go two months without drinking?,"client: I could probably do that.\ntherapist: So, how long do you think you could go without drinking?\nclient: I don't know.\ntherapist: Do you think you could go two months without drinking?\n",TRUE,closed,FALSE,0.4984252965077758
33,therapist,high,Mm-hmm.,"client: I know cold turkey is probably the only thing that's ever gonna do it to anybody that's done it. Mysel- My group, it's been cold turkey-\ntherapist: Mm-hmm.\nclient: -and then they fight it, but [sighs] it's my choice-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.49902009894140065
23,therapist,high,"Hi, Hannah. Nice to meet you.","therapist: Hi, Hannah. Nice to meet you.\n",FALSE,n/a,FALSE,0.4990294596645981
7,therapist,high,"No, I guess that that would be the end of your, uh, shaking and moving. I know-- I wonder if you'd be open to exploring your alcohol use and what that looks like during the week.","therapist: No, I guess that that would be the end of your, uh, shaking and moving. I know-- I wonder if you'd be open to exploring your alcohol use and what that looks like during the week.\ntherapist: No, I guess that that would be the end of your, uh, shaking and moving. I know-- I wonder if you'd be open to exploring your alcohol use and what that looks like during the week.\ntherapist: No, I guess that that would be the end of your, uh, shaking and moving. I know-- I wonder if you'd be open to exploring your alcohol use and what that looks like during the week.\ntherapist: No, I guess that that would be the end of your, uh, shaking and moving. I know-- I wonder if you'd be open to exploring your alcohol use and what that looks like during the week.\n",TRUE,closed,FALSE,0.49927288037724793
55,therapist,high,"Do you mind if I take a look at your arm, please?","therapist: Do you mind if I take a look at your arm, please?\ntherapist: Do you mind if I take a look at your arm, please?\ntherapist: Do you mind if I take a look at your arm, please?\ntherapist: Do you mind if I take a look at your arm, please?\n",TRUE,closed,FALSE,0.49927399470470846
58,therapist,high,"So what ideas do you have about initially just getting started, and what-what would you do [unintelligible 00:04:13] ?","client: Yeah. I was going literally every other day, you know. And then, some days I would, you know, I’d run, and I’d go to the gym the next day, so I would-- I was very-- I don’t really feel it necessary to get back to that level, but I need to do something cause I’m doing nothing right now.\ntherapist: Nothing. Okay.\nclient: I should-- Or next to nothing. I walk to the grocery store or whatever’s handy when I have time, but yeah.\ntherapist: So what ideas do you have about initially just getting started, and what-what would you do [unintelligible 00:04:13] ?\n",TRUE,open,FALSE,0.4993380098603666
19,therapist,high,Mm-hmm.,"client: And, uh, and it's fun.\ntherapist: And it's fun.\nclient: You know?\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.4999039894901216
83,therapist,high,"One of the, um, things that I've learned over the years, Rick, is that a lot of guys get to the doors out there and don't come inside and, um, you've come inside. What does that tell me about you?","client: I don't know. Kind of nothing, really.\ntherapist: Okay. Similar sort of offending in the past that's brought you back again this time?\nclient: Yeah.\ntherapist: One of the, um, things that I've learned over the years, Rick, is that a lot of guys get to the doors out there and don't come inside and, um, you've come inside. What does that tell me about you?\n",TRUE,open,FALSE,0.5001310026273131
74,therapist,low,"-possibly, um, affecting the tooth itself, chipping the tooth, et cetera. So, it's something that we definitely don't like to see.","client: Yeah.\ntherapist: -as well as your teeth. So, we can see some recession that's gonna start to happen-\nclient: Yeah.\ntherapist: -possibly, um, affecting the tooth itself, chipping the tooth, et cetera. So, it's something that we definitely don't like to see.\n",FALSE,n/a,FALSE,0.5003642912488431
41,therapist,high,"Yeah. And so you felt you came about this change, and-and-and how does it make you feel?","client: -it's not, it's really not.\ntherapist: Cool, that's great.\nclient: Yeah.\ntherapist: Yeah. And so you felt you came about this change, and-and-and how does it make you feel?\n",TRUE,open,FALSE,0.5011059374082834
65,therapist,high,Mm-hmm. Okay. Yeah. So added to the other list is the having to go through the withdrawal-,"client: They say it's awful. Um, being cranky.\ntherapist: Mm-hmm.\nclient: And if I do go through this, I just hope my friends understand and will support me in what I'm trying to do.\ntherapist: Mm-hmm. Okay. Yeah. So added to the other list is the having to go through the withdrawal-\n",FALSE,n/a,TRUE,0.5015148611273617
56,therapist,high,Yeah?,therapist: Yeah?\ntherapist: Yeah?\ntherapist: Yeah?\ntherapist: Yeah?\n,TRUE,closed,FALSE,0.5018496429547668
77,therapist,high,So what do you think about Tai Chi? Is that something you think you might be able to try sometime?,"client: I have a friend who, uh, does it and she just raves about it. She loves it.\ntherapist: Well, you know, Tai Chi is one of the best ways to get your balance back after you've had something like a stroke. And it's also really good for preventing falls. And if you wanna be home and you wanna be doing the things you wanna do and going for walks with your dog, it's very important to make sure that you don't fall 'cause that would cause more problems down the road.\nclient: Absolutely. I do not want to fall, for sure.\ntherapist: So what do you think about Tai Chi? Is that something you think you might be able to try sometime?\n",TRUE,closed,FALSE,0.5024142474867404
61,therapist,high,"Okay. Um, so is that something that you'd like us to help you with?","client: I would.\ntherapist: And is that something that your daughter can do for you?\nclient: Well, she's-- she could, but I'd have to wait at least a week.\ntherapist: Okay. Um, so is that something that you'd like us to help you with?\n",TRUE,closed,FALSE,0.5027379356324673
78,therapist,high,Yeah. Yeah.,"client: Yeah.\ntherapist: Uh, and it would certainly help her. Um, but what I'd like you to do is to, kind of, keep an eye on what happens when she uses the chronic inhaler. And if she's still flaring up when you're around her, if there are any, if there is smoke on your clothes because it-it can flare her up.\nclient: Oh, even when it's just on my clothes?\ntherapist: Yeah. Yeah.\n",FALSE,n/a,FALSE,0.504408085020259
84,therapist,high,"Mm, so it feels like you always seemed singled out and, um, end up being unlucky.","client: Yeah, the cops just have it out for me.\ntherapist: Yes, tell me a bit more about that, Billy? Kind of give me the [unintelligible 00:05:46] the cops have got it on for you?\nclient: Just 'cause growing up dealing with them and my mates and stuff and there's, you know, guilty before charged or whatever.\ntherapist: Mm, so it feels like you always seemed singled out and, um, end up being unlucky.\n",FALSE,n/a,TRUE,0.5047140931710601
35,therapist,high,"Okay. So you had a pretty strong self-confidence, pretty strong body image all the way up until a few months ago and, um, you're hoping to kind of get back to that place where you feel good about yourself.","client: Uh, probably about three, four months ago. Um, yeah, just my clothes started fitting tighter, which wasn't as comfortable, and, um, yeah, just not really super happy with my appearance, which has never really been an issue, um, in my life up until now. I've usually been pretty okay with that, and then in the last three months, I just feel, um, like I've had a lot more of a negative outlook on it.\ntherapist: Mm-hmm. Okay, so it sounds like a sort of a vicious cycle and-and maybe the lacking physical activity has made you feel less confident in yourself. I wonder if that's also a piece of this puzzle since you mentioned that's been a big difference from what was happening in the past.\nclient: Yeah, I think- I think the activity piece and then also to like, the foods that I'm eating, I don't think are that great. So that also kind of does the same thing, I think, to my appearance or the way that I viewed myself.\ntherapist: Okay. So you had a pretty strong self-confidence, pretty strong body image all the way up until a few months ago and, um, you're hoping to kind of get back to that place where you feel good about yourself.\n",FALSE,n/a,TRUE,0.5049360792618245
21,therapist,high,"So, one or two weekends a month you're in a situation where there is alcohol?","client: Maybe one or two weekends a month at the most?\ntherapist: Okay.\nclient: Not really much.\ntherapist: So, one or two weekends a month you're in a situation where there is alcohol?\n",FALSE,n/a,TRUE,0.5050445795059204
48,therapist,high,Uh-huh.,client: -but they don't know that I have one diabetes story.\ntherapist: Okay.\nclient: That one I haven't shared yet.\ntherapist: Uh-huh.\n,FALSE,n/a,FALSE,0.5053840831387788
85,therapist,high,Very dull.,"client: Right.\ntherapist: So, tell me a little bit about what you don't like about- what you've noticed about it?\nclient: Well, i-it's kinda like I'm in kind of a dreamy world. I-it kind of, I don't know, i-it just seems like I'm kinda like living in the middle of a cotton ball or something like that, where just things are kinda soft and, I don't know, I-- It just, the-the spice of life doesn't seem to be there. It seems like everything's bland, and nothing really-- Food doesn't taste the same, and things don't smell right, and—\ntherapist: Very dull.\n",FALSE,n/a,TRUE,0.5059318686835468
61,therapist,high,Yeah.,"client: [sighs] Everything. I want to be with my little dog.\ntherapist: Mm-hmm.\nclient: He's really so cute, and I miss my garden.\ntherapist: Yeah.\n",FALSE,n/a,FALSE,0.5061484428588301
27,therapist,low,Mm-hmm.,therapist: Mm-hmm.\ntherapist: Mm-hmm.\ntherapist: Mm-hmm.\ntherapist: Mm-hmm.\n,FALSE,n/a,FALSE,0.5073500017169863
84,therapist,high,"Okay, and all of those things are true.","client: You have a different upbringing and live in a different place of town. Just-\ntherapist: Yeah.\nclient: -you wouldn't understand.\ntherapist: Okay, and all of those things are true.\n",FALSE,n/a,FALSE,0.5074065083172172
66,therapist,high,"And so you're really kind of reeling right now from, uh, all of that. And you sound a little bit pretty, pretty scared actually.","therapist: And so you're really kind of reeling right now from, uh, all of that. And you sound a little bit pretty, pretty scared actually.\ntherapist: And so you're really kind of reeling right now from, uh, all of that. And you sound a little bit pretty, pretty scared actually.\ntherapist: And so you're really kind of reeling right now from, uh, all of that. And you sound a little bit pretty, pretty scared actually.\ntherapist: And so you're really kind of reeling right now from, uh, all of that. And you sound a little bit pretty, pretty scared actually.\n",FALSE,n/a,TRUE,0.5075060895178467
53,therapist,low,"Oh, neat.","client: Well, I plan to apply to college and maybe, you know, have a good career and something like that, hopefully.\ntherapist: That's great. What do you think you'll study?\nclient: Well, I'm-I'm looking at the journalism, maybe pre-law.\ntherapist: Oh, neat.\n",FALSE,n/a,FALSE,0.5078519526869059
63,therapist,high,I could see you again in a month. Would that work out for you?,"client: Yes.\ntherapist: Well, great. I recommend that you not use Methamphetamine at all but what you do is up to you.\nclient: Okay.\ntherapist: I could see you again in a month. Would that work out for you?\n",TRUE,closed,FALSE,0.508186420192942
71,therapist,high,"That's fantastic, Billy.","client: Yeah, yeah. Passed around and everything.\ntherapist: Wow.\nclient: Yeah.\ntherapist: That's fantastic, Billy.\n",FALSE,n/a,FALSE,0.5082979465369135
40,therapist,high,So it sounds like--,"client: -and a couple of my other friends have tried to call me as well, and I haven't answered the phone. Um, so it's been good for me to just reach out and like, meet a couple of new people, um, in the neigh-neighborhood that I'm living in.\ntherapist: So it sounds like you've made some good changes. The change in your environment, and some of your behaviors, and, uh, and these new friends.\nclient: Yeah, the new friends, and I've been using the, you know, the breathing exercises you taught me, when I get-- start to feel a little stressed out, and I've been- I've been using those and it helps me. I go for a walk and do my breathing exercises, and it calms me down and kind of gets me through that time.\ntherapist: So it sounds like--\n",FALSE,n/a,FALSE,0.5089364573359489
85,therapist,high,What do you think about the hospital?,"client: Yeah, well, I thought I had my gym shorts on, but they said that I didn't.\ntherapist: Okay. What else?\nclient: Well, I-I ended up in the hospital.\ntherapist: What do you think about the hospital?\n",TRUE,open,FALSE,0.5090861641801894
91,therapist,high,"Okay. So Jean, I really want to congratulate you on taking this very important first step towards addressing this problem that you've had for such a long time, but as the first small step, I wonder whether you'd be open to actually just monitoring your smoking for the next week. And the reason why I say that- because as you were mentioning to me, smoking is so automatic for you that sometimes writing it down helps make every cigarette a conscious act. And I noticed that you were saying to me, you feel a loss of control over these cigarettes. And sometimes just being mindful and writing something down will help you get some control over what you're doing. And that's often the first small step. What are your thoughts about that?","client: I-I think so because I feel a little better that I just came to see you today.\ntherapist: Okay.\nclient: Discussing things helps me. I always feel better when I get things out.\ntherapist: Okay. So Jean, I really want to congratulate you on taking this very important first step towards addressing this problem that you've had for such a long time, but as the first small step, I wonder whether you'd be open to actually just monitoring your smoking for the next week. And the reason why I say that- because as you were mentioning to me, smoking is so automatic for you that sometimes writing it down helps make every cigarette a conscious act. And I noticed that you were saying to me, you feel a loss of control over these cigarettes. And sometimes just being mindful and writing something down will help you get some control over what you're doing. And that's often the first small step. What are your thoughts about that?\n",TRUE,open,TRUE,0.5104014351963997
62,therapist,high,You're welcome.,"client: Okay.\ntherapist: But you know that if you have any more questions, you can always come to me or your case manager and we're here for- to be a support for you.\nclient: All right, thank you.\ntherapist: You're welcome.\n",FALSE,n/a,FALSE,0.5108572111930698
130,therapist,low,"Yeah. Well, the good news is he doesn't have pneumonia. It's just an upper re-respiratory tract infection and a cold. So there's some things you can do to make- to help him get better. You can avoid excessive dust. You can keep him hydrated, avoid over-the-counter cold remedies. Keep him away from people who have flu or cold-like symptoms and avoid smoke. And the last one should be easy because you quit smoking during your pregnancy.","therapist: Yeah. Well, the good news is he doesn't have pneumonia. It's just an upper re-respiratory tract infection and a cold. So there's some things you can do to make- to help him get better. You can avoid excessive dust. You can keep him hydrated, avoid over-the-counter cold remedies. Keep him away from people who have flu or cold-like symptoms and avoid smoke. And the last one should be easy because you quit smoking during your pregnancy.\ntherapist: Yeah. Well, the good news is he doesn't have pneumonia. It's just an upper re-respiratory tract infection and a cold. So there's some things you can do to make- to help him get better. You can avoid excessive dust. You can keep him hydrated, avoid over-the-counter cold remedies. Keep him away from people who have flu or cold-like symptoms and avoid smoke. And the last one should be easy because you quit smoking during your pregnancy.\ntherapist: Yeah. Well, the good news is he doesn't have pneumonia. It's just an upper re-respiratory tract infection and a cold. So there's some things you can do to make- to help him get better. You can avoid excessive dust. You can keep him hydrated, avoid over-the-counter cold remedies. Keep him away from people who have flu or cold-like symptoms and avoid smoke. And the last one should be easy because you quit smoking during your pregnancy.\ntherapist: Yeah. Well, the good news is he doesn't have pneumonia. It's just an upper re-respiratory tract infection and a cold. So there's some things you can do to make- to help him get better. You can avoid excessive dust. You can keep him hydrated, avoid over-the-counter cold remedies. Keep him away from people who have flu or cold-like symptoms and avoid smoke. And the last one should be easy because you quit smoking during your pregnancy.\n",FALSE,n/a,FALSE,0.5110738866496831
83,therapist,high,"Just your own whānau here. [unintelligible 00:01:51]. Well, Rick, I'm sort of, uh, interested in that, you know, you and I are gonna been doing some work together for a while. I'm sort of wondering what sort of thoughts you'd be having on your way here today.","client: Just a little while. Yeah.\ntherapist: Oh good. You got family out here?\nclient: Uh, just my own.\ntherapist: Just your own whānau here. [unintelligible 00:01:51]. Well, Rick, I'm sort of, uh, interested in that, you know, you and I are gonna been doing some work together for a while. I'm sort of wondering what sort of thoughts you'd be having on your way here today.\n",TRUE,open,FALSE,0.5125736251939088
20,therapist,high,"Right now, though, it feels almost too difficult to even manage or even to try?","client: Right. Yeah. I mean, he doesn't have asthma. Yeah. He-- I don't-- he hasn't had a lot of other problems that his other friends have, so. And I've thought about quitting before in the past, but I just don't- I just don't see how it's possible right now.\ntherapist: What made you decide to quit smoking when you were pregnant?\nclient: Well, he was inside me and we were sharing everything and I knew that he would get some of that. And I didn't-- I just didn't-didn't think I could live with myself if something happened to him.\ntherapist: Right now, though, it feels almost too difficult to even manage or even to try?\n",FALSE,n/a,TRUE,0.5125937848351896
126,therapist,low,"Well, you just take it once a day. Did he tell you what side effects to expect?","client: Yeah. My doctor said he called something in.\ntherapist: Okay. It looks like cholesterol statin. Do you know how you're supposed to take the medication?\nclient: No, not really.\ntherapist: Well, you just take it once a day. Did he tell you what side effects to expect?\n",TRUE,closed,FALSE,0.5132414379622787
80,therapist,high,Right. [unintelligible 00:02:58],"client: I can try each day to count.\ntherapist: Right.\nclient: And I'm still gonna try that when I get the urge to let it go, fight it, and maybe not go out for a cigarette until the next urge comes.\ntherapist: Right. [unintelligible 00:02:58]\n",FALSE,n/a,FALSE,0.5134102466981858
71,therapist,high,Mm-hmm.,"client: Yeah.\ntherapist: Okay. So-so what sort of things do you think you need to do to go down that path to get that qualification?\nclient: Just I have to get that training, I guess, and then probably get a job.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.5137762010563165
29,therapist,high,"Um, many people find that when then- when they are restricting their intake or starting some, uh, ac-activity patterns that are really rigorous, that, um, a piece of their mental health suffers because they start to obsess, um, more than they'd like to be about those things. So, my approach with clients is just a more holistic approach. Looking at certainly some behavior changes that you could make to be more physically active, improve your energy levels.","client: Yes, please.\ntherapist: Yeah. Well, um, first of all, I really am passionate about looking at the whole picture, um, physical health and emotional wellbeing and what I found in working with clients in the past is when, um, we make a focus of weight loss, sometimes, uh, physical health improves, but at the cost of emotional wellbeing.\nclient: Mm-hmm.\ntherapist: Um, many people find that when then- when they are restricting their intake or starting some, uh, ac-activity patterns that are really rigorous, that, um, a piece of their mental health suffers because they start to obsess, um, more than they'd like to be about those things. So, my approach with clients is just a more holistic approach. Looking at certainly some behavior changes that you could make to be more physically active, improve your energy levels.\n",FALSE,n/a,FALSE,0.513879090314731
1,therapist,high,"And before you leave, uh, is it okay if we go over this screening form that you filled out today on your alcohol use?","therapist: And before you leave, uh, is it okay if we go over this screening form that you filled out today on your alcohol use?\n",TRUE,closed,FALSE,0.5142117843497545
4,therapist,high,"Um, I guess, you know, as your dentist, I have- I have a couple of concerns about lip piercings, oral piercings. I wonder what have you heard about how having an oral piercing can affect your-your teeth or your gums?","client: Yeah, change.\ntherapist: Yeah, and it looks nice.\nclient: Thanks.\ntherapist: Um, I guess, you know, as your dentist, I have- I have a couple of concerns about lip piercings, oral piercings. I wonder what have you heard about how having an oral piercing can affect your-your teeth or your gums?\n",TRUE,open,FALSE,0.5144077083095908
2,therapist,high,"Excellent. Well, it sounds like you have a plan. Same scale, 0 to 10, how confident are you that you can, uh, make this happen?","client: I suppose I could replace it with, um, a low-calorie drink or drink more water.\ntherapist: Excellent. John, I get the impression that you want to stay in course with weight reduction. And the best way to do this will be to decrease the amount of juice that you're currently taking in. So if I saw you in two weeks and I asked you how much juice you're t- drinking and how you did it, what would you tell me?\nclient: I'd say I didn't have any and I substituted it with, um, sugar-free drinks.\ntherapist: Excellent. Well, it sounds like you have a plan. Same scale, 0 to 10, how confident are you that you can, uh, make this happen?\n",TRUE,open,TRUE,0.5144129346590489
41,therapist,high,"So, thank you for coming in today.","therapist: So, thank you for coming in today.\n",FALSE,n/a,FALSE,0.5149431687314063
5,therapist,high,Yeah?,client: Uh. Meeting's definitely helped.\ntherapist: Yeah?\nclient: Yeah. It's helped-\ntherapist: Yeah?\n,FALSE,n/a,FALSE,0.5150633298326284
18,therapist,high,"Yeah, yeah. Yeah, yeah. So that could be an issue we could spend some time talking about here, 'cause obviously you know, you don't- you don't - you don't wanna be here, and then my interest now is just getting you o-out of the system, not getting you into the systems. So-so here, um-- how-how much do you think this is an issue for you, you reckon? The pokies and the gambling.","client: A bit of a rush, I suppose.\ntherapist: A bit of a rush. Yeah. 'Cause other people I have worked with say that, yeah, sometimes they get a bit of a rush, that somehow the rush takes over and they don't know when to stop. Not sure if that's what- if that's what it's like for you, but other people have told me that, so.\nclient: Yeah, I suppose.\ntherapist: Yeah, yeah. Yeah, yeah. So that could be an issue we could spend some time talking about here, 'cause obviously you know, you don't- you don't - you don't wanna be here, and then my interest now is just getting you o-out of the system, not getting you into the systems. So-so here, um-- how-how much do you think this is an issue for you, you reckon? The pokies and the gambling.\n",TRUE,open,FALSE,0.5155511819757521
39,therapist,high,That strong spirit of you got instilled with her.,"client: Um, you know I'd be-- I've heard a little bit about them, but I mean I do know some people, but they're not exactly reliable, um, as far as you know really having a desire and sticking to it that they smoke on the patch and-and then it causes this you know extreme, you know? Like you're getting double the nicotine or whatever so it's almost like they're getting a buzz from it you know so that's my fear and the cost of the patch because it's not covered you know through your, um, your- your insurance and the Nicorette same thing it's very expensive you know. And I'm not really a gum sure but here I am because—\ntherapist: Chewing gum.\nclient: [laughs] but I mean I'd be interested I wish they'd make it more affordable for people or you know they haven't covered by insurance because you know the risk of it you know that the premiums for insurance- insurance for people who smoke are so high you would think that they would have like, um, what do they call that? Preventive. Um, I wish I never would have started and I'm proud of my daughter you know because I started smoking a little bit earlier than her age, and I'm proud that she is at this point not smoking this manifestation she might pick it up but it's- it's like-\ntherapist: That strong spirit of you got instilled with her.\n",FALSE,n/a,TRUE,0.5170041504316032
6,therapist,high,Hmm. So that's a huge stress right now?,"client: Which I don't- I don't- I don't- I don't buy it and I can't just get rid of him like that, but it's something that's there.\ntherapist: That's pretty shocking to be told that you have to get rid of your dog.\nclient: Yeah. The dog has been there before my wife. I know I've had him longer.\ntherapist: Hmm. So that's a huge stress right now?\n",TRUE,closed,TRUE,0.5171110555529594
48,therapist,high,Yeah.,"client: Which was the reason why I didn't want quite to address 'cause I know better. I-\ntherapist: You probably think that I'm going to get on your case about that or something.\nclient: Yes, I know, I know, I know.\ntherapist: Yeah.\n",FALSE,n/a,FALSE,0.5172841907478869
14,therapist,high,All right.,"client: Like, you can do it. Because like-\ntherapist: Okay.\nclient: I know I can do it. Like I can do anything.\ntherapist: All right.\n",FALSE,n/a,FALSE,0.5174370030872524
66,therapist,high,"So you just- you just saw the doctor and, uh, you know, you sound like you just got blindsided, uh, with, uh, not only how, how frightening this seems that you have diabetes and that, uh, she-- you say she told you a whole lot of things that can happen with your eyes and circulation and all those kinds of things.","therapist: So you just- you just saw the doctor and, uh, you know, you sound like you just got blindsided, uh, with, uh, not only how, how frightening this seems that you have diabetes and that, uh, she-- you say she told you a whole lot of things that can happen with your eyes and circulation and all those kinds of things.\ntherapist: So you just- you just saw the doctor and, uh, you know, you sound like you just got blindsided, uh, with, uh, not only how, how frightening this seems that you have diabetes and that, uh, she-- you say she told you a whole lot of things that can happen with your eyes and circulation and all those kinds of things.\ntherapist: So you just- you just saw the doctor and, uh, you know, you sound like you just got blindsided, uh, with, uh, not only how, how frightening this seems that you have diabetes and that, uh, she-- you say she told you a whole lot of things that can happen with your eyes and circulation and all those kinds of things.\ntherapist: So you just- you just saw the doctor and, uh, you know, you sound like you just got blindsided, uh, with, uh, not only how, how frightening this seems that you have diabetes and that, uh, she-- you say she told you a whole lot of things that can happen with your eyes and circulation and all those kinds of things.\n",FALSE,n/a,TRUE,0.5179882231168449
12,therapist,high,"Okay. Well, I've got a brochure here and this has-- it's a really good brochure. It has some distraction techniques in it in case you get those nicotine cravings. So it's-","client: Yeah. Sure.\ntherapist: Okay, good. So we can go over your laboratory results at that time, as well as review your plan. Now, would you like some information on smoking cessation?\nclient: Yeah, I-I think that would be very helpful.\ntherapist: Okay. Well, I've got a brochure here and this has-- it's a really good brochure. It has some distraction techniques in it in case you get those nicotine cravings. So it's-\n",FALSE,n/a,FALSE,0.518266599625349
8,therapist,high,Thanks for coming in.,"client: Okay. I'll have to talk to her as well because their schedule changes from week to week, she works shifts, so I'll call you back tomorrow and we'll set something up.\ntherapist: Okay. That sounds good.\nclient: All right.\ntherapist: Thanks for coming in.\n",FALSE,n/a,FALSE,0.5185696121770889
0,therapist,high,"Okay. So, there has been a lot of research on alcohol use and the guidelines we use in this country says that having seven or more drinks per week can raise the risk of health problems for women.","client: Well, I usually drink when I'm at home trying to unwind and I drink while I'm watching a movie. And sometimes, um, I take a bath but I also drink when I take a bath sometimes.\ntherapist: Okay. So, can I share with you some information on alcohol use?\nclient: Okay.\ntherapist: Okay. So, there has been a lot of research on alcohol use and the guidelines we use in this country says that having seven or more drinks per week can raise the risk of health problems for women.\n",FALSE,n/a,FALSE,0.5190959491301328
51,therapist,high,"Mm, um, so you're thinking it's really just for people who are-are vulnerable to illness?","therapist: Tell me what you know about the flu shot?\nclient: Uh, well, I know the flu can be pretty bad, but I'm in pretty good health, so I don't really feel like I need it. Uh, it's kind of just more for old people, right?\ntherapist: Mm, um, so you're thinking it's really just for people who are-are vulnerable to illness?\n",TRUE,closed,TRUE,0.5194366346113384
8,therapist,high,"You've taken time off you, it's costing you time and money being here.","client: Yeah. Yeah, well, the only reason I'm here is 'cause my wife thinks I've got a problem with smoking. I've been smoking all my life and, uh, six months ago, uh, she thought, she got into this health kick, right? And now everyone who smokes is evil. And, uh, so that's why I'm here just to please her, get her off my back and—\ntherapist: So, you're not too happy to be here. This is the last thing that you want to be doing this afternoon.\nclient: Yeah. That's an understatement. I mean, I'm supposed to be at work right now, too, right? So-\ntherapist: You've taken time off you, it's costing you time and money being here.\n",FALSE,n/a,TRUE,0.51956045045517385
85,therapist,high,"Mm. So, and then you said, you don't like how it makes you act, um, if you can tell me a little bit about that.","client: Very dull.\ntherapist: Yeah.\nclient: That's a good way to sum it up. And it's-- Well, you understand it, uh, it's just- it's not good.\ntherapist: Mm. So, and then you said, you don't like how it makes you act, um, if you can tell me a little bit about that.\n",TRUE,open,TRUE,0.5195609028451145
22,therapist,high,Yeah.,"client: And I feel like inner harmony first comes with sleep. [laughter] I haven't been able to sleep lately.\ntherapist: Right.\nclient: But, um-\ntherapist: Yeah.\n",FALSE,n/a,FALSE,0.5195670176763088
131,therapist,low,"Great, okay. So have you got a date in mind when you'd like to stop smoking?","client: Mm-hmm.\ntherapist: Do you think that's enough to make you say goodbye to cigarettes?\nclient: Yeah.\ntherapist: Great, okay. So have you got a date in mind when you'd like to stop smoking?\n",TRUE,closed,FALSE,0.5195955568924546
19,therapist,high,Mm-hmm.,"client: Yeah.\ntherapist: But, maybe the path to doing that isn't so clear.\nclient: Right. I don't know what I'm gonna do, I got some friends. These guys are-- they're bad news, but they're my friends.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.5203397579025477
82,therapist,high,"Okay. So we're working on a 10 point of scale 1 to 10, 1 being not important, 10 being very important. One being not confident, one being very confident. So on a scale of 1 to 10, which number best reflects how important it is to you to drink the-- what risk limits?","therapist: Would you like to answer some questions and kind of do a self-evaluation about how you're feeling around alcohol and the contraception?\nclient: Sure.\ntherapist: Okay. So we're working on a 10 point of scale 1 to 10, 1 being not important, 10 being very important. One being not confident, one being very confident. So on a scale of 1 to 10, which number best reflects how important it is to you to drink the-- what risk limits?\n",TRUE,closed,FALSE,0.5204914712812752
43,therapist,high,"Okay. So, you've made this appointment before in the past and the anxiety has kind of taken over where you've rescheduled it.","client: Yeah.\ntherapist: And before you've been putting it off.\nclient: Yes. And I already kind of put it off after s-scheduling it too. So, um, now I'm actually enjoying that because I-I already like changed date and everything. So now it's actually coming.\ntherapist: Okay. So, you've made this appointment before in the past and the anxiety has kind of taken over where you've rescheduled it.\n",FALSE,n/a,TRUE,0.5210256376303732
74,therapist,low,All right.,"client: Yeah.\ntherapist: Okay. We'll continue with the exam, but you know where I stand on this. Okay?\nclient: All right.\ntherapist: All right.\n",FALSE,n/a,FALSE,0.5211164795327932
23,therapist,high,Okay and how did it end?,"client: Um, well, I again was trying to grip the camera, just look down, just trying not to do anything weird or-- 'Cause, I mean, they could probably tell I was being weird anyway, but hopefully if-- I just- I just tried really hard to just focus and look down, not trying, like not kind-- look at anyone else and just, yeah, just kind of trying get on with it as best as I could, but—\ntherapist: So you avoided looking at people. It sounds like you wore black as well in kind of preparation anyway.\nclient: Yeah, no, I-I always do that even if it's really hot or I wear just loads of layers and just 'cause otherwise I- I'll just be really sweaty and like, people would definitely be able to see, so.\ntherapist: Okay and how did it end?\n",TRUE,open,FALSE,0.5211620926856995
39,therapist,high,I've never heard of Union break. I love it how you said. I love it.,"client: And um for me smoking is like a calming effect, you know. And some people it's a stimulant you know and then for me, it's like, I look forward to relaxing on my couch after a long day and then watching my you know news or whatever the heck I'm watching or reading and having my cigarette, um, I'll tell you-\ntherapist: Like it's a little treat.\nclient: Right. Exactly or you know like I'll do some work, and then I'm like okay you know as my ex-husband says Union break and it's a cigarette break. [laughs]\ntherapist: I've never heard of Union break. I love it how you said. I love it.\n",FALSE,n/a,FALSE,0.5213364218361676
60,therapist,high,Uh-huh.,"client: -I don't feel like I'm like you know, it's gonna be-- I think gradually getting my- wrapping my brain around it will help, you know, before I just do, you know.\ntherapist: Yeah. Is it appealing the thought of quitting with a group at the same time?\nclient: You know, I always love, um, I've been in other group therapies-\ntherapist: Uh-huh.\n",FALSE,n/a,FALSE,0.5217844070866704
89,therapist,high,Mm-hmm.,"client: Um, my wife might leave me. Uh, might lose the house. Um, can't pay my bills.\ntherapist: Okay. Do you see that at all as being affected by the substance use?\nclient: Yeah, it's probably- it's probably the reason why all that's happening. I mean-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.5219824172090739
22,therapist,high,-if you're always running around taking care of everybody.,"client: And, uh, like, I don't even—\ntherapist: It's gonna be hard to achieve inner harmony-\nclient: Yeah.\ntherapist: -if you're always running around taking care of everybody.\n",FALSE,n/a,FALSE,0.5221247405279428
18,therapist,high,"Sarah, So what do you think Sarah would say?","client: Um, I don't know. I suppose they walk away a bit quicker than me.\ntherapist: Oh, okay, okay. Who's-who's-- What's your girlfriend's name, your best- your best friend, best girl friend?\nclient: Sarah.\ntherapist: Sarah, So what do you think Sarah would say?\n",TRUE,open,FALSE,0.5234076697379351
60,therapist,high,Yeah.,"client: Oh, yeah. [crosstalk] And you know what I've never done that.\ntherapist: It's for the cancer society.\nclient: That's coming up in November-\ntherapist: Yeah.\n",FALSE,n/a,FALSE,0.5236480138264596
37,therapist,high,"Okay. Just sort of interested, when you rang your mom and, um, told her what's happening, how difficult was it to talk about the issue of violence and being violent towards your partner?","client: I'm not sure, I'm thinking about it.\ntherapist: What are you not sure about?\nclient: Well, I'm not sure if I want to live with my auntie and uncle. [chuckles] Um, I think, yeah, I'll probably need to. I think probably living with, uh, with my mate in his flat is probably not that helpful.\ntherapist: Okay. Just sort of interested, when you rang your mom and, um, told her what's happening, how difficult was it to talk about the issue of violence and being violent towards your partner?\n",TRUE,open,FALSE,0.5237122487742454
12,therapist,high,"Right. Well, that's a lot of information to think about. So given, the fact that these healthcare concerns are a possibility, and that you're worried about your family and you certainly have goals you want to succeed at, where are you in your consideration to making a change? In other words, what steps would you consider taking for this number to move closer to a 10?","client: Um, maybe like a five.\ntherapist: About a five. So you're halfway there. So why did you choose a five rather than a four?\nclient: Well, I mean, you brought up some kinda scary stuff like, you know, cancer risk or other things like that. And you know, being a mother, I-I don't want something to happen to me obviously.\ntherapist: Right. Well, that's a lot of information to think about. So given, the fact that these healthcare concerns are a possibility, and that you're worried about your family and you certainly have goals you want to succeed at, where are you in your consideration to making a change? In other words, what steps would you consider taking for this number to move closer to a 10?\n",TRUE,open,TRUE,0.5243071159347892
53,therapist,low,"Okay. What about at these parties you're going to, are there other kids there who are drinking a lot?","client: No, I have drunk-driven and never got in a car with a drunk driver.\ntherapist: Okay. Uh, how much do your friends drink?\nclient: Um, I mean, I have some friends that drink some more than others, like, my close group of friends don't really drink as much because I'm not really interested in that, but I know that there are people that drink a lot more.\ntherapist: Okay. What about at these parties you're going to, are there other kids there who are drinking a lot?\n",TRUE,open,FALSE,0.524333648616448
18,therapist,high,"Yeah, what would she say about-- 'cause she knows you pretty well. She'll-she'll-- she goes to the pubs with you probably and see you putting the money on pokies, what would she reckon?","client: I don't know.\ntherapist: What would she say about—\nclient: We'd just have a laugh.\ntherapist: Yeah, what would she say about-- 'cause she knows you pretty well. She'll-she'll-- she goes to the pubs with you probably and see you putting the money on pokies, what would she reckon?\n",TRUE,open,FALSE,0.5246432877611369
95,therapist,high,"So your mom doesn't understand you and you don't have a dad, that's around?","client: Yeah, yeah, suicide.\ntherapist: It's okay, Ruth. I understand. Pain inside.\nclient: [foreign language]\ntherapist: So your mom doesn't understand you and you don't have a dad, that's around?\n",TRUE,open,TRUE,0.5254479781724513
15,therapist,low,Can I help you?,therapist: Can I help you?\n,TRUE,open,FALSE,0.5259592223446816
35,therapist,high,Yeah. Tell me more about your weight concerns. When did you start feeling dissatisfied with your body?,"client: Mm-hmm. Yeah, exactly.\ntherapist: Great. Well, let me see if I've got this all. You came to Arizona six months ago, you're trying to figure out new rhythms and patterns for yourself. You're looking back at the past few years, and in college, you were real active because you were an athlete, and now it's more up to you about making that choice of physical activity, and you're discovering that, um, not being active has affected your energy level and your mood, and that's something you're looking for more of, both of those things, energy and-and a mood booster.\nclient: Yeah. And then also to, um, like I mentioned, I'm not totally happy with my weight, um, and so hoping too that that would have some impact there and-and maybe help me, um, if my activity kind of gets resolved or improves, then my nutrition also, maybe would go along with it and get better.\ntherapist: Yeah. Tell me more about your weight concerns. When did you start feeling dissatisfied with your body?\n",TRUE,open,FALSE,0.5261417757719755
66,therapist,high,"So you just- you just saw the doctor and, uh, you know, you sound like you just got blindsided, uh, with, uh, not only how, how frightening this seems that you have diabetes and that, uh, she-- you say she told you a whole lot of things that can happen with your eyes and circulation and all those kinds of things.","therapist: So you just- you just saw the doctor and, uh, you know, you sound like you just got blindsided, uh, with, uh, not only how, how frightening this seems that you have diabetes and that, uh, she-- you say she told you a whole lot of things that can happen with your eyes and circulation and all those kinds of things.\ntherapist: So you just- you just saw the doctor and, uh, you know, you sound like you just got blindsided, uh, with, uh, not only how, how frightening this seems that you have diabetes and that, uh, she-- you say she told you a whole lot of things that can happen with your eyes and circulation and all those kinds of things.\ntherapist: So you just- you just saw the doctor and, uh, you know, you sound like you just got blindsided, uh, with, uh, not only how, how frightening this seems that you have diabetes and that, uh, she-- you say she told you a whole lot of things that can happen with your eyes and circulation and all those kinds of things.\ntherapist: So you just- you just saw the doctor and, uh, you know, you sound like you just got blindsided, uh, with, uh, not only how, how frightening this seems that you have diabetes and that, uh, she-- you say she told you a whole lot of things that can happen with your eyes and circulation and all those kinds of things.\n",FALSE,n/a,TRUE,0.526583177736029
17,therapist,low,"Okay. So, you know, as we said before, you're drinking-- it sounds like you're drinking about 20 drinks a week, over the course of a few days. And I did want to point out to you that the recommended limit for women is actually no more than seven drinks a week, and no more than three on a given day.","client: No. I-I smoked weed in college, but just a little bit. I wasn't a regular smoker.\ntherapist: Do you, um, do you ever use any prescription medicines that were not prescribed for you, or ever use your own prescriptions in a way on which they were not prescribed?\nclient: No.\ntherapist: Okay. So, you know, as we said before, you're drinking-- it sounds like you're drinking about 20 drinks a week, over the course of a few days. And I did want to point out to you that the recommended limit for women is actually no more than seven drinks a week, and no more than three on a given day.\n",FALSE,n/a,FALSE,0.5266168245580047
43,therapist,high,So that's really encouraging you thinking about how good you'll feel afterwards once it's done and taken.,"client: Yes.\ntherapist: And this time, it seems like it's a little bit different this time. How come this time you feel like you might not reschedule this time around?\nclient: Um, well I think it's this kind of long time coming. I just need to do it and then I can figure out, if I don't pass, I have to wait three more months to do it. And then I just study for the next three months. And if I do, then I can have that weight lifted off my shoulders cause it's been all a lot of weight on me and I think about it every single day. And I'm just sick of thinking about it.\ntherapist: So that's really encouraging you thinking about how good you'll feel afterwards once it's done and taken.\n",FALSE,n/a,FALSE,0.5268165934830904
38,therapist,high,"Okay. So, it sounds like we have two avenues to pursue, anything else?","client: Yeah. I mean, I-I don't know how it's going to go, especially with trying to cut back on smoking already, but, I mean, I can try.\ntherapist: Okay. So, you can give it a go and, I think doing managing, you might just learn a little bit about how easy or difficult it's going to be, and-and also what it's like to cope with stress in other ways.\nclient: Yeah.\ntherapist: Okay. So, it sounds like we have two avenues to pursue, anything else?\n",TRUE,open,FALSE,0.5272848645690829
27,therapist,low,"Well, uh, wait a second, Sal, what do you mean you-you- ha- If you-- As in-- You know to be informed about-- I'm just really taken aback by that because I understand from your chart that you have a young baby-","client: -I have even read them. All I've been doing is taking the medicine. So, I don't know that much about this.\ntherapist: Well, uh, wait a second, Sal, what do you mean you-you- ha- If you-- As in-- You know to be informed about-- I'm just really taken aback by that because I understand from your chart that you have a young baby-\ntherapist: Well, uh, wait a second, Sal, what do you mean you-you- ha- If you-- As in-- You know to be informed about-- I'm just really taken aback by that because I understand from your chart that you have a young baby-\ntherapist: Well, uh, wait a second, Sal, what do you mean you-you- ha- If you-- As in-- You know to be informed about-- I'm just really taken aback by that because I understand from your chart that you have a young baby-\n",FALSE,n/a,FALSE,0.5277241391595453
34,therapist,high,"It's not easy to be in that world and also having that constant reminder that the baby is coming and this baby is saying, ""I want this better life,"" and you want to give the baby a better life too. Who can support you, do you think when-when you look around who's in your circle right now, who do you think can support you in moving towards path B?","client: Or at least they'll feel less pressure to be who they want me to be.\ntherapist: Mm, kind of feel like you're pulled between two worlds there.\nclient: A little bit.\ntherapist: It's not easy to be in that world and also having that constant reminder that the baby is coming and this baby is saying, ""I want this better life,"" and you want to give the baby a better life too. Who can support you, do you think when-when you look around who's in your circle right now, who do you think can support you in moving towards path B?\n",TRUE,open,TRUE,0.5279022809118032
130,therapist,low,"Yeah. Well, the good news is he doesn't have pneumonia. It's just an upper re-respiratory tract infection and a cold. So there's some things you can do to make- to help him get better. You can avoid excessive dust. You can keep him hydrated, avoid over-the-counter cold remedies. Keep him away from people who have flu or cold-like symptoms and avoid smoke. And the last one should be easy because you quit smoking during your pregnancy.","therapist: Yeah. Well, the good news is he doesn't have pneumonia. It's just an upper re-respiratory tract infection and a cold. So there's some things you can do to make- to help him get better. You can avoid excessive dust. You can keep him hydrated, avoid over-the-counter cold remedies. Keep him away from people who have flu or cold-like symptoms and avoid smoke. And the last one should be easy because you quit smoking during your pregnancy.\ntherapist: Yeah. Well, the good news is he doesn't have pneumonia. It's just an upper re-respiratory tract infection and a cold. So there's some things you can do to make- to help him get better. You can avoid excessive dust. You can keep him hydrated, avoid over-the-counter cold remedies. Keep him away from people who have flu or cold-like symptoms and avoid smoke. And the last one should be easy because you quit smoking during your pregnancy.\ntherapist: Yeah. Well, the good news is he doesn't have pneumonia. It's just an upper re-respiratory tract infection and a cold. So there's some things you can do to make- to help him get better. You can avoid excessive dust. You can keep him hydrated, avoid over-the-counter cold remedies. Keep him away from people who have flu or cold-like symptoms and avoid smoke. And the last one should be easy because you quit smoking during your pregnancy.\ntherapist: Yeah. Well, the good news is he doesn't have pneumonia. It's just an upper re-respiratory tract infection and a cold. So there's some things you can do to make- to help him get better. You can avoid excessive dust. You can keep him hydrated, avoid over-the-counter cold remedies. Keep him away from people who have flu or cold-like symptoms and avoid smoke. And the last one should be easy because you quit smoking during your pregnancy.\n",FALSE,n/a,FALSE,0.52884965762496
53,therapist,low,But you're still drinking.,"client: Yeah.\ntherapist: And then their parents find out or the school finds out and, you know, we have a no-tolerance policy here about drugs and alcohol, and really can get you into trouble, and it could put your whole college career in jeopardy. Have you thought about that?\nclient: Yeah. Definitely, yeah.\ntherapist: But you're still drinking.\n",FALSE,n/a,FALSE,0.5301381528843194
36,therapist,high,Mm-hmm.,"client: Yeah, so I-- Yes. Yes, we used to have a laugh.\ntherapist: Right. Okay.\nclient: Um, I used to go to Swing and Shape. I used to go to an exercise class-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.5302238808944821
115,therapist,low,So--,"client: I appreciate your care.\ntherapist: I'm here to help, okay?\nclient: Okay.\ntherapist: So--\n",FALSE,n/a,FALSE,0.5303051888477057
80,therapist,high,"So, you were able to keep the, uh, the journal?","client: But during the week, I was able to cut down at least two or three cigarettes a week, and that's just in one week. So-\ntherapist: So, you've been able to cut down by two or three cigarettes? That's amazing. I mean, given how much you were smoking.\nclient: Yeah.\ntherapist: So, you were able to keep the, uh, the journal?\n",TRUE,open,FALSE,0.5304518991615623
7,therapist,high,You're still feeling the effects of-,therapist: You're still feeling the effects of-\ntherapist: You're still feeling the effects of-\ntherapist: You're still feeling the effects of-\ntherapist: You're still feeling the effects of-\n,FALSE,n/a,FALSE,0.5307440781034529
12,therapist,high,About a five. So you're halfway there. So why did you choose a five rather than a four?,"client: Yeah.\ntherapist: I have a readiness ruler in my pocket here, 0 means not ready to stop smoking at all and 10 means absolutely ready to stop smoking. Where do you see yourself on that scale?\nclient: Um, maybe like a five.\ntherapist: About a five. So you're halfway there. So why did you choose a five rather than a four?\n",TRUE,open,TRUE,0.5311336689628661
36,therapist,high,"Right. So you feel as though actually, enough hasn't been done in the way of-of tests?","client: Um, if I had a bit more money, I'd go private.\ntherapist: Right.\nclient: I just don't think he's got to the bottom of it.\ntherapist: Right. So you feel as though actually, enough hasn't been done in the way of-of tests?\n",TRUE,open,TRUE,0.5314090603496879
79,therapist,high,"Was it that something happened, um, where you put something that was really important to you at risk? Is that what that was about, um, when you say you felt guilty, uh, you felt bad talking to Erin on the phone?","client: Something clicked, I'd had a bunch to drink and, uh, and I knew I'd messed up. I totally messed up.\ntherapist: How did you know you messed up?\nclient: Because I was- because I was right there, man. I was right there in the same place when I'd come home and I'd pop a couple of those pills, it was the same deal, like and I wanted to stay there. I wanted to stay exactly right there. And I just felt like I'd ruined everything. You know, Erin's using the phone now, and he called me the next day and it was, uh, great, but I kinda felt ashamed of myself, and I don't want to feel that way again.\ntherapist: Was it that something happened, um, where you put something that was really important to you at risk? Is that what that was about, um, when you say you felt guilty, uh, you felt bad talking to Erin on the phone?\n",TRUE,open,TRUE,0.5317661385051906
68,therapist,high,"You're trying to stay put, you're not driving. You're trying to stay with people that you trust. Um, but yet it sounds like there's still some-some things happening from time to time.","client: But, um, definitely some of the ideas people can have when they're stup- when they're drunk and can be really stupid.\ntherapist: Mm-hmm. So you're trying to, like you said, not engage in really dangerous activities?\nclient: Yeah\ntherapist: You're trying to stay put, you're not driving. You're trying to stay with people that you trust. Um, but yet it sounds like there's still some-some things happening from time to time.\n",FALSE,n/a,TRUE,0.5318499899003655
6,therapist,high,"Okay, so asthma is one.","client: Okay. Um, okay, that sounds good. As long as I'm not changing anything and we're just kind of putting, um, I guess, pen to paper or something.\ntherapist: Yep.\nclient: Um, okay, so my asthma.\ntherapist: Okay, so asthma is one.\n",FALSE,n/a,TRUE,0.5318744364194572
22,therapist,high,It's gonna be hard to achieve inner harmony-,"client: Most of it goes to everything else, but me.\ntherapist: Okay.\nclient: And, uh, like, I don't even—\ntherapist: It's gonna be hard to achieve inner harmony-\n",FALSE,n/a,FALSE,0.5322902637999505
68,therapist,high,So I don't know how much you know already about sort of my role here and why you're even here. So I thought I'd start by telling you a little bit about myself.,"therapist: Hi, Andrea, thanks for coming in.\nclient: Hi. Thank you.\ntherapist: So I don't know how much you know already about sort of my role here and why you're even here. So I thought I'd start by telling you a little bit about myself.\n",FALSE,n/a,FALSE,0.5323919572401792
35,therapist,high,Great.,"client: Yeah, I think- I think the activity piece and then also to like, the foods that I'm eating, I don't think are that great. So that also kind of does the same thing, I think, to my appearance or the way that I viewed myself.\ntherapist: Okay. So you had a pretty strong self-confidence, pretty strong body image all the way up until a few months ago and, um, you're hoping to kind of get back to that place where you feel good about yourself.\nclient: Mm-hmm. Yeah.\ntherapist: Great.\n",FALSE,n/a,FALSE,0.5324952560476959
35,therapist,high,"Right. So in the past, it wasn't up to you whether you had the choice to go be physically active. Now it is up to you, and-and you're looking back at the last few years and saying, I wanna do things differently.","client: Yeah, yeah, exactly. And now it's not so much the same. Um, like when I get home from work, I'm pretty exhausted, uh, it takes a lot for me to want to be physically active when I've spent all day staring at a computer and thinking and working. And so, um, yeah, that's probably been my biggest, uh, issue is like when work ends, going home and not really doing anything. Um, just trying to like unwind by watching Netflix or something else, right?\ntherapist: So your days are just as full now that you're working and a career person, um, and your energy level isn't what it used to be. What-- Do you have any ideas about why that might have shifted?\nclient: Um, well, I think part of it is that when I was in college, it wasn't really an option to go, like, I had to go to practice or I had to do those things because that was, in a sense, my job that was paying for school, um, and now there's not that same commitment to other people or to scholarship money. So that definitely has shifted, um, but I-I do feel like a-an urgency to go it just doesn't seem that like the step that's missing is for me to actually go to a gym or somewhere to be more active. Like, I think I want to it's just the doing it that seems to not happen.\ntherapist: Right. So in the past, it wasn't up to you whether you had the choice to go be physically active. Now it is up to you, and-and you're looking back at the last few years and saying, I wanna do things differently.\n",FALSE,n/a,TRUE,0.5334915090352297
67,therapist,high,Marijuana affects how well you play. What would be the other benefits for you?,"client: well, I was thinking to not use when basketball season start.\ntherapist: What would be the benefits of that?\nclient: Well, I play better when I'm not high.\ntherapist: Marijuana affects how well you play. What would be the other benefits for you?\n",TRUE,open,FALSE,0.5342808980494738
21,therapist,high,Hm.,"client: Yeah.\ntherapist: What's important to you about your family?\nclient: Well, I-I love them, so I want them to think well of me-\ntherapist: Hm.\n",FALSE,n/a,FALSE,0.5347910551354289
53,therapist,low,"Mm-hmm, so, you know, even just hanging out around kids who are drinking a lot actually puts you at a lot more risk. Did you know that?","client: Yeah. There are kids that drink a lot more than I do. Definitely, yeah.\ntherapist: And do you hang out with them?\nclient: Not really closely, like, I know who they are and I'll say hi, but not-- They're not really, like, close friends of mine.\ntherapist: Mm-hmm, so, you know, even just hanging out around kids who are drinking a lot actually puts you at a lot more risk. Did you know that?\n",TRUE,open,FALSE,0.5352183927316219
36,therapist,high,Right.,"client: Well, you know, I think that actually, the NHS are running out of money, aren't they? And he's-\ntherapist: Right.\nclient: - decided that I've had enough tests.\ntherapist: Right.\n",FALSE,n/a,FALSE,0.5357142651919276
5,therapist,high,"Okay. So, where did you get to in terms of telling her that, uh, reading and writing is not that [unintelligible 00:27:23] for you?","client: And, like, she filled them up for me, and I told her what to write.\ntherapist: Mm-hmm.\nclient: Yeah.\ntherapist: Okay. So, where did you get to in terms of telling her that, uh, reading and writing is not that [unintelligible 00:27:23] for you?\n",TRUE,closed,FALSE,0.5357612899970263
5,therapist,high,Mm.,"client: Like, I'm just not really good with it.\ntherapist: Yeah. Yeah, I can really see that you're making an effort. In fact, I can see that you're really making an effort in lots of areas, not just in terms of reading and writing.\nclient: Yeah. Like [unintelligible 00:28:13] if I'd got into polytech and stuff, so I think that's good.\ntherapist: Mm.\n",FALSE,n/a,FALSE,0.5357899938244373
52,therapist,high,That must be really scary.,"client: You're welcome.\ntherapist: sI see from the questionnaire, did you have got in trouble while using alcohol? Can you tell me more about that?\nclient: Well, a friend and I would snuck out one night to go to the park, and we got a couple of beers from his house, but the cop came by, and so we threw them in the bushes. He was originally gonna give us a curfew ticket but ended up not to. Luckily, he didn't see the beer.\ntherapist: That must be really scary.\n",FALSE,n/a,TRUE,0.53670303407125175
53,therapist,low,"And then, um, you know, people get in fights more often when they've been drinking too. Um, also, you know, there have been a lot of kids, even at this school, who've gotten in trouble because they were drinking and someone took pictures with their cell phone and put it up on Facebook-","client: Yeah, yeah, I have. That's, uh, one of the main reasons that I don't like to drink that much.\ntherapist: Mm-hmm.\nclient: So-\ntherapist: And then, um, you know, people get in fights more often when they've been drinking too. Um, also, you know, there have been a lot of kids, even at this school, who've gotten in trouble because they were drinking and someone took pictures with their cell phone and put it up on Facebook-\n",FALSE,n/a,FALSE,0.53685293183662
91,therapist,high,"Okay. So let me make sure I've understood this piece as well. So the not good things or the not so good things about smoking for you are the effects on your health, effects on your physical appearance and how you'll look and-and-and the amount of investment that you're making in makeup and getting your nails done, et cetera. And then the cost of smoking.","client: I haven't felt well for a while. I'm getting coughing fits even when I'm on the telephone with customers.\ntherapist: Is there anything else that's not good about smoking for you?\nclient: Um, it's expensive, really got expensive, and I smoked 30, 40, sometimes 50 cigarettes a day. And I'm starting to buy different makeup 'cause I'm starting to really age, starting to get lines in my face and wrinkles and my skin is getting really clogged up and I'm spending a fortune on cosmetics.\ntherapist: Okay. So let me make sure I've understood this piece as well. So the not good things or the not so good things about smoking for you are the effects on your health, effects on your physical appearance and how you'll look and-and-and the amount of investment that you're making in makeup and getting your nails done, et cetera. And then the cost of smoking.\n",FALSE,n/a,TRUE,0.536993172718212
61,therapist,high,Uh-huh.,"client: Well, I went once.\ntherapist: Uh-huh.\nclient: Yeah and, um, it was very-very beautiful to see and the instructor was very nice, but I felt kind of self-conscious because I'm still in my walker.\ntherapist: Uh-huh.\n",FALSE,n/a,FALSE,0.5372044371906668
86,therapist,high,You don't want to be here.,client: This is not what I want for my life.\ntherapist: You're willing to take steps to improve on that.\nclient: Mm-hmm. I really want to get off the program.\ntherapist: You don't want to be here.\n,FALSE,n/a,TRUE,0.5372990516480058
22,therapist,high,"So, you know it's normal.","client: You know? And once you say [unintelligible 00:03:12] people that don't really feel like that's—\ntherapist: Because you know that other people experience it too.\nclient: Yeah, I know that.\ntherapist: So, you know it's normal.\n",FALSE,n/a,TRUE,0.5373200818430632
55,therapist,high,"Do you mind if I take a look at your arm, please?","therapist: Do you mind if I take a look at your arm, please?\ntherapist: Do you mind if I take a look at your arm, please?\ntherapist: Do you mind if I take a look at your arm, please?\ntherapist: Do you mind if I take a look at your arm, please?\n",TRUE,closed,FALSE,0.5373532329685986
5,therapist,high,"So, where are the forms now?","client: Yeah. Like [unintelligible 00:28:13] if I'd got into polytech and stuff, so I think that's good.\ntherapist: Mm.\nclient: Yeah.\ntherapist: So, where are the forms now?\n",TRUE,closed,FALSE,0.5373766953125596
18,therapist,high,That-that you're up for the money and-and then-then they slot you.,"client: I don't know. A few times a week.\ntherapist: Yeah. Yeah.\nclient: I don't know. It's if you're at the pub, you're, you know, that-that you're out there.\ntherapist: That-that you're up for the money and-and then-then they slot you.\n",FALSE,n/a,TRUE,0.5387720009312034
23,therapist,high,They could tell what—,"client: Cause I felt like I was getting really like hot and flushed and I just thought, at least if I can just-- I don't know. It sounds weird, but I was just trying to keep my hands still on it. 'Cause my hands were kind of sweaty and like shaking like loads, like, and I could just tell everyone was looking and they could see, and I just thought if I just managed to hold onto it, it wouldn't be as noticeable, but—\ntherapist: Okay. So, okay. So it sounds like you had a lot of thoughts going through your head. Um, you said that you're worried that everyone's looking at you. What other thoughts were there that were in your mind?\nclient: Just-- I was just, just stupid and it was just really-- just felt really like kind of- like everyone was just going to be staring and just thinking that I-- Like- I just felt like everyone was looking at me and just, they could tell. And then just thinking of what was she doing?\ntherapist: They could tell what—\n",TRUE,open,FALSE,0.539190846029669
33,therapist,high,Mm-hmm.,"client: No.\ntherapist: Yeah.\nclient: I know cold turkey is probably the only thing that's ever gonna do it to anybody that's done it. Mysel- My group, it's been cold turkey-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.5393602941185236
7,therapist,high,You're still feeling the effects of-,therapist: You're still feeling the effects of-\ntherapist: You're still feeling the effects of-\ntherapist: You're still feeling the effects of-\ntherapist: You're still feeling the effects of-\n,FALSE,n/a,TRUE,0.5397982858121395
66,therapist,high,"Hi, Mr. Stowe.","therapist: Hi, Mr. Stowe.\ntherapist: Hi, Mr. Stowe.\ntherapist: Hi, Mr. Stowe.\ntherapist: Hi, Mr. Stowe.\n",FALSE,n/a,FALSE,0.5404622722417116
60,therapist,high,"-whereas like, you can't go up to him and say, ""Hey, can I have some of your McDonald's French fries,"" and take them out—","client: Yeah, we share-- ""Okay, oh, a smoker, let's go out and have a smoke together,"" yeah.\ntherapist: And now a total stranger will give you a cigarette-\nclient: Mm-hmm.\ntherapist: -whereas like, you can't go up to him and say, ""Hey, can I have some of your McDonald's French fries,"" and take them out—\n",FALSE,n/a,TRUE,0.5407806157600135
130,therapist,low,"Come on, Hailey. You're here because you thought he had pneumonia. You're telling me that Jake can't breathe, you're concerned about his breathing. And then you just slip in the fact that you're smoking cigarettes and you think there's no relationship? Do I really need to review all the risks of smoking in front of your-your child or exposing him to secondhand smoke not to mention the risks that you're posing to yourself and your own health?","client: Well, I had no idea that it was such a big deal. I-I didn't think it would have anything to do with Jake getting sick or, you know, hurting him.\ntherapist: Come on, Hailey. You're here because you thought he had pneumonia. You're telling me that Jake can't breathe, you're concerned about his breathing. And then you just slip in the fact that you're smoking cigarettes and you think there's no relationship? Do I really need to review all the risks of smoking in front of your-your child or exposing him to secondhand smoke not to mention the risks that you're posing to yourself and your own health?\ntherapist: Come on, Hailey. You're here because you thought he had pneumonia. You're telling me that Jake can't breathe, you're concerned about his breathing. And then you just slip in the fact that you're smoking cigarettes and you think there's no relationship? Do I really need to review all the risks of smoking in front of your-your child or exposing him to secondhand smoke not to mention the risks that you're posing to yourself and your own health?\ntherapist: Come on, Hailey. You're here because you thought he had pneumonia. You're telling me that Jake can't breathe, you're concerned about his breathing. And then you just slip in the fact that you're smoking cigarettes and you think there's no relationship? Do I really need to review all the risks of smoking in front of your-your child or exposing him to secondhand smoke not to mention the risks that you're posing to yourself and your own health?\n",TRUE,closed,FALSE,0.5410180103499442
44,therapist,low,Uh-huh.,"client: Okay.\ntherapist: So, um, do you think you could quit drinking or?\nclient: Yeah, I think I could. I don't need it. For instance, it-it is-- it is used as a kind of, like, let's get the party going.\ntherapist: Uh-huh.\n",FALSE,n/a,FALSE,0.5411121768411249
85,therapist,high,Yeah.,"client: Um-\ntherapist: Okay.\nclient: -I gotta be relaxed, you know-\ntherapist: Yeah.\n",FALSE,n/a,FALSE,0.5413980418816209
23,therapist,high,"Okay. So you'd, you're feeling a little bit anxious about today.","client: Um, don't know, it's kind of, I haven't really told anyone, so, I mean, it's made it like better in sense. I feel, hopefully this is, this is it like, it- it'll help, but I don't know. I don't like thinking that I've like have to do this. I never thought I'd like be the kind of person you'd have to actually go and like get help if that makes sense.\ntherapist: Okay. So how do you feel about being here today?\nclient: It's like scared. I don't know. Hopefully, it will help.\ntherapist: Okay. So you'd, you're feeling a little bit anxious about today.\n",FALSE,n/a,TRUE,0.5415284687187523
28,therapist,high,Okay.,"client: And I had friends that it worked for-\ntherapist: Mm-hmm.\nclient: Um, and there is a support group that they have that you can go online or call-\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.5416769774165004
64,therapist,high,Mm-hmm.,"client: Definitely.\ntherapist: So tell me then, um, Ricky, what- what's the other side of the good things that-that using meth or doing some smoking does for you? Is there a downside to it? Are there problems that you're experiencing?\nclient: Yep. Um. Uh, I suppose money is quite a big thing. Like, I used to have a lot more money sorta last year. I had a, quite a good job, like a, quite a regular acting job.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.5417871614918113
27,therapist,low,Mm-hmm.,"client: Yeah, but I-- Um, let me just clarify, I've seen the materials, I have them-\ntherapist: Mm-hmm.\ntherapist: Mm-hmm.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.5419984650798142
7,therapist,high,So I know we've determined that you sprained your ankle yesterday and I'm wondering if you can tell me a little bit about how that happened?,therapist: So I know we've determined that you sprained your ankle yesterday and I'm wondering if you can tell me a little bit about how that happened?\n,TRUE,closed,FALSE,0.5420159408822656
91,therapist,high,"Let me ask another question and follow up to that. Again, given everything going on, where 10 is the most confident you've ever felt about anything and 1 is the least confident, how confident are you that you will be able to quit?","client: It's for me, for my health, and for the money and everything I've said, I would say it's 10 or- out of 10 that I should quit smoking.\ntherapist: Definitely most important.\nclient: Yes. A hundred percent, one of the most important things.\ntherapist: Let me ask another question and follow up to that. Again, given everything going on, where 10 is the most confident you've ever felt about anything and 1 is the least confident, how confident are you that you will be able to quit?\n",TRUE,open,FALSE,0.5425372302997857
7,therapist,high,Sounds like a wild night.,"client: Um, it's really stupid. Uh, I was at a pub crawl last night and you know how pub crawls are. You have a few drinks and then I thought it was a really good idea to catch up with my friends who are, yeah, they're in front of me. So I just like jumped off the stairs of the bus and I was wearing these like stilettos 'cause it was a 90s-themed pub crawl. Anyway, and then I just like fell on my ankle. It was really embarrassing.\ntherapist: Sounds like a wild night.\ntherapist: Sounds like a wild night.\ntherapist: Sounds like a wild night.\n",FALSE,n/a,TRUE,0.5430309940129519
60,therapist,high,"I, uh, mean that's up to you.","client: Yeah. That's true.\ntherapist: So, we'll do that so we'll-we'll talk about the hypnosis a little bit more, you know, you'll talk to your doc. Um, you'll do your research, you know, about programs and stuff, I'll give you any information I have and we'll take it from there. But it's sounding like the quit date might be coming up fairly-- like within the next two, three months.\nclient: Okay.\ntherapist: I, uh, mean that's up to you.\n",FALSE,n/a,TRUE,0.543529199436307
84,therapist,high,"Zero being, ""Argh, not interested at all,"" 100 being totally into it.","client: No, sorry.\ntherapist: Okay. So where would you be do you think?\nclient: Mm, like what out of a scale it would like fall?\ntherapist: Zero being, ""Argh, not interested at all,"" 100 being totally into it.\n",FALSE,n/a,FALSE,0.5442677726969123
34,therapist,high,"So, your gut is telling you what? Tell me about that.","client: Yeah.\ntherapist: And then there's this other part of you that's- was thinking maybe it's not okay.\nclient: Yeah, like, I should probably have trusted my gut.\ntherapist: So, your gut is telling you what? Tell me about that.\n",TRUE,open,FALSE,0.5444205496460199
61,therapist,high,"So, it sounds like, um, you can see that you're making some progress in physical therapy-","client: It still hurts. It- it's-- I'm getting better. I'm-I'm getting better. It's not quite as painful.\ntherapist: Mm-hmm.\nclient: Yeah, so-\ntherapist: So, it sounds like, um, you can see that you're making some progress in physical therapy-\n",FALSE,n/a,TRUE,0.544584876159206
50,therapist,high,Yeah. How about frequency? Do you feel like you're good on how much coffee you're drinking?,"client: Gotta stay on, yeah.\ntherapist: Yeah, yeah, and then the blood pressure thing. Does that sound about right?\nclient: Yeah, yeah. Well, you know, and sometimes, like I said, it does kind of make me a little jittery and, um, I don't know. I-I-I'm not- I'm not as happy and relaxed as I normally am. But you know, I-I really like it, and-and like I said, it makes me more aware of what's going on and-and I'm-- I-I feel like I'm much more observant.\ntherapist: Yeah. How about frequency? Do you feel like you're good on how much coffee you're drinking?\n",TRUE,closed,FALSE,0.5449900845997036
52,therapist,high,"I understand. So tell me, how often do you drink?","client: Well, a friend and I would snuck out one night to go to the park, and we got a couple of beers from his house, but the cop came by, and so we threw them in the bushes. He was originally gonna give us a curfew ticket but ended up not to. Luckily, he didn't see the beer.\ntherapist: That must be really scary.\nclient: Yeah, it was. If my mom would have found out, she would've killed me.\ntherapist: I understand. So tell me, how often do you drink?\n",TRUE,open,FALSE,0.5454244795255363
76,therapist,high,Mm-hmm.,"client: Yeah, I really like doing this, and, um, I-I rated health as my first-\ntherapist: Oh, so it's your first?\nclient: -uh, value. Yeah, because I really value physical and mental health, um, spiritual, emotional. Everything as a whole package, I guess, health. Um, and I'm working on, um, a certification to become a fitness trainer. Cal State [inaudible 00:00:40] there's a like extension program. I've been doing that for the last five weeks. I have a final exam coming up, like, Saturday. A little tense about it, I guess, but, um, I'm looking forward to, like, doing it, and I gotta wait for my results. Then, I got into an internship.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.545630075968802
49,therapist,high,"Okay, okay. So, it seems like you're-you're, kind of, in a state in your life of considering your next steps.","client: I don't know. Kids maybe, but-\ntherapist: Okay.\nclient: -I'm not gonna- [sighs] I'm not gonna make a decent mom the way I am, at the moment, am I? So I probably need to get on track at some stage. [chuckles] I'll be pushing 30 and still in debt, at this rate.\ntherapist: Okay, okay. So, it seems like you're-you're, kind of, in a state in your life of considering your next steps.\n",FALSE,n/a,TRUE,0.546167572028935
41,therapist,high,For someone else?,"client: Because I get stressed, I get resentful, I get overwhelmed and, uh, out of- out of alignment, I guess, out of sorts.\ntherapist: Mm-hmm.\nclient: And I can't be the best- the best me possible.\ntherapist: For someone else?\n",TRUE,closed,FALSE,0.5466119889169931
61,therapist,high,Sure we can make those arrangements with the rehab center. They have a van-,"client: I would.\ntherapist: Uh-huh.\nclient: Yeah, yeah. Is that possible?\ntherapist: Sure we can make those arrangements with the rehab center. They have a van-\n",FALSE,n/a,FALSE,0.5470084294211119
7,therapist,high,So I know we've determined that you sprained your ankle yesterday and I'm wondering if you can tell me a little bit about how that happened?,therapist: So I know we've determined that you sprained your ankle yesterday and I'm wondering if you can tell me a little bit about how that happened?\ntherapist: So I know we've determined that you sprained your ankle yesterday and I'm wondering if you can tell me a little bit about how that happened?\ntherapist: So I know we've determined that you sprained your ankle yesterday and I'm wondering if you can tell me a little bit about how that happened?\ntherapist: So I know we've determined that you sprained your ankle yesterday and I'm wondering if you can tell me a little bit about how that happened?\n,TRUE,open,FALSE,0.5474260782357305
67,therapist,high,Do you vape anything else besides marijuana?,"client: Uh, I vape. I have a pen, but I don't smoke it though.\ntherapist: Okay. How often?\nclient: Um, a few times a month.\ntherapist: Do you vape anything else besides marijuana?\n",TRUE,open,FALSE,0.5476113234180957
33,therapist,high,Yeah.,client: You'd have to be a real fool not to do it-\ntherapist: Yeah.\nclient: -if you [unintelligible 00:01:34] was gonna make it like that.\ntherapist: Yeah.\n,FALSE,n/a,FALSE,0.5482569974847138
21,therapist,high,All right.,"client: Um, I would say like a moderate amount. I'm not really-really popular or like, I have no friends.\ntherapist: Mm-hmm.\nclient: So, I'm like normal.\ntherapist: All right.\n",FALSE,n/a,FALSE,0.5484208285342902
27,therapist,low,"I understand that your asthma symptoms have been just really out of control. So, we need to look at some of the ways that you can get healthy and not be back here again.","therapist: I understand that your asthma symptoms have been just really out of control. So, we need to look at some of the ways that you can get healthy and not be back here again.\ntherapist: I understand that your asthma symptoms have been just really out of control. So, we need to look at some of the ways that you can get healthy and not be back here again.\n",FALSE,n/a,FALSE,0.5484220117796212
54,therapist,high,"Um, we were talking a little bit earlier, and you said you wanted to talk about exercising.","therapist: Oh, hello Scott.\nclient: Hi.\ntherapist: Um, we were talking a little bit earlier, and you said you wanted to talk about exercising.\n",FALSE,n/a,TRUE,0.5491153243929148
53,therapist,low,"Okay, and-and what if they won't?","client: Yeah, yeah, definitely. I'll just not have a drink.\ntherapist: Okay, and then what about your friends who are still drinking?\nclient: Um, I really can't control what they do, but I'll definitely try to get my closest friends to maybe stop like I will.\ntherapist: Okay, and-and what if they won't?\n",TRUE,open,FALSE,0.5495973548386246
7,therapist,high,"No, I guess that that would be the end of your, uh, shaking and moving. I know-- I wonder if you'd be open to exploring your alcohol use and what that looks like during the week.","therapist: No, I guess that that would be the end of your, uh, shaking and moving. I know-- I wonder if you'd be open to exploring your alcohol use and what that looks like during the week.\ntherapist: No, I guess that that would be the end of your, uh, shaking and moving. I know-- I wonder if you'd be open to exploring your alcohol use and what that looks like during the week.\ntherapist: No, I guess that that would be the end of your, uh, shaking and moving. I know-- I wonder if you'd be open to exploring your alcohol use and what that looks like during the week.\ntherapist: No, I guess that that would be the end of your, uh, shaking and moving. I know-- I wonder if you'd be open to exploring your alcohol use and what that looks like during the week.\n",TRUE,open,TRUE,0.5496204134542495
91,therapist,high,"Okay. And I can give you a little card that can help you keep track of it. And if you can bring that back to the next appointment, it could be something we could discuss. Okay. Anything else?","client: Yeah, yeah. I think so because, um, when I get the urge, I could maybe fight it and, um, maybe wait till the next urge-\ntherapist: Mm-hmm.\nclient: -and maybe mark that down that, uh, I didn't go right away when something went wrong. Um, yes, I-I can try that.\ntherapist: Okay. And I can give you a little card that can help you keep track of it. And if you can bring that back to the next appointment, it could be something we could discuss. Okay. Anything else?\n",FALSE,n/a,FALSE,0.5498032502364367
102,therapist,low,Mm-hmm.,"client: I just need to find the time to do it. And, yes, I might be lacking a little bit of motivation, but I think it's more timing and trying to fit it in.\ntherapist: And that sounds like a lot of excuses to me. So I feel like you had shared with me before that you do have a gym membership. So I think that's something that you just need to fit in your schedule. So for you to really see results that you want, my guess is you need to go about three to four times a week and really fit in that hour workout, um, on a daily basis.\nclient: But I think that part of the problem is that I-I don't have three to four times- three to four times a week to do it, or an hour even. I mean, hour is a long time because if I'm working out for an hour that means I'm leaving home to get there-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.550222342601046
94,therapist,high,"Good, so, um, we're here today to talk just, uh, about whatever it is you'd like to talk about it.","therapist: Good, so, um, we're here today to talk just, uh, about whatever it is you'd like to talk about it.\n",FALSE,n/a,FALSE,0.550823163241148
123,therapist,low,What do you mean?,"client: Well, I only use them just to relax. I mean, it's not like it's something that I would smoke 20 or 30 cigarettes a day, I mean, I only do it when we go out.\ntherapist: Uh-huh. Well, that's, I mean, at least you're not doing that, so that's good, but it's still causing a lot of problems. And as I said, I can see that the evidence in the roof of your mouth, you're causing some serious damage, and this needs to stop. Have you thought about quitting?\nclient: Well, I didn't really know I'd started.\ntherapist: What do you mean?\n",TRUE,open,FALSE,0.5523318673949689
115,therapist,low,Possibly-,"client: Yeah.\ntherapist: -and the color's okay? You know, there is quite a lot of staining so, um, I'm just wondering about, um, some concerns about smoking.\nclient: Oh.\ntherapist: Possibly-\n",FALSE,n/a,FALSE,0.5529554861132056
33,therapist,high,"-that nobody has the right to tell you what to do. Um, can I ask? If you were to-- Uh, if there was to be a situation where you decided, ""I must quit,"" what-what would that situation be?","client: -and I don't like lectures about it.\ntherapist: Yeah. And it really is your choice. You're absolutely right-\nclient: Yeah.\ntherapist: -that nobody has the right to tell you what to do. Um, can I ask? If you were to-- Uh, if there was to be a situation where you decided, ""I must quit,"" what-what would that situation be?\n",TRUE,open,FALSE,0.5540931345894933
7,therapist,high,Yeah.,therapist: Yeah.\ntherapist: Yeah.\ntherapist: Yeah.\ntherapist: Yeah.\n,FALSE,n/a,FALSE,0.5545858633704484
88,therapist,high,Okay. So getting to school for your first hour is something that you're going to work on as your goal.,"client: My mom she's always saying, you know, get to school. My PO will be like, you know, if you don't get the school on time, I can bring you back in for sanctions and I don't want to go back in.\ntherapist: So that's something you definitely wanna avoid?\nclient: Yes.\ntherapist: Okay. So getting to school for your first hour is something that you're going to work on as your goal.\n",FALSE,n/a,TRUE,0.5547873501200229
94,therapist,high,"Mm-hmm, Mm-hmm.","client: Yeah.\ntherapist: So whe-when-when are you gonna do it?\nclient: Well, um, I told him within a couple of days is, you know. I think, um, I-I- cause I have future plans, um, and some things that are up in the air with me as far as where I'm going to be living in. I've had this place for seven years, but I'm not sure, you know. Every day is a new- a new, uh, winding road that we go down, you know?\ntherapist: Mm-hmm, Mm-hmm.\n",FALSE,n/a,FALSE,0.5562659464776516
46,therapist,high,Okay. What some people your age do is try stopping drinking for a period of time just to see what that feels like.,"client: Um, not drink.\ntherapist: [chuckles] Have you ever tried not drinking or stopping drinking?\nclient: No, not really.\ntherapist: Okay. What some people your age do is try stopping drinking for a period of time just to see what that feels like.\n",FALSE,n/a,FALSE,0.5562913003377616
52,therapist,high,"I understand. You're just experimenting with alcohol. Then, how about if you share with me what the effects of alcohol are?","client: Yeah, that's right.\ntherapist: As your provider, I'm a little concerned about your health. Drinking alcohol could harm you, and I would like to share some information with you. Is that okay?\nclient: Well, I'm not sure if this information is for me, since I've only been drinking once or twice.\ntherapist: I understand. You're just experimenting with alcohol. Then, how about if you share with me what the effects of alcohol are?\n",TRUE,open,TRUE,0.5563375235069543
29,therapist,high,"So if-if the gym is what brings you the most joy, then we can work with that, but if you, um, start to think about it and discover there other activities that you're more excited to attend and you're more, um, you're looking at rear-rearranging your schedule too because you really want to be there-","client: Um, would that be kind of against that philosophy too or I guess, can you explain that a bit more?\ntherapist: Yeah, I'm all about trying to help you figure out what types of physical activity bring you the most joy because those are the things that you'll make time for.\nclient: Mm-hmm.\ntherapist: So if-if the gym is what brings you the most joy, then we can work with that, but if you, um, start to think about it and discover there other activities that you're more excited to attend and you're more, um, you're looking at rear-rearranging your schedule too because you really want to be there-\n",FALSE,n/a,FALSE,0.5569693322759122
102,therapist,low,"And it seems like if you really want to see the results you have to put the time in. And if it's gonna take you two hours, then it's gonna take you two hours. And, again, if you want the results that you want, you need to start, and you need to start now.","client: But I think that part of the problem is that I-I don't have three to four times- three to four times a week to do it, or an hour even. I mean, hour is a long time because if I'm working out for an hour that means I'm leaving home to get there-\ntherapist: Mm-hmm.\nclient: -time there, time back. I mean, it's not just an hour, it's like two hours, realistically.\ntherapist: And it seems like if you really want to see the results you have to put the time in. And if it's gonna take you two hours, then it's gonna take you two hours. And, again, if you want the results that you want, you need to start, and you need to start now.\n",FALSE,n/a,FALSE,0.5576596325263381
41,therapist,high,"And so you did your clarifications, value clarifications-","client: Yeah.\ntherapist: Good.\nclient: I feel good.\ntherapist: And so you did your clarifications, value clarifications-\n",TRUE,open,FALSE,0.5577255433890969
27,therapist,low,"Well, you sound a bit surprised by that. But I'm sure that you've seen some of the material that-that the clinic gave you about asthma symptoms and managing your asthma, and pets are a really big source of problems in that respect.","therapist: Well, you sound a bit surprised by that. But I'm sure that you've seen some of the material that-that the clinic gave you about asthma symptoms and managing your asthma, and pets are a really big source of problems in that respect.\ntherapist: Well, you sound a bit surprised by that. But I'm sure that you've seen some of the material that-that the clinic gave you about asthma symptoms and managing your asthma, and pets are a really big source of problems in that respect.\ntherapist: Well, you sound a bit surprised by that. But I'm sure that you've seen some of the material that-that the clinic gave you about asthma symptoms and managing your asthma, and pets are a really big source of problems in that respect.\ntherapist: Well, you sound a bit surprised by that. But I'm sure that you've seen some of the material that-that the clinic gave you about asthma symptoms and managing your asthma, and pets are a really big source of problems in that respect.\n",FALSE,n/a,FALSE,0.5582981230691075
76,therapist,high,Mm-hmm.,"client: Yeah.\ntherapist: And learning the differences of the different cultures that brings you wisdom.\nclient: Yes. And school learning in the classroom and outside of the classroom. Where I've been in different Native American communities, reservations, place I spent two months in the summertime really, uh, learning about the cultures is a beautiful place to be, there's a lot of wisdom. And, uh, fun, pleasure, fun, satisfaction-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.5585230777505785
84,therapist,high,Mm. So it sounds you're worried that it's gonna be a waste of your time this time too.,client: Nothing really helped me.\ntherapist: Okay. So you're hoping that it was gonna help you and it didn't. That was-- ended up feeling like a waste of your time.\nclient: Yeah.\ntherapist: Mm. So it sounds you're worried that it's gonna be a waste of your time this time too.\n,FALSE,n/a,TRUE,0.5590153634548187
83,therapist,high,"Rick, I get a sense that you're kind of padding this walk a little bit on your own at the moment. Would that be true?","client: -that I am-- I don't have that many people I trust to support me. My mates, I love them but, um, yeah, I don't know.\ntherapist: Okay. So as we're gonna do this work together and go through this, uh, this program, one of the things we-we don't want to do is fall into the same trough we did last time. So I-I just want to leave that with you to think about next time we come together. There may be two or three other people that you think of that can be really supportive, that we-we need to let know that you're [unintelligible 00:10:50] each gonna make these changes and this time, you're serious about it. So let your mother and, uh, and, um, your partner, how might that happen? How does that sound to you?\nclient: Yeah, let's give it some thought.\ntherapist: Rick, I get a sense that you're kind of padding this walk a little bit on your own at the moment. Would that be true?\n",TRUE,closed,TRUE,0.5592445090878755
78,therapist,high,-for her asthma. I noticed that she's been in the emergency room five times in the last year for her asthma. What's that- what's that been like for you?,"client: Mm-hmm. Yeah.\ntherapist: Hi, I'm Bruce Berger. I work in the clinic and, uh, I noticed that you're in to pick up a prescription for Sarah's, uh, rescue inhaler-\nclient: Mm-hmm.\ntherapist: -for her asthma. I noticed that she's been in the emergency room five times in the last year for her asthma. What's that- what's that been like for you?\n",TRUE,open,FALSE,0.5592653271742165
53,therapist,low,"Okay. Um, so the most you've ever, ever had is two drinks in a day.","client: Um, just two drinks at a party at the most. I don't-- I don't like to drink a lot. I don't-- Getting drunk is not something that appeals to me. So, I just have, like, a drink in my hand, so my friends won't bug me about not drinking. It's just like to look like I'm actually doing something. Most of- a lot of the time, I don't even drink at all. So-\ntherapist: But you've been drunk before?\nclient: Um, no, not really, maybe tipsy, but not like drunk.\ntherapist: Okay. Um, so the most you've ever, ever had is two drinks in a day.\n",TRUE,open,TRUE,0.5596612286753953
63,therapist,high,"So on the one hand, it would be difficult to quit using Methamphetamine because there are so many positives that you get from using it. But on the other, there are reasons why you want to quit using methamphetamine.","client: My sister.\ntherapist: Does she-- Have you talked to her about your meth use?\nclient: I haven't really talked to her about it. I think she knows it I do it sometimes. I mean, we're pretty close. I think I could talk to her about it, and I think she would probably help.\ntherapist: So on the one hand, it would be difficult to quit using Methamphetamine because there are so many positives that you get from using it. But on the other, there are reasons why you want to quit using methamphetamine.\n",FALSE,n/a,TRUE,0.5600801450200379
15,therapist,low,"Okay. Well, smoking really is really bad for you, you know. It causes things like lung cancer, emphysema, heart disease-","client: Maybe like da-- during the day nicotine replacement. Is that-- I mean, do you have anything like that?\ntherapist: We don't really recommend that. The idea is you would use the nicotine replacement to actually quit, so then you wouldn't be smoking at work, but you also wouldn't be smoking the rest of the time either.\nclient: Well, I don't really wanna quit. I mean, I like smoking. I like go-- after work, I have a beer with my friends, and I'll smoke cigarettes. I mean, it's not really a big deal. Cigarettes aren't that bad. I mean, I know that the-- it's popular to say that smoking is bad for you but, you know, I like it, so I'm gonna be doing it.\ntherapist: Okay. Well, smoking really is really bad for you, you know. It causes things like lung cancer, emphysema, heart disease-\n",FALSE,n/a,FALSE,0.560266645392403
0,therapist,high,Having less wine in the house will help?,"client: Well, I'm more ready than a six because I'm ready to cut back on my drinking and I don't wanna make my depression any worse.\ntherapist: What would help you cut back to two drinks?\nclient: Maybe having less wine in the house.\ntherapist: Having less wine in the house will help?\n",TRUE,open,TRUE,0.560332746244967
24,therapist,high,Okay. What makes you so confident?,"client: I mean, I smoke a little less than a pack a day. It's not too bad. Um, I've probably smoked for the last five years, but I-I-I mean, could quit if I wanted to, but I don't really want to right now.\ntherapist: Okay. So you feel like, right now, smoking's a pretty important part of your life. It's not something you're ready to change, but if the time came when you did decide to quit, you feel pretty confident that you could go ahead and do that.\nclient: Sure. I can quit.\ntherapist: Okay. What makes you so confident?\n",TRUE,open,FALSE,0.5606463490985334
20,therapist,high,"Sure. Well, if you'd be interested, that's something I can definitely talk to you about. There are a lot of new options that can actually help people be way more successful in their attempt at quitting. There's different medications you can try.","client: Yeah.\ntherapist: Where do you think we should go from here?\nclient: I don't know. I-I'd like some help. I just don't know what kind of help I need.\ntherapist: Sure. Well, if you'd be interested, that's something I can definitely talk to you about. There are a lot of new options that can actually help people be way more successful in their attempt at quitting. There's different medications you can try.\n",FALSE,n/a,FALSE,0.5607078510802239
91,therapist,high,"So if you got help, that would help you say that you went from 40% to 45%.","client: -this was a big step. So I guess, yes. Um, it wouldn't have been as high maybe last week.\ntherapist: Okay. So you said 30 to 40%. What would it take to build that confidence to about 45%?\nclient: Maybe if I could come to see you again, or maybe some ideas were suggested, maybe if there was a group or something. I-I don't know, but I-I need some help.\ntherapist: So if you got help, that would help you say that you went from 40% to 45%.\n",FALSE,n/a,TRUE,0.5611584999132901
87,therapist,high,Hm.,"client: -like, I just didn't ever really think about it, like, that I was-- like, if I try to actually count the drinks, it's, kind of, a lot, I mean, it's, kind of, a lot.\ntherapist: You were pretty shocked at what you learned about your patterns.\nclient: Well, yeah, 'cause, like, I also, kind of, thought that, like, I drink, like, about as much as my friends did and then, like, I went back and I was, like, talking to my roommate about it and I was, like, telling her that, you know, I was drinking, like, like 10 drinks on the weekends, like, including Thursday, so like, Thursday, Friday-\ntherapist: Hm.\n",FALSE,n/a,FALSE,0.561342800501734
7,therapist,high,"No, I guess that that would be the end of your, uh, shaking and moving. I know-- I wonder if you'd be open to exploring your alcohol use and what that looks like during the week.","client: It was a lot of fun but I didn't do any dancing after that.\nclient: It was a lot of fun but I didn't do any dancing after that.\ntherapist: No, I guess that that would be the end of your, uh, shaking and moving. I know-- I wonder if you'd be open to exploring your alcohol use and what that looks like during the week.\ntherapist: No, I guess that that would be the end of your, uh, shaking and moving. I know-- I wonder if you'd be open to exploring your alcohol use and what that looks like during the week.\n",TRUE,open,TRUE,0.5614379565231502
12,therapist,high,"Well, Dr. Kirtley is one of our counselors and he is an expert in-- at discussing the association between alcohol and stress. I want to share something with you. The National Guidelines recommend that women have no more than seven drinks of alcohol per week to-to stay at that low risk level, to avoid the healthcare concerns that we spoke of earlier.","client: Mm-hmm.\ntherapist: -been helpful, um, in-- with patients before. I'd also like to ask you, would you be willing to see one of our counselors?\nclient: Well, what-what for exactly?\ntherapist: Well, Dr. Kirtley is one of our counselors and he is an expert in-- at discussing the association between alcohol and stress. I want to share something with you. The National Guidelines recommend that women have no more than seven drinks of alcohol per week to-to stay at that low risk level, to avoid the healthcare concerns that we spoke of earlier.\n",FALSE,n/a,FALSE,0.5625401348806918
48,therapist,high,"Yeah and I-- Yeah, you really-- You're already like, you're taking a look at this and sure don't need me like-- Obviously, you don't want to be doing that in the first place, but—","client: Like the learning is done but-\ntherapist: Hmm.\nclient: -but yes I guess it's unavoidable that we address it. [laughter]\ntherapist: Yeah and I-- Yeah, you really-- You're already like, you're taking a look at this and sure don't need me like-- Obviously, you don't want to be doing that in the first place, but—\n",FALSE,n/a,TRUE,0.5630561113357544
130,therapist,low,"Come on, Hailey. You're here because you thought he had pneumonia. You're telling me that Jake can't breathe, you're concerned about his breathing. And then you just slip in the fact that you're smoking cigarettes and you think there's no relationship? Do I really need to review all the risks of smoking in front of your-your child or exposing him to secondhand smoke not to mention the risks that you're posing to yourself and your own health?","client: Well, I had no idea that it was such a big deal. I-I didn't think it would have anything to do with Jake getting sick or, you know, hurting him.\nclient: Well, I had no idea that it was such a big deal. I-I didn't think it would have anything to do with Jake getting sick or, you know, hurting him.\ntherapist: Come on, Hailey. You're here because you thought he had pneumonia. You're telling me that Jake can't breathe, you're concerned about his breathing. And then you just slip in the fact that you're smoking cigarettes and you think there's no relationship? Do I really need to review all the risks of smoking in front of your-your child or exposing him to secondhand smoke not to mention the risks that you're posing to yourself and your own health?\ntherapist: Come on, Hailey. You're here because you thought he had pneumonia. You're telling me that Jake can't breathe, you're concerned about his breathing. And then you just slip in the fact that you're smoking cigarettes and you think there's no relationship? Do I really need to review all the risks of smoking in front of your-your child or exposing him to secondhand smoke not to mention the risks that you're posing to yourself and your own health?\n",TRUE,closed,FALSE,0.563243422890082
91,therapist,high,"So-so let me ask you this, given everything going on in your life right now on a scale of 1 to 10, where 10 is the most important thing to do, and 1 would be the least important thing to do, how important is it for you to quit smoking?","client: Um, it's expensive, really got expensive, and I smoked 30, 40, sometimes 50 cigarettes a day. And I'm starting to buy different makeup 'cause I'm starting to really age, starting to get lines in my face and wrinkles and my skin is getting really clogged up and I'm spending a fortune on cosmetics.\ntherapist: Okay. So let me make sure I've understood this piece as well. So the not good things or the not so good things about smoking for you are the effects on your health, effects on your physical appearance and how you'll look and-and-and the amount of investment that you're making in makeup and getting your nails done, et cetera. And then the cost of smoking.\nclient: Yes.\ntherapist: So-so let me ask you this, given everything going on in your life right now on a scale of 1 to 10, where 10 is the most important thing to do, and 1 would be the least important thing to do, how important is it for you to quit smoking?\n",TRUE,open,TRUE,0.5632444056682289
4,therapist,high,Mm-hmm.,"client: Mm-hmm.\ntherapist: Um, what would- what would make you decide, ""This is something that's not right for me?""\nclient: I don't know, I guess if I started to see that it was actually causing a problem, then I might.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.5636468415614218
36,therapist,high,"My name's Dr. Betty. I'm one of the new GPs in the practice. First of all, what would you like me to call you?","client: Yes. Morning.\ntherapist: Hello, there.\nclient: Hello.\ntherapist: My name's Dr. Betty. I'm one of the new GPs in the practice. First of all, what would you like me to call you?\n",TRUE,open,FALSE,0.5640082624740899
50,therapist,high,Yeah.,client: Uh—\ntherapist: So that one's important.\nclient: Mm-hmm.\ntherapist: Yeah.\n,FALSE,n/a,FALSE,0.5641738534905016
33,therapist,high,-pretty much see yourself doing for-,"client: I just-\ntherapist: So, this is something that you-you-\nclient: -have to-\ntherapist: -pretty much see yourself doing for-\n",FALSE,n/a,TRUE,0.5649105508346111
130,therapist,low,"No, wait a minute. That has everything to do with what we're talking about. I can't believe at the end of this appointment, you're just slipping in the fact that you've resumed smoking again. That's very, very important information for me to know. And I'd like to spend some time talking about it now.","client: Well, you're right. I-I did quit smoking when I was pregnant, but actually, um, a couple of weeks ago, I went out, my mom was able to take Jake for the night and my friends they were having a birthday party and we had a couple of glasses of wine and it felt like old times. So before I knew it, I was out having a cigarette with them. And since then I've been having a couple of cigarettes a day, you know, just at the end of the day after I put Jake to bed. But that sounds like it has nothing to do with what you're talking about, right?\ntherapist: No, wait a minute. That has everything to do with what we're talking about. I can't believe at the end of this appointment, you're just slipping in the fact that you've resumed smoking again. That's very, very important information for me to know. And I'd like to spend some time talking about it now.\ntherapist: No, wait a minute. That has everything to do with what we're talking about. I can't believe at the end of this appointment, you're just slipping in the fact that you've resumed smoking again. That's very, very important information for me to know. And I'd like to spend some time talking about it now.\ntherapist: No, wait a minute. That has everything to do with what we're talking about. I can't believe at the end of this appointment, you're just slipping in the fact that you've resumed smoking again. That's very, very important information for me to know. And I'd like to spend some time talking about it now.\n",FALSE,n/a,FALSE,0.5652931758668274
49,therapist,high,"-'cause you owed your mom and dad some money, and they weren't bailing you out anymore, and you had to go out and find some money, I think?","client: Oh, I had to stop halfway 'cause I'd ran out of money. [chuckles]\ntherapist: Okay. Okay. Okay. Yeah, yeah. So, you were saying before that, you know, there was, you know, money you couldn't really afford-\nclient: Mm-hmm.\ntherapist: -'cause you owed your mom and dad some money, and they weren't bailing you out anymore, and you had to go out and find some money, I think?\n",TRUE,closed,FALSE,0.5654154575895518
78,therapist,high,"So, uh, any thoughts on what you may be able to do to-to help at this point, if you don't choose to quit right away?","client: Yeah.\ntherapist: And-and it's hard to replace it with something.\nclient: Yeah, it is. Um.\ntherapist: So, uh, any thoughts on what you may be able to do to-to help at this point, if you don't choose to quit right away?\n",TRUE,open,FALSE,0.5661263952497393
43,therapist,high,Yeah.,"therapist: I'd love to hear from you. When was the time in the past that you were feeling anxious about something and you actually did it and it turned out well?\nclient: Uh, I would say maybe like four or five years ago, um, I had to do a recording for work and I did not want to do it. I was trying to find every way that I can get out of during this recording. And, um, and then I played my recording and because of the way sometimes I carry myself, like not confident and very anxious, um, I think other people don't always believe in me.\nclient: And so, um, when I played the recording, it actually ended up being one of the best recordings and like my supervisor and our national consultant, they were very like shocked about it because it because of just was the way I carried myself. So I thought, I don't really like compliments that makes me, um, anxious too again people compliment me, but it was a nice feeling because I really didn't trust in myself. And to know that I did a good job.\ntherapist: Yeah.\n",FALSE,n/a,FALSE,0.566383475670591
3,therapist,high,Okay.,"client: Well see, my-my wife's been getting on me a lot lately about trying to improve my health habits, and I really don't see what the big problem is. I mean, I've been working real hard. Sometimes I can't come home for dinner, so I'm having to go out to eat at Applebee's or something like that, so-- but she seems to have a bigger problem, I really don't see what the big deal is.\ntherapist: Okay, and so what I'm hearing is that you don't feel like your health is concerning you right now, or anything like that?\nclient: I-I-I feel fine.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.566488424083218
78,therapist,high,And so this chronic inhaler can really prevent that from happening. Okay? Which is why it's so important to use it.,"client: Yeah.\ntherapist: Okay. When-when somebody has asthma, their lungs are like hypersensitive. If I could use an analogy, again, if-if you had the skin burnt off your arm, if somebody brushed up against you before he had the skin burned off your arm, it wouldn't bother you at all. But when the skin's burned off your arm, you literally react to it. Her lungs are exquisitely sensitive. Uh, and like the skin on your arm would be if the skin got burned off. And what this drug can do? This chronic inhaler is reduce the inflammation in her lungs so that her lungs don't remain exquisitely sensitive. Because otherwise, everything in the air like dust, pollen, uh, reacts with her, uh, in ways that it would not normally affect us.\nclient: Oh, okay.\ntherapist: And so this chronic inhaler can really prevent that from happening. Okay? Which is why it's so important to use it.\n",FALSE,n/a,FALSE,0.5664954022504389
64,therapist,high,They were concerned for you?,"client: Yeah. I just sort of did a bit of search on the internet and stuff and just read about this place, so I just thought I'll—\ntherapist: Right. So it sounds like you thought there was something that, uh, that you needed to look at, something that was concerning you?\nclient: Yeah, I guess. I-I suppose I hadn't really thought about it till they sat me down, and you know- I mean I could, uh, I could understand a little bit of where they were coming from, so yeah, I thought I'd—\ntherapist: They were concerned for you?\n",TRUE,closed,FALSE,0.5669648055918515
23,therapist,high,"Okay. So, okay. So it sounds like you had a lot of thoughts going through your head. Um, you said that you're worried that everyone's looking at you. What other thoughts were there that were in your mind?","client: Yeah.\ntherapist: W-why was that? Why was that helpful?\nclient: Cause I felt like I was getting really like hot and flushed and I just thought, at least if I can just-- I don't know. It sounds weird, but I was just trying to keep my hands still on it. 'Cause my hands were kind of sweaty and like shaking like loads, like, and I could just tell everyone was looking and they could see, and I just thought if I just managed to hold onto it, it wouldn't be as noticeable, but—\ntherapist: Okay. So, okay. So it sounds like you had a lot of thoughts going through your head. Um, you said that you're worried that everyone's looking at you. What other thoughts were there that were in your mind?\n",TRUE,open,TRUE,0.5669993036426604
130,therapist,low,"No, wait a minute. That has everything to do with what we're talking about. I can't believe at the end of this appointment, you're just slipping in the fact that you've resumed smoking again. That's very, very important information for me to know. And I'd like to spend some time talking about it now.","therapist: No, wait a minute. That has everything to do with what we're talking about. I can't believe at the end of this appointment, you're just slipping in the fact that you've resumed smoking again. That's very, very important information for me to know. And I'd like to spend some time talking about it now.\ntherapist: No, wait a minute. That has everything to do with what we're talking about. I can't believe at the end of this appointment, you're just slipping in the fact that you've resumed smoking again. That's very, very important information for me to know. And I'd like to spend some time talking about it now.\ntherapist: No, wait a minute. That has everything to do with what we're talking about. I can't believe at the end of this appointment, you're just slipping in the fact that you've resumed smoking again. That's very, very important information for me to know. And I'd like to spend some time talking about it now.\ntherapist: No, wait a minute. That has everything to do with what we're talking about. I can't believe at the end of this appointment, you're just slipping in the fact that you've resumed smoking again. That's very, very important information for me to know. And I'd like to spend some time talking about it now.\n",FALSE,n/a,FALSE,0.5675879244226962
28,therapist,high,"Okay, all right.","client: Right and it didn't stop me from smoking as well, so that's, uh, [laughs]—\ntherapist: Want the good [crosstalk] no good right? And how long ago was that that you—\nclient: Um, that was about two to three years ago.\ntherapist: Okay, all right.\n",FALSE,n/a,FALSE,0.5678910159040242
64,therapist,high,So—,"client: Yep.\ntherapist: And you're not experiencing where these two things are separate? They just seem to be together more often than not?\nclient: Well, I guess, now, that I think about it, maybe it's sort of gone beyond that, maybe I didn't notice that.\ntherapist: So—\n",FALSE,n/a,FALSE,0.5681872933637351
46,therapist,high,Mm-hmm.,"client: No, but that happened to someone I know, though.\ntherapist: Okay. And have you had any problems related to-to your drinking alcohol, like at home or school or somewhere else?\nclient: Um, one time I missed first period of school 'cause I had a hangover and I was late getting up.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.5687787912320346
49,therapist,high,"Okay. So, again, on a scale of 1 to 100, how serious-- how important is it to sort it out? Yeah.","client: Credit comes out of my ears, and mom and dad aren't bailing me out anymore, so-\ntherapist: Yeah.\nclient: -I suppose, I've gotta sort it out myself.\ntherapist: Okay. So, again, on a scale of 1 to 100, how serious-- how important is it to sort it out? Yeah.\n",TRUE,closed,FALSE,0.5693523469381034
84,therapist,high,"Okay, so you don't wanna be back here. You don't wanna be sitting here and-","client: Yeah.\ntherapist: Is that what I'm hearing? Yeah. So in terms of dealing with it, where-where would you be, do you reckon? How interested would you be in dealing with that stuff?\nclient: Mm, lots. When I stop getting caught. Don't wanna be back here again.\ntherapist: Okay, so you don't wanna be back here. You don't wanna be sitting here and-\n",FALSE,n/a,TRUE,0.5694400304928422
71,therapist,high,"Okay. So, what sort of training did you-- did these people, that you've been talking about, what did they do?","client: Just I have to get that training, I guess, and then probably get a job.\ntherapist: Mm-hmm.\nclient: Yeah.\ntherapist: Okay. So, what sort of training did you-- did these people, that you've been talking about, what did they do?\n",TRUE,open,FALSE,0.5698454522062093
64,therapist,high,And you found us okay?,"client: Thank you.\ntherapist: Nice to meet you.\nclient: Yeah, you too.\ntherapist: And you found us okay?\n",TRUE,closed,FALSE,0.5702685059513897
84,therapist,high,"Okay, so you get singled out and that's what, um, means that you end up getting-- having to go to court and get sentenced and end on probation.","client: Just 'cause growing up dealing with them and my mates and stuff and there's, you know, guilty before charged or whatever.\ntherapist: Mm, so it feels like you always seemed singled out and, um, end up being unlucky.\nclient: Yeah, me and my mates always get singled out.\ntherapist: Okay, so you get singled out and that's what, um, means that you end up getting-- having to go to court and get sentenced and end on probation.\n",FALSE,n/a,TRUE,0.5703260733280331
106,therapist,low,"Well, now's the time to quit. It's really gotten to the point where you can't keep smoking. Not only for him, like I said, but also for you. You're putting yourself at risk for lung cancer, for emphysema, for oral cancers, for heart disease, for all kinds of things-","client: I-I don't know. I mean, I try really hard not to smoke around him. I don't smoke in the car. Um, when he's home, I go outside to smoke. I just-- I mean, I know it's bad, and I know it's bad for him, so I don't want him to be around it so I try really hard.\ntherapist: I really need you to quit smoking. Both for your health and for Aiden. Did you know s-smoking around your child is associated not only with ear infections, it could get to the point where you have to put tubes in his ears pretty shortly here. Also, things like vitamin C deficiency, cavities, like dental cavities, behavior problems, um, asthma, other upper respiratory infections. It's really putting him at a lot of risk. In addition to that, kids of smokers end up smoking themselves. Do you want him to grow up to be a smoker?\nclient: No, but I don't smoke. I'm-- I-I-I've thought about quitting, but it's just- It's really hard so I just don't know how to do it.\ntherapist: Well, now's the time to quit. It's really gotten to the point where you can't keep smoking. Not only for him, like I said, but also for you. You're putting yourself at risk for lung cancer, for emphysema, for oral cancers, for heart disease, for all kinds of things-\n",FALSE,n/a,FALSE,0.5704702204093337
16,therapist,high,Right.,"client: I sit down and talk with him, asked him for, um, for support and stuff and he's fully, he says fully he'll be there for me. But, like I said, he's, um, he's in a different place in his life than I am in mine.\ntherapist: Mm-hmm.\nclient: He doesn't have kids.\ntherapist: Right.\n",FALSE,n/a,FALSE,0.570541352732107
38,therapist,high,And it doesn't feel good?,client: Yeah.\ntherapist: And it's perhaps taking you away from things that are more important to you?\nclient: Yeah.\ntherapist: And it doesn't feel good?\n,TRUE,closed,TRUE,0.571113962912932
7,therapist,high,You're still feeling the effects of-,therapist: You're still feeling the effects of-\ntherapist: You're still feeling the effects of-\ntherapist: You're still feeling the effects of-\ntherapist: You're still feeling the effects of-\n,FALSE,n/a,TRUE,0.5712338974699378
21,therapist,high,-you're not putting yourself-,"client: Um, well, alcohol definitely impairs your judgment. So, I mean, driving under the influence of alcohol can lead to like crashes and accidents and things like that, so I'd rather not be in that situation.\ntherapist: So, you're really are trying to be safe and-and make sure that-\nclient: Yeah.\ntherapist: -you're not putting yourself-\n",TRUE,closed,FALSE,0.5718762348406017
56,therapist,high,Yeah?,therapist: Yeah?\ntherapist: Yeah?\ntherapist: Yeah?\ntherapist: Yeah?\n,TRUE,open,FALSE,0.571964344708249
53,therapist,low,Okay. And how often do you think you drink?,"client: Um, well, I'm definitely not a math or science person, so I started off by there that I started looking at careers that maybe I would like. So-\ntherapist: Okay. Great. Sounds like you have, like I said, really good goals and you're working hard in school. Um, you said that when you're going out with your friends, you like to hang out and shop and stuff like that and also go to parties, so do you drink alcohol?\nclient: Um, not really. Maybe one or two drinks at a party at the most.\ntherapist: Okay. And how often do you think you drink?\n",TRUE,open,FALSE,0.5721963730175048
60,therapist,high,"If you will. And that's if you decide you want to try a replacement therapy and that's what we call it and it-it kind of sounds from what you've described with your fear about you know, what it would be like of the withdrawal and everything like that. W-why you don't have to do it that way, you don't have to go cold-cold turkey.","client: Right, right. Just like [inaudible 00:04:06] Or your chocolate and all that.\ntherapist: Yeah.\nclient: So just switching my addiction. [laughs]\ntherapist: If you will. And that's if you decide you want to try a replacement therapy and that's what we call it and it-it kind of sounds from what you've described with your fear about you know, what it would be like of the withdrawal and everything like that. W-why you don't have to do it that way, you don't have to go cold-cold turkey.\n",FALSE,n/a,TRUE,0.5727782442700118
5,therapist,high,"Mm-hmm. So what's the- what's the-- Say, if you get on the course-","client: Yeah.\ntherapist: And what-what happens next in terms of what happens once the forms are there?\nclient: I don't know. I don't know if you have to interview or whatever, but I guess, course-- I don't even know any course that I'll do.\ntherapist: Mm-hmm. So what's the- what's the-- Say, if you get on the course-\n",FALSE,n/a,FALSE,0.5734758989419788
7,therapist,high,So I know we've determined that you sprained your ankle yesterday and I'm wondering if you can tell me a little bit about how that happened?,therapist: So I know we've determined that you sprained your ankle yesterday and I'm wondering if you can tell me a little bit about how that happened?\ntherapist: So I know we've determined that you sprained your ankle yesterday and I'm wondering if you can tell me a little bit about how that happened?\ntherapist: So I know we've determined that you sprained your ankle yesterday and I'm wondering if you can tell me a little bit about how that happened?\ntherapist: So I know we've determined that you sprained your ankle yesterday and I'm wondering if you can tell me a little bit about how that happened?\n,TRUE,open,FALSE,0.5746373343281448
26,therapist,high,"All right. yeah, I was told that you're phone calls was taken away","therapist: So what's been going on?\nclient: I just want my call, that's it.\ntherapist: All right. yeah, I was told that you're phone calls was taken away\n",FALSE,n/a,TRUE,0.5748393416870385
19,therapist,high,"So, it sounds like you're ready. You're ready to give this up.","client: Yeah, it's bad. My friends and I, we just-- I mean, it's fun and uh-- so I don't know what to do, but I- but I gotta change.\ntherapist: Okay.\nclient: I want it.\ntherapist: So, it sounds like you're ready. You're ready to give this up.\n",FALSE,n/a,TRUE,0.5750040675047785
8,therapist,high,"So, from your perspective, do you see any consequences to your smoking?","client: Yeah, I've got to read this. That's my reading assignment for breakfast and I want to go out and have-- We used to go out and have a cigarette together at the table. Now I have to go outside in this weather, you know, what's that about? And she used to smoke more than me and now she's like holier than now?\ntherapist: So, you're pretty angry about it. It's pretty outraging that you're forced to change your whole life because of a decision she made six months ago.\nclient: And she's got my kids on this against me, you know, my son and my daughter, they're, it's like, they're ganging up on me, you know what I mean?\ntherapist: So, from your perspective, do you see any consequences to your smoking?\n",TRUE,closed,FALSE,0.575352881103754
67,therapist,high,Playing basketball and playing video games are a way to feel better.,"client: Hmm, I like to play video games.\ntherapist: Anything else?\nclient: I can play basketball with my friend Sarah.\ntherapist: Playing basketball and playing video games are a way to feel better.\n",FALSE,n/a,TRUE,0.5762092461809516
31,therapist,high,"Okay. The muscle weakness with this drug is very rare, uh, usually doesn't even happen, okay? Uh, if it happens it usually happens within the first month of taking the medicine, you'll notice it in terms of weakness in the arms, uh, or some muscle pain, it's not usual. If this should happen, uh, if you let the doctor or me know right away, we can get you off the medicine, it's completely reversible. It's, the muscle weakness will go away within a couple of days, right.","client: Mm-hmm.\ntherapist: Okay, um, would you mind if I talk to you, if-if I- if I gave you a little bit of information about the muscle weakness, and you tell me what you think?\nclient: That'd be fine.\ntherapist: Okay. The muscle weakness with this drug is very rare, uh, usually doesn't even happen, okay? Uh, if it happens it usually happens within the first month of taking the medicine, you'll notice it in terms of weakness in the arms, uh, or some muscle pain, it's not usual. If this should happen, uh, if you let the doctor or me know right away, we can get you off the medicine, it's completely reversible. It's, the muscle weakness will go away within a couple of days, right.\n",FALSE,n/a,FALSE,0.5764457427430898
88,therapist,high,What time would you need to get up then?,"client: No.\ntherapist: So knowing that a couple of things can really get in your way, what do you think would work best for you to get to school on time? What do you know you need to do?\nclient: Get up on time would probably be a good start of making me get there on time.\ntherapist: What time would you need to get up then?\n",TRUE,closed,FALSE,0.5764741492457688
49,therapist,high,"Yeah. Yeah. My sense is we'll be able to work pretty well together. That's my, sort of, sense of, uh-- After last time, I thought, you know, ""Here's a young woman who's, you know, got some energy to get things together-","client: I guess, I'm-- It made me think about how much money I have been losing recently. So, yeah. I'm happier to be here. [chuckles]\ntherapist: Okay, okay. So, there's a shift from last time?\nclient: Mm-hmm.\ntherapist: Yeah. Yeah. My sense is we'll be able to work pretty well together. That's my, sort of, sense of, uh-- After last time, I thought, you know, ""Here's a young woman who's, you know, got some energy to get things together-\n",FALSE,n/a,FALSE,0.576633698772639
37,therapist,high,"So you've rung your mom, had a chat to her.","client: Um, I've cut down on the drink. I haven't stopped drinking, but, uh-- Yeah, so, uh, it's okay.\ntherapist: Things are looking pretty good.\nclient: Yeah.\ntherapist: So you've rung your mom, had a chat to her.\n",FALSE,n/a,FALSE,0.5770877429749817
95,therapist,high,"-How could it be the right one? Ending your life hurting yourself when it's just you and your mom. And you just said, she's a single parent. She doesn't have a husband, you don't have a dad. It's just the two of you. So how could it be the right choice? But I understand your pain and I know where you're coming from. And I know that the release that you feel physically is something that helps you in the moment. Are there other things that we can help you find to start replacing, um, that behavior?","client: Um, I try to be a good kid. I tried to go to school. I may not have the best grades, but I'm not failing any classes.\ntherapist: Okay. So then even by you coming here today, Ruth, and talking to me and opening up and telling me that you don't feel like you want to continue moving in and telling me and-and confiding in me that, you know, you hurt yourself and all this pain that you feel, that is you trying to help yourself out in one way or another. And that shows that you care. And even more, it shows that you care about your mom and that, in the end, it doesn't sound like you wanna leave her alone because you're still worried about ot-you're still worried about all the burdens on her that you're even thinking of removing yourselves to make her life easier. That shows me that you care about her so, so much, but right now the immediate solution that you have in your mind, it seems like it's-it's-\nclient: That's the right one.\ntherapist: -How could it be the right one? Ending your life hurting yourself when it's just you and your mom. And you just said, she's a single parent. She doesn't have a husband, you don't have a dad. It's just the two of you. So how could it be the right choice? But I understand your pain and I know where you're coming from. And I know that the release that you feel physically is something that helps you in the moment. Are there other things that we can help you find to start replacing, um, that behavior?\n",TRUE,open,FALSE,0.5778785645961761
89,therapist,high,"Okay. Um, so can you talk to me a little bit about, um, maybe where you wanna be 90 days from now? What do you want your life to look like?","client: Yeah, it's probably- it's probably the reason why all that's happening. I mean-\ntherapist: Mm-hmm.\nclient: -If I lose my job, it's 'cause I failed the UA, so—\ntherapist: Okay. Um, so can you talk to me a little bit about, um, maybe where you wanna be 90 days from now? What do you want your life to look like?\n",TRUE,open,FALSE,0.5779234964866191
9,therapist,low,"Okay. Well, I'm concerned about the amount that you're drinking currently. It sounds like you're having about 15 to 20 drinks per week, and that's definitely more than what we would recommend and could certainly be contributing to your high blood pressure.","client: I don't smoke. I smoked, you know, as a young adult, quit 20 years ago. I went cold turkey. I was proud of that, haven't even thought about smoking.\ntherapist: Okay, great. Um, do you drink alcohol, including beer or wine?\nclient: Uh, I do drink beer, I drink, you know, two to three pints on weekdays, sometimes on weekends, maybe four or five.\ntherapist: Okay. Well, I'm concerned about the amount that you're drinking currently. It sounds like you're having about 15 to 20 drinks per week, and that's definitely more than what we would recommend and could certainly be contributing to your high blood pressure.\n",FALSE,n/a,FALSE,0.5782405503559858
95,therapist,high,"So you feel like your hands are tied, you feel like you're a burden to mom. She's a single parent. She works a lot. You have all of these problems in your life. And it sounds to me like you feel like you're just adding more problems to her.","client: [foreign language]\ntherapist: So your mom doesn't understand you and you don't have a dad, that's around?\nclient: Yeah, 'cause she's a single mom and she struggles a lot. I wanna help her, but I can't help her. So it just makes me sad. I feel like if I don't live anymore, she'll be okay. And she wouldn't have to worry about me or pay my stuff.\ntherapist: So you feel like your hands are tied, you feel like you're a burden to mom. She's a single parent. She works a lot. You have all of these problems in your life. And it sounds to me like you feel like you're just adding more problems to her.\n",FALSE,n/a,TRUE,0.5782573006581515
11,therapist,high,Yeah. Yeah. Yeah.,"client: It's not like I was gonna sell it or anything. It's like—\ntherapist: Just enough for your own use?\nclient: Yeah, whatever, you know. It's California, no one cares.\ntherapist: Yeah. Yeah. Yeah.\n",FALSE,n/a,FALSE,0.5784583787899464
53,therapist,low,"Mm-hmm, and when you and your friends are hanging out, and what- what do you do? Do you go to football games, go to parties?","client: Okay. Um, my name is Laura and I'm 17 and I'm a senior in high school.\ntherapist: Okay. And what do you like to do for fun?\nclient: Um, mostly just hang out with my friends and stuff on the weekends, things like that.\ntherapist: Mm-hmm, and when you and your friends are hanging out, and what- what do you do? Do you go to football games, go to parties?\n",TRUE,open,FALSE,0.5787160543259233
83,therapist,high,Oh good. You got family out here?,"client: I've been up here since I was 18.\ntherapist: Oh, so you've been here a while?\nclient: Just a little while. Yeah.\ntherapist: Oh good. You got family out here?\n",TRUE,closed,FALSE,0.5787977804429829
60,therapist,high,Yeah.,client: That's coming up in November-\ntherapist: Yeah.\nclient: -that's cool I'll have to find out about that.\ntherapist: Yeah.\n,FALSE,n/a,FALSE,0.5792414124589413
5,therapist,high,Mm. What do you think?,"client: I'd probably just go be stupid with my mates.\ntherapist: Okay. So Donna at the moment who kind of being there is like a strength?\nclient: Yeah. 'Cause if there's just like if a mate said they're gonna go out and pick a car or something, she just bumps them out and then-then I don't know. She say that's stupid and stuff. And I don't know. It gives me something to do.\ntherapist: Mm. What do you think?\n",TRUE,open,FALSE,0.579820899059996
28,therapist,high,"Oh, three days. You know, that's a long time and I felt, you know, that's a pretty long time to go without smoking and I would imagine, I think that's pretty good.","client: And even then I-I snuck out and had a cigarette, you know.\ntherapist: Okay. So, what's the longest you've ever gone without a cigarette including being in the hospital?\nclient: Oh God, I would have to say, uh, three days.\ntherapist: Oh, three days. You know, that's a long time and I felt, you know, that's a pretty long time to go without smoking and I would imagine, I think that's pretty good.\n",FALSE,n/a,TRUE,0.580401404760778
9,therapist,low,"Okay, do you smoke at all?","client: Not really, I haven't been stressed. Uh, I've been working steady, you know, these days, I'm glad to have a job, I really am happy that I'm working, so.\ntherapist: Yeah, that's certainly true. I'd also like to ask about some health habits that can contribute to high blood pressure.\nclient: Okay.\ntherapist: Okay, do you smoke at all?\n",TRUE,closed,FALSE,0.5805339987855405
131,therapist,low,What you'd like to do is stop and you'd like to sort of like choose a time to quit when it's going to be there's not as much stress around as possible. When do you think would be a good time for you to choose to be your quit date?,"client: Mm-hmm.\ntherapist: The main reason that you smoke is because, at the end of the day, it gives you a kind of relaxation, and if there's quite a little stress that's going on which you're using cigarettes to help you cope with.\nclient: Mm-hmm.\ntherapist: What you'd like to do is stop and you'd like to sort of like choose a time to quit when it's going to be there's not as much stress around as possible. When do you think would be a good time for you to choose to be your quit date?\n",TRUE,closed,TRUE,0.5806748094037175
72,therapist,low,"-and you're on a team, you have to stick by the rules.","client: -or playing random games with alcohol, just to get drunk for no reason. And because I was there in the moment, I felt pressured to do and like conform to what everyone else was doing. So I wouldn't be- I wouldn't be ostracized.\ntherapist: Yeah, you know, I get it. Like, we've all been there. Okay. You know, I was in high school ones too, you know, I drank too. I get it. There's not a ton to do in this town a-and kids drink, but, you know, promise we have these rules-\nclient: I understand.\ntherapist: -and you're on a team, you have to stick by the rules.\n",FALSE,n/a,FALSE,0.5807861604262143
44,therapist,low,Uh-huh.,"client: Oh, I really like the-the group setting.\ntherapist: Oh, okay.\nclient: You know, getting to work with my other classmates and things like that. And putting on this entire show-\ntherapist: Uh-huh.\n",FALSE,n/a,FALSE,0.5809205486439168
39,therapist,high,"The other thing is its a slight stimulatory effect and when people go off nicotine which is a stimulant the-they tend to get pretty tired overheard-- you know it's the opposite of however the nicotine makes them feel. And the Wellbutrin kind of with stimul-- you know stimulatory enough. [crosstalk] [unintelligible 00:05:56] And I-- the last I've read, and I've not kept real current about it, but I'm wondering about the-- what your thoughts are if any about the-- any of the nicotine replacements like the gum patch, the inhaler.","therapist: Yes, it is.\nclient: Okay. Um, I'd be open to that and then I'm not sure-- I'm not familiar with the other thing that you had suggested. Um, I don't know what that is.\ntherapist: It's the same thing. It's Wellbutrin, and when they found out by accident through what we call serendipity that you know what, Viagra. [laughs] That when- when people were on Wellbutrin that they tended to decrease and stop smoking, and, um, there were a couple of different reasons for that. Number one, people tend to get depressed when they quit smoking, because it puts you in such a state of deprivation and, um also-- well, so Wellbutrin really is a good antidepressant for them.\ntherapist: The other thing is its a slight stimulatory effect and when people go off nicotine which is a stimulant the-they tend to get pretty tired overheard-- you know it's the opposite of however the nicotine makes them feel. And the Wellbutrin kind of with stimul-- you know stimulatory enough. [crosstalk] [unintelligible 00:05:56] And I-- the last I've read, and I've not kept real current about it, but I'm wondering about the-- what your thoughts are if any about the-- any of the nicotine replacements like the gum patch, the inhaler.\n",FALSE,n/a,FALSE,0.5811787762213498
49,therapist,high,Yeah? Yeah.,"client: Yeah.\ntherapist: Yeah? Yeah. Yep. So, it seems like almost, like, you're still in the behavior, you know, still creating some problems?\nclient: Mm-hmm.\ntherapist: Yeah? Yeah.\n",FALSE,n/a,FALSE,0.581195899983868
4,therapist,high,You do. you have beautiful teeth as I always tell you-,"client: I don't actually, really. I-I mean, I'm sure that it might push on my gums or teeth, but I don't know how much it will impact that much. I've pretty good teeth. I don't know.\ntherapist: Mm-hmm.\nclient: I don't really know [unintelligible 00:01:04]\ntherapist: You do. you have beautiful teeth as I always tell you-\n",FALSE,n/a,FALSE,0.5816040025092661
37,therapist,high,"Grand. You talked a little bit about, uh, you'd really like to get back with Kristie?","client: I try.\ntherapist: Yeah. What does it tell me about you as a man, as a father, as someone who wants to get moving?\nclient: Well, I hope it tells you that, um, that I'm a good bloke. That I'm a good dad. That I really- that I'm really serious. I am really serious.\ntherapist: Grand. You talked a little bit about, uh, you'd really like to get back with Kristie?\n",TRUE,closed,FALSE,0.5818385980091989
91,therapist,high,Is there anything else that's not good about smoking for you?,"client: Well, it's bad for my health and it's scaring me 'cause I don't feel well.\ntherapist: Mm-hmm.\nclient: I haven't felt well for a while. I'm getting coughing fits even when I'm on the telephone with customers.\ntherapist: Is there anything else that's not good about smoking for you?\n",TRUE,open,FALSE,0.5819152574986219
130,therapist,low,"So it sounds like if you have alcohol, then smoking is very difficult to avoid and you know what you need to do. You need to go home and as your-your son's doctor, I need to tell you you need to go home and throw out those cigarettes. You need to quit.","therapist: So it sounds like if you have alcohol, then smoking is very difficult to avoid and you know what you need to do. You need to go home and as your-your son's doctor, I need to tell you you need to go home and throw out those cigarettes. You need to quit.\ntherapist: So it sounds like if you have alcohol, then smoking is very difficult to avoid and you know what you need to do. You need to go home and as your-your son's doctor, I need to tell you you need to go home and throw out those cigarettes. You need to quit.\ntherapist: So it sounds like if you have alcohol, then smoking is very difficult to avoid and you know what you need to do. You need to go home and as your-your son's doctor, I need to tell you you need to go home and throw out those cigarettes. You need to quit.\ntherapist: So it sounds like if you have alcohol, then smoking is very difficult to avoid and you know what you need to do. You need to go home and as your-your son's doctor, I need to tell you you need to go home and throw out those cigarettes. You need to quit.\n",FALSE,n/a,TRUE,0.5820209053345025
74,therapist,low,Okay.,client: -it's fine.\ntherapist: All right. Okay.\nclient: Yeah.\ntherapist: Okay.\n,FALSE,n/a,FALSE,0.5821658445056528
83,therapist,high,Yeah. Does she know that you're here today?,"client: Um, oh, my mom.\ntherapist: Yeah. Your is mum still down south?\nclient: Yeah.\ntherapist: Yeah. Does she know that you're here today?\n",TRUE,closed,FALSE,0.5822110127191991
43,therapist,high,"Yeah. This anxiety is this obstacle for you and it sounds like it, then you're just not feeling confident that you could do it and do it successfully to this exam.","therapist: Well, thank you, Tanya, for meeting with me today and talking about this. So, there is something I'd like to ask you that we can kind of discuss in our conversation is what's one thing about yourself or something in your life that you'd like to change that maybe you've been feeling kind of ambivalent about?\nclient: Um, well, you know, I have a lot of anxiety, and so there's this test that I have to take. It's a big test and I've kind of been putting it off just 'cause I get very anxious. I don't trust in myself that I'm going to do good at it. Um, and so that's something that's like always on my mind, it's been on my mind for many years and it's like, I gotta just do it. Um, but I always stop myself from doing that because of the anxiety. And I just want to, I don't want to feel that way.\ntherapist: Yeah. This anxiety is this obstacle for you and it sounds like it, then you're just not feeling confident that you could do it and do it successfully to this exam.\n",FALSE,n/a,TRUE,0.5825342531315982
102,therapist,low,"So what's something that you'd like to change or, um, work towards?","therapist: Hi, Liz. Well, thanks for meeting with me today.\nclient: Sure.\ntherapist: So what's something that you'd like to change or, um, work towards?\n",TRUE,open,FALSE,0.5828288421034813
40,therapist,high,"So-so, uh, have-- last time we talked, you know, you were kind of cutting the-the ex-boyfriend out. This is because he was your dealer, so--","client: Um, and I met a couple new friends.\ntherapist: Nice.\nclient: So—\ntherapist: So-so, uh, have-- last time we talked, you know, you were kind of cutting the-the ex-boyfriend out. This is because he was your dealer, so--\n",FALSE,n/a,TRUE,0.5834385028574616
23,therapist,high,So it wasn't what you expected?,"client: Yeah. Yeah. It was a fashion thing. I think it was for some kind of-- I'm not sure if it was a campaign or something, but, it was-\ntherapist: Okay.\nclient: Yeah, it was, yeah, it was really cool, but I find it- found it really hard to try and focus on that 'cause I was so- I was kind of feeling really anxious and—\ntherapist: So it wasn't what you expected?\n",TRUE,closed,TRUE,0.5844997398089617
64,therapist,high,Mm-hmm.,"client: Mm-hmm, yeah. Yeah. So I guess when I put it that way, it does sound quite a lot, but it doesn't feel a lot, you know? If you know what I mean?\ntherapist: Well, maybe, we c-- we can check that out to see whether-whether it's a lot or-- But maybe also importantly to-to discuss with you what the effects are and-and-and what your concerns are about it. But help me to understand a little bit more of what it's like for you. Tell me- tell me what are the things about your, uh, use of meth that you- that you've liked that you found good for you?\nclient: Right. Um, I suppose it's kind of hand-in-hand with just hanging out with, sort of, some new scene that I've-- Like, um, I moved to Auckland maybe three years ago.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.584755172021687
68,therapist,high,Mm-hmm.,"client: Definitely.\ntherapist: Okay. And do you notice a big difference or can you tell me about the difference in your enjoyment level at say a party versus a night you're playing board games?\nclient: Um, I think of them as-as different, I think, you know, like in playing board games and things, it's meant to be relaxing.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.5849321710411459
86,therapist,high,This is not what you've envisioned.,client: Mm-hmm. I'm letting my whole family down. They had such high hopes for me.\ntherapist: You feel like you've been a disappointment for them.\nclient: Mm-hmm. This is not what I want for my life.\ntherapist: This is not what you've envisioned.\n,FALSE,n/a,TRUE,0.5851570789236575
131,therapist,low,I'd be very happy to do that.,"client: Well, definitely.\ntherapist: And what would you like me to do if you don't come back?\nclient: A nice phone call.\ntherapist: I'd be very happy to do that.\n",FALSE,n/a,FALSE,0.5852875707205385
52,therapist,high,Scholarship will really help you achieving your goals.,"client: Yeah, I would like to play soccer in college.\ntherapist: That's a great goal to have for yourself.\nclient: Yeah, I would also like to get scholarships.\ntherapist: Scholarship will really help you achieving your goals.\n",FALSE,n/a,TRUE,0.5860439701937139
18,therapist,high,"Yeah, and-and in some ways getting caught might be a good thing. I know it might sound a re-really sort of strange thing to say, but I wonder if like getting caught might have been a good thing. Because you would have read the papers about other people's of-- you know. They're the hands that would turn on stuff and end up with gambling problems and big money. So I want- I want to hear much that it might have been a good thing that you got caught at this stage, and you got a chance to do some talking about it and working around some strategies to get it under control so it doesn't control you. What's your hunch about that?","client: -you know, suppose in some way, I took the money for-for that but I don't know, you know? It's just a few dollars here and there and I didn't really think about it at the time, so-\ntherapist: Mm.\nclient: -I don't know.\ntherapist: Yeah, and-and in some ways getting caught might be a good thing. I know it might sound a re-really sort of strange thing to say, but I wonder if like getting caught might have been a good thing. Because you would have read the papers about other people's of-- you know. They're the hands that would turn on stuff and end up with gambling problems and big money. So I want- I want to hear much that it might have been a good thing that you got caught at this stage, and you got a chance to do some talking about it and working around some strategies to get it under control so it doesn't control you. What's your hunch about that?\n",TRUE,open,FALSE,0.5860885020811111
78,therapist,high,"Oh, that-that sounds like it would be great if you were able to do that. Obviously, don't smoke in the house, you know- you know.","client: Yeah, it is. Um.\ntherapist: So, uh, any thoughts on what you may be able to do to-to help at this point, if you don't choose to quit right away?\nclient: Well, I was thinking, um, if since it, you know, it affects her that it's on my clothes, if I only smoked while she was at school, and then changed my clothes before she came home. Would that help?\ntherapist: Oh, that-that sounds like it would be great if you were able to do that. Obviously, don't smoke in the house, you know- you know.\n",FALSE,n/a,FALSE,0.5863248887471855
44,therapist,low,So why don't you start by telling me a little bit about yourself?,"therapist: Hey, hi, Andrea. Thanks for coming in today. So I don't know how much you've been told about why you're here, but basically, it's my job just to meet with all the students. I usually meet with you once or twice a semester. And I'm going to be talking to you kind of about your life and your goals and some behaviors that you might engage in and just the sorts of things like that.\nclient: Okay.\ntherapist: So why don't you start by telling me a little bit about yourself?\n",TRUE,open,FALSE,0.5872965620364994
44,therapist,low,"So, um, do you think you could quit drinking or?","client: But I haven't really thought about possible alcoholism or anything.\ntherapist: Okay. So it's, um, so it's good, because you're not drinking and driving, but you're still really drinking a lot. Um, and yeah. Okay. So, let's-let's talk a little bit about that, how you might be able to make some changes. Because I think you really need to- need to stop drinking like this.\nclient: Okay.\ntherapist: So, um, do you think you could quit drinking or?\n",TRUE,open,FALSE,0.5876666237600148
17,therapist,low,"Well, I think you can still have fun within these amounts. So that's what I'm gonna recommend. Um, I think this is a really good goal, and hopefully, we won't see any more injuries. Okay? So why don't you try that?","client: Yeah.\ntherapist: -amongst the people you typically drink with. But these limits are-- they're actually recommended for all adults. And studies have shown that when you drink more than this, it creates a bunch of problems like we talked about. So, you know, why do you think you drink the amount you drink?\nclient: I don't know. It's what we do. It's-- this is how we have fun, I guess. It is fun.\ntherapist: Well, I think you can still have fun within these amounts. So that's what I'm gonna recommend. Um, I think this is a really good goal, and hopefully, we won't see any more injuries. Okay? So why don't you try that?\n",FALSE,n/a,FALSE,0.5878072651103139
54,therapist,high,Okay?,"client: All right.\ntherapist: So when I see you next time, you know, that's what I'd like you to do is to, uh, experiment with getting up an hour earlier and, um-- You know, 'cause, uh, getting healthier is more important than sleep, you know. I mean, I know sleep is important, but-- And then bring that list back that we talked about.\nclient: Okay.\ntherapist: Okay?\n",FALSE,n/a,FALSE,0.5884350626729429
34,therapist,high,"And at the same time, it's hard to let go of the past, but on the other hand, you're thinking, ""I don't have a choice. I've got to look this way."" Is that kind of what it feels like?","client: Like, I wanna- I wanna be responsible for this thing.\ntherapist: You don't wanna let your baby down.\nclient: No.\ntherapist: And at the same time, it's hard to let go of the past, but on the other hand, you're thinking, ""I don't have a choice. I've got to look this way."" Is that kind of what it feels like?\n",TRUE,closed,TRUE,0.588715200079605
82,therapist,high,"Okay. And so let's look at those two. You're-you're thinking it's pretty important, but your confidence is down here, uh, a four, but it's not a one. What makes you confident that you can drink below risk levels and you remember what those are?","client: I would say a four.\ntherapist: Amount of four.\nclient: Mm-hmm.\ntherapist: Okay. And so let's look at those two. You're-you're thinking it's pretty important, but your confidence is down here, uh, a four, but it's not a one. What makes you confident that you can drink below risk levels and you remember what those are?\n",TRUE,open,TRUE,0.5891634584404528
5,therapist,high,"-and, um, you're, like, real good with, uh, hands-on stuff, but the stuff around the manuals, and the assignments, and those sorts of things, um, don't feel so good. What-what do you think we need to do around helping you with that?","client: I don't know. I don't know if you have to interview or whatever, but I guess, course-- I don't even know any course that I'll do.\ntherapist: Mm-hmm. So what's the- what's the-- Say, if you get on the course-\nclient: Yeah.\ntherapist: -and, um, you're, like, real good with, uh, hands-on stuff, but the stuff around the manuals, and the assignments, and those sorts of things, um, don't feel so good. What-what do you think we need to do around helping you with that?\n",TRUE,closed,FALSE,0.5896783035714179
126,therapist,low,"Hello, Kaylie. I'm Lori, the pharmacist here at Bulldog Pharmacy. I see that you have a new medication to pick up today. Called in by Dr. Ferris for cholesterol statin 20. Do you have a minute to talk about it? I want to make sure that you know how best to take this medicine and to answer any questions that you might have.","therapist: Great, Kaylie. I know we went over a lot today. What other questions do you have for me?\nclient: Uh, I think you answered all my questions. Thank you.\ntherapist: Fantastic. All right. Well, here's your prescription. I even put it on auto fill for you so that it will be filled for you every- at the same time every month. And if you have any other questions later, our phone number is right here on the bottle, and you can call me at any time. Thanks so much. Have a great day.\ntherapist: Hello, Kaylie. I'm Lori, the pharmacist here at Bulldog Pharmacy. I see that you have a new medication to pick up today. Called in by Dr. Ferris for cholesterol statin 20. Do you have a minute to talk about it? I want to make sure that you know how best to take this medicine and to answer any questions that you might have.\n",TRUE,closed,TRUE,0.590875401860103
88,therapist,high,"Okay. Okay, so you're willing to go to bed at 11:00 and then you're going to set your alarm for 6:15 the next morning?","client: Yes.\ntherapist: So what time would you have to go to bed at night to make sure you're up by 6:15?\nclient: I go about midnight now, so if I tried maybe 11:00. I can try 11:00.\ntherapist: Okay. Okay, so you're willing to go to bed at 11:00 and then you're going to set your alarm for 6:15 the next morning?\n",TRUE,closed,TRUE,0.5908759501762688
68,therapist,high,Okay.,"client: Mm-hmm.\ntherapist: Like belonging or sense of community. Again, cultural identity or family, friendship, modesty, religion, respect, self-determination and spirituality. So, when you think about yourself, which of these are kind of most important to you in terms of your life?\nclient: Um, I think a sense of community and belonging.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.5911084529943764
66,therapist,high,How are you doing today? I'm Bruce Berger.,therapist: How are you doing today? I'm Bruce Berger.\ntherapist: How are you doing today? I'm Bruce Berger.\ntherapist: How are you doing today? I'm Bruce Berger.\ntherapist: How are you doing today? I'm Bruce Berger.\n,TRUE,open,FALSE,0.5923030835110694
46,therapist,high,"Okay. So, you drink with friends, sort of three or four beers or mixed drinks, one or two times a month. How long have you been doing that?","client: Um, three or four, probably. I don't keep track.\ntherapist: Okay. And how often?\nclient: Um, probably about once or twice a month.\ntherapist: Okay. So, you drink with friends, sort of three or four beers or mixed drinks, one or two times a month. How long have you been doing that?\n",TRUE,closed,TRUE,0.5928014805540442
131,therapist,low,Okay. So we're talking about spending £50 a week-,"client: £50 a week.\ntherapist: Even more mess, you see.\nclient: Yeah.\ntherapist: Okay. So we're talking about spending £50 a week-\n",FALSE,n/a,TRUE,0.59362174407579
27,therapist,low,"Well, you sound a bit surprised by that. But I'm sure that you've seen some of the material that-that the clinic gave you about asthma symptoms and managing your asthma, and pets are a really big source of problems in that respect.","client: -ridiculous part is I've had him for 12 years before, and now it's a problem.\ntherapist: Well, you sound a bit surprised by that. But I'm sure that you've seen some of the material that-that the clinic gave you about asthma symptoms and managing your asthma, and pets are a really big source of problems in that respect.\ntherapist: Well, you sound a bit surprised by that. But I'm sure that you've seen some of the material that-that the clinic gave you about asthma symptoms and managing your asthma, and pets are a really big source of problems in that respect.\ntherapist: Well, you sound a bit surprised by that. But I'm sure that you've seen some of the material that-that the clinic gave you about asthma symptoms and managing your asthma, and pets are a really big source of problems in that respect.\n",FALSE,n/a,TRUE,0.5937391500920057
123,therapist,low,"Well, I appreciate you thinking about it. I hope you'll think about it really hard. You know, this is something that I'm gonna continue to ask you about because it's something that really needs to change.","client: Well, I don't believe that they are cigars. And what I do believe is that it's a choice and it's my right, and it's something that I choose to do. And so I will think about cutting back, but I'm not at a point where I'm ready to do that. And I'm not really sure that I even believe that what you're telling me is real.\ntherapist: You're choosing to really damage your mouth and actually, it can cause problems with your teeth too. I don't know if you notice your teeth might be getting yellower than they were before. That's another side effect. There are a lot of really negative things that go along with any tobacco use, whether it's cigarettes, cigars, dip, chew, snuffs, snus, hookah, any of it. This is a really important decision that you're making and you said it's your choice, but you're really choosing to make yourself sick and potentially die.\nclient: Well, it's something that I'll think about.\ntherapist: Well, I appreciate you thinking about it. I hope you'll think about it really hard. You know, this is something that I'm gonna continue to ask you about because it's something that really needs to change.\n",FALSE,n/a,FALSE,0.5938246266450733
94,therapist,high,"Okay, so, um, there would be, so what you're, what you're attempting to do is, um, well-- Tell me, I guess, uh, tell me a little bit more about it so I understand it a little bit more.","therapist: Good, so, um, we're here today to talk just, uh, about whatever it is you'd like to talk about it.\nclient: Um, how about if we talk about, uh, the problem that I'm really having is, um, getting somebody motivated to do something, um, such as move out of my house.\ntherapist: Okay, so, um, there would be, so what you're, what you're attempting to do is, um, well-- Tell me, I guess, uh, tell me a little bit more about it so I understand it a little bit more.\n",FALSE,n/a,TRUE,0.5945328827947378
62,therapist,high,"Okay, great. Um, so with your community service I know you've got 25 hours left to do, um, so that does need to get done by the end of your probation, and your case manager is a really great resource to help you find a place where you can do it. So I know in the past some clients have done their community service at food pantries or shelters, or anywhere in the community that's not, you know, a family member or a friend. Um, the urban ecology center is a really great place. You can kind of work outside, work with younger kids. Do any of those options seem like a fit that you might be interested in?","client: Yeah, yeah.\ntherapist: Is that all right?\nclient: Mm-hmm.\ntherapist: Okay, great. Um, so with your community service I know you've got 25 hours left to do, um, so that does need to get done by the end of your probation, and your case manager is a really great resource to help you find a place where you can do it. So I know in the past some clients have done their community service at food pantries or shelters, or anywhere in the community that's not, you know, a family member or a friend. Um, the urban ecology center is a really great place. You can kind of work outside, work with younger kids. Do any of those options seem like a fit that you might be interested in?\n",TRUE,closed,FALSE,0.5945473739411682
9,therapist,low,"Alcohol can have some dangerous effects on your body. So along with contributing to high blood pressure, it can have a big impact on your liver, which you need to keep in mind. So your liver has several different roles in your body. First, it helps process excess fatty acids before they get distributed to the rest of your body. It also helps process alcohol and other drugs. So when you have an excess of alcohol, your liver can't work as efficiently and the fatty acids build up, and over time, your liver won't be able to work as well.","client: Well, I-- you know, my pressure has been high for years and, um, you know.\ntherapist: Well, according to your chart, your blood pressure has gone up since July, and you said that you've been drinking more recently, so do you see the connection there?\nclient: Maybe a little bit.\ntherapist: Alcohol can have some dangerous effects on your body. So along with contributing to high blood pressure, it can have a big impact on your liver, which you need to keep in mind. So your liver has several different roles in your body. First, it helps process excess fatty acids before they get distributed to the rest of your body. It also helps process alcohol and other drugs. So when you have an excess of alcohol, your liver can't work as efficiently and the fatty acids build up, and over time, your liver won't be able to work as well.\n",FALSE,n/a,FALSE,0.594615563750267
38,therapist,high,And you've perhaps never seen it in that light before.,"client: No.\ntherapist: Yeah. And so, it sounds like there's a bit of a dilemma there, because-- And I guess we should be clear, it's not the occasional drink that's an issue. Um, it's-it's really the quantity of drinking, and-and whether your drinking is escalating and interfering with things that are, perhaps, more important.\nclient: Yeah.\ntherapist: And you've perhaps never seen it in that light before.\n",FALSE,n/a,TRUE,0.5946780268568546
61,therapist,high,And do you agree that that's what you need to do in order to be able to get home?,"client: Well, they told me that I need to be able to walk down the hallway and back, even with the walker, being secure and not with the wobblies.\ntherapist: Uh-huh.\nclient: And I haven't gotten there yet.\ntherapist: And do you agree that that's what you need to do in order to be able to get home?\n",TRUE,closed,FALSE,0.5949976530391723
22,therapist,high,Security.,"client: And religion.\ntherapist: Okay, and the three- the three other ones, inner harmony-- Let me see if I can remember them. Inner harmony, health and, what was the other one?\nclient: Security.\ntherapist: Security.\n",FALSE,n/a,TRUE,0.5952287607360631
36,therapist,high,Right.,"client: Um, and so I went part-time, but in the end, I, uh, about a year ago, I stopped work altogether.\ntherapist: Right. Right.\nclient: Um, I miss that.\ntherapist: Right.\n",FALSE,n/a,FALSE,0.5961725630331784
131,therapist,low,"You've got the time at the end of the day when you finish work, which might be the first time you've gone without a cigarette. So, what I'd like to recommend is that you use two products perhaps and I'm thinking of you're having a patch and then suggesting that you might use something that you can top up with. Often, a person who smokes knows exactly what it feels like when they're craving for a cigarette. What does it feel like to you, when you can't have a cigarette and you want one?","client: Yeah.\ntherapist: -and, again, I'll get some out and I'll show you what they look like. This course of medication lasts for 10 to 12 weeks. And we strongly recommend that people stay on the whole course of medication and that that gives you the best chance of success. Stopping smoking is not easy but it's possible and with the type of support that we offer here in the pharmacy, you absolutely make your chance of success four times greater than trying on your own, so, that's why it's really good that you've come to see me. Now, what you said is you really want to do it and that next week sounds like a good day for you to start because the party is over and done with.\nclient: Mm-hmm.\ntherapist: You've got the time at the end of the day when you finish work, which might be the first time you've gone without a cigarette. So, what I'd like to recommend is that you use two products perhaps and I'm thinking of you're having a patch and then suggesting that you might use something that you can top up with. Often, a person who smokes knows exactly what it feels like when they're craving for a cigarette. What does it feel like to you, when you can't have a cigarette and you want one?\n",TRUE,open,FALSE,0.5961878537200391
41,therapist,high,Right.,"client: I would say so, yeah. I don't know if I've ever said that in front of people and not felt the least twinge of guilt for it. [chuckles]\ntherapist: That's not a selfish thing.\nclient: No-\ntherapist: Right.\n",FALSE,n/a,FALSE,0.5965257056523114
88,therapist,high,What a great plan and you said you're going to start tomorrow.,"client: Absolutely.\ntherapist: So what I've been hearing so far- what again, what a great goal. You've already had some insight of how to do this. So for you, it's really important that you're getting to your first hour because you don't want to go back to sanction days. You don't having- like having all these extra people checking up on you and all those things.You've already have a plan of going to bed by 11:00, turning off the lights, putting your cell phone away. Even the support of your mom is really gonna be helpful for you, um, getting up at 6:15 in the morning with that alarm. I know that seems really early in the morning, but you seem willing to do it. And if you're not able to do it, your mom's gonna help you out as well.\nclient: Well, yeah, I hope so.\ntherapist: What a great plan and you said you're going to start tomorrow.\n",FALSE,n/a,TRUE,0.5973224646877497
72,therapist,low,"Yeah, you know, I get it. Like, we've all been there. Okay. You know, I was in high school ones too, you know, I drank too. I get it. There's not a ton to do in this town a-and kids drink, but, you know, promise we have these rules-","client: Right. Actually, I do want to speak to you about something that happened during this past weekend. Usually, as, you know, I'm, um, I'm an honor student. I-I usually I'm studying over the weekend and my parents don't let me go out to parties, but I kind of use that to my advantage, to convince my parents to go to this party that my friends were pressuring me to go to. And when I- when I got there, like I'm not used to this like party environment where everything you see in the movies is kind of what happens, where you have people just drinking out of the bottle-\ntherapist: Mm-hmm.\nclient: -or playing random games with alcohol, just to get drunk for no reason. And because I was there in the moment, I felt pressured to do and like conform to what everyone else was doing. So I wouldn't be- I wouldn't be ostracized.\ntherapist: Yeah, you know, I get it. Like, we've all been there. Okay. You know, I was in high school ones too, you know, I drank too. I get it. There's not a ton to do in this town a-and kids drink, but, you know, promise we have these rules-\n",FALSE,n/a,FALSE,0.5974355030339211
130,therapist,low,"Yeah. Well, the good news is he doesn't have pneumonia. It's just an upper re-respiratory tract infection and a cold. So there's some things you can do to make- to help him get better. You can avoid excessive dust. You can keep him hydrated, avoid over-the-counter cold remedies. Keep him away from people who have flu or cold-like symptoms and avoid smoke. And the last one should be easy because you quit smoking during your pregnancy.","therapist: Yeah. Well, the good news is he doesn't have pneumonia. It's just an upper re-respiratory tract infection and a cold. So there's some things you can do to make- to help him get better. You can avoid excessive dust. You can keep him hydrated, avoid over-the-counter cold remedies. Keep him away from people who have flu or cold-like symptoms and avoid smoke. And the last one should be easy because you quit smoking during your pregnancy.\ntherapist: Yeah. Well, the good news is he doesn't have pneumonia. It's just an upper re-respiratory tract infection and a cold. So there's some things you can do to make- to help him get better. You can avoid excessive dust. You can keep him hydrated, avoid over-the-counter cold remedies. Keep him away from people who have flu or cold-like symptoms and avoid smoke. And the last one should be easy because you quit smoking during your pregnancy.\ntherapist: Yeah. Well, the good news is he doesn't have pneumonia. It's just an upper re-respiratory tract infection and a cold. So there's some things you can do to make- to help him get better. You can avoid excessive dust. You can keep him hydrated, avoid over-the-counter cold remedies. Keep him away from people who have flu or cold-like symptoms and avoid smoke. And the last one should be easy because you quit smoking during your pregnancy.\ntherapist: Yeah. Well, the good news is he doesn't have pneumonia. It's just an upper re-respiratory tract infection and a cold. So there's some things you can do to make- to help him get better. You can avoid excessive dust. You can keep him hydrated, avoid over-the-counter cold remedies. Keep him away from people who have flu or cold-like symptoms and avoid smoke. And the last one should be easy because you quit smoking during your pregnancy.\n",FALSE,n/a,TRUE,0.5978326417971402
39,therapist,high,"And the social stigma, because you don't want your daughter to think of you like that, whatever that- that as a smoker, you know. You know there're people who make the assumption and it- it sounds like those are more important to you than the medical things, and who cares why it's important?","client: Mm-hmm, yeah. And common sense somewhere in the middle.\ntherapist: Yeah. Well, and your daughter.\nclient: Right.\ntherapist: And the social stigma, because you don't want your daughter to think of you like that, whatever that- that as a smoker, you know. You know there're people who make the assumption and it- it sounds like those are more important to you than the medical things, and who cares why it's important?\n",TRUE,closed,TRUE,0.5991304791532457
44,therapist,low,Uh-huh.,"client: A little bit.\ntherapist: Yeah. Um, so we call it high-risk because it means that there's actually quite a bit of chances that you're gonna have some bad consequences from drinking like that. So, you know, things like, um, having car accidents, or other accidents, or getting in fights, or, you know, sexual assault, or health problems, or developing alcoholism. Have you thought about those things?\nclient: Not too much, to be honest. I-I've always thought since it's, you know, within my small group of friends-\ntherapist: Uh-huh.\n",FALSE,n/a,FALSE,0.5991600432898849
60,therapist,high,Yeah.,"client: Oh, that's awesome, to know too.\ntherapist: Yeah. And, um, the same with the Nicorette gum, because it- nicotine is an appetite suppressant.\nclient: Right, right. Just like [inaudible 00:04:06] Or your chocolate and all that.\ntherapist: Yeah.\n",FALSE,n/a,FALSE,0.5993076015729457
84,therapist,high,"Okay, so getting into trouble and, uh, getting caught and-and we see [unintelligible 00:05:36] does about luck and this time being unlucky.","client: Yeah, but I don't think what I'm doing is that bad.\ntherapist: Mm, okay.\nclient: Just unlucky.\ntherapist: Okay, so getting into trouble and, uh, getting caught and-and we see [unintelligible 00:05:36] does about luck and this time being unlucky.\n",FALSE,n/a,TRUE,0.5994895261246711
68,therapist,high,"Not just authority, but respecting yourself, respecting your teammates or your bandmates and other people around you. Okay, that's great.","client: Yes, purpose.\ntherapist: And then the respect is really sort of all-encompassing.\nclient: Yes.\ntherapist: Not just authority, but respecting yourself, respecting your teammates or your bandmates and other people around you. Okay, that's great.\n",FALSE,n/a,TRUE,0.6003947055432945
58,therapist,high,Okay.,client: I did.\ntherapist: [unintelligible 00:01:40]\nclient: I let-- I lit it on fire but I-\ntherapist: Okay.\n,FALSE,n/a,FALSE,0.6007420788519084
115,therapist,low,"Then, can I write you a prescription for the medication? Can we talk about how you could use it? Because this is something that-that's very important. Not just for your overall physical health, for your oral health--","client: -but it's not easy to quit.\ntherapist: No. But as I said, these medications-- so you've tried the medication, you've been willing once.\nclient: Yeah.\ntherapist: Then, can I write you a prescription for the medication? Can we talk about how you could use it? Because this is something that-that's very important. Not just for your overall physical health, for your oral health--\n",TRUE,closed,FALSE,0.6013673921115696
50,therapist,high,Yeah.,"client: Mm-hmm.\ntherapist: Um--\nclient: You're probably-- you know, because I-I gotta have that morning cup, I really-- you know I really like waking up and-and that whole ritual. The, um-- you know, making the coffee and-\ntherapist: Yeah.\n",FALSE,n/a,FALSE,0.6023873938247561
131,therapist,low,Good morning. It's really nice that you've come along to see me to talk about stopping smoking.,therapist: Good morning. It's really nice that you've come along to see me to talk about stopping smoking.\n,FALSE,n/a,FALSE,0.6026497506536543
95,therapist,high,"Well, Ruth, it sounds like you're very frustrated first of all. And you're saying that you're just tired. You've lost all your willpower.","therapist: Right. Hi, Ruth, thank you for coming today. How are you?\nclient: Um, okay. Just, I don't even know why I'm doing this anymore. I'm-I'm just so stupid. I'm such an idiot. I didn't know what the point of-of this is. I just- I just keep doing the same thing over and over, even though I know it can kill me. I just, I don't have any more willpower, ma'am. Yeah, [foreign language].\ntherapist: Well, Ruth, it sounds like you're very frustrated first of all. And you're saying that you're just tired. You've lost all your willpower.\n",FALSE,n/a,TRUE,0.6027474638540298
46,therapist,high,"Okay. So, it sounds like you feel relaxed and have fun when you're drinking with friends and you like the taste.","client: What do I like about it?\ntherapist: Yeah.\nclient: Um, I don't know. It's just fun to drink with my friends, like when we're at a party at someone else's house, and we're drinking with other people that we don't know. It tastes good.\ntherapist: Okay. So, it sounds like you feel relaxed and have fun when you're drinking with friends and you like the taste.\n",FALSE,n/a,TRUE,0.6031340500339866
5,therapist,high,Yeah. Yeah. And so you've got Donna around at the moment?,"client: Yeah. I just wanna have a bit of a laugh and like go smash some windows or go and nick a car or something, but yeah. It's kind of harder to think straight.\ntherapist: It's harder to think straight when you've been drinking?\nclient: Yeah.\ntherapist: Yeah. Yeah. And so you've got Donna around at the moment?\n",TRUE,closed,FALSE,0.6034740847535431
32,therapist,low,"What were you thinking when you got into your car after having six beers, you could have caused an accident and killed somebody.","client: I-I guess, uh, I don't really remember much. I like it was a week ago, so I was kind of drunk too.\ntherapist: Okay. Behavior like this could get you suspended, doesn't that concern you?\nclient: Hmm. I mean, not really. I'm gonna be 21 in a couple of months. Um, once I turn 21, the cops can't give me a minor and I mean, I'm not a heavy drinker, like-like my friends or anything. I don't get wasted at all. And, uh, I just need to be careful. I just won't get caught. I'm just trying to find, like, a normal college student.\ntherapist: What were you thinking when you got into your car after having six beers, you could have caused an accident and killed somebody.\n",TRUE,open,FALSE,0.6043126855511218
83,therapist,high,Right.,"client: Yeah, I hope so. I-- So I would genuinely want to, I genuinely want to do something to help myself. I don't deliberately fuck things up for myself.\ntherapist: Yeah. So you and I are going to be doing a little bit of work together then. And, um, and sometimes it-it can get quite tough. And I'm just wondering before we go any further, when the going gets tough, a lot of guys bail out. I'm just wondering are you one of those guys?\nclient: No, this is important to me.\ntherapist: Right.\n",FALSE,n/a,FALSE,0.6046069508884102
91,therapist,high,Okay. So you said 30 to 40%. What would it take to build that confidence to about 45%?,"client: Well, I'm- I guess I'm still a fighter, and I-I-I- it's starting to- I'm starting to realize it and I do feel pretty good that I came to see you. I-I- it was a step and a couple of people who care about me actually, uh, gave me a pat on the back that I came to see you. So-\ntherapist: Mm-hmm.\nclient: -this was a big step. So I guess, yes. Um, it wouldn't have been as high maybe last week.\ntherapist: Okay. So you said 30 to 40%. What would it take to build that confidence to about 45%?\n",TRUE,open,TRUE,0.6046941932290792
40,therapist,high,"Since the-- since you used, uh-- since the last time you used meth, right?","client: Pretty good. It's been three months now.\ntherapist: Nice.\nclient: Um, and—\ntherapist: Since the-- since you used, uh-- since the last time you used meth, right?\n",TRUE,closed,FALSE,0.6047358890064061
23,therapist,high,So how long ago was that?,"client: Yeah, it was, yeah, it was really cool, but I find it- found it really hard to try and focus on that 'cause I was so- I was kind of feeling really anxious and—\ntherapist: So it wasn't what you expected?\nclient: No. No.\ntherapist: So how long ago was that?\n",TRUE,closed,FALSE,0.6057937382720411
83,therapist,high,Mm-hmm.,"client: No. No, I don't. I see them, um, once a fortnight.\ntherapist: Okay. And what's it like for you?\nclient: It sucks.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.605997018283233
31,therapist,high,"So-so on the one hand, the doctor talked to you about high cholesterol, down the line possibly causing a stroke or heart attack-","client: Yeah, my doctor talked to me about my cholesterol, that-that's-that's his job.\ntherapist: Okay, certainly glad to hear that your doctor did spend some time with you, um, I-I see myself as somebody who works with your doctor, uh, to help you get the most benefit from your medicine, uh, because you are gonna spend money on it we wanna make sure that you get the most benefit from it. Uh, also sometimes it may be difficult to reach your doctor we're also here, uh, and so we try to work together, wo-would that be okay?\nclient: Yeah, that'd be okay, yeah, you know, I'm not so certain I'm even gonna take the medicine cause, you know, he mentioned muscle weakness, uh, you know, I-I know I got high cholesterol, uh, and that I'm running the risk of stroke and heart attack down line but yeah, he mentioned muscle weakness and I've been thinking about that and, uh, you know I'm a truck driver and I got a haul the heavy boxes out of the truck on a dolly, and I can't afford that right now. Just that-that muscle weakness, uh, that-that bothers me.\ntherapist: So-so on the one hand, the doctor talked to you about high cholesterol, down the line possibly causing a stroke or heart attack-\n",FALSE,n/a,TRUE,0.6062954687513411
37,therapist,high,Right.,"client: Yeah, yeah fine.\ntherapist: All right. So where we left last time, you were going away to think about a few things and to, um, develop some sort of plan of action. How'd it go? What were you up to?\nclient: Actually, it's been pretty good. I, um, I talked to my mom, which, uh-\ntherapist: Right.\n",FALSE,n/a,FALSE,0.6077179301064461
16,therapist,high,Mm-hmm.,"client: I just-- I don't know how keen I am to move in with my- with my aunty and uncle, though.\ntherapist: Okay. You're good to explore, but I just want to ask you about, how much does Chris-Christian-Christian know-- Tristan know about you changing your life? What does he really know about the changes you wanna make?\nclient: I sit down and talk with him, asked him for, um, for support and stuff and he's fully, he says fully he'll be there for me. But, like I said, he's, um, he's in a different place in his life than I am in mine.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.60784059506841
27,therapist,low,"Well, you sound a bit surprised by that. But I'm sure that you've seen some of the material that-that the clinic gave you about asthma symptoms and managing your asthma, and pets are a really big source of problems in that respect.","therapist: Well, you sound a bit surprised by that. But I'm sure that you've seen some of the material that-that the clinic gave you about asthma symptoms and managing your asthma, and pets are a really big source of problems in that respect.\ntherapist: Well, you sound a bit surprised by that. But I'm sure that you've seen some of the material that-that the clinic gave you about asthma symptoms and managing your asthma, and pets are a really big source of problems in that respect.\ntherapist: Well, you sound a bit surprised by that. But I'm sure that you've seen some of the material that-that the clinic gave you about asthma symptoms and managing your asthma, and pets are a really big source of problems in that respect.\ntherapist: Well, you sound a bit surprised by that. But I'm sure that you've seen some of the material that-that the clinic gave you about asthma symptoms and managing your asthma, and pets are a really big source of problems in that respect.\n",FALSE,n/a,TRUE,0.6080201028380543
9,therapist,low,"Okay, excellent. Well, it sounds to me like the increase in your drinking could certainly be contributing to your high blood pressure. I think decreasing the number of drinks that you have when you go out and maybe decreasing the number of times that you go to the bar each week could be the best thing that you can do for your health.","client: I don't use heroin or cocaine. I've never even thought about using the hard drugs. Back in school, 20 years or so ago, I smoked reefer, you know. Once I got out of school, I haven't used that at all.\ntherapist: Okay. Have you ever used any prescription medications that weren't prescribed for you or in a way that wasn't prescribed?\nclient: No, I don't- I don't, uh, really like the idea of taking pills. Uh, as a matter of fact, a couple of years ago, I had this jaw surgery. They gave me a prescription for Percocet. I took one, maybe feel weird. I think they're still sitting in the medicine cabinet.\ntherapist: Okay, excellent. Well, it sounds to me like the increase in your drinking could certainly be contributing to your high blood pressure. I think decreasing the number of drinks that you have when you go out and maybe decreasing the number of times that you go to the bar each week could be the best thing that you can do for your health.\n",FALSE,n/a,FALSE,0.6082882410846651
46,therapist,high,Yeah.,"client: Probably since last October.\ntherapist: So, for about six months. I'm curious. What do you like about drinking alcohol?\nclient: What do I like about it?\ntherapist: Yeah.\n",FALSE,n/a,FALSE,0.6083582886494696
21,therapist,high,"That's a good way to be, right?","client: So, I'm like normal.\ntherapist: All right.\nclient: Yeah.\ntherapist: That's a good way to be, right?\n",TRUE,closed,TRUE,0.6085174127947539
17,therapist,low,"Do you, um, do you ever use any prescription medicines that were not prescribed for you, or ever use your own prescriptions in a way on which they were not prescribed?","client: I guess, it sounds like a lot when you say [chuckles] like that. But yeah.\ntherapist: Okay. Do you use any street drugs like any marijuana, cocaine, heroin?\nclient: No. I-I smoked weed in college, but just a little bit. I wasn't a regular smoker.\ntherapist: Do you, um, do you ever use any prescription medicines that were not prescribed for you, or ever use your own prescriptions in a way on which they were not prescribed?\n",TRUE,closed,FALSE,0.6087122557219118
5,therapist,high,"So, I was thinking about how that stuff about not feeling confident around reading and writing has, um, really got in the way for you.","client: Just-- I-I asked her to fill that out for me because I said I'd be too messy.\ntherapist: Mm-hmm.\nclient: Yeah.\ntherapist: So, I was thinking about how that stuff about not feeling confident around reading and writing has, um, really got in the way for you.\n",FALSE,n/a,TRUE,0.6089374525472522
10,therapist,low,"So, it sure can.","client: Yeah, that's what doctor said. She-she really laid into me about that. Said it was-- I guess, this is really serious stuff. She was talking about losing eyesight, mm, my feet, mm, problems with a lot of other stuff, and it really scared me. Uh, so, [sighs] you know, how-how-how to manage all this, I guess, is what I gotta learn, but it just sounds massive.\ntherapist: Mm-hmm. Well, you do need to take your medicine. We, uh, will need to start dieting, uh, you know, lose some weight, change-change your eating habits, exercise, uh, to get your diabetes under control, because your doctor is right, it is very serious.\nclient: That's, uh, that's a huge amount of stuff to do and, I'm not- I'm not certain I can do all that, and on top of it, it's-it's-- if I don't get it all done, all this stuff happens to me?\ntherapist: So, it sure can.\n",FALSE,n/a,FALSE,0.6093256573658437
1,therapist,high,"So weighing those things, you know, what you like about your drinking, what you don't like about your drinking, uh, where do you wanna go from here? Uh, what would you like to change about your drinking?","client: Well, that was fine until I came here, uh, but now that I know about the health risk, uh, I have something I gotta think about.\ntherapist: So, on one hand, you like how beer tastes, uh, it's part of your social life to some extent, um, but on the other hand, you don't like the idea of it posing risks to your health over the long term?\nclient: E-exactly.\ntherapist: So weighing those things, you know, what you like about your drinking, what you don't like about your drinking, uh, where do you wanna go from here? Uh, what would you like to change about your drinking?\n",TRUE,open,FALSE,0.6117786434479058
130,therapist,low,And let's talk some more about wine. You keep throwing wine into the conversation. It sounds like it's become a significant part of your daily routine. How much are you drinking?,therapist: And let's talk some more about wine. You keep throwing wine into the conversation. It sounds like it's become a significant part of your daily routine. How much are you drinking?\ntherapist: And let's talk some more about wine. You keep throwing wine into the conversation. It sounds like it's become a significant part of your daily routine. How much are you drinking?\ntherapist: And let's talk some more about wine. You keep throwing wine into the conversation. It sounds like it's become a significant part of your daily routine. How much are you drinking?\ntherapist: And let's talk some more about wine. You keep throwing wine into the conversation. It sounds like it's become a significant part of your daily routine. How much are you drinking?\n,TRUE,closed,FALSE,0.6120477567892522
5,therapist,high,"So, you actually have to deliver them to the polytech, do you?","client: Yeah. If—\ntherapist: So, what needs to happen next?\nclient: Just take them in.\ntherapist: So, you actually have to deliver them to the polytech, do you?\n",TRUE,closed,FALSE,0.6121330901514739
85,therapist,high,Yeah.,"client: And so, as you can can tell, I didn't take my medication today, I'm-I'm-I'm really on my game today. So.\ntherapist: So, it's, you know, thinking as quickly and responding as quickly and-and things like that-- [crosstalk]\nclient: More like takes the edge off-\ntherapist: Yeah.\n",FALSE,n/a,FALSE,0.6125582884997129
71,therapist,high,Mm-hmm.,"client: Yeah.\ntherapist: Okay. So, what sort of training did you-- did these people, that you've been talking about, what did they do?\nclient: Like, sort of, um, just at the polytech. I don't know what exactly it was, but—\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.6126756842713803
44,therapist,low,"Yeah. Um, so we call it high-risk because it means that there's actually quite a bit of chances that you're gonna have some bad consequences from drinking like that. So, you know, things like, um, having car accidents, or other accidents, or getting in fights, or, you know, sexual assault, or health problems, or developing alcoholism. Have you thought about those things?","client: Mm-hmm.\ntherapist: So, is that surprising to you?\nclient: A little bit.\ntherapist: Yeah. Um, so we call it high-risk because it means that there's actually quite a bit of chances that you're gonna have some bad consequences from drinking like that. So, you know, things like, um, having car accidents, or other accidents, or getting in fights, or, you know, sexual assault, or health problems, or developing alcoholism. Have you thought about those things?\n",TRUE,open,FALSE,0.6128090247511864
27,therapist,low,"Well, uh, wait a second, Sal, what do you mean you-you- ha- If you-- As in-- You know to be informed about-- I'm just really taken aback by that because I understand from your chart that you have a young baby-","client: -I have even read them. All I've been doing is taking the medicine. So, I don't know that much about this.\nclient: -I have even read them. All I've been doing is taking the medicine. So, I don't know that much about this.\nclient: -I have even read them. All I've been doing is taking the medicine. So, I don't know that much about this.\ntherapist: Well, uh, wait a second, Sal, what do you mean you-you- ha- If you-- As in-- You know to be informed about-- I'm just really taken aback by that because I understand from your chart that you have a young baby-\n",FALSE,n/a,TRUE,0.6137822489254177
49,therapist,high,"Yeah. Yeah. So, how would I know if we were talking and you were blocking off? What would I notice, uh, in our session together?","client: Yeah.\ntherapist: Yeah, so how-how-- You know, like-- 'Cause, sometimes, when we start to open things up, and then you think, ""Oh, it feels a bit uncomfortable."" So, how do you manage things when you get uncomfortable? How have you managed those in the past?\nclient: Hmm. I don't know, I probably lock off a wee bit. [chuckles]\ntherapist: Yeah. Yeah. So, how would I know if we were talking and you were blocking off? What would I notice, uh, in our session together?\n",TRUE,open,FALSE,0.6139491805806756
49,therapist,high,"Well, to get it sorted. Not necessarily to stop. But we don't- we don't know whether-whether stopping's the right answer here, I don't know, but-but, your confidence to sort it out.","client: Yes.\ntherapist: -your level be on a scale of 1 to 100? Where does your confidence sit?\nclient: What, on my confidence to stop? [chuckles]\ntherapist: Well, to get it sorted. Not necessarily to stop. But we don't- we don't know whether-whether stopping's the right answer here, I don't know, but-but, your confidence to sort it out.\n",FALSE,n/a,FALSE,0.6142924916930497
94,therapist,high,"So that's a really kind thing of you to do to take someone into your home like that when they need help like that. And, um, but right now, you're thinking that, uh, time is up you'd like to get this person, you know, you're-you're-you're ready to have him or her move out and have your place back to yourself.","client: Well, I-I offered my home to somebody and, uh, for, you know, uh, a transitional period.\ntherapist: Mm-hmm.\nclient: You know, and it seems that, um, it's hard for me to be assertive and say I think the, um, the, uh, transitional period is- has come and it's beginning to time to transition. So.\ntherapist: So that's a really kind thing of you to do to take someone into your home like that when they need help like that. And, um, but right now, you're thinking that, uh, time is up you'd like to get this person, you know, you're-you're-you're ready to have him or her move out and have your place back to yourself.\n",FALSE,n/a,TRUE,0.6143222218379378
23,therapist,high,So I understand that you were referred to me by your GP because you've been experiencing some anxiety difficulties.,"therapist: Hi, Hannah. Nice to meet you.\nclient: Hi.\ntherapist: So I understand that you were referred to me by your GP because you've been experiencing some anxiety difficulties.\n",FALSE,n/a,FALSE,0.6153440771158785
43,therapist,high,"Yeah. And that must've been really brave for you to do something that seems really daunting at first, yet you were really successful at it.","client: Um, it made me feel good.\ntherapist: So, in that experience, it really built up your self-confidence and it almost not only changed the way you saw yourself, but maybe how other people saw you and you really, you liked that feeling.\nclient: Yeah, I did.\ntherapist: Yeah. And that must've been really brave for you to do something that seems really daunting at first, yet you were really successful at it.\n",FALSE,n/a,FALSE,0.6158855517860502
123,therapist,low,"You're choosing to really damage your mouth and actually, it can cause problems with your teeth too. I don't know if you notice your teeth might be getting yellower than they were before. That's another side effect. There are a lot of really negative things that go along with any tobacco use, whether it's cigarettes, cigars, dip, chew, snuffs, snus, hookah, any of it. This is a really important decision that you're making and you said it's your choice, but you're really choosing to make yourself sick and potentially die.","client: Well, it's just something that I do to relax, and I don't do it that often. And so I probably could cut back.\ntherapist: Okay, well, that's a good start, but cutting back isn't going to do it. If you actually quit the smoking, you can reverse all the damage you've done in your mouth, and you can stop yourself from- from being at risk for these other diseases. But as long as you're continuing to use these cigars you're really putting yourself in a lot of danger.\nclient: Well, I don't believe that they are cigars. And what I do believe is that it's a choice and it's my right, and it's something that I choose to do. And so I will think about cutting back, but I'm not at a point where I'm ready to do that. And I'm not really sure that I even believe that what you're telling me is real.\ntherapist: You're choosing to really damage your mouth and actually, it can cause problems with your teeth too. I don't know if you notice your teeth might be getting yellower than they were before. That's another side effect. There are a lot of really negative things that go along with any tobacco use, whether it's cigarettes, cigars, dip, chew, snuffs, snus, hookah, any of it. This is a really important decision that you're making and you said it's your choice, but you're really choosing to make yourself sick and potentially die.\n",FALSE,n/a,FALSE,0.616021741181612
74,therapist,low,"I think it [unintelligible 00:01:18] days yet, and it might not be a bad idea to reconsider the piercing.","client: I mean, it's been okay so far. It hasn't caused me any problems.\ntherapist: Well, it's only been a month.\nclient: Yeah.\ntherapist: I think it [unintelligible 00:01:18] days yet, and it might not be a bad idea to reconsider the piercing.\n",FALSE,n/a,FALSE,0.6160633685067296
64,therapist,high,"-being part of a gay culture here in Auckland, is feeling good-","client: I mean, I guess, I'm, let's say I take it for granted but, um, yes, it's just comfortable now. And, um, it's just a sort of what I do really. Yeah, so, I guess that the drugs are linked to that, I suppose. It's j-- Well, it's just a part of it, I don't really think-- I didn't really differentiate it. It's just kinda, ""Okay, I'm gonna go hang with my friends,"" and that sort of thing, you know, that Saturday, Friday night thing. And then it just happens really as part of that.\ntherapist: So coming out, feeling-- being gay-\nclient: Yep.\ntherapist: -being part of a gay culture here in Auckland, is feeling good-\n",FALSE,n/a,TRUE,0.6161564071662724
66,therapist,high,"Hi, Mr. Stowe.","therapist: Hi, Mr. Stowe.\ntherapist: Hi, Mr. Stowe.\n",FALSE,n/a,FALSE,0.6161793293431401
23,therapist,high,Okay. Is this the first time that you've left home?,"client: Yeah. Um, yeah, I guess it kind of- it kind of started like five, six years ago.\ntherapist: Okay.\nclient: Um, it kind of escalated a bit. Um, I've just recently moved out, um, from living with my parents. So just made it a bit worse, I think.\ntherapist: Okay. Is this the first time that you've left home?\n",TRUE,closed,FALSE,0.6168182108085603
83,therapist,high,"Oh, are they? So you were born down there and-","client: Mm-hmm.\ntherapist: Right down the bottom? Down Bluff?\nclient: Yes sir. I'm from Invercargill just short of Bluff. All my family is still down there.\ntherapist: Oh, are they? So you were born down there and-\n",TRUE,closed,FALSE,0.6169018547516316
85,therapist,high,"I agree with you, I really do. So-- And I- and I think that a lot of times, um, the medications, they do have a lot of side effects, and I completely understand why people don't wanna take them-","client: Uh. [clears throat] I'm not sure that the hospital is worse than the cotton ball, but I don't like it either.\ntherapist: So, you'd really like to stay out of that hospital?\nclient: Well, I got a question for you. You're a doctor, why don't you guys come up with some- something else besides either being in the hospital or taking this stuff every day, can you come up with something? I mean, you guys, we put a man on the moon 50 years ago, I mean, and you still got to give me this stuff that makes me feel like a-a zombie with-- That hasn't had a drink or water in four days, it-it just doesn't seem right. Either you guys ought to come up with something better. That's what I think.\ntherapist: I agree with you, I really do. So-- And I- and I think that a lot of times, um, the medications, they do have a lot of side effects, and I completely understand why people don't wanna take them-\n",FALSE,n/a,FALSE,0.6171906867530197
58,therapist,high,"Oh, and yet and at the same time you know your body well enough, and you-you’re willing to pay attention to your doctor’s advice about the running, right now, for you, not the best thing. Um, so, riding a stationary bike. Um, what else do you like to do that's cardiovascular?","client: It-it is. And I-- it-it may be why I can’t really run again, but I can certainly, you know, ride a stationary bike-\ntherapist: Okay.\nclient: -and do all the other things in a gym that you can do when you’re not running, so, it just nakes you to [unintelligible 00:02:23]\ntherapist: Oh, and yet and at the same time you know your body well enough, and you-you’re willing to pay attention to your doctor’s advice about the running, right now, for you, not the best thing. Um, so, riding a stationary bike. Um, what else do you like to do that's cardiovascular?\n",TRUE,open,TRUE,0.6176721004303545
78,therapist,high,Okay.,"client: Oh, really?\ntherapist: Yeah, because you'll get that inflammation down.\nclient: Oh, that's great-\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.6178550880867988
28,therapist,high,Mm-hmm.,"client: Um, if I'm stressed, coffee with a cigarette.\ntherapist: Mm-hmm.\nclient: I mean, just cigarette. Um, so it's always, like, it's-it's a duel kind of problem I think-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.6182851439807564
36,therapist,high,Right.,"client: Oh, well, different tablets, you know, I don't have the same problem every day-\ntherapist: Right.\nclient: - so I'll take some tablets for certain, uh, symptoms, and-\ntherapist: Right.\n",FALSE,n/a,FALSE,0.6183131164871156
81,therapist,high,Did you like how your parents raised you?,therapist: Did you like how your parents raised you?\n,TRUE,closed,FALSE,0.6184199349954724
2,therapist,high,And how many servings of fruits and vegetables on average per day would you have?,"client: I felt great and I felt really proud of myself. I thought that this was something that I could do.\ntherapist: Okay. Well, it sounds like you realized that when you lost the weight you feel better and that it's gonna affect your overall health. So, tell me what you think changed that caused you to gain the weight back.\nclient: Well, I think it's because I've been eating more fruits and vegetables, that- that's it.\ntherapist: And how many servings of fruits and vegetables on average per day would you have?\n",TRUE,open,FALSE,0.6188382073305547
7,therapist,high,You're still feeling the effects of-,therapist: You're still feeling the effects of-\ntherapist: You're still feeling the effects of-\ntherapist: You're still feeling the effects of-\ntherapist: You're still feeling the effects of-\n,FALSE,n/a,TRUE,0.618951546959579
131,therapist,low,"Okay, so the end of the day-","client: I never go down, I just need a break away from it all, just shut off. So, uh, I-I really enjoyed that. The cigarette just helps me calm down.\ntherapist: Yeah. And what is your favorite cigarette of the day?\nclient: It's definitely the one at the end of the evening.\ntherapist: Okay, so the end of the day-\n",FALSE,n/a,TRUE,0.6190613235812634
5,therapist,high,Mm.,"client: Just, uh, someone to talk to and just someone to keep me busy and, kind of, keep me in check.\ntherapist: Mm-hmm. So, what changes have you made, Billy?\nclient: Um, well, I said I went to the polytech and stuff-\ntherapist: Mm.\n",FALSE,n/a,FALSE,0.6191592400427908
30,therapist,high,"So, it's something you just aren't willing to do?","therapist: Hey, Mary. I wanted to bring up to you, um, that your battery died last night. So, can you tell me what happened?\nclient: I don't know, and I still don't wanna charge it.\ntherapist: So, it's something you just aren't willing to do?\n",TRUE,closed,FALSE,0.6194242781493813
90,therapist,low,Is it like every weekend?,"client: Yeah. I-I understand exactly what you're saying. And—\ntherapist: How much are you drinking?\nclient: I-I don't think I'm drinking that much. I mean, it's-it's mainly for social gatherings. Like it's nothing that I do, like by myself or whatever. It's just the—\ntherapist: Is it like every weekend?\n",TRUE,closed,FALSE,0.619526086607948
34,therapist,high,And you want them to support you.,"client: Yeah, and I don't wanna be like that.\ntherapist: You just wanna be like peers talking.\nclient: Yeah.\ntherapist: And you want them to support you.\n",FALSE,n/a,TRUE,0.6201549072284251
84,therapist,high,"-all the time. But one of the things I'm noticing, we've been going here for a wee while now talking and, uh, I haven't noticed any lack of attention.","client: Uh, just can't sit around home all day. I'd wanna go out and do something exciting.\ntherapist: Okay, so you wanna kind of get some action, don't wanna sit around-\nclient: Mmh.\ntherapist: -all the time. But one of the things I'm noticing, we've been going here for a wee while now talking and, uh, I haven't noticed any lack of attention.\n",FALSE,n/a,FALSE,0.6207327342126518
58,therapist,high,"Mm-hmm- mm-hmm. So that-that-that half marathon was, uh, a very specific concrete thing and you could envision yourself, and you're ready for it and the day of and all that kinda stuff.","client: Um, I don’t know. I think- I think the time has just been the biggest thing, you know, and-and I-I guess the motivation really hasn’t been there. I mean, you know, it’s not like- I don’t really have a goal. I don’t really have a, you know I don't, other than maybe reducing my waistline, you know, I don't really have a-a set number like I'm gonna run a marathon and you know.\ntherapist: Mm-hmm.\nclient: You know, so I think the just running off the playlist. I-I guess maybe if I made a goal would helped too.\ntherapist: Mm-hmm- mm-hmm. So that-that-that half marathon was, uh, a very specific concrete thing and you could envision yourself, and you're ready for it and the day of and all that kinda stuff.\n",FALSE,n/a,TRUE,0.6208168223965913
76,therapist,high,"-the reality is inner peace and inner harmony is based around, you know, self-self worth, and you know, self-- and-and dealing with-","client: Not out of a sense of, uh, you know, ""I'm obligated to this person.""\ntherapist: Yes, yes, yes. So, basically, reflecting on how you felt before about you were coming second, third, and fourth. Um, it was- it was really a problem, you know, like, how could you be so, you know, selfish, and think about yourself when-\nclient: Mm-hmm.\ntherapist: -the reality is inner peace and inner harmony is based around, you know, self-self worth, and you know, self-- and-and dealing with-\n",FALSE,n/a,TRUE,0.6211043151561171
58,therapist,high,[chuckles].,"client: Probably the elliptical.\ntherapist: The elliptical. Okay. Yeah. [unintelligible 00:03:07] like kind of almost like running.\nclient: Well, it is.\ntherapist: [chuckles].\n",FALSE,n/a,FALSE,0.6219504985492676
55,therapist,high,"Thanks. Just so you know, when I talk to patients about drug use, my job is to be helpful. I'm not going to tell you what to do or what you should do. What I can do is share some information and be a resource. Does that make sense?","client: Uh, nope. It feels okay.\nclient: Uh, nope. It feels okay.\nclient: Uh, nope. It feels okay.\ntherapist: Thanks. Just so you know, when I talk to patients about drug use, my job is to be helpful. I'm not going to tell you what to do or what you should do. What I can do is share some information and be a resource. Does that make sense?\n",TRUE,closed,FALSE,0.6227745430078357
71,therapist,high,"Okay. All right, so what-what do you need to do, Billy, to actually get to that point where you can fill out a form and post it off?","client: Yeah. Like, a computer or something. If you could write on a computer, I could do that.\ntherapist: Mm.\nclient: But, we don't have a computer.\ntherapist: Okay. All right, so what-what do you need to do, Billy, to actually get to that point where you can fill out a form and post it off?\n",TRUE,open,FALSE,0.6233510854654014
30,therapist,high,"So, it's not really a priority for you right now, to be charging it?","client: I don't know, and I still don't wanna charge it.\ntherapist: So, it's something you just aren't willing to do?\nclient: No. I got a lot of stuff to do, I don't need to charge it.\ntherapist: So, it's not really a priority for you right now, to be charging it?\n",FALSE,n/a,TRUE,0.6235412678215653
5,therapist,high,So you've got-got those two things going on at the same time. Yeah?,"client: No.\ntherapist: So there's that on the one hand, but on the other hand, there's the kind of immediate, um, feeling when you've had a few to drink and you're with your mates and it feels like it would be a bit of a laugh?\nclient: Yeah.\ntherapist: So you've got-got those two things going on at the same time. Yeah?\n",TRUE,closed,FALSE,0.6236134571954608
76,therapist,high,"So, yoga, is that based on the number two, like inner harmony? That's where that comes from?","client: Yeah. Um, since I've been practicing yoga, and since I learned how to teach yoga, that's been something that I've been, um, coming to terms with more, that I feel like I have a lot more inner harmony. I'm more at peace with myself, and in-in the quiet times, and if I'm meditating.\ntherapist: Mm-hmm.\nclient: Um, I really feel like-- yeah, I feel like really good about myself.\ntherapist: So, yoga, is that based on the number two, like inner harmony? That's where that comes from?\n",TRUE,closed,FALSE,0.6240041200071573
57,therapist,low,"But well, it's my job too, uh, to-to help you understand how to use your medicine and, uh, give you information about getting the most benefits from it.","client: Yeah?\ntherapist: Uh, I'm here to talk to you about, uh, your cholesterol and the, um, medicine your doctor prescribed.\nclient: Uh, I talked with my doctor about my medicine. That's his job.\ntherapist: But well, it's my job too, uh, to-to help you understand how to use your medicine and, uh, give you information about getting the most benefits from it.\n",FALSE,n/a,FALSE,0.624013924272731
34,therapist,high,You want this baby.,client: I don’t want that.\ntherapist: You don't want that.\nclient: No.\ntherapist: You want this baby.\n,FALSE,n/a,TRUE,0.6241487429942936
60,therapist,high,There's a smoke update coming up.,"client: Oh, they didn't realize-- They didn't look at the calendar.\ntherapist: Right, right. It's just like you-you-you-- Some people pick a quit date, like January 1st is still the most popular quit date—\nclient: And-and wait, I'm sorry, but—\ntherapist: There's a smoke update coming up.\n",FALSE,n/a,FALSE,0.6243942179717124
21,therapist,high,"Got it. I-I can understand that. [chuckles] Uh, any other things that you can think of?","client: Yeah.\ntherapist: -and decided that's not for you?\nclient: Yeah.\ntherapist: Got it. I-I can understand that. [chuckles] Uh, any other things that you can think of?\n",TRUE,open,FALSE,0.625107899075374
66,therapist,high,"Hi, Mr. Stowe.","therapist: Hi, Mr. Stowe.\ntherapist: Hi, Mr. Stowe.\ntherapist: Hi, Mr. Stowe.\ntherapist: Hi, Mr. Stowe.\n",FALSE,n/a,FALSE,0.62558211968280375
22,therapist,high,Mm-hmm.,"client: I've accepted that. At first, I was like, ""Whoa,"" I think I was focused too much on the first time I did it-\ntherapist: Mm-hmm.\nclient: -then the second time that I did it-- I did five of these total-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.6255870922468603
58,therapist,high,The elliptical. Okay. Yeah. [unintelligible 00:03:07] like kind of almost like running.,"client: Um, well, um, I like-- The bike is pretty good. Uh, even the uh, you know, the kind of a rolling machine is okay. And the uh, the elliptical. Any of that’s fine. I-I really don’t, uh-- I don’t dislike any of it. Kind of once you get into the rhythm, yeah, it’s fine\ntherapist: If you were to pick one of those, which one do you enjoy the most, um, would be most likely to do?\nclient: Probably the elliptical.\ntherapist: The elliptical. Okay. Yeah. [unintelligible 00:03:07] like kind of almost like running.\n",FALSE,n/a,FALSE,0.6257596535142511
28,therapist,high,"Okay. So, you-you wanna look good, you know, and she's proud of you I'm sure anyway and then this just would be an added benefit. Yeah.","client: Right.\ntherapist: -and model for your- for your daughter who's at this age where 15 would be a really common age at which she might decide to smoke.\nclient: Right and, um, she's been expressing, you know, she walks in and she's like shhh and it's embarrassing for her friends and, um, and in-in turn, it's embarrassing for me.\ntherapist: Okay. So, you-you wanna look good, you know, and she's proud of you I'm sure anyway and then this just would be an added benefit. Yeah.\n",FALSE,n/a,TRUE,0.6258787072729319
5,therapist,high,"Yeah? I was thinking about the Billy, say, the Billy of six months ago. I'm wondering if the Billy of six months ago would've done that?","client: Yeah.\ntherapist: Yeah. And, get-getting to the polytech and getting the forms, that's a pretty big deal.\nclient: Yeah.\ntherapist: Yeah? I was thinking about the Billy, say, the Billy of six months ago. I'm wondering if the Billy of six months ago would've done that?\n",TRUE,open,FALSE,0.6262453445233405
71,therapist,high,You don't like writing?,"client: I didn't understand, like, what you're supposed to write down. Like, yeah. I'm not good at this, maybe too confusing.\ntherapist: Yeah. So, when you've had to write things or fill out forms before, how-how's that been for you?\nclient: I don't really deal with it. I s-- I don't really like writing.\ntherapist: You don't like writing?\n",TRUE,closed,FALSE,0.6269995870534331
46,therapist,high,"Okay. Is there anybody in your life that you can talk to about this, who give you some support for not drinking?","client: Um, I could probably drink something else when my friends are drinking, like just coke.\ntherapist: Anything else to make things easier for you?\nclient: I can probably hang out with some of my friends who don't drink or inviting them to parties and having fun 'cause not everyone drinks at parties.\ntherapist: Okay. Is there anybody in your life that you can talk to about this, who give you some support for not drinking?\n",TRUE,closed,FALSE,0.6271504736505449
36,therapist,high,All right. Okay. Can you tell me a bit more about your tummy problems?,"client: Yes, Dr. Brown is my doctor.\ntherapist: Okay. What is it that's brought you to see me today?\nclient: Well, I've come about my tummy problem. I've got terrible trouble with my stomach and, uh, Dr. Brown just doesn't seem to be able to get to the bottom of it. And I thought perhaps, uh, I'd come and see you to see if you could help.\ntherapist: All right. Okay. Can you tell me a bit more about your tummy problems?\n",TRUE,open,FALSE,0.6273226777557284
46,therapist,high,"Okay. So, let's take a look. So I see that you have marked that you sometimes use alcohol, and that you have used alcohol to relax, feel better about yourself or fit in. Do you mind telling me a little bit more about your alcohol use?","client: Sure.\ntherapist: Okay. What we talk about is confidential. I only tell your parents about what we say if you give your permission or if I become worried about a danger to-to you or to someone else. Does that make sense?\nclient: Yeah.\ntherapist: Okay. So, let's take a look. So I see that you have marked that you sometimes use alcohol, and that you have used alcohol to relax, feel better about yourself or fit in. Do you mind telling me a little bit more about your alcohol use?\n",TRUE,closed,FALSE,0.6287862313911319
89,therapist,high,"Okay. Can you tell me a little bit more about how, like, it's-it's not an issue for you?","client: Well, my wife is making me be here today. Uh, she thinks that it's a problem that I'm smoking weed, so she said, ""You need to go and get some help.""\ntherapist: Okay. Um, so you said that your wife said it's a problem. Um, so do you not feel like it's a problem for you?\nclient: No, I don't think it's a problem at all. It's something I do to help me relax. In fact, I think it's something that is good for me, but—\ntherapist: Okay. Can you tell me a little bit more about how, like, it's-it's not an issue for you?\n",TRUE,open,FALSE,0.6293426183983684
67,therapist,high,"Well, I'm glad to hear that you have a goal of quitting for a month and you are confident of reaching that goal. If you're willing to come back in a month or so, I would be curious to hear how your plan works out.","client: I can play basketball with my friend Sarah.\ntherapist: Playing basketball and playing video games are a way to feel better.\nclient: Yeah.\ntherapist: Well, I'm glad to hear that you have a goal of quitting for a month and you are confident of reaching that goal. If you're willing to come back in a month or so, I would be curious to hear how your plan works out.\n",FALSE,n/a,TRUE,0.6294865836389363
46,therapist,high,Mm-hmm.,"client: Mm-hmm.\ntherapist: Okay. I'm also curious, are there any parts about your alcohol use that you don't like?\nclient: Um, I don't like when I get sick in the mornings 'cause of hangovers and-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.6305569706019014
17,therapist,low,"Do you use any tobacco products, or smoke cigarettes?","therapist: Okay, so I'm just gonna ask you a couple of more background questions.\nclient: Okay.\ntherapist: Do you use any tobacco products, or smoke cigarettes?\n",TRUE,closed,FALSE,0.630711886798963
70,therapist,high,"If there are some side effects to this, it can include GI effects, sedation, or sexual dysfunction. But if you have a patient that suffers from any of those things, you can try either decreasing the dose or changing them to a different agent. Do you have any other questions?","client: Um, nothing specific. I just am unfamiliar with the medication.\ntherapist: Okay. Well, citalopram is an SSRI medication. Its indication is for depression and it's typically dosed as a 20-milligram tablet but it is available as 10, 20, and 40 milligrams. Any patients started on this medication should be monitored for improvement in symptoms in four to eight weeks.\nclient: Okay. Uh, what about side effects?\ntherapist: If there are some side effects to this, it can include GI effects, sedation, or sexual dysfunction. But if you have a patient that suffers from any of those things, you can try either decreasing the dose or changing them to a different agent. Do you have any other questions?\n",TRUE,closed,FALSE,0.630835851887241
26,therapist,high,"Mm-hmm. Yeah, you used to have contact with your mom, you know, almost every other night and now for just about a week, you haven't even gotten to talk to her. I can imagine that being pretty difficult. I remember you saying something about like your dad's birthday coming up?","client: I don't know. Some of-- One of the officers, it's like he has it out for me or something. I don't- I don't know what it is. Something about me not making my bed, something about my attitude. I don't know, I just want my call, man.\ntherapist: Okay. yeah, it was weird when I, uh, got that report because for the most part since you've been here, uh, you'd been like, uh, model-model resident, uh, always making their bed, uh, been pretty, uh, respectful of the staff, of all the other residents. So, uh, is it something to do with you getting out in three weeks? It must be pretty hard.\nclient: I just wanna contact my mom, that's it.\ntherapist: Mm-hmm. Yeah, you used to have contact with your mom, you know, almost every other night and now for just about a week, you haven't even gotten to talk to her. I can imagine that being pretty difficult. I remember you saying something about like your dad's birthday coming up?\n",TRUE,open,TRUE,0.6309999241493642
38,therapist,high,Okay. Try to cut back a bit and see how that goes.,"client: Mm-mm\ntherapist: Would you be interested in perhaps thinking about setting a goal with respect to your drinking?\nclient: Well, I mean, I could at least try to going back to one drink a night instead of two.\ntherapist: Okay. Try to cut back a bit and see how that goes.\n",FALSE,n/a,TRUE,0.6311455077957362
27,therapist,low,Yeah.,"client: Mm-hmm. Yeah, I de-I definitely don't wanna come back here. But, uh, the doc said Oscar, my dog, is connected to my asthma symptoms. But the-\nclient: Mm-hmm. Yeah, I de-I definitely don't wanna come back here. But, uh, the doc said Oscar, my dog, is connected to my asthma symptoms. But the-\ntherapist: Yeah.\ntherapist: Yeah.\n",FALSE,n/a,FALSE,0.6311677657067776
27,therapist,low,"I understand that your asthma symptoms have been just really out of control. So, we need to look at some of the ways that you can get healthy and not be back here again.","therapist: I understand that your asthma symptoms have been just really out of control. So, we need to look at some of the ways that you can get healthy and not be back here again.\n",FALSE,n/a,FALSE,0.6312344376929104
5,therapist,high,"And that's helping keep you in check, as you said?","client: Yeah.\ntherapist: Yeah. Yeah. And so you've got Donna around at the moment?\nclient: Yeah.\ntherapist: And that's helping keep you in check, as you said?\n",FALSE,n/a,TRUE,0.6315072989091277
44,therapist,low,It has a lot of alcohol in it.,"client: More or less the same amount. So right now the most we'll have is maybe like one cup after that one time, but sometimes one or two, but they can be kind of heavy.\ntherapist: Okay, so it's one cup, but it's not-not one drink.\nclient: Oh, it's a red, you know, typical. Yeah.\ntherapist: It has a lot of alcohol in it.\n",FALSE,n/a,FALSE,0.6320907699409872
22,therapist,high,Right.,"client: Things do not stay the same. Um, you know, like, you may be here, you're gonna go there, you're gonna go over there, not necessarily saying you're gonna fall down, but your view on life changes the more experience, the more life, every day-\ntherapist: Yeah.\nclient: -every day your eyes-- Well, to me, my eyes have gotten broader, and broader, and broader. So—\ntherapist: Right.\n",FALSE,n/a,FALSE,0.6322208908386528
94,therapist,high,Okay.,"client: Yeah. Oops, it's just hard to- it's just hard to, um, er, yeah. I- my j- my job is done and I have to start to realize that I have to be a little bit more assertive, I think, and a little bit more, um, sure of myself.\ntherapist: And so, what have you done in order to start getting them to Hit The Road, Jack?\nclient: Well, um, I've had co-conversations about with him and sometimes not-not so pleasant, but I'm-I'm just making, you know, 'cause I happen to sometimes just like hold things in. And then finally I- at-at one point I was really, you know, very logical about it. And then the other day I kind of got not so logical about it.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.6324827373027802
85,therapist,high,Might get you into trouble [unintelligible 00:05:06],"client: Well, I guess running around the neighborhood with no clothes on isn't really good.\ntherapist: Okay.\nclient: Um, I thought I had a, uh—\ntherapist: Might get you into trouble [unintelligible 00:05:06]\n",FALSE,n/a,TRUE,0.6336995051242411
16,therapist,high,Yeah.,"client: That's the thing, isn't it? I am-- I don't know if it's the best place for me to be if I'm gonna make those changes.\ntherapist: Mm-hmm.\nclient: And Tristan is a good flatmate.\ntherapist: Yeah.\n",FALSE,n/a,FALSE,0.6340280906297266
71,therapist,high,Okay. So-so what sort of things do you think you need to do to go down that path to get that qualification?,"client: Yes, pretty much.\ntherapist: Yeah?\nclient: Yeah.\ntherapist: Okay. So-so what sort of things do you think you need to do to go down that path to get that qualification?\n",TRUE,open,FALSE,0.6351891737431288
34,therapist,high,"So, you kind of have this identity, dual identity going on. I wanna be that person, yet, that person-","client: It's telling me that what I'm doing is wrong and it's probably hurting my kid and that- that I'm gonna really regret that once I actually get my kid.\ntherapist: And you really wanna do what's best for your babe. And kind of wondering, um, how to move forward from here, is that where you wanna, you know, kind of focus in on, or what are your thoughts about giving up drinking altogether?\nclient: Um, I'm definitely it's not-- I think I could probably do it. It's just- it-it comes hard when you're, like, in that moment. You're around your friends and they're drinking and you don't wanna be- you don't wanna be the mom at that moment. You wanna be yourself. You wanna be who you were before.\ntherapist: So, you kind of have this identity, dual identity going on. I wanna be that person, yet, that person-\n",FALSE,n/a,TRUE,0.6355488658882678
126,therapist,low,All right. Do you have any children in your home?,"client: Well, I take all of my other medications right before I go to bed. So I guess I could take it then.\ntherapist: Okay. That's perfect because cholesterol statin works best if it's taken at night, though you can take it any time of the day. And you should take it every single day. It's important to keep that up. Where do you store your medications?\nclient: I store my medications, uh, in my nightstand, right by my bed.\ntherapist: All right. Do you have any children in your home?\n",TRUE,closed,FALSE,0.6356850489974022
66,therapist,high,How are you doing today? I'm Bruce Berger.,therapist: How are you doing today? I'm Bruce Berger.\ntherapist: How are you doing today? I'm Bruce Berger.\ntherapist: How are you doing today? I'm Bruce Berger.\ntherapist: How are you doing today? I'm Bruce Berger.\n,TRUE,open,FALSE,0.6359429324511439
14,therapist,high,Okay.,client: I can do anything-\ntherapist: All right.\nclient: -I know that. But it's hard getting to the point where I-\ntherapist: Okay.\n,FALSE,n/a,FALSE,0.6360845279414207
55,therapist,high,"Thanks. Just so you know, when I talk to patients about drug use, my job is to be helpful. I'm not going to tell you what to do or what you should do. What I can do is share some information and be a resource. Does that make sense?","therapist: Thanks. Just so you know, when I talk to patients about drug use, my job is to be helpful. I'm not going to tell you what to do or what you should do. What I can do is share some information and be a resource. Does that make sense?\ntherapist: Thanks. Just so you know, when I talk to patients about drug use, my job is to be helpful. I'm not going to tell you what to do or what you should do. What I can do is share some information and be a resource. Does that make sense?\ntherapist: Thanks. Just so you know, when I talk to patients about drug use, my job is to be helpful. I'm not going to tell you what to do or what you should do. What I can do is share some information and be a resource. Does that make sense?\ntherapist: Thanks. Just so you know, when I talk to patients about drug use, my job is to be helpful. I'm not going to tell you what to do or what you should do. What I can do is share some information and be a resource. Does that make sense?\n",TRUE,open,FALSE,0.6363801134284586
130,therapist,low,"So it sounds like if you have alcohol, then smoking is very difficult to avoid and you know what you need to do. You need to go home and as your-your son's doctor, I need to tell you you need to go home and throw out those cigarettes. You need to quit.","therapist: So it sounds like if you have alcohol, then smoking is very difficult to avoid and you know what you need to do. You need to go home and as your-your son's doctor, I need to tell you you need to go home and throw out those cigarettes. You need to quit.\ntherapist: So it sounds like if you have alcohol, then smoking is very difficult to avoid and you know what you need to do. You need to go home and as your-your son's doctor, I need to tell you you need to go home and throw out those cigarettes. You need to quit.\ntherapist: So it sounds like if you have alcohol, then smoking is very difficult to avoid and you know what you need to do. You need to go home and as your-your son's doctor, I need to tell you you need to go home and throw out those cigarettes. You need to quit.\ntherapist: So it sounds like if you have alcohol, then smoking is very difficult to avoid and you know what you need to do. You need to go home and as your-your son's doctor, I need to tell you you need to go home and throw out those cigarettes. You need to quit.\n",FALSE,n/a,FALSE,0.6366569427773356
56,therapist,high,Yeah?,therapist: Yeah?\ntherapist: Yeah?\ntherapist: Yeah?\ntherapist: Yeah?\n,TRUE,closed,FALSE,0.6370983542874455
37,therapist,high,"We-we talked about, uh, last time that this is hard stuff and that, um, we are prepared to kind of do the hard yard. So you've gone away, you've talked to your folks, put it out there about your issue of violence? Um, I'm thinking about, uh, with-with Tristan and the whole alcohol issue there. So it sounds like to me if you've- you've started to put quite a bit of stuff in place.","client: Well, I'm not sure if I want to live with my auntie and uncle. [chuckles] Um, I think, yeah, I'll probably need to. I think probably living with, uh, with my mate in his flat is probably not that helpful.\ntherapist: Okay. Just sort of interested, when you rang your mom and, um, told her what's happening, how difficult was it to talk about the issue of violence and being violent towards your partner?\nclient: It was terrible. It was really hard. Uh, I think probably the hardest person to talk to about it, my mom. My, um, my old man, um-- Yeah, it was hard.\ntherapist: We-we talked about, uh, last time that this is hard stuff and that, um, we are prepared to kind of do the hard yard. So you've gone away, you've talked to your folks, put it out there about your issue of violence? Um, I'm thinking about, uh, with-with Tristan and the whole alcohol issue there. So it sounds like to me if you've- you've started to put quite a bit of stuff in place.\n",TRUE,closed,TRUE,0.6379375902470201
102,therapist,low,"And that sounds like a lot of excuses to me. So I feel like you had shared with me before that you do have a gym membership. So I think that's something that you just need to fit in your schedule. So for you to really see results that you want, my guess is you need to go about three to four times a week and really fit in that hour workout, um, on a daily basis.","client: Well, I don't know if I'm really being lazy about it. I think it's just that I have a busy schedule.\ntherapist: Yeah.\nclient: I just need to find the time to do it. And, yes, I might be lacking a little bit of motivation, but I think it's more timing and trying to fit it in.\ntherapist: And that sounds like a lot of excuses to me. So I feel like you had shared with me before that you do have a gym membership. So I think that's something that you just need to fit in your schedule. So for you to really see results that you want, my guess is you need to go about three to four times a week and really fit in that hour workout, um, on a daily basis.\n",FALSE,n/a,FALSE,0.6390496043022722
94,therapist,high,Okay. Are you-- This is something you've done before.,"client: And that gives me a relie- a sense of relief. Like I'm not just, you know, saying yeah. You know, go find your own place or, you know, I mean, there are places where he has a safety net to go to and that-that is something that I think I feel better about and that it makes it easier to discuss and giving them options that he can-- Yeah, yeah, exactly.\ntherapist: So, you might have to literally like pack his bags and help them get to those places, um.\nclient: Been there, done that. [laughs]\ntherapist: Okay. Are you-- This is something you've done before.\n",FALSE,n/a,TRUE,0.6394735837820917
2,therapist,high,But you did have some success. Tell me how you felt when you lost the weight.,"client: No, by all means. I know we have to discuss it.\ntherapist: All right. Uh, well, it sounds like you've been struggling with your weight recently. And I understand how difficult it is to lose the weight and then have it come back again. So, tell me what you did to lose that initial 5 pounds.\nclient: I started watching what I ate and I ate less. I've been eating more fruits and vegetables. I've also been walking a lot. I'm walking up to 20 minutes a day now. I saw the weight come slowly off, um, and I felt better. But then when I watched it come back on again, you know, I gave up.\ntherapist: But you did have some success. Tell me how you felt when you lost the weight.\n",TRUE,open,TRUE,0.6399787694681436
77,therapist,high,Okay.,"client: Oh, yeah.\ntherapist: You've heard of it?\nclient: Uh, I have.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.6403927602805197
27,therapist,low,Yeah.,therapist: Yeah.\ntherapist: Yeah.\ntherapist: Yeah.\ntherapist: Yeah.\n,FALSE,n/a,FALSE,0.6403944727499038
32,therapist,low,"In summary, the Minnesota State, Mankato security report states that you were stopped on Stadium Road last Friday, cited for driving under the influence, and then you were transported to detox. Plus, you're only 21 years old. Is the report accurate?","therapist: In summary, the Minnesota State, Mankato security report states that you were stopped on Stadium Road last Friday, cited for driving under the influence, and then you were transported to detox. Plus, you're only 21 years old. Is the report accurate?\n",TRUE,closed,FALSE,0.6414839578792453
94,therapist,high,Your new career.,"client: Well, you know, in life you have to have a sense of humor in my- the way I view and otherwise, you know, I'd be like where's the news. [laughs] I mean, it's either—\ntherapist: That really helps you get through things is to be able to laugh about it.\nclient: Yeah, yeah, I have to laugh, I mean, even comedians say, you know, uh, most of-- What I've heard about comedians is that they are really not always that happy and they use that in a comical way to, you know, deal with life, so, yeah. [laughs] I kind of, maybe I should go into that. [laughs] Like this girl—\ntherapist: Your new career.\n",FALSE,n/a,TRUE,0.6415037179831415
36,therapist,high,Mm-hmm. Okay. Okay. So you think it began about four years ago after this holiday?,"client: Yes.\ntherapist: Okay. And how long has this been going on?\nclient: Well, I, uh, I've traced it back to a holiday I had in Egypt about four years ago. I had, um, a horrible bout of sickness and diarrhea, and, uh, and I don't think my stomach's ever been really right since then.\ntherapist: Mm-hmm. Okay. Okay. So you think it began about four years ago after this holiday?\n",TRUE,open,TRUE,0.6415407459717244
0,therapist,high,"Okay. So, can I share with you some information on alcohol use?","client: Okay.\ntherapist: Uh, what else can you tell me about your drinking.\nclient: Well, I usually drink when I'm at home trying to unwind and I drink while I'm watching a movie. And sometimes, um, I take a bath but I also drink when I take a bath sometimes.\ntherapist: Okay. So, can I share with you some information on alcohol use?\n",TRUE,open,FALSE,0.6417455188930035
73,therapist,high,"Yeah, okay. Um, and-and so that's a lot going on right now for you? Yeah.","client: Mm-hmm. Yeah, and—\ntherapist: But it's not something that you wanna make a habit of becoming reliant on, or dependent?\nclient: Right.\ntherapist: Yeah, okay. Um, and-and so that's a lot going on right now for you? Yeah.\n",FALSE,n/a,TRUE,0.6418705771211535
44,therapist,low,Uh-huh.,"client: Not too much, to be honest. I-I've always thought since it's, you know, within my small group of friends-\ntherapist: Uh-huh.\nclient: -and we usually sleep over each other's house, we don't get into the problems of drinking and driving, and possibly sexual assaults and things like that.\ntherapist: Uh-huh.\n",FALSE,n/a,FALSE,0.6420114433858544
71,therapist,high,Okay.,"client: Yeah.\ntherapist: -because you feel that she might find out something about you that you're not quite sure you want her to find out?\nclient: Well, I don't know if it's that serious, it's just-\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.642291228286922
85,therapist,high,"Yeah. Where's Scott? Where did- where did Scott go? That feisty, spirited guy, where- where'd he go?","client: Right-right.\ntherapist: And-and your wife, what does she have to say about that?\nclient: Well, she wants to know who I am and what did I do with her husband.\ntherapist: Yeah. Where's Scott? Where did- where did Scott go? That feisty, spirited guy, where- where'd he go?\n",FALSE,n/a,TRUE,0.643030459061265
131,therapist,low,Mm-hmm.,"client: Mm-hmm.\ntherapist: What are the main reasons why you actually smoke? What do you enjoy most about it?\nclient: Um, it's just entertainment. Something, um, when I bored, it's got-- I've got-- I smoke-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.6432555257342756
46,therapist,high,Anything else to make things easier for you?,"client: Yeah, probably.\ntherapist: Okay. What things would make it easier for you to not drink?\nclient: Um, I could probably drink something else when my friends are drinking, like just coke.\ntherapist: Anything else to make things easier for you?\n",TRUE,closed,FALSE,0.6435400794725865
38,therapist,high,"It just doesn't seem that abnormal to you, especially when you compare it with your family.","client: Sure.\ntherapist: Okay. Well, so, the recommendation for women is to have no more than three drinks a day, and no more than seven drinks over the course of a week. Yeah, um, and, really, the reason for those recommendations is to just reduce the risk that people have trouble with accidents, or chronic diseases. Like certain types of cancers, or high blood pressure, and then also psychological problems. I don't know what you think about all that?\nclient: I don't know, i-it just surprises me because, I mean, two drinks a day, that-that doesn't seem like a problem or risky, you know. And, I have family members who drink a lot more than that per day, and, it's not a problem for them. So, i-it just surprises me.\ntherapist: It just doesn't seem that abnormal to you, especially when you compare it with your family.\n",FALSE,n/a,TRUE,0.6435630319174379
53,therapist,low,"Mm-hmm, so like once or twice a month you're having alcohol?","client: Um, not really. Maybe one or two drinks at a party at the most.\ntherapist: Okay. And how often do you think you drink?\nclient: Um, maybe like once or twice a month at the most.\ntherapist: Mm-hmm, so like once or twice a month you're having alcohol?\n",TRUE,open,TRUE,0.6439725279342383
60,therapist,high,Yeah.,"client: So just switching my addiction. [laughs]\ntherapist: If you will. And that's if you decide you want to try a replacement therapy and that's what we call it and it-it kind of sounds from what you've described with your fear about you know, what it would be like of the withdrawal and everything like that. W-why you don't have to do it that way, you don't have to go cold-cold turkey.\nclient: Yeah, God, I don't think I could.\ntherapist: Yeah.\n",FALSE,n/a,FALSE,0.6441381967160851
34,therapist,high,"Mm, kind of feel like you're pulled between two worlds there.","client: I don't know, like, maybe- maybe actually talking to my friends and saying like- or maybe them actually being able to see this kid and go, ""Of course, of course, your- your choice makes sense. You--"" Maybe it would, you know, give them a wake-up call too if They actually, like, see it.\ntherapist: So you're thinking that, um, once your friends see you with the baby in your arms that they too will see that there's a different path for them too?\nclient: Or at least they'll feel less pressure to be who they want me to be.\ntherapist: Mm, kind of feel like you're pulled between two worlds there.\n",FALSE,n/a,TRUE,0.6443964021746069
80,therapist,high,"Jean, it's good to see you again.","therapist: Jean, it's good to see you again.\n",FALSE,n/a,FALSE,0.6446879091672599
23,therapist,high,Okay. So what other kinds of difficulties that you have been experiencing?,"client: Yeah.\ntherapist: Okay. So I guess just going back to why you went to the GP and how you've ended up kind of coming here today. So it sounds like you've been experiencing anxiety for quite a few years. Um, but just recently you moved out of home for the first time and, um, and that was what kind of led you to go to the GP. So how did that change things? How were things after you moved out?\nclient: Um, I thought that they'd be better, but 'cause I thought I'd have to kind of be independent and I suppose actually a lot worse. So I'm-I'm just kind of staying in the house a lot. I don't really have any friends or anything. I mean my family come and visit a bit, but it's not-- I don't know. It's kind of scary because I've just been kind of-- that should just end the flight by myself, which I always thought I'd like, but I don't actually like it.\ntherapist: Okay. So what other kinds of difficulties that you have been experiencing?\n",TRUE,open,FALSE,0.6448375219479203
18,therapist,high,"So I get a sense it's a little anxious being here today and, uh, meeting someone like me, and, um, what we're gonna be doing today is-is inducting, but also I wanna talk about, um, yeah, the issues that-that have got you here and we need to do some sorting out around, um, yeah how serious you are to sort of sort those issues. So?","therapist: So I get a sense it's a little anxious being here today and, uh, meeting someone like me, and, um, what we're gonna be doing today is-is inducting, but also I wanna talk about, um, yeah, the issues that-that have got you here and we need to do some sorting out around, um, yeah how serious you are to sort of sort those issues. So?\n",FALSE,n/a,TRUE,0.6454504393041134
4,therapist,high,"Yeah. There's certainly been-- There's no problems and you, as you said, only have had it for a short time.","client: Um, which I'm not doing but, um, yeah, I guess, I don't really wanna wreck my teeth 'cause-- Yeah, I didn't really notice any of the chipping.\ntherapist: There's nothing yet.\nclient: I guess I'm not paying attention to it.\ntherapist: Yeah. There's certainly been-- There's no problems and you, as you said, only have had it for a short time.\n",FALSE,n/a,TRUE,0.6456318784039468
12,therapist,high,Two max. How many drinks would you say you'd have over the course of a week?,"client: Um, I mean, maybe I'll have like a drink or two.\ntherapist: Okay. A drink or two. So about how many drinks would you say you have over the course of a day?\nclient: Um, maybe like two max.\ntherapist: Two max. How many drinks would you say you'd have over the course of a week?\n",TRUE,closed,TRUE,0.6467748603317887
56,therapist,high,"I know, I-I understand that it was really-- That was your goal. That was a really important thing for you to be able to get home and it sounds like you've been able to really en- enjoy parts of it, and I know you've been going to the- both the physical therapy and the Tai Chi and how's-how's that going?","therapist: I know, I-I understand that it was really-- That was your goal. That was a really important thing for you to be able to get home and it sounds like you've been able to really en- enjoy parts of it, and I know you've been going to the- both the physical therapy and the Tai Chi and how's-how's that going?\ntherapist: I know, I-I understand that it was really-- That was your goal. That was a really important thing for you to be able to get home and it sounds like you've been able to really en- enjoy parts of it, and I know you've been going to the- both the physical therapy and the Tai Chi and how's-how's that going?\ntherapist: I know, I-I understand that it was really-- That was your goal. That was a really important thing for you to be able to get home and it sounds like you've been able to really en- enjoy parts of it, and I know you've been going to the- both the physical therapy and the Tai Chi and how's-how's that going?\ntherapist: I know, I-I understand that it was really-- That was your goal. That was a really important thing for you to be able to get home and it sounds like you've been able to really en- enjoy parts of it, and I know you've been going to the- both the physical therapy and the Tai Chi and how's-how's that going?\n",TRUE,open,TRUE,0.646903307409957
71,therapist,high,People can't read-- People can't read your handwriting?,"client: No.\ntherapist: Yeah. So, wondering what that's about, about not actually liking writing.\nclient: No, I'm just real messy, so people can't read it.\ntherapist: People can't read-- People can't read your handwriting?\n",TRUE,closed,FALSE,0.6483799796551466
91,therapist,high,So it's hard for you to quit smoking when everybody else around you is smoking. And it's so easy to go out and take a break and have a cigarette.,"client: The people I work with, we go out in the courtyard-\ntherapist: Sure.\nclient: -have a cigarette and talk. That's how you make friends. A lot of people, um, we're like a little group now, we're all- a little bunch of us.\ntherapist: So it's hard for you to quit smoking when everybody else around you is smoking. And it's so easy to go out and take a break and have a cigarette.\n",FALSE,n/a,TRUE,0.648453633999452
94,therapist,high,That really helps you get through things is to be able to laugh about it.,"client: [laughs] Well, first of all I think he would hit the road if I started singing that song 'cause I can sing. [laughs]\ntherapist: I thought you did a pretty nice job singing there right there, it's scary to be quite honest with you and I appreciate, I also appreciate your sense of humor in-in doing that.\nclient: Well, you know, in life you have to have a sense of humor in my- the way I view and otherwise, you know, I'd be like where's the news. [laughs] I mean, it's either—\ntherapist: That really helps you get through things is to be able to laugh about it.\n",FALSE,n/a,TRUE,0.648621644359082
56,therapist,high,"Hi, Mrs. Smith. I'm Denise. I'm the social worker here at the clinic work that's working with Dr. Fields and the rest of the team. And, um, I know you were here to see Dr. Fields today, and I-I just wanted to let you know, I usually work with people who are similar to- have situations similar to you, and that have gone back home from rehab. And, uh, so I'd like to find out a little bit if you would, if that's okay, about how it's been going since you got home.","therapist: Hi, Mrs. Smith. I'm Denise. I'm the social worker here at the clinic work that's working with Dr. Fields and the rest of the team. And, um, I know you were here to see Dr. Fields today, and I-I just wanted to let you know, I usually work with people who are similar to- have situations similar to you, and that have gone back home from rehab. And, uh, so I'd like to find out a little bit if you would, if that's okay, about how it's been going since you got home.\ntherapist: Hi, Mrs. Smith. I'm Denise. I'm the social worker here at the clinic work that's working with Dr. Fields and the rest of the team. And, um, I know you were here to see Dr. Fields today, and I-I just wanted to let you know, I usually work with people who are similar to- have situations similar to you, and that have gone back home from rehab. And, uh, so I'd like to find out a little bit if you would, if that's okay, about how it's been going since you got home.\ntherapist: Hi, Mrs. Smith. I'm Denise. I'm the social worker here at the clinic work that's working with Dr. Fields and the rest of the team. And, um, I know you were here to see Dr. Fields today, and I-I just wanted to let you know, I usually work with people who are similar to- have situations similar to you, and that have gone back home from rehab. And, uh, so I'd like to find out a little bit if you would, if that's okay, about how it's been going since you got home.\ntherapist: Hi, Mrs. Smith. I'm Denise. I'm the social worker here at the clinic work that's working with Dr. Fields and the rest of the team. And, um, I know you were here to see Dr. Fields today, and I-I just wanted to let you know, I usually work with people who are similar to- have situations similar to you, and that have gone back home from rehab. And, uh, so I'd like to find out a little bit if you would, if that's okay, about how it's been going since you got home.\n",TRUE,open,TRUE,0.6491176309064031
83,therapist,high,Good. Anybody else in your family that would be really proud of-- that you're taking these steps?,"client: Um, I-I-I'd hope that they'd be proud of me. I wouldn't want my kids to see me- to see me here though. But I- But I hope they would be proud of me.\ntherapist: Okay.\nclient: 'Cause I'm-- Yeah.\ntherapist: Good. Anybody else in your family that would be really proud of-- that you're taking these steps?\n",TRUE,closed,FALSE,0.6491514397785068
88,therapist,high,"So what I've been hearing so far- what again, what a great goal. You've already had some insight of how to do this. So for you, it's really important that you're getting to your first hour because you don't want to go back to sanction days. You don't having- like having all these extra people checking up on you and all those things.You've already have a plan of going to bed by 11:00, turning off the lights, putting your cell phone away. Even the support of your mom is really gonna be helpful for you, um, getting up at 6:15 in the morning with that alarm. I know that seems really early in the morning, but you seem willing to do it. And if you're not able to do it, your mom's gonna help you out as well.","client: When I'm at school on time, when the bell rings and I'm in class.\ntherapist: So for you being in your class, when that bell rings, then you know, this is the goal.\nclient: Absolutely.\ntherapist: So what I've been hearing so far- what again, what a great goal. You've already had some insight of how to do this. So for you, it's really important that you're getting to your first hour because you don't want to go back to sanction days. You don't having- like having all these extra people checking up on you and all those things.You've already have a plan of going to bed by 11:00, turning off the lights, putting your cell phone away. Even the support of your mom is really gonna be helpful for you, um, getting up at 6:15 in the morning with that alarm. I know that seems really early in the morning, but you seem willing to do it. And if you're not able to do it, your mom's gonna help you out as well.\n",FALSE,n/a,TRUE,0.6493712323717773
12,therapist,high,Okay. So about how much are you smoking over the course of a day? You had said it had increased over once or twice a day.,"therapist: Sarah, I'm so glad you came in for your well-woman exam today. I think we addressed a lot of your concerns. However, I would like to ask you more about your smoking. Would that be okay?\nclient: Yeah, I guess.\ntherapist: Okay. So about how much are you smoking over the course of a day? You had said it had increased over once or twice a day.\n",TRUE,closed,FALSE,0.6494539515115321
68,therapist,high,Does that sound okay?,"client: Okay.\ntherapist: Basically, my job is to meet with all of the students. I meet with everybody about once or twice a semester and just talk with you a little bit about how things are going, different behaviors that you might be engaging in, and thinking about any changes you might wanna make for your life if you decide that you do. It's not my job to change you. I couldn't even if I wanted to. That's not my role at all. It's really to help you think about, you know, how things are going for you and how you might like making changes or moving forward.\nclient: Okay.\ntherapist: Does that sound okay?\n",TRUE,closed,FALSE,0.649843224324286
7,therapist,high,So I know we've determined that you sprained your ankle yesterday and I'm wondering if you can tell me a little bit about how that happened?,therapist: So I know we've determined that you sprained your ankle yesterday and I'm wondering if you can tell me a little bit about how that happened?\ntherapist: So I know we've determined that you sprained your ankle yesterday and I'm wondering if you can tell me a little bit about how that happened?\n,TRUE,open,FALSE,0.6498758376110345
78,therapist,high,Mm-hmm.,"client: Mm-hmm.\ntherapist: If-if I can draw an analogy-- Again, even though this medicine is in the same family as those big broad-broad family. If I could draw an analogy, a grape and a watermelon are in the same family of fruits, you know, and obviously, grape is much smaller than a watermelon. And if you eat one grape, you'd be fine. If you ate an entire watermelon, it can make you very sick. If we look at the grape as the medicine your daughter's taking, again, it's in the same broad family, the amount of drug that your daughter is getting is very small. Uh, and not only that it's not an anabolic steroid, even though it's in the same big family. And what this drug does is actually reduces the inflammation in your daughter's lungs. And-and it doesn't even get absorbed into the body. It only goes to her lungs. And as I said, I wouldn't want your daughter taking a medication that could have the impact of those anabolic steroids. This is really safe for your daughter to use. So what-what are your thoughts about considering having her using this?\nclient: Well, I-I guess I didn't realize that they weren't the same thing as the anabolic steroids.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.6525756993796676
43,therapist,high,Mm-hmm,"client: Yeah.\ntherapist: Um, how do you think you could relate that to what you're dealing with now?\nclient: I mean, I think again, like all that anxiety, the same anxiety I had with that I have with those tests. And so, um, but that if I pass this test, if I could have that same feeling that I had, like when I did a good job like the-- you know, I mean, I would like to have that feeling again.\ntherapist: Mm-hmm\n",FALSE,n/a,FALSE,0.6527447043918073
78,therapist,high,"Use the chronic inhaler every day, keep the rescue inhaler around if she needs it. Uh, and let's see how that works.","client: -because that's always scary when she has to use that one.\ntherapist: Yeah. So we'll go ahead and get both of those prescriptions ready.\nclient: Okay.\ntherapist: Use the chronic inhaler every day, keep the rescue inhaler around if she needs it. Uh, and let's see how that works.\n",FALSE,n/a,FALSE,0.653352172812447
68,therapist,high,"Mm-hmm, and when you're hanging out with friends, is there ever alcohol involved?","client: Definitely, that's right.\ntherapist: All right. Well, um, one of the things I wanted to talk to you about sort of relates to belonging and your friends. So what kinds of things do you like to do when you get together with your friends?\nclient: Um, sometimes we just, you know, go to the movies, go to the beach, like I had said, or sometimes we just get together at someone's house, play some good board games and hang out.\ntherapist: Mm-hmm, and when you're hanging out with friends, is there ever alcohol involved?\n",TRUE,closed,FALSE,0.6536247143521905
38,therapist,high,It's a nice sort of form of stress relief.,"client: Yeah, um, last week I met with my nurse practitioner, and I ge-I guess she's worried with how much I'm smoking and drinking right now. I mean, I-I did agree I would work on the smoking and try to cut back on that. But, as far as the drinking, I-I don't really think I drink that much.\ntherapist: So, you've decided you wanna cut back on your smoking a little bit, but, you're not really concerned about your drinking.\nclient: Right, I mean, I don't drink that much and, honestly, it-it's just a good way to relax.\ntherapist: It's a nice sort of form of stress relief.\n",FALSE,n/a,TRUE,0.6536610936746001
30,therapist,high,"Okay. Um, would it be okay if I do share you what will happen if you don't charge your battery.","client: No.\ntherapist: Okay. Um, and do you understand then the con-consequences of-of what that would be?\nclient: I guess so. I don't know. I-I-I honestly don't care what the consequences are.\ntherapist: Okay. Um, would it be okay if I do share you what will happen if you don't charge your battery.\n",TRUE,closed,FALSE,0.654067937284708
44,therapist,low,"Oh, wow.","client: So.\ntherapist: Great. And then, um, tell me a little bit about your family?\nclient: Oh, well I have one brother he's older than me, about nine years older than me.\ntherapist: Oh, wow.\n",FALSE,n/a,FALSE,0.6549934227950871
93,therapist,high,"Great. So tell me a little bit more about your motivators for getting started in being more physically active. I know you shared energy levels and I know you've shared, um, that you'd like to see a boost in your mood and feeling less irritable and stressed. Any other benefits that really make you wanna make this change right now?","client: I think the activity piece is the kind of low-hanging fruit that I see. Um, I feel like it's gonna be harder for me to change some of my nutrition habits right out the gate, but if I can get into maybe an activity routine, that that could be good to help maybe some of the other changes happen later.\ntherapist: Yeah. Okay. So physical activity is feeling like the easiest change to look at first.\nclient: Yeah, I think so.\ntherapist: Great. So tell me a little bit more about your motivators for getting started in being more physically active. I know you shared energy levels and I know you've shared, um, that you'd like to see a boost in your mood and feeling less irritable and stressed. Any other benefits that really make you wanna make this change right now?\n",TRUE,open,TRUE,0.6552869300357997
22,therapist,high,Yeah.,"client: -then the second time that I did it-- I did five of these total-\ntherapist: Mm-hmm.\nclient: -but the second time that I did it I was so focused on, ""What did I read about last time?"" You know?\ntherapist: Yeah.\n",FALSE,n/a,FALSE,0.6559505211189389
38,therapist,high,Anything-anything else?,"client: Yeah, I-I think I would. I mean, it's-it's been nice to just talk about everything that's going on.\ntherapist: Yeah. So, these are not problems that are going to go away in a week. It's going to take some time to resolve. Okay, great. So, um, it sounds like we have a couple of things, uh, to pursue.\nclient: Mm-hmm.\ntherapist: Anything-anything else?\n",TRUE,open,FALSE,0.6562926962506026
0,therapist,high,"Well things like heart disease, cancer, liver problems, uh, stomach pains, insomnia. Unfortunately, uh, people who drink at a risky level are more likely to be diagnosed with depression and alcohol can make depression worse or harder to treat.","client: Wow. I knew my doctor didn't like me drinking the amount that I did but I didn't know that seven was the limit.\ntherapist: Yeah, you're surprised to hear that?\nclient: Yes. What-what kind of health problems?\ntherapist: Well things like heart disease, cancer, liver problems, uh, stomach pains, insomnia. Unfortunately, uh, people who drink at a risky level are more likely to be diagnosed with depression and alcohol can make depression worse or harder to treat.\n",FALSE,n/a,FALSE,0.6569922904018313
49,therapist,high,"Yeah, so how-how-- You know, like-- 'Cause, sometimes, when we start to open things up, and then you think, ""Oh, it feels a bit uncomfortable."" So, how do you manage things when you get uncomfortable? How have you managed those in the past?","client: Yeah.\ntherapist: Yeah. Yeah.\nclient: Yeah.\ntherapist: Yeah, so how-how-- You know, like-- 'Cause, sometimes, when we start to open things up, and then you think, ""Oh, it feels a bit uncomfortable."" So, how do you manage things when you get uncomfortable? How have you managed those in the past?\n",TRUE,open,FALSE,0.657043382525444
60,therapist,high,"So, we'll do that so we'll-we'll talk about the hypnosis a little bit more, you know, you'll talk to your doc. Um, you'll do your research, you know, about programs and stuff, I'll give you any information I have and we'll take it from there. But it's sounding like the quit date might be coming up fairly-- like within the next two, three months.","client: Yeah, yeah.\ntherapist: So—\nclient: Yeah. That's true.\ntherapist: So, we'll do that so we'll-we'll talk about the hypnosis a little bit more, you know, you'll talk to your doc. Um, you'll do your research, you know, about programs and stuff, I'll give you any information I have and we'll take it from there. But it's sounding like the quit date might be coming up fairly-- like within the next two, three months.\n",FALSE,n/a,FALSE,0.6580085891764611
63,therapist,high,"And, uh, um, you do this how often?","client: Mm-mm.\ntherapist: Use any other drugs?\nclient: Just, you know, some alcohol.\ntherapist: And, uh, um, you do this how often?\n",TRUE,closed,FALSE,0.6580192013643682
58,therapist,high,Mm-hmm.,"client: Well, if I could just get myself over there once, 'cause usually that’s the hardest thing. It’s just going there. So I think that's-- You know, I’ve thought about it a little bit, I think I just need to make that first trip over there and just kind of to take it easy that first time. Just show up 'cause I think that’s really what I need to do. I justt need to go over there.\ntherapist: What would help you do that?\nclient: Um, knowing that my schedule isn’t gonna be too crazy that day where I could spare an hour or so, and-and just go do it.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.6587899685837328
40,therapist,high,And how is that going for you?,"client: So—\ntherapist: So-so, uh, have-- last time we talked, you know, you were kind of cutting the-the ex-boyfriend out. This is because he was your dealer, so--\nclient: Right.\ntherapist: And how is that going for you?\n",TRUE,open,FALSE,0.6588449366390705
131,therapist,low,What are the main reasons why you actually smoke? What do you enjoy most about it?,"client: Well, what you do-- What do you suggest?\ntherapist: Generally, it works well if you find a time when you're not under a huge amount of other stresses and strains.\nclient: Mm-hmm.\ntherapist: What are the main reasons why you actually smoke? What do you enjoy most about it?\n",TRUE,open,FALSE,0.6598582963924855
27,therapist,low,"Well, you sound a bit surprised by that. But I'm sure that you've seen some of the material that-that the clinic gave you about asthma symptoms and managing your asthma, and pets are a really big source of problems in that respect.","client: -ridiculous part is I've had him for 12 years before, and now it's a problem.\nclient: -ridiculous part is I've had him for 12 years before, and now it's a problem.\ntherapist: Well, you sound a bit surprised by that. But I'm sure that you've seen some of the material that-that the clinic gave you about asthma symptoms and managing your asthma, and pets are a really big source of problems in that respect.\ntherapist: Well, you sound a bit surprised by that. But I'm sure that you've seen some of the material that-that the clinic gave you about asthma symptoms and managing your asthma, and pets are a really big source of problems in that respect.\n",FALSE,n/a,TRUE,0.6606004445347935
52,therapist,high,"Well, you might not be drinking that much, and other kids are also trying alcohol. I'd like to share with you the risk of using. Alcohol and drugs could really harm you because your brain is still changing. It also-- you're very high risk for becoming addicted. Alcohol and drugs could also interfere with your role in life and your goals, especially in sports, and it could cause unintended sex. How do you feel about this information?","client: Well, all I really know is that it's not good for you.\ntherapist: Are you surprised what that might be true?\nclient: Yeah, and a couple of my friends drink too.\ntherapist: Well, you might not be drinking that much, and other kids are also trying alcohol. I'd like to share with you the risk of using. Alcohol and drugs could really harm you because your brain is still changing. It also-- you're very high risk for becoming addicted. Alcohol and drugs could also interfere with your role in life and your goals, especially in sports, and it could cause unintended sex. How do you feel about this information?\n",TRUE,open,FALSE,0.6613419614732265
94,therapist,high,"I thought you did a pretty nice job singing there right there, it's scary to be quite honest with you and I appreciate, I also appreciate your sense of humor in-in doing that.","client: Yeah, you know, it's kind of, like, the old sock- song saying hit the road Jack, don't you come back no more, no more, no more, no more. [laughs] And—\ntherapist: But you're not quite ready if you wanna sing that song.\nclient: [laughs] Well, first of all I think he would hit the road if I started singing that song 'cause I can sing. [laughs]\ntherapist: I thought you did a pretty nice job singing there right there, it's scary to be quite honest with you and I appreciate, I also appreciate your sense of humor in-in doing that.\n",FALSE,n/a,TRUE,0.6614040592685342
66,therapist,high,"Hi, Mr. Stowe.","therapist: Hi, Mr. Stowe.\ntherapist: Hi, Mr. Stowe.\ntherapist: Hi, Mr. Stowe.\ntherapist: Hi, Mr. Stowe.\n",FALSE,n/a,FALSE,0.6615917435847223
46,therapist,high,"So, how long do you think you could go without drinking?","client: No, not really.\ntherapist: Okay. What some people your age do is try stopping drinking for a period of time just to see what that feels like.\nclient: I could probably do that.\ntherapist: So, how long do you think you could go without drinking?\n",TRUE,closed,FALSE,0.662705942755565
71,therapist,high,Okay.,"client: Yeah.\ntherapist: That's fantastic, Billy.\nclient: Yeah, but I just-- Like, they wouldn't help me out, so-\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.6628929942380637
27,therapist,low,"Well, uh, wait a second, Sal, what do you mean you-you- ha- If you-- As in-- You know to be informed about-- I'm just really taken aback by that because I understand from your chart that you have a young baby-","therapist: Well, uh, wait a second, Sal, what do you mean you-you- ha- If you-- As in-- You know to be informed about-- I'm just really taken aback by that because I understand from your chart that you have a young baby-\ntherapist: Well, uh, wait a second, Sal, what do you mean you-you- ha- If you-- As in-- You know to be informed about-- I'm just really taken aback by that because I understand from your chart that you have a young baby-\ntherapist: Well, uh, wait a second, Sal, what do you mean you-you- ha- If you-- As in-- You know to be informed about-- I'm just really taken aback by that because I understand from your chart that you have a young baby-\ntherapist: Well, uh, wait a second, Sal, what do you mean you-you- ha- If you-- As in-- You know to be informed about-- I'm just really taken aback by that because I understand from your chart that you have a young baby-\n",FALSE,n/a,FALSE,0.6628971432801336
30,therapist,high,Okay.,client: Whatever.\ntherapist: And that's still doesn't seem to bother you.\nclient: No. I just-- I don't care.\ntherapist: Okay.\n,FALSE,n/a,FALSE,0.6632531424984336
49,therapist,high,Hmm.,"client: It's hard when it's part of your lifestyle, you know?\ntherapist: Mm.\nclient: When I went with my girlfriends to the pub last night and I went and hit a bit of a flutter-\ntherapist: Hmm.\n",FALSE,n/a,FALSE,0.6635992943774909
17,therapist,low,"Yeah. Well, it's possible you strained your ankle as a result of the alcohol. You know, it can actually affect your balance and stability. So, really, you know, for where you are right now, you're drinking a good amount more than what's recommended. And, you know, I want you to be healthy. And I don't want to see you coming back in here for something else. So I'm really gonna recommend that you try to cut down to that amount. So, do you think you could do that, cut down to no more than three drinks on a given day?","client: That's a lot to change. I don't know.\ntherapist: Yeah, I know that making changes isn't always easy. But when you drink more than what's recommended, it creates problems. You know, you said you hurt your ankle when you came out of the bar this time.\nclient: I mean, the stairs were really steep. So—\ntherapist: Yeah. Well, it's possible you strained your ankle as a result of the alcohol. You know, it can actually affect your balance and stability. So, really, you know, for where you are right now, you're drinking a good amount more than what's recommended. And, you know, I want you to be healthy. And I don't want to see you coming back in here for something else. So I'm really gonna recommend that you try to cut down to that amount. So, do you think you could do that, cut down to no more than three drinks on a given day?\n",TRUE,closed,TRUE,0.664221002953127
68,therapist,high,When did you start?,"client: Yeah, I'm also in the-- I'm a bit of a band geek. [laughter] I play, you know, in the wind ensemble and the jazz band, things like that.\ntherapist: Wow. You really are involved in music.\nclient: Yeah, [crosstalk].\ntherapist: When did you start?\n",TRUE,closed,FALSE,0.6655263085849583
44,therapist,low,Okay. What kind of dog do you have?,"client: Oh, well I have one brother he's older than me, about nine years older than me.\ntherapist: Oh, wow.\nclient: And, uh, my parents and my dog. [laughs]\ntherapist: Okay. What kind of dog do you have?\n",TRUE,open,FALSE,0.666467651957646
84,therapist,high,-what I'm hearing? Yeah.,"client: Yeah, just stupid little shit, yeah.\ntherapist: Okay, so if you had a job, you feel pretty confident, but if you don't have a job, your confidence is much-is much lower, is that-\nclient: Yeah.\ntherapist: -what I'm hearing? Yeah.\n",TRUE,closed,FALSE,0.6665965940337628
54,therapist,high,"Yeah. So why-why do you want to-- what do you wanna do with that? You want to look different, or--?","client: [inaudible 00:01:33] training.\ntherapist: Yeah, yeah.\nclient: It-it-it would be important.\ntherapist: Yeah. So why-why do you want to-- what do you wanna do with that? You want to look different, or--?\n",TRUE,open,FALSE,0.6667249947786331
12,therapist,high,"Certainly, certainly. I'm glad you're willing to talk to him. So before you leave here today, we'll, uh, stop by the scheduler's desk and make an appointment for you to see me back in four weeks, as well as the appointment with Dr. Kirtley. And that way, before you leave, you're all set. So do you have any other questions for me, Sarah?","client: Mm-hmm.\ntherapist: You've indicated that your alcohol consumption is a bit higher than that, putting you at risk. So that's why I asked if you'd be willing to talk to Dr. Kirtley.\nclient: I mean, I would like to talk about, you know, my stress, but I'm still not sure with the whole drinking thing.\ntherapist: Certainly, certainly. I'm glad you're willing to talk to him. So before you leave here today, we'll, uh, stop by the scheduler's desk and make an appointment for you to see me back in four weeks, as well as the appointment with Dr. Kirtley. And that way, before you leave, you're all set. So do you have any other questions for me, Sarah?\n",TRUE,closed,FALSE,0.6669713375158608
4,therapist,high,"-hopefully forever. So, okay, well thanks for-for talking about it-","client: Yeah.\ntherapist: -the-the piercing might not last forever, but your teeth really are-\nclient: Yeah.\ntherapist: -hopefully forever. So, okay, well thanks for-for talking about it-\n",FALSE,n/a,FALSE,0.6674265146721154
115,therapist,low,The side effects from the medications are nothing compared to what can happen from the smoking.,"client: I guess I got to really want to and-- things I've tried usually caused me more problems than they helped.\ntherapist: Oh no, the smoking's going to cause you more problems than the-- than anything else. I can promise you that, David.\nclient: Okay.\ntherapist: The side effects from the medications are nothing compared to what can happen from the smoking.\n",FALSE,n/a,FALSE,0.6676032121758908
130,therapist,low,"Come on, Hailey. You're here because you thought he had pneumonia. You're telling me that Jake can't breathe, you're concerned about his breathing. And then you just slip in the fact that you're smoking cigarettes and you think there's no relationship? Do I really need to review all the risks of smoking in front of your-your child or exposing him to secondhand smoke not to mention the risks that you're posing to yourself and your own health?","therapist: Come on, Hailey. You're here because you thought he had pneumonia. You're telling me that Jake can't breathe, you're concerned about his breathing. And then you just slip in the fact that you're smoking cigarettes and you think there's no relationship? Do I really need to review all the risks of smoking in front of your-your child or exposing him to secondhand smoke not to mention the risks that you're posing to yourself and your own health?\ntherapist: Come on, Hailey. You're here because you thought he had pneumonia. You're telling me that Jake can't breathe, you're concerned about his breathing. And then you just slip in the fact that you're smoking cigarettes and you think there's no relationship? Do I really need to review all the risks of smoking in front of your-your child or exposing him to secondhand smoke not to mention the risks that you're posing to yourself and your own health?\ntherapist: Come on, Hailey. You're here because you thought he had pneumonia. You're telling me that Jake can't breathe, you're concerned about his breathing. And then you just slip in the fact that you're smoking cigarettes and you think there's no relationship? Do I really need to review all the risks of smoking in front of your-your child or exposing him to secondhand smoke not to mention the risks that you're posing to yourself and your own health?\ntherapist: Come on, Hailey. You're here because you thought he had pneumonia. You're telling me that Jake can't breathe, you're concerned about his breathing. And then you just slip in the fact that you're smoking cigarettes and you think there's no relationship? Do I really need to review all the risks of smoking in front of your-your child or exposing him to secondhand smoke not to mention the risks that you're posing to yourself and your own health?\n",TRUE,closed,TRUE,0.6679908358491957
89,therapist,high,"Okay. Um, what is it that you wanna get out of being here?","client: Uh, I mean, I'm just here because she said that I need to be in here. So, I mean, yeah, I wanna save my marriage, you know.\ntherapist: Mm-hmm.\nclient: And, I mean, I love her, you know, but I'm here because she's making me be here.\ntherapist: Okay. Um, what is it that you wanna get out of being here?\n",TRUE,open,FALSE,0.6693868930451572
67,therapist,high,Okay. Is it okay if I share some information with you?,"client: Um, a few times a month.\ntherapist: Do you vape anything else besides marijuana?\nclient: I did a peppermint oil once, someone shared it with me.\ntherapist: Okay. Is it okay if I share some information with you?\n",TRUE,open,FALSE,0.6693978528492153
24,therapist,high,Okay. Tell me a little bit about how smoking fits in your day. It'll help with the—,"client: Yeah, I hope so. Um, my workplace has just gone smoke-free. I-I'm not-not very happy about it. I'm gonna keep smoking, but I was wondering if there's anything that-that can help me like get through the day. It's like, you know, go get my beer and smoke cigarettes after work.\ntherapist: So your workplaces went smoke-free and you're not too pleased, huh?\nclient: No. I'm not gonna quit smoking. I mean, I like it. It helps me relax. So, I mean, I don't see what the big deal is.\ntherapist: Okay. Tell me a little bit about how smoking fits in your day. It'll help with the—\n",TRUE,open,FALSE,0.6694507577922195
22,therapist,high,"Inner harmony, health, and security-","client: Um, number three was health.\ntherapist: Mm-hmm.\nclient: Number four is inner harmony, and number five is security.\ntherapist: Inner harmony, health, and security-\n",FALSE,n/a,TRUE,0.6707601337693632
44,therapist,low,"Oh, so you're drinking a lot?","client: Sometimes, [chuckles] I'm gonna be honest sometimes.\ntherapist: Uh-huh So how often do you think you drink alcohol?\nclient: Um, depending on how much schoolwork there is When there's not, it might be like every other weekend or like three weekends out of the month or something like that.\ntherapist: Oh, so you're drinking a lot?\n",TRUE,open,FALSE,0.6710676772054285
88,therapist,high,Your mom.,"client: Let's start tomorrow.\ntherapist: Tomorrow. Okay, great. So who would be able to help you get to bed on time and make sure you're up on time by 6:15?\nclient: My mom.\ntherapist: Your mom.\n",FALSE,n/a,TRUE,0.6712264677044004
53,therapist,low,Okay. And what kind of hobbies do you have?,"client: Um, mostly just hang out with my friends and stuff on the weekends, things like that.\ntherapist: Mm-hmm, and when you and your friends are hanging out, and what- what do you do? Do you go to football games, go to parties?\nclient: Uh, yeah, if it's school-related, maybe like a game or two, or go to the mall, like, to shop or go to the movies or something, and at night, maybe like a party or something if someone's throwing.\ntherapist: Okay. And what kind of hobbies do you have?\n",TRUE,open,FALSE,0.6713307602331042
25,therapist,high,"So, to summarize, it's important for you to do this. You're starting to feel sluggish, you're not feeling healthy, and you know that you've got other people in your family watching you, and you want to be a good role model for them to know that this is gonna be just a part of your life, is your exercise. Yet for you, you're struggling just a little with the logistics of when to schedule time for you so it doesn't interfere too much with your family.","client: Because I'm really sick of being overweight.\ntherapist: Mm-hmm.\nclient: Not ha-- I just don't like being unhealthy. It doesn't make me feel good, so I'm motivated to change, it's just getting there.\ntherapist: So, to summarize, it's important for you to do this. You're starting to feel sluggish, you're not feeling healthy, and you know that you've got other people in your family watching you, and you want to be a good role model for them to know that this is gonna be just a part of your life, is your exercise. Yet for you, you're struggling just a little with the logistics of when to schedule time for you so it doesn't interfere too much with your family.\n",FALSE,n/a,TRUE,0.6720582882408053
49,therapist,high,"Okay. So, again, that, sort of, sounds really important. So, what's-what's your dreams? What are your dreams? Where do you wanna be in five years' time? Where does Catherine wanna be? What do you wanna be doing? What are your dreams?","client: I don't mind traveling, and, you know, I've got friends that are saving for the [unintelligible 00:18:27] and I'm 25 and working in retail, and got four credit cards-\ntherapist: Yeah.\nclient: -so I won't be doing any traveling any time soon.\ntherapist: Okay. So, again, that, sort of, sounds really important. So, what's-what's your dreams? What are your dreams? Where do you wanna be in five years' time? Where does Catherine wanna be? What do you wanna be doing? What are your dreams?\n",TRUE,open,FALSE,0.6721403496339917
16,therapist,high,Mm-hmm.,"client: The food would be good. Um, I get- I get support with-- my whānau is really supportive, but I'm- I'm worried about losing- I'm worried about losing my freedom. I'm worried about, um, about them taking over, or, you know what I mean? I have a freedom where I am now, I'm in charge of myself. That would probably be really good.\ntherapist: In terms of that freedom and in charge of yourself, and the changes that we're talking about, and building your own family, and to enable you to do that, where do some of that freedom stuff sit with re-engaging back with your whānau and your children, your partner? Is it something you're gonna wanna hang on to, or how you're going to manage that?\nclient: I don't wanna hang on to freedom if it this- if it means that I lose my kids. Um, I'm just, uh, I'm just worried about-- I'm worried about if I move in with family, that they, even if their intentions are good-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.6722162016667426
63,therapist,high,"So you recognize Methamphetamine has some problems associated with it and you also on the balance see that a lot of your social life and your sex life involves Methamphetamine, it would be difficult to quit using?","client: No, I mean, no. I mean, like I said, I only do it in clubs, you know, with my friends, uh, two or three times a month at-at the most. Um, uh, I don't think it's really having other impacts. But I'm-I'm concerned about this one. I never expected to get gonorrhea.\ntherapist: Yeah, you know, I'm concerned bout it too and I'd actually recommend that you stop using Methamphetamine altogether. And, um, there-there are a lot of reasons for this but that's-that's would be my recommendation.\nclient: I-I understand but it's I think that would be a hard thing for me to do. You know, I mean, I know I should but, I mean, that's like my whole social life. You know, I mean, all my friends go to these clubs. That's where- that's where I see them. You know, that's my sex life basically and, uh, meth is just- it's just a part of it. You know, I mean, everyone is doing it there. You know, so it's while I would like to stop it's-it's kind of hard to think about doing that right away.\ntherapist: So you recognize Methamphetamine has some problems associated with it and you also on the balance see that a lot of your social life and your sex life involves Methamphetamine, it would be difficult to quit using?\n",FALSE,n/a,TRUE,0.6726422621868551
36,therapist,high,Okay. What is it that's brought you to see me today?,"client: Well, you can call me Barbara. That'll be fine. Thank you.\ntherapist: Okay, that's fine. Okay. So, Barbara, I'm seeing you today, um, but I think it's usually Dr. Brown that sees you, is that right?\nclient: Yes, Dr. Brown is my doctor.\ntherapist: Okay. What is it that's brought you to see me today?\n",TRUE,open,FALSE,0.6727256942540407
38,therapist,high,"So, one thing that could make a big difference is if you could figure out some sort of more reliable, affordable childcare, and that would help you not want to drink as much.","client: Yeah, definitely.\ntherapist: And it sounds like your mom has been an option in the past, but perhaps not so much anymore.\nclient: Yeah. I mean, she watches him so much. I think she's just probably getting stressed out too. And, I feel bad because, you know, it's not her son, so i-it shouldn't be her problem, but, I need something that I can rely on better.\ntherapist: So, one thing that could make a big difference is if you could figure out some sort of more reliable, affordable childcare, and that would help you not want to drink as much.\n",FALSE,n/a,TRUE,0.6735041420906782
50,therapist,high,Okay. Okay. And that feels about right to you?,"client: Yeah, yeah. Well, you know, and sometimes, like I said, it does kind of make me a little jittery and, um, I don't know. I-I-I'm not- I'm not as happy and relaxed as I normally am. But you know, I-I really like it, and-and like I said, it makes me more aware of what's going on and-and I'm-- I-I feel like I'm much more observant.\ntherapist: Yeah. How about frequency? Do you feel like you're good on how much coffee you're drinking?\nclient: Yeah. I have about four cups a day.\ntherapist: Okay. Okay. And that feels about right to you?\n",FALSE,n/a,TRUE,0.6735284382011741
43,therapist,high,So that positive self-talk could really go a long way for you?,"client: Well, considering this test is coming on the way in a few days, um, I think, for me and just like practicing and just really seeing how I do and if I do well, then I think my confidence might go up a little bit.\ntherapist: Mm-hmm\nclient: And maybe just having that faith in myself that, you know, that I can do it instead of just thinking that I can't.\ntherapist: So that positive self-talk could really go a long way for you?\n",TRUE,open,TRUE,0.6736880079843104
21,therapist,high,-had some consequences-,"client: Um, definitely, yeah. I mean, when I'm at parties and stuff and it's getting a little later, some people, um, that drink-- Like, drank too much, they start throwing up, or they get hurt, or they're really loud and obnoxious, and that's not fun for anybody.\ntherapist: Mm-hmm. So, you've seen a lot of other kids who-\nclient: Yeah.\ntherapist: -had some consequences-\n",FALSE,n/a,TRUE,0.6736929642502218
81,therapist,high,Why do you think it makes you so hesitant to call?,"client: Yeah. I-I know there's something in there, I just don't know much about him.\ntherapist: Mm.\nclient: I know you want me to see the doctor, I haven't called yet.\ntherapist: Why do you think it makes you so hesitant to call?\n",TRUE,open,FALSE,0.6738605671562254
38,therapist,high,"Okay, will you be interested in hearing about those recommendations?","client: Well, that's the thing. I-I don't really understand what raised concern. I mean, I don't drink that much, you know. I've-I've gone up to maybe two drinks a day max, you know.\ntherapist: So, you're drinking, perhaps, two drinks a day. Um, and I'm wondering, what have you heard about the recommendations for drinking levels?\nclient: Not much.\ntherapist: Okay, will you be interested in hearing about those recommendations?\n",TRUE,closed,FALSE,0.6744154475163668
23,therapist,high,"So on that particular day, what were the thoughts that you had in your head when you were in that situation?","client: That was two weeks ago.\ntherapist: Okay. So it was quite recent.\nclient: Yeah.\ntherapist: So on that particular day, what were the thoughts that you had in your head when you were in that situation?\n",TRUE,open,FALSE,0.6751486770808697
45,therapist,high,"Okay, well just so you know, again, I do have to come back so I'll see you later today then.","client: Mm-hmm.\ntherapist: Okay. Um, before I leave today is there anything else you'd like to add or-or need to share with me?\nclient: Not really.\ntherapist: Okay, well just so you know, again, I do have to come back so I'll see you later today then.\n",FALSE,n/a,FALSE,0.6755730945151299
2,therapist,high,"I agree. All right. Well, you-you know what? I'm not gonna start any medications today. Your levels were a little bit off, but I think we can handle this from a purely lifestyle standpoint. What do you think?","client: I'd say I didn't have any and I substituted it with, um, sugar-free drinks.\ntherapist: Excellent. Well, it sounds like you have a plan. Same scale, 0 to 10, how confident are you that you can, uh, make this happen?\nclient: A 10.\ntherapist: I agree. All right. Well, you-you know what? I'm not gonna start any medications today. Your levels were a little bit off, but I think we can handle this from a purely lifestyle standpoint. What do you think?\n",TRUE,open,FALSE,0.6756072745192796
24,therapist,high,"Sure. I wonder if now that your workplace is going smoke-free, if there will be some people at work who planning to quit.","client: Okay. Well, that’s good information. I mean, I'm not gonna do anything today. I just need to know my options, but that's encouraging. If I decided to quit smoking, I-I do have at least tools to help me.\ntherapist: Sure. And back to that scale, you mentioned, you said you were a two. What do you think it would take to move you up to a four or five?\nclient: I don't know. I guess if my friends, like if one of my friends decided to like quit with me, that would probably help too, but I-- all my friends love to smoke, so I don't see that happening in the near future.\ntherapist: Sure. I wonder if now that your workplace is going smoke-free, if there will be some people at work who planning to quit.\n",TRUE,open,FALSE,0.6767622886691242
44,therapist,low,Oh gosh. Yeah. Okay. Very cool. And what are your plans for after high school?,"client: He's a big boy. Yeah.\ntherapist: Oh, cute. Have you had him a long time?\nclient: Yeah. He's about eight years old now.\ntherapist: Oh gosh. Yeah. Okay. Very cool. And what are your plans for after high school?\n",TRUE,open,FALSE,0.6769042878877372
2,therapist,high,"But you're also not a 10, and that tells me that there may be some obstacles to your success. What would it take for you to be a 10 or even an 8 or 9?","client: I guess it's because I know that I need to do it to lose the weight.\ntherapist: So, you realize, again, that if you decrease the amount of juice you're taking in, you're gonna decrease your weight, you're gonna feel better, and you're gonna impact your po- health positively?\nclient: Yes.\ntherapist: But you're also not a 10, and that tells me that there may be some obstacles to your success. What would it take for you to be a 10 or even an 8 or 9?\n",TRUE,open,TRUE,0.67727683018893
39,therapist,high,"So that was helpful for you that it's a, um, I can't remember. I know what you're trying to get a little ball.","client: Right.\ntherapist: It doesn't matter. So what- what ideas do you have about what might be most helpful for you in quitting smoking?\nclient: Well, you know, I was thinking along the lines of meditation. Um, you know, I- I do practice yoga, um, not consistently, but on and off. Um, and when I was in the hospital, I had to do that breathing apparatus and they didn't want to let me go now, like, you know- you know what, I'm not doing that it's already blurry then to this thing, to see the level, um, some pretty obstinate about it and yet I want to do it, you know?\ntherapist: So that was helpful for you that it's a, um, I can't remember. I know what you're trying to get a little ball.\n",FALSE,n/a,TRUE,0.6780645595863461
38,therapist,high,"So, let me summarize a little bit what you've told me. It sounds like you have a pretty hectic, stressful life, and you really feel like you need some kind of-","client: Yeah, I mean, I guess it has. Probably just with being so stressed out every day, you know. I mean, I'm in my second semester of school right now, and so, adding that to everything, uh, it's a lot. And, you know, I'm trying to figure out child carry. Um, normally, my mom will watch my son, but, lately, she can't always. And so, I'm always kind of worrying like, will she be able to, you know. So, i-it's just stressful.\ntherapist: Yeah, and so it sounds like you've noticed that the more stressed you're feeling, the more you're drinking.\nclient: Yeah, I-I guess that's right.\ntherapist: So, let me summarize a little bit what you've told me. It sounds like you have a pretty hectic, stressful life, and you really feel like you need some kind of-\n",FALSE,n/a,TRUE,0.6792177937459201
85,therapist,high,Okay.,"client: Maybe not, uh-\ntherapist: Mm-hmm.\nclient: You know, it's not all the time, it's-it's not- it's not a problem.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.67934476188384
30,therapist,high,"Um, you will be getting violations for that, and then if you get so many violations, I mean, we'd have to write a warrant for your arrest, which is looking more of, um, detention time.","client: I guess so. I don't know. I-I-I honestly don't care what the consequences are.\ntherapist: Okay. Um, would it be okay if I do share you what will happen if you don't charge your battery.\nclient: Sure. I'll listen.\ntherapist: Um, you will be getting violations for that, and then if you get so many violations, I mean, we'd have to write a warrant for your arrest, which is looking more of, um, detention time.\n",FALSE,n/a,FALSE,0.6794531180057675
84,therapist,high,"Yeah, what-what makes you say that?","client: Yeah, I get bored real easy.\ntherapist: Mmh. Yeah, say something more about that. It sounds really interesting about you knowing that you get bored really easily.\nclient: I don't know. I got a short attention span or something.\ntherapist: Yeah, what-what makes you say that?\n",TRUE,open,FALSE,0.6797574092634022
95,therapist,high,"I'm sorry about that. It must be very, very frustrating to feel all that pain and not be able to do anything about it. And it seems like the only thing that you can do right now is to cry.","client: Yes. Sometimes a pain in-in the body. It's, uh, to [unintelligible 00:01:27] handle and-and the pain inside of me.\ntherapist: So you were in a lot of pain?\nclient: Yes. I am.\ntherapist: I'm sorry about that. It must be very, very frustrating to feel all that pain and not be able to do anything about it. And it seems like the only thing that you can do right now is to cry.\n",FALSE,n/a,TRUE,0.6797613627277315
41,therapist,high,It's because you showed up and you gave out,"client: No.\ntherapist: Like you've done anything helpful.\nclient: Right, right.\ntherapist: It's because you showed up and you gave out\n",FALSE,n/a,TRUE,0.6806159841362387
90,therapist,low,"Yeah. Is-- are your friends the problem, like maybe you should just start hanging out with more kids in the youth group and not hang out with those kids that you were partying with?","client: Every other weekends, I would say.\ntherapist: Tommy, I'm just so concerned, you know, can't you think of anything better to do?\nclient: Um, I-I guess I can. I-I can probably be more productive in my schoolwork and rather than going out to parties as much and I-I do get you're coming from and—\ntherapist: Yeah. Is-- are your friends the problem, like maybe you should just start hanging out with more kids in the youth group and not hang out with those kids that you were partying with?\n",TRUE,closed,FALSE,0.680930889910087
13,therapist,high,"Okay. So, uh, before vaccines were developed, often when children had a natural exposure to some of these diseases, they ended up with, uh, sometimes death, disability, measles caused brain damage and, uh, deafness and blindness. Polio caused, uh, paralysis in children. And so, allowing children to have natural exposure to these diseases, sometimes was a little bit of a gamble, it could be dangerous.","client: Well, yeah. I mean, I had chickenpox as a kid, and now I'm immune. Right? So.\ntherapist: That's right. Having chickenpox as a child means that you are less likely to have chickenpox as an adult because you've developed a-a natural immunity. Uh, but is it okay if I offer you a little bit more information about the other vaccines that we're- we were going to give her Lily today?\nclient: Uh, okay.\ntherapist: Okay. So, uh, before vaccines were developed, often when children had a natural exposure to some of these diseases, they ended up with, uh, sometimes death, disability, measles caused brain damage and, uh, deafness and blindness. Polio caused, uh, paralysis in children. And so, allowing children to have natural exposure to these diseases, sometimes was a little bit of a gamble, it could be dangerous.\n",FALSE,n/a,FALSE,0.6809630165807903
83,therapist,high,"Okay. The reason why I'm asking this, Rick, is just, um, you know, part of, um, uh, being responsible is turning up and doing the program.","client: Uh, I don't know.\ntherapist: Any other family members that, uh, live close that, uh, you think would be supportive?\nclient: I'm pretty much by myself up here.\ntherapist: Okay. The reason why I'm asking this, Rick, is just, um, you know, part of, um, uh, being responsible is turning up and doing the program.\n",FALSE,n/a,FALSE,0.6811306797899306
22,therapist,high,Okay.,"client: And I want them to know how important it is to me, especially now, and I do this, like I said, every two to three months just to see where I am.\ntherapist: Uh-huh.\nclient: And, um, these definitely are different from-\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.681218191748485
41,therapist,high,"You think it is so much of a fact that you put yourself on the back burner that you were neglecting yourself, or that you were putting others so much before you that you just didn't even think about yourself?","client: Yeah.\ntherapist: For your family?\nclient: For myself or for someone else, either way, yeah.\ntherapist: You think it is so much of a fact that you put yourself on the back burner that you were neglecting yourself, or that you were putting others so much before you that you just didn't even think about yourself?\n",FALSE,n/a,TRUE,0.6816282190848142
65,therapist,high,Okay. So right now you're seeing that it's a part of your life. It's been a part of your life off and on for 18 years.,"client: Now the downside to that is I'm gonna gain weight.\ntherapist: Mm-hmm.\nclient: That means a new wardrobe, which I'd like to have, but I can't afford it.\ntherapist: Okay. So right now you're seeing that it's a part of your life. It's been a part of your life off and on for 18 years.\n",FALSE,n/a,TRUE,0.6816749379504472
55,therapist,high,"Okay. Well, I don't see any redness. Um, can you go ahead and touch that Miguel, and tell me if it feels warm to you or if it hurts?","therapist: Okay. Well, I don't see any redness. Um, can you go ahead and touch that Miguel, and tell me if it feels warm to you or if it hurts?\ntherapist: Okay. Well, I don't see any redness. Um, can you go ahead and touch that Miguel, and tell me if it feels warm to you or if it hurts?\ntherapist: Okay. Well, I don't see any redness. Um, can you go ahead and touch that Miguel, and tell me if it feels warm to you or if it hurts?\ntherapist: Okay. Well, I don't see any redness. Um, can you go ahead and touch that Miguel, and tell me if it feels warm to you or if it hurts?\n",TRUE,closed,FALSE,0.6845049015246332
1,therapist,high,Why is that?,"client: I have five or six beers when I go out with friends to a bar. It's not a problem for me.\ntherapist: You're not alone in feeling that way. Uh, binge drinking can feel normal to some people.\nclient: Well, I don't consider my drinking binge drinking.\ntherapist: Why is that?\n",TRUE,closed,FALSE,0.6851697294041514
18,therapist,high,"Absolutely, and that's what you want from friends, isn't it?","client: We'd just have a laugh.\ntherapist: Yeah, what would she say about-- 'cause she knows you pretty well. She'll-she'll-- she goes to the pubs with you probably and see you putting the money on pokies, what would she reckon?\nclient: Uh, no friends or friends should-- She accepts me for who I am.\ntherapist: Absolutely, and that's what you want from friends, isn't it?\n",TRUE,closed,FALSE,0.6852282471954823
106,therapist,low,That's really a big problem.,"therapist: Okay, so I wrote a prescription for an antibiotic for Aiden and that should help with the ear infection, but in looking through the chart, I mean, it seems like he's had six or seven of these just in the past year or so.\nclient: Yeah.\ntherapist: That's really a big problem.\n",FALSE,n/a,FALSE,0.6852311587426811
22,therapist,high,Uh-huh.,"client: Yeah.\ntherapist: And you want them to know?\nclient: And I want them to know how important it is to me, especially now, and I do this, like I said, every two to three months just to see where I am.\ntherapist: Uh-huh.\n",FALSE,n/a,FALSE,0.6864955385681242
93,therapist,high,Yeah. So you're wanting to feel stronger so that you can open jars and other things and- and also just have a better sense of confidence.,"client: Yeah, I think so.\ntherapist: Great. So tell me a little bit more about your motivators for getting started in being more physically active. I know you shared energy levels and I know you've shared, um, that you'd like to see a boost in your mood and feeling less irritable and stressed. Any other benefits that really make you wanna make this change right now?\nclient: Yeah, I think just to feeling like physically stronger, um, like physically more able. Uh, last night I like struggled with the jar of salsa, like opening it. So I think that just stuff like that, um, you know, would be in addition to mood and being more productive and energy and all that stuff. Um, yeah, that that would be a definite end goal for me too. And then really to like, I think if I am more active, I think my body image or my body confidence would improve also.\ntherapist: Yeah. So you're wanting to feel stronger so that you can open jars and other things and- and also just have a better sense of confidence.\n",FALSE,n/a,TRUE,0.6866414360702038
53,therapist,low,But you've been drunk before?,"client: Yeah, I guess you can say that.\ntherapist: Okay. What do you think is the most you've ever had?\nclient: Um, just two drinks at a party at the most. I don't-- I don't like to drink a lot. I don't-- Getting drunk is not something that appeals to me. So, I just have, like, a drink in my hand, so my friends won't bug me about not drinking. It's just like to look like I'm actually doing something. Most of- a lot of the time, I don't even drink at all. So-\ntherapist: But you've been drunk before?\n",TRUE,open,FALSE,0.6867095520719886
56,therapist,high,Yeah. What are you really glad about?,"client: Yeah. Um, I'm glad to be there.\nclient: Yeah. Um, I'm glad to be there.\nclient: Yeah. Um, I'm glad to be there.\ntherapist: Yeah. What are you really glad about?\n",TRUE,open,FALSE,0.6871057727839798
61,therapist,high,Mm-hmm.,"client: I-I've had friends that had that happen. So, um, I-I agree a little, with some hesitation, but I do agree.\ntherapist: Uh-huh, and tell me how your physical therapy is going?\nclient: Oh, it's better.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.6872137901373208
81,therapist,high,What about it seems overwhelming?,"client: I know you want me to see the doctor, I haven't called yet.\ntherapist: Why do you think it makes you so hesitant to call?\nclient: I don't know. It seems overwhelming to me.\ntherapist: What about it seems overwhelming?\n",TRUE,open,FALSE,0.68724629445932806
41,therapist,high,Good.,client: I feel great actually.\ntherapist: Yeah? Good.\nclient: Yeah.\ntherapist: Good.\n,FALSE,n/a,FALSE,0.68774091033265
73,therapist,high,Okay. And he encouraged you to do that.,client: Oxy.\ntherapist: You tried oxy? Okay.\nclient: Yeah.\ntherapist: Okay. And he encouraged you to do that.\n,FALSE,n/a,TRUE,0.6877670686226338
67,therapist,high,"Is there anything about marijuana that worries you, many things that you don't like?","client: Well, I don't think it's going to hurt me.\ntherapist: How do you think it affects you?\nclient: Um, I don't know. It makes me relax, and it's fun to laugh with my friend.\ntherapist: Is there anything about marijuana that worries you, many things that you don't like?\n",TRUE,open,FALSE,0.6878035652916878
34,therapist,high,"Mm-hmm. Tell me more about that, what makes you say, ""I have to take that path""? What makes you feel like you need that?","client: Yeah, it's gonna be very different when it actually comes.\ntherapist: When you think about, you know, embracing this new life, and taking that different path, turning away from path A and moving into path B, how confident are you that you can take path B and be successful in raising this baby, and letting go with the drinking and the life that you were in-in path A?\nclient: I think I'm gonna have to be successful. I don't really- I don't have any other choice. Like I have to- I have to take that path.\ntherapist: Mm-hmm. Tell me more about that, what makes you say, ""I have to take that path""? What makes you feel like you need that?\n",TRUE,open,FALSE,0.6880856635980308
68,therapist,high,"Hi, Andrea, thanks for coming in.","therapist: Hi, Andrea, thanks for coming in.\n",FALSE,n/a,FALSE,0.6887178181204945
60,therapist,high,You get to decide.,"client: Okay.\ntherapist: I, uh, mean that's up to you.\nclient: Yeah. And I mean and that's-that's a reasonable thing- [crosstalk]\ntherapist: You get to decide.\n",FALSE,n/a,TRUE,0.688818818423897
91,therapist,high,"Sure. So, Jean, I want to make sure that I've understood what you've told me of what you find good about smoking. So it helps you calm down. It gives you something to do. It's been part of your image. You know, you feel sophisticated. You feel like a movie style. In fact, the way you talk about it, it seems like that's what it makes you feel like. Is that right?","client: Uh, smoking and all dressed up and-and fancy clothes and maybe having a drink in their hands and having a nice meal, um, I didn't really think about it. It's just an extension of me, I guess. It's-it's good for my nerves.\ntherapist: Right.\nclient: I mean, I feel like it is. I know when I've got that package in my pocket, or I know if there- if I'm going through some stress, I say, ""Oh, well, I'll have a cigarette and think this out.""\ntherapist: Sure. So, Jean, I want to make sure that I've understood what you've told me of what you find good about smoking. So it helps you calm down. It gives you something to do. It's been part of your image. You know, you feel sophisticated. You feel like a movie style. In fact, the way you talk about it, it seems like that's what it makes you feel like. Is that right?\n",FALSE,n/a,TRUE,0.6892391967121512
93,therapist,high,"So there are a lot of different directions that we could take. Um, you've mentioned wanting to make changes in your physical activity. You've mentioned wanting to make changes in your eating habits and also just wanting more body confidence. Um, what- what's on your mind is as far as a- as a change topic for the rest of our session today?","therapist: So there are a lot of different directions that we could take. Um, you've mentioned wanting to make changes in your physical activity. You've mentioned wanting to make changes in your eating habits and also just wanting more body confidence. Um, what- what's on your mind is as far as a- as a change topic for the rest of our session today?\n",TRUE,open,TRUE,0.6902631497941911
12,therapist,high,"Okay. So about eight cigarettes. So over the course of a day, just under half a pack?","client: Yeah, I guess.\ntherapist: Okay. So about how much are you smoking over the course of a day? You had said it had increased over once or twice a day.\nclient: Yeah, um, normally, I'm smoking, you know, like once in the morning, uh, once during my lunch break and then in the evening maybe like five or six.\ntherapist: Okay. So about eight cigarettes. So over the course of a day, just under half a pack?\n",TRUE,closed,TRUE,0.6903516575694084
71,therapist,high,"She'd probably help you, but you don't really want to. It sounds like you're a bit embarrassed.","client: Mm.\ntherapist: Yeah? So, what do you think, between now and next week, you can do around the forms?\nclient: I guess, I'd go pick them up and I don't know, I guess I could ask Donna, but she'd probably help me, I don't really want to.\ntherapist: She'd probably help you, but you don't really want to. It sounds like you're a bit embarrassed.\n",FALSE,n/a,TRUE,0.690461985534057
22,therapist,high,Mm-hmm.,"client: -compared and I was like, ""Oh wow.""\ntherapist: I really applaud you for being open-minded enough to realize that where you are now is not necessarily where you are, that you don't have to always have it be the same.\nclient: Mm-hmm, and that's what I felt wasn't-- At first I was like, ""Is that not normal?"" You know?\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.6908808504231274
61,therapist,high,Mm-hmm.,"client: Yeah and, um, it was very-very beautiful to see and the instructor was very nice, but I felt kind of self-conscious because I'm still in my walker.\ntherapist: Uh-huh.\nclient: And I had to sit in the chair. I couldn't, you know, do what they were doing.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.6917076359968632
54,therapist,high,Okay.,"client: It-it-it would be important.\ntherapist: Yeah. So why-why do you want to-- what do you wanna do with that? You want to look different, or--?\nclient: Well, I-I-I-I would feel better. My-- I'd-I'd be able to wear more my clothes. I've been growing around the middle and I'd like to, uh, you know, go back to where I was, you know, get into a 34, 36 waist, you know.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.6918286182917655
83,therapist,high,"Right. In terms of your employer, would they be supportive?","client: Uh, Kirsty.\ntherapist: Kristy.\nclient: I would- I would love f-f-for her to know that I'm doing this and for her to know that I mean it, but, um, I know she wouldn't give a shit right now actually.\ntherapist: Right. In terms of your employer, would they be supportive?\n",TRUE,closed,FALSE,0.6922865964006633
28,therapist,high,Mm-hmm.,"client: -and my daughter became so frightened that she went next door to our neighbor and called 911 and it really—\ntherapist: Smart girl.\nclient: Yeah-Yeah she's very intelligent, yeah. Um, and they came they took me, you know, on this chair type of thing in my robe and my daughter was in sure panic, um, thinking she's was gonna lose me and she's 15 so its been 10 years since then and I still I've tried this Chantix-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.6929968139156699
3,therapist,high,"Sure. Sure. Okay. Um, and so one thing I'd just like to do is maybe give you some information on, um, maybe obesity or diabetes if you're interested or open to that. If you're, you know--?","client: Yeah.\ntherapist: Okay. Um, and so what I hear is that you're-- you feel like your wife might be, uh, overreacting to this?\nclient: Well, I mean, not really overreacting. I know that she loves me and I know she-she wants me, uh, you know, live a long time and be healthy, but just sometimes, especially if you work a hard job, like kinda going out to eat at these places kinda makes you feel a little bit better about your situation.\ntherapist: Sure. Sure. Okay. Um, and so one thing I'd just like to do is maybe give you some information on, um, maybe obesity or diabetes if you're interested or open to that. If you're, you know--?\n",TRUE,open,FALSE,0.6932048203889281
19,therapist,high,And it's fun.,"client: Right. I don't know what I'm gonna do, I got some friends. These guys are-- they're bad news, but they're my friends.\ntherapist: Mm-hmm.\nclient: And, uh, and it's fun.\ntherapist: And it's fun.\n",FALSE,n/a,TRUE,0.6940110286232084
66,therapist,high,"And so you're really kind of reeling right now from, uh, all of that. And you sound a little bit pretty, pretty scared actually.","therapist: And so you're really kind of reeling right now from, uh, all of that. And you sound a little bit pretty, pretty scared actually.\ntherapist: And so you're really kind of reeling right now from, uh, all of that. And you sound a little bit pretty, pretty scared actually.\ntherapist: And so you're really kind of reeling right now from, uh, all of that. And you sound a little bit pretty, pretty scared actually.\ntherapist: And so you're really kind of reeling right now from, uh, all of that. And you sound a little bit pretty, pretty scared actually.\n",FALSE,n/a,TRUE,0.6940678518731147
34,therapist,high,You're concerned that they're gonna kind of treat you like a child.,client: Yeah.\ntherapist: And you don't have equipment.\nclient: It feels like I have to lec- I don't wanna have to lecture them and I don't want it to be like a lecture.\ntherapist: You're concerned that they're gonna kind of treat you like a child.\n,FALSE,n/a,TRUE,0.6954807830043137
38,therapist,high,"And it sounds like your mom has been an option in the past, but perhaps not so much anymore.","client: Um, you know, probably my biggest problem is just childcare. You know, my mom normally watches my son, but she's been kind of backing out lately. And so, I'm worrying, am I going to have to call into work today, am-am I going to have to miss class? You know, so, you know, worrying about that really stresses me out, you know.\ntherapist: So, having more reliable childcare could make a big difference.\nclient: Yeah, definitely.\ntherapist: And it sounds like your mom has been an option in the past, but perhaps not so much anymore.\n",FALSE,n/a,TRUE,0.6962126819416881
35,therapist,high,I want to be more physically active than I've been.,"client: Um, well, I think part of it is that when I was in college, it wasn't really an option to go, like, I had to go to practice or I had to do those things because that was, in a sense, my job that was paying for school, um, and now there's not that same commitment to other people or to scholarship money. So that definitely has shifted, um, but I-I do feel like a-an urgency to go it just doesn't seem that like the step that's missing is for me to actually go to a gym or somewhere to be more active. Like, I think I want to it's just the doing it that seems to not happen.\ntherapist: Right. So in the past, it wasn't up to you whether you had the choice to go be physically active. Now it is up to you, and-and you're looking back at the last few years and saying, I wanna do things differently.\nclient: Mm-hmm.\ntherapist: I want to be more physically active than I've been.\n",FALSE,n/a,TRUE,0.6963091660290956
80,therapist,high,You said five cigarettes this time.,"client: What I'd like to do is maybe go down to five cigarettes, in other words, another three a day.\ntherapist: Okay.\nclient: And, um, 'cause I smoke a large pack and small pack, maybe just two small packs.\ntherapist: You said five cigarettes this time.\n",FALSE,n/a,TRUE,0.6965975498314947
20,therapist,high,What made you decide to quit smoking when you were pregnant?,"client: I know it's not good for him. I mean, I've read those things about ear infections and asthma and stuff and-and, uh, but other kids have ear infections and their parents don't smoke.\ntherapist: So on the one hand, you're worried about how your smoking might be affecting him and on the other hand, you're not so sure if it's really the smoking that's causing these problems?\nclient: Right. Yeah. I mean, he doesn't have asthma. Yeah. He-- I don't-- he hasn't had a lot of other problems that his other friends have, so. And I've thought about quitting before in the past, but I just don't- I just don't see how it's possible right now.\ntherapist: What made you decide to quit smoking when you were pregnant?\n",TRUE,open,FALSE,0.697344831423834
18,therapist,high,Mm.,"client: I don't know, you tell me.\ntherapist: How about then your-your kind of hunch about that?\nclient: Uh, I suppose I didn't expect the-the money would've added up to what it did, so I guess, at the time, I- [sighs] I wasn't thinking of the reality of it, you know, building up, so-\ntherapist: Mm.\n",FALSE,n/a,FALSE,0.6975533668883145
49,therapist,high,Yeah.,"client: [sighs] I suppose it's really serious if I wanna get out of my-my-my debt.\ntherapist: Yeah, okay.\nclient: Credit comes out of my ears, and mom and dad aren't bailing me out anymore, so-\ntherapist: Yeah.\n",FALSE,n/a,FALSE,0.6983925469685346
49,therapist,high,"Uh, what's that about Egypt, that, uh?","client: Um, Egypt, always been, yeah.\ntherapist: Egypt?\nclient: Yeah.\ntherapist: Uh, what's that about Egypt, that, uh?\n",TRUE,open,FALSE,0.6987687859218568
66,therapist,high,How are you doing today? I'm Bruce Berger.,client: Hey.\ntherapist: How are you doing today? I'm Bruce Berger.\ntherapist: How are you doing today? I'm Bruce Berger.\ntherapist: How are you doing today? I'm Bruce Berger.\n,TRUE,closed,FALSE,0.6992917633615434
56,therapist,high,"I know, I-I understand that it was really-- That was your goal. That was a really important thing for you to be able to get home and it sounds like you've been able to really en- enjoy parts of it, and I know you've been going to the- both the physical therapy and the Tai Chi and how's-how's that going?","therapist: I know, I-I understand that it was really-- That was your goal. That was a really important thing for you to be able to get home and it sounds like you've been able to really en- enjoy parts of it, and I know you've been going to the- both the physical therapy and the Tai Chi and how's-how's that going?\ntherapist: I know, I-I understand that it was really-- That was your goal. That was a really important thing for you to be able to get home and it sounds like you've been able to really en- enjoy parts of it, and I know you've been going to the- both the physical therapy and the Tai Chi and how's-how's that going?\ntherapist: I know, I-I understand that it was really-- That was your goal. That was a really important thing for you to be able to get home and it sounds like you've been able to really en- enjoy parts of it, and I know you've been going to the- both the physical therapy and the Tai Chi and how's-how's that going?\ntherapist: I know, I-I understand that it was really-- That was your goal. That was a really important thing for you to be able to get home and it sounds like you've been able to really en- enjoy parts of it, and I know you've been going to the- both the physical therapy and the Tai Chi and how's-how's that going?\n",TRUE,open,TRUE,0.6999032176099718
44,therapist,low,Wow.,"client: Yeah. He's about eight years old now.\ntherapist: Oh gosh. Yeah. Okay. Very cool. And what are your plans for after high school?\nclient: Uh, well, I'm planning on going to school. I'd like to become a doctor one day, so.\ntherapist: Wow.\n",FALSE,n/a,FALSE,0.7000460727140307
67,therapist,high,"All right. So here, it looks like you wrote that you drank alcohol on a few occasions in the last year, and you have used marijuana more often, 30 days in last year.","therapist: Is it okay if we go over the form you had filled out? We give this out to everybody who comes in.\nclient: Mm-hmm.\ntherapist: All right. So here, it looks like you wrote that you drank alcohol on a few occasions in the last year, and you have used marijuana more often, 30 days in last year.\n",FALSE,n/a,FALSE,0.7007982730865479
61,therapist,high,What do you think you need to do in order to be able to achieve that goal of getting home?,client: Yes.\ntherapist: Mm-hmm.\nclient: Yeah.\ntherapist: What do you think you need to do in order to be able to achieve that goal of getting home?\n,TRUE,open,FALSE,0.7008709998335689
88,therapist,high,Okay.,"client: [sighs] If I'm gonna catch the bus I'll probably need to be up by 6:15 and sometimes that's just so hard to do, 'cause I go to bed so late and I don't know if I can do it.\ntherapist: So you're still kind of unsure if this is something that you could do yet you're saying you really wanna do it because you don't wanna go back for sanctions.\nclient: Right. I could try-\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.7009569318033755
72,therapist,low,"All right. Well, yeah. So the issue again is I can't be hearing reports about you drinking. I can't be hearing that you're at parties and you can't be seeing pictures on Facebook. You know, there-there are rules at this school and in my job, I have to enforce them. So, you know, like I said, I get it, you know-","client: I could, but that could also backfire on me. I feel that I could be ridiculed for being, having a stick up my butt, you know.\ntherapist: You're a star player, who's going to pick on you?\nclient: I mean, it's just one-- I'm just one person against the voice of the mob.\ntherapist: All right. Well, yeah. So the issue again is I can't be hearing reports about you drinking. I can't be hearing that you're at parties and you can't be seeing pictures on Facebook. You know, there-there are rules at this school and in my job, I have to enforce them. So, you know, like I said, I get it, you know-\n",FALSE,n/a,FALSE,0.7010043968912214
36,therapist,high,"Yeah, it does- it does sound as though over the last few years your life has really changed-","client: That's another thing we don't do anymore now.\ntherapist: Right.\nclient: Um, mm. Yeah, it's quite a few things, really.\ntherapist: Yeah, it does- it does sound as though over the last few years your life has really changed-\n",FALSE,n/a,TRUE,0.7010668076109141
17,therapist,low,"-amongst the people you typically drink with. But these limits are-- they're actually recommended for all adults. And studies have shown that when you drink more than this, it creates a bunch of problems like we talked about. So, you know, why do you think you drink the amount you drink?","client: Where are these limits from? Um, old- an older population? Because, uh, I drink just as much as my friends do. I mean, everybody drinks like I drink. I'm not even the biggest drinker in my group. So I'm pretty middle of the road.\ntherapist: So, it sounds like, you know, the amount you drink is pretty normal-\nclient: Yeah.\ntherapist: -amongst the people you typically drink with. But these limits are-- they're actually recommended for all adults. And studies have shown that when you drink more than this, it creates a bunch of problems like we talked about. So, you know, why do you think you drink the amount you drink?\n",TRUE,closed,FALSE,0.7011688577476889
94,therapist,high,Tell me a bit more about that.,"client: Yeah, like this girl Ruth that I know she's-she's, uh, got a serious job and she kind of does that on the side. [laughs]\ntherapist: So, um, what are the uh, uh, what would be the benefits to you right now to having him out of the house?\nclient: Mm. Let's see. Well, you know, I'm really not sure, I kind of, you know. Um, I'm having a hard time with that. Um.\ntherapist: Tell me a bit more about that.\n",TRUE,open,FALSE,0.7025270843878388
35,therapist,high,"Yeah. Tell me more about that, those previous times that you've been active.","client: Yeah. Um, I'm really starting to notice how I feel more sluggish and just not-- My mood is shifted a lot too, which at first, I thought was because it's getting colder outside, um, but I do also think it maybe has some relation to my activity, or lack thereof, and also kind of the foods that I'm eating.\ntherapist: Okay, so you're feeling some low energy and you know, in the past, when you've been more active and eating differently, you've had more energy?\nclient: Right. Yeah. Especially during times when I'm more active is when I noticed the biggest cha-change in energy and mood.\ntherapist: Yeah. Tell me more about that, those previous times that you've been active.\n",TRUE,open,FALSE,0.7026815474964678
62,therapist,high,"-and get it out of the way. Maybe I know in the past it's been helpful for some other clients to sit down and take a calendar and just mark out, okay, I'm gonna do five hours this day, I'm gonna do three hours this day, two hours of this day. Does that sound like something that might be helpful for you?","client: [unintelligible 00:02:20]\ntherapist: I can- I can hear that you are really eager to just get it finished-\nclient: Oh, yeah.\ntherapist: -and get it out of the way. Maybe I know in the past it's been helpful for some other clients to sit down and take a calendar and just mark out, okay, I'm gonna do five hours this day, I'm gonna do three hours this day, two hours of this day. Does that sound like something that might be helpful for you?\n",TRUE,closed,FALSE,0.7030200657900423
83,therapist,high,"Oh, okay.","client: Yup. That's right.\ntherapist: What part of the [unintelligible 00:01:22] are you from?\nclient: I'm from down south.\ntherapist: Oh, okay.\n",FALSE,n/a,FALSE,0.7038873671554029
70,therapist,high,"Okay. Well, citalopram is an SSRI medication. Its indication is for depression and it's typically dosed as a 20-milligram tablet but it is available as 10, 20, and 40 milligrams. Any patients started on this medication should be monitored for improvement in symptoms in four to eight weeks.","client: Yeah, I do, just a couple of minutes though.\ntherapist: All right. Well, do you have any specific questions?\nclient: Um, nothing specific. I just am unfamiliar with the medication.\ntherapist: Okay. Well, citalopram is an SSRI medication. Its indication is for depression and it's typically dosed as a 20-milligram tablet but it is available as 10, 20, and 40 milligrams. Any patients started on this medication should be monitored for improvement in symptoms in four to eight weeks.\n",FALSE,n/a,FALSE,0.704364734236151
89,therapist,high,Mm-hmm.,"client: Well, I mean, I just failed the UA at work. Uh, I think I failed UA at work. I don't know. I-I use- I use some stuff that was [inaudible 00:02:00] not my system. But-\ntherapist: Mm-hmm.\nclient: I don't- I don't think it's gonna work. And so I really liked to be able to keep my job.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.7043953535612673
0,therapist,high,"Well, how do you think your drinking relates to the depression you've experienced?","client: Yes. What-what kind of health problems?\ntherapist: Well things like heart disease, cancer, liver problems, uh, stomach pains, insomnia. Unfortunately, uh, people who drink at a risky level are more likely to be diagnosed with depression and alcohol can make depression worse or harder to treat.\nclient: Hmm. Well, that's not good news.\ntherapist: Well, how do you think your drinking relates to the depression you've experienced?\n",TRUE,open,FALSE,0.7050647840369493
36,therapist,high,Mm-hmm.,"client: Yes.\ntherapist: Okay. And can I ask you, Barbara, how-how is all of this affecting you day-to-day? How's-how's it affecting your life?\nclient: Uh, well, it's had quite-quite a big impact. Um, I mean, the first thing, the biggest thing, I suppose, is that I-I went from being full-time to part-time at work.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.7057370855472982
62,therapist,high,What other questions do you have for me about community service?,"client: I think it's a good idea.\ntherapist: And then, you know, it might be, I definitely think that if you're committed and it's summer break, it's something you could easily get done in a week.\nclient: Okay.\ntherapist: What other questions do you have for me about community service?\n",FALSE,n/a,FALSE,0.7060610102489591
22,therapist,high,"Mm. Because even though it's important to you, maybe they don't know it's important to you.","client: Yes, it's the most important because it's a little lacking, so I know that that's something that is very important to me.\ntherapist: Okay. Would you like to talk more about that?\nclient: Yeah. Um, I can just pretty much say that my family hasn't been on one accord, so, like, if-- I feel like if we all just can fall in the middle, which I know everybody doesn't really follow that track. So, um, I think for my part, 'cause I can't change anybody, is to be more present and, um, just listen and understand my family members, and-and be able to voice what I feel as far as how important family happiness-happiness is to me.\ntherapist: Mm. Because even though it's important to you, maybe they don't know it's important to you.\n",FALSE,n/a,TRUE,0.7062105706427246
21,therapist,high,Yeah. Do you ever go anywhere in a car after you've had any alcohol?,"client: Mostly just with us, but, sometimes I'll go to like a close friend's house and like I'm close to a family as well. So, we'll all just hang out.\ntherapist: Mm-hmm. And, what about driving?\nclient: Um, like drunk driving?\ntherapist: Yeah. Do you ever go anywhere in a car after you've had any alcohol?\n",TRUE,closed,FALSE,0.7063770452514291
39,therapist,high,Mm-hmm. Finger comes out.,"therapist: Um, so you've talked a bit about like the emphysema. Um, what did the doctors say to you when you were diagnosed? I mean the obvious, right?\nclient: Every time I go-- Excuse me. -to any doctor, you know, you need to quit smoking and—\ntherapist: Mm-hmm. Finger comes out.\n",FALSE,n/a,TRUE,0.7065143480431288
21,therapist,high,What's important to you about your family?,"client: Um, family definitely, uh, friendship, and belonging.\ntherapist: Okay.\nclient: Yeah.\ntherapist: What's important to you about your family?\n",TRUE,open,TRUE,0.7070183285977691
52,therapist,high,I would like to share with you these materials to show the risk of drinking at younger age. I also wanted to encourage you to think about these risks. What do you think about that?,"client: Yeah, I would also like to get scholarships.\ntherapist: Scholarship will really help you achieving your goals.\nclient: Yeah.\ntherapist: I would like to share with you these materials to show the risk of drinking at younger age. I also wanted to encourage you to think about these risks. What do you think about that?\n",TRUE,open,FALSE,0.7072688480839133
28,therapist,high,Smart girl.,"client: -you know, for breathing, um, and, um, I was trying to stick my head out the window to gasp for air-\ntherapist: Mm-hmm.\nclient: -and my daughter became so frightened that she went next door to our neighbor and called 911 and it really—\ntherapist: Smart girl.\n",FALSE,n/a,TRUE,0.7075066107790917
56,therapist,high,"Hi, Mrs. Smith. I'm Denise. I'm the social worker here at the clinic work that's working with Dr. Fields and the rest of the team. And, um, I know you were here to see Dr. Fields today, and I-I just wanted to let you know, I usually work with people who are similar to- have situations similar to you, and that have gone back home from rehab. And, uh, so I'd like to find out a little bit if you would, if that's okay, about how it's been going since you got home.","therapist: Hi, Mrs. Smith. I'm Denise. I'm the social worker here at the clinic work that's working with Dr. Fields and the rest of the team. And, um, I know you were here to see Dr. Fields today, and I-I just wanted to let you know, I usually work with people who are similar to- have situations similar to you, and that have gone back home from rehab. And, uh, so I'd like to find out a little bit if you would, if that's okay, about how it's been going since you got home.\ntherapist: Hi, Mrs. Smith. I'm Denise. I'm the social worker here at the clinic work that's working with Dr. Fields and the rest of the team. And, um, I know you were here to see Dr. Fields today, and I-I just wanted to let you know, I usually work with people who are similar to- have situations similar to you, and that have gone back home from rehab. And, uh, so I'd like to find out a little bit if you would, if that's okay, about how it's been going since you got home.\ntherapist: Hi, Mrs. Smith. I'm Denise. I'm the social worker here at the clinic work that's working with Dr. Fields and the rest of the team. And, um, I know you were here to see Dr. Fields today, and I-I just wanted to let you know, I usually work with people who are similar to- have situations similar to you, and that have gone back home from rehab. And, uh, so I'd like to find out a little bit if you would, if that's okay, about how it's been going since you got home.\ntherapist: Hi, Mrs. Smith. I'm Denise. I'm the social worker here at the clinic work that's working with Dr. Fields and the rest of the team. And, um, I know you were here to see Dr. Fields today, and I-I just wanted to let you know, I usually work with people who are similar to- have situations similar to you, and that have gone back home from rehab. And, uh, so I'd like to find out a little bit if you would, if that's okay, about how it's been going since you got home.\n",FALSE,n/a,FALSE,0.7103202936705202
88,therapist,high,Kind of a reminder it's time to go to bed.,"client: Oh, yeah.\ntherapist: - and even actually turning the lights off and making sure that it's dark?\nclient: Yes.\ntherapist: Kind of a reminder it's time to go to bed.\n",FALSE,n/a,TRUE,0.7117821238934994
61,therapist,high,-and-and they've done this for other patients so we can certainly make those arrangements if you'd like.,"client: Yeah, yeah. Is that possible?\ntherapist: Sure we can make those arrangements with the rehab center. They have a van-\nclient: Uh-huh.\ntherapist: -and-and they've done this for other patients so we can certainly make those arrangements if you'd like.\n",FALSE,n/a,FALSE,0.7117925703059882
131,therapist,low,And what would you like me to do if you don't come back?,"client: Yeah, absolutely.\ntherapist: Okay and would you like to come back and see me again?\nclient: Well, definitely.\ntherapist: And what would you like me to do if you don't come back?\n",TRUE,open,FALSE,0.7119154836982489
126,therapist,low,"It's for your dyslipidemia. Oh yeah, just one tablet a day. Do you have any questions for me?","client: No.\ntherapist: Well, some of the common ones are nausea, vomiting, headache. There are some severe ones like dermatomyositis, liver failure, lupus, rhabdomyolysis, hemorrhagic cerebral infarction. If you have any of those, just call your doctor.\nclient: Okay. Um, why am I taking this medication?\ntherapist: It's for your dyslipidemia. Oh yeah, just one tablet a day. Do you have any questions for me?\n",TRUE,open,FALSE,0.7123555494472384
58,therapist,high,Nothing. Okay.,"client: Yeah\ntherapist: And, um, so you were-- You said that you’ve been going several times a week, which is really an extraordinary number, I-I think it’s four, five times a week?\nclient: Yeah. I was going literally every other day, you know. And then, some days I would, you know, I’d run, and I’d go to the gym the next day, so I would-- I was very-- I don’t really feel it necessary to get back to that level, but I need to do something cause I’m doing nothing right now.\ntherapist: Nothing. Okay.\n",FALSE,n/a,TRUE,0.7124324846081436
61,therapist,high,Mm-hmm.,"client: Oh, it's better.\ntherapist: Mm-hmm.\nclient: It still hurts. It- it's-- I'm getting better. I'm-I'm getting better. It's not quite as painful.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.7128624052274972
31,therapist,high,"Yeah, and-and one of the- certainly one of the risks of stroke is paralysis, and if you wanna be active that could be-","client: Oh, he just said that the risks are-are up, I think he called it elevated but, uh, you know, uh, that I'm at a higher risk of having a stroke or a heart attack down the line, uh, you know, that's down the line.\ntherapist: Okay, well how important would it be for you to-to, uh, do whatever you can to reduce your risks of stroke or heart attack down the line?\nclient: Well, you know, my wife and I wanna retire in about four to five years and we wanna be really active visiting all sorts of places, The Fjords, Norway, things like that so I-I guess having a stroke or a heart attack would really be bad for that so and, you know, we-we-we wanna live our dreams actively.\ntherapist: Yeah, and-and one of the- certainly one of the risks of stroke is paralysis, and if you wanna be active that could be-\n",FALSE,n/a,FALSE,0.7130959418136626
39,therapist,high,Okay. All right.,"client: It came home with me.\ntherapist: Oh, did you?\nclient: Yeah.\ntherapist: Okay. All right.\n",FALSE,n/a,FALSE,0.7135465831961483
83,therapist,high,Right.,"client: It's really important.\ntherapist: Mm-hmm. If I was to put it on a scale of say 1 to 100, 1 being not really important, 100 being really, really important, whereabouts on that scale would you you be?\nclient: It's, uh, um, it's hard because-because I'm, uh, I'm not a bad person. I've just done some stupid shit, but I'm not a bad person.\ntherapist: Right.\n",FALSE,n/a,FALSE,0.713619866874069
84,therapist,high,"Yeah. So I'm wondering, um, if there are things that you think, ""Well, I can see that that's got me into trouble,"" and, you know, kind of cops aside, things that might have got you into-into trouble.","client: Yeah, me and my mates always get singled out.\ntherapist: Okay, so you get singled out and that's what, um, means that you end up getting-- having to go to court and get sentenced and end on probation.\nclient: Yeah.\ntherapist: Yeah. So I'm wondering, um, if there are things that you think, ""Well, I can see that that's got me into trouble,"" and, you know, kind of cops aside, things that might have got you into-into trouble.\n",FALSE,n/a,FALSE,0.7136691245250404
38,therapist,high,"So, I guess I'm wondering if you've given any thought to other ways in which you could cope with stress without relying on the drinking so much.","client: Yeah.\ntherapist: But on the other hand, it does sound like there are things that you- that you value that you don't want the drinking to interfere with.\nclient: Yeah.\ntherapist: So, I guess I'm wondering if you've given any thought to other ways in which you could cope with stress without relying on the drinking so much.\n",TRUE,open,FALSE,0.7141115467529744
19,therapist,high,So you're sick of this?,therapist: So you're sick of this?\n,FALSE,n/a,TRUE,0.7146319421008229
18,therapist,high,Yeah.,"client: Mm-hmm.\ntherapist: Yeah, that makes sense? Yeah? So how confident are you that-that, you know, you can sort out the issues related to, um, you know, uh, taking the money from your employer? And another thing, in your precinct's report, there were some issues around gambling, and some issues around alcohol use. So those seem to be important issues that are kind of getting out. So how confident are you that you can get those sorted in the nine months we've got?\nclient: Um, I don't think there is much to sort. I have a few drinks like everybody else my age.\ntherapist: Yeah.\n",FALSE,n/a,FALSE,0.7148487861268222
44,therapist,low,Yeah.,"client: -but I kind of did that, learned my lesson, didn't like it.\ntherapist: Got it. So you've-you've had some pretty heavy drinking. What-what do you think is the most you've ever had?\nclient: Like how many drinks?\ntherapist: Yeah.\n",FALSE,n/a,FALSE,0.7156968133058399
9,therapist,low,"Well, according to your chart, your blood pressure has gone up since July, and you said that you've been drinking more recently, so do you see the connection there?","client: Uh, I do drink beer, I drink, you know, two to three pints on weekdays, sometimes on weekends, maybe four or five.\ntherapist: Okay. Well, I'm concerned about the amount that you're drinking currently. It sounds like you're having about 15 to 20 drinks per week, and that's definitely more than what we would recommend and could certainly be contributing to your high blood pressure.\nclient: Well, I-- you know, my pressure has been high for years and, um, you know.\ntherapist: Well, according to your chart, your blood pressure has gone up since July, and you said that you've been drinking more recently, so do you see the connection there?\n",TRUE,closed,FALSE,0.7161346932407469
12,therapist,high,"Okay. So you-- that's cutting back quite a bit. That's a big step. So since we're kind of running out of time here today, I'm wondering if we could-- would be willing to come back in about four weeks to review this plan?","client: Well, I mean, I could maybe try to cut back in the evenings a little bit.\ntherapist: Okay, great. Let's quantify that a little bit. So how many cigarettes would that be?\nclient: Well, right now, if I'm having like five or six, I could try to smoke three in the evening plus, you know, still the couple during the day.\ntherapist: Okay. So you-- that's cutting back quite a bit. That's a big step. So since we're kind of running out of time here today, I'm wondering if we could-- would be willing to come back in about four weeks to review this plan?\n",TRUE,closed,TRUE,0.7169320799876004
38,therapist,high,"So, I'm wondering, have you noticed any problems from your drinking?","client: Uh-huh.\ntherapist: -reward or stress relief. Um, and then, on the other hand, you've noticed, um, that your drinking has increased a little bit over time. And also that the more stressed you're fe- you feel, the more you're inclined to drink.\nclient: Yeah.\ntherapist: So, I'm wondering, have you noticed any problems from your drinking?\n",TRUE,closed,FALSE,0.7171366210095584
21,therapist,high,Uh-huh.,"client: Yeah.\ntherapist: Okay. And what sort of situations are you in?\nclient: Well, just I guess, at a party or something, someone's house.\ntherapist: Uh-huh.\n",FALSE,n/a,FALSE,0.7171387223061174
91,therapist,high,"Right. So you've been able to quit smoking, but only when you were in the hospital.","client: I don't know what to do. I've tried to quit smoking. I've had, uh, I've taken pills, I've taken the patch.\ntherapist: Mm-hmm.\nclient: I've gone through therapy. Uh, nothing's helped. I finally- I went to the doctor. I was actually in the hospital. They took me to the hospital for a week. That's the longest I quit.\ntherapist: Right. So you've been able to quit smoking, but only when you were in the hospital.\n",FALSE,n/a,TRUE,0.7174770731944591
38,therapist,high,"-reward or stress relief. Um, and then, on the other hand, you've noticed, um, that your drinking has increased a little bit over time. And also that the more stressed you're fe- you feel, the more you're inclined to drink.","client: Yeah, I-I guess that's right.\ntherapist: So, let me summarize a little bit what you've told me. It sounds like you have a pretty hectic, stressful life, and you really feel like you need some kind of-\nclient: Uh-huh.\ntherapist: -reward or stress relief. Um, and then, on the other hand, you've noticed, um, that your drinking has increased a little bit over time. And also that the more stressed you're fe- you feel, the more you're inclined to drink.\n",FALSE,n/a,TRUE,0.7175463081803173
55,therapist,high,"Do you mind if I take a look at your arm, please?","therapist: Do you mind if I take a look at your arm, please?\ntherapist: Do you mind if I take a look at your arm, please?\ntherapist: Do you mind if I take a look at your arm, please?\ntherapist: Do you mind if I take a look at your arm, please?\n",TRUE,closed,FALSE,0.717881221557036
126,therapist,low,All right. Great. Have a good day.,"client: Okay. Um, why am I taking this medication?\ntherapist: It's for your dyslipidemia. Oh yeah, just one tablet a day. Do you have any questions for me?\nclient: No, I guess not.\ntherapist: All right. Great. Have a good day.\n",FALSE,n/a,FALSE,0.7179306331090629
29,therapist,high,"Yeah, I'm all about trying to help you figure out what types of physical activity bring you the most joy because those are the things that you'll make time for.","client: Um, when you talk about activity and you mentioned like really, um, like rigorous activity types, um, like I go to a gym and I enjoy going to the gym when I was active.\ntherapist: Mm-hmm.\nclient: Um, would that be kind of against that philosophy too or I guess, can you explain that a bit more?\ntherapist: Yeah, I'm all about trying to help you figure out what types of physical activity bring you the most joy because those are the things that you'll make time for.\n",FALSE,n/a,FALSE,0.7184392302297056
86,therapist,high,"Uh, it's something that just happened.","client: Mm-hmm. I really shouldn't have done it.\ntherapist: You're feeling regretful.\nclient: Mm-hmm. I couldn't help myself.\ntherapist: Uh, it's something that just happened.\n",FALSE,n/a,TRUE,0.7189022826496512
0,therapist,high,"So, there are some answers on this form here. Uh, less than monthly you drank more than you intended to.","client: Well, to be honest, I drink sometimes when I'm feeling down and I find it more interesting and not so blur.\ntherapist: Okay. And how do you feel after you drink?\nclient: Well, then I feel blur again.\ntherapist: So, there are some answers on this form here. Uh, less than monthly you drank more than you intended to.\n",FALSE,n/a,FALSE,0.7191122516524047
4,therapist,high,What made you decide to get-get a lip piercing?,client: About a month.\ntherapist: Hmm.\nclient: Yeah.\ntherapist: What made you decide to get-get a lip piercing?\n,TRUE,open,FALSE,0.7193558376748115
5,therapist,high,Mm. Yeah?,"client: Yeah.\ntherapist: -and, um, you're, like, real good with, uh, hands-on stuff, but the stuff around the manuals, and the assignments, and those sorts of things, um, don't feel so good. What-what do you think we need to do around helping you with that?\nclient: Well, um-- Well, I don't know. Hopefully, there's not so much of that stuff. Um, oh, well, I don't know. I could find out maybe someone who can help you, like, at the school, at the polytech, maybe somebody can help you out and stuff, or there might be computers there or something.\ntherapist: Mm. Yeah?\n",FALSE,n/a,FALSE,0.7196572923567146
39,therapist,high,Okay. Okay.,"client: Yeah. I mean, I- I, um, I've always liked therapy itself, and I- I've heard, I don't know if it's accurate, but if you have the willingness that is you're ease- more easily hypnotized, I don't know is it true?\ntherapist: Yes, it is true. Yeah. It is. I mean, people don't come walking through the door who are not interested in it, you know? So, um, yeah, so that's-- So you'd be interested in something like that and, um, what- what other ideas have you thought about that would work for you?\nclient: Well, I mean exercise, but really, you know, I have the mindset, you know, like, okay, tomorrow I'm going to get up and I'm going to do this, but I really am not a follow-through type of person with this.\ntherapist: Okay. Okay.\n",FALSE,n/a,FALSE,0.7198790463153273
33,therapist,high,Mm-hmm.,"client: Yeah.\ntherapist: -that nobody has the right to tell you what to do. Um, can I ask? If you were to-- Uh, if there was to be a situation where you decided, ""I must quit,"" what-what would that situation be?\nclient: Hard to tell 'cause I already had open-heart surgery. That didn't do it.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.7198976029176265
56,therapist,high,Yeah.,"client: Uh, well, I'm glad to see my dog, he's very cute, and it just feels good to be home.\nclient: Uh, well, I'm glad to see my dog, he's very cute, and it just feels good to be home.\ntherapist: Yeah.\ntherapist: Yeah.\n",FALSE,n/a,FALSE,0.7200439753942192
84,therapist,high,"It wasn't perhaps about the police singling you out. So those little things, well, you think, ""Mm, yeah, maybe-maybe if I'd done something differently, I wouldn't have ended up in trouble."" How interested are you in thinking about those things and-","client: Just jacking cars and just stealing just, like, stuff and smokes and got done for that.\ntherapist: Mm-hmm, okay. So some stuff that you can think, ""Oh yeah, I had, you know, I did some stuff that yeah, got me into trouble.""\nclient: Yeah.\ntherapist: It wasn't perhaps about the police singling you out. So those little things, well, you think, ""Mm, yeah, maybe-maybe if I'd done something differently, I wouldn't have ended up in trouble."" How interested are you in thinking about those things and-\n",TRUE,open,FALSE,0.7209855078253895
76,therapist,high,So you've taken that into account that-,"client: True joy comes from knowing it's not always gonna be happy. I'm gonna- I'm gonna be bummed out sometimes.\ntherapist: Mm-hmm.\nclient: I'm gonna be disappointed, I'm gonna be injured or whatever.\ntherapist: So you've taken that into account that-\n",FALSE,n/a,TRUE,0.7211076559033245
18,therapist,high,"Yeah. Okay. So-so, there's some-some questions you've got around some-some ways you, kind of, explained them. And then, as we work together, you know, we-- there might be some other ways we look at it and see it too, you know, that-that's part of working together. So, I'm wondering, how open are you to, you know, seeing this situation from lots of different angles?","client: Well, that a little bit here, a little bit there is nothing I didn't work for. [chuckles] I worked [unintelligible 00:10:35] and I was getting paid $18 an hour-\ntherapist: Mm.\nclient: -$25, you do the math. [chuckles] And that's gonna support me?\ntherapist: Yeah. Okay. So-so, there's some-some questions you've got around some-some ways you, kind of, explained them. And then, as we work together, you know, we-- there might be some other ways we look at it and see it too, you know, that-that's part of working together. So, I'm wondering, how open are you to, you know, seeing this situation from lots of different angles?\n",TRUE,closed,TRUE,0.721333573339507
36,therapist,high,Right. It sounds as though you're-you're not happy with that.,client: -and he-he's-he's just not sent me for anymore. That's it now-\ntherapist: Right.\nclient: - as far as he's concerned. Sent me back to the doctor.\ntherapist: Right. It sounds as though you're-you're not happy with that.\n,FALSE,n/a,TRUE,0.7216386136133224
64,therapist,high,"-um, but it's great to see you, and so maybe a good point to start with is, tell me why you're here.","client: No. No, not at all.\ntherapist: Mm. Okay. Alright. Well, um, I know a little about why you're here today-\nclient: Yeah.\ntherapist: -um, but it's great to see you, and so maybe a good point to start with is, tell me why you're here.\n",TRUE,open,FALSE,0.7226607161574066
94,therapist,high,"So, um, what are the uh, uh, what would be the benefits to you right now to having him out of the house?","client: Yeah, yeah, I have to laugh, I mean, even comedians say, you know, uh, most of-- What I've heard about comedians is that they are really not always that happy and they use that in a comical way to, you know, deal with life, so, yeah. [laughs] I kind of, maybe I should go into that. [laughs] Like this girl—\ntherapist: Your new career.\nclient: Yeah, like this girl Ruth that I know she's-she's, uh, got a serious job and she kind of does that on the side. [laughs]\ntherapist: So, um, what are the uh, uh, what would be the benefits to you right now to having him out of the house?\n",TRUE,open,FALSE,0.7230803840793669
72,therapist,low,"All right, Chris, so I need to talk to you because as you know, we have a zero-tolerance policy for drugs and alcohol at this school. And as-as athletic director, it's my job to check in with our student-athletes and make sure everyone's adhering to that rule. And I've been hearing some chatter from some of the other kids about a party this weekend, and from what I hear, where you were there and, you know, I can't confirm or deny anything. So I'm not at the point where I can give you consequences, but I did want to talk to you about whether or not you're drinking and how, you know, you really can't be doing this as a member of one of our teams.","therapist: All right, Chris, so I need to talk to you because as you know, we have a zero-tolerance policy for drugs and alcohol at this school. And as-as athletic director, it's my job to check in with our student-athletes and make sure everyone's adhering to that rule. And I've been hearing some chatter from some of the other kids about a party this weekend, and from what I hear, where you were there and, you know, I can't confirm or deny anything. So I'm not at the point where I can give you consequences, but I did want to talk to you about whether or not you're drinking and how, you know, you really can't be doing this as a member of one of our teams.\n",FALSE,n/a,FALSE,0.7232903626281768
55,therapist,high,"Thanks. When I looked at your form, it looks like you use heroin weekly and you injected. What part of your body do you normally inject in?","client: Uh, yeah. Yeah, that's fine.\ntherapist: Thanks. When I looked at your form, it looks like you use heroin weekly and you injected. What part of your body do you normally inject in?\ntherapist: Thanks. When I looked at your form, it looks like you use heroin weekly and you injected. What part of your body do you normally inject in?\ntherapist: Thanks. When I looked at your form, it looks like you use heroin weekly and you injected. What part of your body do you normally inject in?\n",TRUE,closed,FALSE,0.7237897282466292
77,therapist,high,"You know, it cuts your risk of falls in half. It also helps to reduce pain although that's not a short-term benefit, you do have to stick with it for at least three to six months to start have it help reduce your pain. But it does have a number of things that I think would get you to your goals of being home and able to play with your dog and doing your own cooking and things like that.","client: I could?\ntherapist: You could. You can talk to the instructor and that way you won't fall, you'll feel confident and you'll start to learn some of the moves. And then gradually over time, as you get a little bit better at doing the moves in a chair, you can start to stand up, use the chair to lean on, and then eventually, you'll be able to get to the point where you can do it on your own.\nclient: And you really recommend this?\ntherapist: You know, it cuts your risk of falls in half. It also helps to reduce pain although that's not a short-term benefit, you do have to stick with it for at least three to six months to start have it help reduce your pain. But it does have a number of things that I think would get you to your goals of being home and able to play with your dog and doing your own cooking and things like that.\n",FALSE,n/a,FALSE,0.7238011707086116
80,therapist,high,Okay.,"client: So, I'm gonna have to really be aware of the weekends. Maybe get some kind of hobby or-or join some group or something on the weekends to keep me busy.\ntherapist: Okay. So, and you've thought about already, what you might do, such as getting a hobby. Any other thoughts of what you might do to help you overcome this?\nclient: If I can just postpone it-\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.7240292807109654
41,therapist,high,"So, do you think sometimes you weren't even aware","client: And that's something that I had done for so long, literally since I was a child, that I didn't even know I was doing it.\ntherapist: There's so much of your-- Part of your paradigm?\nclient: Yes, yes.\ntherapist: So, do you think sometimes you weren't even aware\n",TRUE,open,FALSE,0.7240541086066514
21,therapist,high,"Okay. Uh, anything else?","client: So.\ntherapist: So, it just kind of makes you feel relaxed or?\nclient: Yeah, yeah, relaxed.\ntherapist: Okay. Uh, anything else?\n",TRUE,open,FALSE,0.7241614607628435
91,therapist,high,Mm-hmm.,"client: I had no choice, I had no choice. And then the next day I was back to smoking again what I smoked.\ntherapist: Okay. Let me just step back a little bit and ask you a question so that I can better understand where the difficulty that you're having with is. Uh, could you tell me what is good about smoking for you?\nclient: Uh, it's part of my life. It's, uh, I started smoking when I was 13, 14 at home. My parents smoked. All of their friends smoked. It was on television. Everybody looked so grand.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.7244245782494545
5,therapist,high,"So you've noticed that when you've been drinking that those feelings are coming back again, or?","client: Like like getting on the piss, but with Donna, there kind of keeps me busy.\ntherapist: Mm. So the drinking is something that we talked about can make it easier for you to offend.\nclient: Yeah.\ntherapist: So you've noticed that when you've been drinking that those feelings are coming back again, or?\n",TRUE,closed,FALSE,0.7244975999929011
61,therapist,high,-and it sounds like you like the instructor-,client: Yeah.\ntherapist: -but because Dr. Fields has recommended it and your friend has-\nclient: Yeah.\ntherapist: -and it sounds like you like the instructor-\n,FALSE,n/a,TRUE,0.7245758820790797
90,therapist,low,"All right. Well, maybe it's something we can work on together. And, you know, I think we should come up with a plan that's gonna work for you so that you can get control here and stop drinking.","client: Yeah. I-I-I just-- I don't see the problem in it right now and maybe it's because I haven't really had that traumatic of an experience but I'm—\ntherapist: Do you wanna wait for that happen? Do you wanna wait for a dramatic experience?\nclient: You're-you're right. I-I don't want- I don't wanna be too far gone before it's too late. Like I-I can imagine something possibly happening where it's to a degree where I can't escape. And I-I guess I've never really had any-any real experience where the alcohol has really affected me that much or affected anybody close to me that much. So I guess it's something that I feel like I'm control of, but in reality, I might not have as much control as I think.\ntherapist: All right. Well, maybe it's something we can work on together. And, you know, I think we should come up with a plan that's gonna work for you so that you can get control here and stop drinking.\n",FALSE,n/a,FALSE,0.7248574618715793
35,therapist,high,"Okay, so you're feeling some low energy and you know, in the past, when you've been more active and eating differently, you've had more energy?","client: So I am, um, 28. And I moved out to Arizona about six months ago. Um, I really enjoy spending time with my family and hanging out with friends whenever I can. Work keeps me pretty busy. Um, But I'm really, um, looking to kind of make some changes to my diet and physical activity. I'm not really happy with where my weight's at right now, and, uh, so I thought it'd be good to come and talk with you about some of that stuff.\ntherapist: Yeah, you're feeling a little bit dissatisfied with your health patterns?\nclient: Yeah. Um, I'm really starting to notice how I feel more sluggish and just not-- My mood is shifted a lot too, which at first, I thought was because it's getting colder outside, um, but I do also think it maybe has some relation to my activity, or lack thereof, and also kind of the foods that I'm eating.\ntherapist: Okay, so you're feeling some low energy and you know, in the past, when you've been more active and eating differently, you've had more energy?\n",FALSE,n/a,TRUE,0.7249014135450125
82,therapist,high,"Very good. So it looks like, um, you're using a good method of birth control, you're just not able to use it effectively. And you've linked it back here to the drinking. So would you like to develop a plan around your alcohol use at this-- today?","client: Yeah.\ntherapist: -birth control issue and this importance comes down as your reason why you're not down here.\nclient: Yes.\ntherapist: Very good. So it looks like, um, you're using a good method of birth control, you're just not able to use it effectively. And you've linked it back here to the drinking. So would you like to develop a plan around your alcohol use at this-- today?\n",TRUE,closed,TRUE,0.72501096338965
22,therapist,high,And it sounds like right now you're at a place of acceptance about that also.,"client: -you know, I'd still have faith to keep going on, but sometimes you feel as though, ""Where is God?""\ntherapist: Yeah.\nclient: You know?\ntherapist: And it sounds like right now you're at a place of acceptance about that also.\n",FALSE,n/a,TRUE,0.7250242263544351
17,therapist,low,"Okay. Do you use any street drugs like any marijuana, cocaine, heroin?","client: Um, a few times a week. Uh, Wednesdays, I'll go to happy hour and have about two or three. And then, um, Thursdays, seven, um, seven or eight. Fridays, probably just a couple of glasses of wine with dinner. Um, but Saturdays are bigger night. And I would probably have a few drinks before I went to the bar. And then have four or five at when-when I was out. So—\ntherapist: Okay. So it sounds like you're drinking about four times a week, anywhere between three and eight drinks on a given day. So, maybe around 20 drinks a week?\nclient: I guess, it sounds like a lot when you say [chuckles] like that. But yeah.\ntherapist: Okay. Do you use any street drugs like any marijuana, cocaine, heroin?\n",TRUE,closed,FALSE,0.7258656129706651
72,therapist,low,"-I'm not saying I know what it's like. I-I get that you want to have fun in your teenage years. I get that. But, you know, you are a star player, we want to keep you on the team. You know, we got to figure out a way to get through this.","client: I mean, it's just one-- I'm just one person against the voice of the mob.\ntherapist: All right. Well, yeah. So the issue again is I can't be hearing reports about you drinking. I can't be hearing that you're at parties and you can't be seeing pictures on Facebook. You know, there-there are rules at this school and in my job, I have to enforce them. So, you know, like I said, I get it, you know-\nclient: I understand.\ntherapist: -I'm not saying I know what it's like. I-I get that you want to have fun in your teenage years. I get that. But, you know, you are a star player, we want to keep you on the team. You know, we got to figure out a way to get through this.\n",FALSE,n/a,TRUE,0.7264303474221379
94,therapist,high,But you're not quite ready if you wanna sing that song.,"client: Um. [sighs] I don't know, I'm-I'm, I guess, I'm kind of, um, I care about the person and, you know, there's a certain amount of comfortability of having somebody with you, you know, and I'm just, so, I guess I am at war with myself because part of me wants the comfort of having a companion and the other part of me is just, you know-- I-I cannot-- I am not really sure what I wanna do, you know.\ntherapist: Mm-hmm. So you kind of feel two ways about it. You-you'd like to, um, you feel like at some level that the time is up for that person to go, and on the other hand, there's a certain amount of security in having him in the house and in knowing he's around.\nclient: Yeah, you know, it's kind of, like, the old sock- song saying hit the road Jack, don't you come back no more, no more, no more, no more. [laughs] And—\ntherapist: But you're not quite ready if you wanna sing that song.\n",FALSE,n/a,TRUE,0.7267748301383108
49,therapist,high,Yeah.,"client: Yeah.\ntherapist: There's some feelings when you, kind of, think about that?\nclient: I don't know, but I'd like to get back on track, but—\ntherapist: Yeah.\n",FALSE,n/a,FALSE,0.7272788030095398
34,therapist,high,"And you wanna be, um, take care of your baby as the baby's growing.","client: No.\ntherapist: You want this baby.\nclient: Yeah.\ntherapist: And you wanna be, um, take care of your baby as the baby's growing.\n",FALSE,n/a,TRUE,0.7274058253969997
93,therapist,high,Yeah. Okay. So physical activity is feeling like the easiest change to look at first.,"therapist: So there are a lot of different directions that we could take. Um, you've mentioned wanting to make changes in your physical activity. You've mentioned wanting to make changes in your eating habits and also just wanting more body confidence. Um, what- what's on your mind is as far as a- as a change topic for the rest of our session today?\nclient: I think the activity piece is the kind of low-hanging fruit that I see. Um, I feel like it's gonna be harder for me to change some of my nutrition habits right out the gate, but if I can get into maybe an activity routine, that that could be good to help maybe some of the other changes happen later.\ntherapist: Yeah. Okay. So physical activity is feeling like the easiest change to look at first.\n",FALSE,n/a,TRUE,0.7276630457490683
21,therapist,high,Mm-hmm.,"client: Yeah.\ntherapist: And, you have a lot of friends or a few close people, or?\nclient: Um, I would say like a moderate amount. I'm not really-really popular or like, I have no friends.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.7281097117811441
49,therapist,high,Yeah?,"client: Hmm. I don't know, I probably lock off a wee bit. [chuckles]\ntherapist: Yeah. Yeah. So, how would I know if we were talking and you were blocking off? What would I notice, uh, in our session together?\nclient: Yeah, um. I'm sure you've already noticed. [chuckles] Um, I don't know, probably fidget.\ntherapist: Yeah?\n",FALSE,n/a,FALSE,0.7288077191915363
84,therapist,high,"Mm, okay. So what sort of things do you think made it a waste of time last time?","client: Yeah.\ntherapist: Mm. So it sounds you're worried that it's gonna be a waste of your time this time too.\nclient: Yeah, I'd say so.\ntherapist: Mm, okay. So what sort of things do you think made it a waste of time last time?\n",TRUE,open,FALSE,0.7291008387692273
62,therapist,high,"Okay, gotcha. So, you know, that it needs to get done-","client: Yeah, I know that she said I have to get so many hours in, but I don't- I don't know. I kind of was half-listening.\ntherapist: Okay. So why don't you tell me what you remember from having your conversation with your case manager? What do you know so far about community service?\nclient: I know that I have to get it done by the end of my probation, except I forgot like how many hours or if I'm supposed to find it or someone else is gonna find it for me or I-I told you I'm confused.\ntherapist: Okay, gotcha. So, you know, that it needs to get done-\n",FALSE,n/a,TRUE,0.7292938253376633
130,therapist,low,"So it sounds like if you have alcohol, then smoking is very difficult to avoid and you know what you need to do. You need to go home and as your-your son's doctor, I need to tell you you need to go home and throw out those cigarettes. You need to quit.","therapist: So it sounds like if you have alcohol, then smoking is very difficult to avoid and you know what you need to do. You need to go home and as your-your son's doctor, I need to tell you you need to go home and throw out those cigarettes. You need to quit.\ntherapist: So it sounds like if you have alcohol, then smoking is very difficult to avoid and you know what you need to do. You need to go home and as your-your son's doctor, I need to tell you you need to go home and throw out those cigarettes. You need to quit.\ntherapist: So it sounds like if you have alcohol, then smoking is very difficult to avoid and you know what you need to do. You need to go home and as your-your son's doctor, I need to tell you you need to go home and throw out those cigarettes. You need to quit.\ntherapist: So it sounds like if you have alcohol, then smoking is very difficult to avoid and you know what you need to do. You need to go home and as your-your son's doctor, I need to tell you you need to go home and throw out those cigarettes. You need to quit.\n",FALSE,n/a,FALSE,0.729841101448983
131,therapist,low,"Mm-hmm, what sort of stresses?","client: -or sometimes I go out, but as I said, I'm the only one kind of outside.\ntherapist: Okay. What do you think you'll miss most about it?\nclient: The-- Um, it takes away a lot of my stresses.\ntherapist: Mm-hmm, what sort of stresses?\n",TRUE,open,FALSE,0.7299246736802161
42,therapist,high,"Oh, okay.","client: Yes.\ntherapist: At home or you think that they'll be supportive but they're not giving- they're not giving you what you need?\nclient: No, and specifically my father, he just-- Not only does he not want to support me with it but at the same time, he feels like I need to be gaining my weight back.\ntherapist: Oh, okay.\n",FALSE,n/a,FALSE,0.7301565813831985
27,therapist,low,"Well, uh, wait a second, Sal, what do you mean you-you- ha- If you-- As in-- You know to be informed about-- I'm just really taken aback by that because I understand from your chart that you have a young baby-","client: -I have even read them. All I've been doing is taking the medicine. So, I don't know that much about this.\nclient: -I have even read them. All I've been doing is taking the medicine. So, I don't know that much about this.\ntherapist: Well, uh, wait a second, Sal, what do you mean you-you- ha- If you-- As in-- You know to be informed about-- I'm just really taken aback by that because I understand from your chart that you have a young baby-\ntherapist: Well, uh, wait a second, Sal, what do you mean you-you- ha- If you-- As in-- You know to be informed about-- I'm just really taken aback by that because I understand from your chart that you have a young baby-\n",FALSE,n/a,FALSE,0.7309062744025141
6,therapist,high,Okay.,"client: Um, the fact that they want me to get rid of Oscar, that's-that's my dog.\ntherapist: So your dog, and-and the doctor's saying the dog's—\nclient: Well, he's-- Yeah, he's saying it's a main-- It's a main contributor to my asthma problems.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.7313154772855341
38,therapist,high,"Yeah. It-it sounds like, um, you know, money could make a big difference, and you are working full time and trying to go to school to address that in the long run. Um, but on the other hand, you know, it sounds like you have some other ideas of cope- of how you might cope with stress better. Um, so, I guess I'm-I'm wondering, given our conversation so far, kind of where you are with everything.","client: Yeah.\ntherapist: Anything else?\nclient: Well, I mean, most of my problems always go back to money. You know, i-if I had more money, I could afford daycare, I could work less hours, you know? So, yeah. It's-it's normally related to money.\ntherapist: Yeah. It-it sounds like, um, you know, money could make a big difference, and you are working full time and trying to go to school to address that in the long run. Um, but on the other hand, you know, it sounds like you have some other ideas of cope- of how you might cope with stress better. Um, so, I guess I'm-I'm wondering, given our conversation so far, kind of where you are with everything.\n",TRUE,open,TRUE,0.7317451764829457
95,therapist,high,You don't want to continue.,"client: Um, okay. Just, I don't even know why I'm doing this anymore. I'm-I'm just so stupid. I'm such an idiot. I didn't know what the point of-of this is. I just- I just keep doing the same thing over and over, even though I know it can kill me. I just, I don't have any more willpower, ma'am. Yeah, [foreign language].\ntherapist: Well, Ruth, it sounds like you're very frustrated first of all. And you're saying that you're just tired. You've lost all your willpower.\nclient: Mm-hmm.\ntherapist: You don't want to continue.\n",FALSE,n/a,TRUE,0.7318236869759858
5,therapist,high,Mm-hmm.,"client: [clears throat] Oh, I just said-- I said, ""Uh, could you give me a hand with this?""\ntherapist: Mm-hmm.\nclient: And, like, she filled them up for me, and I told her what to write.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.7332459057215601
83,therapist,high,"Good to see you here. I see on your file that you're, uh, [unintelligible 00:01:18].","therapist: Hello, Rick. Welcome.\nclient: Kia ora.\ntherapist: Good to see you here. I see on your file that you're, uh, [unintelligible 00:01:18].\n",FALSE,n/a,FALSE,0.733472878113389
18,therapist,high,"Have you put on a kind of real hat, you know, you get a real hat here, you know? What-what's your hunch about that? Is it a kind of-- that kind of realization it's a bit of a smoke screen, what's your hunch?","client: I don't know. I-I don't think it would have been too much of a problem. I mean I'm not a bad person, I wouldn't have, you know, wouldn't have continued to steal. It was just at the time that I was going through a rough patch. I wasn't intending to make it a long-term thing.\ntherapist: Yeah. Yeah, so you're not a bad person. Certainly, I don't make judgments about people being bad people. So that seems sort of actually thinking about this, you sensed that you could've stopped.\nclient: Yeah.\ntherapist: Have you put on a kind of real hat, you know, you get a real hat here, you know? What-what's your hunch about that? Is it a kind of-- that kind of realization it's a bit of a smoke screen, what's your hunch?\n",TRUE,open,FALSE,0.7340297200717032
5,therapist,high,"Yeah. Yeah. You know, I've been thinking about, um, thinking about you, and thinking about, um, that first meeting we had, and where you are now. So, wh-what do you think some of the changes are that-that you've made in this- in this, sort of, five-five to six weeks that we've been meeting?","client: Yeah.\ntherapist: You've done-- You've got a really good track record of, uh, being on time. Yeah? Do you realize that?\nclient: Yeah, no, it's easy.\ntherapist: Yeah. Yeah. You know, I've been thinking about, um, thinking about you, and thinking about, um, that first meeting we had, and where you are now. So, wh-what do you think some of the changes are that-that you've made in this- in this, sort of, five-five to six weeks that we've been meeting?\n",TRUE,open,FALSE,0.7340943010058254
56,therapist,high,Yeah.,"client: Uh, well, I'm glad to see my dog, he's very cute, and it just feels good to be home.\nclient: Uh, well, I'm glad to see my dog, he's very cute, and it just feels good to be home.\nclient: Uh, well, I'm glad to see my dog, he's very cute, and it just feels good to be home.\ntherapist: Yeah.\n",FALSE,n/a,FALSE,0.734305537538603
56,therapist,high,"I know, I-I understand that it was really-- That was your goal. That was a really important thing for you to be able to get home and it sounds like you've been able to really en- enjoy parts of it, and I know you've been going to the- both the physical therapy and the Tai Chi and how's-how's that going?","therapist: I know, I-I understand that it was really-- That was your goal. That was a really important thing for you to be able to get home and it sounds like you've been able to really en- enjoy parts of it, and I know you've been going to the- both the physical therapy and the Tai Chi and how's-how's that going?\ntherapist: I know, I-I understand that it was really-- That was your goal. That was a really important thing for you to be able to get home and it sounds like you've been able to really en- enjoy parts of it, and I know you've been going to the- both the physical therapy and the Tai Chi and how's-how's that going?\ntherapist: I know, I-I understand that it was really-- That was your goal. That was a really important thing for you to be able to get home and it sounds like you've been able to really en- enjoy parts of it, and I know you've been going to the- both the physical therapy and the Tai Chi and how's-how's that going?\ntherapist: I know, I-I understand that it was really-- That was your goal. That was a really important thing for you to be able to get home and it sounds like you've been able to really en- enjoy parts of it, and I know you've been going to the- both the physical therapy and the Tai Chi and how's-how's that going?\n",TRUE,open,TRUE,0.7344214604236186
68,therapist,high,"Oh, nice. Okay.","client: Uh, well I have one older brother he's about eight and a half old- years older than me. My parents, and I have a dog [laughs].\ntherapist: Cute. What kind of dog?\nclient: He's a Golden Retriever.\ntherapist: Oh, nice. Okay.\n",FALSE,n/a,FALSE,0.7345164020080119
56,therapist,high,Yeah. What are you really glad about?,therapist: Yeah. What are you really glad about?\ntherapist: Yeah. What are you really glad about?\ntherapist: Yeah. What are you really glad about?\ntherapist: Yeah. What are you really glad about?\n,TRUE,open,FALSE,0.7348592502530664
49,therapist,high,"Yeah? Yeah. ""Do I continue with the, you know, my little current lifestyle,"" and you are so much the party girl you used to be-- I was speaking to last time-","client: -I'm not gonna- [sighs] I'm not gonna make a decent mom the way I am, at the moment, am I? So I probably need to get on track at some stage. [chuckles] I'll be pushing 30 and still in debt, at this rate.\ntherapist: Okay, okay. So, it seems like you're-you're, kind of, in a state in your life of considering your next steps.\nclient: Yeah.\ntherapist: Yeah? Yeah. ""Do I continue with the, you know, my little current lifestyle,"" and you are so much the party girl you used to be-- I was speaking to last time-\n",TRUE,closed,TRUE,0.7350256203208119
66,therapist,high,"Hi, Mr. Stowe.","therapist: Hi, Mr. Stowe.\ntherapist: Hi, Mr. Stowe.\ntherapist: Hi, Mr. Stowe.\ntherapist: Hi, Mr. Stowe.\n",FALSE,n/a,FALSE,0.7353465184569359
91,therapist,high,That's correct. And writing it down helps that process.,"client: Discussing things helps me. I always feel better when I get things out.\ntherapist: Okay. So Jean, I really want to congratulate you on taking this very important first step towards addressing this problem that you've had for such a long time, but as the first small step, I wonder whether you'd be open to actually just monitoring your smoking for the next week. And the reason why I say that- because as you were mentioning to me, smoking is so automatic for you that sometimes writing it down helps make every cigarette a conscious act. And I noticed that you were saying to me, you feel a loss of control over these cigarettes. And sometimes just being mindful and writing something down will help you get some control over what you're doing. And that's often the first small step. What are your thoughts about that?\nclient: In other words, think about it more, don't- don't just do it automatically.\ntherapist: That's correct. And writing it down helps that process.\n",FALSE,n/a,FALSE,0.7355061313137412
45,therapist,high,Okay. Would it be okay with you if I kind of explained again kind of what this program is about?,"client: It's just like the same thing every day like, I don't really know why. Like um, so I signed your paper, why are asking me all these questions?\ntherapist: So you're kind of wondering what the point of these visits are, me coming to your house.\nclient: Yup.\ntherapist: Okay. Would it be okay with you if I kind of explained again kind of what this program is about?\n",TRUE,closed,FALSE,0.7356138324830681
38,therapist,high,"So, you're not only doing really tiring work and going to school, but you're also worrying about your finances.","client: Yeah, and for work, you know, I'm a server. So, I'm on my feet all day, you know, and it's-it's really tiring.\ntherapist: It's pretty exhausting work.\nclient: Yeah, you know, it's hard trying to please customers all day. And then, at the same time, I'm-I'm worrying, am I making enough money to support my son, you know?\ntherapist: So, you're not only doing really tiring work and going to school, but you're also worrying about your finances.\n",FALSE,n/a,TRUE,0.7359203684609383
0,therapist,high,Seven.,"client: Okay.\ntherapist: Okay. So, there has been a lot of research on alcohol use and the guidelines we use in this country says that having seven or more drinks per week can raise the risk of health problems for women.\nclient: Hmm. Seven?\ntherapist: Seven.\n",FALSE,n/a,FALSE,0.7365883146412671
14,therapist,high,Mm-hmm.,"client: I don't even really know-\ntherapist: Mm-hmm.\nclient: -honestly. Like, I mean, I know I'm gonna have to keep like telling myself like-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.7374533254187554
29,therapist,high,"Fantastic. Thanks, Natalie.","client: -I just want to be upfront about that part with me and maybe that changes or maybe it doesn't, but what do you think about that.\ntherapist: Absolutely, I appreciate you sharing that piece with me and you absolutely get to have that desire. And, um, we certainly are bombarded all day long with messages about how a body is supposed to look and so we all, um, certainly have moments of feeling dissatisfied with how our bodies look. And so you're absolutely, um, welcome to hold that and we can have space for that and you can certainly talk about that in these sessions. And I'll check in with you as we're going through the process of behavior change, um, to see how your body confidence is, um, as we talk more.\nclient: Great. Yeah, now that sounds good.\ntherapist: Fantastic. Thanks, Natalie.\n",FALSE,n/a,FALSE,0.7375679682008922
1,therapist,high,"Mm-hmm. Well, in this country, the guidelines are men can drink up to 14 drinks a week or up to four on one occasion and still be low risk.","client: So, uh, are you saying I drink too much?\ntherapist: How would you define drinking too much?\nclient: Well, I-- If-if I was getting fallen down drunk or if I drink every night. Um, it's not like I get sloppy drunk or anything.\ntherapist: Mm-hmm. Well, in this country, the guidelines are men can drink up to 14 drinks a week or up to four on one occasion and still be low risk.\n",FALSE,n/a,FALSE,0.7375956177711487
21,therapist,high,Mm-hmm.,"client: Um, I've never really been drunk-\ntherapist: Uh-huh.\nclient: -so, I can't really say that I like that feeling or not, but, it's just like-- I mean, you're just in a good mood.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.7377721548546106
94,therapist,high,And it's kind of scary.,"client: Well, um, I told him within a couple of days is, you know. I think, um, I-I- cause I have future plans, um, and some things that are up in the air with me as far as where I'm going to be living in. I've had this place for seven years, but I'm not sure, you know. Every day is a new- a new, uh, winding road that we go down, you know?\ntherapist: Mm-hmm, Mm-hmm.\nclient: Um.\ntherapist: And it's kind of scary.\n",FALSE,n/a,TRUE,0.7383234389126301
68,therapist,high,[laughs] Very fun. All right. And how are things going in school for you?,"client: He's a Golden Retriever.\ntherapist: Oh, nice. Okay.\nclient: My big boy.\ntherapist: [laughs] Very fun. All right. And how are things going in school for you?\n",TRUE,open,FALSE,0.7385519160889089
84,therapist,high,Okay.,"client: Mm-hmm.\ntherapist: 100 is like, ""I'm totally interested and-and getting it nailed and sorted and, you know, getting on the straight and narrow."" Where would you be on that scale?\nclient: Well, not too high. It's not like I'm out killing people or anything. It's just-\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.738759625935927
58,therapist,high,"And, um, so you were-- You said that you’ve been going several times a week, which is really an extraordinary number, I-I think it’s four, five times a week?","client: I got my headphones, and I got my, uh, kind of [unintelligible 00:03:24], if you know what I mean\ntherapist: Okay. Get your rocking out, running on the elliptical playlist.\nclient: Yeah\ntherapist: And, um, so you were-- You said that you’ve been going several times a week, which is really an extraordinary number, I-I think it’s four, five times a week?\n",TRUE,closed,FALSE,0.7397418504115194
130,therapist,low,"No, wait a minute. That has everything to do with what we're talking about. I can't believe at the end of this appointment, you're just slipping in the fact that you've resumed smoking again. That's very, very important information for me to know. And I'd like to spend some time talking about it now.","client: Well, you're right. I-I did quit smoking when I was pregnant, but actually, um, a couple of weeks ago, I went out, my mom was able to take Jake for the night and my friends they were having a birthday party and we had a couple of glasses of wine and it felt like old times. So before I knew it, I was out having a cigarette with them. And since then I've been having a couple of cigarettes a day, you know, just at the end of the day after I put Jake to bed. But that sounds like it has nothing to do with what you're talking about, right?\nclient: Well, you're right. I-I did quit smoking when I was pregnant, but actually, um, a couple of weeks ago, I went out, my mom was able to take Jake for the night and my friends they were having a birthday party and we had a couple of glasses of wine and it felt like old times. So before I knew it, I was out having a cigarette with them. And since then I've been having a couple of cigarettes a day, you know, just at the end of the day after I put Jake to bed. But that sounds like it has nothing to do with what you're talking about, right?\nclient: Well, you're right. I-I did quit smoking when I was pregnant, but actually, um, a couple of weeks ago, I went out, my mom was able to take Jake for the night and my friends they were having a birthday party and we had a couple of glasses of wine and it felt like old times. So before I knew it, I was out having a cigarette with them. And since then I've been having a couple of cigarettes a day, you know, just at the end of the day after I put Jake to bed. But that sounds like it has nothing to do with what you're talking about, right?\ntherapist: No, wait a minute. That has everything to do with what we're talking about. I can't believe at the end of this appointment, you're just slipping in the fact that you've resumed smoking again. That's very, very important information for me to know. And I'd like to spend some time talking about it now.\n",FALSE,n/a,FALSE,0.7398154165130109
5,therapist,high,Mm-hmm.,"client: [clears throat]\ntherapist: Okay. So, what did you say to Donna?\nclient: [clears throat] Oh, I just said-- I said, ""Uh, could you give me a hand with this?""\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.7398552792146802
36,therapist,high,Is that- is that about-,"client: Mm.\ntherapist: - and you've had some investigations, but you're not entirely happy that-that you haven't been investigated thoroughly enough.\nclient: Yeah.\ntherapist: Is that- is that about-\n",FALSE,n/a,TRUE,0.7398891116026789
68,therapist,high,Mm-hmm.,"client: Yeah. Well, I think community and belonging, I kind of related them. Um, you know how I said I was in the marching band?\ntherapist: Mm-hmm.\nclient: I really, you know, I really enjoy being in that team setting of, you know, being with other people and all working toward- together towards that one goal.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.7402606278192252
76,therapist,high,Inner harmony is number two?,"client: Yes, I have.\ntherapist: And then, has health always been number one for you?\nclient: It's been in the top. It's been up there, yeah. I don't remember if it's always been number one. It's probably definitely been in the top three. Uh, yeah, because I've had problems, um, with inner harmony, I guess in different stages in my life, so I don't get that. This time I put it at number two.\ntherapist: Inner harmony is number two?\n",TRUE,closed,FALSE,0.7408534795977175
41,therapist,high,Mm-hmm.,"client: Yeah.\ntherapist: Yeah.\nclient: Because I get stressed, I get resentful, I get overwhelmed and, uh, out of- out of alignment, I guess, out of sorts.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.7409893018193543
66,therapist,high,"So you just- you just saw the doctor and, uh, you know, you sound like you just got blindsided, uh, with, uh, not only how, how frightening this seems that you have diabetes and that, uh, she-- you say she told you a whole lot of things that can happen with your eyes and circulation and all those kinds of things.","client: Yeah. I'm supposed to learn how to manage it. I just learned that I got diabetes and apparently, it's pretty bad 'cause, uh, she said my blood sugar was sky high, and then she laid all these huge consequences on things that can happen. That just sounds so disastrous and, uh, and then she told me I gotta do all this stuff. And man, I'm just sort of disappointed right now.\ntherapist: So you just- you just saw the doctor and, uh, you know, you sound like you just got blindsided, uh, with, uh, not only how, how frightening this seems that you have diabetes and that, uh, she-- you say she told you a whole lot of things that can happen with your eyes and circulation and all those kinds of things.\ntherapist: So you just- you just saw the doctor and, uh, you know, you sound like you just got blindsided, uh, with, uh, not only how, how frightening this seems that you have diabetes and that, uh, she-- you say she told you a whole lot of things that can happen with your eyes and circulation and all those kinds of things.\ntherapist: So you just- you just saw the doctor and, uh, you know, you sound like you just got blindsided, uh, with, uh, not only how, how frightening this seems that you have diabetes and that, uh, she-- you say she told you a whole lot of things that can happen with your eyes and circulation and all those kinds of things.\n",FALSE,n/a,TRUE,0.7412411181721836
66,therapist,high,"And so you're really kind of reeling right now from, uh, all of that. And you sound a little bit pretty, pretty scared actually.","client: She mentioned my legs having troubles and-\nclient: She mentioned my legs having troubles and-\nclient: She mentioned my legs having troubles and-\ntherapist: And so you're really kind of reeling right now from, uh, all of that. And you sound a little bit pretty, pretty scared actually.\n",FALSE,n/a,TRUE,0.7415194895584136
6,therapist,high,"Hi, Sal. Thanks for coming in today.","therapist: Hi, Sal. Thanks for coming in today.\n",FALSE,n/a,FALSE,0.7422664519399405
49,therapist,high,"-and, uh--"" So, really, what we'd like to talk about today is-is get a sense of, um-- Let's talk about the things that would be good to work with, um, over the next, you know, nine months together, really.","client: Mm-hmm.\ntherapist: Yeah. Yeah. My sense is we'll be able to work pretty well together. That's my, sort of, sense of, uh-- After last time, I thought, you know, ""Here's a young woman who's, you know, got some energy to get things together-\nclient: Mm.\ntherapist: -and, uh--"" So, really, what we'd like to talk about today is-is get a sense of, um-- Let's talk about the things that would be good to work with, um, over the next, you know, nine months together, really.\n",FALSE,n/a,FALSE,0.742517412872985
64,therapist,high,Right.,"client: It's quite a heavy party scene most weekends and stuff. So it kind of goes hand in hand with that really, and just, you know, I guess when I have-have a slight-- I don't know, you just feel really good, I guess. Just feel, like, happy, and excited, and just to be surrounded by people that, you know, really care about you, and love you and-- Coming from a place where y-you didn't-- don't get that as much, it's just really cool, you know, to-to be able to go, ""Okay, on this day I can take this."" And it's just that instant, like, ""I know- I know I'll feel good."" I guess that's part of it.\ntherapist: So Auckland, coming to Auckland from Palmerston for you was-was like taking charge of something that you were going to look to make something different in your life?\nclient: Yeah, in-in a way. Although I wouldn't have been conscious of that really. I just sort of discovered it here. It's not like I came to Auckland looking for that kinda-\ntherapist: Right.\n",FALSE,n/a,FALSE,0.742774649290368
94,therapist,high,"So, uh, you were telling me earlier though that you've talked to some other people and he has some options about some other places to go to.","client: Well, um, I've had co-conversations about with him and sometimes not-not so pleasant, but I'm-I'm just making, you know, 'cause I happen to sometimes just like hold things in. And then finally I- at-at one point I was really, you know, very logical about it. And then the other day I kind of got not so logical about it.\ntherapist: Okay.\nclient: [laughs]\ntherapist: So, uh, you were telling me earlier though that you've talked to some other people and he has some options about some other places to go to.\n",FALSE,n/a,FALSE,0.7428139015100896
68,therapist,high,Mm-hmm.,"client: Yeah.\ntherapist: Okay. What are the things that you like about drinking or like about alcohol?\nclient: Um, it's, you know, when we drink, we-we tend to have more fun because I guess we're not, you know, everyone's drinking together. We're a lot more loosened up and relaxed-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.7429514974355698
6,therapist,high,"So your dog, and-and the doctor's saying the dog's—","client: Yeah.\ntherapist: What else?\nclient: Um, the fact that they want me to get rid of Oscar, that's-that's my dog.\ntherapist: So your dog, and-and the doctor's saying the dog's—\n",FALSE,n/a,TRUE,0.7431877197232097
23,therapist,high,Okay.,"client: Hi.\ntherapist: So I understand that you were referred to me by your GP because you've been experiencing some anxiety difficulties.\nclient: Yeah. Um, yeah, I guess it kind of- it kind of started like five, six years ago.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.7439308769535273
5,therapist,high,"Mm-hmm. So, what changes have you made, Billy?","client: Yeah.\ntherapist: Yeah? So, what sort of things has it helped with?\nclient: Just, uh, someone to talk to and just someone to keep me busy and, kind of, keep me in check.\ntherapist: Mm-hmm. So, what changes have you made, Billy?\n",TRUE,open,FALSE,0.7439746463205665
123,therapist,low,So you're gonna quit then?,"client: Well, I didn't really know I'd started.\ntherapist: What do you mean?\nclient: I didn't really think that it was anything more than just like social drinking, just something that I do in a social setting when me and my friends go out to the bars.\ntherapist: So you're gonna quit then?\n",TRUE,closed,FALSE,0.7443398137111217
79,therapist,high,So you saw yourself putting something that was important to you at risk.,"client: Because I was- because I was right there, man. I was right there in the same place when I'd come home and I'd pop a couple of those pills, it was the same deal, like and I wanted to stay there. I wanted to stay exactly right there. And I just felt like I'd ruined everything. You know, Erin's using the phone now, and he called me the next day and it was, uh, great, but I kinda felt ashamed of myself, and I don't want to feel that way again.\ntherapist: Was it that something happened, um, where you put something that was really important to you at risk? Is that what that was about, um, when you say you felt guilty, uh, you felt bad talking to Erin on the phone?\nclient: Because of what-- Yeah, I guess, I think that's what I mean, yeah, yeah. Because you know, I mean- I mean I could have stayed, I could have got, I could have got absolutely hammered and I could have done it every night for the rest of the week.\ntherapist: So you saw yourself putting something that was important to you at risk.\n",FALSE,n/a,TRUE,0.7444084812887013
36,therapist,high,A gastroscopy.,"client: Yeah.\ntherapist: Okay. Okay. And what about tests? Have you had any tests for these problems?\nclient: Yes, uh, I had, uh, in the early days, I had a gastros-gas-- What are they called?\ntherapist: A gastroscopy.\n",FALSE,n/a,FALSE,0.7447292960714549
130,therapist,low,"No, wait a minute. That has everything to do with what we're talking about. I can't believe at the end of this appointment, you're just slipping in the fact that you've resumed smoking again. That's very, very important information for me to know. And I'd like to spend some time talking about it now.","therapist: No, wait a minute. That has everything to do with what we're talking about. I can't believe at the end of this appointment, you're just slipping in the fact that you've resumed smoking again. That's very, very important information for me to know. And I'd like to spend some time talking about it now.\ntherapist: No, wait a minute. That has everything to do with what we're talking about. I can't believe at the end of this appointment, you're just slipping in the fact that you've resumed smoking again. That's very, very important information for me to know. And I'd like to spend some time talking about it now.\ntherapist: No, wait a minute. That has everything to do with what we're talking about. I can't believe at the end of this appointment, you're just slipping in the fact that you've resumed smoking again. That's very, very important information for me to know. And I'd like to spend some time talking about it now.\ntherapist: No, wait a minute. That has everything to do with what we're talking about. I can't believe at the end of this appointment, you're just slipping in the fact that you've resumed smoking again. That's very, very important information for me to know. And I'd like to spend some time talking about it now.\n",FALSE,n/a,FALSE,0.7447459124960005
73,therapist,high,"Okay, so that's helped you.","client: And it has, but I don't do it as often, it's just sometimes.\ntherapist: Okay. So you trusted him on that, and you tried it out and you found that it helped you in certain ways. What are some of the things that you said it's-- takes some of the pain away, it's not just-- you know.\nclient: Dealing with my grandma's loss.\ntherapist: Okay, so that's helped you.\n",FALSE,n/a,TRUE,0.7448128210380673
87,therapist,high,You were pretty shocked at what you learned about your patterns.,"client: Um, and, like, fi- like filling out, like, how much I'm drinking every day, it was like, whoa, you know-\ntherapist: Hm.\nclient: -like, I just didn't ever really think about it, like, that I was-- like, if I try to actually count the drinks, it's, kind of, a lot, I mean, it's, kind of, a lot.\ntherapist: You were pretty shocked at what you learned about your patterns.\n",FALSE,n/a,TRUE,0.7463229524437338
54,therapist,high,"Just a couple of miles. Mm. So you-- you know, you could, like, ride your bike or walk there, and it would be [unintelligible 00:01:12] too.","client: Uh, I belong to the-the Sport Fitness Center.\ntherapist: Okay. And-and how far away is it from your house?\nclient: Just a couple of miles.\ntherapist: Just a couple of miles. Mm. So you-- you know, you could, like, ride your bike or walk there, and it would be [unintelligible 00:01:12] too.\n",FALSE,n/a,TRUE,0.7464080958161503
46,therapist,high,Mm-hmm. Have you told your mother that you drink with your friends?,"client: Um, one time I missed first period of school 'cause I had a hangover and I was late getting up.\ntherapist: Mm-hmm.\nclient: Mm, mom got mad at me 'cause I wouldn't get out of bed and she said she knew I had a hangover.\ntherapist: Mm-hmm. Have you told your mother that you drink with your friends?\n",TRUE,closed,FALSE,0.7466153556015342
38,therapist,high,Would you be interested in perhaps thinking about setting a goal with respect to your drinking?,client: Mm-hmm.\ntherapist: Anything-anything else?\nclient: Mm-mm\ntherapist: Would you be interested in perhaps thinking about setting a goal with respect to your drinking?\n,TRUE,closed,FALSE,0.7467799030710012
102,therapist,low,And you've been talking about that a lot lately. So I really-,"client: Sure.\ntherapist: So what's something that you'd like to change or, um, work towards?\nclient: Well, [sighs] I've been thinking about working out lately. I really want to start working out again. It's-it's been in my mind, I know I need to do it. It's just getting the motivation to do it.\ntherapist: And you've been talking about that a lot lately. So I really-\n",FALSE,n/a,TRUE,0.7470172226894647
6,therapist,high,"I saw that your doctor made the referral and, um, and I really appreciate you taking the time to come and make that appointment.","therapist: Hi, Sal. Thanks for coming in today.\nclient: No problem.\ntherapist: I saw that your doctor made the referral and, um, and I really appreciate you taking the time to come and make that appointment.\n",FALSE,n/a,FALSE,0.7473611168097705
91,therapist,high,"Okay. So what I'm hearing you say is that, although you want to quit smoking in the next six months, you're feeling a bit, um, under-confident that you'll actually be able to do this and you're-you're worried about failing.","client: Mm-hmm. I-I don't know what I'm going to do about it.\ntherapist: Okay, okay. Now, have you thought about when you wanted to quit by?\nclient: I'm giving myself six months, six months and-and, uh, that seems like a long time away, but I have a feeling I'm going to fail at this point in time. I don't even have 50%, uh, faith in myself.\ntherapist: Okay. So what I'm hearing you say is that, although you want to quit smoking in the next six months, you're feeling a bit, um, under-confident that you'll actually be able to do this and you're-you're worried about failing.\n",FALSE,n/a,TRUE,0.7476147725246847
44,therapist,low,Okay. How long ago did you start playing saxophone?,"client: Yeah. I'm involved in music. So I'm also in the jazz band, the wind ensemble, and um, yeah, that's about—\ntherapist: Okay.\nclient: I'm an IB student.\ntherapist: Okay. How long ago did you start playing saxophone?\n",TRUE,open,FALSE,0.747789031593129
55,therapist,high,"Okay. Well, I don't see any redness. Um, can you go ahead and touch that Miguel, and tell me if it feels warm to you or if it hurts?","therapist: Okay. Well, I don't see any redness. Um, can you go ahead and touch that Miguel, and tell me if it feels warm to you or if it hurts?\ntherapist: Okay. Well, I don't see any redness. Um, can you go ahead and touch that Miguel, and tell me if it feels warm to you or if it hurts?\ntherapist: Okay. Well, I don't see any redness. Um, can you go ahead and touch that Miguel, and tell me if it feels warm to you or if it hurts?\ntherapist: Okay. Well, I don't see any redness. Um, can you go ahead and touch that Miguel, and tell me if it feels warm to you or if it hurts?\n",TRUE,open,FALSE,0.7479230121243745
21,therapist,high,Cool.,"client: Um, I'm not sure yet. Maybe a few schools in the area, I'm looking maybe to apply out-of-state.\ntherapist: Oh.\nclient: So, maybe move away for college.\ntherapist: Cool.\n",FALSE,n/a,FALSE,0.7487298287451267
2,therapist,high,"So, you realize, again, that if you decrease the amount of juice you're taking in, you're gonna decrease your weight, you're gonna feel better, and you're gonna impact your po- health positively?","client: Um, six or seven.\ntherapist: All right. So, you're not a zero. So, that tells me that you've got some confidence that this is doable, this is something you certainly can do it. Why are you not a zero?\nclient: I guess it's because I know that I need to do it to lose the weight.\ntherapist: So, you realize, again, that if you decrease the amount of juice you're taking in, you're gonna decrease your weight, you're gonna feel better, and you're gonna impact your po- health positively?\n",FALSE,n/a,TRUE,0.7487953861709684
66,therapist,high,"Hi, Mr. Stowe.","therapist: Hi, Mr. Stowe.\ntherapist: Hi, Mr. Stowe.\ntherapist: Hi, Mr. Stowe.\ntherapist: Hi, Mr. Stowe.\n",FALSE,n/a,FALSE,0.7489282372407615
84,therapist,high,-and really thinking about what's got you into trouble and hence something about what gets you into trouble.,client: Mmh.\ntherapist: So I know that you're kind of 25% interested-\nclient: Mmh.\ntherapist: -and really thinking about what's got you into trouble and hence something about what gets you into trouble.\n,FALSE,n/a,TRUE,0.7503920549061149
33,therapist,high,Would you like to-,"therapist: Okay, David. So, why don't you take a rinse, and how are you feeling?\nclient: Hmm, pretty good.\ntherapist: Would you like to-\n",TRUE,closed,FALSE,0.7505198218859732
95,therapist,high,So you were in a lot of pain?,"client: Yeah.\ntherapist: Yeah. You're-you're tired. You're stressed. You feel so sad to the point that you're hurting yourself physically so that you can feel something other than what you're feeling right now.\nclient: Yes. Sometimes a pain in-in the body. It's, uh, to [unintelligible 00:01:27] handle and-and the pain inside of me.\ntherapist: So you were in a lot of pain?\n",TRUE,closed,FALSE,0.7510946763213724
130,therapist,low,"Come on, Hailey. You're here because you thought he had pneumonia. You're telling me that Jake can't breathe, you're concerned about his breathing. And then you just slip in the fact that you're smoking cigarettes and you think there's no relationship? Do I really need to review all the risks of smoking in front of your-your child or exposing him to secondhand smoke not to mention the risks that you're posing to yourself and your own health?","therapist: Come on, Hailey. You're here because you thought he had pneumonia. You're telling me that Jake can't breathe, you're concerned about his breathing. And then you just slip in the fact that you're smoking cigarettes and you think there's no relationship? Do I really need to review all the risks of smoking in front of your-your child or exposing him to secondhand smoke not to mention the risks that you're posing to yourself and your own health?\ntherapist: Come on, Hailey. You're here because you thought he had pneumonia. You're telling me that Jake can't breathe, you're concerned about his breathing. And then you just slip in the fact that you're smoking cigarettes and you think there's no relationship? Do I really need to review all the risks of smoking in front of your-your child or exposing him to secondhand smoke not to mention the risks that you're posing to yourself and your own health?\ntherapist: Come on, Hailey. You're here because you thought he had pneumonia. You're telling me that Jake can't breathe, you're concerned about his breathing. And then you just slip in the fact that you're smoking cigarettes and you think there's no relationship? Do I really need to review all the risks of smoking in front of your-your child or exposing him to secondhand smoke not to mention the risks that you're posing to yourself and your own health?\ntherapist: Come on, Hailey. You're here because you thought he had pneumonia. You're telling me that Jake can't breathe, you're concerned about his breathing. And then you just slip in the fact that you're smoking cigarettes and you think there's no relationship? Do I really need to review all the risks of smoking in front of your-your child or exposing him to secondhand smoke not to mention the risks that you're posing to yourself and your own health?\n",TRUE,open,FALSE,0.7511198944412172
5,therapist,high,Mm.,"client: Yeah.\ntherapist: And I mentioned that's somewhere where you don't feel so confident, and I'm wondering what it would be like to feel confident with reading and writing. What difference would that make to your life?\nclient: Like, a big difference, but, like, it's not like I don't try.\ntherapist: Mm.\n",FALSE,n/a,FALSE,0.7515225626993924
38,therapist,high,"Yeah, it does. It sounds like a lot that you're trying to deal with, and it makes sense that you feel like you need some kind of break or reward.","client: Yeah, you know, it's hard trying to please customers all day. And then, at the same time, I'm-I'm worrying, am I making enough money to support my son, you know?\ntherapist: So, you're not only doing really tiring work and going to school, but you're also worrying about your finances.\nclient: Yeah, and then, you know, with going back to school, you know, I have to figure out how I'm going to pay for everything. So, you know, i-it's just a lot right now.\ntherapist: Yeah, it does. It sounds like a lot that you're trying to deal with, and it makes sense that you feel like you need some kind of break or reward.\n",FALSE,n/a,TRUE,0.7517857486382127
78,therapist,high,"Yeah, def-definitely would not. I mean, probably you saw the name corticosteroid and thought, ""uh-oh.""","client: Well, I-I guess I didn't realize that they weren't the same thing as the anabolic steroids.\ntherapist: Mm-hmm.\nclient: Which are the ones that cause all the problems and everything. So, um, if-if you can assure me that it's not going to have those same side effects and health problems-\ntherapist: Yeah, def-definitely would not. I mean, probably you saw the name corticosteroid and thought, ""uh-oh.""\n",FALSE,n/a,TRUE,0.7530619720928371
51,therapist,high,"So having shared that information with you, how do you feel about the idea of the flu vaccine?","client: Okay.\ntherapist: So you're right that you're young and healthy and you don't have a lot of complicating illnesses that mean that you would probably do okay if you got the flu. But we do know that the elderly are more at risk, pregnant people, babies are at risk of having serious complications from the flu, and by you getting the vaccine, that helps prevent you from passing it on to other people.\nclient: Okay.\ntherapist: So having shared that information with you, how do you feel about the idea of the flu vaccine?\n",TRUE,open,FALSE,0.7532807800453156
22,therapist,high,And you accept that?,client: Mm-hmm.\ntherapist: -so you know that it's going to change.\nclient: Yeah.\ntherapist: And you accept that?\n,TRUE,closed,FALSE,0.7541538644582033
52,therapist,high,Are you surprised what that might be true?,"client: Well, I'm not sure if this information is for me, since I've only been drinking once or twice.\ntherapist: I understand. You're just experimenting with alcohol. Then, how about if you share with me what the effects of alcohol are?\nclient: Well, all I really know is that it's not good for you.\ntherapist: Are you surprised what that might be true?\n",TRUE,closed,FALSE,0.7545278703328222
38,therapist,high,It's pretty exhausting work.,"client: Yeah. You know, I have a two-year-old son, and then, I work full-time. And, I also started going back to school. So, you know, just trying to juggle all that stuff. You know, it's tiring, and so, you know, at the end of the day, I just- I wanna relax and enjoy myself.\ntherapist: So, you're working, and then, on top of that, juggling being a single mom and going to school?\nclient: Yeah, and for work, you know, I'm a server. So, I'm on my feet all day, you know, and it's-it's really tiring.\ntherapist: It's pretty exhausting work.\n",FALSE,n/a,TRUE,0.7547075748443604
26,therapist,high,"Okay. yeah, it was weird when I, uh, got that report because for the most part since you've been here, uh, you'd been like, uh, model-model resident, uh, always making their bed, uh, been pretty, uh, respectful of the staff, of all the other residents. So, uh, is it something to do with you getting out in three weeks? It must be pretty hard.","client: [scoffs] Yeah.\ntherapist: What-what happened?\nclient: I don't know. Some of-- One of the officers, it's like he has it out for me or something. I don't- I don't know what it is. Something about me not making my bed, something about my attitude. I don't know, I just want my call, man.\ntherapist: Okay. yeah, it was weird when I, uh, got that report because for the most part since you've been here, uh, you'd been like, uh, model-model resident, uh, always making their bed, uh, been pretty, uh, respectful of the staff, of all the other residents. So, uh, is it something to do with you getting out in three weeks? It must be pretty hard.\n",TRUE,open,TRUE,0.7553019241895527
61,therapist,high,"A lot self-conscious, uh-huh.","client: So, it's-- it was-- I simply felt self-conscious.\ntherapist: Uh-huh. So, you thought it was beautiful and you liked the instructor, but you were a little self-conscious because you were in a chair?\nclient: A lot self-conscious.\ntherapist: A lot self-conscious, uh-huh.\n",FALSE,n/a,TRUE,0.7555890483781695
39,therapist,high,Chewing gum.,"therapist: It's the same thing. It's Wellbutrin, and when they found out by accident through what we call serendipity that you know what, Viagra. [laughs] That when- when people were on Wellbutrin that they tended to decrease and stop smoking, and, um, there were a couple of different reasons for that. Number one, people tend to get depressed when they quit smoking, because it puts you in such a state of deprivation and, um also-- well, so Wellbutrin really is a good antidepressant for them.\ntherapist: The other thing is its a slight stimulatory effect and when people go off nicotine which is a stimulant the-they tend to get pretty tired overheard-- you know it's the opposite of however the nicotine makes them feel. And the Wellbutrin kind of with stimul-- you know stimulatory enough. [crosstalk] [unintelligible 00:05:56] And I-- the last I've read, and I've not kept real current about it, but I'm wondering about the-- what your thoughts are if any about the-- any of the nicotine replacements like the gum patch, the inhaler.\nclient: Um, you know I'd be-- I've heard a little bit about them, but I mean I do know some people, but they're not exactly reliable, um, as far as you know really having a desire and sticking to it that they smoke on the patch and-and then it causes this you know extreme, you know? Like you're getting double the nicotine or whatever so it's almost like they're getting a buzz from it you know so that's my fear and the cost of the patch because it's not covered you know through your, um, your- your insurance and the Nicorette same thing it's very expensive you know. And I'm not really a gum sure but here I am because—\ntherapist: Chewing gum.\n",FALSE,n/a,FALSE,0.7561920834705234
29,therapist,high,"Food is meant to be enjoyed, and it's a source of pleasure. So I'd want to help you certainly look for ways to add more fruits and vegetables and-and things that nourish your body, but also look for ways to add pleasure-","client: So, like, for example, having like a-a set out meal plan, um, you know, where I'm eating certain food groups or certain macronutrients, for example, that wouldn't necessarily follow that same approach.\ntherapist: Yeah, I-I found in the past when working with clients that creating a prescriptive meal plan, um, tends to work for a few days, but then clients usually get really tired of the foods on there. Um, and so instead, I'm really more interested in equipping you to learn how to space your meals and snacks out in a way that makes your body feel energized. Um, and then I can also support you, you know, in looking at the grocery shopping patterns and the meal planning patterns that come alongside all of that. Um, so really teaching you how to do more of your own meal planning, um, to fuel your body in a way that gives you energy, but also in a way where you're really still enjoying food.\nclient: Mm-hmm.\ntherapist: Food is meant to be enjoyed, and it's a source of pleasure. So I'd want to help you certainly look for ways to add more fruits and vegetables and-and things that nourish your body, but also look for ways to add pleasure-\n",FALSE,n/a,FALSE,0.7563249412924051
37,therapist,high,No?,client: Yeah.\ntherapist: Okay.\nclient: I'm not sure.\ntherapist: No?\n,TRUE,closed,FALSE,0.756766913458705
54,therapist,high,"So when I see you next time, you know, that's what I'd like you to do is to, uh, experiment with getting up an hour earlier and, um-- You know, 'cause, uh, getting healthier is more important than sleep, you know. I mean, I know sleep is important, but-- And then bring that list back that we talked about.","client: Yeah. Okay.\ntherapist: Yeah.\nclient: All right.\ntherapist: So when I see you next time, you know, that's what I'd like you to do is to, uh, experiment with getting up an hour earlier and, um-- You know, 'cause, uh, getting healthier is more important than sleep, you know. I mean, I know sleep is important, but-- And then bring that list back that we talked about.\n",FALSE,n/a,FALSE,0.7571227606385946
130,therapist,low,"Come on, Hailey. You're here because you thought he had pneumonia. You're telling me that Jake can't breathe, you're concerned about his breathing. And then you just slip in the fact that you're smoking cigarettes and you think there's no relationship? Do I really need to review all the risks of smoking in front of your-your child or exposing him to secondhand smoke not to mention the risks that you're posing to yourself and your own health?","therapist: Come on, Hailey. You're here because you thought he had pneumonia. You're telling me that Jake can't breathe, you're concerned about his breathing. And then you just slip in the fact that you're smoking cigarettes and you think there's no relationship? Do I really need to review all the risks of smoking in front of your-your child or exposing him to secondhand smoke not to mention the risks that you're posing to yourself and your own health?\ntherapist: Come on, Hailey. You're here because you thought he had pneumonia. You're telling me that Jake can't breathe, you're concerned about his breathing. And then you just slip in the fact that you're smoking cigarettes and you think there's no relationship? Do I really need to review all the risks of smoking in front of your-your child or exposing him to secondhand smoke not to mention the risks that you're posing to yourself and your own health?\ntherapist: Come on, Hailey. You're here because you thought he had pneumonia. You're telling me that Jake can't breathe, you're concerned about his breathing. And then you just slip in the fact that you're smoking cigarettes and you think there's no relationship? Do I really need to review all the risks of smoking in front of your-your child or exposing him to secondhand smoke not to mention the risks that you're posing to yourself and your own health?\ntherapist: Come on, Hailey. You're here because you thought he had pneumonia. You're telling me that Jake can't breathe, you're concerned about his breathing. And then you just slip in the fact that you're smoking cigarettes and you think there's no relationship? Do I really need to review all the risks of smoking in front of your-your child or exposing him to secondhand smoke not to mention the risks that you're posing to yourself and your own health?\n",FALSE,n/a,FALSE,0.7575115747749805
28,therapist,high,Okay.,"client: Right, exactly.\ntherapist: Um, have there been some times in the past where you were able to quit smoking completely?\nclient: Only when I was in the hospital. [chuckles]\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.7580749162007123
61,therapist,high,Uh-huh.,"client: Yeah.\ntherapist: What do you think you need to do in order to be able to achieve that goal of getting home?\nclient: Well, they told me that I need to be able to walk down the hallway and back, even with the walker, being secure and not with the wobblies.\ntherapist: Uh-huh.\n",FALSE,n/a,FALSE,0.7587492617312819
64,therapist,high,Mm-hmm.,"client: Yeah.\ntherapist: -but you're not sure whether it's- whether-- just how bad it is or- and you're just wanting to check that out?\nclient: Yeah. Yeah. Yeah, 'cause, I mean, you know, they are my friends and-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.7591814196202904
12,therapist,high,"You've indicated that your alcohol consumption is a bit higher than that, putting you at risk. So that's why I asked if you'd be willing to talk to Dr. Kirtley.","client: Well, what-what for exactly?\ntherapist: Well, Dr. Kirtley is one of our counselors and he is an expert in-- at discussing the association between alcohol and stress. I want to share something with you. The National Guidelines recommend that women have no more than seven drinks of alcohol per week to-to stay at that low risk level, to avoid the healthcare concerns that we spoke of earlier.\nclient: Mm-hmm.\ntherapist: You've indicated that your alcohol consumption is a bit higher than that, putting you at risk. So that's why I asked if you'd be willing to talk to Dr. Kirtley.\n",FALSE,n/a,FALSE,0.7592581696808338
64,therapist,high,You're not sure that applies to you?,"client: -because they're fucked.\ntherapist: Mm-hmm.\nclient: And you kind of go, ""Woah. That's not me."" So it's about am I—\ntherapist: You're not sure that applies to you?\n",TRUE,closed,FALSE,0.7592725409194827
84,therapist,high,Hi Billy. How are you doing?,therapist: Hi Billy. How are you doing?\n,TRUE,open,FALSE,0.759310798253864
14,therapist,high,All right.,client: I know I can do it. Like I can do anything.\ntherapist: All right.\nclient: I can do anything-\ntherapist: All right.\n,FALSE,n/a,FALSE,0.7594447226729244
3,therapist,high,"Okay, and so what I'm hearing is that you don't feel like your health is concerning you right now, or anything like that?","client: Well see, my-my wife's been getting on me a lot lately about trying to improve my health habits, and I really don't see what the big problem is. I mean, I've been working real hard. Sometimes I can't come home for dinner, so I'm having to go out to eat at Applebee's or something like that, so-- but she seems to have a bigger problem, I really don't see what the big deal is.\ntherapist: Okay, and so what I'm hearing is that you don't feel like your health is concerning you right now, or anything like that?\n",TRUE,open,TRUE,0.7595442675519735
68,therapist,high,"Basically, my job is to meet with all of the students. I meet with everybody about once or twice a semester and just talk with you a little bit about how things are going, different behaviors that you might be engaging in, and thinking about any changes you might wanna make for your life if you decide that you do. It's not my job to change you. I couldn't even if I wanted to. That's not my role at all. It's really to help you think about, you know, how things are going for you and how you might like making changes or moving forward.","client: Hi. Thank you.\ntherapist: So I don't know how much you know already about sort of my role here and why you're even here. So I thought I'd start by telling you a little bit about myself.\nclient: Okay.\ntherapist: Basically, my job is to meet with all of the students. I meet with everybody about once or twice a semester and just talk with you a little bit about how things are going, different behaviors that you might be engaging in, and thinking about any changes you might wanna make for your life if you decide that you do. It's not my job to change you. I couldn't even if I wanted to. That's not my role at all. It's really to help you think about, you know, how things are going for you and how you might like making changes or moving forward.\n",FALSE,n/a,FALSE,0.7599944584071636
44,therapist,low,Wow. That's a long time. What other instruments?,"client: I'm an IB student.\ntherapist: Okay. How long ago did you start playing saxophone?\nclient: Well, saxophone. I started about four years ago, but I've been involved in music for about 10 years now, so.\ntherapist: Wow. That's a long time. What other instruments?\n",TRUE,open,FALSE,0.7611636689398438
28,therapist,high,"Um, have there been some times in the past where you were able to quit smoking completely?","client: -because, um, you know, um, being at my age I'm going through the menopause stage which is part, you know, you'll have that anyways and then having 15-year-old that causes a little bit more stress so you don't need any extra stress, I don't think, as far as I'm concerned.\ntherapist: So, it's already piled I'm thinking up for you, you don't need anything else so you're looking for some relief and not something to make you feel worse.\nclient: Right, exactly.\ntherapist: Um, have there been some times in the past where you were able to quit smoking completely?\n",TRUE,closed,FALSE,0.7624447154812515
77,therapist,high,You've heard of it?,"client: Not really.\ntherapist: Not really, okay. Well, have you ever heard of something called Tai Chi? Is that a familiar term to you?\nclient: Oh, yeah.\ntherapist: You've heard of it?\n",TRUE,closed,FALSE,0.7628992993850261
88,therapist,high,Not going to bed on time.,client: Exactly. Yup.\ntherapist: Great. What could maybe get in the way of you not getting up by 6:15?\nclient: [sighs] Not going to bed on time.\ntherapist: Not going to bed on time.\n,FALSE,n/a,TRUE,0.7635346124880016
41,therapist,high,How are you feeling today?,"therapist: So, thank you for coming in today.\nclient: Yes.\ntherapist: How are you feeling today?\n",TRUE,open,FALSE,0.7636633440852165
71,therapist,high,"Okay. So, you need some help to fill out the forms?","client: Yeah, I am. [chuckles]\ntherapist: Yeah? [chuckles] Yeah?\nclient: Yeah.\ntherapist: Okay. So, you need some help to fill out the forms?\n",TRUE,closed,FALSE,0.7641464474145323
67,therapist,high,"So when you think about these things, are there any things you would like to change about your marijuana use?","client: Well, I can get suspended and I would get kicked off the team, the basketball team.\ntherapist: So staying in school and playing on the basketball team is important to you?\nclient: Right.\ntherapist: So when you think about these things, are there any things you would like to change about your marijuana use?\n",TRUE,open,FALSE,0.7644680717494339
5,therapist,high,"So there's that on the one hand, but on the other hand, there's the kind of immediate, um, feeling when you've had a few to drink and you're with your mates and it feels like it would be a bit of a laugh?","client: Mm.\ntherapist: -kids and stuff like that and how you were saying that the offending doesn't fit in with that dream or that idea.\nclient: No.\ntherapist: So there's that on the one hand, but on the other hand, there's the kind of immediate, um, feeling when you've had a few to drink and you're with your mates and it feels like it would be a bit of a laugh?\n",FALSE,n/a,TRUE,0.7645077586639673
88,therapist,high,Great. What could maybe get in the way of you not getting up by 6:15?,"client: [sighs] She can after my alarm goes off, if I don't get up, she could come in and wake me up and remind me that I said to you that I'm going to get up so that I have to do it.\ntherapist: So it's almost like you want your mom to make it say that this is for you. It's not because your mom's making you get up like you want your mom to remind you, ""Hey, remember, this is something that you want for yourself is to be in time for first-hour class"".\nclient: Exactly. Yup.\ntherapist: Great. What could maybe get in the way of you not getting up by 6:15?\n",TRUE,open,FALSE,0.7645667667966336
23,therapist,high,Okay.,"client: Yeah, no, I-I always do that even if it's really hot or I wear just loads of layers and just 'cause otherwise I- I'll just be really sweaty and like, people would definitely be able to see, so.\ntherapist: Okay and how did it end?\nclient: Um, well, it kind of went on for like an hour or so, and then, um, people were going, um, just a-after every shoot people go out for drinks after just to kind of celebrate like that we've done it. I'd just- I went home straight away, just got on my car and went home. I just didn't want to be around them especially after they would've seen me being weird and I just wanted to get-get home straight away.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.7646228424273431
21,therapist,high,"Okay, you're kinda getting pressure from other people who are drinking, and it feels easier for you to-","client: Um, I pretty much just have a drink to just have it like, so it looks like I'm drinking, even though I'm not.\ntherapist: Hm.\nclient: So maybe people won't bug me about drinking or something.\ntherapist: Okay, you're kinda getting pressure from other people who are drinking, and it feels easier for you to-\n",FALSE,n/a,TRUE,0.7655204785987735
52,therapist,high,"Based on your reason for your visit today, I feel like you really wanted to play soccer, and you have great goals about that.","client: Yeah, and a couple of my friends drink too.\ntherapist: Well, you might not be drinking that much, and other kids are also trying alcohol. I'd like to share with you the risk of using. Alcohol and drugs could really harm you because your brain is still changing. It also-- you're very high risk for becoming addicted. Alcohol and drugs could also interfere with your role in life and your goals, especially in sports, and it could cause unintended sex. How do you feel about this information?\nclient: I really didn't think about how this would affect me playing sports.\ntherapist: Based on your reason for your visit today, I feel like you really wanted to play soccer, and you have great goals about that.\n",FALSE,n/a,TRUE,0.7657994516193867
39,therapist,high,I love it. Union break.,"client: Right. Exactly or you know like I'll do some work, and then I'm like okay you know as my ex-husband says Union break and it's a cigarette break. [laughs]\ntherapist: I've never heard of Union break. I love it how you said. I love it.\nclient: Yeah. Absolutely it's not my quote but he actually he would mind.\ntherapist: I love it. Union break.\n",FALSE,n/a,FALSE,0.7658629880752414
20,therapist,high,Where do you think we should go from here?,"client: I know- I know all the ways it's bad for me. And I don't want him to grow up thinking that it's okay to smoke. I don't want him to-to use any kind of-- I don't want him to chew or anything like that. Um, so I know I need to, especially before he gets old enough to understand what mommy's doing, but I just don't know if I can do it.\ntherapist: Okay. So it sounds like you have a lot of reasons why you'd like to quit. You have been successful quitting in the past, and right now you're just feeling a little bit hesitant about your ability to do it?\nclient: Yeah.\ntherapist: Where do you think we should go from here?\n",TRUE,open,FALSE,0.7661237383726984
64,therapist,high,Mm.,"client: Oh, I mean, e-even just now, you know, when you asked me how often.\ntherapist: That surprised you?\nclient: Mm. S-surprised me to-to think about, you know, when there's stuff, and you don't really think about it, but then if someone asked you, you know, how often or-- and then you kind of have to quantify it, I suppose it kinda sound shocking, you know, if I- if I imagine myself sort of saying, ""I do this, you know, a few times a week."" It-it-\ntherapist: Mm.\n",FALSE,n/a,FALSE,0.7661619824357331
56,therapist,high,Yeah.,therapist: Yeah.\ntherapist: Yeah.\ntherapist: Yeah.\ntherapist: Yeah.\n,FALSE,n/a,FALSE,0.7661798784974962
57,therapist,low,"Uh, I'm here to talk to you about, uh, your cholesterol and the, um, medicine your doctor prescribed.","therapist: Mr. Johnson?\nclient: Yeah?\ntherapist: Uh, I'm here to talk to you about, uh, your cholesterol and the, um, medicine your doctor prescribed.\n",FALSE,n/a,FALSE,0.7664302831981331
39,therapist,high,It's great,client: Yeah. Absolutely it's not my quote but he actually he would mind.\ntherapist: I love it. Union break.\nclient: Yeah\ntherapist: It's great\n,FALSE,n/a,FALSE,0.7667215219698846
64,therapist,high,Tell me about those things you're noticing that you hadn't noticed before.,client: Yeah. I suppose just since that kind of intervention thing or I started to give them the benefit of the doubt. And it's-\ntherapist: Yeah.\nclient: -maybe noticing some things that I hadn't noticed but—\ntherapist: Tell me about those things you're noticing that you hadn't noticed before.\n,TRUE,open,FALSE,0.7668773191981018
21,therapist,high,Hm.,"client: Well, just I guess, at a party or something, someone's house.\ntherapist: Uh-huh.\nclient: Or, even if it's not a party, like a small social gathering, maybe there'll be like a few beers around-\ntherapist: Hm.\n",FALSE,n/a,FALSE,0.7680769644211978
8,therapist,high,There are some medications and some different approaches that we can use that aren't so abrupt. Recognizing that it-it's going to take some time and practice to get to where you might want to be.,"client: Well, yeah, I mean, we've been married over 25 years, and uh, we've never had any major problems. Like this is-- this is the first problem. I don't even really see it as a problem cause we used to both smoke and I was trying to accommodate them by smoking outside, but it's feeling like we're going like this and I'm just concerned, like if this keeps going, like.\ntherapist: So, it strikes me that the way that we're talking about it, it's like it's all or nothing. Either you keep smoking the way you are, things continue to go downhill and get worse, your wife gets more and more on your case, or you put your cigarettes down starting the moment you walk in the door tonight and never pick them up again. It's almost like one or the other. It strikes me that as well there might be some middle ground here that it took you a long time to learn how to be a smoker and maybe it's going to take some time to learn how to stop smoking.\nclient: So, I can actually do it that way like gradual taber?\ntherapist: There are some medications and some different approaches that we can use that aren't so abrupt. Recognizing that it-it's going to take some time and practice to get to where you might want to be.\n",FALSE,n/a,FALSE,0.76854715985246
18,therapist,high,"Yeah, yeah. So, in terms of their behavior, like how did your behavior sort of match with their behavior? Are they much the same as you, are they different than you?","client: I don't know, I suppose it's lead me to be here, maybe. I don't know.\ntherapist: Yeah, yeah. Thinking about your friends, you know, how would you soft of think about your friends 'cause, you know, I guess you go out with your girlfriends and stuff.\nclient: Mm-hmm.\ntherapist: Yeah, yeah. So, in terms of their behavior, like how did your behavior sort of match with their behavior? Are they much the same as you, are they different than you?\n",TRUE,open,FALSE,0.768852224573493
91,therapist,high,"All right. So it sounds like you've been smoking for such a long time and then this diagnosis was given to you, uh, and now that's really causing you to be afraid and frightened.","client: I'm- I'm really scared, uh, 'cause I don't feel well.\ntherapist: Mm-hmm.\nclient: I haven't felt well for a while. I'm getting coughing fits even when I'm on the telephone with customers.\ntherapist: All right. So it sounds like you've been smoking for such a long time and then this diagnosis was given to you, uh, and now that's really causing you to be afraid and frightened.\n",FALSE,n/a,TRUE,0.7702350018080324
92,therapist,low,"Okay, well, I-I hope you really listen to what I'm telling you about her using that chronic inhaler, and I hope you consider quitting smoking.","client: Okay, I-I am not going to allow her to take any kind of steroid. I am not going to allow that to happen. She's my daughter. She's my responsibility, and I'm not going to allow that to happen, and I absolutely make sure that the smoking does not affect her.\ntherapist: Okay, I, you know, I-I don't want to argue with you about this. I-I know that if you-you know, and if you want to keep Sarah out of the emergency room, uh, I-I just wish you'd heed what I'm saying. She needs to use that chronic inhaler every day to get her- to get her asthma under control, and the smoke on your clothes and the smoking flares her asthma up. So she really needs to use that chronic inhaler, and you really need to think about quitting smoking.\nclient: Fine. I'm in a really big hurry, and I need to get those prescriptions filled as soon as possible, please.\ntherapist: Okay, well, I-I hope you really listen to what I'm telling you about her using that chronic inhaler, and I hope you consider quitting smoking.\n",FALSE,n/a,FALSE,0.7703180848620832
130,therapist,low,"So it sounds like if you have alcohol, then smoking is very difficult to avoid and you know what you need to do. You need to go home and as your-your son's doctor, I need to tell you you need to go home and throw out those cigarettes. You need to quit.","client: Well, you know, I-I was doing perfectly well. It was just when I went out with my friends and, you know, usually, I'm fine with the cravings. It's just when I have a glass of wine at the end of the day. And if I have more than two or three, I just get that craving for a cigarette. And if I have cigarettes in the house, it just happens. You know, I'm doing pretty good.\nclient: Well, you know, I-I was doing perfectly well. It was just when I went out with my friends and, you know, usually, I'm fine with the cravings. It's just when I have a glass of wine at the end of the day. And if I have more than two or three, I just get that craving for a cigarette. And if I have cigarettes in the house, it just happens. You know, I'm doing pretty good.\nclient: Well, you know, I-I was doing perfectly well. It was just when I went out with my friends and, you know, usually, I'm fine with the cravings. It's just when I have a glass of wine at the end of the day. And if I have more than two or three, I just get that craving for a cigarette. And if I have cigarettes in the house, it just happens. You know, I'm doing pretty good.\ntherapist: So it sounds like if you have alcohol, then smoking is very difficult to avoid and you know what you need to do. You need to go home and as your-your son's doctor, I need to tell you you need to go home and throw out those cigarettes. You need to quit.\n",FALSE,n/a,TRUE,0.7706981573719531
47,therapist,high,My guess is you're probably involved in that.,client: It's not really any of your business.\ntherapist: So nothing you want to talk about right now?\nclient: Mm-hmm.\ntherapist: My guess is you're probably involved in that.\n,FALSE,n/a,TRUE,0.7707624239847064
55,therapist,high,"Do you mind if I take a look at your arm, please?","client: Uh, mostly in my left arm.\nclient: Uh, mostly in my left arm.\ntherapist: Do you mind if I take a look at your arm, please?\ntherapist: Do you mind if I take a look at your arm, please?\n",TRUE,closed,FALSE,0.7710760261397809
49,therapist,high,"-wasn't that-- Is that right? Yeah? So, ""Do I live a party lifestyle-- party-girl kind of lifestyle, or am I got some other dreams to follow?"" So, they're hard calls to make. And-and it all-- And there are no three ways. We will have to make those calls at some point.","client: Yeah.\ntherapist: Yeah? Yeah. ""Do I continue with the, you know, my little current lifestyle,"" and you are so much the party girl you used to be-- I was speaking to last time-\nclient: [chuckles]\ntherapist: -wasn't that-- Is that right? Yeah? So, ""Do I live a party lifestyle-- party-girl kind of lifestyle, or am I got some other dreams to follow?"" So, they're hard calls to make. And-and it all-- And there are no three ways. We will have to make those calls at some point.\n",FALSE,n/a,TRUE,0.7716142009012401
48,therapist,high,Uh-huh.,"client: That one I haven't shared yet.\ntherapist: Uh-huh.\nclient: So, I guess I'll make it short to exactly the incident 'cause I know we can't avoid it now. Uh, yeah, well, that one what happened was I-I was invited to my first party in this crew-\ntherapist: Uh-huh.\n",FALSE,n/a,FALSE,0.7716671330854297
66,therapist,high,How are you doing today? I'm Bruce Berger.,therapist: How are you doing today? I'm Bruce Berger.\ntherapist: How are you doing today? I'm Bruce Berger.\ntherapist: How are you doing today? I'm Bruce Berger.\ntherapist: How are you doing today? I'm Bruce Berger.\n,TRUE,open,FALSE,0.7719064641278237
20,therapist,high,Okay. But it sounds to me too like part of you really does want to quit?,"client: No, I mean, we're two separate people. And like I said, I don't, I try really hard not to smoke around him. I'm pretty good about that. I-I don't let other people smoke around him. Um, so I, you know.\ntherapist: You're doing the best you can do.\nclient: Yes.\ntherapist: Okay. But it sounds to me too like part of you really does want to quit?\n",FALSE,n/a,TRUE,0.772399305133149
45,therapist,high,Your freedom?,"client: Mm-hmm.\ntherapist: Um, and I know some clients have expressed just really valuing their freedom. They didn't realize how much they really valued that until it was gone.\nclient: Right, I think that's the only thing that I wish I had now.\ntherapist: Your freedom?\n",TRUE,closed,FALSE,0.7725547342561185
37,therapist,high,Mm-hmm.,"client: Um, but we'll see how it goes.\ntherapist: Okay. So what do you think you're gonna need to do to show her and others, uh, to convince them that you are serious?\nclient: I need to, um, I need to see all these things that I've started to put into action, I need to see them through to the end.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.7726046137977391
14,therapist,high,Okay?,"client: But I know when I go home and I see the food, it's probably gonna drop back down to a four.\ntherapist: Okay. All right. So, let's talk about that, um, so we should just assume we're gonna be at a four.\nclient: Right?\ntherapist: Okay?\n",TRUE,closed,FALSE,0.7728646495379508
130,therapist,low,"So it sounds like if you have alcohol, then smoking is very difficult to avoid and you know what you need to do. You need to go home and as your-your son's doctor, I need to tell you you need to go home and throw out those cigarettes. You need to quit.","client: Well, you know, I-I was doing perfectly well. It was just when I went out with my friends and, you know, usually, I'm fine with the cravings. It's just when I have a glass of wine at the end of the day. And if I have more than two or three, I just get that craving for a cigarette. And if I have cigarettes in the house, it just happens. You know, I'm doing pretty good.\ntherapist: So it sounds like if you have alcohol, then smoking is very difficult to avoid and you know what you need to do. You need to go home and as your-your son's doctor, I need to tell you you need to go home and throw out those cigarettes. You need to quit.\ntherapist: So it sounds like if you have alcohol, then smoking is very difficult to avoid and you know what you need to do. You need to go home and as your-your son's doctor, I need to tell you you need to go home and throw out those cigarettes. You need to quit.\ntherapist: So it sounds like if you have alcohol, then smoking is very difficult to avoid and you know what you need to do. You need to go home and as your-your son's doctor, I need to tell you you need to go home and throw out those cigarettes. You need to quit.\n",FALSE,n/a,FALSE,0.7730984941590577
15,therapist,low,"We don't really recommend that. The idea is you would use the nicotine replacement to actually quit, so then you wouldn't be smoking at work, but you also wouldn't be smoking the rest of the time either.","client: Uh, yeah. I just got off work, and apparently, they're going smoke-free, so I'm-- I-I thought I'd stop by the pharmacy here and see what my options are. Some of my friends have tried nicotine patches and the-- they say they don't work really well. I don't really wanna quit smoking, I just need something to get me through the day.\ntherapist: So you want nicotine replacement, but you don't wanna quit smoking?\nclient: Maybe like da-- during the day nicotine replacement. Is that-- I mean, do you have anything like that?\ntherapist: We don't really recommend that. The idea is you would use the nicotine replacement to actually quit, so then you wouldn't be smoking at work, but you also wouldn't be smoking the rest of the time either.\n",FALSE,n/a,FALSE,0.7733268728479743
36,therapist,high,Right.,"client: Well, uh, Dr. Brown gave me some muscle relaxants at the beginning.\ntherapist: Mm-hmm.\nclient: Um, but I've been to the health shop and-and they've been really helpful. They've given me lots of different, um, tablets and medicines-\ntherapist: Right.\n",FALSE,n/a,FALSE,0.773422806058079
28,therapist,high,"So, it's become harder to be a smoker. You light up a cigarette-cigarette and people make assumptions about you.","client: Mm.\ntherapist: It wasn't like that for sure 30 years ago.\nclient: Mm-hmm.\ntherapist: So, it's become harder to be a smoker. You light up a cigarette-cigarette and people make assumptions about you.\n",FALSE,n/a,TRUE,0.7734932366292924
44,therapist,low,Okay.,"client: You know, getting to work with my other classmates and things like that. And putting on this entire show-\ntherapist: Uh-huh.\nclient: -it's very exciting, very exhilarating once you're in competition.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.774990868056193
84,therapist,high,"Yeah, okay. So I guess the invitation for both of us really over the next few months of, um, on the sentence is for us to get an understanding about what it's like to be you.","client: Yeah.\ntherapist: You're right. I don't know what it's like to be you and what I'm getting a sense of is that it's actually important that the person sitting opposite you in this role needs to understand what it's like to be you. Is that right?\nclient: Yeah.\ntherapist: Yeah, okay. So I guess the invitation for both of us really over the next few months of, um, on the sentence is for us to get an understanding about what it's like to be you.\n",FALSE,n/a,TRUE,0.7757241325452924
4,therapist,high,"Um, what would- what would make you decide, ""This is something that's not right for me?""","client: I guess I'm not paying attention to it.\ntherapist: Yeah. There's certainly been-- There's no problems and you, as you said, only have had it for a short time.\nclient: Mm-hmm.\ntherapist: Um, what would- what would make you decide, ""This is something that's not right for me?""\n",TRUE,open,FALSE,0.7758233626373112
45,therapist,high,"Um, and-and I'm sure that does seem kind of confusing too 'cause I'm sure you've got a lot of other people involved in your life right now with the courts I'm sure, I know that your mom is concerned about you as well and there's this one other person kinda checking in on you as well.","client: Yeah. I mean I guess I'll be here if I have to be but I can't make any promises that I won't leave.\ntherapist: So you're still kinda concerned that you're not quite sure if you will be able to do this successfully?\nclient: No, 'cause this just kinda feels like why do you need to know my business? Why do you care?\ntherapist: Um, and-and I'm sure that does seem kind of confusing too 'cause I'm sure you've got a lot of other people involved in your life right now with the courts I'm sure, I know that your mom is concerned about you as well and there's this one other person kinda checking in on you as well.\n",FALSE,n/a,TRUE,0.7758939929772168
18,therapist,high,"And, yeah, it might be an issue, I don't know if it's an issue at this point. It'll be interesting to sort of talk about that. But I'm wondering what happens, yeah, when-when you get on the pokies out there, they're certainly at the pub, pokies around? So what happens in your body when, um—","client: It's the unlucky ones.\ntherapist: Yeah, you might be lucky then. So-so what do you reckon like in terms of like you're saying you're not sort of sure if that's an issue, and that's probably something that we can be working with, uh, figure it is an issue.\nclient: Mm.\ntherapist: And, yeah, it might be an issue, I don't know if it's an issue at this point. It'll be interesting to sort of talk about that. But I'm wondering what happens, yeah, when-when you get on the pokies out there, they're certainly at the pub, pokies around? So what happens in your body when, um—\n",TRUE,open,FALSE,0.7764450823888183
56,therapist,high,"Hi, Mrs. Smith. I'm Denise. I'm the social worker here at the clinic work that's working with Dr. Fields and the rest of the team. And, um, I know you were here to see Dr. Fields today, and I-I just wanted to let you know, I usually work with people who are similar to- have situations similar to you, and that have gone back home from rehab. And, uh, so I'd like to find out a little bit if you would, if that's okay, about how it's been going since you got home.","therapist: Hi, Mrs. Smith. I'm Denise. I'm the social worker here at the clinic work that's working with Dr. Fields and the rest of the team. And, um, I know you were here to see Dr. Fields today, and I-I just wanted to let you know, I usually work with people who are similar to- have situations similar to you, and that have gone back home from rehab. And, uh, so I'd like to find out a little bit if you would, if that's okay, about how it's been going since you got home.\ntherapist: Hi, Mrs. Smith. I'm Denise. I'm the social worker here at the clinic work that's working with Dr. Fields and the rest of the team. And, um, I know you were here to see Dr. Fields today, and I-I just wanted to let you know, I usually work with people who are similar to- have situations similar to you, and that have gone back home from rehab. And, uh, so I'd like to find out a little bit if you would, if that's okay, about how it's been going since you got home.\n",TRUE,open,FALSE,0.7765828303527087
58,therapist,high,[inaudible 00:06:01],client: Yeah. Maybe.\ntherapist: [inaudible 00:05:55]\nclient: That might not be be a bad idea. [inaudible 00:05:59]\ntherapist: [inaudible 00:06:01]\n,FALSE,n/a,FALSE,0.7767074885778129
55,therapist,high,"Miguel, before we end the call, I did want to go over the answers you gave me on the questionnaire about drug use. Is it okay if we go over that right now?","therapist: Miguel, before we end the call, I did want to go over the answers you gave me on the questionnaire about drug use. Is it okay if we go over that right now?\ntherapist: Miguel, before we end the call, I did want to go over the answers you gave me on the questionnaire about drug use. Is it okay if we go over that right now?\ntherapist: Miguel, before we end the call, I did want to go over the answers you gave me on the questionnaire about drug use. Is it okay if we go over that right now?\ntherapist: Miguel, before we end the call, I did want to go over the answers you gave me on the questionnaire about drug use. Is it okay if we go over that right now?\n",TRUE,closed,FALSE,0.7767628061119467
30,therapist,high,All right.,"client: Yeah, I guess so.\ntherapist: Okay. Well, you know I will be back later. If any questions would arise, we can always talk about that then. Um, otherwise, again, I will have to write a violation, and, um, if you have any questions or need anything from me, please let me know. Um, otherwise, again, I'll be back later today.\nclient: Okay.\ntherapist: All right.\n",FALSE,n/a,FALSE,0.776929248124361
85,therapist,high,So you feel slow.,"client: Well, I feel like it's taken part of my personality and just thrown it away. I don't really feel like I'm all there, right. You know, like, um, I like to be spontaneous and funny, and-and all that night, and I- and I don't-- You know, by the time I come up with a-a funny remark to the situation, everybody's left the room, and-[laughter]-stuff like that. And-and-- [chuckles]\ntherapist: It's really, your timing is [unintelligible 00:03:13]\nclient: Absolutely.\ntherapist: So you feel slow.\n",FALSE,n/a,TRUE,0.777152864728123
35,therapist,high,"Great. Well, let me see if I've got this all. You came to Arizona six months ago, you're trying to figure out new rhythms and patterns for yourself. You're looking back at the past few years, and in college, you were real active because you were an athlete, and now it's more up to you about making that choice of physical activity, and you're discovering that, um, not being active has affected your energy level and your mood, and that's something you're looking for more of, both of those things, energy and-and a mood booster.","client: Just, I'm-I'm just happier and more upbeat and I think that even my outlook is more positive. So like, if I'm sitting in traffic, and I haven't been physically active, I'll probably grumble about it but if I'm sitting in traffic, and I have been, it's like, I just have a different outlook on things and I already feel like I've gotten something accomplished that day. So it just kind of like helps with that ripple effect into my day of like getting more things done.\ntherapist: Yeah, you feel more accomplished and-and you feel less irritated by the small stuff.\nclient: Mm-hmm. Yeah, exactly.\ntherapist: Great. Well, let me see if I've got this all. You came to Arizona six months ago, you're trying to figure out new rhythms and patterns for yourself. You're looking back at the past few years, and in college, you were real active because you were an athlete, and now it's more up to you about making that choice of physical activity, and you're discovering that, um, not being active has affected your energy level and your mood, and that's something you're looking for more of, both of those things, energy and-and a mood booster.\n",FALSE,n/a,TRUE,0.7772972409147769
53,therapist,low,Okay. What classes are you not getting A's and B's in?,"client: Yeah. Thanks.\ntherapist: It's, uh, hard work to get into law school. Are you doing well in school? What kind of grades do you get?\nclient: Yeah, I'm doing okay. I'm getting mostly A's and B's, so I'm pretty good, I'm okay.\ntherapist: Okay. What classes are you not getting A's and B's in?\n",TRUE,closed,FALSE,0.7774797917809337
56,therapist,high,Yeah. What are you really glad about?,"client: Yeah. Um, I'm glad to be there.\nclient: Yeah. Um, I'm glad to be there.\ntherapist: Yeah. What are you really glad about?\ntherapist: Yeah. What are you really glad about?\n",TRUE,open,FALSE,0.7775142188183963
123,therapist,low,"What do you mean, maybe? I just told you how bad it is for you. It's messing up your mouth, you're putting yourself at risk for all these other diseases. This is really important. You need to quit.","client: I didn't really think that it was anything more than just like social drinking, just something that I do in a social setting when me and my friends go out to the bars.\ntherapist: So you're gonna quit then?\nclient: Uh, maybe.\ntherapist: What do you mean, maybe? I just told you how bad it is for you. It's messing up your mouth, you're putting yourself at risk for all these other diseases. This is really important. You need to quit.\n",FALSE,n/a,FALSE,0.7776988153345883
10,therapist,low,"So, uh, you know, we-we need to start looking at doing all those different things to get your diabetes under control 'cause your-your number is very high.","client: That's, uh, that's a huge amount of stuff to do and, I'm not- I'm not certain I can do all that, and on top of it, it's-it's-- if I don't get it all done, all this stuff happens to me?\ntherapist: So, it sure can.\nclient: [sighs]\ntherapist: So, uh, you know, we-we need to start looking at doing all those different things to get your diabetes under control 'cause your-your number is very high.\n",FALSE,n/a,FALSE,0.7784131616353989
36,therapist,high,Right. Okay. It sounds like you-you've had these problems now for about four years.,"client: I just don't think he's got to the bottom of it.\ntherapist: Right. So you feel as though actually, enough hasn't been done in the way of-of tests?\nclient: No, he's not. There's loads more he could do. I'm sure.\ntherapist: Right. Okay. It sounds like you-you've had these problems now for about four years.\n",FALSE,n/a,TRUE,0.7787189725786448
83,therapist,high,"Oh, so you've been here a while?","client: Mm-hmm. Country boy.\ntherapist: Country boy. Been up in Christchurch how long?\nclient: I've been up here since I was 18.\ntherapist: Oh, so you've been here a while?\n",TRUE,closed,FALSE,0.7793950205668807
54,therapist,high,"Well, I don't know about that. Um. That-- you know, it's really important that you get your, um, not just your cardiovascular-- that's a good idea for the cardiovascular, but also, you know, your, um, weightlifting, the [inaudible 00:01:32] [crosstalk]","client: Just a couple of miles.\ntherapist: Just a couple of miles. Mm. So you-- you know, you could, like, ride your bike or walk there, and it would be [unintelligible 00:01:12] too.\nclient: If I walked that far, I probably wouldn't even need to go to the gym, right?\ntherapist: Well, I don't know about that. Um. That-- you know, it's really important that you get your, um, not just your cardiovascular-- that's a good idea for the cardiovascular, but also, you know, your, um, weightlifting, the [inaudible 00:01:32] [crosstalk]\n",FALSE,n/a,FALSE,0.7797899597790092
76,therapist,high,"So, would you like to express more on the inner harmony part of how that affects your life?","client: Yeah, it's just funny how it came out that it wasn't in the top 12. But then when I look at it again it had something to do with, um, peace, uh, inner peace or something or something in there.\ntherapist: Mm-hmm.\nclient: And, um, I put that as a higher priority, or top of my value list.\ntherapist: So, would you like to express more on the inner harmony part of how that affects your life?\n",TRUE,closed,FALSE,0.7801930562127382
20,therapist,high,Sure.,client: I would like that. That would be great.\ntherapist: Great.\nclient: Thank you.\ntherapist: Sure.\n,FALSE,n/a,FALSE,0.7808445333503187
55,therapist,high,"Okay. Well, I don't see any redness. Um, can you go ahead and touch that Miguel, and tell me if it feels warm to you or if it hurts?","therapist: Okay. Well, I don't see any redness. Um, can you go ahead and touch that Miguel, and tell me if it feels warm to you or if it hurts?\ntherapist: Okay. Well, I don't see any redness. Um, can you go ahead and touch that Miguel, and tell me if it feels warm to you or if it hurts?\ntherapist: Okay. Well, I don't see any redness. Um, can you go ahead and touch that Miguel, and tell me if it feels warm to you or if it hurts?\ntherapist: Okay. Well, I don't see any redness. Um, can you go ahead and touch that Miguel, and tell me if it feels warm to you or if it hurts?\n",TRUE,closed,FALSE,0.7811393905431032
61,therapist,high,Mm-hmm.,"client: Yeah, and the arrangement, arrangements a little complicated.\ntherapist: Uh-huh. So, how confident are you on a scale of 1 to 10 with one being not at all confident and 10 being very confident that you can make the arrangements in order to get to tai chi.\nclient: That I can make the arrangement?\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.7817033990286291
58,therapist,high,"So sometimes-- almost sounds like, um, your feedback would be, uh, useful to you. Like some immediate feedback in terms of like, um, like [inaudible 00:05:53]","client: Plus there's people who have done that countless times and you can go read what their-\ntherapist: Mm-hmm.\nclient: -regimen was so you get feedback too. And then [unintelligible 00:05:37] did this from this day and so on.\ntherapist: So sometimes-- almost sounds like, um, your feedback would be, uh, useful to you. Like some immediate feedback in terms of like, um, like [inaudible 00:05:53]\n",FALSE,n/a,TRUE,0.7817544681020081
85,therapist,high,"So, tell me a little bit about what you don't like about- what you've noticed about it?","client: It is.\ntherapist: So you said the-the first one you said, you don't like the way it makes you feel?\nclient: Right.\ntherapist: So, tell me a little bit about what you don't like about- what you've noticed about it?\n",TRUE,open,FALSE,0.7819351246580482
63,therapist,high,"Yeah, you know, I'm concerned bout it too and I'd actually recommend that you stop using Methamphetamine altogether. And, um, there-there are a lot of reasons for this but that's-that's would be my recommendation.","client: Yeah.\ntherapist: Anything else happening with Methamphetamine in your life? Is it affecting you in any way?\nclient: No, I mean, no. I mean, like I said, I only do it in clubs, you know, with my friends, uh, two or three times a month at-at the most. Um, uh, I don't think it's really having other impacts. But I'm-I'm concerned about this one. I never expected to get gonorrhea.\ntherapist: Yeah, you know, I'm concerned bout it too and I'd actually recommend that you stop using Methamphetamine altogether. And, um, there-there are a lot of reasons for this but that's-that's would be my recommendation.\n",FALSE,n/a,FALSE,0.7822011136449873
66,therapist,high,"So you just- you just saw the doctor and, uh, you know, you sound like you just got blindsided, uh, with, uh, not only how, how frightening this seems that you have diabetes and that, uh, she-- you say she told you a whole lot of things that can happen with your eyes and circulation and all those kinds of things.","therapist: So you just- you just saw the doctor and, uh, you know, you sound like you just got blindsided, uh, with, uh, not only how, how frightening this seems that you have diabetes and that, uh, she-- you say she told you a whole lot of things that can happen with your eyes and circulation and all those kinds of things.\ntherapist: So you just- you just saw the doctor and, uh, you know, you sound like you just got blindsided, uh, with, uh, not only how, how frightening this seems that you have diabetes and that, uh, she-- you say she told you a whole lot of things that can happen with your eyes and circulation and all those kinds of things.\ntherapist: So you just- you just saw the doctor and, uh, you know, you sound like you just got blindsided, uh, with, uh, not only how, how frightening this seems that you have diabetes and that, uh, she-- you say she told you a whole lot of things that can happen with your eyes and circulation and all those kinds of things.\ntherapist: So you just- you just saw the doctor and, uh, you know, you sound like you just got blindsided, uh, with, uh, not only how, how frightening this seems that you have diabetes and that, uh, she-- you say she told you a whole lot of things that can happen with your eyes and circulation and all those kinds of things.\n",FALSE,n/a,TRUE,0.78243753663264215
130,therapist,low,"Come on, Hailey. You're here because you thought he had pneumonia. You're telling me that Jake can't breathe, you're concerned about his breathing. And then you just slip in the fact that you're smoking cigarettes and you think there's no relationship? Do I really need to review all the risks of smoking in front of your-your child or exposing him to secondhand smoke not to mention the risks that you're posing to yourself and your own health?","therapist: Come on, Hailey. You're here because you thought he had pneumonia. You're telling me that Jake can't breathe, you're concerned about his breathing. And then you just slip in the fact that you're smoking cigarettes and you think there's no relationship? Do I really need to review all the risks of smoking in front of your-your child or exposing him to secondhand smoke not to mention the risks that you're posing to yourself and your own health?\ntherapist: Come on, Hailey. You're here because you thought he had pneumonia. You're telling me that Jake can't breathe, you're concerned about his breathing. And then you just slip in the fact that you're smoking cigarettes and you think there's no relationship? Do I really need to review all the risks of smoking in front of your-your child or exposing him to secondhand smoke not to mention the risks that you're posing to yourself and your own health?\ntherapist: Come on, Hailey. You're here because you thought he had pneumonia. You're telling me that Jake can't breathe, you're concerned about his breathing. And then you just slip in the fact that you're smoking cigarettes and you think there's no relationship? Do I really need to review all the risks of smoking in front of your-your child or exposing him to secondhand smoke not to mention the risks that you're posing to yourself and your own health?\ntherapist: Come on, Hailey. You're here because you thought he had pneumonia. You're telling me that Jake can't breathe, you're concerned about his breathing. And then you just slip in the fact that you're smoking cigarettes and you think there's no relationship? Do I really need to review all the risks of smoking in front of your-your child or exposing him to secondhand smoke not to mention the risks that you're posing to yourself and your own health?\n",TRUE,closed,FALSE,0.7824676951859146
130,therapist,low,"No, wait a minute. That has everything to do with what we're talking about. I can't believe at the end of this appointment, you're just slipping in the fact that you've resumed smoking again. That's very, very important information for me to know. And I'd like to spend some time talking about it now.","therapist: No, wait a minute. That has everything to do with what we're talking about. I can't believe at the end of this appointment, you're just slipping in the fact that you've resumed smoking again. That's very, very important information for me to know. And I'd like to spend some time talking about it now.\ntherapist: No, wait a minute. That has everything to do with what we're talking about. I can't believe at the end of this appointment, you're just slipping in the fact that you've resumed smoking again. That's very, very important information for me to know. And I'd like to spend some time talking about it now.\ntherapist: No, wait a minute. That has everything to do with what we're talking about. I can't believe at the end of this appointment, you're just slipping in the fact that you've resumed smoking again. That's very, very important information for me to know. And I'd like to spend some time talking about it now.\ntherapist: No, wait a minute. That has everything to do with what we're talking about. I can't believe at the end of this appointment, you're just slipping in the fact that you've resumed smoking again. That's very, very important information for me to know. And I'd like to spend some time talking about it now.\n",FALSE,n/a,FALSE,0.7835211416240782
53,therapist,low,"Yeah, so, there, I mean, a lot of the other dangers of drinking, like, um, not just car accidents, but you can have other accidents, you know, people, um, you know, will fall or, um, you know, break things or a lot of people actually end up breaking their bones and ending up in the emergency room because they've been drunk and falling down or, you know, as a girl, it's really important too that you're careful because you could be sexually assaulted.","client: Not really closely, like, I know who they are and I'll say hi, but not-- They're not really, like, close friends of mine.\ntherapist: Mm-hmm, so, you know, even just hanging out around kids who are drinking a lot actually puts you at a lot more risk. Did you know that?\nclient: Um, yeah. That makes sense.\ntherapist: Yeah, so, there, I mean, a lot of the other dangers of drinking, like, um, not just car accidents, but you can have other accidents, you know, people, um, you know, will fall or, um, you know, break things or a lot of people actually end up breaking their bones and ending up in the emergency room because they've been drunk and falling down or, you know, as a girl, it's really important too that you're careful because you could be sexually assaulted.\n",FALSE,n/a,FALSE,0.7840961059555411
6,therapist,high,"Well, we have about, I guess, 15 or 20 minutes together and I wonder, would it be okay, if we took a couple of minutes and just kind of looked at all of the different things that are going on for you and maybe you can let me know, what would be the most helpful to spend-spend some time on?","client: Yeah, it's a lot.\ntherapist: Almost overwhelming it sounds like.\nclient: Yeah, yeah, it is overwhelming. It is.\ntherapist: Well, we have about, I guess, 15 or 20 minutes together and I wonder, would it be okay, if we took a couple of minutes and just kind of looked at all of the different things that are going on for you and maybe you can let me know, what would be the most helpful to spend-spend some time on?\n",TRUE,closed,FALSE,0.7841093826573342
64,therapist,high,Right.,"client: Yeah.\ntherapist: -um, but it's great to see you, and so maybe a good point to start with is, tell me why you're here.\nclient: Sure. Um, I guess, you know, maybe two or three weeks ago, I had sort of like this group of friends come around to my place, and um, you know, they-they were sort of saying that it was just like a night to hang out and watch DVDs and stuff, and then they sort of sat me down and were like, ""You know, maybe you need to get a bit of help for, you know, drug stuff."" Then, you know, I was sort of like, ""Well, mm."" And I was quite annoyed by that at first, but I-I suppose, you know, I thought about it for a bit and then I was like, ""Well, I guess it can't hurt to talk to someone about it, maybe.""\ntherapist: Right.\n",FALSE,n/a,FALSE,0.7844078578054905
2,therapist,high,"Oh, I understand. Let me ask you this, on a scale from 0 to 10, 0 meaning that there's no way you can do it, and 10 meaning that you're 100% confident that you can do it, how confident are you that you'll be able to reduce the amount of juice you're currently taking in.","client: Well, this changes quite a bit. I mean, here I'm thinking that my fruit intake is making me healthier and actually it's making me fatter.\ntherapist: Indeed. Let me ask you something, knowing what you know now, how important is it to you to lose the weight by decreasing the amount of juice that you're currently taking in?\nclient: Obviously, I need to cut back on the fruit juice. But boy, do I love that OJ.\ntherapist: Oh, I understand. Let me ask you this, on a scale from 0 to 10, 0 meaning that there's no way you can do it, and 10 meaning that you're 100% confident that you can do it, how confident are you that you'll be able to reduce the amount of juice you're currently taking in.\n",TRUE,open,FALSE,0.7846927756909281
95,therapist,high,"Oh, thank you, Ruth. Thank you for coming today.","client: Um, I don't know. I don't know. It's just, um, I'm not sure I can.\ntherapist: You're not sure. So you have a lot of on your mind right now. You just opened up to me. You told me that you've been cutting, that you've also been thinking about hurting yourself, killing yourself, not being here. Short-term, the cutting is helping you. You feel like a burden to mom, that stresses you out. That makes you sad. You see how much she struggles, but also on the same hand, we see how much you've been trying and how much you've been trying to help out by trying to go to school. We know your attendance is good. You go most of the time, you know, you're trying to keep up your grades.You have a C average, even having A in math, which we know was the lowest grade you had all semester. So all of those things shows how much effort you've put in and we see that effort. So you've been doing what you can and it's normal to feel like sometimes it's not enough. But that's-that's what we're here for so that you can tell us those things and we can help you.\nclient: Thank you, ma'am, I feel better.\ntherapist: Oh, thank you, Ruth. Thank you for coming today.\n",FALSE,n/a,FALSE,0.7850582313258201
76,therapist,high,And learning the differences of the different cultures that brings you wisdom.,"client: Right. Mm-hmm.\ntherapist: So, live, um, having that as a priority, um, do you feel as though, like you said before you'll live, but you know that you're able to look at, okay, these are my values, you know, and you're able to acknowledge [unintelligible 00:07:30] values.\nclient: Yeah.\ntherapist: And learning the differences of the different cultures that brings you wisdom.\n",FALSE,n/a,TRUE,0.786516041494906
115,therapist,low,"-and the color's okay? You know, there is quite a lot of staining so, um, I'm just wondering about, um, some concerns about smoking.","client: Okay.\ntherapist: Good. Here, take a look, see what you think. And that feeling-\nclient: Yeah.\ntherapist: -and the color's okay? You know, there is quite a lot of staining so, um, I'm just wondering about, um, some concerns about smoking.\n",TRUE,closed,FALSE,0.7867719237692654
23,therapist,high,"W-what was, do you mean you kind of try to hide behind it or?","client: Yeah.\ntherapist: Okay. So you're describing quite a lot there to me. So you're saying that you, you kind of got hot and sweaty, you said that you- you held the camera.\nclient: Yeah.\ntherapist: W-what was, do you mean you kind of try to hide behind it or?\n",TRUE,open,FALSE,0.7869711748789996
85,therapist,high,"Well, that is a bummer. I mean—","client: -uh, it's, uh- it's stressful, you know. [clears throat] But, the doctor- you know, the other doctor put me on this medicine and-and I gotta take it every day. And, I-I don't like it. Uh, I'll just be honest with you, I don't like it.\ntherapist: Mm-hmm.\nclient: It doesn't-- I don't like the way it makes you feel, um, I don't like the way it makes me act, and it's taken my sex drive, and just thrown it at the back of the garbage truck.\ntherapist: Well, that is a bummer. I mean—\n",FALSE,n/a,TRUE,0.7870782702229917
85,therapist,high,Very dull.,"client: Well, i-it's kinda like I'm in kind of a dreamy world. I-it kind of, I don't know, i-it just seems like I'm kinda like living in the middle of a cotton ball or something like that, where just things are kinda soft and, I don't know, I-- It just, the-the spice of life doesn't seem to be there. It seems like everything's bland, and nothing really-- Food doesn't taste the same, and things don't smell right, and—\ntherapist: Very dull.\nclient: Very dull.\ntherapist: Very dull.\n",FALSE,n/a,TRUE,0.7872171504423022
126,therapist,low,"That's great, Kaylie. I know we went over a lot today. What questions do you still have for me?","therapist: All right. Well, this medication is usually well tolerated, which means that it doesn't have very many side effects, but you might experience some muscle aches or pains. If they seem really severe to you, then you should call Dr. Ferris and talk to him about that. Also, this medication can interact with over-the-counter medicines or even other medications. So before you start something new, you should check with either Dr. Ferris or myself. And lastly, this medication can interact with grapefruit juice. So while you're taking this medicine, I would avoid grapefruit juice.\ntherapist: Just so we know we're on the same page, can you repeat back to me how you are going to take this medicine?\nclient: Sure. I'm just gonna take one tablet of the cholesterol statin, uh, in the evening with all my other medications. And I guess I'll switch to orange juice. And if I notice any bad muscle pains, then I'll be sure to call Dr. Ferris right away.\ntherapist: That's great, Kaylie. I know we went over a lot today. What questions do you still have for me?\n",TRUE,open,TRUE,0.7877753113862127
91,therapist,high,35-40%. Okay.,"client: Yes. A hundred percent, one of the most important things.\ntherapist: Let me ask another question and follow up to that. Again, given everything going on, where 10 is the most confident you've ever felt about anything and 1 is the least confident, how confident are you that you will be able to quit?\nclient: Um, I, I'd say 35 or 40% competent.\ntherapist: 35-40%. Okay.\n",FALSE,n/a,TRUE,0.7889627504628152
38,therapist,high,"Okay. Yeah. It sounds like from everything you're saying, that keeps coming up as one of the main issues. Um, so there may be some resources I can point you towards, but I'm- guess I'm wondering, have you looked into alternatives, more affordable, reliable childcare?","client: Yeah. I mean, I'm ready to consider changing my drinking, but, as far as actually doing it, I-I don't know. I mean, I have a lot of problems that I'm trying to work out right now.\ntherapist: So, um, it would perhaps be helpful if you could narrow it down to just one thing, and what would that be?\nclient: Childcare, probably.\ntherapist: Okay. Yeah. It sounds like from everything you're saying, that keeps coming up as one of the main issues. Um, so there may be some resources I can point you towards, but I'm- guess I'm wondering, have you looked into alternatives, more affordable, reliable childcare?\n",TRUE,closed,TRUE,0.7889931832905859
81,therapist,high,"Mm, what's that like for you?","therapist: Tell me about how your parents raised you?\ntherapist: Tell me about how you've been feeling?\nclient: Okay. I guess I've been getting bigger.\ntherapist: Mm, what's that like for you?\n",TRUE,open,FALSE,0.7902624704875052
36,therapist,high,Right.,"client: - there's loads of tests that he could have sent me for.\ntherapist: Right.\nclient: Um, if I had a bit more money, I'd go private.\ntherapist: Right.\n",FALSE,n/a,FALSE,0.7903289911337197
130,therapist,low,"No, wait a minute. That has everything to do with what we're talking about. I can't believe at the end of this appointment, you're just slipping in the fact that you've resumed smoking again. That's very, very important information for me to know. And I'd like to spend some time talking about it now.","therapist: No, wait a minute. That has everything to do with what we're talking about. I can't believe at the end of this appointment, you're just slipping in the fact that you've resumed smoking again. That's very, very important information for me to know. And I'd like to spend some time talking about it now.\ntherapist: No, wait a minute. That has everything to do with what we're talking about. I can't believe at the end of this appointment, you're just slipping in the fact that you've resumed smoking again. That's very, very important information for me to know. And I'd like to spend some time talking about it now.\ntherapist: No, wait a minute. That has everything to do with what we're talking about. I can't believe at the end of this appointment, you're just slipping in the fact that you've resumed smoking again. That's very, very important information for me to know. And I'd like to spend some time talking about it now.\ntherapist: No, wait a minute. That has everything to do with what we're talking about. I can't believe at the end of this appointment, you're just slipping in the fact that you've resumed smoking again. That's very, very important information for me to know. And I'd like to spend some time talking about it now.\n",FALSE,n/a,FALSE,0.790676194941625
83,therapist,high,"Okay. So as we're gonna do this work together and go through this, uh, this program, one of the things we-we don't want to do is fall into the same trough we did last time. So I-I just want to leave that with you to think about next time we come together. There may be two or three other people that you think of that can be really supportive, that we-we need to let know that you're [unintelligible 00:10:50] each gonna make these changes and this time, you're serious about it. So let your mother and, uh, and, um, your partner, how might that happen? How does that sound to you?","client: Um, I don't know. I don't, um, have that many people-\ntherapist: Okay.\nclient: -that I am-- I don't have that many people I trust to support me. My mates, I love them but, um, yeah, I don't know.\ntherapist: Okay. So as we're gonna do this work together and go through this, uh, this program, one of the things we-we don't want to do is fall into the same trough we did last time. So I-I just want to leave that with you to think about next time we come together. There may be two or three other people that you think of that can be really supportive, that we-we need to let know that you're [unintelligible 00:10:50] each gonna make these changes and this time, you're serious about it. So let your mother and, uh, and, um, your partner, how might that happen? How does that sound to you?\n",TRUE,open,FALSE,0.7913899465929717
55,therapist,high,"Miguel, before we end the call, I did want to go over the answers you gave me on the questionnaire about drug use. Is it okay if we go over that right now?","therapist: Miguel, before we end the call, I did want to go over the answers you gave me on the questionnaire about drug use. Is it okay if we go over that right now?\ntherapist: Miguel, before we end the call, I did want to go over the answers you gave me on the questionnaire about drug use. Is it okay if we go over that right now?\ntherapist: Miguel, before we end the call, I did want to go over the answers you gave me on the questionnaire about drug use. Is it okay if we go over that right now?\ntherapist: Miguel, before we end the call, I did want to go over the answers you gave me on the questionnaire about drug use. Is it okay if we go over that right now?\n",TRUE,open,FALSE,0.7914212411269546
85,therapist,high,"So, if you got a DUI, you would really know.","client: Certainly not a problem.\ntherapist: How would you know if it was a problem?\nclient: Well, if I was like getting arrested for drunk driving.\ntherapist: So, if you got a DUI, you would really know.\n",FALSE,n/a,TRUE,0.79172651655972
12,therapist,high,Okay. A drink or two. So about how many drinks would you say you have over the course of a day?,"client: Mm-hmm.\ntherapist: So are there other things you do in the evening to relax?\nclient: Um, I mean, maybe I'll have like a drink or two.\ntherapist: Okay. A drink or two. So about how many drinks would you say you have over the course of a day?\n",TRUE,closed,FALSE,0.7919468733016402
29,therapist,high,"Yeah. Well, I'm so glad that you reached out for help, um, and just know that you're not alone. And-and so, yeah, is that okay if I share a little bit about, um, how I tend to work with clients on that topic?","therapist: So you shared that you're, um, here today because you're having some dissatisfaction with your body and your confidence and your mood and your energy. And you're looking for, um, some different patterns to kind of turn things around for yourself. And what I like to do as I get to know clients is-is let them know a little bit about my philosophies, about health and wellbeing. Um, but first, I'd love to hear what are your philosophies about health and wellbeing?\nclient: Um, I definitely, uh, you know, I-I strive to be physically healthy, but I also have in my life seeing how that impacts me mentally. Um, so I think if I'm- if I'm able to do the things that I wanna do and, um, you know, that I'm feeling good about where I'm at mentally, then that's kind of my end goal, always. Um, yeah, so this body dissatisfaction piece has really just kinda thrown a wrench in that and it's been enough of a challenge that I thought I should seek out someone who can really help me through that piece.\ntherapist: Yeah. Well, I'm so glad that you reached out for help, um, and just know that you're not alone. And-and so, yeah, is that okay if I share a little bit about, um, how I tend to work with clients on that topic?\n",TRUE,closed,FALSE,0.7920707182493061
83,therapist,high,"Yeah. So you and I are going to be doing a little bit of work together then. And, um, and sometimes it-it can get quite tough. And I'm just wondering before we go any further, when the going gets tough, a lot of guys bail out. I'm just wondering are you one of those guys?","client: I just, um, I don't- don't know where to s-- where to start. I don't know.\ntherapist: So do you think doing this program and completing this program this time would be a good place to start?\nclient: Yeah, I hope so. I-- So I would genuinely want to, I genuinely want to do something to help myself. I don't deliberately fuck things up for myself.\ntherapist: Yeah. So you and I are going to be doing a little bit of work together then. And, um, and sometimes it-it can get quite tough. And I'm just wondering before we go any further, when the going gets tough, a lot of guys bail out. I'm just wondering are you one of those guys?\n",TRUE,closed,FALSE,0.792086424306035
28,therapist,high,Mm.,"client: Um, constant thoughts about smoking.\ntherapist: Mm-hmm.\nclient: Um, uh, just as, um, a chocoholic craves chocolate-\ntherapist: Mm.\n",FALSE,n/a,FALSE,0.7922823161352426
36,therapist,high,Okay.,"client: Um, and at the same time I had a barium enema.\ntherapist: Right.\nclient: That was very uncomfortable.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.7930769380182028
53,therapist,low,"You know, especially if you've been drinking, then, you know, you're at a lot more risk because a guy can take advantage of you. Did- have you thought about that?","client: Um, yeah. That makes sense.\ntherapist: Yeah, so, there, I mean, a lot of the other dangers of drinking, like, um, not just car accidents, but you can have other accidents, you know, people, um, you know, will fall or, um, you know, break things or a lot of people actually end up breaking their bones and ending up in the emergency room because they've been drunk and falling down or, you know, as a girl, it's really important too that you're careful because you could be sexually assaulted.\nclient: Yeah.\ntherapist: You know, especially if you've been drinking, then, you know, you're at a lot more risk because a guy can take advantage of you. Did- have you thought about that?\n",TRUE,open,FALSE,0.7931613177061081
6,therapist,high,- and do you have a sense of-of what some of the doctor's concerns were that led her to refer you?,"client: Yeah, it's-it's a bit of an inconvenience I'd say, but I'm here though.\ntherapist: So you made it in here-\nclient: Mm-hmm.\ntherapist: - and do you have a sense of-of what some of the doctor's concerns were that led her to refer you?\n",TRUE,open,FALSE,0.7931912092026323
61,therapist,high,"Mm-hmm, and what is it that's important to you about getting home?","client: I wanna go home.\ntherapist: Uh-huh.\nclient: Yes, I really do.\ntherapist: Mm-hmm, and what is it that's important to you about getting home?\n",TRUE,open,FALSE,0.7935190496500582
68,therapist,high,"Oh, all right.","client: They're pretty good. Grades have been pretty all right. Still like 3.7 ish.\ntherapist: Okay, great, so you're doing well. What sorts of goals do you have for after college- oh, after high school?\nclient: Uh, I'd like to, you know, I'd like to, of course, graduate high school, hopefully, go to a nice Ivy League school.\ntherapist: Oh, all right.\n",FALSE,n/a,FALSE,0.794195486465469
31,therapist,high,So it's pretty effective.,"client: And the medicine can get my cholesterol down?\ntherapist: Definitely, can lower your cholesterol to 50%.\nclient: Wow, okay.\ntherapist: So it's pretty effective.\n",FALSE,n/a,FALSE,0.794308127136901
26,therapist,high,Okay.,"client: I just wanna contact my mom, that's it.\ntherapist: Mm-hmm. Yeah, you used to have contact with your mom, you know, almost every other night and now for just about a week, you haven't even gotten to talk to her. I can imagine that being pretty difficult. I remember you saying something about like your dad's birthday coming up?\nclient: My dad's birthday is tomorrow.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.7944206504616886
32,therapist,low,"Okay. Behavior like this could get you suspended, doesn't that concern you?","therapist: In summary, the Minnesota State, Mankato security report states that you were stopped on Stadium Road last Friday, cited for driving under the influence, and then you were transported to detox. Plus, you're only 21 years old. Is the report accurate?\nclient: I-I guess, uh, I don't really remember much. I like it was a week ago, so I was kind of drunk too.\ntherapist: Okay. Behavior like this could get you suspended, doesn't that concern you?\n",TRUE,closed,FALSE,0.7945367956999689
14,therapist,high,"So, why are you at a four and not even a lower number? Why are you not like a zero or a one?","client: Right?\ntherapist: Okay?\nclient: I guess.\ntherapist: So, why are you at a four and not even a lower number? Why are you not like a zero or a one?\n",TRUE,open,TRUE,0.7950512361712754
71,therapist,high,Yeah? What-what's the confusing bit?,"client: Yeah. I was gonna fill them out there, but then I didn't get them, so I took them home, but I was gonna get Donna to help me, but I just didn't get around to it.\ntherapist: Mm-hmm. You said the forms were confusing?\nclient: Yeah.\ntherapist: Yeah? What-what's the confusing bit?\n",TRUE,open,FALSE,0.7956245148088783
65,therapist,high,Mm-hmm.,"client: Many people have told me, um, if I quit smoking, I'm going to gain weight.\ntherapist: Mm.\nclient: Well, food really doesn't taste good, but they say it tastes much better-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.7960010466631502
21,therapist,high,"So, it just kind of makes you feel relaxed or?","client: -so, I can't really say that I like that feeling or not, but, it's just like-- I mean, you're just in a good mood.\ntherapist: Mm-hmm.\nclient: So.\ntherapist: So, it just kind of makes you feel relaxed or?\n",FALSE,n/a,TRUE,0.79631936410442
84,therapist,high,"Yeah, okay. So I'm noticing that this isn't the first time that you've been to see someone at probation and it's not your first, um, community sentence. So I was wondering when you're sitting on the bus thinking about coming here, what was- what was going through your head about being here?","client: Just caught the bus.\ntherapist: Yeah, caught the bus to-to that-- to the stop outside the office?\nclient: Yeah.\ntherapist: Yeah, okay. So I'm noticing that this isn't the first time that you've been to see someone at probation and it's not your first, um, community sentence. So I was wondering when you're sitting on the bus thinking about coming here, what was- what was going through your head about being here?\n",TRUE,open,FALSE,0.7966179067734629
39,therapist,high,Mm-hmm. And there was a war going on?,"client: Every time I go-- Excuse me. -to any doctor, you know, you need to quit smoking and—\ntherapist: Mm-hmm. Finger comes out.\nclient: Uh-huh and I kind of go, let's move on, you know because I've heard the lecture. Um, and I really don't put much credence into what they say. I did have- I did have a neighbor who was smoked for many, many years and, um, she had the Oxygen-- Oxygen tank that she would have to sleep at night with the oxygen on and even that didn't deter me from that smoking. I don't really know. It's like, um, a power greater than myself. This is controlling me like this, you know, the angels on this side, the devil's on the other.\ntherapist: Mm-hmm. And there was a war going on?\n",FALSE,n/a,TRUE,0.7970803573261946
73,therapist,high,"Okay. So it's not something you wanna rely on, you don't see yourself continuing to use this. It's something that you'v found at least for the moment very helpful?","client: Yeah. I feel alone, and I just, I miss her and, it does- it does help but,-\ntherapist: Mm-hmm. So it help—\nclient: -I don't wanna have to rely on having to take that.\ntherapist: Okay. So it's not something you wanna rely on, you don't see yourself continuing to use this. It's something that you'v found at least for the moment very helpful?\n",FALSE,n/a,TRUE,0.7974110979121178
131,therapist,low,"Okay. So a patch is something you've already seen, and-","client: Mm-hmm.\ntherapist: So, yeah, again-- Um, so have you something in mind that you might like to use to help you through managing the cravings?\nclient: Yeah. I'm thinking, um, one of these patches.\ntherapist: Okay. So a patch is something you've already seen, and-\n",FALSE,n/a,TRUE,0.7974988401401788
63,therapist,high,So you're an occasional meth user. You don't use very often?,"client: Meth?\ntherapist: Mm-hmm.\nclient: Um, two, three times a month.\ntherapist: So you're an occasional meth user. You don't use very often?\n",FALSE,n/a,TRUE,0.7981248423457146
33,therapist,high,"Um, and so thanks for- thanks for taking a couple of minutes and talking about smoking.","client: Yeah.\ntherapist: Yeah. Well, and, David, honestly, wherever you're at, we'll work with it.\nclient: Okay.\ntherapist: Um, and so thanks for- thanks for taking a couple of minutes and talking about smoking.\n",FALSE,n/a,FALSE,0.7984809703193605
38,therapist,high,Sort of escape from your hectic schedule.,"client: Right, I mean, I don't drink that much and, honestly, it-it's just a good way to relax.\ntherapist: It's a nice sort of form of stress relief.\nclient: Yeah, exactly. You know, it's kind of like that me time at the end of the day.\ntherapist: Sort of escape from your hectic schedule.\n",FALSE,n/a,TRUE,0.7985150814056396
7,therapist,high,You're still feeling the effects of-,therapist: You're still feeling the effects of-\ntherapist: You're still feeling the effects of-\ntherapist: You're still feeling the effects of-\ntherapist: You're still feeling the effects of-\n,FALSE,n/a,TRUE,0.7987603074871004
37,therapist,high,Any other whānau members? You talked about your brothers and sisters last time.,"client: Yeah.\ntherapist: So you've rung your mom, had a chat to her.\nclient: Mm-hmm.\ntherapist: Any other whānau members? You talked about your brothers and sisters last time.\n",TRUE,closed,FALSE,0.7991725706961006
78,therapist,high,Okay.,"client: Okay.\ntherapist: Uh, again, if you get to the point sometime down the road where you're willing to quit for both you and her, uh, we'd be glad to help you do that. Because you're right it is- it's not an easy thing to do.\nclient: Yeah. [chuckles]\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.7993020382709801
131,therapist,low,Okay and would you like to come back and see me again?,"client: Okay.\ntherapist: So, you're happy with the date for [unintelligible 00:06:16]?\nclient: Yeah, absolutely.\ntherapist: Okay and would you like to come back and see me again?\n",TRUE,closed,FALSE,0.7995421520899981
66,therapist,high,"Hi, Mr. Stowe.","therapist: Hi, Mr. Stowe.\ntherapist: Hi, Mr. Stowe.\ntherapist: Hi, Mr. Stowe.\ntherapist: Hi, Mr. Stowe.\n",FALSE,n/a,FALSE,0.8000463854987174
123,therapist,low,Mm-hmm.,"client: I don't smoke cigarettes.\ntherapist: Okay. Well, as I said, there's a lot of irritation, in particular, like I was mentioning, up here in the roof of your mouth, it's turned really definitely white-colored and there's little red spots. And you probably didn't notice because we don't spend a lot of time looking at the roof of our mouth, but you're really damaging this tissue in your mouth, which can really cause some severe problems in terms of your oral health. It's called nicotinic stomatitis. And this is something we don't see in any patients who don't use tobacco. So, maybe you're not smoking cigarettes, are you smoking a pipe or cigars? Or is there something else that could be contributing to this? Because I don't know what else might be causing it.\nclient: Well, the only thing-- I've never smoked cigarettes ever, um, but, um, when, um, when I go out with my friends, um, we like to go to, you know, we like to go out to lounges.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.8001700444146991
39,therapist,high,"But it might be helpful if you- if you quit or it's, you know, it did if you were gonna decrease or whatever, to see how much better you're doing with the ball going up and your lung capacity increasing, is it?","client: Mm-hmm.\ntherapist: It shows you your lung capacity.\nclient: Right. Which I barely have any.\ntherapist: But it might be helpful if you- if you quit or it's, you know, it did if you were gonna decrease or whatever, to see how much better you're doing with the ball going up and your lung capacity increasing, is it?\n",TRUE,closed,FALSE,0.8008865660522133
85,therapist,high,You were right.,"client: I don't know if they still have it or not. [chuckles]\ntherapist: So they-- So, um, before you started taking the medication, though, when she was, you know, um-- Even though now she's like, ""Where is my old Scott,"" and stuff, well, were there any times when she wanted you to go on the medication? And, if so, what-what prompted those?\nclient: Well, if I stay off the medication too long, I-- Some people might say there's a problem with that, you know.\ntherapist: You were right.\n",FALSE,n/a,TRUE,0.801092051435262
58,therapist,high,Uh-huh.,"client: I-it was. A-and it was huge for me cause I'd never really been a runner, you know, but it-it was very motivating, and-and—\ntherapist: What'd you like about it?\nclient: I don't know. I guess there's kind of an adrenaline rush to it. Kinda almost like, you know, uh, kind of a high, I guess.\ntherapist: Uh-huh.\n",FALSE,n/a,FALSE,0.8011236602906138
58,therapist,high,That's really a lot. Very good.,"client: Yeah.\ntherapist: Okay, alright. Where would you like to start with that?\nclient: Well, I'm, uh, I-I used to work out pretty good. I-I would go to the gym several times a week. I had kind of a schedule, um—\ntherapist: That's really a lot. Very good.\n",FALSE,n/a,TRUE,0.8023108385968953
30,therapist,high,"Okay. Um, and do you understand then the con-consequences of-of what that would be?","client: No. I got a lot of stuff to do, I don't need to charge it.\ntherapist: So, it's not really a priority for you right now, to be charging it?\nclient: No.\ntherapist: Okay. Um, and do you understand then the con-consequences of-of what that would be?\n",TRUE,closed,FALSE,0.8024123311042786
60,therapist,high,"Okay, yeah.","client: You know, I always love, um, I've been in other group therapies-\ntherapist: Uh-huh.\nclient: -and the feedback is really nice and the support-\ntherapist: Okay, yeah.\n",FALSE,n/a,FALSE,0.8027280839160085
87,therapist,high,"So let me tell you what I normally do in this, um, this interview, and we-we'll talk for up to maybe 20 minutes or so. Normally what I do is just give some feedback from all of those questionnaires that you answered last week-","therapist: So let me tell you what I normally do in this, um, this interview, and we-we'll talk for up to maybe 20 minutes or so. Normally what I do is just give some feedback from all of those questionnaires that you answered last week-\n",FALSE,n/a,FALSE,0.8030158916953951
64,therapist,high,Mm-hmm.,"client: Okay, cool.\ntherapist: So tell me a little bit about what you're doing, what is- what is the concern that they are raising.\nclient: Um, dr-drugs, I guess.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.8037795620039105
7,therapist,high,Yeah.,therapist: Yeah.\ntherapist: Yeah.\ntherapist: Yeah.\ntherapist: Yeah.\n,FALSE,n/a,TRUE,0.8043933126609772
18,therapist,high,"Yeah, yeah. So if we were to think back, say the last month, the last four weeks, how many times would you have gone down to the- to the pokies, the pub?","client: And some nights you do, so.\ntherapist: Yeah. So how often do you end up with no money in your pocket? Can be the times when you end up with money in your pocket\nclient: Well, I don't really keep track.\ntherapist: Yeah, yeah. So if we were to think back, say the last month, the last four weeks, how many times would you have gone down to the- to the pokies, the pub?\n",TRUE,closed,FALSE,0.8058112133294344
95,therapist,high,"You're not sure. So you have a lot of on your mind right now. You just opened up to me. You told me that you've been cutting, that you've also been thinking about hurting yourself, killing yourself, not being here. Short-term, the cutting is helping you. You feel like a burden to mom, that stresses you out. That makes you sad. You see how much she struggles, but also on the same hand, we see how much you've been trying and how much you've been trying to help out by trying to go to school. We know your attendance is good. You go most of the time, you know, you're trying to keep up your grades.You have a C average, even having A in math, which we know was the lowest grade you had all semester. So all of those things shows how much effort you've put in and we see that effort. So you've been doing what you can and it's normal to feel like sometimes it's not enough. But that's-that's what we're here for so that you can tell us those things and we can help you.","client: That's the right one.\ntherapist: -How could it be the right one? Ending your life hurting yourself when it's just you and your mom. And you just said, she's a single parent. She doesn't have a husband, you don't have a dad. It's just the two of you. So how could it be the right choice? But I understand your pain and I know where you're coming from. And I know that the release that you feel physically is something that helps you in the moment. Are there other things that we can help you find to start replacing, um, that behavior?\nclient: Um, I don't know. I don't know. It's just, um, I'm not sure I can.\ntherapist: You're not sure. So you have a lot of on your mind right now. You just opened up to me. You told me that you've been cutting, that you've also been thinking about hurting yourself, killing yourself, not being here. Short-term, the cutting is helping you. You feel like a burden to mom, that stresses you out. That makes you sad. You see how much she struggles, but also on the same hand, we see how much you've been trying and how much you've been trying to help out by trying to go to school. We know your attendance is good. You go most of the time, you know, you're trying to keep up your grades.You have a C average, even having A in math, which we know was the lowest grade you had all semester. So all of those things shows how much effort you've put in and we see that effort. So you've been doing what you can and it's normal to feel like sometimes it's not enough. But that's-that's what we're here for so that you can tell us those things and we can help you.\n",FALSE,n/a,TRUE,0.8058289824984968
28,therapist,high,Like being a leper in a leper colony right now to be a smoker.,"client: Oh I've been wanting to, for a long long time in years.\ntherapist: Yeah, so then it's, um, right now, uh, tell me a little bit about, um, right now at this point in your life why it's so important to quit.\nclient: Well I have a 15-year-old daughter and she's highly against it. And, um, health issues, you know, I'm getting-- not getting any younger and I have asthma and I have chronic bronchi-- bronchitis and, um, I'm having a hard time breathing when I exercise and not to mention it's socially unacceptable really.\ntherapist: Like being a leper in a leper colony right now to be a smoker.\n",FALSE,n/a,TRUE,0.8058639578521252
23,therapist,high,So you're holding the camera very tightly.,"client: Yeah.\ntherapist: W-what was, do you mean you kind of try to hide behind it or?\nclient: I was just trying to focus on it. I was just thinking if I could just hold it really tightly, it would just-- I don't know. I'd kind of just be able to just get through it and just focus.\ntherapist: So you're holding the camera very tightly.\n",FALSE,n/a,TRUE,0.8069331469014287
45,therapist,high,"That's okay. Well, I know that you are making an effort. I do appreciate then and when-when I do stop by that you still sign the paperwork even though you feel like it's annoying at times. So, thank you for, uh, at least doing that.","client: Not do this again so that I don't ever have to be here and be stuck in my house and all of these people coming to visit me and know my business.\ntherapist: So that's something that will motivate you to not do what you did, not commit that crime, and, um, 'cause you do not like when we stop by?\nclient: Yup.\ntherapist: That's okay. Well, I know that you are making an effort. I do appreciate then and when-when I do stop by that you still sign the paperwork even though you feel like it's annoying at times. So, thank you for, uh, at least doing that.\n",FALSE,n/a,FALSE,0.8074984054546803
11,therapist,high,"Yeah, we-- You know, we have about 15 to 20 minutes to talk today, total. Um-um, which certainly it's just the first of-of some sessions that we'll have together over the next six months. It'd be a natural question you'd wanna know how much time this will take, of course. Um, what else would you like me to know about you and your perspective that you think will help me work with you over this time?","client: Yeah, whatever, you know. It's California, no one cares.\ntherapist: Yeah. Yeah. Yeah.\nclient: How long is this gonna take?\ntherapist: Yeah, we-- You know, we have about 15 to 20 minutes to talk today, total. Um-um, which certainly it's just the first of-of some sessions that we'll have together over the next six months. It'd be a natural question you'd wanna know how much time this will take, of course. Um, what else would you like me to know about you and your perspective that you think will help me work with you over this time?\n",TRUE,closed,FALSE,0.8086017952300608
76,therapist,high,So pleasure being your number five.,"client: Yes. And school learning in the classroom and outside of the classroom. Where I've been in different Native American communities, reservations, place I spent two months in the summertime really, uh, learning about the cultures is a beautiful place to be, there's a lot of wisdom. And, uh, fun, pleasure, fun, satisfaction-\ntherapist: Mm-hmm.\nclient: -enjoyment. I think it's intertwined in a lot of things. It's fun to learn about pe-- other people, other cultures. it's fun to have the inner harmony. I think that- I think that was an all-encompassing thing about life. The part of it is to experience pleasure. Yeah.\ntherapist: So pleasure being your number five.\n",FALSE,n/a,TRUE,0.8091793656349182
58,therapist,high,Mm-hmm.,"client: If I could get there-- I know if I could get there-- if I could pick, you know, uh, these are the days I'm going to go to the gym and I know these things last time.\ntherapist: Mm-hmm.\nclient: So if I- if I could-- I mean, I wanna get there three times a week.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.809836691711098
36,therapist,high,Okay. And what's- what sorts of treatments have you tried for-for this before?,"client: Well, I, uh, I've traced it back to a holiday I had in Egypt about four years ago. I had, um, a horrible bout of sickness and diarrhea, and, uh, and I don't think my stomach's ever been really right since then.\ntherapist: Mm-hmm. Okay. Okay. So you think it began about four years ago after this holiday?\nclient: Yes. Yes.\ntherapist: Okay. And what's- what sorts of treatments have you tried for-for this before?\n",TRUE,open,FALSE,0.8099694871343672
64,therapist,high,"So Auckland, coming to Auckland from Palmerston for you was-was like taking charge of something that you were going to look to make something different in your life?","therapist: I know Family Bar, yes.\nclient: Yeah. It's that sort of- that sorta scene, that kind of, um, gay scene, I guess. And, like, it's not something I'd really thought about before and-- But then kinda hung out there and just met these people that were sort of like you don't really get there much Palmy. Well, I mean I suppose you do, but they're not-- You know, in Auckland bars like that you can just-- Uh, you can just be it out in the open, you know, and I suppose in Palmy you can't as easily. Um, so just to arrive and see that and kind of meet these people that were just really friendly, you know, and-and not judge me into it. I don't know. You know, Palmy often is they're sort of like, ""Oh, you've gotta own a car, and soap it up, and drive up and down the Main Street,"" and I just couldn't give a shit about that, you know, so. Or play rugby and, you know, that didn't interest me at all and sorta come here and have people, you know, talk about interesting stuff and have a good time. I just want to go out and dance and stuff like that. Um, that was quite cool for me to know that that existed because I hadn't seen that before and-and I suppose there's a lot of that that goes on there, you know?\nclient: It's quite a heavy party scene most weekends and stuff. So it kind of goes hand in hand with that really, and just, you know, I guess when I have-have a slight-- I don't know, you just feel really good, I guess. Just feel, like, happy, and excited, and just to be surrounded by people that, you know, really care about you, and love you and-- Coming from a place where y-you didn't-- don't get that as much, it's just really cool, you know, to-to be able to go, ""Okay, on this day I can take this."" And it's just that instant, like, ""I know- I know I'll feel good."" I guess that's part of it.\ntherapist: So Auckland, coming to Auckland from Palmerston for you was-was like taking charge of something that you were going to look to make something different in your life?\n",TRUE,closed,FALSE,0.8108473436441272
68,therapist,high,"Okay, you have some pretty big dreams.","client: Uh, I'd like to, you know, I'd like to, of course, graduate high school, hopefully, go to a nice Ivy League school.\ntherapist: Oh, all right.\nclient: But I mean, that might not happen. And then I'd like to go on and become a doctor. Study psychology and then become a psychiatrist or something.\ntherapist: Okay, you have some pretty big dreams.\n",FALSE,n/a,TRUE,0.8109777411445975
1,therapist,high,So a limit of four a night doesn't feel right to you?,"client: Well, I-- If-if I was getting fallen down drunk or if I drink every night. Um, it's not like I get sloppy drunk or anything.\ntherapist: Mm-hmm. Well, in this country, the guidelines are men can drink up to 14 drinks a week or up to four on one occasion and still be low risk.\nclient: So I'm already at the week limit. And then I have four beers a night. Are you sure?\ntherapist: So a limit of four a night doesn't feel right to you?\n",TRUE,closed,TRUE,0.811055141268298
85,therapist,high,"It's really, your timing is [unintelligible 00:03:13]","client: That's a good way to sum it up. And it's-- Well, you understand it, uh, it's just- it's not good.\ntherapist: Mm. So, and then you said, you don't like how it makes you act, um, if you can tell me a little bit about that.\nclient: Well, I feel like it's taken part of my personality and just thrown it away. I don't really feel like I'm all there, right. You know, like, um, I like to be spontaneous and funny, and-and all that night, and I- and I don't-- You know, by the time I come up with a-a funny remark to the situation, everybody's left the room, and-[laughter]-stuff like that. And-and-- [chuckles]\ntherapist: It's really, your timing is [unintelligible 00:03:13]\n",FALSE,n/a,TRUE,0.8111072599422187
8,therapist,high,"So, let me ask you this, Bob, what are some of your wife's concerns about your smoking?","client: Yeah. That's an understatement. I mean, I'm supposed to be at work right now, too, right? So-\ntherapist: You've taken time off you, it's costing you time and money being here.\nclient: Yeah, yeah. I'm only here because my wife forced me to come, you know. Like this has come to a head six months of just nagging me, relentless every day, because she was able to quit smoking and now I have to quit.\ntherapist: So, let me ask you this, Bob, what are some of your wife's concerns about your smoking?\n",TRUE,open,FALSE,0.8111207850743085
83,therapist,high,"Good. One of the other things we're really conscious of with is, um, sometimes we do this work in isolation from others. And one of the things we want to ask people is about who they're going to be accountable to. I'm thinking like with your children, uh, your mom and other people that maybe you're interacting with. Who-who else in your life do you think would be supportive of you, and who would you need to let them know that you're actually going through this sort of program?","client: No, this is important to me.\ntherapist: Right.\nclient: I have, um, I've-- it's important to me.\ntherapist: Good. One of the other things we're really conscious of with is, um, sometimes we do this work in isolation from others. And one of the things we want to ask people is about who they're going to be accountable to. I'm thinking like with your children, uh, your mom and other people that maybe you're interacting with. Who-who else in your life do you think would be supportive of you, and who would you need to let them know that you're actually going through this sort of program?\n",TRUE,closed,FALSE,0.8117537423968315
33,therapist,high,Mm-hmm.,"client: Prostate cancer, that didn't do it.\ntherapist: Right.\nclient: I don't know. I really don't know. I just don't really want it.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.8118796811904758
76,therapist,high,"Oh, so it's your first?","client: Good, I'm doing really good.\ntherapist: Yes, um, so you did do your Values Clarification Sheet. Is there anything that you'd like to talk about that you discovered?\nclient: Yeah, I really like doing this, and, um, I-I rated health as my first-\ntherapist: Oh, so it's your first?\n",TRUE,closed,FALSE,0.8124238722957671
23,therapist,high,Okay and what-what did you do about-- How did you try and conceal that or hide that?,"client: Yeah, um, I was trying to wear black so this kind of tries to cover it up and just like a lot of layers, so they can't tell but, I mean, my hands, like, they were so shaken. I was really red and just was-- Just wishing that I just wasn't there.\ntherapist: So, I mean, you've already described it to me a little bit, but if you think about how you looked that day, how'd-how'd you say, how'd you think you looked?\nclient: I think just very stupid and, like, I think my face was really red. I could feel it flushing and I knew that I'd- I was probably sweating and shaking, like my hands were definitely really really shaking. Um, and af-- it was, like definitely really noticeable. Everyone could definitely see.\ntherapist: Okay and what-what did you do about-- How did you try and conceal that or hide that?\n",TRUE,open,FALSE,0.81280523631721735
87,therapist,high,Mm-hmm.,"client: -but that's not really what was going on. [chuckles]\ntherapist: Yeah, the fact that your drinking stands out from others is clearly not something you had ever really taken into consideration before?\nclient: Yeah.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.8132268167100847
25,therapist,high,Mm-hmm.,"client: Yeah.\ntherapist: So, if you did decide to get exercising more into your daily routine, how would you go about doing it?\nclient: Um, I don't know. I'd probably have to sit down maybe with my husband and try to figure out a good time for me to be able to do that, where he'd be home with the kids and I'd be going to do that, whether it's morning-time, evening, maybe the weekends.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.8133626980707049
91,therapist,high,How can I help you today?,"therapist: Hi, Jean. I'm Dr. Selby. Nice to meet you.\nclient: Good morning, doctor.\ntherapist: How can I help you today?\n",TRUE,open,FALSE,0.8137986524961889
61,therapist,high,Uh-huh. Yeah.,"client: Yeah, I would.\ntherapist: So, what has to happen in order for you to get to tai chi again?\nclient: Well, I'd have to make the arrangements again, that was a little complicated, and, um, I'd have to get my head straight about feeling self-conscious, because I-I know that nobody's really looking at me, but I have to convince myself.\ntherapist: Uh-huh. Yeah.\n",FALSE,n/a,FALSE,0.8138431250117719
53,therapist,low,Okay. Why don't we start by just having you tell me a little bit about yourself?,"therapist: Hi, Laura. So, thanks for coming in. I'm not sure how much you know about why you're here or what we're supposed to talk about. So, basically, I'm going to be meeting with all the students in the school usually once or twice per semester. And we're going to talk about, you know, whatever's kind of going on in your life. I'll ask you some questions about, you know, your goals and what you like to do for fun and those sorts of things. And then we'll talk a little bit about, you know, different behaviors and-and stuff like that. And so, it's-it's pretty casual, pretty informal, just sort of a chance for me to get to know you if that's all right.\nclient: Okay.\ntherapist: Okay. Why don't we start by just having you tell me a little bit about yourself?\n",TRUE,open,FALSE,0.8141257010865957
49,therapist,high,"And, my sense, is that some of the challenge for you, at the moment? Yeah?","client: [chuckles]\ntherapist: -wasn't that-- Is that right? Yeah? So, ""Do I live a party lifestyle-- party-girl kind of lifestyle, or am I got some other dreams to follow?"" So, they're hard calls to make. And-and it all-- And there are no three ways. We will have to make those calls at some point.\nclient: Mm.\ntherapist: And, my sense, is that some of the challenge for you, at the moment? Yeah?\n",TRUE,closed,FALSE,0.8143932274542749
72,therapist,low,Mm-hmm.,"therapist: All right, Chris, so I need to talk to you because as you know, we have a zero-tolerance policy for drugs and alcohol at this school. And as-as athletic director, it's my job to check in with our student-athletes and make sure everyone's adhering to that rule. And I've been hearing some chatter from some of the other kids about a party this weekend, and from what I hear, where you were there and, you know, I can't confirm or deny anything. So I'm not at the point where I can give you consequences, but I did want to talk to you about whether or not you're drinking and how, you know, you really can't be doing this as a member of one of our teams.\nclient: Right. Actually, I do want to speak to you about something that happened during this past weekend. Usually, as, you know, I'm, um, I'm an honor student. I-I usually I'm studying over the weekend and my parents don't let me go out to parties, but I kind of use that to my advantage, to convince my parents to go to this party that my friends were pressuring me to go to. And when I- when I got there, like I'm not used to this like party environment where everything you see in the movies is kind of what happens, where you have people just drinking out of the bottle-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.8148368364199996
61,therapist,high,Uh-huh.,client: Yeah.\ntherapist: Uh-huh.\nclient: I-I don't want to fall.\ntherapist: Uh-huh.\n,FALSE,n/a,FALSE,0.815503824967891
33,therapist,high,Yeah.,"client: I like that.\ntherapist: It went well. Good. Excellent. I did notice quite a lot of staining, actually. I'm wondering what are your thoughts about what might be related to that.\nclient: Mm. Well, the usual suspects, smoking, wine, coffee-\ntherapist: Yeah.\n",FALSE,n/a,FALSE,0.8155670159030706
57,therapist,low,Mr. Johnson?,therapist: Mr. Johnson?\n,TRUE,open,FALSE,0.8157807837706059
30,therapist,high,"Okay. You know, that is your choice. I mean, I-I-I can't make those choices for you, it is something that you decide to do. Um, so with that being said then, these will be the consequences. I'll have to read the-the violation for you.","client: It really [unintelligible 00:00:58]-- I don't care.\ntherapist: Um, so I know that you, you know, you know the consequences of it, and yet you're sharing with me it's just not a priority for you at this time.\nclient: Nope.\ntherapist: Okay. You know, that is your choice. I mean, I-I-I can't make those choices for you, it is something that you decide to do. Um, so with that being said then, these will be the consequences. I'll have to read the-the violation for you.\n",FALSE,n/a,FALSE,0.8159289646428078
71,therapist,high,Mm-hmm. You said the forms were confusing?,"client: Yeah.\ntherapist: Okay. So, you got the forms, took them- took them home?\nclient: Yeah. I was gonna fill them out there, but then I didn't get them, so I took them home, but I was gonna get Donna to help me, but I just didn't get around to it.\ntherapist: Mm-hmm. You said the forms were confusing?\n",TRUE,closed,FALSE,0.8160158491227776
27,therapist,low,Yeah.,"client: Mm-hmm. Yeah, I de-I definitely don't wanna come back here. But, uh, the doc said Oscar, my dog, is connected to my asthma symptoms. But the-\nclient: Mm-hmm. Yeah, I de-I definitely don't wanna come back here. But, uh, the doc said Oscar, my dog, is connected to my asthma symptoms. But the-\nclient: Mm-hmm. Yeah, I de-I definitely don't wanna come back here. But, uh, the doc said Oscar, my dog, is connected to my asthma symptoms. But the-\ntherapist: Yeah.\n",FALSE,n/a,FALSE,0.8176607396453619
77,therapist,high,"Well, you know, Tai Chi is one of the best ways to get your balance back after you've had something like a stroke. And it's also really good for preventing falls. And if you wanna be home and you wanna be doing the things you wanna do and going for walks with your dog, it's very important to make sure that you don't fall 'cause that would cause more problems down the road.","client: Uh, I have.\ntherapist: Okay.\nclient: I have a friend who, uh, does it and she just raves about it. She loves it.\ntherapist: Well, you know, Tai Chi is one of the best ways to get your balance back after you've had something like a stroke. And it's also really good for preventing falls. And if you wanna be home and you wanna be doing the things you wanna do and going for walks with your dog, it's very important to make sure that you don't fall 'cause that would cause more problems down the road.\n",FALSE,n/a,FALSE,0.8179658523295075
64,therapist,high,This is meth you're talking about? A couple of times a week?,"client: Um, a couple of times a week maybe.\ntherapist: Is this- is this with, uh, with the drug?\nclient: Yeah, yeah.\ntherapist: This is meth you're talking about? A couple of times a week?\n",TRUE,closed,FALSE,0.8180037953425199
36,therapist,high,Right.,"client: Yes. Yeah.\ntherapist: Okay.\nclient: Um, and at the same time I had a barium enema.\ntherapist: Right.\n",FALSE,n/a,FALSE,0.8187778915744275
58,therapist,high,"Okay, yeah, I know that, yeah, yeah. Okay, so. So, um, so are you sure you wanna try to start out with the- that initial [unintelligible 00:08:07]","client: Right, yeah. Well, it's just not-\ntherapist: Very clear you understand the whole idea of giving yourself a day off in between.\nclient: Oh yeah, yeah, it doesn't do any good to just try to injure your- injure yourself especially when you're a bit normal like me.\ntherapist: Okay, yeah, I know that, yeah, yeah. Okay, so. So, um, so are you sure you wanna try to start out with the- that initial [unintelligible 00:08:07]\n",FALSE,n/a,TRUE,0.81930664437823
71,therapist,high,"Okay, so you know some people?","client: Uh, I don't know if-if I would go into polytech, done courses there or something.\ntherapist: Mm-hmm.\nclient: Yeah. Like, if they've got jobs now.\ntherapist: Okay, so you know some people?\n",TRUE,closed,FALSE,0.8196544386446476
33,therapist,high,Yeah.,"client: Not gonna worked for me.\ntherapist: Yeah, yeah.\nclient: No.\ntherapist: Yeah.\n",FALSE,n/a,FALSE,0.8198450875934213
56,therapist,high,Yeah?,therapist: Yeah?\ntherapist: Yeah?\ntherapist: Yeah?\ntherapist: Yeah?\n,TRUE,closed,FALSE,0.8200595113448799
91,therapist,high,"A respirologist diagnosed that, and-and how are you feeling right now?","client: So I thought, well, this is my first step. So, uh, it's time to do something.\ntherapist: It's time to do something, okay. So you've been diagnosed by-\nclient: A respirologist.\ntherapist: A respirologist diagnosed that, and-and how are you feeling right now?\n",TRUE,open,TRUE,0.8203451526351273
90,therapist,low,Do you wanna wait for that happen? Do you wanna wait for a dramatic experience?,"client: Yeah. I mean, alcohol is just so prevalent in our society and it's just around me, wherever I go and parties and stuff that. I-I kind of feel like I should just, uh, get used to it or at least understand its, uh, its effects before I should let it get out of my life entirely. I don't- I don't really see it as something that will completely destroy my life.\ntherapist: I think you're wrong. You know, it really worries me. Anyway, um, I wish you would quit. If all you're going to do is cut down, that's better than nothing. You know, I appreciate you talking to me about this, but I'm gonna keep talking to you about it. It's really important.\nclient: Yeah. I-I-I just-- I don't see the problem in it right now and maybe it's because I haven't really had that traumatic of an experience but I'm—\ntherapist: Do you wanna wait for that happen? Do you wanna wait for a dramatic experience?\n",TRUE,closed,FALSE,0.8204227187670767
7,therapist,high,Sounds like a wild night.,therapist: Sounds like a wild night.\ntherapist: Sounds like a wild night.\ntherapist: Sounds like a wild night.\ntherapist: Sounds like a wild night.\n,FALSE,n/a,TRUE,0.8205145481042564
34,therapist,high,"While this baby feels like this is your second chance, you're wondering, ""Do I deserve that second chance?"" And then this other part of you that says, ""Why not? It's here and I wanna go for it.""","client: Yeah, I just guess it's easier said than done though. Like, it's, like, great, I can make all these changes and I can be a completely new person, but it's, like, at the end of the day, I'm still just who I am.\ntherapist: While this baby's growing in you and you think of all the opportunities that could come out of this, there's a part of you that says, ""I'm still that same girl that was drinking and partying,"" and-and maybe not living the life you wanted to live.\nclient: Yeah. And I'm just- you know, you can't just one day flick a switch and become a new person.\ntherapist: While this baby feels like this is your second chance, you're wondering, ""Do I deserve that second chance?"" And then this other part of you that says, ""Why not? It's here and I wanna go for it.""\n",TRUE,closed,TRUE,0.8213318500202149
5,therapist,high,Mm. Yeah. 'Cause I was thinking about that dream that you've got about the job and a life with Donna and-,"client: Yeah. 'Cause if there's just like if a mate said they're gonna go out and pick a car or something, she just bumps them out and then-then I don't know. She say that's stupid and stuff. And I don't know. It gives me something to do.\ntherapist: Mm. What do you think?\nclient: Just kind of stupid. Well, it's pointless, but still a bit of a laugh.\ntherapist: Mm. Yeah. 'Cause I was thinking about that dream that you've got about the job and a life with Donna and-\n",FALSE,n/a,FALSE,0.8214039239101112
115,therapist,low,"Yes, and I really want to be helpful. I really want to-- you know, my commitment is to your oral health, so um, there are lots of medications out there, David, that actually take away a lot of the cravings. They're-- they make quitting so much easier.","client: Okay. Sure.\ntherapist: So--\nclient: I've heard it all. I-- but I just want to get my teeth fixed.\ntherapist: Yes, and I really want to be helpful. I really want to-- you know, my commitment is to your oral health, so um, there are lots of medications out there, David, that actually take away a lot of the cravings. They're-- they make quitting so much easier.\n",FALSE,n/a,FALSE,0.8220825078897178
34,therapist,high,"So you're thinking that, um, once your friends see you with the baby in your arms that they too will see that there's a different path for them too?","client: Because I need to for my kid. It's- it's gonna be all screwed up if I don't.\ntherapist: This part of you that says, ""I don't have an option to-to-to make this life better,"" it's wondering, ""Do I have the confidence to be able to make that life a reality?"" What do you think you need to increase your confidence that you can do this?\nclient: I don't know, like, maybe- maybe actually talking to my friends and saying like- or maybe them actually being able to see this kid and go, ""Of course, of course, your- your choice makes sense. You--"" Maybe it would, you know, give them a wake-up call too if They actually, like, see it.\ntherapist: So you're thinking that, um, once your friends see you with the baby in your arms that they too will see that there's a different path for them too?\n",TRUE,closed,FALSE,0.8231698791496456
20,therapist,high,"Well, what made you say five rather than two or three?","client: Yeah.\ntherapist: If you did decide to quit on a scale of 1 to 10, where 1 is not at all confident, and you don't think you could do it and 10 is you feel pretty certain that you could, where do you think you fall right now?\nclient: Probably like a 5 . Kind of in the unsure area. Like I know I've done it before, so I know I can do it, but at the same time, it just seems really hard. And it's not the same situation.\ntherapist: Well, what made you say five rather than two or three?\n",TRUE,open,FALSE,0.8239442463964224
22,therapist,high,Is it because a lot of your time is being taken with the first two or?,"client: Yeah, because when I saw it I was like, ""Okay, yeah, that's one, that's one, and that's one.""\ntherapist: Mm-hmm.\nclient: But—\ntherapist: Is it because a lot of your time is being taken with the first two or?\n",TRUE,closed,FALSE,0.8240817284677178
50,therapist,high,I think that's great.,"client: And then, of course, you know, working a 12-hour shift, I-I really think that, you know, the afternoon to keep me going until the evening is-is a really good idea too.\ntherapist: Yeah.\nclient: I could probably get up the mid-morning.\ntherapist: I think that's great.\n",FALSE,n/a,FALSE,0.82409259211272
21,therapist,high,"Oh, wow. Okay, that's exciting.","client: Yeah, definitely.\ntherapist: Great. And, do you have an idea about what you might want to study or?\nclient: Yeah, maybe um, pre-law.\ntherapist: Oh, wow. Okay, that's exciting.\n",FALSE,n/a,TRUE,0.8241627963725477
118,therapist,low,"Uh, well- well, not really. Uh, you need to self-certify in your first seven days off sick so if you're going to take some time off, just take some paracetamol, lots of fluids, get a self-certified note, uh, in to your employer, and put sore throat there.","client: I've been sat here for half an hour. Do you not want to know a little bit more about it, or? I mean, it- it's really painful. I- I've barely been able to swallow today and I'm so worried about passing things on to the kids. Um—\ntherapist: Well, I mean, I'm sorry we're a bit late, but you know that's the general practice, isn't it? You know, sometimes these things happen. Um, but it doesn't alter the fact that you do just have a virus, uh, and they are very common. And the nice thing is that it will get better with paracetamol and fluids, and the paracetamol will help the pain. Um, with giving it to the kids, I'm afraid there's nothing we can do about that. It's unlikely they'll get it, but I can't guarantee it.\nclient: [sighs] Well, I mean, this is gonna affect my job. I talk on the phone quite a lot at work, and I'm just-- I don't think at the moment I'm going to be able to go to work. Can- can I, at least, get a sick note?\ntherapist: Uh, well- well, not really. Uh, you need to self-certify in your first seven days off sick so if you're going to take some time off, just take some paracetamol, lots of fluids, get a self-certified note, uh, in to your employer, and put sore throat there.\n",FALSE,n/a,FALSE,0.8244159505702555
27,therapist,low,"Well, uh, wait a second, Sal, what do you mean you-you- ha- If you-- As in-- You know to be informed about-- I'm just really taken aback by that because I understand from your chart that you have a young baby-","therapist: Well, uh, wait a second, Sal, what do you mean you-you- ha- If you-- As in-- You know to be informed about-- I'm just really taken aback by that because I understand from your chart that you have a young baby-\ntherapist: Well, uh, wait a second, Sal, what do you mean you-you- ha- If you-- As in-- You know to be informed about-- I'm just really taken aback by that because I understand from your chart that you have a young baby-\ntherapist: Well, uh, wait a second, Sal, what do you mean you-you- ha- If you-- As in-- You know to be informed about-- I'm just really taken aback by that because I understand from your chart that you have a young baby-\ntherapist: Well, uh, wait a second, Sal, what do you mean you-you- ha- If you-- As in-- You know to be informed about-- I'm just really taken aback by that because I understand from your chart that you have a young baby-\n",FALSE,n/a,FALSE,0.8245403489563614
41,therapist,high,Because you're- felt so obligated.,"client: Yeah.\ntherapist: Yeah. And so you felt you came about this change, and-and-and how does it make you feel?\nclient: Well, it makes me feel jubilant. It makes me feel joyful. It makes me feel hopeful. It makes me feel like I count, like I matter. Uh, it makes me feel like I'm going to be able to do what I want to do with more joy and more passion, and less dread and a sense of responsibility, because one of the things that kind of happened along the way I really didn't notice, is that, um-- Like, let's say for example I like being a teacher or I like being a teacher or I like being a counselor to a certain degree but because of all the shoulds and all of the sense of responsibility and all of the caring about what people think, I started to lose joy doing things I actually enjoy doing.\ntherapist: Because you're- felt so obligated.\n",FALSE,n/a,TRUE,0.8247218348551542
25,therapist,high,"Okay, and how come not at like a five or a six?","client: Right, yeah.\ntherapist: So, on a scale from 1 to 10, 1 being not important and 10 being very important, where would you rate yourself on how important it is to start exercising more?\nclient: Mm, I would like to say a seven or an eight, that that's how important it is to me.\ntherapist: Okay, and how come not at like a five or a six?\n",TRUE,open,FALSE,0.8247481822036207
58,therapist,high,And days that you know of on your less rigorous schedule that you're more likely to succeed [unintelligible 00:07:40] I really like how you're picking like three days a week instead of some days a week.,"client: So if I- if I could-- I mean, I wanna get there three times a week.\ntherapist: Mm-hmm.\nclient: I wanna get there on Saturdays or Sundays and Tuesdays and Fridays, or something like that, then I could probably [unintelligible 00:07:34]\ntherapist: And days that you know of on your less rigorous schedule that you're more likely to succeed [unintelligible 00:07:40] I really like how you're picking like three days a week instead of some days a week.\n",FALSE,n/a,TRUE,0.8252645826432854
80,therapist,high,Right.,"client: Yes.\ntherapist: You-- Sounds like you did that, and that allowed you to really focus on the time [unintelligible 00:00:57] delaying your cigarettes. So-so that's gone well. So, what are the things that are not going as well as you'd liked?\nclient: It just seemed to get worse when it was the weekend-\ntherapist: Right.\n",FALSE,n/a,FALSE,0.8253182044718415
66,therapist,high,"I, uh, I'm a case manager with your health plan. I understand that you came in today to talk about your diabetes.","therapist: I, uh, I'm a case manager with your health plan. I understand that you came in today to talk about your diabetes.\ntherapist: I, uh, I'm a case manager with your health plan. I understand that you came in today to talk about your diabetes.\ntherapist: I, uh, I'm a case manager with your health plan. I understand that you came in today to talk about your diabetes.\ntherapist: I, uh, I'm a case manager with your health plan. I understand that you came in today to talk about your diabetes.\n",FALSE,n/a,FALSE,0.8260471122339368
84,therapist,high,"Mmh. Yeah, say something more about that. It sounds really interesting about you knowing that you get bored really easily.","client: Yeah. Yeah, I just get bored and stuff.\ntherapist: Okay, so part of this, what's going on is you also getting bored?\nclient: Yeah, I get bored real easy.\ntherapist: Mmh. Yeah, say something more about that. It sounds really interesting about you knowing that you get bored really easily.\n",TRUE,open,FALSE,0.8261412282008678
84,therapist,high,"Mm, okay.","client: Maybe but, mm, yeah, I wanna stop getting into trouble.\ntherapist: You wanna stop getting into trouble.\nclient: Yeah, but I don't think what I'm doing is that bad.\ntherapist: Mm, okay.\n",FALSE,n/a,FALSE,0.8267196221277118
61,therapist,high,"Uh-huh, so-","client: Five.\ntherapist: Five.\nclient: Yeah.\ntherapist: Uh-huh, so-\n",FALSE,n/a,FALSE,0.8268817961215973
85,therapist,high,You're a lucky man.,"therapist: So, we were, um- we were just talking a little bit about sustained talk, which most people call denial.\nclient: Well, I'm glad I don't have any of that.[laughter]\ntherapist: You're a lucky man.\n",FALSE,n/a,TRUE,0.8272886788472533
58,therapist,high,"Okay, alright. Where would you like to start with that?","client: Hi.\ntherapist: Hi. You were saying over the phone, uh, you want to talk about exercise?\nclient: Yeah.\ntherapist: Okay, alright. Where would you like to start with that?\n",TRUE,open,FALSE,0.8275730398017913
55,therapist,high,"Thanks. Just so you know, when I talk to patients about drug use, my job is to be helpful. I'm not going to tell you what to do or what you should do. What I can do is share some information and be a resource. Does that make sense?","therapist: Thanks. Just so you know, when I talk to patients about drug use, my job is to be helpful. I'm not going to tell you what to do or what you should do. What I can do is share some information and be a resource. Does that make sense?\ntherapist: Thanks. Just so you know, when I talk to patients about drug use, my job is to be helpful. I'm not going to tell you what to do or what you should do. What I can do is share some information and be a resource. Does that make sense?\ntherapist: Thanks. Just so you know, when I talk to patients about drug use, my job is to be helpful. I'm not going to tell you what to do or what you should do. What I can do is share some information and be a resource. Does that make sense?\ntherapist: Thanks. Just so you know, when I talk to patients about drug use, my job is to be helpful. I'm not going to tell you what to do or what you should do. What I can do is share some information and be a resource. Does that make sense?\n",TRUE,closed,FALSE,0.8276130221784115
61,therapist,high,Uh-huh. What is your overall goal? What are you working towards?,client: Not yet.\ntherapist: Not yet.\nclient: Yeah.\ntherapist: Uh-huh. What is your overall goal? What are you working towards?\n,TRUE,open,FALSE,0.8276570285670459
130,therapist,low,"Yeah. Well, the good news is he doesn't have pneumonia. It's just an upper re-respiratory tract infection and a cold. So there's some things you can do to make- to help him get better. You can avoid excessive dust. You can keep him hydrated, avoid over-the-counter cold remedies. Keep him away from people who have flu or cold-like symptoms and avoid smoke. And the last one should be easy because you quit smoking during your pregnancy.","therapist: Yeah. Well, the good news is he doesn't have pneumonia. It's just an upper re-respiratory tract infection and a cold. So there's some things you can do to make- to help him get better. You can avoid excessive dust. You can keep him hydrated, avoid over-the-counter cold remedies. Keep him away from people who have flu or cold-like symptoms and avoid smoke. And the last one should be easy because you quit smoking during your pregnancy.\ntherapist: Yeah. Well, the good news is he doesn't have pneumonia. It's just an upper re-respiratory tract infection and a cold. So there's some things you can do to make- to help him get better. You can avoid excessive dust. You can keep him hydrated, avoid over-the-counter cold remedies. Keep him away from people who have flu or cold-like symptoms and avoid smoke. And the last one should be easy because you quit smoking during your pregnancy.\ntherapist: Yeah. Well, the good news is he doesn't have pneumonia. It's just an upper re-respiratory tract infection and a cold. So there's some things you can do to make- to help him get better. You can avoid excessive dust. You can keep him hydrated, avoid over-the-counter cold remedies. Keep him away from people who have flu or cold-like symptoms and avoid smoke. And the last one should be easy because you quit smoking during your pregnancy.\ntherapist: Yeah. Well, the good news is he doesn't have pneumonia. It's just an upper re-respiratory tract infection and a cold. So there's some things you can do to make- to help him get better. You can avoid excessive dust. You can keep him hydrated, avoid over-the-counter cold remedies. Keep him away from people who have flu or cold-like symptoms and avoid smoke. And the last one should be easy because you quit smoking during your pregnancy.\n",FALSE,n/a,FALSE,0.8276915813330561
62,therapist,high,"Okay. Um, so maybe if it's okay with you, I can share with you some of, um, the requirements, maybe go over the details a little bit more.","client: Yes.\ntherapist: -but you're a little fuzzy on the details.\nclient: Exactly, yeah.\ntherapist: Okay. Um, so maybe if it's okay with you, I can share with you some of, um, the requirements, maybe go over the details a little bit more.\n",FALSE,n/a,FALSE,0.827795639866963
3,therapist,high,"Okay. Um, and so what I hear is that you're-- you feel like your wife might be, uh, overreacting to this?","client: Well, yeah, I've been to the doctor about maybe last year for a physical, but-- I mean, everything showed up to be fine, so—\ntherapist: Okay. But you feel that you feel good?\nclient: Yeah.\ntherapist: Okay. Um, and so what I hear is that you're-- you feel like your wife might be, uh, overreacting to this?\n",TRUE,open,TRUE,0.828158485237509
83,therapist,high,Yeah. Your is mum still down south?,"client: 'Cause I'm-- Yeah.\ntherapist: Good. Anybody else in your family that would be really proud of-- that you're taking these steps?\nclient: Um, oh, my mom.\ntherapist: Yeah. Your is mum still down south?\n",TRUE,closed,FALSE,0.8286107457242906
37,therapist,high,"All right. So where we left last time, you were going away to think about a few things and to, um, develop some sort of plan of action. How'd it go? What were you up to?","client: Kia ora.\ntherapist: Good. Are you okay today?\nclient: Yeah, yeah fine.\ntherapist: All right. So where we left last time, you were going away to think about a few things and to, um, develop some sort of plan of action. How'd it go? What were you up to?\n",TRUE,open,FALSE,0.8289269390515983
67,therapist,high,"Okay. When students and I talk about their substance use, the first thing I always say, I don't like to tell anyone what to do. That's not my job. Instead, I like to see if there's anything they would like to do, if anything, about their use. So what can you tell me about your marijuana use?","client: Mm-hmm.\ntherapist: All right. So here, it looks like you wrote that you drank alcohol on a few occasions in the last year, and you have used marijuana more often, 30 days in last year.\nclient: Something like that.\ntherapist: Okay. When students and I talk about their substance use, the first thing I always say, I don't like to tell anyone what to do. That's not my job. Instead, I like to see if there's anything they would like to do, if anything, about their use. So what can you tell me about your marijuana use?\n",TRUE,open,FALSE,0.8289305227808654
5,therapist,high,"Mm-hmm. So, when do you think you're gonna do that?","client: Just take them in.\ntherapist: So, you actually have to deliver them to the polytech, do you?\nclient: Yeah. Uh, I think you can post them, but I'll just drop them in.\ntherapist: Mm-hmm. So, when do you think you're gonna do that?\n",TRUE,open,FALSE,0.8289421305526048
28,therapist,high,"Yeah, so then it's, um, right now, uh, tell me a little bit about, um, right now at this point in your life why it's so important to quit.","client: Well am having, um-- I've been an ongoing problem with smoking and trying to quit.\ntherapist: So, you'd like to give up those cigarettes?\nclient: Oh I've been wanting to, for a long long time in years.\ntherapist: Yeah, so then it's, um, right now, uh, tell me a little bit about, um, right now at this point in your life why it's so important to quit.\n",TRUE,open,FALSE,0.8291093953885138
38,therapist,high,"So, you've decided you wanna cut back on your smoking a little bit, but, you're not really concerned about your drinking.","therapist: Hi, Sarah, it's great to meet you. My name is Delwyn, and I'm a counselor here at the clinic. And I heard from your nurse practitioner that you recently had an annual exam in which the topics of smoking and alcohol use came up. Would you mind filling me in a little bit about that?\nclient: Yeah, um, last week I met with my nurse practitioner, and I ge-I guess she's worried with how much I'm smoking and drinking right now. I mean, I-I did agree I would work on the smoking and try to cut back on that. But, as far as the drinking, I-I don't really think I drink that much.\ntherapist: So, you've decided you wanna cut back on your smoking a little bit, but, you're not really concerned about your drinking.\n",FALSE,n/a,TRUE,0.8292974983341992
37,therapist,high,What are you not sure about?,"client: I'm not sure.\ntherapist: No?\nclient: I'm not sure, I'm thinking about it.\ntherapist: What are you not sure about?\n",TRUE,open,FALSE,0.829948304919526
131,therapist,low,"So, yeah, again-- Um, so have you something in mind that you might like to use to help you through managing the cravings?","client: So, uh, maybe Monday morning.\ntherapist: So Monday morning after the party will be a good day, and that's next week. Okay. Now, one of the things that we do in the pharmacy is recommend that you use medication to help you. You know this increases your chance of success and it makes it more likely that can manage any cravings that come along. A lot of people like using nicotine replacement therapy which comes in a variety of formats like patches, gum, you've probably seen people using any of these products. And other options are tablets which you can get from the GP.\nclient: Mm-hmm.\ntherapist: So, yeah, again-- Um, so have you something in mind that you might like to use to help you through managing the cravings?\n",TRUE,open,FALSE,0.8304225888568908
0,therapist,high,"Uh, what else can you tell me about your drinking.","client: Something like that.\ntherapist: Okay. Just so you know, my role, um, when we talk about alcohol use, is just to share information about risk and to help patients who want help. This is different than telling them what I think they should do. I don't do that.\nclient: Okay.\ntherapist: Uh, what else can you tell me about your drinking.\n",TRUE,open,FALSE,0.8304476260673255
131,therapist,low,Okay. And what got you back?,client: It's one of those tough things.\ntherapist: Have you managed to stop smoking in the past?\nclient: I've managed for a couple of weeks.\ntherapist: Okay. And what got you back?\n,TRUE,open,FALSE,0.8305369776207954
19,therapist,high,"But, maybe the path to doing that isn't so clear.","client: I want it.\ntherapist: So, it sounds like you're ready. You're ready to give this up.\nclient: Yeah.\ntherapist: But, maybe the path to doing that isn't so clear.\n",FALSE,n/a,TRUE,0.8313719220459461
44,therapist,low,Charlie.,"client: He's a golden retriever.\ntherapist: Oh, nice.\nclient: Charlie.\ntherapist: Charlie.\n",FALSE,n/a,FALSE,0.8316106924321502
94,therapist,high,But you've done your duty. Duty is done.,"client: Yeah.\ntherapist: Cause you wanna do the right thing because you're- because you're a good person and that's a- that's a really important value to you is that you- is that you help people out.\nclient: Yeah, I-I- yeah. I mean I- thank you. I-I-I appreciate you saying that I'm a good person. Like I feel I am. Um—\ntherapist: But you've done your duty. Duty is done.\n",FALSE,n/a,TRUE,0.8318466492928565
1,therapist,high,"Well, uh, we know if someone binge drinks over time, there's kind of two categories of risk. There's the short-term risk where someone who binge drinks is more likely to fall down, hurt themselves through an accident, uh, they're more likely to drive while under the influence. Uh, but over the long term, binge drinking can also, uh, cause things like heart disease, uh, different kinds of cancer, liver problems obviously, and then even mental health issues like depression and anxiety are more likely to happen.","client: I don't chug a lot of beers in a row. I have about five or six beers throughout the entire evening.\ntherapist: Mm-hmm. Well, technically, we define binge drinking as having more than four drinks on one occasion.\nclient: But I'm healthy. What health problems are you talking about?\ntherapist: Well, uh, we know if someone binge drinks over time, there's kind of two categories of risk. There's the short-term risk where someone who binge drinks is more likely to fall down, hurt themselves through an accident, uh, they're more likely to drive while under the influence. Uh, but over the long term, binge drinking can also, uh, cause things like heart disease, uh, different kinds of cancer, liver problems obviously, and then even mental health issues like depression and anxiety are more likely to happen.\n",FALSE,n/a,FALSE,0.8329160802531987
36,therapist,high,Right.,"client: And, um, you know, if you go on the Internet-\ntherapist: Mm-hmm.\nclient: - there's loads of tests that he could have sent me for.\ntherapist: Right.\n",FALSE,n/a,FALSE,0.833293377654627
18,therapist,high,"Yeah. See one of the things I'll be really interested in-in talking with you about is, um, yeah, what's-what's the, um, what's the worst thing that has happened in terms of pokies, in terms of you know behavior around the pokies, what's the worst thing that's happened?","client: Pokies are at the pubs for the thrills, it's no worries.\ntherapist: Yeah, yeah.\nclient: It's not an issue.\ntherapist: Yeah. See one of the things I'll be really interested in-in talking with you about is, um, yeah, what's-what's the, um, what's the worst thing that has happened in terms of pokies, in terms of you know behavior around the pokies, what's the worst thing that's happened?\n",TRUE,open,FALSE,0.8336875606328249
11,therapist,high,".Okay, mm-hmm. Well, I'm wondering then if it's okay with you and-and I have a form that we can use if you'd like, um, just to put out some different ideas on an agenda that we could share as we're working together so that I-I can support you to be successful in getting this behind you. Would-would this feel like a natural time to-to move towards figuring out where we might go together?","client: I just wanna get whatever I need to get done, done.\ntherapist: Okay. You're more focused on what you need to do to get this behind you?\nclient: Yeah\ntherapist: .Okay, mm-hmm. Well, I'm wondering then if it's okay with you and-and I have a form that we can use if you'd like, um, just to put out some different ideas on an agenda that we could share as we're working together so that I-I can support you to be successful in getting this behind you. Would-would this feel like a natural time to-to move towards figuring out where we might go together?\n",TRUE,open,FALSE,0.8338633375242352
56,therapist,high,"I know, I-I understand that it was really-- That was your goal. That was a really important thing for you to be able to get home and it sounds like you've been able to really en- enjoy parts of it, and I know you've been going to the- both the physical therapy and the Tai Chi and how's-how's that going?","therapist: I know, I-I understand that it was really-- That was your goal. That was a really important thing for you to be able to get home and it sounds like you've been able to really en- enjoy parts of it, and I know you've been going to the- both the physical therapy and the Tai Chi and how's-how's that going?\ntherapist: I know, I-I understand that it was really-- That was your goal. That was a really important thing for you to be able to get home and it sounds like you've been able to really en- enjoy parts of it, and I know you've been going to the- both the physical therapy and the Tai Chi and how's-how's that going?\ntherapist: I know, I-I understand that it was really-- That was your goal. That was a really important thing for you to be able to get home and it sounds like you've been able to really en- enjoy parts of it, and I know you've been going to the- both the physical therapy and the Tai Chi and how's-how's that going?\ntherapist: I know, I-I understand that it was really-- That was your goal. That was a really important thing for you to be able to get home and it sounds like you've been able to really en- enjoy parts of it, and I know you've been going to the- both the physical therapy and the Tai Chi and how's-how's that going?\n",TRUE,open,TRUE,0.8341594731900841
48,therapist,high,Mm-hmm.,"client: You know that my friends were happy, um, that I'm like this cool person who moved from in the middle of nowhere, has a strange accent that-\ntherapist: Mm-hmm.\nclient: -they like all my stories, they are really receptive-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.8342667818069458
60,therapist,high,Yeah.,"client: Yeah, God, I don't think I could.\ntherapist: Yeah.\nclient: You know, I mean like I said three days was like-\ntherapist: Yeah.\n",FALSE,n/a,FALSE,0.8346977587789297
95,therapist,high,And how do you help her now?,"client: Because it won't be a burden to her.\ntherapist: And how are you a burden now?\nclient: Because she has to pay for my food and my uniforms, um, to have a roof over our heads.\ntherapist: And how do you help her now?\n",TRUE,open,FALSE,0.8350308421067894
33,therapist,high,Hmm.,"client: Yeah. [laughs]\ntherapist: Okay. [chuckles]\nclient: [unintelligible 00:03:34] options. I had some-- I had my surgeon just go like, ""You're- you're--"" like, ""Why do I even keep you as a patient?""\ntherapist: Hmm.\n",FALSE,n/a,FALSE,0.8351095721591264
1,therapist,high,How would you define drinking too much?,"client: Yeah. Uh, maybe a couple more.\ntherapist: Okay. Well, the reason why I like to talk to patients when they fill out this form is because sometimes, uh, alcohol use can impact our health. Um, and my role is to be helpful. I can share some information with you about alcohol use, um, but I don't tell anyone what to do. It's always up to the patient to decide what they wanna do about their drinking. Um, so is it okay if we talk a little bit more about your alcohol use?\nclient: So, uh, are you saying I drink too much?\ntherapist: How would you define drinking too much?\n",TRUE,open,FALSE,0.8360042599961162
91,therapist,high,Mm-hmm.,"client: That's right.\ntherapist: Okay. Is there anything I missed?\nclient: Um, I enjoy it. It just- it relaxes me. It's great after a meal, um, for me-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.8366017758380622
95,therapist,high,How is she gonna be better off without you?,"client: Yeah.\ntherapist: And if you're not alive, that's gonna solve the issue for her. She'll do better.\nclient: I-I think so?\ntherapist: How is she gonna be better off without you?\n",TRUE,open,FALSE,0.8366728979162872
76,therapist,high,Mm-hmm.,"client: And, um, I put that as a higher priority, or top of my value list.\ntherapist: So, would you like to express more on the inner harmony part of how that affects your life?\nclient: Yeah. Um, since I've been practicing yoga, and since I learned how to teach yoga, that's been something that I've been, um, coming to terms with more, that I feel like I have a lot more inner harmony. I'm more at peace with myself, and in-in the quiet times, and if I'm meditating.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.8367308292072266
5,therapist,high,"And I mentioned that's somewhere where you don't feel so confident, and I'm wondering what it would be like to feel confident with reading and writing. What difference would that make to your life?","client: Yeah.\ntherapist: So, I was thinking about how that stuff about not feeling confident around reading and writing has, um, really got in the way for you.\nclient: Yeah.\ntherapist: And I mentioned that's somewhere where you don't feel so confident, and I'm wondering what it would be like to feel confident with reading and writing. What difference would that make to your life?\n",TRUE,open,FALSE,0.8368015594314784
47,therapist,high,"All right, well, you know I will be by later today. If, um, you have any questions or if you want to talk, um, otherwise, again, I'll stop by and call you later.","client: Okay.\ntherapist: Okay. You know what? I-it seems like things have been really a struggle for you lately, and I have noticed that you haven't been in the best mood, so I'm really- I am concerned about you, but again, it's your choice if that's something that you feel like you want to share with me.\nclient: Okay.\ntherapist: All right, well, you know I will be by later today. If, um, you have any questions or if you want to talk, um, otherwise, again, I'll stop by and call you later.\n",FALSE,n/a,FALSE,0.8380265717860311
39,therapist,high,"Union break. Yeah. le-leverage, and you know so it's something else you might know about nicotine is, um is that actually depending on how you smoke it, it can- it can be stimulant when you want it to be a stimulant if you smoke it in short, shallow puffs and then it can be a depressant like after a meal and you take longer inhalations, and it really tends to act on your central nervous system as a depressant. So it kind of does whatever you want at any given moment and yet there is this price that you pay","client: Yeah\ntherapist: It's great\nclient: Yeah, you know how those union workers have to have you know, Union break.\ntherapist: Union break. Yeah. le-leverage, and you know so it's something else you might know about nicotine is, um is that actually depending on how you smoke it, it can- it can be stimulant when you want it to be a stimulant if you smoke it in short, shallow puffs and then it can be a depressant like after a meal and you take longer inhalations, and it really tends to act on your central nervous system as a depressant. So it kind of does whatever you want at any given moment and yet there is this price that you pay\n",FALSE,n/a,FALSE,0.8382296985946596
66,therapist,high,"I, uh, I'm a case manager with your health plan. I understand that you came in today to talk about your diabetes.","therapist: I, uh, I'm a case manager with your health plan. I understand that you came in today to talk about your diabetes.\ntherapist: I, uh, I'm a case manager with your health plan. I understand that you came in today to talk about your diabetes.\ntherapist: I, uh, I'm a case manager with your health plan. I understand that you came in today to talk about your diabetes.\ntherapist: I, uh, I'm a case manager with your health plan. I understand that you came in today to talk about your diabetes.\n",FALSE,n/a,FALSE,0.8385683593805879
20,therapist,high,Sure. It feels like something that would take up a lot of time and maybe not fit into your life. I wonder if we could talk about some options that might fit into your life.,"client: I don't like medicine.\ntherapist: Okay. There's also a lot of support groups and classes that you can take where you have other people to go through it with you. And sometimes just having that support can be a big part of it, especially for people like you where smoking is such a stress reliever.\nclient: That sounds nice, but I'm not sure if I have the time for all that.\ntherapist: Sure. It feels like something that would take up a lot of time and maybe not fit into your life. I wonder if we could talk about some options that might fit into your life.\n",TRUE,closed,TRUE,0.838569788262248
7,therapist,high,So I know we've determined that you sprained your ankle yesterday and I'm wondering if you can tell me a little bit about how that happened?,therapist: So I know we've determined that you sprained your ankle yesterday and I'm wondering if you can tell me a little bit about how that happened?\ntherapist: So I know we've determined that you sprained your ankle yesterday and I'm wondering if you can tell me a little bit about how that happened?\ntherapist: So I know we've determined that you sprained your ankle yesterday and I'm wondering if you can tell me a little bit about how that happened?\ntherapist: So I know we've determined that you sprained your ankle yesterday and I'm wondering if you can tell me a little bit about how that happened?\n,TRUE,open,FALSE,0.8387550334446132
86,therapist,high,You're hopeless about what's going on.,client: I just feel helpless about this whole deal.\ntherapist: You're hopeless about what's going on.\n,FALSE,n/a,TRUE,0.8390194352250546
58,therapist,high,Wow.,"client: Well, I'm, uh, I-I used to work out pretty good. I-I would go to the gym several times a week. I had kind of a schedule, um—\ntherapist: That's really a lot. Very good.\nclient: Yeah, well, you know, it really-- At-at one time, I was running-- I ran a half marathon. I was really into it, and, uh--.\ntherapist: Wow.\n",FALSE,n/a,FALSE,0.8394113220274448
18,therapist,high,"At times. Yeah, so-so what you-- wha-what she might say to us about about- a-a-about your gambling?","client: Mm-hmm.\ntherapist: You want that acceptance, absolutely, yeah, yeah. But won't you say, you know, friends also-- good friends also can, you know, call you on stuff too, can't they? Yeah?\nclient: At times.\ntherapist: At times. Yeah, so-so what you-- wha-what she might say to us about about- a-a-about your gambling?\n",TRUE,open,FALSE,0.8396312852855772
80,therapist,high,Sure.,"client: -for a week, uh, trying to mark down the-the difference in my smoking, being more aware when I had the urge, if I could stop the urge-\ntherapist: Mm.\nclient: -and I found it was okay. It got a little bit scary on the weekend because, uh, uh, the urge has kept on coming-\ntherapist: Sure.\n",FALSE,n/a,FALSE,0.8398348847404122
85,therapist,high,Mm-hmm.,"client: Well. Yeah. Well, yeah, I-I'd like to. I don't know, is it-- Can you- can you drink with them, some of these other ones?\ntherapist: Well, you know, uh, Scott, well, tell me a little bit since you brought that up. Yeah, obviously, drink and tell me a little bit about your [unintelligible 00:07:35]\nclient: Well, I don't really drink like people-- Like some alcoholic or something but, I do—\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.8405743830371648
61,therapist,high,Uh-huh.,"client: [sighs] Um, yes-yes I-I do because I-- my friend, I think I told you, really, really loves it and I just, I wish I could go back, and yes I do. I'm not making much sense, but I do.\ntherapist: Uh-huh. I think it's important, um, that you know that you're the one who has to make the decision about whether or not tai chi works for you.\nclient: Oh, I don't really know yet after just one time.\ntherapist: Uh-huh.\n",FALSE,n/a,FALSE,0.8409362861420959
45,therapist,high,"I know uh, some clients have struggled with understanding that I really do care about you. And you know that when we first met that you had expressed a goal of, um, getting off this program as quickly as possible.","client: So you just wanna know my business?\ntherapist: It does kinda come off as nosy at times I'm sure.\nclient: Mm-hmm.\ntherapist: I know uh, some clients have struggled with understanding that I really do care about you. And you know that when we first met that you had expressed a goal of, um, getting off this program as quickly as possible.\n",FALSE,n/a,FALSE,0.8415530978236347
37,therapist,high,Right.,"client: Yeah.\ntherapist: And-and-and your kids and developing that whānau. Have you had an opportunity to get in touch with her and—\nclient: Uh, yeah, I talked to her about it. We talked a little bit. Um, and she's not completely convinced.\ntherapist: Right.\n",FALSE,n/a,FALSE,0.8416139686014503
68,therapist,high,Okay. Tell me a little bit about your family.,client: Yeah.\ntherapist: Just kind of everyday sort of stuff?\nclient: Yeah [laughs].\ntherapist: Okay. Tell me a little bit about your family.\n,TRUE,open,FALSE,0.8417827989906073
64,therapist,high,Which you weren't aware of in Palmerston?,"client: Yeah, in-in a way. Although I wouldn't have been conscious of that really. I just sort of discovered it here. It's not like I came to Auckland looking for that kinda-\ntherapist: Right.\nclient: -lift to get away from, um, you know parents mainly, and that kind of lifestyle, that Palmy sort of lifestyle. But then yeah, I discovered this other thing, um—\ntherapist: Which you weren't aware of in Palmerston?\n",TRUE,closed,FALSE,0.8419597803149372
21,therapist,high,"Great. Well, one thing I want to ask about is, you know, different people have sort of different values or things that are important to them. They might, you know, be really close with family or really have, you know, their friends as being something particularly important. So, I'm gonna show you just a few things on this sheet, and if you can look at them all. So, there's things like belonging, community, cultural identity, family, friendship, modesty, religion, respect, self-determination and spirituality. Which of those do you think is sort of important to you?","client: Um, they're pretty good, As and Bs. So, I'm doing okay.\ntherapist: Okay.\nclient: Through college.\ntherapist: Great. Well, one thing I want to ask about is, you know, different people have sort of different values or things that are important to them. They might, you know, be really close with family or really have, you know, their friends as being something particularly important. So, I'm gonna show you just a few things on this sheet, and if you can look at them all. So, there's things like belonging, community, cultural identity, family, friendship, modesty, religion, respect, self-determination and spirituality. Which of those do you think is sort of important to you?\n",TRUE,open,FALSE,0.8423488156404346
68,therapist,high,"Mm-hmm, mm-hmm. And so when you go to parties, most of the time there's alcohol there?","client: Yeah, sometimes.\ntherapist: Okay. Can you tell me a little bit about how alcohol fits into sort of your social scene?\nclient: Uh, well it's mostly just for, for parties or party settings is kind of to get things going and get everything loosened up as they say.\ntherapist: Mm-hmm, mm-hmm. And so when you go to parties, most of the time there's alcohol there?\n",TRUE,closed,FALSE,0.8424182056915015
56,therapist,high,"I know, I-I understand that it was really-- That was your goal. That was a really important thing for you to be able to get home and it sounds like you've been able to really en- enjoy parts of it, and I know you've been going to the- both the physical therapy and the Tai Chi and how's-how's that going?","therapist: I know, I-I understand that it was really-- That was your goal. That was a really important thing for you to be able to get home and it sounds like you've been able to really en- enjoy parts of it, and I know you've been going to the- both the physical therapy and the Tai Chi and how's-how's that going?\ntherapist: I know, I-I understand that it was really-- That was your goal. That was a really important thing for you to be able to get home and it sounds like you've been able to really en- enjoy parts of it, and I know you've been going to the- both the physical therapy and the Tai Chi and how's-how's that going?\ntherapist: I know, I-I understand that it was really-- That was your goal. That was a really important thing for you to be able to get home and it sounds like you've been able to really en- enjoy parts of it, and I know you've been going to the- both the physical therapy and the Tai Chi and how's-how's that going?\ntherapist: I know, I-I understand that it was really-- That was your goal. That was a really important thing for you to be able to get home and it sounds like you've been able to really en- enjoy parts of it, and I know you've been going to the- both the physical therapy and the Tai Chi and how's-how's that going?\n",TRUE,open,TRUE,0.84287826763466
34,therapist,high,"Nina, I'm wondering, what's your hope for the future? When you think about where you are today, um, what do you hope for when you look ahead?","client: No.\ntherapist: And at the same time, it's hard to let go of the past, but on the other hand, you're thinking, ""I don't have a choice. I've got to look this way."" Is that kind of what it feels like?\nclient: I guess so. I feel like I've already made a choice and already made some bad choices with this.\ntherapist: Nina, I'm wondering, what's your hope for the future? When you think about where you are today, um, what do you hope for when you look ahead?\n",TRUE,open,FALSE,0.8428971669636667
63,therapist,high,"Let's take a look. It says that on occasion you use, uh, drugs other than medical reasons. Which drugs do you use?","client: Definitely.\ntherapist: And do you mind if we talk about a screening form that you filled out earlier today on drug use?\nclient: Okay.\ntherapist: Let's take a look. It says that on occasion you use, uh, drugs other than medical reasons. Which drugs do you use?\n",TRUE,open,TRUE,0.843151141423732
56,therapist,high,"Hi, Mrs. Smith. I'm Denise. I'm the social worker here at the clinic work that's working with Dr. Fields and the rest of the team. And, um, I know you were here to see Dr. Fields today, and I-I just wanted to let you know, I usually work with people who are similar to- have situations similar to you, and that have gone back home from rehab. And, uh, so I'd like to find out a little bit if you would, if that's okay, about how it's been going since you got home.","therapist: Hi, Mrs. Smith. I'm Denise. I'm the social worker here at the clinic work that's working with Dr. Fields and the rest of the team. And, um, I know you were here to see Dr. Fields today, and I-I just wanted to let you know, I usually work with people who are similar to- have situations similar to you, and that have gone back home from rehab. And, uh, so I'd like to find out a little bit if you would, if that's okay, about how it's been going since you got home.\ntherapist: Hi, Mrs. Smith. I'm Denise. I'm the social worker here at the clinic work that's working with Dr. Fields and the rest of the team. And, um, I know you were here to see Dr. Fields today, and I-I just wanted to let you know, I usually work with people who are similar to- have situations similar to you, and that have gone back home from rehab. And, uh, so I'd like to find out a little bit if you would, if that's okay, about how it's been going since you got home.\ntherapist: Hi, Mrs. Smith. I'm Denise. I'm the social worker here at the clinic work that's working with Dr. Fields and the rest of the team. And, um, I know you were here to see Dr. Fields today, and I-I just wanted to let you know, I usually work with people who are similar to- have situations similar to you, and that have gone back home from rehab. And, uh, so I'd like to find out a little bit if you would, if that's okay, about how it's been going since you got home.\ntherapist: Hi, Mrs. Smith. I'm Denise. I'm the social worker here at the clinic work that's working with Dr. Fields and the rest of the team. And, um, I know you were here to see Dr. Fields today, and I-I just wanted to let you know, I usually work with people who are similar to- have situations similar to you, and that have gone back home from rehab. And, uh, so I'd like to find out a little bit if you would, if that's okay, about how it's been going since you got home.\n",FALSE,n/a,TRUE,0.8437286920379847
54,therapist,high,Yeah.,"client: I've gotta make time.\ntherapist: Yeah. And so that might mean, you know, like giving up an hour's sleep, getting up an hour earlier in the day, and going there and getting it done then. That's what I do.\nclient: Yeah. Okay.\ntherapist: Yeah.\n",FALSE,n/a,FALSE,0.8438369065988809
80,therapist,high,Yeah.,client: It just seemed to get worse when it was the weekend-\ntherapist: Right.\nclient: -and I was going out with friends and I was home a lot of the day-\ntherapist: Yeah.\n,FALSE,n/a,FALSE,0.8447869499213994
53,therapist,low,"Okay. Um, so one of the things that, you know, is really important to talk to teenagers about is drinking and driving. So, um, you know, that's actually a really big problem. And even around here, we have kids die every year from getting in a drunk driving accident. So that's something that you really need to make sure you're not doing, all right? Have you ever done that? Have you ever gotten in the car-","client: Yeah.\ntherapist: Okay. Interesting. So, do you know all the bad stuff about alcohol?\nclient: Um, yeah, yeah.\ntherapist: Okay. Um, so one of the things that, you know, is really important to talk to teenagers about is drinking and driving. So, um, you know, that's actually a really big problem. And even around here, we have kids die every year from getting in a drunk driving accident. So that's something that you really need to make sure you're not doing, all right? Have you ever done that? Have you ever gotten in the car-\n",TRUE,open,FALSE,0.8451340028550476
88,therapist,high,So that's something you definitely wanna avoid?,"client: Uh, so people will get off my back.\ntherapist: And who are these people?\nclient: My mom she's always saying, you know, get to school. My PO will be like, you know, if you don't get the school on time, I can bring you back in for sanctions and I don't want to go back in.\ntherapist: So that's something you definitely wanna avoid?\n",TRUE,closed,TRUE,0.8453091357368976
70,therapist,high,"Hi, Dr. Martin. I'm Lori. I'm the pharmacist on duty here today. I understand that you have some questions about the medication citalopram. Do you have a minute to talk about that?","therapist: Hi, Dr. Martin. I'm Lori. I'm the pharmacist on duty here today. I understand that you have some questions about the medication citalopram. Do you have a minute to talk about that?\n",TRUE,closed,TRUE,0.8454712214879692
68,therapist,high,Mm-hmm.,"client: Yeah, I started on the violin first, and then I went on, explored a little with the piano, clarinet, finally found the tenor sax, and yeah.\ntherapist: Very cool. I've always wanted to be good at music. [laughter] All right. So it sounds like you're in band and a-a few other musical ensembles, any other hobbies you have or things you like to do for fun?\nclient: Um, you know, just hanging out with my friends or go to the beach, things like that.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.8467459916137159
66,therapist,high,"And so you're really kind of reeling right now from, uh, all of that. And you sound a little bit pretty, pretty scared actually.","therapist: And so you're really kind of reeling right now from, uh, all of that. And you sound a little bit pretty, pretty scared actually.\ntherapist: And so you're really kind of reeling right now from, uh, all of that. And you sound a little bit pretty, pretty scared actually.\ntherapist: And so you're really kind of reeling right now from, uh, all of that. And you sound a little bit pretty, pretty scared actually.\ntherapist: And so you're really kind of reeling right now from, uh, all of that. And you sound a little bit pretty, pretty scared actually.\n",FALSE,n/a,TRUE,0.8477457137778401
33,therapist,high,It sounds like almost you've tried a lot of things that are out there and it's not something that you're—,"client: -and quit a couple of times, off and on in my 20s, but, you know, it's been consistent. And I can't see myself changing now.\ntherapist: Mm-hmm.\nclient: No matter what kinda talk I get or what they come up with.\ntherapist: It sounds like almost you've tried a lot of things that are out there and it's not something that you're—\n",FALSE,n/a,TRUE,0.8482932224869728
84,therapist,high,"25, okay.","client: Mm, like what out of a scale it would like fall?\ntherapist: Zero being, ""Argh, not interested at all,"" 100 being totally into it.\nclient: Mmh, 25.\ntherapist: 25, okay.\n",FALSE,n/a,TRUE,0.8493204698897898
3,therapist,high,"Okay. Have you noticed putting on any weight, or anything like--?","client: I-I-I feel fine.\ntherapist: Okay.\nclient: I mean, my-my work is really man-manual labor-intensive so I'm usually working out in-in the hot sun the majority of the day, so I'm usually sweating out any like bad things I put in my system, so—\ntherapist: Okay. Have you noticed putting on any weight, or anything like--?\n",TRUE,open,FALSE,0.8496897185686976
5,therapist,high,Okay. So Donna at the moment who kind of being there is like a strength?,client: Yeah.\ntherapist: Yeah. What would happen if she wasn't around say or at a party or?\nclient: I'd probably just go be stupid with my mates.\ntherapist: Okay. So Donna at the moment who kind of being there is like a strength?\n,FALSE,n/a,TRUE,0.8504827506840229
27,therapist,low,Mm-hmm.,therapist: Mm-hmm.\ntherapist: Mm-hmm.\ntherapist: Mm-hmm.\ntherapist: Mm-hmm.\n,FALSE,n/a,FALSE,0.8509325215127319
76,therapist,high,"And in the sense of you saying in your words, you'll live.","client: And I do that, but I think, well, it's one night or it's two nights that I have a guest. I could sleep in my bed all the other days. [unintelligible 00:05:54]\nclient: So, you know, even if it's a little inconvenient for me, or my house gets messy, or my kitchen is a mess, or whatever they don't pick up after themselves it's okay. You know, I'll live. You know, it's okay, it's not a big deal. Yeah. Before it was wisdom, because I really, that's, um-- it is high on my list and it might be higher if these other things weren't here.\nclient: But I like I enjoy learning and experiencing different cultures going, um, to different places in the world and then just also being around people that live in the community that are from other cultures. And I think that brings a lot of wisdom. And just also being open to, uh, differences. And then like today, Election Day realizing that something might happen, uh, in the Congress or the Senate, that's gonna be sort of against my values but if it happens, it happens, and I have to deal with it and-and be at peace with myself with about whatever anybody else is doing I still have to have that inner peace within myself.\ntherapist: And in the sense of you saying in your words, you'll live.\n",FALSE,n/a,TRUE,0.8509519507642835
6,therapist,high,"Okay, so smoking and-and I'm working towards quitting completely sounds like that's a goal for you?","client: Yeah. The dog has been there before my wife. I know I've had him longer.\ntherapist: Hmm. So that's a huge stress right now?\nclient: Yeah. Yeah, it's- it's a big stress, it's like my best friend, so that's one of the important things. Also, I guess, cutting down these last cigarettes I've been working on.\ntherapist: Okay, so smoking and-and I'm working towards quitting completely sounds like that's a goal for you?\n",TRUE,closed,TRUE,0.8519309849943966
56,therapist,high,Yeah?,therapist: Yeah?\ntherapist: Yeah?\ntherapist: Yeah?\ntherapist: Yeah?\n,FALSE,n/a,FALSE,0.852797347586602
115,therapist,low,"Good. Here, take a look, see what you think. And that feeling-","therapist: Okay, so why don't you have a rinse, David. How are you feeling?\nclient: Okay.\ntherapist: Good. Here, take a look, see what you think. And that feeling-\n",FALSE,n/a,FALSE,0.8528473977930844
77,therapist,high,"Not really, okay. Well, have you ever heard of something called Tai Chi? Is that a familiar term to you?","client: Um, I guess the rehab.\ntherapist: Mm-hmm. Yeah, you're absolutely right. And it's also going to be very important that once you're home, you're able to continue on a regular activity program. Have you thought about what that might look like?\nclient: Not really.\ntherapist: Not really, okay. Well, have you ever heard of something called Tai Chi? Is that a familiar term to you?\n",TRUE,closed,FALSE,0.8541964427568018
61,therapist,high,Mm-hmm.,"client: And I just miss being independent, going to sleep when I want to sleep and getting up when I want to get up and-and, uh, cooking for myself. The independence. Sure I miss being independent.\ntherapist: Uh-huh. So, you're wanting to get home to your dog, your garden, back to your life, your independence?\nclient: Yes.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.8542710451874882
56,therapist,high,Yeah. What are you really glad about?,therapist: Yeah. What are you really glad about?\ntherapist: Yeah. What are you really glad about?\ntherapist: Yeah. What are you really glad about?\ntherapist: Yeah. What are you really glad about?\n,TRUE,open,FALSE,0.8543126105796546
25,therapist,high,Mm-hmm.,"client: Um, I really want to start working out again. Definitely wanna get back in it, have a routine, and just be healthy.\ntherapist: Okay, and-and why would you want to make this change?\nclient: Um, I'm sick of feeling the way I do. I feel kinda sluggish. Especially with the winter coming, I think I want to have more energy.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.8543749684467912
91,therapist,high,Mm-hmm.,"client: In other words, think about it more, don't- don't just do it automatically.\ntherapist: That's correct. And writing it down helps that process.\nclient: Yeah, yeah. I think so because, um, when I get the urge, I could maybe fight it and, um, maybe wait till the next urge-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.8544846829026937
56,therapist,high,Yeah. What are you really glad about?,therapist: Yeah. What are you really glad about?\ntherapist: Yeah. What are you really glad about?\ntherapist: Yeah. What are you really glad about?\ntherapist: Yeah. What are you really glad about?\n,TRUE,open,FALSE,0.8553880993276834
131,therapist,low,"-and, again, I'll get some out and I'll show you what they look like. This course of medication lasts for 10 to 12 weeks. And we strongly recommend that people stay on the whole course of medication and that that gives you the best chance of success. Stopping smoking is not easy but it's possible and with the type of support that we offer here in the pharmacy, you absolutely make your chance of success four times greater than trying on your own, so, that's why it's really good that you've come to see me. Now, what you said is you really want to do it and that next week sounds like a good day for you to start because the party is over and done with.","client: Yeah. I'm thinking, um, one of these patches.\ntherapist: Okay. So a patch is something you've already seen, and-\nclient: Yeah.\ntherapist: -and, again, I'll get some out and I'll show you what they look like. This course of medication lasts for 10 to 12 weeks. And we strongly recommend that people stay on the whole course of medication and that that gives you the best chance of success. Stopping smoking is not easy but it's possible and with the type of support that we offer here in the pharmacy, you absolutely make your chance of success four times greater than trying on your own, so, that's why it's really good that you've come to see me. Now, what you said is you really want to do it and that next week sounds like a good day for you to start because the party is over and done with.\n",FALSE,n/a,TRUE,0.8554354850202799
85,therapist,high,"Okay, mild schizophrenia is fine. Good. Okay, so-","client: Well, you were asking me why I don't like to take my medicine.\ntherapist: Right. So, you're-you're a, um-um, a patient who's been diagnosed with some s- maybe schizophrenia, bipolar.\nclient: I like to call it mild schizophrenia.\ntherapist: Okay, mild schizophrenia is fine. Good. Okay, so-\n",FALSE,n/a,TRUE,0.8555081624072045
12,therapist,high,"Sure. Sure. Well, it's a time to relax and you've got a lot going on.","client: Yeah. Um, I have a two-year-old son as I mentioned, so I try to never smoke around him. So I'm normally kinda waiting until he gets to bed.\ntherapist: Mm-hmm. Well, that's the time when you can relax and unwind.\ntherapist: Yeah, exactly. You know, I told you, my-my schedule is kinda crazy right now. I, um, I work full-time and I just started back at night classes. So, you know, all that combined, you know, I enjoy that time to myself in the evening.\ntherapist: Sure. Sure. Well, it's a time to relax and you've got a lot going on.\n",FALSE,n/a,TRUE,0.8565107162576169
63,therapist,high,How could you get a different social life?,"client: Yeah.\ntherapist: Um, what do you think would make it easier for you to cut down or quit using Methamphetamine?\nclient: Something else to do on weekends, you know, different social life.\ntherapist: How could you get a different social life?\n",TRUE,open,FALSE,0.8566146593075246
44,therapist,low,Okay. And how much do they typically drink?,"client: So, I'm not-- Yeah.\ntherapist: Okay. So, and then your friends drink too?\nclient: Yeah. Yes. Not all of them, but some of them do.\ntherapist: Okay. And how much do they typically drink?\n",TRUE,open,FALSE,0.8570570268202573
28,therapist,high,Mm.,"client: I mean, just cigarette. Um, so it's always, like, it's-it's a duel kind of problem I think-\ntherapist: Mm-hmm.\nclient: -you know-\ntherapist: Mm.\n",FALSE,n/a,FALSE,0.8581868042238057
33,therapist,high,"Mm, and I'm sorry, that's not how I mean to come across at all.","client: Yeah, I've thought about it. I'm just-- It's not my cup-- I-I-I hear it from everybody, and, uh, I've tried- I've tried before, didn't work. I get it all the time.\ntherapist: Okay. And it's like here I am one more person, the next- the next doctor who's saying, ""You need to quit smoking, David.""\nclient: Yeah, yeah, yeah, yeah, [unintelligible 00:01:13] hmm.\ntherapist: Mm, and I'm sorry, that's not how I mean to come across at all.\n",FALSE,n/a,FALSE,0.8583930288441479
40,therapist,high,Good.,"client: Right.\ntherapist: Okay.\nclient: Right. It's been three months, and I've been doing pretty well.\ntherapist: Good.\n",FALSE,n/a,FALSE,0.8591987104155123
60,therapist,high,Yeah.,"client: -that's cool I'll have to find out about that.\ntherapist: Yeah.\nclient: Because it's like people who will start and say, ""I'm going to stop drinking at New Year's Eve. After midnight, I'm not gonna drink.""\ntherapist: Yeah.\n",FALSE,n/a,FALSE,0.860735900234431
60,therapist,high,"And yet, on some level, you know, that it's gonna be a lot of hard work for you because of, you know, you've already known how anxious you get about a stash-","client: Yeah. Uh-huh, uh-huh. Yeah.\ntherapist: So, for you, it's your, you know, it sounds like you really want to be prepared.\nclient: Right, right.\ntherapist: And yet, on some level, you know, that it's gonna be a lot of hard work for you because of, you know, you've already known how anxious you get about a stash-\n",FALSE,n/a,TRUE,0.860850369092077
41,therapist,high,True.,"client: Yeah. And, um—\ntherapist: Do you have any idea why that is?\nclient: I do have an idea, I think, why that is. Um, I think that there's been a few things that have happened recently and something that really came to my awareness, when I visited with my family, is that I have consistently through my whole life, probably, put other people first. And I have consistently, uh, almost not even considered myself in the equation. It was, uh, kind of sad in a way, at the time that I realized it. Uh, I didn't realize how severe it actually was, but I was kind of glad that I realized it because I feel like it's never too late to change-\ntherapist: True.\n",FALSE,n/a,FALSE,0.8609150440897793
69,therapist,low,"Oh, um, yeah, I think that should be fine.","client: I'm sorry, but are you the pharmacist? I just had a question about citalopram.\ntherapist: Yeah, I'm the pharmacist on duty. Citalopram, okay. It's an antidepressant and it comes in 10, 20, and 40-milligram strengths. It's excreted in the urine and it has a half-life of about 35 hours. For side effects, there are sexual side effects, heart side effects, and stomach side effects.\nclient: Okay, but I just wanted to know if it interacts with phenelzine?\ntherapist: Oh, um, yeah, I think that should be fine.\n",FALSE,n/a,FALSE,0.8612272662576288
83,therapist,high,Yeah.,"client: Yeah.\ntherapist: What would you really like to happen in terms of, uh, you and your children?\nclient: I just-- I'd love to be able to see them whenever I can, whenever I wanted to.\ntherapist: Yeah.\n",FALSE,n/a,FALSE,0.8612534992862493
78,therapist,high,"Yeah, because you'll get that inflammation down.","client: Mm-hmm.\ntherapist: -to try to get the inflammation down, so she doesn't need to go to the emergency room and do whatever you can at this point to keep the smoke off your clothes. And I think you're gonna see big changes in terms of, uh, her not needing to go to the emergency room, and you probably won't need to use the rescue inhaler hardly at all.\nclient: Oh, really?\ntherapist: Yeah, because you'll get that inflammation down.\n",FALSE,n/a,FALSE,0.8623923573177308
32,therapist,low,"Okay. Well, your sanction is you'll be placed on university disciplinary probation and you'll have to attend an alcohol education seminar that'll cost you $150. Also, disciplinary action is progressive and cumulative, meaning that any further violations will result in suspension for one semester or longer.","client: No-no. Like I said, this isn't even my fault. Like, are we done here? I have class in 15 minutes.\ntherapist: Your behavior is not what Minnesota State University expects of its students. If you wanna be a student here, you'll need to show that you're able to follow our rules. Do you think you can do that, otherwise, you'll be suspended?\nclient: Look, I really like going on the [unintelligible 00:02:29] and I get what you're saying. You, you're making some really good points and I'll think about them. Okay?\ntherapist: Okay. Well, your sanction is you'll be placed on university disciplinary probation and you'll have to attend an alcohol education seminar that'll cost you $150. Also, disciplinary action is progressive and cumulative, meaning that any further violations will result in suspension for one semester or longer.\n",FALSE,n/a,FALSE,0.8630897670518607
60,therapist,high,And now a total stranger will give you a cigarette-,"client: Yeah.\ntherapist: And you're instant friends.\nclient: Yeah, we share-- ""Okay, oh, a smoker, let's go out and have a smoke together,"" yeah.\ntherapist: And now a total stranger will give you a cigarette-\n",FALSE,n/a,TRUE,0.8635126224253327
22,therapist,high,The other three?,"client: That's cool, so I'll focus more on that, than on the unnecessary stuff in my life.\ntherapist: Mm-hmm. Do you feel that there are some parts of your life where you'd like to be more in line with your values, or do you feel like you're really on target with them?\nclient: Um, I mentioned before that it was kind of, like, out of place for me, because when I did this one in particular, um, as-as-- I stated that there were-- The other three were important to me, but I haven't focused on it so I'm like, ""Okay, it's important to me,"" so I lost track of that and the other three—\ntherapist: The other three?\n",TRUE,closed,FALSE,0.8635729309171438
88,therapist,high,"So, um, everyone that comes on the South Whisky program, we'd like them to pick at least three goals that they'd like to work on in the next 30 days. Because what we will do is we will monitor you and we'll check in 30 days to see how you're going with your goals. So with that being said, we want you to pick something that is relevant for you, something that you're willing to work on. So with that being said, is there anything that you would like to change your work on either at home or school, um, [unintelligible 00:00:30]?","client: For me.\ntherapist: So, um, everyone that comes on the South Whisky program, we'd like them to pick at least three goals that they'd like to work on in the next 30 days. Because what we will do is we will monitor you and we'll check in 30 days to see how you're going with your goals. So with that being said, we want you to pick something that is relevant for you, something that you're willing to work on. So with that being said, is there anything that you would like to change your work on either at home or school, um, [unintelligible 00:00:30]?\n",TRUE,closed,FALSE,0.8642736151814461
83,therapist,high,"Any other family members that, uh, live close that, uh, you think would be supportive?","client: Uh, yeah, I don't know. Maybe, but I don't know if I want them to know though.\ntherapist: Okay. What do you think it might be like for you to explore that with them?\nclient: Uh, I don't know.\ntherapist: Any other family members that, uh, live close that, uh, you think would be supportive?\n",TRUE,closed,FALSE,0.8643001762684435
71,therapist,high,Mm.,"client: Yeah.\ntherapist: Okay. So, you need some help to fill out the forms?\nclient: Yeah. Like, a computer or something. If you could write on a computer, I could do that.\ntherapist: Mm.\n",FALSE,n/a,FALSE,0.8648138826247305
88,therapist,high,"So it's almost like you want your mom to make it say that this is for you. It's not because your mom's making you get up like you want your mom to remind you, ""Hey, remember, this is something that you want for yourself is to be in time for first-hour class"".","client: Mm-hmm.\ntherapist: Okay. Anything that your mom could do to help you with that?\nclient: [sighs] She can after my alarm goes off, if I don't get up, she could come in and wake me up and remind me that I said to you that I'm going to get up so that I have to do it.\ntherapist: So it's almost like you want your mom to make it say that this is for you. It's not because your mom's making you get up like you want your mom to remind you, ""Hey, remember, this is something that you want for yourself is to be in time for first-hour class"".\n",FALSE,n/a,TRUE,0.8654973604716361
46,therapist,high,"Have you ever experienced a-a blackout, like when you've been drinking and you wake up and you don't remember what happened?","client: Um, I don't like when I get sick in the mornings 'cause of hangovers and-\ntherapist: Mm-hmm.\nclient: -when I start throwing up, that's not- I don't like that.\ntherapist: Have you ever experienced a-a blackout, like when you've been drinking and you wake up and you don't remember what happened?\n",TRUE,closed,FALSE,0.865872593363747
79,therapist,high,"Yeah. Well, and then you get the kind of, I don't know if it felt like a green light or a yellow, it went from red to cautionary, you could see your kids, and that was something that was really what you were working for.","client: But I don't know if I stopped because I knew I had to stop or because, you know, it was like right there, that's where I wanted to stay, you know? Anyway, I just, uh-- [crosstalk].\ntherapist: Here you are actually, three months on, three long months as you say, um, and things have been going really well, Uh, you even get a bit of—\nclient: They're better, yeah.\ntherapist: Yeah. Well, and then you get the kind of, I don't know if it felt like a green light or a yellow, it went from red to cautionary, you could see your kids, and that was something that was really what you were working for.\n",FALSE,n/a,TRUE,0.8666495736688375
126,therapist,low,"He's right. This medicine is designed to help lower your cholesterol, and that means that it will help lower your risk of having a heart attack or a stroke. How did your doctor tell you to take this medicine?","client: Sure. I'm just getting a few groceries.\ntherapist: Okay. What did the doctor tell you cholesterol statin is for?\nclient: Well, he told me that I had a blood test for cholesterol, and that I should start taking this.\ntherapist: He's right. This medicine is designed to help lower your cholesterol, and that means that it will help lower your risk of having a heart attack or a stroke. How did your doctor tell you to take this medicine?\n",TRUE,open,TRUE,0.8669082999695092
82,therapist,high,-birth control issue and this importance comes down as your reason why you're not down here.,"client: Um, I'm a six because I think if I drink less, I'll be more reliable with using birth control. I tend to not use it when I'm-- I drank too much and I don't really care too much.\ntherapist: Okay. So it's kind of linked to your drinking, the fact that, um, that you can-- if you can take care of that drinking, you can take care of the-\nclient: Yeah.\ntherapist: -birth control issue and this importance comes down as your reason why you're not down here.\n",FALSE,n/a,TRUE,0.8671310669742525
68,therapist,high,"-and sort of be looking forward to the future and those things. All right. Well, one thing I'm going to ask you about is, um, you know, different people have sort of different things that they really value in their life. Whether it's, you know, their cultural identity or their family or their friends or job or hobbies, things like that. So here's the little sheet that goes through just some basic values that, um, might be more or less important to certain people.","client: Yeah.\ntherapist: That's great. That's really exciting to think about that-\nclient: Yeah.\ntherapist: -and sort of be looking forward to the future and those things. All right. Well, one thing I'm going to ask you about is, um, you know, different people have sort of different things that they really value in their life. Whether it's, you know, their cultural identity or their family or their friends or job or hobbies, things like that. So here's the little sheet that goes through just some basic values that, um, might be more or less important to certain people.\n",FALSE,n/a,FALSE,0.867390762316063
34,therapist,high,"Thank you for coming in to see me today, Nina. I'm looking forward to getting to know you a little bit and hearing a little bit about you and what brought you in here today.","therapist: Thank you for coming in to see me today, Nina. I'm looking forward to getting to know you a little bit and hearing a little bit about you and what brought you in here today.\n",FALSE,n/a,FALSE,0.867568752495572
118,therapist,low,"Uh, well, obviously that's a non-NHS thing so we have to charge you for that and our going rate for that is, uh, £12.","client: [sighs] Well, I mean, this is gonna affect my job. I talk on the phone quite a lot at work, and I'm just-- I don't think at the moment I'm going to be able to go to work. Can- can I, at least, get a sick note?\ntherapist: Uh, well- well, not really. Uh, you need to self-certify in your first seven days off sick so if you're going to take some time off, just take some paracetamol, lots of fluids, get a self-certified note, uh, in to your employer, and put sore throat there.\nclient: Well, I don't think my employer are gonna take that. I mean, they- they've given us so much hassle at things in the past. I mean, can- can I get a private note? Can- can I ask you to write me a letter, at least?\ntherapist: Uh, well, obviously that's a non-NHS thing so we have to charge you for that and our going rate for that is, uh, £12.\n",FALSE,n/a,FALSE,0.8677376594860107
64,therapist,high,Okay.,"client: And you kind of go, ""Woah. That's not me."" So it's about am I—\ntherapist: You're not sure that applies to you?\nclient: Yeah, or well, not to that extent, you know what I mean? Like, I-I would-- l didn't think I was at anywhere near a point that I would need to be sat down and intervened with-\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.8681013153400272
70,therapist,high,"Oh, that I'm not sure of. Um, can I get back to you later on this afternoon with that answer?","client: Okay. Uh, what about side effects?\ntherapist: If there are some side effects to this, it can include GI effects, sedation, or sexual dysfunction. But if you have a patient that suffers from any of those things, you can try either decreasing the dose or changing them to a different agent. Do you have any other questions?\nclient: Um, what about does it interact with phenelzine?\ntherapist: Oh, that I'm not sure of. Um, can I get back to you later on this afternoon with that answer?\n",TRUE,closed,FALSE,0.8684613411314785
93,therapist,high,"Fantastic. Well, um, now we can start looking at if you're interested in how that might look-","client: I don't think so.\ntherapist: Okay. Those are the big ones for you.\nclient: Yeah.\ntherapist: Fantastic. Well, um, now we can start looking at if you're interested in how that might look-\n",FALSE,n/a,FALSE,0.8685586950741708
85,therapist,high,"So you said the-the first one you said, you don't like the way it makes you feel?","client: It doesn't-- I don't like the way it makes you feel, um, I don't like the way it makes me act, and it's taken my sex drive, and just thrown it at the back of the garbage truck.\ntherapist: Well, that is a bummer. I mean—\nclient: It is.\ntherapist: So you said the-the first one you said, you don't like the way it makes you feel?\n",TRUE,closed,TRUE,0.8695862812455744
7,therapist,high,Yeah.,therapist: Yeah.\ntherapist: Yeah.\ntherapist: Yeah.\ntherapist: Yeah.\n,FALSE,n/a,TRUE,0.8699332696851343
27,therapist,low,"I understand that your asthma symptoms have been just really out of control. So, we need to look at some of the ways that you can get healthy and not be back here again.","therapist: I understand that your asthma symptoms have been just really out of control. So, we need to look at some of the ways that you can get healthy and not be back here again.\ntherapist: I understand that your asthma symptoms have been just really out of control. So, we need to look at some of the ways that you can get healthy and not be back here again.\ntherapist: I understand that your asthma symptoms have been just really out of control. So, we need to look at some of the ways that you can get healthy and not be back here again.\ntherapist: I understand that your asthma symptoms have been just really out of control. So, we need to look at some of the ways that you can get healthy and not be back here again.\n",FALSE,n/a,FALSE,0.8703976736869663
25,therapist,high,"So, it's that balance of doing something for yourself, but it sounds like you don't want that schedule to affect too much into your family routine.","client: Um, I don't know. I'd probably have to sit down maybe with my husband and try to figure out a good time for me to be able to do that, where he'd be home with the kids and I'd be going to do that, whether it's morning-time, evening, maybe the weekends.\ntherapist: Mm-hmm.\nclient: Just to find the time to be able to do it, or what works in our schedule.\ntherapist: So, it's that balance of doing something for yourself, but it sounds like you don't want that schedule to affect too much into your family routine.\n",FALSE,n/a,TRUE,0.8704324800055474
45,therapist,high,What would be some ways you could go about being able to get your freedom back?,"client: Right, I think that's the only thing that I wish I had now.\ntherapist: Your freedom?\nclient: Mm-hmm.\ntherapist: What would be some ways you could go about being able to get your freedom back?\n",TRUE,open,FALSE,0.8707226952537894
37,therapist,high,Things are looking pretty good.,"client: -which is a big deal. And, uh, she was excellent. Um, I knew she would be. Um, and, uh, I've made an appointment for the, uh, for Stopping Violence and [unintelligible 00:16:15]\ntherapist: Good to know, excellent.\nclient: Um, I've cut down on the drink. I haven't stopped drinking, but, uh-- Yeah, so, uh, it's okay.\ntherapist: Things are looking pretty good.\n",FALSE,n/a,TRUE,0.8709271622356027
42,therapist,high,And you're not feeling so good about that?,"client: No, and I don't know what I'm doing wrong because I keep trying the exercise but nothing's happening.\ntherapist: Right. So you feel like you're spinning your wheels, you're doing more exercising and it's not showing results on the scale?\nclient: Yes.\ntherapist: And you're not feeling so good about that?\n",FALSE,n/a,TRUE,0.871892383787781
64,therapist,high,Mm-hmm.,"client: No.\ntherapist: Okay.\nclient: No. I didn't really know. I guess you see sort of things like that in-in movies from America you know, but you don't really-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.872838202631101
90,therapist,low,"But, Tommy, there's so many consequences with drinking. You know, you're not even 21 yet, you could get arrested, you could, you know, have a drunk driving accident. You could, you know, mess up your schoolwork. You have such a bright future ahead of you. It just really, really concerns me.","therapist: So, Tommy, I wanted to talk to because I was on Facebook the other day and saw some pictures that are kind of concerning to me of you and some of your friends at a party, and, you know, you're such a good kid. Like, I don't know what you're doing drinking. It's going to ruin your life.\nclient: Um, I mean, it was just the, like a social gathering. It wasn't like I was looking for it, uh, the drinks were there and I-- all my friends were doing it and it was just-- it's-it's not something that I like do occa- on occasion, but whenever the opportunity presents itself, it-it's nice to just let loose and have a little bit of fun sometimes.\ntherapist: But, Tommy, there's so many consequences with drinking. You know, you're not even 21 yet, you could get arrested, you could, you know, have a drunk driving accident. You could, you know, mess up your schoolwork. You have such a bright future ahead of you. It just really, really concerns me.\n",FALSE,n/a,FALSE,0.8730650951620191
36,therapist,high,- the herbal shop-,"client: I have Immodium in my handbag all the time, just in case. Yeah.\ntherapist: Right. So, these different tablets that you've got from the-\nclient: Hmm.\ntherapist: - the herbal shop-\n",FALSE,n/a,FALSE,0.8733951251488179
130,therapist,low,"So it sounds like if you have alcohol, then smoking is very difficult to avoid and you know what you need to do. You need to go home and as your-your son's doctor, I need to tell you you need to go home and throw out those cigarettes. You need to quit.","therapist: So it sounds like if you have alcohol, then smoking is very difficult to avoid and you know what you need to do. You need to go home and as your-your son's doctor, I need to tell you you need to go home and throw out those cigarettes. You need to quit.\ntherapist: So it sounds like if you have alcohol, then smoking is very difficult to avoid and you know what you need to do. You need to go home and as your-your son's doctor, I need to tell you you need to go home and throw out those cigarettes. You need to quit.\ntherapist: So it sounds like if you have alcohol, then smoking is very difficult to avoid and you know what you need to do. You need to go home and as your-your son's doctor, I need to tell you you need to go home and throw out those cigarettes. You need to quit.\ntherapist: So it sounds like if you have alcohol, then smoking is very difficult to avoid and you know what you need to do. You need to go home and as your-your son's doctor, I need to tell you you need to go home and throw out those cigarettes. You need to quit.\n",FALSE,n/a,FALSE,0.8735021867323667
20,therapist,high,"So on the one hand, you're worried about how your smoking might be affecting him and on the other hand, you're not so sure if it's really the smoking that's causing these problems?","client: Yeah. Some people have a glass of wine. I have a cigarette.\ntherapist: Sure. And it sounds like you're trying not to smoke around him. Why did you make that decision?\nclient: I know it's not good for him. I mean, I've read those things about ear infections and asthma and stuff and-and, uh, but other kids have ear infections and their parents don't smoke.\ntherapist: So on the one hand, you're worried about how your smoking might be affecting him and on the other hand, you're not so sure if it's really the smoking that's causing these problems?\n",FALSE,n/a,TRUE,0.873992832377553
39,therapist,high,"It's so interesting because there's immediate feedback. I mean, that's immediate feedback. Um, so we're- we're talking about quitting or here quitting completely. What thoughts do you have? You tried the Chan- the Chantix, meditation, you like that so, um, I can run some ideas that some other clients have used [crosstalk]-","client: Yeah.\ntherapist: Okay. All right.\nclient: It's stuff that I learnt in class.\ntherapist: It's so interesting because there's immediate feedback. I mean, that's immediate feedback. Um, so we're- we're talking about quitting or here quitting completely. What thoughts do you have? You tried the Chan- the Chantix, meditation, you like that so, um, I can run some ideas that some other clients have used [crosstalk]-\n",TRUE,closed,FALSE,0.8741672416217625
60,therapist,high,"No. Or- or some of them didn't have an exact date, but m-more importantly, was they-they just didn't know that was the day.","client: And then you know, the next time I see, see progress, or maybe write-- have like a diary or something, I don't know.\ntherapist: Okay. Yeah, no, all those things are good. I mean, I think you know, the will- picking a quit date has been found to be really effective. And, um, uh, I know you had talked earlier and then we'll end in just a couple minutes, but about, you know, like, the willingness or the readiness and most-- a lot of people, a lot of my clients have shared with me that when they woke up that morning, they truly had no idea that was going to be their last cigarette.\nclient: Oh, really? So they didn't have an exact date, they just decided.\ntherapist: No. Or- or some of them didn't have an exact date, but m-more importantly, was they-they just didn't know that was the day.\n",FALSE,n/a,FALSE,0.8744136956520379
83,therapist,high,So how might it be for her if she knew that you're talking like this today? That-- 'Cause it sounds to me like you're really serious this time making some changes.,client: Yeah.\ntherapist: Yeah. Does she know that you're here today?\nclient: No.\ntherapist: So how might it be for her if she knew that you're talking like this today? That-- 'Cause it sounds to me like you're really serious this time making some changes.\n,TRUE,open,TRUE,0.8762335390783846
21,therapist,high,Okay.,"client: Yeah. [chuckles]\ntherapist: All right, so, um, it sounds like, in general, your-- Things are going pretty well for you. How are your grades right now?\nclient: Um, they're pretty good, As and Bs. So, I'm doing okay.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.8764346989337355
89,therapist,high,Okay. Do you see that at all as being affected by the substance use?,"client: So—\ntherapist: Okay. Um, and if you lost your job, what do you see being the consequences of that?\nclient: Um, my wife might leave me. Uh, might lose the house. Um, can't pay my bills.\ntherapist: Okay. Do you see that at all as being affected by the substance use?\n",TRUE,closed,FALSE,0.8768313354812562
21,therapist,high,"So, you mentioned, you pretty much will like hold a drink or maybe have a drink or two. What do you thinks is the most alcohol you've ever had in-in one day?","client: Yeah, definitely.\ntherapist: -in those situations? That's great. You know, it's-it's tough to do sometimes, and I really commend you for being able to-to stick with that.\nclient: Thank you.\ntherapist: So, you mentioned, you pretty much will like hold a drink or maybe have a drink or two. What do you thinks is the most alcohol you've ever had in-in one day?\n",TRUE,closed,TRUE,0.8771033764351159
21,therapist,high,Oh.,"client: Yeah.\ntherapist: Do you have a plan as to where you might want to go or?\nclient: Um, I'm not sure yet. Maybe a few schools in the area, I'm looking maybe to apply out-of-state.\ntherapist: Oh.\n",FALSE,n/a,FALSE,0.8786026234738529
71,therapist,high,Mm.,"client: -well, the forms, it's too confusing.\ntherapist: Okay. So, they gave you a horde of forms for a particular course?\nclient: Yeah, yeah. Well, I got one- I got one for panel [unintelligible 00:19:33], and one for, uh, uh, like, panel and paint-\ntherapist: Mm.\n",FALSE,n/a,FALSE,0.8791381339542568
38,therapist,high,"Yeah. And so, it sounds like there's a bit of a dilemma there, because-- And I guess we should be clear, it's not the occasional drink that's an issue. Um, it's-it's really the quantity of drinking, and-and whether your drinking is escalating and interfering with things that are, perhaps, more important.","client: Yeah.\ntherapist: And it doesn't feel good?\nclient: No.\ntherapist: Yeah. And so, it sounds like there's a bit of a dilemma there, because-- And I guess we should be clear, it's not the occasional drink that's an issue. Um, it's-it's really the quantity of drinking, and-and whether your drinking is escalating and interfering with things that are, perhaps, more important.\n",FALSE,n/a,TRUE,0.8794501489028335
41,therapist,high,That's very good.,"client: No, but um, the other ones I have on there, uh are, number two, inner harmony. For the same reason, like I feel like I need to harmonious within myself before I can be harmonious with other people.\ntherapist: You get peace with yourself?\nclient: Yes, and then I put family happiness.\ntherapist: That's very good.\n",FALSE,n/a,FALSE,0.8809395122807473
46,therapist,high,"Okay. I'm also curious, are there any parts about your alcohol use that you don't like?","client: Um, I don't know. It's just fun to drink with my friends, like when we're at a party at someone else's house, and we're drinking with other people that we don't know. It tastes good.\ntherapist: Okay. So, it sounds like you feel relaxed and have fun when you're drinking with friends and you like the taste.\nclient: Mm-hmm.\ntherapist: Okay. I'm also curious, are there any parts about your alcohol use that you don't like?\n",TRUE,closed,FALSE,0.8810032140463591
27,therapist,low,"Well, uh, wait a second, Sal, what do you mean you-you- ha- If you-- As in-- You know to be informed about-- I'm just really taken aback by that because I understand from your chart that you have a young baby-","therapist: Well, uh, wait a second, Sal, what do you mean you-you- ha- If you-- As in-- You know to be informed about-- I'm just really taken aback by that because I understand from your chart that you have a young baby-\ntherapist: Well, uh, wait a second, Sal, what do you mean you-you- ha- If you-- As in-- You know to be informed about-- I'm just really taken aback by that because I understand from your chart that you have a young baby-\ntherapist: Well, uh, wait a second, Sal, what do you mean you-you- ha- If you-- As in-- You know to be informed about-- I'm just really taken aback by that because I understand from your chart that you have a young baby-\ntherapist: Well, uh, wait a second, Sal, what do you mean you-you- ha- If you-- As in-- You know to be informed about-- I'm just really taken aback by that because I understand from your chart that you have a young baby-\n",TRUE,open,FALSE,0.8814503704197705
131,therapist,low,"Okay. Well, just remind me again why it is you want to stop.","client: Well, I need some medication if you can offer me some.\ntherapist: Absolutely, we're in the right place for that.\nclient: And, uh, whatever else you can do just to get me to go smoke-free.\ntherapist: Okay. Well, just remind me again why it is you want to stop.\n",TRUE,open,FALSE,0.8815155273769051
71,therapist,high,"Yeah. So, how confident are you that you could do something similar to these-these friends that you've got?","client: It took them like-- And, it took them like a year or something, and then they went into apprenticeship.\ntherapist: Mm-hmm.\nclient: Yeah.\ntherapist: Yeah. So, how confident are you that you could do something similar to these-these friends that you've got?\n",TRUE,open,FALSE,0.8822299353778362
33,therapist,high,"Okay, David. So, why don't you take a rinse, and how are you feeling?","therapist: Okay, David. So, why don't you take a rinse, and how are you feeling?\n",TRUE,open,FALSE,0.8824581471271813
21,therapist,high,"-in those situations? That's great. You know, it's-it's tough to do sometimes, and I really commend you for being able to-to stick with that.","client: Yeah.\ntherapist: -you're not putting yourself-\nclient: Yeah, definitely.\ntherapist: -in those situations? That's great. You know, it's-it's tough to do sometimes, and I really commend you for being able to-to stick with that.\n",FALSE,n/a,TRUE,0.8824915254954249
61,therapist,high,-but because Dr. Fields has recommended it and your friend has-,"client: Yeah. It's-it's-- I can't make that-- It wouldn't be fair for me to say it does or doesn't. It didn't that one time, but you know.\ntherapist: So, you haven't seen the results that you want yet-\nclient: Yeah.\ntherapist: -but because Dr. Fields has recommended it and your friend has-\n",FALSE,n/a,TRUE,0.8833138421177864
80,therapist,high,Right.,"client: If I can just postpone it-\ntherapist: Okay.\nclient: -and-and say, ""Okay, I'm not gonna have it at home-\ntherapist: Right.\n",FALSE,n/a,FALSE,0.8833295234944671
60,therapist,high,"You can't, no, not one of mine. So, um when are you thinking you might want to do this?","client: I like that piece of jewelry, can I? [laughs]\ntherapist: Right, yeah, but with cigarettes, there is a sharing. You don't see that with any other drugs?\nclient: Right. Right, yeah. You can't have my stash. [laughs]\ntherapist: You can't, no, not one of mine. So, um when are you thinking you might want to do this?\n",TRUE,open,TRUE,0.8836150362621993
126,therapist,low,"All right. Great. Well, have a good afternoon.","client: Okay. Um, so why am I taking this medication?\ntherapist: It's for your dyslipidemia. Oh, and you should take one every day. Do you have any questions for me?\nclient: I guess not.\ntherapist: All right. Great. Well, have a good afternoon.\n",FALSE,n/a,FALSE,0.884214393561706
82,therapist,high,"You'd say an eight. Okay. And on a scale of 1 to 10, how confident are you at the present time that you can drink below risk levels?","client: Sure.\ntherapist: Okay. So we're working on a 10 point of scale 1 to 10, 1 being not important, 10 being very important. One being not confident, one being very confident. So on a scale of 1 to 10, which number best reflects how important it is to you to drink the-- what risk limits?\nclient: I would say an eight.\ntherapist: You'd say an eight. Okay. And on a scale of 1 to 10, how confident are you at the present time that you can drink below risk levels?\n",TRUE,closed,FALSE,0.8842307373415679
41,therapist,high,Right.,"client: I resent them, I really do, when I am in the mode. But when I just say, ""Hey, I'm a person of this family and I deserve this much time and energy and attention and just more than anybody else,"" I don't care, you do what I do I do what I do life goes on [chuckles].\ntherapist: Right.\nclient: And then I have health and achievement, and to me, this one on achievement says a sense of accomplishment and to me that kind of goes along with what we were talking about earlier like I think I can show up and be a teacher and be a counselor in many different, uh, capacities. I could be your- I could be- I could be a teacher and I could be a really bad teacher. I could still be a teacher you know, I could show up an I could just do a really poor job and I could go home and I probably could keep my job for a while, it wouldn't be the first time right?\ntherapist: Right.\n",FALSE,n/a,FALSE,0.8849261202849448
6,therapist,high,That's pretty shocking to be told that you have to get rid of your dog.,"client: Well, he's-- Yeah, he's saying it's a main-- It's a main contributor to my asthma problems.\ntherapist: Okay.\nclient: Which I don't- I don't- I don't- I don't buy it and I can't just get rid of him like that, but it's something that's there.\ntherapist: That's pretty shocking to be told that you have to get rid of your dog.\n",FALSE,n/a,TRUE,0.8851176870521158
71,therapist,high,Yeah? [chuckles] Yeah?,"client: [chuckles] Yeah, no. It's what they say, yeah.\ntherapist: Oh, you must be a doctor.\nclient: Yeah, I am. [chuckles]\ntherapist: Yeah? [chuckles] Yeah?\n",FALSE,n/a,FALSE,0.8854382117278874
14,therapist,high,Mm-hmm.,"client: Yeah.\ntherapist: So, I'm gonna ask the question this way, on a scale of 0 to 10, where 0 is not at all confident, and 10 is like, ""I'm very, very confident,"" where would you put yourself on a scale right now of confidence in starting this new plan?\nclient: Right now, I'm probably-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.885793877299875
64,therapist,high,"I know Family Bar, yes.","client: Right. Um, I suppose it's kind of hand-in-hand with just hanging out with, sort of, some new scene that I've-- Like, um, I moved to Auckland maybe three years ago.\ntherapist: Mm-hmm.\nclient: And, um, I still live in Palmy and, so as you can imagine, it's sort of a bit different down there. And, um, kind of just when I first got here I was sorta introduced a little bit to, um, like do you know Family Bar on-on [unintelligible 00:06:49]?\ntherapist: I know Family Bar, yes.\n",FALSE,n/a,FALSE,0.8865023907274008
31,therapist,high,"All right, uh, well they have your medication ready, and, uh, if you have any questions let us know.","client: Okay.\ntherapist: Okay?\nclient: That'd be fine.\ntherapist: All right, uh, well they have your medication ready, and, uh, if you have any questions let us know.\n",FALSE,n/a,FALSE,0.8870350166689605
84,therapist,high,Okay.,"client: Yeah.\ntherapist: Mm. So what's it gonna be like do you think working with me 'cause I'm also a female probation officer? Um, I'm wondering what-what's it gonna be like do you think?\nclient: I-I don't care that you're a woman. It's just- it's that you don't know what it's like to be me.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.887664133682847
2,therapist,high,"All right. Uh, well, it sounds like you've been struggling with your weight recently. And I understand how difficult it is to lose the weight and then have it come back again. So, tell me what you did to lose that initial 5 pounds.","client: Well, doc, I know you told me that I need to lose weight. And even though the scale didn't show today, I was able to lose about 5 pounds, but then I gained it right back.\ntherapist: Well, I appreciate you bringing your weight to the forefront. Do you mind if we explore this issue further?\nclient: No, by all means. I know we have to discuss it.\ntherapist: All right. Uh, well, it sounds like you've been struggling with your weight recently. And I understand how difficult it is to lose the weight and then have it come back again. So, tell me what you did to lose that initial 5 pounds.\n",TRUE,open,TRUE,0.8877549055032432
78,therapist,high,Mm-hmm.,"client: She's that sensitive. If I realized that—\ntherapist: It-it-it-- Yeah. It may not- it may not when she uses the chronic inhaler, uh, but you'll need to keep an eye on that. Obviously, it would be- what would be best if it didn't get on your clothes, or you quit smoking.\nclient: Right. Um, so would it help, um-- You know, the thought of quitting smoking is a pretty daunting aspect.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.8878072244115174
56,therapist,high,"I know, I-I understand that it was really-- That was your goal. That was a really important thing for you to be able to get home and it sounds like you've been able to really en- enjoy parts of it, and I know you've been going to the- both the physical therapy and the Tai Chi and how's-how's that going?","therapist: I know, I-I understand that it was really-- That was your goal. That was a really important thing for you to be able to get home and it sounds like you've been able to really en- enjoy parts of it, and I know you've been going to the- both the physical therapy and the Tai Chi and how's-how's that going?\ntherapist: I know, I-I understand that it was really-- That was your goal. That was a really important thing for you to be able to get home and it sounds like you've been able to really en- enjoy parts of it, and I know you've been going to the- both the physical therapy and the Tai Chi and how's-how's that going?\ntherapist: I know, I-I understand that it was really-- That was your goal. That was a really important thing for you to be able to get home and it sounds like you've been able to really en- enjoy parts of it, and I know you've been going to the- both the physical therapy and the Tai Chi and how's-how's that going?\ntherapist: I know, I-I understand that it was really-- That was your goal. That was a really important thing for you to be able to get home and it sounds like you've been able to really en- enjoy parts of it, and I know you've been going to the- both the physical therapy and the Tai Chi and how's-how's that going?\n",TRUE,open,TRUE,0.8890769556164742
88,therapist,high,And-and also the support of your mom too.,client: Yes.\ntherapist: Kind of a reminder it's time to go to bed.\nclient: Have my mom check on me to make sure everything's put away.\ntherapist: And-and also the support of your mom too.\n,FALSE,n/a,TRUE,0.8891843594610691
69,therapist,low,"All right, thanks. Call me anytime.","client: Okay, but I just wanted to know if it interacts with phenelzine?\ntherapist: Oh, um, yeah, I think that should be fine.\nclient: Okay, thanks for that. I have an appointment to run to.\ntherapist: All right, thanks. Call me anytime.\n",FALSE,n/a,FALSE,0.8892455010209233
68,therapist,high,And then the respect is really sort of all-encompassing.,"client: Mm-hmm.\ntherapist: And sort of a-a sense of purpose in a way.\nclient: Yes, purpose.\ntherapist: And then the respect is really sort of all-encompassing.\n",FALSE,n/a,TRUE,0.8900225714314729
84,therapist,high,You're right. I don't know what it's like to be you and what I'm getting a sense of is that it's actually important that the person sitting opposite you in this role needs to understand what it's like to be you. Is that right?,"client: -you wouldn't understand.\ntherapist: Okay, and all of those things are true.\nclient: Yeah.\ntherapist: You're right. I don't know what it's like to be you and what I'm getting a sense of is that it's actually important that the person sitting opposite you in this role needs to understand what it's like to be you. Is that right?\n",TRUE,closed,TRUE,0.890688719926402
43,therapist,high,"Yeah. Yeah, and you also mentioned that you've actually made the appointment that you have to take this exam.","client: Um, maybe like a four or five.\ntherapist: Okay. So, four or five. How combat, like, not like a two or three.\nclient: I mean, because I-I have it set up after like so many years, so I still have a ton of anxiety about it, but I think I'm like kind of making it, maybe that first step. And so that's why I would rate it as like a four or five because I'm making that first step, but it's still scary for me.\ntherapist: Yeah. Yeah, and you also mentioned that you've actually made the appointment that you have to take this exam.\n",FALSE,n/a,TRUE,0.8907025861553848
77,therapist,high,"Yeah, yeah, yeah. Well, it's not that easy to get started. You do certainly have to have some motivation to want to do it. Um, and when you first start, oftentimes you do feel a little wobbly or a little insecure.","client: Well, I-I hadn't really thought about it, but yeah I guess, I guess.\ntherapist: Mm-hmm.\nclient: Like I said, my friend talks about it and-and it's very pretty. I've seen pictures, you know.\ntherapist: Yeah, yeah, yeah. Well, it's not that easy to get started. You do certainly have to have some motivation to want to do it. Um, and when you first start, oftentimes you do feel a little wobbly or a little insecure.\n",FALSE,n/a,FALSE,0.8907310755457729
72,therapist,low,All right.,client: Shake.\ntherapist: All right. I'll see you later.\nclient: See you later.\ntherapist: All right.\n,FALSE,n/a,FALSE,0.8908478333614767
49,therapist,high,I don't know.,"client: Yeah.\ntherapist: When you think five years ahead, which-which position do you wanna be in? Which-which feels best? Party girl still, you know, with those four credit cards maxed out major, or would you wanna be actually, you know, thinking about having traveled and, you know, maybe, starting a family, those other things? Which-which direction feels best for you at this point?\nclient: Party girl at 30s is a bit sad, really, isn't it? [chuckles]\ntherapist: I don't know.\n",FALSE,n/a,FALSE,0.8912445660680532
64,therapist,high,Mm-hmm.,"client: -'cause-'cause like I found something in myself or something that was missing.\ntherapist: And how does that feel for you now?\nclient: Um, now, I guess, now, I'm just a little used to it. [clears throat] When I first got here, I was like, ""Wow, this is amazing."" This is hard, I guess, but, you know, it's been three years now, so it's just kinda like I've gotten used to it.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.8917773857247084
34,therapist,high,"Oh, oh, you're talking about your friends.","client: It feels like I have to lec- I don't wanna have to lecture them and I don't want it to be like a lecture.\ntherapist: You're concerned that they're gonna kind of treat you like a child.\nclient: My parents or my friends?\ntherapist: Oh, oh, you're talking about your friends.\n",FALSE,n/a,FALSE,0.8923091313336045
90,therapist,low,"So, Tommy, I wanted to talk to because I was on Facebook the other day and saw some pictures that are kind of concerning to me of you and some of your friends at a party, and, you know, you're such a good kid. Like, I don't know what you're doing drinking. It's going to ruin your life.","therapist: So, Tommy, I wanted to talk to because I was on Facebook the other day and saw some pictures that are kind of concerning to me of you and some of your friends at a party, and, you know, you're such a good kid. Like, I don't know what you're doing drinking. It's going to ruin your life.\n",FALSE,n/a,FALSE,0.8925138833001256
7,therapist,high,So I know we've determined that you sprained your ankle yesterday and I'm wondering if you can tell me a little bit about how that happened?,therapist: So I know we've determined that you sprained your ankle yesterday and I'm wondering if you can tell me a little bit about how that happened?\ntherapist: So I know we've determined that you sprained your ankle yesterday and I'm wondering if you can tell me a little bit about how that happened?\ntherapist: So I know we've determined that you sprained your ankle yesterday and I'm wondering if you can tell me a little bit about how that happened?\ntherapist: So I know we've determined that you sprained your ankle yesterday and I'm wondering if you can tell me a little bit about how that happened?\n,TRUE,open,FALSE,0.8927185938227922
90,therapist,low,"I think you're wrong. You know, it really worries me. Anyway, um, I wish you would quit. If all you're going to do is cut down, that's better than nothing. You know, I appreciate you talking to me about this, but I'm gonna keep talking to you about it. It's really important.","client: Mm. Yeah. I-I-I do see that maybe me drinking not as much would possibly better my life to-to a certain degree. And I-- it does make a lot of sense. And I-I guess I can put more effort into sort of lowering the level of drinking that—\ntherapist: I think you really need to quit.\nclient: Yeah. I mean, alcohol is just so prevalent in our society and it's just around me, wherever I go and parties and stuff that. I-I kind of feel like I should just, uh, get used to it or at least understand its, uh, its effects before I should let it get out of my life entirely. I don't- I don't really see it as something that will completely destroy my life.\ntherapist: I think you're wrong. You know, it really worries me. Anyway, um, I wish you would quit. If all you're going to do is cut down, that's better than nothing. You know, I appreciate you talking to me about this, but I'm gonna keep talking to you about it. It's really important.\n",FALSE,n/a,FALSE,0.8930725464597344
67,therapist,high,"Okay. Well, it sounds like you have a goal of not using marijuana once basketball starts. How long do you think you could not use?","client: Well, I play better when I'm not high.\ntherapist: Marijuana affects how well you play. What would be the other benefits for you?\nclient: Well, I wouldn't get caught with using a pen, so I wouldn't get kicked off the basketball team.\ntherapist: Okay. Well, it sounds like you have a goal of not using marijuana once basketball starts. How long do you think you could not use?\n",TRUE,open,TRUE,0.8932616976089776
8,therapist,high,"So, you're pretty angry about it. It's pretty outraging that you're forced to change your whole life because of a decision she made six months ago.","client: Well, she's concerned about my health and she cuts out all these articles from the paper about second-hand smoke and—\ntherapist: Wow, that she's been showing you and making you read.\nclient: Yeah, I've got to read this. That's my reading assignment for breakfast and I want to go out and have-- We used to go out and have a cigarette together at the table. Now I have to go outside in this weather, you know, what's that about? And she used to smoke more than me and now she's like holier than now?\ntherapist: So, you're pretty angry about it. It's pretty outraging that you're forced to change your whole life because of a decision she made six months ago.\n",FALSE,n/a,TRUE,0.8934217866044492
56,therapist,high,Yeah?,client: Pretty good.\nclient: Pretty good.\ntherapist: Yeah?\ntherapist: Yeah?\n,FALSE,n/a,FALSE,0.8934787199832499
39,therapist,high,"Oh, did you?","client: Yeah, [laughs].\ntherapist: Oh, okay- okay.\nclient: It came home with me.\ntherapist: Oh, did you?\n",TRUE,closed,FALSE,0.8943355977535248
106,therapist,low,"Well, the fact that he's having these ear infections is indicating to me that he is being exposed to smoke, and so, what can you tell me about that?","client: Yeah, it's pretty stressful for both of us. He gets really upset.\ntherapist: Well, one of the primary risk factors for multiple ear infections in kids is actually smoke exposure. Are you smoking?\nclient: Yeah, I-- Yeah, I do smoke, but I don't smoke around him. I try really hard not to smoke around him.\ntherapist: Well, the fact that he's having these ear infections is indicating to me that he is being exposed to smoke, and so, what can you tell me about that?\n",FALSE,n/a,FALSE,0.8948867381550372
64,therapist,high,"So tell me a little bit about what you're doing, what is- what is the concern that they are raising.","client: Yeah.\ntherapist: Well, let's do some checking out.\nclient: Okay, cool.\ntherapist: So tell me a little bit about what you're doing, what is- what is the concern that they are raising.\n",FALSE,n/a,FALSE,0.8954028785228729
39,therapist,high,Mm-hmm,client: Whatever you know and her friends. I think a lot of her friend's parents don't smoke and I'm constantly running like outside to smoke and-and-\ntherapist: It is becoming a pain in the butt\nclient: It is. It really is. It's a monkey on my back\ntherapist: Mm-hmm\n,FALSE,n/a,FALSE,0.8956062784418464
34,therapist,high,"Yeah. Is that something that, um, maybe you and I could meet again about-and talk about having those conversations with-with the family, maybe having conversations about, you know, the folks, your-your friends that are currently in the lifestyle that you were involved with, um, and then sort of what it would look like to go down path B, is that something that you would be open to meeting with me about again?","client: And I know that if they found out, they would be really pissed.\ntherapist: That would be a concern for them as well as for you now.\nclient: Yeah.\ntherapist: Yeah. Is that something that, um, maybe you and I could meet again about-and talk about having those conversations with-with the family, maybe having conversations about, you know, the folks, your-your friends that are currently in the lifestyle that you were involved with, um, and then sort of what it would look like to go down path B, is that something that you would be open to meeting with me about again?\n",TRUE,closed,FALSE,0.8978679536376148
130,therapist,low,"So it sounds like if you have alcohol, then smoking is very difficult to avoid and you know what you need to do. You need to go home and as your-your son's doctor, I need to tell you you need to go home and throw out those cigarettes. You need to quit.","client: Well, you know, I-I was doing perfectly well. It was just when I went out with my friends and, you know, usually, I'm fine with the cravings. It's just when I have a glass of wine at the end of the day. And if I have more than two or three, I just get that craving for a cigarette. And if I have cigarettes in the house, it just happens. You know, I'm doing pretty good.\nclient: Well, you know, I-I was doing perfectly well. It was just when I went out with my friends and, you know, usually, I'm fine with the cravings. It's just when I have a glass of wine at the end of the day. And if I have more than two or three, I just get that craving for a cigarette. And if I have cigarettes in the house, it just happens. You know, I'm doing pretty good.\ntherapist: So it sounds like if you have alcohol, then smoking is very difficult to avoid and you know what you need to do. You need to go home and as your-your son's doctor, I need to tell you you need to go home and throw out those cigarettes. You need to quit.\ntherapist: So it sounds like if you have alcohol, then smoking is very difficult to avoid and you know what you need to do. You need to go home and as your-your son's doctor, I need to tell you you need to go home and throw out those cigarettes. You need to quit.\n",FALSE,n/a,FALSE,0.8982275009620935
102,therapist,low,"Hi, Liz. Well, thanks for meeting with me today.","therapist: Hi, Liz. Well, thanks for meeting with me today.\n",FALSE,n/a,FALSE,0.8991565424948931
64,therapist,high,It just sounds like something's worrying you about that there's-there's a part link there but there's not a link and that-that maybe that the drugs is-is becoming a more important part in your life.,"client: Well, I guess, now, that I think about it, maybe it's sort of gone beyond that, maybe I didn't notice that.\ntherapist: So—\nclient: I mean like I always-- Well, it's, you know it's kind of a thing that happens in the weekends but, I guess, sometimes in the weekdays. You know, I'll-I'll pretty much every weekend I'll have a big night, um, maybe two but sometimes, you know, in the weekdays like on a Tuesday or Wednesday or something if I just kinda feel like doing something then I might do that sometimes to see if someone else wants to come round and join me or, you know, occasionally by myself I might have a smoke by myself or something like that. And I guess that isn't entirely linked to that scene, I suppose.\ntherapist: It just sounds like something's worrying you about that there's-there's a part link there but there's not a link and that-that maybe that the drugs is-is becoming a more important part in your life.\n",FALSE,n/a,TRUE,0.8993953114841133
118,therapist,low,Bye.,"client: I'm sorry, uh, I think I'm gonna say something that I don't- I don't want to, so I'm actually going to go.\ntherapist: Okay.\nclient: Thank you.\ntherapist: Bye.\n",FALSE,n/a,FALSE,0.8996083175297827
22,therapist,high,You're not even on-- Are you on the schedule at all? Meaning of time in a day dedicated? Is most of it going to your family?,"client: So, I've had, um, less time to have some inner harmony.\ntherapist: Oh yeah, right. The family has been so much coming first that you have sort of taken a back seat?\nclient: Yes.\ntherapist: You're not even on-- Are you on the schedule at all? Meaning of time in a day dedicated? Is most of it going to your family?\n",TRUE,closed,FALSE,0.8999248114414513
22,therapist,high,-so you know that it's going to change.,client: Yes.\ntherapist: You've done numerous values clarification handouts and every time they're different-\nclient: Mm-hmm.\ntherapist: -so you know that it's going to change.\n,FALSE,n/a,TRUE,0.9002287341281772
90,therapist,low,I think you really need to quit.,"client: Yeah, I guess I haven't really put it on myself. I guess it's really been forced on their account. And I've just been following in their footsteps just to-- just because it seems like what they're doing is a lot of fun. And I just want to make sure that I'm getting every bit of the high school experience that I can.\ntherapist: Well, there's a lot of things that seem fun in the moment that we know aren't a good choice, right? That's some of the things we talk about all the time is making good choices for our life and-and really doing what's best for you. And I just, you know, I really think you should think about making a big change here.\nclient: Mm. Yeah. I-I-I do see that maybe me drinking not as much would possibly better my life to-to a certain degree. And I-- it does make a lot of sense. And I-I guess I can put more effort into sort of lowering the level of drinking that—\ntherapist: I think you really need to quit.\n",FALSE,n/a,FALSE,0.9008119946811348
30,therapist,high,"So, your confidence that you'll be able to deal with possibly going back to detention?","client: Yeah, whatever. I Know you got to do your job, but I don't care.\ntherapist: Okay. Um, any questions about that? Any questions about kind of the next steps from here?\nclient: I mean, whatever happens happens. I'll deal with it when it happens.\ntherapist: So, your confidence that you'll be able to deal with possibly going back to detention?\n",TRUE,closed,FALSE,0.9009652922395617
20,therapist,high,It's on your to-do list. It's just not making it to the top?,"client: Yes.\ntherapist: Okay. But it sounds to me too like part of you really does want to quit?\nclient: Yeah. I-I know that I need to, and I, you know, keep every new year I say, ""Okay, this year I'm gonna quit smoking"" but then something happens and it-it just doesn't. And quitting doesn't happen.\ntherapist: It's on your to-do list. It's just not making it to the top?\n",FALSE,n/a,TRUE,0.901074001332745
71,therapist,high,Yeah.,"client: -I got some forms and-\ntherapist: Tell me- tell me what happened when you say they-- like it didn't help you? What-what-what happened?\nclient: I asked- I asked them what I had to do, and they said I had to fill out some forms, but-\ntherapist: Yeah.\n",FALSE,n/a,FALSE,0.9013437961693853
123,therapist,low,"Okay, I finished the exam. I have some good news and I have some not-so-good news. Looks like you don't have any cavities, so that's the good news.","therapist: Okay, I finished the exam. I have some good news and I have some not-so-good news. Looks like you don't have any cavities, so that's the good news.\n",FALSE,n/a,FALSE,0.9014423850458115
130,therapist,low,And let's talk some more about wine. You keep throwing wine into the conversation. It sounds like it's become a significant part of your daily routine. How much are you drinking?,"client: Okay. Um, well, yeah, I-I guess I can throw the cigarettes. And tomorrow night when I have my glass of wine, I'll-I'll just try to avoid that craving.\ntherapist: And let's talk some more about wine. You keep throwing wine into the conversation. It sounds like it's become a significant part of your daily routine. How much are you drinking?\ntherapist: And let's talk some more about wine. You keep throwing wine into the conversation. It sounds like it's become a significant part of your daily routine. How much are you drinking?\ntherapist: And let's talk some more about wine. You keep throwing wine into the conversation. It sounds like it's become a significant part of your daily routine. How much are you drinking?\n",TRUE,closed,TRUE,0.9017547401599586
17,therapist,low,"So you're doing more than that right now. And when you drink more than this amount, it puts you at risk for a number of things, okay? Things like greater risk of injury, damage to different parts of your body, um, just a bunch of different problems. And, uh-- so I'm going to recommend that you cut down- cut down that amount to the recommended limit. Again, that's no more than seven drinks a week and no more than three on a given day. Do you think you could do that? Would that be a good goal for you?","client: No.\ntherapist: Okay. So, you know, as we said before, you're drinking-- it sounds like you're drinking about 20 drinks a week, over the course of a few days. And I did want to point out to you that the recommended limit for women is actually no more than seven drinks a week, and no more than three on a given day.\nclient: Okay.\ntherapist: So you're doing more than that right now. And when you drink more than this amount, it puts you at risk for a number of things, okay? Things like greater risk of injury, damage to different parts of your body, um, just a bunch of different problems. And, uh-- so I'm going to recommend that you cut down- cut down that amount to the recommended limit. Again, that's no more than seven drinks a week and no more than three on a given day. Do you think you could do that? Would that be a good goal for you?\n",TRUE,closed,FALSE,0.9019563964102417
49,therapist,high,"Yep. Okay, okay. And-and when they stopped fluttering, were you still fluttering or did you stop with them? Where-where were you with—","client: -so, you know, I think I'm a bit weird if I just sit-sit at the bar on my own. [chuckles]\ntherapist: Yeah. Yeah, so-so, you fluttered last night with them?\nclient: Yeah.\ntherapist: Yep. Okay, okay. And-and when they stopped fluttering, were you still fluttering or did you stop with them? Where-where were you with—\n",TRUE,closed,FALSE,0.9022945801261812
36,therapist,high,Right.,"client: - as far as he's concerned. Sent me back to the doctor.\ntherapist: Right. It sounds as though you're-you're not happy with that.\nclient: Well, you know, I think that actually, the NHS are running out of money, aren't they? And he's-\ntherapist: Right.\n",FALSE,n/a,FALSE,0.9027069946750998
8,therapist,high,"You have a few concerns about your health, but that's not really the driving force. It sounds like it's most of all that it would be nice if things just went back to the way they were before she quit smoking and that all of this stuff wasn't something that you had to deal with anymore. Does that pretty much sum up--?","client: Well, the big one of course is how it's affecting my wife and the family. Like my dad's 85, he still smokes. I mean, yeah, you know, sometimes I thought of quitting, but I mean, I don't know. I don't know if I can-- I don't know if I can quit.\ntherapist: So, let me make sure I understand kind of the whole scenario 'cause there's a lot of pieces to it. Your wife is on your case and your kids are ganging up too. So, you're sort of isolated, you're put in a corner and you're being told this is something you have to do, you have no choice in the matter.\nclient: Yeah.\ntherapist: You have a few concerns about your health, but that's not really the driving force. It sounds like it's most of all that it would be nice if things just went back to the way they were before she quit smoking and that all of this stuff wasn't something that you had to deal with anymore. Does that pretty much sum up--?\n",TRUE,closed,TRUE,0.9028057963587344
27,therapist,low,"Well, uh, wait a second, Sal, what do you mean you-you- ha- If you-- As in-- You know to be informed about-- I'm just really taken aback by that because I understand from your chart that you have a young baby-","therapist: Well, uh, wait a second, Sal, what do you mean you-you- ha- If you-- As in-- You know to be informed about-- I'm just really taken aback by that because I understand from your chart that you have a young baby-\ntherapist: Well, uh, wait a second, Sal, what do you mean you-you- ha- If you-- As in-- You know to be informed about-- I'm just really taken aback by that because I understand from your chart that you have a young baby-\ntherapist: Well, uh, wait a second, Sal, what do you mean you-you- ha- If you-- As in-- You know to be informed about-- I'm just really taken aback by that because I understand from your chart that you have a young baby-\ntherapist: Well, uh, wait a second, Sal, what do you mean you-you- ha- If you-- As in-- You know to be informed about-- I'm just really taken aback by that because I understand from your chart that you have a young baby-\n",FALSE,n/a,TRUE,0.9029621130321175
80,therapist,high,"Okay. So, and you've thought about already, what you might do, such as getting a hobby. Any other thoughts of what you might do to help you overcome this?","client: But I marked it in the book. Uh, that's one thing I said to myself, I'll be honest in my marking down.\ntherapist: In marking it down, okay.\nclient: So, I'm gonna have to really be aware of the weekends. Maybe get some kind of hobby or-or join some group or something on the weekends to keep me busy.\ntherapist: Okay. So, and you've thought about already, what you might do, such as getting a hobby. Any other thoughts of what you might do to help you overcome this?\n",TRUE,open,TRUE,0.903204076224938
55,therapist,high,"Thanks. When I looked at your form, it looks like you use heroin weekly and you injected. What part of your body do you normally inject in?","client: Uh, yeah. Yeah, that's fine.\nclient: Uh, yeah. Yeah, that's fine.\nclient: Uh, yeah. Yeah, that's fine.\ntherapist: Thanks. When I looked at your form, it looks like you use heroin weekly and you injected. What part of your body do you normally inject in?\n",TRUE,open,FALSE,0.9032314005307853
86,therapist,high,You seem motivated to follow the rules.,client: Mm-hmm. I really want to get off the program.\ntherapist: You don't want to be here.\nclient: I really want to get off the program.\ntherapist: You seem motivated to follow the rules.\n,FALSE,n/a,TRUE,0.9032824791502208
83,therapist,high,Yeah.,client: Mm-hmm.\ntherapist: So is that different from when you've come in here before?\nclient: Yeah. And I still had to walk through those doors so-\ntherapist: Yeah.\n,FALSE,n/a,FALSE,0.9035672389436513
5,therapist,high,It's harder to think straight when you've been drinking?,"client: Yeah.\ntherapist: So you've noticed that when you've been drinking that those feelings are coming back again, or?\nclient: Yeah. I just wanna have a bit of a laugh and like go smash some windows or go and nick a car or something, but yeah. It's kind of harder to think straight.\ntherapist: It's harder to think straight when you've been drinking?\n",TRUE,closed,FALSE,0.9036345251370221
115,therapist,low,"Mm-hmm. So, you know, the smoking is going to be related not just to some of the other negative consequences. You know, physically, it affects dental caries, dental cavities-","client: Gonna get that again.\ntherapist: -coffee, tea. Yeah, you've heard this before, I'm sure.\nclient: I do all the above, yeah.\ntherapist: Mm-hmm. So, you know, the smoking is going to be related not just to some of the other negative consequences. You know, physically, it affects dental caries, dental cavities-\n",FALSE,n/a,FALSE,0.9037194852717221
39,therapist,high,"So, um, since you like meditation so much, it's highly likely that you'd be a great candidate for hypnotherapy.","client: It's stuff that I learnt in class.\ntherapist: It's so interesting because there's immediate feedback. I mean, that's immediate feedback. Um, so we're- we're talking about quitting or here quitting completely. What thoughts do you have? You tried the Chan- the Chantix, meditation, you like that so, um, I can run some ideas that some other clients have used [crosstalk]-\nclient: That'd be great, yeah, please.\ntherapist: So, um, since you like meditation so much, it's highly likely that you'd be a great candidate for hypnotherapy.\n",FALSE,n/a,FALSE,0.9037748707924038
0,therapist,high,What else besides drinking helps you relax and unwind in the evenings?,client: Maybe having less wine in the house.\ntherapist: Having less wine in the house will help?\nclient: Yes.\ntherapist: What else besides drinking helps you relax and unwind in the evenings?\n,TRUE,open,FALSE,0.9040313872974366
81,therapist,high,"Mm. So some of your feelings, uh, of being overwhelmed or about the logistics of the appointment, and some of it is you just don't like medical appointments and medical people?","client: I don't know. It seems overwhelming to me.\ntherapist: What about it seems overwhelming?\nclient: Well, I hate making phone calls and I know I need to fill out all this paperwork. I don't know how to get there and I hate needles.\ntherapist: Mm. So some of your feelings, uh, of being overwhelmed or about the logistics of the appointment, and some of it is you just don't like medical appointments and medical people?\n",FALSE,n/a,TRUE,0.9041177495382726
54,therapist,high,"Yeah, yeah.","client: If I walked that far, I probably wouldn't even need to go to the gym, right?\ntherapist: Well, I don't know about that. Um. That-- you know, it's really important that you get your, um, not just your cardiovascular-- that's a good idea for the cardiovascular, but also, you know, your, um, weightlifting, the [inaudible 00:01:32] [crosstalk]\nclient: [inaudible 00:01:33] training.\ntherapist: Yeah, yeah.\n",FALSE,n/a,FALSE,0.9046700662001967
28,therapist,high,"So, and I would- I would-- it really is because it wasn't like that 20 years ago.","client: Yes, yeah. And that's what I associated with at the time and now it's almost, I'm ostracized for it.\ntherapist: Mm-hmm.\nclient: So, it's kind of like a double-edged sword.\ntherapist: So, and I would- I would-- it really is because it wasn't like that 20 years ago.\n",FALSE,n/a,TRUE,0.904753880109638
13,therapist,high,"Okay, so you were thinking that maybe exposing Lily naturally to these diseases would be a better choice than using vaccines to help her get stronger?","client: Oh, I-I don't know if I'm comfortable with that. I've been reading a bunch of stuff lately about them.\ntherapist: Hmm. Can you tell me more about your concerns about vaccines?\nclient: Uh, yeah, well, I was just- I was reading that it's better to let them build up their immunity, like, naturally and stuff in their immune systems.\ntherapist: Okay, so you were thinking that maybe exposing Lily naturally to these diseases would be a better choice than using vaccines to help her get stronger?\n",TRUE,closed,TRUE,0.9048983976244926
89,therapist,high,Tell me a little bit about what brings you today.,therapist: Tell me a little bit about what brings you today.\n,TRUE,open,FALSE,0.9053333927877247
1,therapist,high,"Okay. And then when you do drink alcohol, you typically have five or six drinks.","client: Sure.\ntherapist: Okay. Uh, thanks for filling this out. Uh, looks like you use alcohol two to three days a week?\nclient: Yeah, but only on the weekend.\ntherapist: Okay. And then when you do drink alcohol, you typically have five or six drinks.\n",FALSE,n/a,TRUE,0.9057381309103221
64,therapist,high,And how does that feel for you now?,"client: Yeah, yeah. I definitely wanted to get away from something. I didn't know what too, but then I arrived here and found this thing that was like actually, this was obviously, fate or whatever was pulling me to this thing-\ntherapist: Alright.\nclient: -'cause-'cause like I found something in myself or something that was missing.\ntherapist: And how does that feel for you now?\n",TRUE,open,FALSE,0.906216467032209
1,therapist,high,"So, on one hand, you like how beer tastes, uh, it's part of your social life to some extent, um, but on the other hand, you don't like the idea of it posing risks to your health over the long term?","client: Well, I-I like beer. I like the way it tastes, I like the way it makes me feel. Uh, like when I'm around friends and it's not a problem for me.\ntherapist: And so what about your drinking do you not like or is there anything that worries you about your drinking?\nclient: Well, that was fine until I came here, uh, but now that I know about the health risk, uh, I have something I gotta think about.\ntherapist: So, on one hand, you like how beer tastes, uh, it's part of your social life to some extent, um, but on the other hand, you don't like the idea of it posing risks to your health over the long term?\n",FALSE,n/a,TRUE,0.9066014077980071
36,therapist,high,Right.,"client: Um, but, um, no, I've tried-- Well, you-- I don't think he's tried enough tests because he said after that, that they didn't find anything-\ntherapist: Right.\nclient: -and he-he's-he's just not sent me for anymore. That's it now-\ntherapist: Right.\n",FALSE,n/a,FALSE,0.9076206176541746
73,therapist,high,Mm-hmm. So it help—,"client: Dealing with my grandma's loss.\ntherapist: Okay, so that's helped you.\nclient: Yeah. I feel alone, and I just, I miss her and, it does- it does help but,-\ntherapist: Mm-hmm. So it help—\n",FALSE,n/a,TRUE,0.9081578701734543
34,therapist,high,-drinking and your friends are-,"client: A little bit. I think if I- if I talk to them, it would be fine, but it's-it's weird, right? Like I'm the only one of my friends that's, like, taking this step and having a kid, and they don't really know how to handle that.\ntherapist: Kind of feels like You're between two worlds. In one world, you're preparing to be a mother and bring a baby into this world, and this other world is the world that you've been in for a while where you're kind of having a good time and-\nclient: Yeah.\ntherapist: -drinking and your friends are-\n",FALSE,n/a,FALSE,0.9084523303899914
22,therapist,high,"Oh yeah, right. The family has been so much coming first that you have sort of taken a back seat?","client: -and I've been definitely esteeming others.\ntherapist: Uh.\nclient: So, I've had, um, less time to have some inner harmony.\ntherapist: Oh yeah, right. The family has been so much coming first that you have sort of taken a back seat?\n",TRUE,closed,TRUE,0.9090475151315331
74,therapist,low,"Emily, why? Why did you get your lip pierced?","client: I'm doing all right. How are you?\ntherapist: I'm good. Um, wow, what's changed? What do we have here?\nclient: Oh, I got my lip pierced.\ntherapist: Emily, why? Why did you get your lip pierced?\n",TRUE,open,FALSE,0.9095541236456484
71,therapist,high,"Mm. Makes it harder? Yeah. Well, it can make it harder to keep a job, aye?","client: Yeah. It kinda messes things up.\ntherapist: Yeah. It kinda messes up that dream, that picture?\nclient: Yeah. It makes it harder.\ntherapist: Mm. Makes it harder? Yeah. Well, it can make it harder to keep a job, aye?\n",TRUE,closed,FALSE,0.9096378812100738
65,therapist,high,Mm.,"client: -at present, but when the doctor told me this morning what could be waiting for me in the future-\ntherapist: Mm-hmm.\nclient: -that made me rethink-\ntherapist: Mm.\n",FALSE,n/a,FALSE,0.9102912861853838
28,therapist,high,"So, it's already piled I'm thinking up for you, you don't need anything else so you're looking for some relief and not something to make you feel worse.","client: And agitation really-\ntherapist: Oh yeah.\nclient: -because, um, you know, um, being at my age I'm going through the menopause stage which is part, you know, you'll have that anyways and then having 15-year-old that causes a little bit more stress so you don't need any extra stress, I don't think, as far as I'm concerned.\ntherapist: So, it's already piled I'm thinking up for you, you don't need anything else so you're looking for some relief and not something to make you feel worse.\n",FALSE,n/a,TRUE,0.9105749123264104
63,therapist,high,Mm-hmm.,"client: Just, you know, some alcohol.\ntherapist: And, uh, um, you do this how often?\nclient: Meth?\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.9108613564167172
62,therapist,high,I can- I can hear that you are really eager to just get it finished-,"client: Okay, so I would do that. And then do you know, can I get all the 24 hours in in like a weekend or how does that work?\ntherapist: Well, I mean, 24 hours in a weekend sounds to me like it might be a lot of time.\nclient: [unintelligible 00:02:20]\ntherapist: I can- I can hear that you are really eager to just get it finished-\n",FALSE,n/a,TRUE,0.9109434615820646
131,therapist,low,Okay.,"client: Mm-hmm.\ntherapist: You've got the time at the end of the day when you finish work, which might be the first time you've gone without a cigarette. So, what I'd like to recommend is that you use two products perhaps and I'm thinking of you're having a patch and then suggesting that you might use something that you can top up with. Often, a person who smokes knows exactly what it feels like when they're craving for a cigarette. What does it feel like to you, when you can't have a cigarette and you want one?\nclient: I just get irritable.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.9116459663491696
81,therapist,high,How can I help you with these things?,"client: Well, I hate making phone calls and I know I need to fill out all this paperwork. I don't know how to get there and I hate needles.\ntherapist: Mm. So some of your feelings, uh, of being overwhelmed or about the logistics of the appointment, and some of it is you just don't like medical appointments and medical people?\nclient: Yes.\ntherapist: How can I help you with these things?\n",TRUE,open,FALSE,0.9119376477319747
21,therapist,high,Okay. Can you tell me a little bit about how alcohol fits into your overall social scene?,"client: Yeah.\ntherapist: -and kinda. Okay, great. All right, well, one of the things I wanna talk about is, you know, um, you mentioned that you'd like to go out with friends and-and party, and that sort of a thing. And, I'm curious, when you're out in the parties, do you ever have any alcohol?\nclient: Um, not much, maybe like one or two drinks at the most.\ntherapist: Okay. Can you tell me a little bit about how alcohol fits into your overall social scene?\n",TRUE,open,FALSE,0.9120299790520221
26,therapist,high,What-what happened?,"client: I just want my call, that's it.\ntherapist: All right. yeah, I was told that you're phone calls was taken away\nclient: [scoffs] Yeah.\ntherapist: What-what happened?\n",TRUE,open,FALSE,0.912751579657197
55,therapist,high,"Thanks. When I looked at your form, it looks like you use heroin weekly and you injected. What part of your body do you normally inject in?","therapist: Thanks. When I looked at your form, it looks like you use heroin weekly and you injected. What part of your body do you normally inject in?\ntherapist: Thanks. When I looked at your form, it looks like you use heroin weekly and you injected. What part of your body do you normally inject in?\ntherapist: Thanks. When I looked at your form, it looks like you use heroin weekly and you injected. What part of your body do you normally inject in?\ntherapist: Thanks. When I looked at your form, it looks like you use heroin weekly and you injected. What part of your body do you normally inject in?\n",TRUE,closed,FALSE,0.9136447601485997
45,therapist,high,What are some other ways you feel like you can get your freedom back?,"client: I guess like your sign your papers.\ntherapist: Mm-hmm, yup that's one step, just sign the papers when I come by. Even though it seems like it's kinda annoying at times, it is something that we're contracted to do.\nclient: Mm-hmm.\ntherapist: What are some other ways you feel like you can get your freedom back?\n",TRUE,open,FALSE,0.9142650156281888
28,therapist,high,"Well, I mean that's-that's, you know, tell me about when you were diagnosed with that.","client: Oh and emphysema the beginning stages of emphysema.\ntherapist: Oh my goodness. Okay. And so, and that-- yeah, that's very-- that's really scary beginnings of emphysema, I'm sorry to hear that.\nclient: Thank you.\ntherapist: Well, I mean that's-that's, you know, tell me about when you were diagnosed with that.\n",TRUE,open,FALSE,0.91448087641038
0,therapist,high,Thanks for filling it out. We give this form to everyone once a year regardless of why they come in. It helps us provide better care. Is it okay if I take a look at what you put down?,therapist: Thanks for filling it out. We give this form to everyone once a year regardless of why they come in. It helps us provide better care. Is it okay if I take a look at what you put down?\n,TRUE,open,FALSE,0.9148060434963554
45,therapist,high,"So that's something that will motivate you to not do what you did, not commit that crime, and, um, 'cause you do not like when we stop by?","client: Mm-hmm.\ntherapist: What are some other ways you feel like you can get your freedom back?\nclient: Not do this again so that I don't ever have to be here and be stuck in my house and all of these people coming to visit me and know my business.\ntherapist: So that's something that will motivate you to not do what you did, not commit that crime, and, um, 'cause you do not like when we stop by?\n",TRUE,closed,FALSE,0.9151094907429069
36,therapist,high,"Hello, there.","therapist: Barbara Roberts?\nclient: Yes. Morning.\ntherapist: Hello, there.\n",FALSE,n/a,FALSE,0.9156014297623187
131,therapist,low,"The main reason that you smoke is because, at the end of the day, it gives you a kind of relaxation, and if there's quite a little stress that's going on which you're using cigarettes to help you cope with.","client: Yeah.\ntherapist: -so it took you back into it. All right. Let me just make sure I've understood what's going on here. You really want to stop smoking because you're kind of the last guy in your group still smoking, it costs a lot of money, and you don't really like the smell.\nclient: Mm-hmm.\ntherapist: The main reason that you smoke is because, at the end of the day, it gives you a kind of relaxation, and if there's quite a little stress that's going on which you're using cigarettes to help you cope with.\n",FALSE,n/a,TRUE,0.9159650090150535
14,therapist,high,"-on that. All right. So, I'd like to ask you, uh, kind of a scaling question about this 'cause I'm hearing that this feels really important to you that you'd be way up there on the high- on the high end of importance.","therapist: So, again, I hear your overall goal is really, to not give up these things you'd like but to cut back on how much you have-\nclient: Yeah, I guess so.\ntherapist: -on that. All right. So, I'd like to ask you, uh, kind of a scaling question about this 'cause I'm hearing that this feels really important to you that you'd be way up there on the high- on the high end of importance.\n",FALSE,n/a,TRUE,0.9164489551912993
35,therapist,high,Tell me more about that. What do you notice specifically about your mood on the days you're physically active?,"client: Yeah, yeah, I think so. Um, that's not to say like, I wanna go run a marathon but I do think that it would help me a lot in terms of just having a better outlook on life, um, and better energy to- if I were to pick up some type of activity.\ntherapist: Great. And you've noticed a mood enhancement effect of exercise.\nclient: Mm-hmm.\ntherapist: Tell me more about that. What do you notice specifically about your mood on the days you're physically active?\n",TRUE,open,FALSE,0.9165714289993048
22,therapist,high,"Right. So, right now, it really is important to you to put the family values first? And religion is still very important to you, but you feel like maybe you're losing faith a little bit?","client: Um, and then the second one I said is religion. Um, it was number one at first, um, but somehow with a big situation that happened in my family you kind of lose sight of your faith a little bit, which is normal. And not a lot of people-- They, uh-- Well, in my church home, i-it just seems like, ""Oh, you lost touch of God, oh my gosh, you're the devil.""\ntherapist: Uh-huh.\nclient: You know? And it's kind of like, well we all face those challenges every day, we're not perfect, you know? And I feel like my faith is still there but it's-- You know, as long as it's still there, that's all that matters.\ntherapist: Right. So, right now, it really is important to you to put the family values first? And religion is still very important to you, but you feel like maybe you're losing faith a little bit?\n",FALSE,n/a,TRUE,0.9175108824856579
6,therapist,high,So you made it in here-,"client: No problem.\ntherapist: I saw that your doctor made the referral and, um, and I really appreciate you taking the time to come and make that appointment.\nclient: Yeah, it's-it's a bit of an inconvenience I'd say, but I'm here though.\ntherapist: So you made it in here-\n",FALSE,n/a,TRUE,0.9179040340241045
38,therapist,high,I-it seems like it-it would be quite a hard pattern to change.,"client: Yeah.\ntherapist: And you've perhaps never seen it in that light before.\nclient: No. And, i-it's just, it's really hard to take in right now. I mean, yeah. I-I've never thought about it like this. And, so, you know, I-I do feel kind of worried.\ntherapist: I-it seems like it-it would be quite a hard pattern to change.\n",FALSE,n/a,TRUE,0.9181451457552612
84,therapist,high,Yeah.,"client: Get some income, some good cash or something.\ntherapist: Mm-hmm.\nclient: A nice job.\ntherapist: Yeah.\n",FALSE,n/a,FALSE,0.9183427861426026
22,therapist,high,You've done numerous values clarification handouts and every time they're different-,"client: Yes.\ntherapist: Uh, that it's okay with you, and you-you know that it's gonna change because that's been your, uh, experience.\nclient: Yes.\ntherapist: You've done numerous values clarification handouts and every time they're different-\n",FALSE,n/a,TRUE,0.9188577600289136
5,therapist,high,"So, offending gets in the way of the life that you're starting to lead?","client: Yeah.\ntherapist: So, all these changes that you've- that you've made, um, Billy, where-where is the offending fitting into all of that now?\nclient: Not really fitting in. It kind of just gets in the way.\ntherapist: So, offending gets in the way of the life that you're starting to lead?\n",FALSE,n/a,TRUE,0.9192039291374385
16,therapist,high,"In terms of that freedom and in charge of yourself, and the changes that we're talking about, and building your own family, and to enable you to do that, where do some of that freedom stuff sit with re-engaging back with your whānau and your children, your partner? Is it something you're gonna wanna hang on to, or how you're going to manage that?","client: He doesn't-- I don't know if he can really understand what it means to me. Um, he's a good mate.\ntherapist: Okay. What are some of the pros and cons about moving in with whāna, moving in with your auntie and uncle?\nclient: The food would be good. Um, I get- I get support with-- my whānau is really supportive, but I'm- I'm worried about losing- I'm worried about losing my freedom. I'm worried about, um, about them taking over, or, you know what I mean? I have a freedom where I am now, I'm in charge of myself. That would probably be really good.\ntherapist: In terms of that freedom and in charge of yourself, and the changes that we're talking about, and building your own family, and to enable you to do that, where do some of that freedom stuff sit with re-engaging back with your whānau and your children, your partner? Is it something you're gonna wanna hang on to, or how you're going to manage that?\n",TRUE,open,FALSE,0.9195250864140689
61,therapist,high,"Uh-huh, and tell me how your physical therapy is going?","client: I-I don't want to fall.\ntherapist: Uh-huh.\nclient: I-I've had friends that had that happen. So, um, I-I agree a little, with some hesitation, but I do agree.\ntherapist: Uh-huh, and tell me how your physical therapy is going?\n",TRUE,open,FALSE,0.9203951233066618
12,therapist,high,"Okay. So over the past year, the smoking has increased. And that's been mainly in the evening?","client: Yeah.\ntherapist: Okay. And that's changed over what period of time?\nclient: Um, honestly, it's probably been over the past year or so that I- I've been smoking a little bit more.\ntherapist: Okay. So over the past year, the smoking has increased. And that's been mainly in the evening?\n",TRUE,closed,TRUE,0.9204891498666257
49,therapist,high,"So, um, how serious do you think this issue is to sort?","client: Mm-hmm.\ntherapist: Yeah, thanks for that, okay. So, let's think about the-- It has to do with how you just sorted out the thing around the gambling 'cause last time you were here, you told me that you get a buzz, you know, it seemed like you were gambling a bit more than your girlfriends were aware of, and-and you said you owe one of your friends some money.\nclient: Mm.\ntherapist: So, um, how serious do you think this issue is to sort?\n",TRUE,closed,FALSE,0.9207631391473114
44,therapist,low,Okay. Couple of years. Great. And how do you like Marching Band?,"client: Yeah, the tenor sax.\ntherapist: Wow. And how long have you been in marching band?\nclient: Marching band since freshman year. So like three years.\ntherapist: Okay. Couple of years. Great. And how do you like Marching Band?\n",TRUE,open,FALSE,0.9210348180495203
39,therapist,high,Like it's a little treat.,"client: It is. It really is. It's a monkey on my back\ntherapist: Mm-hmm\nclient: And um for me smoking is like a calming effect, you know. And some people it's a stimulant you know and then for me, it's like, I look forward to relaxing on my couch after a long day and then watching my you know news or whatever the heck I'm watching or reading and having my cigarette, um, I'll tell you-\ntherapist: Like it's a little treat.\n",FALSE,n/a,TRUE,0.9212825756985694
86,therapist,high,You feel like people aren't willing to help.,client: Mm. I just feel helpless about this whole deal.\ntherapist: You seem at a loss of where to go from here.\nclient: No one wants to help me.\ntherapist: You feel like people aren't willing to help.\n,FALSE,n/a,TRUE,0.9213758071418852
95,therapist,high,"Right. Hi, Ruth, thank you for coming today. How are you?","therapist: Right. Hi, Ruth, thank you for coming today. How are you?\n",TRUE,open,FALSE,0.9213946145027876
71,therapist,high,"Yeah? So, what have you been thinking, um, since we last met, about what you might do about getting that kind of job?","client: Yeah.\ntherapist: And we've talked about that idea of you getting a job and something to do with cars 'cause that's where your passion is.\nclient: Mm.\ntherapist: Yeah? So, what have you been thinking, um, since we last met, about what you might do about getting that kind of job?\n",TRUE,open,FALSE,0.9214416653849185
18,therapist,high,Okay.,"client: At times.\ntherapist: At times. Yeah, so-so what you-- wha-what she might say to us about about- a-a-about your gambling?\nclient: I don't know. You don't have any money, so-- And that she-she'll probably be quite happy if I stopped.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.9219136915635318
83,therapist,high,"Your family is down south. I mean,who-who-who else do you think would be really interested in sup-supporting you, rowing with you if you like on this journey?","client: Yeah, let's give it some thought.\ntherapist: Rick, I get a sense that you're kind of padding this walk a little bit on your own at the moment. Would that be true?\nclient: Yeah. That'll definitely be true.\ntherapist: Your family is down south. I mean,who-who-who else do you think would be really interested in sup-supporting you, rowing with you if you like on this journey?\n",TRUE,closed,TRUE,0.9219402016606182
91,therapist,high,Right.,"client: Uh, it's part of my life. It's, uh, I started smoking when I was 13, 14 at home. My parents smoked. All of their friends smoked. It was on television. Everybody looked so grand.\ntherapist: Mm-hmm.\nclient: Uh, smoking and all dressed up and-and fancy clothes and maybe having a drink in their hands and having a nice meal, um, I didn't really think about it. It's just an extension of me, I guess. It's-it's good for my nerves.\ntherapist: Right.\n",FALSE,n/a,FALSE,0.9221211923286319
20,therapist,high,"Um, I did wanna talk to you though. I'm a little bit concerned looking through his chart of how many ear infections he's had recently. And I-I noticed that you had checked the box that someone's smoking in the home. So I was wondering if you can tell me a little more about that.","therapist: So I wrote a prescription for antibiotics for Aiden.\nclient: Okay.\ntherapist: Um, I did wanna talk to you though. I'm a little bit concerned looking through his chart of how many ear infections he's had recently. And I-I noticed that you had checked the box that someone's smoking in the home. So I was wondering if you can tell me a little more about that.\n",TRUE,closed,FALSE,0.9222612541634589
46,therapist,high,"Okay. And have you had any problems related to-to your drinking alcohol, like at home or school or somewhere else?","client: -when I start throwing up, that's not- I don't like that.\ntherapist: Have you ever experienced a-a blackout, like when you've been drinking and you wake up and you don't remember what happened?\nclient: No, but that happened to someone I know, though.\ntherapist: Okay. And have you had any problems related to-to your drinking alcohol, like at home or school or somewhere else?\n",TRUE,closed,FALSE,0.9225149168632925
131,therapist,low,"-so it took you back into it. All right. Let me just make sure I've understood what's going on here. You really want to stop smoking because you're kind of the last guy in your group still smoking, it costs a lot of money, and you don't really like the smell.","client: It was, um-- To be honest, it was stress from an argument with my partner I remember.\ntherapist: So something just happened-\nclient: Yeah.\ntherapist: -so it took you back into it. All right. Let me just make sure I've understood what's going on here. You really want to stop smoking because you're kind of the last guy in your group still smoking, it costs a lot of money, and you don't really like the smell.\n",FALSE,n/a,TRUE,0.9227567089255899
82,therapist,high,"Okay. And if you need more information, we can get that for you.","client: Before I leave?\ntherapist: Yes.\nclient: Okay.\ntherapist: Okay. And if you need more information, we can get that for you.\n",FALSE,n/a,FALSE,0.9227616828866303
88,therapist,high,"So knowing that a couple of things can really get in your way, what do you think would work best for you to get to school on time? What do you know you need to do?","client: I can't ever get up in the morning. So that's hard and then by the time I do get up, and then I get ready and get dressed, I miss the bus. So then I usually end up walking or see if I can find a ride. So it could be a bunch of different reasons why I'm late.\ntherapist: Okay, so it's not just one major thing?\nclient: No.\ntherapist: So knowing that a couple of things can really get in your way, what do you think would work best for you to get to school on time? What do you know you need to do?\n",TRUE,open,TRUE,0.9234428743366152
38,therapist,high,"Yeah, and so it sounds like you've noticed that the more stressed you're feeling, the more you're drinking.","client: Yeah, yeah.\ntherapist: And then it also sounds like, um, your drinking has perhaps increased a little bit over time?\nclient: Yeah, I mean, I guess it has. Probably just with being so stressed out every day, you know. I mean, I'm in my second semester of school right now, and so, adding that to everything, uh, it's a lot. And, you know, I'm trying to figure out child carry. Um, normally, my mom will watch my son, but, lately, she can't always. And so, I'm always kind of worrying like, will she be able to, you know. So, i-it's just stressful.\ntherapist: Yeah, and so it sounds like you've noticed that the more stressed you're feeling, the more you're drinking.\n",FALSE,n/a,TRUE,0.9235042622312903
26,therapist,high,"Like I said, it's been, um, a long time and this is basically the first time that we've seen this behavior from you, so I know for a lot of other guys right before they get out, uh, a lot of anxiety, a lot of frustration comes around because they haven't been out in a while and then like the pressures of being on the outside are starting to settle in. So is that something might be going on with you?","client: My dad's birthday is tomorrow.\ntherapist: Okay.\nclient: And I just wanted my call so I can talk to my mom. That's it.\ntherapist: Like I said, it's been, um, a long time and this is basically the first time that we've seen this behavior from you, so I know for a lot of other guys right before they get out, uh, a lot of anxiety, a lot of frustration comes around because they haven't been out in a while and then like the pressures of being on the outside are starting to settle in. So is that something might be going on with you?\n",TRUE,closed,TRUE,0.9235464623197913
61,therapist,high,Uh-huh.,"client: Yeah.\ntherapist: And I know that, uh, Dr. Fields talked with you last time about maybe trying a tai chi class to see how that would go, and I wanted to-to check in with you and see how tai chi went.\nclient: Well, I went once.\ntherapist: Uh-huh.\n",FALSE,n/a,FALSE,0.9248556511010975
26,therapist,high,So what's been going on?,therapist: So what's been going on?\n,TRUE,open,FALSE,0.9253399637527764
5,therapist,high,"You've done-- You've got a really good track record of, uh, being on time. Yeah? Do you realize that?","client: Hi.\ntherapist: Hi, another session and another session where you are actually on time.\nclient: Yeah.\ntherapist: You've done-- You've got a really good track record of, uh, being on time. Yeah? Do you realize that?\n",FALSE,n/a,FALSE,0.9256447486113757
78,therapist,high,"Hi, I'm Bruce Berger. I work in the clinic and, uh, I noticed that you're in to pick up a prescription for Sarah's, uh, rescue inhaler-","therapist: Hi. Are you Julie Thompson?\nclient: Mm-hmm. Yeah.\ntherapist: Hi, I'm Bruce Berger. I work in the clinic and, uh, I noticed that you're in to pick up a prescription for Sarah's, uh, rescue inhaler-\n",FALSE,n/a,FALSE,0.9256625270936638
60,therapist,high,Sure.,"client: And then maybe set up another appointment with you.\ntherapist: Okay.\nclient: And maybe I don't know if-if that's like something that you'd be, you know, willing to do with me is to- help me set a date.\ntherapist: Sure.\n",FALSE,n/a,TRUE,0.9262017740402371
15,therapist,low,Okay.,"client: Well, I-- [sighs] I'm probably not gonna buy anything today. I mean, I just came by to see what my options are. I-- if-- thanks for the input. I mean, do you have anything else, do you have any other advice for me?\ntherapist: Well, aside from the gum, you could try the nicotine lozenge, that would be another option for you. Again, that's not something you'd wanna use continuously throughout the day. The nicotine patch is the best for continuous nicotine replacement, but again, that's not something you can use while you're continuing to smoke.\nclient: Oh, well. Okay. Well, thanks. I mean, I guess that helps a little bit. I'll-- maybe I'll be back later. Thanks.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.9271737029775977
40,therapist,high,Nice.,"client: Right. It's been three months, and I've been doing pretty well.\ntherapist: Good.\nclient: Um, and I met a couple new friends.\ntherapist: Nice.\n",FALSE,n/a,FALSE,0.9276927723549306
46,therapist,high,Okay. And how often?,"client: It's not a big deal. Sometimes with my friends, we'll drink a few beers and when we're hanging out or when we're at a party, and sometimes rum and cokes.\ntherapist: Okay, so how many do you usually have at a time?\nclient: Um, three or four, probably. I don't keep track.\ntherapist: Okay. And how often?\n",TRUE,closed,FALSE,0.9287453859578818
131,therapist,low,Okay.,"client: Yeah.\ntherapist: Okay. So after you've had the quit date, what do you think you might do when it it's the first day at work and it's time to go home if you're not gonna have a cigarette?\nclient: I guess, um, I'll just- I'll just have, you know, some fresh air as well, but this time without a cigarette in my hand but to try and give myself regular breaks maybe, I don't know.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.9293245424050838
71,therapist,high,"-and getting on this road where you're staying out of trouble because you've got this, um, interest-","client: No.\ntherapist: Okay. I'm wondering about-- because it sounds like this whole idea about filling out the forms, is getting in the way of this bigger dream that you've got which is around getting a qualification around something to do with cars-\nclient: Yeah.\ntherapist: -and getting on this road where you're staying out of trouble because you've got this, um, interest-\n",FALSE,n/a,TRUE,0.9294040503446013
23,therapist,high,Okay. So it has been quite a big step and a big change and it sounds like that that was what led you to go to your GP.,"client: Um, it kind of escalated a bit. Um, I've just recently moved out, um, from living with my parents. So just made it a bit worse, I think.\ntherapist: Okay. Is this the first time that you've left home?\nclient: Yeah, I am- Yeah. It's the first time actually, yeah. Um, I was going to a few years ago. I just thought it'd be easier to stay at home, so.\ntherapist: Okay. So it has been quite a big step and a big change and it sounds like that that was what led you to go to your GP.\n",FALSE,n/a,TRUE,0.9301410459447652
71,therapist,high,"Yeah. So, when you've had to write things or fill out forms before, how-how's that been for you?","client: Yeah.\ntherapist: Yeah? What-what's the confusing bit?\nclient: I didn't understand, like, what you're supposed to write down. Like, yeah. I'm not good at this, maybe too confusing.\ntherapist: Yeah. So, when you've had to write things or fill out forms before, how-how's that been for you?\n",TRUE,open,FALSE,0.9314941025804728
74,therapist,low,"Hi, Emily. How are you?","therapist: Hi, Emily. How are you?\n",TRUE,open,FALSE,0.9318339962046593
86,therapist,high,You feel like you've been a disappointment for them.,client: Mm-hmm. I'm letting the whole family down. They had such high hopes for me.\ntherapist: You feel like you're letting your family down.\nclient: Mm-hmm. I'm letting my whole family down. They had such high hopes for me.\ntherapist: You feel like you've been a disappointment for them.\n,FALSE,n/a,TRUE,0.9318444621749222
77,therapist,high,"It hurts? Oh, I'm sorry to hear that. Where are you having pain?","client: Yeah.\ntherapist: What kind of things have you been in your rehab?\nclient: Oh, they have me doing all kinds of things in different machines and stuff. Yeah, it hurts.\ntherapist: It hurts? Oh, I'm sorry to hear that. Where are you having pain?\n",TRUE,closed,FALSE,0.9322551696095616
36,therapist,high,Okay. Okay. And what about tests? Have you had any tests for these problems?,client: Hmm.\ntherapist: - depending on what your stomach's doing?\nclient: Yeah.\ntherapist: Okay. Okay. And what about tests? Have you had any tests for these problems?\n,TRUE,open,FALSE,0.9322566811461002
77,therapist,high,"Yeah, yeah. And so that's a very important goal to be able to get back home, to be able to get back to your independence. Have you thought about what it might take to get there?","client: I wanna go home.\ntherapist: Oh, of course, of course. And what are the things that you'd like to be able to do once you get home?\nclient: Everything. I wanna- I wanna, play with my dog. I miss my dog. I wanna cook for myself. I'm a very independent person and I wanna do things for myself.\ntherapist: Yeah, yeah. And so that's a very important goal to be able to get back home, to be able to get back to your independence. Have you thought about what it might take to get there?\n",TRUE,closed,FALSE,0.9323307890444994
24,therapist,high,"Mm-hmm. And so in terms of, uh, uh, readiness to actually go ahead and make a quit attempt, where do you think you fall on the scale of 1 to 10, where one is, I'm not considering it at all, and 10 is, I'm definitely ready, I wanna quit.","client: Sure. I can quit.\ntherapist: Okay. What makes you so confident?\nclient: Well, I mean, I don't see why I couldn't, I-- although I have not ever tried to quit, it's just something that I do for fun, you know, on breaks at work, in the morning, and after work.\ntherapist: Mm-hmm. And so in terms of, uh, uh, readiness to actually go ahead and make a quit attempt, where do you think you fall on the scale of 1 to 10, where one is, I'm not considering it at all, and 10 is, I'm definitely ready, I wanna quit.\n",TRUE,closed,FALSE,0.9323832371737808
82,therapist,high,So you have a support group that gives you the ability to have fun and still drink below risk levels?,"client: Um, I think it's because you've told me I'm at risk and I have alcoholism in my family and I really don't want to go down that path. So I'm-I'm confident that I can change that at this point.\ntherapist: Okay. So that gives you a good reason not to drink. Okay. Anything else?\nclient: Um, well, I have a group of friends that doesn't drink that I hang out with. And I think when I hang out with them, it's not an issue. So that also helps me.\ntherapist: So you have a support group that gives you the ability to have fun and still drink below risk levels?\n",FALSE,n/a,TRUE,0.9328167082276195
5,therapist,high,"Hi, another session and another session where you are actually on time.","therapist: Hi, Billy.\nclient: Hi.\ntherapist: Hi, another session and another session where you are actually on time.\n",FALSE,n/a,FALSE,0.9330341273453087
11,therapist,high,Okay. You're more focused on what you need to do to get this behind you?,"client: How long is this gonna take?\ntherapist: Yeah, we-- You know, we have about 15 to 20 minutes to talk today, total. Um-um, which certainly it's just the first of-of some sessions that we'll have together over the next six months. It'd be a natural question you'd wanna know how much time this will take, of course. Um, what else would you like me to know about you and your perspective that you think will help me work with you over this time?\nclient: I just wanna get whatever I need to get done, done.\ntherapist: Okay. You're more focused on what you need to do to get this behind you?\n",FALSE,n/a,TRUE,0.9332703149411827
88,therapist,high,"Okay, so it's not just one major thing?","client: I will try.\ntherapist: So what are some specific steps you would need to take to get to school on time for first hour?\nclient: I can't ever get up in the morning. So that's hard and then by the time I do get up, and then I get ready and get dressed, I miss the bus. So then I usually end up walking or see if I can find a ride. So it could be a bunch of different reasons why I'm late.\ntherapist: Okay, so it's not just one major thing?\n",TRUE,closed,TRUE,0.9334958440158516
71,therapist,high,-because you feel that she might find out something about you that you're not quite sure you want her to find out?,"client: Just ask to get someone else to do it I guess. I guess I could ask Donna, but it's been embarrassing.\ntherapist: Okay, so you feel like it would be embarrassing to ask Donna to give you some help-\nclient: Yeah.\ntherapist: -because you feel that she might find out something about you that you're not quite sure you want her to find out?\n",TRUE,closed,FALSE,0.9338970144744962
0,therapist,high,And sometimes you feel guilty after you drink.,"client: Well, then I feel blur again.\ntherapist: So, there are some answers on this form here. Uh, less than monthly you drank more than you intended to.\nclient: Yes on occasion.\ntherapist: And sometimes you feel guilty after you drink.\n",FALSE,n/a,FALSE,0.9346722471527755
130,therapist,low,And let's talk some more about wine. You keep throwing wine into the conversation. It sounds like it's become a significant part of your daily routine. How much are you drinking?,therapist: And let's talk some more about wine. You keep throwing wine into the conversation. It sounds like it's become a significant part of your daily routine. How much are you drinking?\ntherapist: And let's talk some more about wine. You keep throwing wine into the conversation. It sounds like it's become a significant part of your daily routine. How much are you drinking?\ntherapist: And let's talk some more about wine. You keep throwing wine into the conversation. It sounds like it's become a significant part of your daily routine. How much are you drinking?\ntherapist: And let's talk some more about wine. You keep throwing wine into the conversation. It sounds like it's become a significant part of your daily routine. How much are you drinking?\n,TRUE,closed,FALSE,0.9352970775216818
68,therapist,high,And sort of a-a sense of purpose in a way.,"client: I place great importance in that.\ntherapist: Okay, great. So sort of being a part of a group and being a part of a team gives you a sense of, um, uh, belonging, like you said.\nclient: Mm-hmm.\ntherapist: And sort of a-a sense of purpose in a way.\n",FALSE,n/a,TRUE,0.9357825359329581
23,therapist,high,"I can tell you're getting kind of anxious, even just thinking about that day.","client: Yeah.\ntherapist: So on that particular day, what were the thoughts that you had in your head when you were in that situation?\nclient: I just felt really- just really kind of hot. I couldn't really breathe and just felt like I wanted to just get out. And I was kind of trying really, really hard to just focus, and just, you know, like kind of hold the camera and just not think about anything, but I just felt like everyone was looking at me and like, when they'd say 'action' and they're trying to get me to start and I was just felt like everyone was just thinking I was really stupid and I shouldn't have been there and—\ntherapist: I can tell you're getting kind of anxious, even just thinking about that day.\n",FALSE,n/a,TRUE,0.9358062159735709
82,therapist,high,Yes.,"client: Yes.\ntherapist: Very good. So it looks like, um, you're using a good method of birth control, you're just not able to use it effectively. And you've linked it back here to the drinking. So would you like to develop a plan around your alcohol use at this-- today?\nclient: Before I leave?\ntherapist: Yes.\n",FALSE,n/a,FALSE,0.9358610960189253
24,therapist,high,"Well, there are a lot of products available now that can actually help you curb that urge to smoke. We have products that can help to replace nicotine, which can help to decrease withdrawal symptoms that you might experience when quitting or cutting down and also some medications that your doctor could prescribe for you that might take away even some of the desire to smoke.","client: I am probably a two. I-I haven't even thought about quitting and until this great announcement at work today, I- I'm totally not gonna quit smoking.\ntherapist: Okay. What made you say two instead of one?\nclient: Well, I mean, anything's possible. I mean, I-I guess I could maybe be convinced. Yeah. Is there some-- I mean, are there things I can try that would make me like want to quit smoking?\ntherapist: Well, there are a lot of products available now that can actually help you curb that urge to smoke. We have products that can help to replace nicotine, which can help to decrease withdrawal symptoms that you might experience when quitting or cutting down and also some medications that your doctor could prescribe for you that might take away even some of the desire to smoke.\n",FALSE,n/a,FALSE,0.9362326168920845
0,therapist,high,"So, let's see. It looks that you put-- You drink alcohol at least four times a week on average-","therapist: Thanks for filling it out. We give this form to everyone once a year regardless of why they come in. It helps us provide better care. Is it okay if I take a look at what you put down?\nclient: Sure.\ntherapist: So, let's see. It looks that you put-- You drink alcohol at least four times a week on average-\n",FALSE,n/a,FALSE,0.9370754132978618
17,therapist,low,Okay. How about in the last year?,"client: Okay.\ntherapist: Do you use any tobacco products, or smoke cigarettes?\nclient: No, I would bum cigarettes in college, but I was never a smoker.\ntherapist: Okay. How about in the last year?\n",TRUE,open,FALSE,0.9371003066189587
5,therapist,high,Yeah. What would happen if she wasn't around say or at a party or?,"client: Yeah.\ntherapist: And that's helping keep you in check, as you said?\nclient: Yeah.\ntherapist: Yeah. What would happen if she wasn't around say or at a party or?\n",TRUE,open,FALSE,0.9373858496546745
34,therapist,high,"And you really wanna do what's best for your babe. And kind of wondering, um, how to move forward from here, is that where you wanna, you know, kind of focus in on, or what are your thoughts about giving up drinking altogether?","client: Yeah, like, I should probably have trusted my gut.\ntherapist: So, your gut is telling you what? Tell me about that.\nclient: It's telling me that what I'm doing is wrong and it's probably hurting my kid and that- that I'm gonna really regret that once I actually get my kid.\ntherapist: And you really wanna do what's best for your babe. And kind of wondering, um, how to move forward from here, is that where you wanna, you know, kind of focus in on, or what are your thoughts about giving up drinking altogether?\n",TRUE,open,TRUE,0.9373966185376048
62,therapist,high,Okay.,"client: I'm good, thanks.\ntherapist: Good. Why don't you fill me in on what's been going on since I saw you last?\nclient: Um, I guess everything's fine. I think my caseworker mentioned something about community service that I have to do or something. I don't know.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.9375039332080632
84,therapist,high,Okay. So you're hoping that it was gonna help you and it didn't. That was-- ended up feeling like a waste of your time.,"client: Last time didn't really work out that well.\ntherapist: Yeah, didn't- didn't work out very well.\nclient: Nothing really helped me.\ntherapist: Okay. So you're hoping that it was gonna help you and it didn't. That was-- ended up feeling like a waste of your time.\n",FALSE,n/a,TRUE,0.9379884097725153
68,therapist,high,"So it really depends on what the activity is, whether or not alcohol is gonna be there?","client: I'd say, um, on a not busy month, for instance, I'd say about like two weekends out of the month. Two or three.\ntherapist: Mm-hmm. So about half the time you're drinking and half the time you're not. Can you tell me what's different about the days when you choose to drink versus not to drink?\nclient: The days that we drink are mostly, like I said, they're parties, so it's more of that whole partying and dancing and, you know, having everyone have fun. And then when we don't, it's a lot more relaxed. It's a lot more hanging out, playing board games, watching a movie it's not yeah.\ntherapist: So it really depends on what the activity is, whether or not alcohol is gonna be there?\n",TRUE,closed,FALSE,0.9385660330299288
126,therapist,low,"All right. Well, some of the common side effects are nausea, vomiting, headache. There are some severe side effects like dermatomyositis, liver failure, lupus, rhabdomyolysis, hemorrhagic, cerebral infarction. If you have any of those, you should call your doctor.","client: No, not really.\ntherapist: Okay. Well, you take this one once a day. Did he tell you what side effects to expect?\nclient: No.\ntherapist: All right. Well, some of the common side effects are nausea, vomiting, headache. There are some severe side effects like dermatomyositis, liver failure, lupus, rhabdomyolysis, hemorrhagic, cerebral infarction. If you have any of those, you should call your doctor.\n",FALSE,n/a,FALSE,0.9387072150129825
76,therapist,high,Mm-hmm.,"client: It's been in the top. It's been up there, yeah. I don't remember if it's always been number one. It's probably definitely been in the top three. Uh, yeah, because I've had problems, um, with inner harmony, I guess in different stages in my life, so I don't get that. This time I put it at number two.\ntherapist: Inner harmony is number two?\nclient: Yeah, it's just funny how it came out that it wasn't in the top 12. But then when I look at it again it had something to do with, um, peace, uh, inner peace or something or something in there.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.9387731354217976
84,therapist,high,Okay.,"client: A good-- yeah.\ntherapist: So the things about that have got you into trouble in the past, um, how confident are you that, um, that you can do something to not keep going down the same path? Zero is like, ""I'm not confident at all that I can make any changes,"" and 100 is like, ""I'm so supremely confident."" Where would you be?\nclient: Pretty confident if I had a good job but otherwise, probably have to keep stealing stuff, I don't know.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.9387789573520422
94,therapist,high,Uh-huh.,"client: Mm, well, I have to really think about it because-\ntherapist: Some guilt?\nclient: Yeah, yeah. Maybe some guilt and I, um, uh, I just, you know, [sighs] I go back and forth a little bit, you know.\ntherapist: Uh-huh.\n",FALSE,n/a,FALSE,0.9391939358320087
0,therapist,high,Where do you wanna go from here? What do you wanna change about your drinking habits?,"client: No, it's not like I get crazy or anything but I just don't like the amount that I'm drinking.\ntherapist: Right. By the way, binge drinking is defined for women as having more than, uh, three drinks and there are about five drinks in a bottle. So, you enjoy drinking wine because it helps make things, uh, a little bit more interesting when you're feeling down but at the same time you don't like drinking when you have more than you want it to and then the depression returns after you drink.\nclient: Mm-hmm. Yes, sometimes I feel worse after drinking.\ntherapist: Where do you wanna go from here? What do you wanna change about your drinking habits?\n",TRUE,open,FALSE,0.9400145227555186
28,therapist,high,It wasn't like that for sure 30 years ago.,"client: So, it's kind of like a double-edged sword.\ntherapist: So, and I would- I would-- it really is because it wasn't like that 20 years ago.\nclient: Mm.\ntherapist: It wasn't like that for sure 30 years ago.\n",FALSE,n/a,TRUE,0.9401647017803043
7,therapist,high,"No, I guess that that would be the end of your, uh, shaking and moving. I know-- I wonder if you'd be open to exploring your alcohol use and what that looks like during the week.","therapist: No, I guess that that would be the end of your, uh, shaking and moving. I know-- I wonder if you'd be open to exploring your alcohol use and what that looks like during the week.\ntherapist: No, I guess that that would be the end of your, uh, shaking and moving. I know-- I wonder if you'd be open to exploring your alcohol use and what that looks like during the week.\ntherapist: No, I guess that that would be the end of your, uh, shaking and moving. I know-- I wonder if you'd be open to exploring your alcohol use and what that looks like during the week.\ntherapist: No, I guess that that would be the end of your, uh, shaking and moving. I know-- I wonder if you'd be open to exploring your alcohol use and what that looks like during the week.\n",TRUE,closed,FALSE,0.9405648780521005
62,therapist,high,"So, um, that's something you can absolutely ask her or quest- or me some questions about, but they'll be able to come and bring you some options-","client: Um, yeah, I just, so I still have to find the community service hours myself?\ntherapist: So that's something that you can work with your case manager on.\nclient: Okay.\ntherapist: So, um, that's something you can absolutely ask her or quest- or me some questions about, but they'll be able to come and bring you some options-\n",FALSE,n/a,FALSE,0.9406055766157806
74,therapist,low,"Well, it's only been a month.","client: Yeah.\ntherapist: -possibly, um, affecting the tooth itself, chipping the tooth, et cetera. So, it's something that we definitely don't like to see.\nclient: I mean, it's been okay so far. It hasn't caused me any problems.\ntherapist: Well, it's only been a month.\n",FALSE,n/a,FALSE,0.9406496791634709
39,therapist,high,"Financially. Right, getting back to the finances and you know, you know, you know I'm thinking your daughter what a pain but it's become the finances the emphysema. I'm really-- because I would think that in 10 years, how much are you smoking now?","client: Yeah, you know how those union workers have to have you know, Union break.\ntherapist: Union break. Yeah. le-leverage, and you know so it's something else you might know about nicotine is, um is that actually depending on how you smoke it, it can- it can be stimulant when you want it to be a stimulant if you smoke it in short, shallow puffs and then it can be a depressant like after a meal and you take longer inhalations, and it really tends to act on your central nervous system as a depressant. So it kind of does whatever you want at any given moment and yet there is this price that you pay\nclient: Yeah, financially too, which is [inaudible 00:09:27]\ntherapist: Financially. Right, getting back to the finances and you know, you know, you know I'm thinking your daughter what a pain but it's become the finances the emphysema. I'm really-- because I would think that in 10 years, how much are you smoking now?\n",TRUE,closed,FALSE,0.9407496901694685
63,therapist,high,Does she-- Have you talked to her about your meth use?,"client: It's the hard thing, I mean, almost everybody I know uses it.\ntherapist: Is there anyone in your life who doesn't use methamphetamine?\nclient: My sister.\ntherapist: Does she-- Have you talked to her about your meth use?\n",TRUE,closed,FALSE,0.941539446124807
44,therapist,low,Mm-hmm.,"client: Um, I don't, we don't get blackout drunk or anything. It's more of like a little tipsy kind of thing.\ntherapist: Mm-hmm.\nclient: I have gotten blackout drunk before-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.942269106162712
5,therapist,high,Mm-hmm.,"client: Yeah.\ntherapist: Yeah. Where have you got to with the forms? I mean, we talked about that quite a lot last time.\nclient: Yeah. Oh, I know. After talking to you, I got Donna to help me out, and that's just really helpful.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.9424556919839233
84,therapist,high,Okay.,"client: Yeah.\ntherapist: -what I'm hearing? Yeah.\nclient: Yeah, no. That's-\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.9430086798965931
78,therapist,high,"Uh, and it would certainly help her. Um, but what I'd like you to do is to, kind of, keep an eye on what happens when she uses the chronic inhaler. And if she's still flaring up when you're around her, if there are any, if there is smoke on your clothes because it-it can flare her up.","client: Mm-hmm.\ntherapist: The other thing I was going to tell you is that, unfortunately, uh, even though you are smoking outside and keeping the smoke away from her, the smoke on your clothes, because her lungs are so sensitive, can also affect her lungs and cause her to have a reaction. Now, something I'd like you to think about is that, if you use the chronic inhaler every day, she may not be sensitive to the smoke on your clothes, but she still maybe because her lungs are just very different than ours. Um, honestly, I'd love to see you quit smoking for you too because, you know, as you know, it's not real good for you.\nclient: Yeah.\ntherapist: Uh, and it would certainly help her. Um, but what I'd like you to do is to, kind of, keep an eye on what happens when she uses the chronic inhaler. And if she's still flaring up when you're around her, if there are any, if there is smoke on your clothes because it-it can flare her up.\n",FALSE,n/a,FALSE,0.943631145870313
36,therapist,high,Mm-hmm.,"client: - that was, um, I miss the exercise, actually. That was, um, once a week, but you know, the thing was I wasn't comfortable, never felt quite right doing all this exercise. I was always worried I was gonna be taken short or-- So I stopped that.\ntherapist: Right.\nclient: Um, then-- Well, my husband and I used to go out for meals.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.9440864925272763
64,therapist,high,Okay.,"client: Yeah.\ntherapist: So you're worried a little bit about it and you're going to find out more about it, but you're-you're not gonna take on this notion of being a headache or anything as yet—\nclient: Yeah.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.944196700816974
22,therapist,high,Mm-hmm.,"client: Yes, um, my top value is family happiness, um, that's-\ntherapist: That's number one?\nclient: -that's number one to me, especially now. I usually do this values clarification sheet, like, every two to three months-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.9445228788536042
34,therapist,high,You care about them.,"client: Yeah, suburbs. Yeah.\ntherapist: So, you don't wanna be that- that- that woman that's just sort of living in this house with the baby carriage, and at the same time, that world's kind of saying it's behind you.\nclient: Yeah, I-I guess. Like, I don't wanna- I don't wanna lose my friends because of this. And I don't wanna put pressure on them to change because they're, I mean, they're good people. They're just—\ntherapist: You care about them.\n",FALSE,n/a,TRUE,0.9449131870642304
28,therapist,high,Okay.,"client: Um, that was about two to three years ago.\ntherapist: Okay, all right.\nclient: I tried it a couple of times.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.9449499258771539
46,therapist,high,"That's great. And I hope you continue to avoid those things. As your doctor, I want you to know that I'm concerned about your drinking. When teens drink, things can go wrong, like injuring yourself. Even when you don't drink too excess, though, your brain is still developing and is very sensitive to the effects of alcohol.","client: Yeah, but I only missed school once.\ntherapist: Okay. I see on the questionnaire that you have not ridden in a car with someone who's been drinking and you haven't driven a car, um, after you've been drinking. Is that correct?\nclient: Yeah.\ntherapist: That's great. And I hope you continue to avoid those things. As your doctor, I want you to know that I'm concerned about your drinking. When teens drink, things can go wrong, like injuring yourself. Even when you don't drink too excess, though, your brain is still developing and is very sensitive to the effects of alcohol.\n",FALSE,n/a,FALSE,0.9451186908408999
21,therapist,high,"Great. So, being a good friend and-","client: Yeah, I have one sister.\ntherapist: Okay, great. And, how about friendship?\nclient: Friendship, um, I've-I've grown close to many people that I care about. So, I would like them to be accepting of me as well.\ntherapist: Great. So, being a good friend and-\n",FALSE,n/a,TRUE,0.9454572340473533
35,therapist,high,"So your days are just as full now that you're working and a career person, um, and your energy level isn't what it used to be. What-- Do you have any ideas about why that might have shifted?","client: Yeah. Um, well, I played sports in college, so that kept me pretty busy, and that was really fun, um, and I just think back now to, as much that I would cram into a 24 -hour period, and like, wonder how I did that, but I think that part of it was because I was so active physically, um, I just had way more energy throughout the day, mentally and physically to, um, you know, go to school full-time and-and still socialize with friends and do all that stuff. Um, so when I think back to like, probably like the peak of my life of when I felt my best physically, mentally it was that time.\ntherapist: You had energy, and you were like the Energizer Bunny, just keep going and going and going.\nclient: Yeah, yeah, exactly. And now it's not so much the same. Um, like when I get home from work, I'm pretty exhausted, uh, it takes a lot for me to want to be physically active when I've spent all day staring at a computer and thinking and working. And so, um, yeah, that's probably been my biggest, uh, issue is like when work ends, going home and not really doing anything. Um, just trying to like unwind by watching Netflix or something else, right?\ntherapist: So your days are just as full now that you're working and a career person, um, and your energy level isn't what it used to be. What-- Do you have any ideas about why that might have shifted?\n",TRUE,open,TRUE,0.9459985403809696
54,therapist,high,"Okay. Yeah, because your-your health really, to me, it's more important than your-your looks. I mean, don't get me wrong, I understand what you're saying, but, you know, it'd be great to get back in those jeans, but—","client: Well, I-I-I-I would feel better. My-- I'd-I'd be able to wear more my clothes. I've been growing around the middle and I'd like to, uh, you know, go back to where I was, you know, get into a 34, 36 waist, you know.\ntherapist: Okay.\nclient: I-I'm more comfortable-- I feel better. I think that's the main thing.\ntherapist: Okay. Yeah, because your-your health really, to me, it's more important than your-your looks. I mean, don't get me wrong, I understand what you're saying, but, you know, it'd be great to get back in those jeans, but—\n",FALSE,n/a,TRUE,0.9460694254375994
0,therapist,high,Great. I'd be interested to see how well you do on your goal in the next few weeks. Would you be willing to come back and talk to me about it?,"client: Mm-hmm. Yes.\ntherapist: Okay. So, it sounds like you have some reasons to cut back on drinking and you have ways to relax besides drinking and it sounds like you're pretty ready to cut back.\nclient: Yes.\ntherapist: Great. I'd be interested to see how well you do on your goal in the next few weeks. Would you be willing to come back and talk to me about it?\n",TRUE,open,FALSE,0.9466682325582951
28,therapist,high,Oh yeah.,"client: No. Yeah.\ntherapist: Okay. So, um, but you gave it a good try and it was just not a good fit for you like you-you really listened to what your body told you like nightmares, nausea, I mean those are really bad things.\nclient: And agitation really-\ntherapist: Oh yeah.\n",FALSE,n/a,FALSE,0.9472057512030005
78,therapist,high,Okay?,"client: Okay.\ntherapist: Use the chronic inhaler every day, keep the rescue inhaler around if she needs it. Uh, and let's see how that works.\nclient: Okay.\ntherapist: Okay?\n",TRUE,closed,FALSE,0.9474708181805909
66,therapist,high,"I, uh, I'm a case manager with your health plan. I understand that you came in today to talk about your diabetes.","therapist: I, uh, I'm a case manager with your health plan. I understand that you came in today to talk about your diabetes.\ntherapist: I, uh, I'm a case manager with your health plan. I understand that you came in today to talk about your diabetes.\ntherapist: I, uh, I'm a case manager with your health plan. I understand that you came in today to talk about your diabetes.\ntherapist: I, uh, I'm a case manager with your health plan. I understand that you came in today to talk about your diabetes.\n",FALSE,n/a,FALSE,0.9480466777458787
65,therapist,high,I'm wondering what else might be on that list.,"client: Right.\ntherapist: Yeah. And your worry is that if you stop, you will end up gaining weight. So I'm hearing this kind of list of things that don't feel so positive about stopping.\nclient: Mm-hmm.\ntherapist: I'm wondering what else might be on that list.\n",TRUE,open,FALSE,0.948340498143807
68,therapist,high,"Okay, great. So sort of being a part of a group and being a part of a team gives you a sense of, um, uh, belonging, like you said.","client: And then in terms of respect, I-I kind of view that as one of like my major like rules. Like, I-I really do think respect is important, to respect myself and respect those around me, so.\ntherapist: Okay.\nclient: I place great importance in that.\ntherapist: Okay, great. So sort of being a part of a group and being a part of a team gives you a sense of, um, uh, belonging, like you said.\n",FALSE,n/a,TRUE,0.9492542303632945
53,therapist,low,Okay. And what do you like to do for fun?,"client: Okay.\ntherapist: Okay. Why don't we start by just having you tell me a little bit about yourself?\nclient: Okay. Um, my name is Laura and I'm 17 and I'm a senior in high school.\ntherapist: Okay. And what do you like to do for fun?\n",TRUE,open,FALSE,0.9494601103942841
92,therapist,low,"Okay, I, you know, I-I don't want to argue with you about this. I-I know that if you-you know, and if you want to keep Sarah out of the emergency room, uh, I-I just wish you'd heed what I'm saying. She needs to use that chronic inhaler every day to get her- to get her asthma under control, and the smoke on your clothes and the smoking flares her asthma up. So she really needs to use that chronic inhaler, and you really need to think about quitting smoking.","client: Well, I did a research on the chronic inhaler, and I saw that there were steroids in it, and I do not want my daughter taking steroids. I read about all the side effects of steroids and all the potential health problems. I don't want her taking them, and I just want to tell you right up front, I do not want to hear anything about the fact that I do smoke. Um, I smoke outside, I smoke away from her. I do not ever do it around her. So I do not want to hear about that.\ntherapist: Well, I-I need to tell you that the-the medicine that she's taking, the chronic inhaler, which is really essential to controlling her asthma does-- is not a steroid like you're thinking. It's-it's much safer, it's very safe, she-- and she needs to take it to get her asthma under control, and I also want to tell you that, uh, your smoking does affect her asthma, even if- even if it's outside, it gets on her clothes, and to be honest, I'd like to see you quit smoking for you anyway. But, uh, if you want to keep her out of the emergency room, she needs to use that chronic inhaler every day, and you need to watch your smoking.\nclient: Okay, I-I am not going to allow her to take any kind of steroid. I am not going to allow that to happen. She's my daughter. She's my responsibility, and I'm not going to allow that to happen, and I absolutely make sure that the smoking does not affect her.\ntherapist: Okay, I, you know, I-I don't want to argue with you about this. I-I know that if you-you know, and if you want to keep Sarah out of the emergency room, uh, I-I just wish you'd heed what I'm saying. She needs to use that chronic inhaler every day to get her- to get her asthma under control, and the smoke on your clothes and the smoking flares her asthma up. So she really needs to use that chronic inhaler, and you really need to think about quitting smoking.\n",FALSE,n/a,FALSE,0.9494969258084893
28,therapist,high,Mm-hmm.,"client: More on kind of cocky and I say, ""Well, you know, Aunt Kathy, you were my role model, and back in the day, um, I used to envy and watch and think you were so sexy, and all the movies, the old movies.""\ntherapist: Glamourous.\nclient: Yes, yeah. And that's what I associated with at the time and now it's almost, I'm ostracized for it.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.9502030403818935
54,therapist,high,Yeah. Just a matter-- You just gotta do it.,"client: Yeah, yeah. It-it-it-- I-I am- I'm not getting any younger than I [unintelligible 00:02:18]\ntherapist: Mm-hmm. Well, I think you know what to do. You've done it before.\nclient: Yeah.\ntherapist: Yeah. Just a matter-- You just gotta do it.\n",FALSE,n/a,FALSE,0.9505666105542332
37,therapist,high,Yeah.,"client: I need to, um, I need to see all these things that I've started to put into action, I need to see them through to the end.\ntherapist: Mm-hmm.\nclient: Well. I need to- I need to, uh, to show her that she can trust me. That I'm serious about it.\ntherapist: Yeah.\n",FALSE,n/a,FALSE,0.9514578504022211
56,therapist,high,"I know, I-I understand that it was really-- That was your goal. That was a really important thing for you to be able to get home and it sounds like you've been able to really en- enjoy parts of it, and I know you've been going to the- both the physical therapy and the Tai Chi and how's-how's that going?","client: Yeah. And my garden is coming along, and my neighbors have stuff-- It's-it's good. It's good to be home.\nclient: Yeah. And my garden is coming along, and my neighbors have stuff-- It's-it's good. It's good to be home.\nclient: Yeah. And my garden is coming along, and my neighbors have stuff-- It's-it's good. It's good to be home.\ntherapist: I know, I-I understand that it was really-- That was your goal. That was a really important thing for you to be able to get home and it sounds like you've been able to really en- enjoy parts of it, and I know you've been going to the- both the physical therapy and the Tai Chi and how's-how's that going?\n",TRUE,open,TRUE,0.9517990087624639
22,therapist,high,Mm-hmm.,"client: Yeah.\ntherapist: And you accept that?\nclient: I've accepted that. At first, I was like, ""Whoa,"" I think I was focused too much on the first time I did it-\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.9519218150526285
53,therapist,low,"Okay, and then what about your friends who are still drinking?","client: Okay.\ntherapist: And, um, that's gonna be your goal, and that's great, you know, that's really why we're here, is to talk about that and-and make sure that you come to that decision. Um, so, I guess, can you quit this weekend then?\nclient: Yeah, yeah, definitely. I'll just not have a drink.\ntherapist: Okay, and then what about your friends who are still drinking?\n",TRUE,open,FALSE,0.9522029804065824
49,therapist,high,"There's some feelings when you, kind of, think about that?","client: Mm-hmm.\ntherapist: Yeah? Yeah.\nclient: Yeah.\ntherapist: There's some feelings when you, kind of, think about that?\n",TRUE,closed,FALSE,0.9525237053167075
54,therapist,high,Yeah.,client: Yeah.\ntherapist: Yeah. Just a matter-- You just gotta do it.\nclient: I've gotta make time.\ntherapist: Yeah.\n,FALSE,n/a,FALSE,0.9526388966478407
84,therapist,high,"All right, so if you were in a good job-","client: Pretty confident if I had a good job but otherwise, probably have to keep stealing stuff, I don't know.\ntherapist: Okay.\nclient: So it depends.\ntherapist: All right, so if you were in a good job-\n",FALSE,n/a,TRUE,0.9531079612206668
77,therapist,high,I do Tai Chi. I do it three days a week and it's really helped my balance as well.,"client: And you really recommend this?\ntherapist: You know, it cuts your risk of falls in half. It also helps to reduce pain although that's not a short-term benefit, you do have to stick with it for at least three to six months to start have it help reduce your pain. But it does have a number of things that I think would get you to your goals of being home and able to play with your dog and doing your own cooking and things like that.\nclient: You do Tai Chi?\ntherapist: I do Tai Chi. I do it three days a week and it's really helped my balance as well.\n",FALSE,n/a,FALSE,0.9534500516019762
66,therapist,high,"And so you're really kind of reeling right now from, uh, all of that. And you sound a little bit pretty, pretty scared actually.","therapist: And so you're really kind of reeling right now from, uh, all of that. And you sound a little bit pretty, pretty scared actually.\ntherapist: And so you're really kind of reeling right now from, uh, all of that. And you sound a little bit pretty, pretty scared actually.\ntherapist: And so you're really kind of reeling right now from, uh, all of that. And you sound a little bit pretty, pretty scared actually.\ntherapist: And so you're really kind of reeling right now from, uh, all of that. And you sound a little bit pretty, pretty scared actually.\n",FALSE,n/a,TRUE,0.9535385854542255
56,therapist,high,Yeah.,therapist: Yeah.\ntherapist: Yeah.\ntherapist: Yeah.\ntherapist: Yeah.\n,FALSE,n/a,FALSE,0.9539692224934697
49,therapist,high,"All right, Catherine, welcome back. I'll be interested to, sort of, after we met last time, what-what were you-- what have you been thinking about over the week 'cause, you know, I-I remembered last time I asked you what you were thinking about coming, but-","therapist: All right, Catherine, welcome back. I'll be interested to, sort of, after we met last time, what-what were you-- what have you been thinking about over the week 'cause, you know, I-I remembered last time I asked you what you were thinking about coming, but-\n",TRUE,open,FALSE,0.9540757413487881
71,therapist,high,"Well, have you got the forms with you?","client: -I'm sure most people can fill them out. I don't know, I just don't get it.\ntherapist: Hmm. So, who else could you ask to help you?\nclient: No one. I guess you. You could do it. Would you do it?\ntherapist: Well, have you got the forms with you?\n",TRUE,closed,FALSE,0.9547296452801675
20,therapist,high,Sure. And it sounds like you're trying not to smoke around him. Why did you make that decision?,"client: Well, um, It's just me and him and I do smoke. Um, I try really hard not to smoke around him, but I-I've been smoking for 10 years except when I was pregnant with him. But it-- everything is so stressful being a single mom and-and my having a full-time job. And so it's just-- that's why I started smoking again.\ntherapist: You have a lot of things going on and smoking's kind of a way to relax and destress.\nclient: Yeah. Some people have a glass of wine. I have a cigarette.\ntherapist: Sure. And it sounds like you're trying not to smoke around him. Why did you make that decision?\n",TRUE,open,TRUE,0.9549029327463359
68,therapist,high,Okay. And how often do you think you would say you're drinking?,"client: Uh, well it's mostly just for, for parties or party settings is kind of to get things going and get everything loosened up as they say.\ntherapist: Mm-hmm, mm-hmm. And so when you go to parties, most of the time there's alcohol there?\nclient: Yeah.\ntherapist: Okay. And how often do you think you would say you're drinking?\n",TRUE,closed,FALSE,0.9550951372366399
49,therapist,high,Yeah?,"client: When I'm feeling uncomfortable?\ntherapist: Yeah, yeah. If you could just say, ""Ken, hi, I am starting to, you know, tune it out here, starting to get uncomfortable,"" that would be really helpful.\nclient: Okay.\ntherapist: Yeah?\n",TRUE,closed,FALSE,0.955095769604668
21,therapist,high,"So, kind of keeping your options open.","client: So, maybe move away for college.\ntherapist: Cool.\nclient: Yeah.\ntherapist: So, kind of keeping your options open.\n",FALSE,n/a,TRUE,0.9551860231440514
68,therapist,high,Mm-hmm.,"client: So it's nice to have like that kind of breather-\ntherapist: Uh-huh.\nclient: -versus with a party it's a lot more energetic it's, uh, after it all, it's very draining.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.9554992318153381
74,therapist,low,"Emily, I've been seeing you for so long and you know that I really just-- I think you have lovely teeth and I've watched you, you know, just mature, et cetera, and I hate-- I'd hate to see you wreck your teeth for something like this. I really would.","client: I mean, I just put in-\ntherapist: Just-\nclient: -I'm not gonna take it right out. It's-- Like you said, I've only had it in for a month, I mean.\ntherapist: Emily, I've been seeing you for so long and you know that I really just-- I think you have lovely teeth and I've watched you, you know, just mature, et cetera, and I hate-- I'd hate to see you wreck your teeth for something like this. I really would.\n",FALSE,n/a,FALSE,0.9560459796339273
106,therapist,low,"I really need you to quit smoking. Both for your health and for Aiden. Did you know s-smoking around your child is associated not only with ear infections, it could get to the point where you have to put tubes in his ears pretty shortly here. Also, things like vitamin C deficiency, cavities, like dental cavities, behavior problems, um, asthma, other upper respiratory infections. It's really putting him at a lot of risk. In addition to that, kids of smokers end up smoking themselves. Do you want him to grow up to be a smoker?","client: Yeah, I-- Yeah, I do smoke, but I don't smoke around him. I try really hard not to smoke around him.\ntherapist: Well, the fact that he's having these ear infections is indicating to me that he is being exposed to smoke, and so, what can you tell me about that?\nclient: I-I don't know. I mean, I try really hard not to smoke around him. I don't smoke in the car. Um, when he's home, I go outside to smoke. I just-- I mean, I know it's bad, and I know it's bad for him, so I don't want him to be around it so I try really hard.\ntherapist: I really need you to quit smoking. Both for your health and for Aiden. Did you know s-smoking around your child is associated not only with ear infections, it could get to the point where you have to put tubes in his ears pretty shortly here. Also, things like vitamin C deficiency, cavities, like dental cavities, behavior problems, um, asthma, other upper respiratory infections. It's really putting him at a lot of risk. In addition to that, kids of smokers end up smoking themselves. Do you want him to grow up to be a smoker?\n",TRUE,closed,FALSE,0.9561300678178668
48,therapist,high,You probably think that I'm going to get on your case about that or something.,"client: So I actually decided, and I know this wasn't the smartest decision of mine, but I did not wear my insulin pump.\ntherapist: Uh-huh.\nclient: Which was the reason why I didn't want quite to address 'cause I know better. I-\ntherapist: You probably think that I'm going to get on your case about that or something.\n",FALSE,n/a,TRUE,0.9563382593914866
126,therapist,low,"That's perfect. This medication can be taken any time of the day, but it does work best if taken in the evening, and it's important to take it every day.","client: He didn't tell me, he just phoned it in.\ntherapist: All right. Well, you're going to take one tablet of cholesterol statin 20 one time a day by mouth, and you can take that with or without food. When do you usually take your medications?\nclient: I take all my other medications right before I go to bed. So I guess I could take it then.\ntherapist: That's perfect. This medication can be taken any time of the day, but it does work best if taken in the evening, and it's important to take it every day.\n",TRUE,closed,TRUE,0.9563855121377856
50,therapist,high,Yeah.,"client: So, uh, I guess the issue is that, um, you know, my doctor seems to think that my-my blood pressure's a little high, but I really don't think that there's a problem. And you know, I eat really well. Um. And, you know, she suggested that, um, I watch my caffeine but really, caffeine is not a problem for me.\ntherapist: Okay. Um, but we were talking a little bit earlier-- earlier in our conversation, you had said that you did feel like it was maybe causing some of your agitation. So it's a little bit of, I'm not sure of what-- Um, so where are we? Did-did you-- do you feel like you do have some agitation out of coffee, or is it just no problem at all?\nclient: Well, you know, sometimes it makes me a little jittery and, you know, I have to go to the bathroom more frequently than some of my co-workers, but-- And-and working, um, in the hospital, they don't really look so highly on-on going the bathroom frequently. But you know, it-it keeps me awake, it keeps me aware, it-it makes me more able to like, you know, do my job better. And so I really don't see that it's a-it's a real issue.\ntherapist: Yeah.\n",FALSE,n/a,FALSE,0.9566958721261472
80,therapist,high,Sure.,"client: And I'm still gonna try that when I get the urge to let it go, fight it, and maybe not go out for a cigarette until the next urge comes.\ntherapist: Right. [unintelligible 00:02:58]\nclient: So, if I [unintelligible 00:02:59] between two of them-\ntherapist: Sure.\n",FALSE,n/a,FALSE,0.9570905165746808
2,therapist,high,"Well, I appreciate you bringing your weight to the forefront. Do you mind if we explore this issue further?","therapist: Hi, John. Nice to see you again. So, tell me, how are things going?\nclient: Well, doc, I know you told me that I need to lose weight. And even though the scale didn't show today, I was able to lose about 5 pounds, but then I gained it right back.\ntherapist: Well, I appreciate you bringing your weight to the forefront. Do you mind if we explore this issue further?\n",TRUE,open,FALSE,0.9575765966437757
46,therapist,high,"So, Jacob, everything looks very normal on your physical exam. Do you have any questions for me?","therapist: So, Jacob, everything looks very normal on your physical exam. Do you have any questions for me?\n",TRUE,closed,FALSE,0.9577303237747401
45,therapist,high,So you're still kinda concerned that you're not quite sure if you will be able to do this successfully?,client: Mm-hmm.\ntherapist: Yet you still can seem kind of annoyed that this is something that we still have to do.\nclient: Yeah. I mean I guess I'll be here if I have to be but I can't make any promises that I won't leave.\ntherapist: So you're still kinda concerned that you're not quite sure if you will be able to do this successfully?\n,TRUE,closed,FALSE,0.9581453753635287
71,therapist,high,Mm-hmm.,"client: Mm.\ntherapist: Yeah? So, what have you been thinking, um, since we last met, about what you might do about getting that kind of job?\nclient: Uh, I don't know if-if I would go into polytech, done courses there or something.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.9597931916359812
89,therapist,high,Okay.,"client: I mean, I know if-if I lose my job, she leaving me. She's been getting after me about smoking weed for a long time, so—\ntherapist: Okay. So that's where you wanna get to. Um, what do you think that you need to do in the next, like, month or so to maybe help going in that direction?\nclient: Probably need to go talk to my boss and start taking some steps not to lose it.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.9599493783898652
58,therapist,high,Mm-hmm.,"client: Yeah, well, you know, it really-- At-at one time, I was running-- I ran a half marathon. I was really into it, and, uh--.\ntherapist: Wow.\nclient: Well, and I-- But I was working at a different company, where I had a little bit different schedule, a little more free time than I have now, so I just don't have the time like I used to.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.9611164054367691
12,therapist,high,"Okay, good. So we can go over your laboratory results at that time, as well as review your plan. Now, would you like some information on smoking cessation?","client: Well, right now, if I'm having like five or six, I could try to smoke three in the evening plus, you know, still the couple during the day.\ntherapist: Okay. So you-- that's cutting back quite a bit. That's a big step. So since we're kind of running out of time here today, I'm wondering if we could-- would be willing to come back in about four weeks to review this plan?\nclient: Yeah. Sure.\ntherapist: Okay, good. So we can go over your laboratory results at that time, as well as review your plan. Now, would you like some information on smoking cessation?\n",TRUE,closed,FALSE,0.9613435762003064
7,therapist,high,Sounds like a wild night.,therapist: Sounds like a wild night.\ntherapist: Sounds like a wild night.\ntherapist: Sounds like a wild night.\ntherapist: Sounds like a wild night.\n,FALSE,n/a,TRUE,0.9614676958881319
5,therapist,high,"Yeah? So, what temptations have you had to, kind of, go back to offending?","client: Not really fitting in. It kind of just gets in the way.\ntherapist: So, offending gets in the way of the life that you're starting to lead?\nclient: Yeah.\ntherapist: Yeah? So, what temptations have you had to, kind of, go back to offending?\n",TRUE,open,FALSE,0.9625702935736626
5,therapist,high,"Okay. So, what did you say to Donna?","client: Yeah. Oh, I know. After talking to you, I got Donna to help me out, and that's just really helpful.\ntherapist: Mm-hmm.\nclient: [clears throat]\ntherapist: Okay. So, what did you say to Donna?\n",TRUE,closed,FALSE,0.9626080137677491
23,therapist,high,So you would have been about 19.,"client: Yeah. Um, yeah.\ntherapist: So you said that you first noticed the anxiety kicking in about five or six years ago.\nclient: Yeah.\ntherapist: So you would have been about 19.\n",FALSE,n/a,TRUE,0.9628426923882216
22,therapist,high,That's number one?,"therapist: You did your values clarification handout, and that was part of what I wanted to go over with you today. I wanted to hear about your values and just talk to you a little bit more about that. Do-do you wanna tell me what some of your top five values are?\nclient: Yes, um, my top value is family happiness, um, that's-\ntherapist: That's number one?\n",TRUE,closed,FALSE,0.9628968241158873
44,therapist,low,Cool. All right. Have you started thinking about schools or majors? I guess you're thinking about psychology as a major.,"client: I'm interested in psychology, psychiatry, something like that, so.\ntherapist: You've got big dreams.\nclient: Yeah.\ntherapist: Cool. All right. Have you started thinking about schools or majors? I guess you're thinking about psychology as a major.\n",TRUE,open,FALSE,0.9640487181022763
85,therapist,high,With the libido out the door.,"client: Well, she wants to know who I am and what did I do with her husband.\ntherapist: Yeah. Where's Scott? Where did- where did Scott go? That feisty, spirited guy, where- where'd he go?\nclient: Yeah.\ntherapist: With the libido out the door.\n",FALSE,n/a,TRUE,0.9644144715275615
85,therapist,high,"Well, you know, uh, Scott, well, tell me a little bit since you brought that up. Yeah, obviously, drink and tell me a little bit about your [unintelligible 00:07:35]","client: I suppose.\ntherapist: Okay, thanks. Um, we could if you're-- 'Cause, as you can tell, this is really more of an art than a science, um, try some other medications and see how you do on them, and perhaps, you won't have these side effects. And, um, it-it really is just a matter of kind of experimenting around to get, uh, to see if we can get to a point that at least you're not having these really bad things happen of getting into the hospital and getting arrested and stuff versus feeling more like that-that spirited Scott that, you know, watches Spice channel, you know, I mean-- Because I can tell the spirit of Scott is, uh, a hoot.\nclient: Well. Yeah. Well, yeah, I-I'd like to. I don't know, is it-- Can you- can you drink with them, some of these other ones?\ntherapist: Well, you know, uh, Scott, well, tell me a little bit since you brought that up. Yeah, obviously, drink and tell me a little bit about your [unintelligible 00:07:35]\n",TRUE,open,FALSE,0.9645150736905634
20,therapist,high,So I wrote a prescription for antibiotics for Aiden.,therapist: So I wrote a prescription for antibiotics for Aiden.\n,FALSE,n/a,FALSE,0.9648041590116918
102,therapist,low,"-feel like this is something that you need to do soon because, um, a lot of times, you're just a lot of talk. And then, there's no action. And if you really wanna see results, I think it's something that needs to be done. And, you know, stop being lazy about it and just do it.","client: Well, [sighs] I've been thinking about working out lately. I really want to start working out again. It's-it's been in my mind, I know I need to do it. It's just getting the motivation to do it.\ntherapist: And you've been talking about that a lot lately. So I really-\nclient: Mm-hmm.\ntherapist: -feel like this is something that you need to do soon because, um, a lot of times, you're just a lot of talk. And then, there's no action. And if you really wanna see results, I think it's something that needs to be done. And, you know, stop being lazy about it and just do it.\n",FALSE,n/a,FALSE,0.9654479743912816
130,therapist,low,"So it sounds like if you have alcohol, then smoking is very difficult to avoid and you know what you need to do. You need to go home and as your-your son's doctor, I need to tell you you need to go home and throw out those cigarettes. You need to quit.","therapist: So it sounds like if you have alcohol, then smoking is very difficult to avoid and you know what you need to do. You need to go home and as your-your son's doctor, I need to tell you you need to go home and throw out those cigarettes. You need to quit.\ntherapist: So it sounds like if you have alcohol, then smoking is very difficult to avoid and you know what you need to do. You need to go home and as your-your son's doctor, I need to tell you you need to go home and throw out those cigarettes. You need to quit.\ntherapist: So it sounds like if you have alcohol, then smoking is very difficult to avoid and you know what you need to do. You need to go home and as your-your son's doctor, I need to tell you you need to go home and throw out those cigarettes. You need to quit.\ntherapist: So it sounds like if you have alcohol, then smoking is very difficult to avoid and you know what you need to do. You need to go home and as your-your son's doctor, I need to tell you you need to go home and throw out those cigarettes. You need to quit.\n",FALSE,n/a,TRUE,0.9660756574012339
89,therapist,high,Okay.,client: I'm pretty worried that I'm gonna get fired.\ntherapist: Okay.\nclient: I don't- I don't really know. We're the only shop in town that-that does the work that we use. So I don't- I don't know what else I'm gonna go do.\ntherapist: Okay.\n,FALSE,n/a,FALSE,0.9672500842716545
6,therapist,high,"Okay, wow. So there's a lot happening right now, Sal. Anything else that that's concerning you?","client: Mm-hmm.\ntherapist: Um, and some of these things are kind of related to each other I think we're already seeing.\nclient: Yeah, yeah. Yeah, there's something going on. And, um, also my drinking, I got to cut down my drinking too.\ntherapist: Okay, wow. So there's a lot happening right now, Sal. Anything else that that's concerning you?\n",TRUE,open,FALSE,0.9677336672320962
64,therapist,high,Alright.,"client: Yeah, you too.\ntherapist: And you found us okay?\nclient: Yeah. Yeah, yeah, yeah.\ntherapist: Alright.\n",FALSE,n/a,FALSE,0.9683725873474032
106,therapist,low,"Well, what can be more important to you than the health of your child?","client: I just don't have time for any of that.\ntherapist: There's no reason why you shouldn't be able to quit, this is really important.\nclient: I understand that. I know it is. I mean, everybody has problems, right? It's just really-- It's really, really hard.\ntherapist: Well, what can be more important to you than the health of your child?\n",FALSE,n/a,FALSE,0.9686579986009747
44,therapist,low,"Okay. Um, you don't sound very much like you think that's gonna work.","client: Um, I would probably start off by like, because my friends are also involved, so I'd be like, ""Hey, guys, I don't think I'm gonna drink today.""\ntherapist: Uh-huh.\nclient: And kind of see how that goes. Because—\ntherapist: Okay. Um, you don't sound very much like you think that's gonna work.\n",FALSE,n/a,TRUE,0.9689804755616933
50,therapist,high,"I don't-- you tell me. I mean, um, you're-you're drinking four a day.","client: Reducing it, like-- what do you mean?\ntherapist: The number. Just the number.\nclient: Yeah, yeah but, I mean, how-how much are we talking?\ntherapist: I don't-- you tell me. I mean, um, you're-you're drinking four a day.\n",FALSE,n/a,FALSE,0.9690059965942055
35,therapist,high,Yeah. Tell me a little bit about yourself.,"client: Hi, Dawn. Nice to meet you.\ntherapist: Nice to meet you, too. Thanks for coming in today.\nclient: Thanks for having me.\ntherapist: Yeah. Tell me a little bit about yourself.\n",TRUE,open,FALSE,0.9699478452093899
78,therapist,high,"Um, so yeah. If you're willing to do that, that certainly would help.","client: Well, I was thinking, um, if since it, you know, it affects her that it's on my clothes, if I only smoked while she was at school, and then changed my clothes before she came home. Would that help?\ntherapist: Oh, that-that sounds like it would be great if you were able to do that. Obviously, don't smoke in the house, you know- you know.\nclient: Oh, absolutely. I never. Never.\ntherapist: Um, so yeah. If you're willing to do that, that certainly would help.\n",FALSE,n/a,FALSE,0.9699714190792292
78,therapist,high,Are you having some difficulties with that?,"client: Mm-hmm. Yeah.\ntherapist: Okay. I-I also noticed that, uh, it's been about three months or so since you picked up the prescription for her chronic inhaler.\nclient: Mm-hmm.\ntherapist: Are you having some difficulties with that?\n",FALSE,n/a,FALSE,0.9703849530778825
83,therapist,high,"The other aspect of that is kind of like who we're going to be accountable to while we're doing the program. So one of the- one of the challenges, one of the riddle I'm going to put in front of you is like who else can we get involved to support you while you're going through this?","client: I'm pretty much by myself up here.\ntherapist: Okay. The reason why I'm asking this, Rick, is just, um, you know, part of, um, uh, being responsible is turning up and doing the program.\nclient: Mm-hmm.\ntherapist: The other aspect of that is kind of like who we're going to be accountable to while we're doing the program. So one of the- one of the challenges, one of the riddle I'm going to put in front of you is like who else can we get involved to support you while you're going through this?\n",TRUE,closed,FALSE,0.9703865237534046
77,therapist,high,But what are your goals for the long term?,"client: Well, just about every joint like especially my knees. They're really-- They have me doing some leg things that-that-that is it really necessary?\ntherapist: Well, you know, I-I understand that pain is hard to work through but a lot of time when you're having rehab after a stroke, that pain is telling you that your muscles and joints are starting to work again. So you can kind of think of it as a positive way to, you know, know that your-your body's getting back to normal.\nclient: Okay.\ntherapist: But what are your goals for the long term?\n",TRUE,open,FALSE,0.970407928340137
85,therapist,high,"So, it's, you know, thinking as quickly and responding as quickly and-and things like that-- [crosstalk]","client: Absolutely.\ntherapist: So you feel slow.\nclient: And so, as you can can tell, I didn't take my medication today, I'm-I'm-I'm really on my game today. So.\ntherapist: So, it's, you know, thinking as quickly and responding as quickly and-and things like that-- [crosstalk]\n",FALSE,n/a,TRUE,0.9707187421154231
60,therapist,high,"Oh, you're welcome. My pleasure, thank you.","client: All right, great. Good. Great.\ntherapist: All right. Well, I appreciate you coming in. We'll set up another appointment and, um, get our resources together. We'll take it from there and—\nclient: And thank you for all the information. I appreciate it.\ntherapist: Oh, you're welcome. My pleasure, thank you.\n",FALSE,n/a,FALSE,0.9708813852630556
2,therapist,high,"Okay. Well, it sounds like you realized that when you lost the weight you feel better and that it's gonna affect your overall health. So, tell me what you think changed that caused you to gain the weight back.","client: I started watching what I ate and I ate less. I've been eating more fruits and vegetables. I've also been walking a lot. I'm walking up to 20 minutes a day now. I saw the weight come slowly off, um, and I felt better. But then when I watched it come back on again, you know, I gave up.\ntherapist: But you did have some success. Tell me how you felt when you lost the weight.\nclient: I felt great and I felt really proud of myself. I thought that this was something that I could do.\ntherapist: Okay. Well, it sounds like you realized that when you lost the weight you feel better and that it's gonna affect your overall health. So, tell me what you think changed that caused you to gain the weight back.\n",TRUE,open,TRUE,0.970966610359028
53,therapist,low,"Okay. Interesting. So, do you know all the bad stuff about alcohol?","client: Um, no, not really, maybe tipsy, but not like drunk.\ntherapist: Okay. Um, so the most you've ever, ever had is two drinks in a day.\nclient: Yeah.\ntherapist: Okay. Interesting. So, do you know all the bad stuff about alcohol?\n",TRUE,open,FALSE,0.9733296388294548
1,therapist,high,"Okay, great. See you next time.","client: Yeah.\ntherapist: Okay. Well, I like to give this handout to patients. Uh, it defines risky drinking, it talks about what the consequences are, uh, and it also lists signs of what an alcohol use disorder is. So thanks again for taking the time to fill this out and being honest with me, uh, to talk about it. I provide better care, uh, when I know about my patient's substance use. When we come back for a three-month follow-up appointment for your ADHD, I'd also like to talk to you and check in about your alcohol use too, if that's okay with you.\nclient: Sounds good.\ntherapist: Okay, great. See you next time.\n",FALSE,n/a,FALSE,0.973539913771674
73,therapist,high,"Okay. So you trusted him on that, and you tried it out and you found that it helped you in certain ways. What are some of the things that you said it's-- takes some of the pain away, it's not just-- you know.","client: Mm-hmm.\ntherapist: Yeah.\nclient: And it has, but I don't do it as often, it's just sometimes.\ntherapist: Okay. So you trusted him on that, and you tried it out and you found that it helped you in certain ways. What are some of the things that you said it's-- takes some of the pain away, it's not just-- you know.\n",TRUE,open,TRUE,0.9744983310811222
76,therapist,high,"Not being, you know, whatever you did for others. That being, um, as far as, like you said within yourself, that you won't be able to find, um, problems with helping other people. And, uh, that's when service which is your number three or number four, which has been wisdom. You learning different, you know, cultures and having that broad range of-of just opening your eyes and seeing the world in a whole another scope.And then five which being pleasure, which is also okay, I do see the whole world and I know that within myself that I'm able to, you know, accept that I will have things coming out of me as far as, you know, not being, you know, uh, it's like, okay, things might happen. You're gonna get bummed one day but finding joy and pieces [unintelligible 00:10:21]","client: Inner harmony.\ntherapist: Inner harmony was number two, and having that peace of then to allow yourself to help other people or to serve-service.\nclient: Right.\ntherapist: Not being, you know, whatever you did for others. That being, um, as far as, like you said within yourself, that you won't be able to find, um, problems with helping other people. And, uh, that's when service which is your number three or number four, which has been wisdom. You learning different, you know, cultures and having that broad range of-of just opening your eyes and seeing the world in a whole another scope.And then five which being pleasure, which is also okay, I do see the whole world and I know that within myself that I'm able to, you know, accept that I will have things coming out of me as far as, you know, not being, you know, uh, it's like, okay, things might happen. You're gonna get bummed one day but finding joy and pieces [unintelligible 00:10:21]\n",FALSE,n/a,TRUE,0.9749355772510171
115,therapist,low,"-um, healing-","client: I do all the above, yeah.\ntherapist: Mm-hmm. So, you know, the smoking is going to be related not just to some of the other negative consequences. You know, physically, it affects dental caries, dental cavities-\nclient: Yeah.\ntherapist: -um, healing-\n",FALSE,n/a,FALSE,0.9764724727720022
55,therapist,high,"Okay. Well, I don't see any redness. Um, can you go ahead and touch that Miguel, and tell me if it feels warm to you or if it hurts?","client: Uh, no. That's okay. How's that?\ntherapist: Okay. Well, I don't see any redness. Um, can you go ahead and touch that Miguel, and tell me if it feels warm to you or if it hurts?\ntherapist: Okay. Well, I don't see any redness. Um, can you go ahead and touch that Miguel, and tell me if it feels warm to you or if it hurts?\ntherapist: Okay. Well, I don't see any redness. Um, can you go ahead and touch that Miguel, and tell me if it feels warm to you or if it hurts?\n",TRUE,closed,FALSE,0.9766786792315543
49,therapist,high,Oh.,"client: Oh, I just think it's just fascinating.\ntherapist: Yeah?\nclient: Yeah. Just the, um, the outlook, and the culture and the history and-\ntherapist: Oh.\n",FALSE,n/a,FALSE,0.9767075993586332
94,therapist,high,"So, you might have to literally like pack his bags and help them get to those places, um.","client: Yeah. That's the good thing that he does. And I mentioned them. I-I-I discussed that with him.\ntherapist: Mm-hmm.\nclient: And that gives me a relie- a sense of relief. Like I'm not just, you know, saying yeah. You know, go find your own place or, you know, I mean, there are places where he has a safety net to go to and that-that is something that I think I feel better about and that it makes it easier to discuss and giving them options that he can-- Yeah, yeah, exactly.\ntherapist: So, you might have to literally like pack his bags and help them get to those places, um.\n",FALSE,n/a,TRUE,0.9768537390045822
76,therapist,high,"Hi, Deborah. How are you doing today?","client: Hi.\ntherapist: Hi, Deborah. How are you doing today?\n",TRUE,open,FALSE,0.9773614828009158
0,therapist,high,"If I gave you a scale from 0 to 10, 0 being not ready at all to cut back on drinking and 10 being very ready, what number would you be at?","client: Mm-hmm. Yes, sometimes I feel worse after drinking.\ntherapist: Where do you wanna go from here? What do you wanna change about your drinking habits?\nclient: Well, I don't think that I'm ready to cut down to seven drinks a week. That seems like a lot but I would consider cutting back to two drinks a night. I think that would be my goal.\ntherapist: If I gave you a scale from 0 to 10, 0 being not ready at all to cut back on drinking and 10 being very ready, what number would you be at?\n",TRUE,open,FALSE,0.978226428385824
24,therapist,high,"Sure. And back to that scale, you mentioned, you said you were a two. What do you think it would take to move you up to a four or five?","client: Well, I mean, anything's possible. I mean, I-I guess I could maybe be convinced. Yeah. Is there some-- I mean, are there things I can try that would make me like want to quit smoking?\ntherapist: Well, there are a lot of products available now that can actually help you curb that urge to smoke. We have products that can help to replace nicotine, which can help to decrease withdrawal symptoms that you might experience when quitting or cutting down and also some medications that your doctor could prescribe for you that might take away even some of the desire to smoke.\nclient: Okay. Well, that’s good information. I mean, I'm not gonna do anything today. I just need to know my options, but that's encouraging. If I decided to quit smoking, I-I do have at least tools to help me.\ntherapist: Sure. And back to that scale, you mentioned, you said you were a two. What do you think it would take to move you up to a four or five?\n",TRUE,open,FALSE,0.9783026280347258
86,therapist,high,You feel alone.,client: No one wants to help me.\ntherapist: You feel like people aren't willing to help.\nclient: No one wants to help me.\ntherapist: You feel alone.\n,FALSE,n/a,TRUE,0.9792807912454009
34,therapist,high,"Okay. So, this party-time world's- are you feeling like this is something you want to move out of and move into that mom world? Or does it feel like I want to hang out there still too?","client: Yeah.\ntherapist: -drinking and your friends are-\nclient: Yeah, like, I'm- I'm still, like, I'm only in my 20s, and-and for everyone else, it's like, ""Okay, it's party time,"" and now I kind of have to, like, break out of that.\ntherapist: Okay. So, this party-time world's- are you feeling like this is something you want to move out of and move into that mom world? Or does it feel like I want to hang out there still too?\n",TRUE,closed,FALSE,0.979390146676451
44,therapist,low,All right. And how about your grades?,"client: Yeah, psychology, I haven't really thought too about which school, I mean, I-\ntherapist: Right.\nclient: Everyone wants to shoot for the Ivy leagues, so [chuckles]\ntherapist: All right. And how about your grades?\n",TRUE,open,FALSE,0.9808756408747286
130,therapist,low,And let's talk some more about wine. You keep throwing wine into the conversation. It sounds like it's become a significant part of your daily routine. How much are you drinking?,therapist: And let's talk some more about wine. You keep throwing wine into the conversation. It sounds like it's become a significant part of your daily routine. How much are you drinking?\ntherapist: And let's talk some more about wine. You keep throwing wine into the conversation. It sounds like it's become a significant part of your daily routine. How much are you drinking?\ntherapist: And let's talk some more about wine. You keep throwing wine into the conversation. It sounds like it's become a significant part of your daily routine. How much are you drinking?\ntherapist: And let's talk some more about wine. You keep throwing wine into the conversation. It sounds like it's become a significant part of your daily routine. How much are you drinking?\n,TRUE,closed,TRUE,0.9809585514012724
83,therapist,high,So do you think doing this program and completing this program this time would be a good place to start?,"client: Yeah, I am.\ntherapist: Yeah.\nclient: I just, um, I don't- don't know where to s-- where to start. I don't know.\ntherapist: So do you think doing this program and completing this program this time would be a good place to start?\n",TRUE,closed,FALSE,0.980976706603542
28,therapist,high,Right.,"client: Yeah, exactly. Mm-hmm. Yeah. Um, and the first thing when I was able to smoke, I didn't care if I smoke my brand or anybody else's brand, I just wanted that cigarette.\ntherapist: Okay.\nclient: The nicotine is the addiction.\ntherapist: Right.\n",FALSE,n/a,FALSE,0.9819058373104781
28,therapist,high,Mm-hmm.,"client: The nicotine is the addiction.\ntherapist: Right.\nclient: And-and also the-the psyche thing, you know, with-- I mean, I wake up in the morning, I want a coffee with- I want coffee with a cigarette.\ntherapist: Mm-hmm.\n",FALSE,n/a,FALSE,0.9820487925317138
32,therapist,low,"Your behavior is not what Minnesota State University expects of its students. If you wanna be a student here, you'll need to show that you're able to follow our rules. Do you think you can do that, otherwise, you'll be suspended?","client: Whatever, I-I didn't though. I called my roommates for a ride. He was sleepy. So I had to get home somehow. And this isn't even my fault. I give him rides all the time, but I didn't do anything.\ntherapist: You need to take responsibility for your actions. If you keep partying like this, your problems will only get worse. You're likely to face costly legal citations, poor grades, health problems. Getting kicked out of school and disappointing your parents. You don't want that to happen, do you?\nclient: No-no. Like I said, this isn't even my fault. Like, are we done here? I have class in 15 minutes.\ntherapist: Your behavior is not what Minnesota State University expects of its students. If you wanna be a student here, you'll need to show that you're able to follow our rules. Do you think you can do that, otherwise, you'll be suspended?\n",TRUE,closed,FALSE,0.9823793878313154
2,therapist,high,Excellent. I'll see you in two weeks.,"client: A 10.\ntherapist: I agree. All right. Well, you-you know what? I'm not gonna start any medications today. Your levels were a little bit off, but I think we can handle this from a purely lifestyle standpoint. What do you think?\nclient: Great. It sounds good to me.\ntherapist: Excellent. I'll see you in two weeks.\n",FALSE,n/a,FALSE,0.9828171979170293
42,therapist,high,"Right, so you've hit a plateau in your weight and despite all the things that you're trying to do to increase your activity, it doesn't seem to be working on the scale?","client: I don't know, I'm just having a lot of hard trouble trying to lose the rest of the weight. Um, right now, it's like no matter how much I try to exercise, run, or whatever, it doesn't matter like nothing else is coming off.\ntherapist: Right, so you've hit a plateau in your weight and despite all the things that you're trying to do to increase your activity, it doesn't seem to be working on the scale?\n",FALSE,n/a,TRUE,0.9829791560769081
66,therapist,high,"I, uh, I'm a case manager with your health plan. I understand that you came in today to talk about your diabetes.","client: Pleasure to meet you.\ntherapist: I, uh, I'm a case manager with your health plan. I understand that you came in today to talk about your diabetes.\ntherapist: I, uh, I'm a case manager with your health plan. I understand that you came in today to talk about your diabetes.\ntherapist: I, uh, I'm a case manager with your health plan. I understand that you came in today to talk about your diabetes.\n",FALSE,n/a,TRUE,0.9832196529023349
93,therapist,high,Okay. Those are the big ones for you.,client: Mm-hmm.\ntherapist: Am I missing anything else?\nclient: I don't think so.\ntherapist: Okay. Those are the big ones for you.\n,FALSE,n/a,TRUE,0.9833018688950688
56,therapist,high,Yeah.,"client: Uh, well, I'm glad to see my dog, he's very cute, and it just feels good to be home.\ntherapist: Yeah.\ntherapist: Yeah.\ntherapist: Yeah.\n",FALSE,n/a,FALSE,0.9833392747677863
126,therapist,low,All right. What did the doctor tell you cholesterol statin is for?,"therapist: Fantastic. All right. Well, here's your prescription. I even put it on auto fill for you so that it will be filled for you every- at the same time every month. And if you have any other questions later, our phone number is right here on the bottle, and you can call me at any time. Thanks so much. Have a great day.\ntherapist: Hello, Kaylie. I'm Lori, the pharmacist here at Bulldog Pharmacy. I see that you have a new medication to pick up today. Called in by Dr. Ferris for cholesterol statin 20. Do you have a minute to talk about it? I want to make sure that you know how best to take this medicine and to answer any questions that you might have.\nclient: Sure. I'm just getting a few groceries.\ntherapist: All right. What did the doctor tell you cholesterol statin is for?\n",TRUE,open,FALSE,0.9834034030791372
80,therapist,high,"So, what's been different since the last time we talked a week ago?","therapist: Jean, it's good to see you again.\nclient: Hello, doctor.\ntherapist: So, what's been different since the last time we talked a week ago?\n",TRUE,open,FALSE,0.9838517208117992
45,therapist,high,Mm-hmm.,client: Mm-hmm.\ntherapist: I'm sure it's pretty overwhelming.\nclient: It's just like a lot.\ntherapist: Mm-hmm.\n,FALSE,n/a,FALSE,0.9845697295386344
64,therapist,high,"Is this- is this with, uh, with the drug?","client: Yeah.\ntherapist: Tell me a little bit about what now and again means, and-and-and how often.\nclient: Um, a couple of times a week maybe.\ntherapist: Is this- is this with, uh, with the drug?\n",TRUE,closed,FALSE,0.9848147162701935
81,therapist,high,"I can try. I can't guarantee because it depends on my schedule, but we can brainstorm about ideas on who can go with you to support you so you feel better about attending.","client: Can you help me make the call?\ntherapist: Sure, we can do that together.\nclient: Can you go with me to the appointment.\ntherapist: I can try. I can't guarantee because it depends on my schedule, but we can brainstorm about ideas on who can go with you to support you so you feel better about attending.\n",FALSE,n/a,FALSE,0.9852528420742601
9,therapist,low,"Okay, great. Um, do you drink alcohol, including beer or wine?","client: Okay.\ntherapist: Okay, do you smoke at all?\nclient: I don't smoke. I smoked, you know, as a young adult, quit 20 years ago. I went cold turkey. I was proud of that, haven't even thought about smoking.\ntherapist: Okay, great. Um, do you drink alcohol, including beer or wine?\n",TRUE,closed,FALSE,0.986226435052231
10,therapist,low,"Mm-hmm. Well, you do need to take your medicine. We, uh, will need to start dieting, uh, you know, lose some weight, change-change your eating habits, exercise, uh, to get your diabetes under control, because your doctor is right, it is very serious.","client: Well, I'm supposed to come to learn about my-- how to manage my diabetes. Just got diagnosed.\ntherapist: Mm-hmm. I see- I see that your A1C or your blood glucose is very high.\nclient: Yeah, that's what doctor said. She-she really laid into me about that. Said it was-- I guess, this is really serious stuff. She was talking about losing eyesight, mm, my feet, mm, problems with a lot of other stuff, and it really scared me. Uh, so, [sighs] you know, how-how-how to manage all this, I guess, is what I gotta learn, but it just sounds massive.\ntherapist: Mm-hmm. Well, you do need to take your medicine. We, uh, will need to start dieting, uh, you know, lose some weight, change-change your eating habits, exercise, uh, to get your diabetes under control, because your doctor is right, it is very serious.\n",FALSE,n/a,FALSE,0.9863772427197546
44,therapist,low,That's awesome. And you play tenor sax?,"client: I started off on the violin first.\ntherapist: No kidding.\nclient: So I played that for like six years, once a clarinet, dabbled here and there with different things. And then I found the one- the one for me.\ntherapist: That's awesome. And you play tenor sax?\n",TRUE,open,FALSE,0.9864639618899673
18,therapist,high,Yeah.,client: I don't really know what issues I need to-\ntherapist: All right.\nclient: -sort. It's just a bit of cash.\ntherapist: Yeah.\n,FALSE,n/a,FALSE,0.9865185832604766
37,therapist,high,Good. Are you okay today?,"therapist: Kia ora, Ricky, welcome back.\nclient: Kia ora.\ntherapist: Good. Are you okay today?\n",TRUE,closed,FALSE,0.9869101003278047
39,therapist,high,Okay.,"client: Right. Which I barely have any.\ntherapist: But it might be helpful if you- if you quit or it's, you know, it did if you were gonna decrease or whatever, to see how much better you're doing with the ball going up and your lung capacity increasing, is it?\nclient: Right- right.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.9870302753988653
34,therapist,high,"Kind of feels like You're between two worlds. In one world, you're preparing to be a mother and bring a baby into this world, and this other world is the world that you've been in for a while where you're kind of having a good time and-","client: -and I had already been drinking then. Um, I've been really trying not to, but, you know, weekends come around, and, um, all my friends are kind of partying and stuff, and it's been hard to, like, break that habit.\ntherapist: Mm-hmm. So, there's this external pressure coming from the people you care about to sort of stay in the scene.\nclient: A little bit. I think if I- if I talk to them, it would be fine, but it's-it's weird, right? Like I'm the only one of my friends that's, like, taking this step and having a kid, and they don't really know how to handle that.\ntherapist: Kind of feels like You're between two worlds. In one world, you're preparing to be a mother and bring a baby into this world, and this other world is the world that you've been in for a while where you're kind of having a good time and-\n",FALSE,n/a,TRUE,0.9875161992385983
10,therapist,low,"Okay. Um, what brings you in?","therapist: Hi. You are [unintelligible 00:00:02]?\nclient: Yeah.\ntherapist: Okay. Um, what brings you in?\n",TRUE,open,FALSE,0.9878536665346473
131,therapist,low,"So Monday morning after the party will be a good day, and that's next week. Okay. Now, one of the things that we do in the pharmacy is recommend that you use medication to help you. You know this increases your chance of success and it makes it more likely that can manage any cravings that come along. A lot of people like using nicotine replacement therapy which comes in a variety of formats like patches, gum, you've probably seen people using any of these products. And other options are tablets which you can get from the GP.","client: I guess, um, at the weekend I've got a party coming up.\ntherapist: Okay.\nclient: So, uh, maybe Monday morning.\ntherapist: So Monday morning after the party will be a good day, and that's next week. Okay. Now, one of the things that we do in the pharmacy is recommend that you use medication to help you. You know this increases your chance of success and it makes it more likely that can manage any cravings that come along. A lot of people like using nicotine replacement therapy which comes in a variety of formats like patches, gum, you've probably seen people using any of these products. And other options are tablets which you can get from the GP.\n",FALSE,n/a,TRUE,0.9884899482131004
53,therapist,low,So that's actually kind of a lot of drinking then?,"client: Yeah.\ntherapist: Okay, and so that's maybe like 20 times a year.\nclient: Possibly, yeah.\ntherapist: So that's actually kind of a lot of drinking then?\n",TRUE,open,TRUE,0.9888628146145493
0,therapist,high,"Okay. So, it sounds like you have some reasons to cut back on drinking and you have ways to relax besides drinking and it sounds like you're pretty ready to cut back.","client: Well, I like to watch movies, read a book, and take a bath but sometimes I drink when I take a bath.\ntherapist: So, it's not just wine that helps you relax. Um, there's reading a book, watching a movie, and taking a hot bath too.\nclient: Mm-hmm. Yes.\ntherapist: Okay. So, it sounds like you have some reasons to cut back on drinking and you have ways to relax besides drinking and it sounds like you're pretty ready to cut back.\n",FALSE,n/a,TRUE,0.9888917289208621
71,therapist,high,"So, you've got this dream by the sounds of it, which is, you know, to have a partner, and a house, and a nice car-","therapist: So, you've got this dream by the sounds of it, which is, you know, to have a partner, and a house, and a nice car-\n",FALSE,n/a,TRUE,0.9898432861082256
55,therapist,high,"Okay. Well, I don't see any redness. Um, can you go ahead and touch that Miguel, and tell me if it feels warm to you or if it hurts?","client: Uh, no. That's okay. How's that?\nclient: Uh, no. That's okay. How's that?\nclient: Uh, no. That's okay. How's that?\ntherapist: Okay. Well, I don't see any redness. Um, can you go ahead and touch that Miguel, and tell me if it feels warm to you or if it hurts?\n",TRUE,closed,FALSE,0.9899263782426715
56,therapist,high,"I know, I-I understand that it was really-- That was your goal. That was a really important thing for you to be able to get home and it sounds like you've been able to really en- enjoy parts of it, and I know you've been going to the- both the physical therapy and the Tai Chi and how's-how's that going?","client: Yeah. And my garden is coming along, and my neighbors have stuff-- It's-it's good. It's good to be home.\nclient: Yeah. And my garden is coming along, and my neighbors have stuff-- It's-it's good. It's good to be home.\ntherapist: I know, I-I understand that it was really-- That was your goal. That was a really important thing for you to be able to get home and it sounds like you've been able to really en- enjoy parts of it, and I know you've been going to the- both the physical therapy and the Tai Chi and how's-how's that going?\ntherapist: I know, I-I understand that it was really-- That was your goal. That was a really important thing for you to be able to get home and it sounds like you've been able to really en- enjoy parts of it, and I know you've been going to the- both the physical therapy and the Tai Chi and how's-how's that going?\n",TRUE,open,TRUE,0.9899655852932483
68,therapist,high,That's great. That's really exciting to think about that-,"client: But I mean, that might not happen. And then I'd like to go on and become a doctor. Study psychology and then become a psychiatrist or something.\ntherapist: Okay, you have some pretty big dreams.\nclient: Yeah.\ntherapist: That's great. That's really exciting to think about that-\n",FALSE,n/a,FALSE,0.9902407971676439
94,therapist,high,"Mm-hmm. So you kind of feel two ways about it. You-you'd like to, um, you feel like at some level that the time is up for that person to go, and on the other hand, there's a certain amount of security in having him in the house and in knowing he's around.","client: Yeah, that's, it's absolutely right that I want, I-I want change but I'm not, I am kind of, like, weak in that area where it's, like, the ability to actually say the words. You're right, yeah. I'd like to be able to do that.\ntherapist: Mm-hmm. And what would, uh, what would help you get to the point of actually, um, booting them out?\nclient: Um. [sighs] I don't know, I'm-I'm, I guess, I'm kind of, um, I care about the person and, you know, there's a certain amount of comfortability of having somebody with you, you know, and I'm just, so, I guess I am at war with myself because part of me wants the comfort of having a companion and the other part of me is just, you know-- I-I cannot-- I am not really sure what I wanna do, you know.\ntherapist: Mm-hmm. So you kind of feel two ways about it. You-you'd like to, um, you feel like at some level that the time is up for that person to go, and on the other hand, there's a certain amount of security in having him in the house and in knowing he's around.\n",FALSE,n/a,TRUE,0.9904507172759622
130,therapist,low,"No, wait a minute. That has everything to do with what we're talking about. I can't believe at the end of this appointment, you're just slipping in the fact that you've resumed smoking again. That's very, very important information for me to know. And I'd like to spend some time talking about it now.","therapist: No, wait a minute. That has everything to do with what we're talking about. I can't believe at the end of this appointment, you're just slipping in the fact that you've resumed smoking again. That's very, very important information for me to know. And I'd like to spend some time talking about it now.\ntherapist: No, wait a minute. That has everything to do with what we're talking about. I can't believe at the end of this appointment, you're just slipping in the fact that you've resumed smoking again. That's very, very important information for me to know. And I'd like to spend some time talking about it now.\ntherapist: No, wait a minute. That has everything to do with what we're talking about. I can't believe at the end of this appointment, you're just slipping in the fact that you've resumed smoking again. That's very, very important information for me to know. And I'd like to spend some time talking about it now.\ntherapist: No, wait a minute. That has everything to do with what we're talking about. I can't believe at the end of this appointment, you're just slipping in the fact that you've resumed smoking again. That's very, very important information for me to know. And I'd like to spend some time talking about it now.\n",FALSE,n/a,FALSE,0.9906368120573461
84,therapist,high,"Mm. So what's it gonna be like do you think working with me 'cause I'm also a female probation officer? Um, I'm wondering what-what's it gonna be like do you think?","client: Yeah, she didn't really care.\ntherapist: Okay, so actually having someone listen to you and hear about what you're saying is important to you?\nclient: Yeah.\ntherapist: Mm. So what's it gonna be like do you think working with me 'cause I'm also a female probation officer? Um, I'm wondering what-what's it gonna be like do you think?\n",TRUE,open,FALSE,0.9907430412713438
76,therapist,high,Okay.,"client: -enjoyment. I think it's intertwined in a lot of things. It's fun to learn about pe-- other people, other cultures. it's fun to have the inner harmony. I think that- I think that was an all-encompassing thing about life. The part of it is to experience pleasure. Yeah.\ntherapist: So pleasure being your number five.\nclient: Yeah.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.9907760447822511
52,therapist,high,You're welcome.,"client: Well, I will take a look at it, and I'll definitely read it, and I don't wanna become addicted, and I would like to continue to play sports as long as possible.\ntherapist: It sounds like you're in the right track, looks like you care about your health, and you care about your goals in life. I'm here to answer any questions.\nclient: Thanks for all the information.\ntherapist: You're welcome.\n",FALSE,n/a,FALSE,0.9908971763215959
9,therapist,low,"-the rise in your blood pressure is concerning to me, so I'd like to gather a bit more information about your lifestyle.","therapist: So now that we've discussed a little bit of your medical history and- and taking your vitals, I'd like to ask you a few more questions. The-\nclient: Sure.\ntherapist: -the rise in your blood pressure is concerning to me, so I'd like to gather a bit more information about your lifestyle.\n",FALSE,n/a,FALSE,0.9912126429844648
61,therapist,high,Uh-huh.,"client: And I would really fe-- If I could have some sup-- Like if somebody could help me do it.\ntherapist: Uh-huh.\nclient: My-my daughter can't visit that often and, um-\ntherapist: Uh-huh.\n",FALSE,n/a,FALSE,0.9920003351289779
22,therapist,high,Okay. Would you like to talk more about that?,"client: Yes.\ntherapist: Family happiness?\nclient: Yes, it's the most important because it's a little lacking, so I know that that's something that is very important to me.\ntherapist: Okay. Would you like to talk more about that?\n",TRUE,closed,FALSE,0.9922857941128314
74,therapist,low,Just-,"client: Yeah.\ntherapist: I think it [unintelligible 00:01:18] days yet, and it might not be a bad idea to reconsider the piercing.\nclient: I mean, I just put in-\ntherapist: Just-\n",FALSE,n/a,FALSE,0.9923488779459149
48,therapist,high,Uh-huh.,"client: -the short ones, the really huggy ones. [chuckles]\ntherapist: Uh-huh. Uh-huh.\nclient: So I actually decided, and I know this wasn't the smartest decision of mine, but I did not wear my insulin pump.\ntherapist: Uh-huh.\n",FALSE,n/a,FALSE,0.9927526311948895
16,therapist,high,"Yeah. So, in terms of being supportive and a sort of support you're gonna need to make these changes.","therapist: So, Rick, just in regards to your flatmate situation at the moment with Tristan. Uh, you know, we talked about how walking through this program and with the support of your parents and having some positive influence to help you through this. I just want to rethink a bit if you stay living with Tristan. What are the sort of pros and cons of that? What are the good things about living there, what are the not-so-good things about living there?\nclient: Oh, it's a nice place. It's close to work. It's good living with a mate.\ntherapist: Yeah. So, in terms of being supportive and a sort of support you're gonna need to make these changes.\n",FALSE,n/a,FALSE,0.9930452820844948
18,therapist,high,"So first, it might be trying to sort out what are the important issues to sort out.","client: -sort. It's just a bit of cash.\ntherapist: Yeah.\nclient: So—\ntherapist: So first, it might be trying to sort out what are the important issues to sort out.\n",FALSE,n/a,FALSE,0.9931198477279395
60,therapist,high,Okay.,"client: Right, do my homework and set up my like to have everything available to me.\ntherapist: Okay.\nclient: And then maybe set up another appointment with you.\ntherapist: Okay.\n",FALSE,n/a,FALSE,0.9946646557655185
18,therapist,high,Yeah. So how often do you end up with no money in your pocket? Can be the times when you end up with money in your pocket,"client: Uh, I suppose when you've got no money in the pocket at the end of the night.\ntherapist: Yeah, yeah.\nclient: And some nights you do, so.\ntherapist: Yeah. So how often do you end up with no money in your pocket? Can be the times when you end up with money in your pocket\n",TRUE,open,FALSE,0.9959922581911087
80,therapist,high,Sure.,"client: -I'll have it when I get to work or on the way to work.""\ntherapist: Right.\nclient: 'Cause I-I-I-\ntherapist: Sure.\n",FALSE,n/a,FALSE,0.9962514010258019
54,therapist,high,Okay. And-and how far away is it from your house?,"client: Okay. Um. All right. Um—\ntherapist: What gym do you belong to?\nclient: Uh, I belong to the-the Sport Fitness Center.\ntherapist: Okay. And-and how far away is it from your house?\n",TRUE,closed,FALSE,0.9964566030539572
7,therapist,high,Yeah.,therapist: Yeah.\ntherapist: Yeah.\ntherapist: Yeah.\ntherapist: Yeah.\n,FALSE,n/a,TRUE,0.9965526792220771
28,therapist,high,"Okay. So, what's the longest you've ever gone without a cigarette including being in the hospital?","client: Only when I was in the hospital. [chuckles]\ntherapist: Okay.\nclient: And even then I-I snuck out and had a cigarette, you know.\ntherapist: Okay. So, what's the longest you've ever gone without a cigarette including being in the hospital?\n",TRUE,closed,FALSE,0.9984908343758434
83,therapist,high,Yeah.,"client: Yeah.\ntherapist: One of the, um, things that I've learned over the years, Rick, is that a lot of guys get to the doors out there and don't come inside and, um, you've come inside. What does that tell me about you?\nclient: Um, I hope that it says that I want to, um, make some changes.\ntherapist: Yeah.\n",FALSE,n/a,FALSE,0.9991102451458573
55,therapist,high,"Do you mind if I take a look at your arm, please?","therapist: Do you mind if I take a look at your arm, please?\ntherapist: Do you mind if I take a look at your arm, please?\ntherapist: Do you mind if I take a look at your arm, please?\ntherapist: Do you mind if I take a look at your arm, please?\n",TRUE,closed,FALSE,0.9993060771375895
55,therapist,high,"Miguel, before we end the call, I did want to go over the answers you gave me on the questionnaire about drug use. Is it okay if we go over that right now?","therapist: Miguel, before we end the call, I did want to go over the answers you gave me on the questionnaire about drug use. Is it okay if we go over that right now?\ntherapist: Miguel, before we end the call, I did want to go over the answers you gave me on the questionnaire about drug use. Is it okay if we go over that right now?\ntherapist: Miguel, before we end the call, I did want to go over the answers you gave me on the questionnaire about drug use. Is it okay if we go over that right now?\ntherapist: Miguel, before we end the call, I did want to go over the answers you gave me on the questionnaire about drug use. Is it okay if we go over that right now?\n",TRUE,closed,FALSE,0.9993390822783113
34,therapist,high,"You put your heart there that the baby is really- it was almost kind of like a sign for you that was saying, ""This baby is giving you a kind of a new chance at life, or giving you a plan B,"" and you guys both get to decide what plan B is gonna look like.","client: I guess so. I feel like I've already made a choice and already made some bad choices with this.\ntherapist: Nina, I'm wondering, what's your hope for the future? When you think about where you are today, um, what do you hope for when you look ahead?\nclient: Well, I-I kept the kid because I wanted-- It was almost like that push, that sign for me to, like, move forward and become like an adult because it's scary, right? Like I-I still feel like a teenager sometimes. And having that push to be a real person is really-- It's a lot of pressure and I-I want to raise this kid well. I don't wanna- I don't wanna let my kid down. I don't wanna, you know, I don't wanna regret choosing to have this kid because I think it's the right time, but I don't wanna- I don't wanna make mistakes that make me realize maybe I'm not ready for this 'cause sometimes it feels like I'm not ready for this.\ntherapist: You put your heart there that the baby is really- it was almost kind of like a sign for you that was saying, ""This baby is giving you a kind of a new chance at life, or giving you a plan B,"" and you guys both get to decide what plan B is gonna look like.\n",FALSE,n/a,TRUE,0.999379032291472
44,therapist,low,What are your favorite parts about it?,"client: Marching band since freshman year. So like three years.\ntherapist: Okay. Couple of years. Great. And how do you like Marching Band?\nclient: It's fun. It's a- it's a lot of work, long summers taught, but it's fun.\ntherapist: What are your favorite parts about it?\n",TRUE,open,FALSE,0.999564255354926
56,therapist,high,Yeah?,therapist: Yeah?\ntherapist: Yeah?\ntherapist: Yeah?\ntherapist: Yeah?\n,FALSE,n/a,FALSE,0.9997632391750813
