Doctor

Doctor: what was happening why did you come into the hospital?
Doctor: were there some problems?

Patient: hmmm…
Doctor: what were some of those problems?
Patient: I was having some problems believing in myself
Doctor: I'm sorry?
Patient: mm-hm believing
Doctor: believing in yourself in what way
Patient: you know I was depressed and
Doctor: can you tell me something more about that?
Patient: I wasn't working
Doctor: had you been working?
Doctor: was that a change
Patient: well I graduated from college I didn't know what I was gonna do with my life
Doctor: mm-hmm
Patient: I went to Colorado
Doctor: how much time did you spend in Colorado
Patient: seven months
Doctor: were you working in Colorado mm-hmm?
Patient: I was a waitress but I quit
Doctor: why did you quit
Patient: and why did I quit the job?
Doctor: mm-hmm
Patient because I decided to go see my boyfriend
Doctor where was he
Patient: he was here in Indiana
Doctor: did you move in with him
Patient: yeah
Doctor:how has that been
Patient: not very good
Doctor: you said before that you're living by
yourself now did you move out
Patient: yeah
Doctor :When did you decide to do that?
Patient: about a week ago
Doctor: did some major event affect that decision?
Patient:and there's always something major
surrounding any decision isn't there
Doctor: well was everything going smoothly
before you moved out?
Patient: I don't think it was going real smooth, I don't think I really tried hard enough at making the
relationship work
Doctor: but you felt everything was okay when you first moved out was your mood depressed then?
Patient: how didn't I I guess I was depressed
Doctor: when would you say things in your life changed that you noticed a difference in
your mood
Patient: difference in my mood?
Doctor: mm-hmm
Patient: my moods always changed don't yours?
Doctor: yours always change?
Patient: yeah
Doctor how do you feel now is it like you might feel if someone close to you died
Patient: No
Doctor: how is it different
Patient: justice
Doctor: how
Patient: when my grandmother died I just felt sad, now I feel he useless, I'm shame
Doctor: is there a time during the day when that feeling is worse than other times
Patient: when I wake up hi there on my bed, sometimes I just can't bear it
Doctor: after you moved out of your boyfriend's place did you find a place of your own
or move in with friends?
Patient: they don't deal with a friend
Doctor: are you trying to find a place?
Patient: not really
Doctor: how do you see your future
Patient: I'd like to
Doctor: like to find a place? mm-hmm
Doctor: how do you see your situation you see things
getting better?
Patient: No
Doctor:have you been spending your time lately, what do you enjoy doing
Patient: nothing really
Doctor: how would you say your energy level has
been
Patient: down
Doctor: have you been eating?
Patient: in the past month?
Doctor: mm-hmm
Patient: not really
Doctor: have you had much of an appetite? have you been hungry
Patient: no
Doctor: how is your sleep bin have you been sleeping
Patient: not really
Doctor: do you worry very much?
Patient: yeah a lot I guess
Doctor: what kinds of things do you worry about?
Patient: just normal things
Doctor: do you blame yourself for something you've done or something you haven't done?
Patient: yeah
Doctor: what things do you blame yourself For?
Patient: I'm out I was doing the right thing you know
Doctor: are you down on yourself
Patient: yes
Doctor: would you describe yourself as worthless as a failure?
Patient: I say that
Doctor: is that how you feel mm-hmm?
why did you decide to come to the clinic
my husband coming I just don't seem to
care about things anymore
and I was withdrawing in what ways have
you been withdrawing Oh avoiding making
decisions not talking on the phone not
leaving the house when did things begin
to turn for the worse they had been
going downhill for quite a while but in
the last three or four months is when I
really started isolating myself before
that I fought it then I just didn't
fight anymore I was more comfortable
staying you know when would you say
everything was at its worst well just
before Thanksgiving
had there been any changes in your life
around that time my position in the
church I guess can you explain that to
me well there was this incident in the
church they had a ball team and my
daughter was on the ball team and she
threw the bat and the up said she was
out mm-hmm well the coach and the UMP
and her father were all over her and
they admit ain't Amy so angry that she
yelled I hate you up and then some of
the other girls on the team said they
didn't want her anymore I stood up in
church one Sunday night and I said that
if Amy wouldn't come back to church it
was because of that episode and I blame
the girls who yelled at her and the
girls were the preachers daughters ever
since then I have withdrawn from that
and the kids never came back and said
anything to me and everything's just a
mess would you describe your mood around
Thanksgiving no mood at all just nothing
would you describe that as being numb
possibly just existing I do that quite
well now do you blame yourself for
things you have or haven't done I think
we all do yes
do you feel guilty about those things
yes you deserve punishment
I don't quite know how to answer that
whether I deserve punishment or not I
think I got it are you down on yourself
yes what is your opinion of yourself
like Wallflower that's how I kind of
feel
do you see your situation getting any
better I want it to but I just see my
family moving ahead without me I'm just
a wall in the corner sometimes when
people feel depressed they think about
dying have you had any thoughts like
that well sometimes I thought I'd be
better off dead
have you tried to harm yourself no he's
afraid to hurt myself and I wouldn't
want to make things any worse than they
already got you had any trouble sleeping
no not usually
are you tired much of the time
particularly bored
has there been any change in your
appetite have you had trouble
concentrating
yes yeah do you sometimes feel as though
your thinking is slowed down I've gotten
to the point where I don't even think
I'm just sitting there

Doctor

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Doctor: what was happening why did you come into the hospital?

Doctor: were there some problems?

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