>> Hi [inaudible]. How are you doing today? >> All right. >> You doing all right? >> Yeah. >> I see that this is the
first time you've come in. You've filled out some
of the other paper work. >> Yeah. >> About 20 of them. >> A lot of pages. >> Yeah. >> How'd that go? >> It went. I mean I've seen that stuff
before but it wasn't too bad. >> Nothing surprising in there? >> No. Pretty standard. >> Pretty standard. Nothing distressing? >> Not yet. >> Not yet. Okay. I'm going to ask you a
series of questions as part of the process called intake. So this document that I'll
be making notes on will go in your chart and it'll
help guide your care for the time that
you're with me. >> Okay. >> All right. So these questions are
going to be more detailed and more emotionally oriented
than a lot of those questions that you were answering on the
forms you filled out before.
>> Okay. >> That was more like factual
information that we need for insurance or record-keeping. This is more about you and
what you've been going through. >> Okay. >> You comfortable with that? >> Yeah. It's okay. >> It's okay. All right. If at any time you don't
like one of the questions or you don't want to answer one of the questions
just let me know and we'll just skip
over that one. >> okay, fair enough. >> All right. So what brings you in today? >> I brought myself in. Things have just
not been fantastic. So I figured I might as well — I'd get some help
before it got worse. >> Things haven't
been fantastic.
>> Yeah. >> And you're worried
they're going to get worse. >> Seems like it, yeah. >> Yeah. What would you say
that your main problem is, that motivates you to come in? >> Probably my anxiety and —
I'm just nervous about a lot of things a lot of the time. And it's kind of trickling
into every area of my life now. >> So anxiety. >> Uh-huh. >> You said it's
like a nervousness? >> Yeah. Just like
nervousness about going places; nervousness about doing things
like going to school or work or — you know graduating
college. Just kind of that whole
stage and it's been like that for a while. >> How long? >> I can remember as far
back like 13 or 14 maybe.
>> How old are you now? >> 23. >> So say around 10
years you've been — >> Yeah. [Crosstalk]. >> Off and on, yeah. >> Yeah. Off and on. >> Yeah. >> So there's times
when you're not anxious? >> Not as bad. I mean I'm still anxious
but not as extreme or I don't deal with
it the same way.
>> If you were to rate your
anxiety on a scale of 1 to 10 with one being really no anxiety
and 10 being the worst it's been in the last 10 years, how much
anxiety do you have right now? >> I think a 6. >> When was the last
time you were a 10? >> Last weekend. >> When was the last
time you were at one? >> Not really sure. >> No. Approximately? >> Maybe a couple months ago when I was just hanging
out with my friends. We went out and we were partying
a little bit and it was nice and I wasn't too anxious. >> About a couple months ago? >> Yeah. >> Okay. So the anxiety
is one problem. Any other problems? >> I don't think
it's a huge problem, but I have been drinking
a lot — that it helps with the
anxiety but it makes going out you know — I'm
more relaxed that way. That I can — kind
of compulsive person.
So once I start I keep going. So it's not all the time. It's just when I'm going out
that I end up drinking too much. >> So sometimes when you go out
you drink more than you want to? >> Yeah. >> What happens then? >> I make bad decisions,
or I get sick. Or the next morning I'm
showing up hung-over going to class if I make class. And, you know, it's
fun for the time being but it's not fun afterwards. >> So the consequences of
drinking in the longer run. You're not too fond of those
but in the short run — ? >> Yeah, it helps in the moment. >> Okay. So you want the
anxiety to be lessened. Do you want the drinking
to be lessened? >> Probably. Yeah. I mean, I'll like to
still have fun in college, but I would like to not be
like blacking out or being able to stop would be nice. >> Is that what happens
now, blacking out? >> Occasionally. Not every time but sometimes.
>> Sometimes. >> Yeah. >> Do you remember the
last time you blacked out? >> Maybe a month ago. >> A month ago. >> Yeah. It's not all the time. >> At what age did
you start drinking? >> Fourteen. >> At 14? >> Yeah. >> All right. Any other problems? You have anxiety. You have drinking alcohol. Any other problems? >> I don't think so. >> Okay. So those are
the two main things that are bothering you. >> Yeah. >> Okay. All right so I want to ask you some questions
about your history. >> Okay. >> All right. And I'm going to try to divide
this up into different areas and just kind of move
from one area to the next.
They'll be some overlap. >> Okay. >> So if I ask you
the same question more than once it's just kind
of part of that overlap that occurs, all right. First I'd like to cover
your family history. So can you tell me about
your immediate family? >> I have one sister
— and a mom and a dad. Pretty typical. My sister is really successful. She's a doctor. Both my parents are
really successful too. So basic family. >> All right. What type of relationship do
you have with your sister? >> Kind of like a
Merry Christmas, Happy Easter type
of relationship. We're more like acquaintances
than we are siblings. >> Would you describe
it as distant? >> Yeah, you can say so. I mean we're nice.
We're not like — we're not
going to be like involved in each others' lives. >> Do you know what caused the
relationship to end up that way? >> I don't know. She was always kind of
like the ideal child. She went and did everything
she was supposed to do and it was easy for her. So constantly being compared to that doesn't really
foster a great relationship. >> Who compares you
to your sister? >> My dad usually. Sometimes my mom [inaudible]. >> Was this a frequent
occurrence, the comparison? >> Yeah. For sure. >> Do you feel like it
had an impact on you? >> Probably. You know, it wasn't
like I wasn't trying, but not everything can be as
easy as it is for some people. So a little acknowledgement
might have been nice. >> All right. So let's move on
a little further. So you talked about your
mother and father, your sister.
Any other siblings? >> Nope. >> No. How about grandparents? >> They're around. Typical grandparents,
aren't super involved. but they're there sometimes. >> Good relationship? >> Yeah. I mean, you
know, grandparents show up and it's always like, "Hi. How's it going?" And you know you see them at
the next holiday type of thing. >> All right. So there's not one grandparent
that you're typically close to? >> I do have one grandfather
I talk to on the — like on a more personal level
than I would my other ones, but that's gotten more distant
in the past couple years.
>> Okay. How about
aunts, uncles, cousins? >> I have a couple of cousins
that I would hang out with or I would see out
when I'm hanging out with my friends or whatever. So we'll hang out if
we run into each other. Aunts and uncles, I do have. They're not super involved
either, but everybody's cordial. >> Everybody's cordial. >> Yeah. Nice when I
see you type of thing. >> All right. So when's the last time
you spoke, say for example, with one of your cousins? >> I think I ran into one
of them like two weeks ago when we were just out. >> A couple weeks ago? >> Yeah. >> All right. Do any of the relatives that you
mentioned, are any of them aware of your anxiety and/or
your drinking? >> My parents are.
>> Yeah. Nobody else? >> My sister knows about
the anxiety part of it. And I think — I'm pretty sure
she knows about the drinking but she doesn't bring it up. But if my parents know
I'm sure she knows. >> So you believe
that they told her? >> I'm sure. >> Yeah. But she's not
mentioned that to you directly? >> No. We don't have those
types of conversations. It's more like – oh. She messed up again and
it's just [inaudible] like a funny thing
and then I move on. So — >> All right. So I see this bothers you.
>> Yeah. It's annoying. >> Annoying. >> Yeah. All right. Some of these topics
that we're going to touch on in this intake we can talk about in greater
detail later on. >> Okay. >> All right. And maybe your relationship
with your mother and father and your sister could be topics
we touch on later on, maybe not. But I want to let you
know that we can come back to anything and review it. >> All right. >> So I want to move kind of out
of family history a bit and move to social relationships. >> Okay. >> All right. Again it's kind of similar,
a little bit of overlap here. Can you tell me about any
romantic interests, friends. Anything like that. >> Yeah. I have a guy I've been
seeing for like six months, so it's pretty serious
for college. >> Okay. >> And some of my college
friends I'm really close with so they're there
[inaudible] a lot.
>> About how many? >> There's three girls
that I'm super close with and — you know, college. There's a lot of people I'm
acquaintances with or I'll see or talk to in class or whatever,
but those three girls are kind of the ones I will go to
if I needed something. >> All right. Then you have some other friends
that you're not as close to? >> Yeah. I mean we're
nice and we have fun and you know I'm sure if something happened they
would bail me, but they're not like people that I talk
to about my problems or anything like that.
>> They know about
your problems? >> I don't know. I guess you could — when I
show up to class hung-over. But I'm sure I'm not the
only one doing that so. >> How about these — the guy
you're seeing for six months. Does he know about
your problems? >> Somewhat, Yeah. He is [inaudible]. He definitely knows
about the anxiety. And he's with me
often when I go out. So if something does happen
he's usually helps me out or make sure I get
home or whatever. >> So he's supportive? >> Yeah. Really supportive. >> All right. So some of the questions
I'm going to ask you — this gives me a good
opportunity to talk about this. I've probably could guess the
answer too but I still want to ask, not be presumptuous. >> Okay. >> Do you have any children? >> No.
>> All right. Okay. How about nieces
and nephews? >> No. >> Any other social
relationships that I missed here that are important to you? >> I don't think so. Those are the main
ones right now. >> Yeah. All right. So you said you're 23. >> Uh-huh. >> I want to ask
you some questions about your medical history? >> Okay. >> All right. Have you had any
surgeries in your lifetime? >> I got my appendix removed. >> Appendix moved? >> Yeah. >> Any other serious
medical conditions? >> No. I had my wisdom
teeth taken out. >> Wisdom teeth extracted >> Yeah. >> Are you on any medications
for physical problems? >> No. >> All right. How about your activity level? Do you stay fairly active? >> Yeah, I try to.
I go to the gym like
twice a week or whatever. And then I go to yoga sometimes. So yeah ,I think I do get out. >> All right. So you consider yourself
an active person? >> Yeah, I try to be in between
classes and everything else. But when I do have
the time I enjoy going out and doing things. >> Okay. Would you generally
say you're in good health then? >> Yeah. Typically, Yeah. >> Physically. >> Yeah. >> All right. No other illnesses,
surgeries, procedures of note? >> No.
>> All right. So I want to shift
gears a little bit again and we'll now talk about
psychiatric history. >> Okay. >> All right. And what I'm getting at
here is kind of a history of any diagnoses, medications, all the times you've been
treated by a counselor or somebody like a counselor. So let's start with medications. Are you on any medications? >> No. >> No. How about
history of diagnoses.
Ever been diagnosed with
a mental health condition? >> Yeah I was. I was seeing a therapist
before a couple of years ago and I saw him a couple of times. And I think he said
I had some sort of anxiety disorder
or something. >> Do you remember
specifically what he said? >> Something more general. So like it wasn't about
any particular thing. So I saw him for a little
while but I just really wasn't on board with the whole
therapy thing at that point. I didn't think it was
going to help so — >> How old were you? >> 15 or 16. Yeah. >> All right. And that was a counselor? >> Yeah. Yeah. >> All right. So you saw the counselor. The counselor indicated you had
some type of anxiety disorder.
>> Yeah. >> Do you feel that
was a fair assessment? >> I think so. Yeah. >> And how long did
you see the counselor. >> I think five or
six times maybe. >> Five or six sessions? >> Yeah. >> And why did you
discontinue the treatment? >> I don't know. I just didn't really feel like
I was really involved in it and it felt like it was more
a waste of my time and his. I wasn't ready. I don't know that I
was super on board with the whole anxiety
thing at that point. I mean he was nice; it wasn't
like an issue with him. I wasn't there. >> Any mention at that
time about the drinking? >> I think I brought it up but I didn't really see
it as an issue then.
>> All right. Are there other mental
health professionals like a psychiatrist,
a psychologist, a [inaudible] and
family therapist. >> My parents made me see a
psychiatrist like maybe once or twice but I didn't really
stick with that either. >> You weren't prescribed
any medication? >> No. >> And what do you
think happened there that you didn't stick with that? >> I think kind of
the same thing. Kind of — I knew that obviously
there was something going on but I didn't think I was
ready to deal with it, and I kind of felt like I had
it under control at that point.
>> Can you tell me about
when you saw the psychiatrist in relation to when
you saw the counselor? >> It was all up in
that same time period. I think I saw the
counselor first, and then maybe the psychiatrist
like a week or two later and then followed up
with the counselor. But I just wasn't really
present during any of it. >> You feel you're in a
different state of mind now? >> Yeah, I think so. >> Tell me about that. >> I realize now that I'm not
handling it like I thought I was and it's affecting
other areas of my life. And, you know, in my senior
year of college I need to get my life together and I'm
not really doing that so well. So I think it's time to
figure something out. >> All right. So you feel like
you're ready to commit to treatment a little more
vigorously at this point? >> Yeah. I want the help now. >> And back then? >> No. >> No, okay. And no other treatment
providers? >> No, just this.
>> Okay [inaudible]..
