Mental Health Shadow Health Tina Jones Transcript

Mental Health Shadow Health Tina Jones Transcript

Greet
Hello, I’m xxxx. Today, I’ll be interviewing and later examining you.

Question
What is your name?

Answer
Tina Jones.

Question
Why did you come to the clinic today?

Answer
I’m here because I’ve been having trouble sleeping and feeling more nervous, especially before bedtime.

Empathize
I’m sorry to hear about your sleep and nervousness. I’m glad you came. I’ll assess you further.

Question
How long have you had these symptoms?

Answer
I’ve been worried about upcoming things for a few months, but the stress and sleep issues started about three and a half weeks ago.

Question
How often do you experience stress and sleep problems?

Answer
It used to happen only before tests, but now I feel nervous every night before bed.

Empathize
I’m sorry to hear that, Ms. Jones. We’ll explore this further.

Question
What makes your stress and sleep problems worse?

Answer
When I try to sleep, I start stressing about everything – school, exams, finding a job, moving out. Having time to think about these things makes me stressed.

Empathize
I understand. We’ll learn more as we continue the interview.

Question
Do you sleep during the day?

Answer
No, I wake up two or three times a night for around ten minutes.

Question
Do you drink caffeine at night?

Answer
I avoid caffeine after 4 PM; I only have it in the morning or early afternoon.

Empathize
That’s a good approach.

Question
Do you drink alcohol before sleeping?

Answer
I haven’t been drinking lately. I have a lot to do.

Empathize
It sounds like you’re dealing with a lot.

Question
Do you take any drugs before sleeping?

Answer
No, I don’t use drugs.

Question
Do you have any respiratory problems affecting your sleep?

Answer
Yes, I have asthma.

Empathize
I’m sorry to hear about your asthma.

Question
Could asthma be affecting your sleep?

Question
What relieves stress and sleep problems?

Answer
My sleep issues aren’t due to asthma. Using a daily inhaler has helped my breathing.

Question
What reduces your stress?

Answer
I try to stay organized with to-do lists and talk to friends or family. Going to church used to help, but not lately.

Empathize
You have a strong support system, which is great.

Question
What helps with your sleep problems?

Answer
I feel nervous before bed, and my thoughts race with worries.

Empathize
I’m sorry to hear you’re so nervous.

Question
Do you exercise?

Answer
I’m too busy for exercise.

Question
How have your sleep problems affected your daily life?

Answer
[No response provided]

Question
Have you been diagnosed with obsessive-compulsive disorder?

Answer
No, fortunately, I haven’t had that experience.

Question
Have you ever taken psychotropic medication?

Answer
No, I’ve never needed that.

Question
Do you have depressive symptoms?

Answer
I don’t think so, but I’m stressed.

Question
Do you struggle with making decisions?

Answer
I find things a bit harder due to lack of sleep.

Empathize
I’m sorry to hear that, Ms. Jones.

Question
Are you feeling sad?

Answer
I’m more stressed than sad.

Question
Do you have a reduced appetite?

Answer
I’ve been less hungry and feel queasy during the day due to lack of sleep.

Question
Have you ever had thoughts of suicide?

Answer
No, I’ve never thought about suicide.

Question
Have you ever attempted suicide?

Answer
No, I rely on God for strength.

Question
Do you self-harm?

Answer
No, I’ve never hurt myself in that way.

Empathize
I’m glad to hear that.

Question
Have you experienced past trauma?

Answer
No, not really.

Question
Do you have angry outbursts?

Answer
I’m patient with people, and staying calm makes things easier.

Educate
Anger can sometimes indicate mental disturbance.

Question
Have you been violent in the past?

Answer
No, never.

Question
Are you currently employed?

Answer
I’m a supervisor at Mid-American Copy & Ship. I’ve worked there since high school and moved up.

Empathize
It’s good to have a source of income.

Question
How many hours do you work per week?

Answer
I work about 32 hours a week now, sometimes more if it’s busy. I cut my hours to get my degree.

Empathize
That’s impressive, balancing work and education.

Question
Do you drink alcohol?

Answer
Sometimes when I’m out with friends.

Question
How often do you drink alcohol?

Answer
About once or twice a week, sometimes less.

Educate
Excessive alcohol is harmful to your health.

Question
Do you drink and drive?

Answer
We usually take a cab when we go out.

Educate
Driving under the influence of alcohol is dangerous.

Question
Do you take prescription medication?

Answer
I have a Proventil inhaler and a Flovent inhaler for asthma.

Question
Do you abuse prescription drugs?

Answer
No, I dislike taking my own medicines, so I wouldn’t take someone else’s.

Educate
Some people misuse prescription drugs for recreational purposes.

Question
Are you in a relationship?

Answer
No, I’m currently single.

Question
When was your last relationship?

Answer
I ended my last relationship three years ago.

Question
Have you ever been married?

Answer
No, I haven’t.

Question
Are you sexually active?

Answer
Not recently.

Question
Do you use condoms during sex?

Answer
I used birth control pills when I was with someone, but not currently.

Educate
Using protection during sex is important.

Question
Have you experienced abuse?

Answer
No, never.

Question
What do you think is causing your stress?

Answer
I’m stressed due to sleep problems, which are caused by worrying about things like exams, finding a job, and moving out.

Empathize
I’m sorry you’re dealing with so much.

Question
How do you cope with stress?

Answer
I try to stay organized, talk to friends, and attend church. Lately, these strategies haven’t been as effective.

Educate
Social networks can help with stress.

Question
Is there a family history of mental illness?

Answer
My family has its quirks, but no one is diagnosed with anything.

Question
Is there a family history of addiction?

Answer
My uncle has an alcohol problem, but we don’t see him much.

Question
Is there a family history of sleep problems?

Answer
I don’t think so, except for me.

Question
Have you experienced sleep problems in the past?

Answer
After my dad’s death, I had sleep problems for a while, but they weren’t as severe. Otherwise

Mental Health Shadow Health Tina Jones Transcript