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58
more exercise / increasing activity
client
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]-
n/a
sustain
58
more exercise / increasing activity
therapist
Okay.
other
n/a
58
more exercise / increasing activity
client
-might be a challenge.
n/a
neutral
58
more exercise / increasing activity
therapist
There might be something [unintelligible 00:06:43] because you're such a social guy. And so to be able to be exercising and be talking and enjoying yourself- you like the music too, right?
reflection
n/a
58
more exercise / increasing activity
client
Yeah, that's right, well I-
n/a
neutral
58
more exercise / increasing activity
therapist
And if you arrange to meet somebody there, you're very good at, uh, you know, uh, keeping the agreement.
therapist_input
n/a
58
more exercise / increasing activity
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.
n/a
change
58
more exercise / increasing activity
therapist
And in for right now it just be, you'll be happy with getting there one time.
reflection
n/a
58
more exercise / increasing activity
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.
n/a
change
58
more exercise / increasing activity
therapist
Mm-hmm.
other
n/a
58
more exercise / increasing activity
client
So if I- if I could-- I mean, I wanna get there three times a week.
n/a
change
58
more exercise / increasing activity
therapist
Mm-hmm.
other
n/a
58
more exercise / increasing activity
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]
n/a
change
58
more exercise / increasing activity
therapist
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.
reflection
n/a
58
more exercise / increasing activity
client
Right, yeah. Well, it's just not-
n/a
neutral
58
more exercise / increasing activity
therapist
Very clear you understand the whole idea of giving yourself a day off in between.
reflection
n/a
58
more exercise / increasing activity
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.
n/a
neutral
58
more exercise / increasing activity
therapist
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]
reflection
n/a
58
more exercise / increasing activity
client
You gotta get over there.
n/a
neutral
58
more exercise / increasing activity
therapist
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]
reflection
n/a
58
more exercise / increasing activity
client
Very good.
n/a
neutral
58
more exercise / increasing activity
therapist
Yeah, okay.
other
n/a
58
more exercise / increasing activity
client
Thank you.
n/a
neutral
58
more exercise / increasing activity
therapist
Thanks.
other
n/a
58
more exercise / increasing activity
client
All right, bye-bye.
n/a
neutral
59
not getting into a car with someone who is under the influence of drugs or alcohol
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?
therapist_input
n/a
59
not getting into a car with someone who is under the influence of drugs or alcohol
client
Well, it was raining. I didn't want my science fair project to get wet. I knew my parents were—
n/a
neutral
59
not getting into a car with someone who is under the influence of drugs or alcohol
therapist
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_input
n/a
59
not getting into a car with someone who is under the influence of drugs or alcohol
client
It really wasn't that big of a deal.
n/a
neutral
59
not getting into a car with someone who is under the influence of drugs or alcohol
therapist
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.
therapist_input
n/a
59
not getting into a car with someone who is under the influence of drugs or alcohol
client
Okay.
n/a
neutral
60
smoking cessation
client
It's good.
n/a
neutral
60
smoking cessation
therapist
Yeah.
other
n/a
60
smoking cessation
client
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-
n/a
sustain
60
smoking cessation
therapist
Mm-hmm.
other
n/a
60
smoking cessation
client
-so I find it like acceptable in that regard.
n/a
sustain
60
smoking cessation
therapist
You bond other smokers.
reflection
n/a
60
smoking cessation
client
Mm-hmm, yeah.
n/a
neutral
60
smoking cessation
therapist
That's very common. I mean, you go where you know, um, no one's gonna look down on you.
reflection
n/a
60
smoking cessation
client
Yeah.
n/a
neutral
60
smoking cessation
therapist
And you're instant friends.
reflection
n/a
60
smoking cessation
client
Yeah, we share-- "Okay, oh, a smoker, let's go out and have a smoke together," yeah.
n/a
sustain
60
smoking cessation
therapist
And now a total stranger will give you a cigarette-
reflection
n/a
60
smoking cessation
client
Mm-hmm.
n/a
neutral
60
smoking cessation
therapist
-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—
reflection
n/a
60
smoking cessation
client
I like that piece of jewelry, can I? [laughs]
n/a
neutral
60
smoking cessation
therapist
Right, yeah, but with cigarettes, there is a sharing. You don't see that with any other drugs?
reflection
n/a
60
smoking cessation
client
Right. Right, yeah. You can't have my stash. [laughs]
n/a
neutral
60
smoking cessation
therapist
You can't, no, not one of mine. So, um when are you thinking you might want to do this?
question
n/a
60
smoking cessation
client
Um, you know, I guess I'll have to like, you know, get all of my information together.
n/a
change
60
smoking cessation
therapist
Okay. Do your homework.
reflection
n/a
60
smoking cessation
client
Right, do my homework and set up my like to have everything available to me.
n/a
change
60
smoking cessation
therapist
Okay.
other
n/a
60
smoking cessation
client
And then maybe set up another appointment with you.
n/a
change
60
smoking cessation
therapist
Okay.
other
n/a
60
smoking cessation
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.
n/a
change
60
smoking cessation
therapist
Sure.
reflection
n/a
60
smoking cessation
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.
n/a
change
60
smoking cessation
therapist
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.
therapist_input
n/a
60
smoking cessation
client
Oh, really? So they didn't have an exact date, they just decided.
n/a
neutral
60
smoking cessation
therapist
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.
therapist_input
n/a
60
smoking cessation
client
Oh, they didn't realize-- They didn't look at the calendar.
n/a
neutral
60
smoking cessation
therapist
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—
therapist_input
n/a
60
smoking cessation
client
And-and wait, I'm sorry, but—
n/a
neutral
60
smoking cessation
therapist
There's a smoke update coming up.
therapist_input
n/a
60
smoking cessation
client
Oh, yeah. [crosstalk] And you know what I've never done that.
n/a
neutral
60
smoking cessation
therapist
It's for the cancer society.
therapist_input
n/a
60
smoking cessation
client
That's coming up in November-
n/a
neutral
60
smoking cessation
therapist
Yeah.
other
n/a
60
smoking cessation
client
-that's cool I'll have to find out about that.
n/a
change
60
smoking cessation
therapist
Yeah.
other
n/a
60
smoking cessation
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."
n/a
neutral
60
smoking cessation
therapist
Yeah.
other
n/a
60
smoking cessation
client
That seems to be like, uh, a false setting up, you know, like, come on.
n/a
neutral
60
smoking cessation
therapist
Actually, you would be amazed how many people do it.
therapist_input
n/a
60
smoking cessation
client
Really?
n/a
neutral
60
smoking cessation
therapist
Yeah, yeah, they really do, and smokers. Yeah, and drinkers, they do, yes. Yeah.
therapist_input
n/a
60
smoking cessation
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].
n/a
neutral
60
smoking cessation
therapist
Like a new beginning.
reflection
n/a
60
smoking cessation
client
Yeah. Uh-huh, uh-huh. Yeah.
n/a
neutral
60
smoking cessation
therapist
So, for you, it's your, you know, it sounds like you really want to be prepared.
reflection
n/a
60
smoking cessation
client
Right, right.
n/a
neutral
60
smoking cessation
therapist
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-
reflection
n/a
60
smoking cessation
client
Right.
n/a
neutral
60
smoking cessation
therapist
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.
therapist_input
n/a
60
smoking cessation
client
Yeah, and you know, another thing, uh, uh, you know, it's so so bang, but the weight gain is like—
n/a
sustain
60
smoking cessation
therapist
That worries you?
reflection
n/a
60
smoking cessation
client
Uh-huh.
n/a
neutral
60
smoking cessation
therapist
Yeah. So, so if-if your doctor says it's okay with the Wellbutrin, one-- uh, we see very little if any weight gain-
therapist_input
n/a
60
smoking cessation
client
Oh, really?
n/a
neutral
60
smoking cessation
therapist
-with the Wellbutrin, yes.
reflection
n/a
60
smoking cessation
client
Oh, that's awesome, to know too.
n/a
neutral
60
smoking cessation
therapist
Yeah. And, um, the same with the Nicorette gum, because it- nicotine is an appetite suppressant.
therapist_input
n/a
60
smoking cessation
client
Right, right. Just like [inaudible 00:04:06] Or your chocolate and all that.
n/a
neutral
60
smoking cessation
therapist
Yeah.
other
n/a
60
smoking cessation
client
So just switching my addiction. [laughs]
n/a
neutral
60
smoking cessation
therapist
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.
therapist_input
n/a
60
smoking cessation
client
Yeah, God, I don't think I could.
n/a
sustain
60
smoking cessation
therapist
Yeah.
other
n/a
60
smoking cessation
client
You know, I mean like I said three days was like-
n/a
sustain