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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 |