Tina Jones Mental Health Shadow Health Transcript
| Hey. | ||
| What brings you in today? | Question 07/12/20 6:39 PM MDT | |
| I decided to come in because I’m tired all the time now. . . I have this really important exam coming up, and I’m stressed and too foggy to study most of the time. I really need help sleeping so I can focus on preparing for my exam. Tina Jones Mental Health Shadow Health Transcript | ||
| I appreciate you saying that. | ||
| Tell me about what is going on in your life right now. | Question 07/12/20 6:45 PM MDT | |
| I’ve been feeling much more nervous than usual lately, especially right before bed, and it’s making it hard for me to sleep. | ||
| When did you start having trouble sleeping? | Question 07/12/20 6:45 PM MDT | |
| This all started almost a month ago. . . it’s been happening regularly for about three and a half weeks, I’d say. | ||
| How much sleep do you get per night? | Question 07/12/20 6:45 PM MDT | |
| Not much. . . 4 or 5 hours a night, usually. | ||
| Are you still working as a supervisor? | Question 07/12/20 6:46 PM MDT | |
| I’m a supervisor at Mid-American Copy & Ship. I’ve been working there since high school, and I’ve just kept moving up. | ||
| Are you still in school? | Question 07/12/20 6:46 PM MDT | |
| Yeah, I’m about to get my B.A. in Accounting. | ||
| Thanks. | ||
| Are you having problems sleeping every night? (Clarified to Do you have trouble sleeping every day?.) | Question 07/12/20 6:47 PM MDT | |
| It’s happening most nights, I’d say. Four. . . more like five nights a week. (Clarified to if I have trouble sleeping every night.) | ||
| Is there anything that helps you sleep? | Question 07/12/20 6:48 PM MDT | |
| Basically the only way I get to sleep easily is if I manage to feel less stressed out–sometimes I can sort of turn my thoughts away from what I’m worried about by distracting myself with something, like thinking about what I’m going to wear the next day or something like that. I’d rather avoid having to take medication if possible. Taking deep breaths can help a little, too. | ||
| Is there anything that makes it harder to sleep? | Question 07/12/20 6:48 PM MDT | |
| Basically, the more I think about what I’m worried about, the worse it is. Sometimes I can distract myself and not let myself start thinking about all the things that stress me out, but that’s been rare. | ||
| Are you taking naps during the day? | Question 07/12/20 6:49 PM MDT | |
| I’m not really a big nap person–if I fall asleep, I want to sleep for hours, not wake up in twenty minutes feeling groggy. Plus I don’t have time for them, anyway. | ||
| Do you still drink caffeine daily? | Question 07/12/20 6:49 PM MDT | |
| Yeah, I drink diet Coke pretty much every day. It’s the only thing that wakes me up in the morning. | ||
| How late do you drink caffeine during the day? | Question 07/12/20 6:49 PM MDT | |
| I know caffeine can make it hard to sleep, so I try to only drink it in the morning and early afternoon. . . I never have caffeine after 4 PM. | ||
| What about alcohol consumption? (Clarified to Can you tell me about your alcohol use?.) | Question 07/12/20 6:50 PM MDT | |
| I’m not a big drinker, honestly. I’ll go out a couple times a month with friends. We go to a bar and dance. (Clarified to to tell you about my alcohol use.) | ||
| Thanks for understanding. | ||
| What is stressing you? | Question 07/12/20 6:51 PM MDT | |
| I’m stressed now because I can’t sleep, but I can’t sleep because I keep worrying about all this other stuff, like graduating, and passing this exam that’s coming up, and getting a job, and finding my own place to live. . . it’s a lot. | ||
| Thanks for saying that. | ||
| Are you currently taking any medications? | Question 07/12/20 6:52 PM MDT | |
| All I have is a Proventil inhaler and a Flovent inhaler for my asthma. | ||
| Do you take any over the counter medications? | Question 07/12/20 6:53 PM MDT | |
| I take Tylenol for a headache sometimes, or Advil for cramps, but not often. | ||
| Do you take supplements? (Clarified to What vitamins or supplements do you take?.) | Question 07/12/20 6:53 PM MDT | |
| I don’t take vitamins or supplements. (Clarified to what vitamins or supplements I take.) | ||
| How long have you been feeling anxious? | Question 07/12/20 6:54 PM MDT | |
| All of the stress has been in the past few weeks. | ||
| Do you feel rested when you do sleep? (Clarified to Do you wake up feeling refreshed?.) | Question 07/12/20 6:54 PM MDT | |
| Waking up is really hard. I feel totally groggy and out of it. (Clarified to if I wake up feeling rested.) | ||
| Have you has sleeping problems before? | Question 07/12/20 6:55 PM MDT | |
| Well. . . the only other time I’ve had sleep problems was right after Dad died. It felt a little like this, with my mind racing, but honestly, not as bad. Other than that month or two, I’ve always been a really good sleeper. I could fall asleep right away, and then I’d sleep like a log. | ||
| Is it impacting your daily life? (Clarified to Does your anxiety interfere with your daily life?.) | Question 07/12/20 6:55 PM MDT | |
| Being anxious is mostly just interfering with my sleep, and then not being able to get enough sleep is interfering with my life. (Clarified to if my anxiety interferes with my daily life.) | ||
| How much are you working right now? | Question 07/12/20 6:56 PM MDT | |
| I’m a supervisor at Mid-American Copy & Ship. I’ve been working there since high school, and I’ve just kept moving up. | ||
| How is your support system? | Question 07/12/20 6:56 PM MDT | |
| Yeah, I have my family and friends. I have my church family too, but sometimes it’s hard to open up to people, even if you feel very close to them. You don’t always want them to see the cracks . . . and I know everyone else has their own worries so I try not to be a burden if I can help it. | ||
| Where are you currently living? | Question 07/12/20 6:57 PM MDT | |
| Right now I’m living at my mom’s place, which is out in the suburbs a bit. It’s like a half hour from here. | ||
| Who lives with you? | Question 07/12/20 6:57 PM MDT | |
| There’s three of us at home. . . me, my mom, and my sister. | ||
| What are some ways that you are coping with the stress now? | Question 07/12/20 6:58 PM MDT | |
| Usually I try to stay organized, you know, make to-do lists, plan my time, that kind of thing. Sometimes I’ll talk to friends or family. . . going to church usually helps, too. Lately, though, none of that is really helping like it should. | ||
| Are you currently in a relationship? | Question 07/12/20 6:58 PM MDT | |
| No, I’m not in a relationship right now. | ||
| Does anyone in your family struggle with anxiety? (Clarified to Do you have a family history of anxiety?.) | Question 07/12/20 6:58 PM MDT | |
| I don’t think so. . . I mean everyone gets anxious sometimes, but I don’t think people in my family are more anxious than other people or anything. (Clarified to if I have a family history of anxiety.) | ||
| Have you used any tobacco? (Clarified to Do you use tobacco?.) | Question 07/12/20 6:59 PM MDT | |
| No, never. (Clarified to if I use tobacco products.) | ||
| What about other drugs? (No matching questions found.) | Question 07/12/20 6:59 PM MDT | |
| What about other illicit drugs? (Clarified to What drugs have you used?.) | Question 07/12/20 6:59 PM MDT | |
| I used to smoke pot, but I don’t do that anymore. I haven’t tried any other drugs. (Clarified to what drugs I have used.) | ||
| Any issues with abuse? | Question 07/12/20 7:00 PM MDT | |
| No, fortunately I’ve never had that happen to me. | ||
| Have you felt like you wanted to harm yourself throughout this time? (Clarified to Do you ever think about harming yourself?.) | Question 07/12/20 7:01 PM MDT | |
| No, I’ve never wanted to hurt myself. (Clarified to if I think about harming myself.) | ||
| When was the last time you smoked pot? | Question 07/12/20 7:01 PM MDT | |
| I haven’t smoked pot since I was twenty or twenty-one. Tina Jones Mental Health Shadow Health Transcript | ||
| About how much alcohol do you consume? (Clarified to How much alcohol do you consume a day?.) | Question 07/12/20 7:01 PM MDT | |
| I don’t drink every day–a couple times a month, I’ll go out on the weekend and have a few drinks. (Clarified to how much alcohol I drink each day.) | ||
| Any issues with anger or outbursts? | Question 07/12/20 7:02 PM MDT | |
| No, I try to be patient. With my family, especially. | ||
| any recent trauma in your life? (Clarified to Have you experienced any trauma?.) | Question 07/12/20 7:02 PM MDT | |
| About a month ago. I got a checkup after a minor fender bender but everything was fine. (Clarified to if I have had trauma.) | ||
| Have you ever had any psychiatric problems in the past? | Question 07/12/20 7:03 PM MDT | |
| My mental health has always been fine, fortunately. | ||
| Is the anxiety affecting your work? | Question 07/12/20 7:03 PM MDT | |
| Being anxious is mostly just interfering with my sleep, and then not being able to get enough sleep is interfering with my life. | ||
| How much sleep did you usually get per night (Clarified to How much do you normally sleep?.) | Question 07/12/20 7:05 PM MDT | |
| Not much. . . 4 or 5 hours a night, usually. (Clarified to how much sleep I am getting.) | ||
| How much did you sleep before? (Clarified to How much sleep did you get last night?.) | Question 07/12/20 7:05 PM MDT | |
| Like 5 hours, probably. Maybe a little less. (Clarified to how much I slept last night.) | ||
| How much sleep do you want to get | Question 07/12/20 7:05 PM MDT | |
| Not much. . . 4 or 5 hours a night, usually. | ||
| What time do you wake up in the morning? | Question 07/12/20 7:06 PM MDT | |
| I have to be out of bed by 8 every morning. | ||
| Do you have problems waking up? (No matching questions found.) | Question 07/12/20 7:07 PM MDT | |
| How is your diabetes? | Question 07/12/20 7:07 PM MDT | |
| I know it can be pretty serious, but I feel like it’s under control now. | ||
| any medication allergies? | Question 07/12/20 7:08 PM MDT | |
| Yeah, I’m allergic to penicillin. | ||
| any other allergies? | Question 07/12/20 7:08 PM MDT | |
| Well, besides cats, I’m allergic to penicillin. | ||
| any new health problems since we spoke last? (No matching questions found.) | Question 07/12/20 7:08 PM MDT | |
| Do you have problems with decision making? (Clarified to Are you having issues with your friends?.) | Question 07/12/20 7:09 PM MDT | |
| No, we’re all pretty close. We don’t fight or anything. (Clarified to if I have problems with my friends.) | ||
| Any problems at home? Tina Jones Mental Health Shadow Health Transcript | Question 07/12/20 7:09 PM MDT | |
| No way. My family is really good to each other. | ||
| Do you have to move out when you finish school? (Clarified to When are you finished with school?.) | Question 07/12/20 7:10 PM MDT | |
| I went back to school when I was 24. I actually started college right out of high school, when I was 19, but I stopped after a year when I started to work full time. Now I’m a lot more focused on getting my degree. (Clarified to when I will graduate.) | ||
| What do you do before you go to bed? | Question 07/12/20 7:10 PM MDT | |
| I usually eat dinner, then I try to study for a few hours or do other schoolwork. Around midnight, I get into bed, and I’ll read to try to distract myself from feeling nervous until I feel like I can fall asleep. | ||
| Do you exercise regularly? | Question 07/12/20 7:11 PM MDT | |
| I just don’t have time to exercise, honestly. | ||
| are you up to date on your immunizations? | Question 07/12/20 7:11 PM MDT | |
| I’m pretty sure I am, yeah. | ||
| Any changes in your eating habits? (Clarified to Have your dietary patterns changed?.) | Question 07/12/20 7:12 PM MDT | |
| Ever since I stopped sleeping well, I feel tired and kind of queasy, and that makes me want to eat a little less. (Clarified to if my dietary pattern has changed.) | ||
| Have you lost weight? | Question 07/12/20 7:12 PM MDT | |
| I think I have maybe lost a couple pounds, but nothing major. Maybe like two or three. | ||
| Have you had any issues with your asthma? | Question 07/12/20 7:12 PM MDT | |
| My hair is fine. | ||
| Any history of depression? | Question 07/12/20 7:12 PM MDT | |
| I was pretty sad after Dad died, but I wouldn’t say it was, like, true depression. I definitely wasn’t diagnosed with it or anything. | ||
| How is your performance with school? (Clarified to How do you feel about your school performance?.) | Question 07/12/20 7:13 PM MDT | |
| School’s generally going great. I just wish I felt more rested so I could focus better. (Clarified to how I feel about my school performance.) | ||
| Any memory loss issues? | Question 07/12/20 7:13 PM MDT | |
| No. I mean, sometimes, I freeze up during a test, but that’s everybody, right? I have a good head for names and directions, stuff like that. | ||
| How would you rate your fatigue during the day on a scale of 1-10? | Question 07/12/20 7:17 PM MDT | |
| If 10 is the most tired, maybe 7, 8? [AUDIO COMING SOON] | ||
| How is your mood? | Question 07/12/20 7:21 PM MDT | |
| I don’t know. . . I’m generally a pretty positive person, but not sleeping has me pretty stressed. | ||
| Any headaches? | Question 07/12/20 7:21 PM MDT | |
| Yeah, I get them a lot when I’m studying. Tina Jones Mental Health Shadow Health Transcript | ||
| Do you ever feel helpless? | Question 07/12/20 7:22 PM MDT | |
| I don’t feel helpless, except when I’m trying to get to sleep, and I can’t. | ||
| How has your blood pressure been? | Question 07/12/20 7:27 PM MDT | |
| It’s… oh, I don’t remember exactly because I never write it down. Let me try to remember… I feel like it’s usually around… 140. And the bottom number is 80 or 90. I do know the last time in the ER it was something like 141/92. They said it was on the high side. [AUDIO COMING SOON] | ||
| Alright, thanks for letting me know. |