Transcript of conference held at Jun 12, 2025 in room first_test@conference.miaiconvo.com Initial people present at 1:07:42 PM: Quyen Thai - Patient Paul Hershberger Brandon - Doctor Transcript, started at 1:07:42 PM: ________________________________________________________________________________ <1:07:42 PM> Quyen Thai - Patient joined the conference <1:07:42 PM> Paul Hershberger joined the conference <1:07:42 PM> Brandon - Doctor joined the conference <1:07:43 PM> Quyen Thai - Patient: I'm doing a okay I guess how are you <1:07:43 PM> Brandon - Doctor: okay hi Quinn how are you doing today <1:08:08 PM> Brandon - Doctor: I'm good good do you mind if we talk about your mental health a little bit today <1:08:12 PM> Quyen Thai - Patient: a sure I guess what would you like <1:08:18 PM> Brandon - Doctor: okay <1:08:24 PM> Brandon - Doctor: um first I just like to start with just kind of a general how how's your mental health been recently looks like you hear for a med refill <1:08:24 PM> Quyen Thai - Patient: yeah <1:08:34 PM> Brandon - Doctor: okay <1:08:37 PM> Quyen Thai - Patient: it's been <1:08:39 PM> Quyen Thai - Patient: okay it's up and down day to day <1:08:44 PM> Quyen Thai - Patient: um still struggling <1:08:48 PM> Quyen Thai - Patient: still feeling down a lot of the days just want to sleep all day don't really want to get anything done <1:08:56 PM> Quyen Thai - Patient: oh <1:08:57 PM> Brandon - Doctor: okay and tell me a little bit about how this is affecting your life <1:08:59 PM> Quyen Thai - Patient: oh um <1:09:07 PM> Quyen Thai - Patient: I'm just I mean <1:09:07 PM> Quyen Thai - Patient: I don't know <1:09:11 PM> Quyen Thai - Patient: that I can do about it but <1:09:14 PM> Quyen Thai - Patient: um and my lack of wanting to do that much are getting anything done I feel like <1:09:20 PM> Quyen Thai - Patient: be affecting how I've been performing in my work <1:09:24 PM> Quyen Thai - Patient: um I mean my mermaid just moved out I don't know what how I was acting <1:09:30 PM> Brandon - Doctor: okay <1:09:33 PM> Quyen Thai - Patient: influence what they were thinking and their decision to move out but back to my job I have an eval coming up <1:09:40 PM> Quyen Thai - Patient: have really been doing much at work because I just been so down <1:09:44 PM> Quyen Thai - Patient: it really just not wanted to do anything so <1:09:49 PM> Quyen Thai - Patient: I don't know if that's gonna affect my Evalyn <1:09:52 PM> Quyen Thai - Patient: the my future in my job so that's really got me stressed out and even more <1:09:59 PM> Brandon - Doctor: okay okay <1:10:00 PM> Quyen Thai - Patient: time I think about I'm just <1:10:02 PM> Quyen Thai - Patient: really down <1:10:04 PM> Quyen Thai - Patient: um the medications that we started and I think I got a dose increase the last time I came <1:10:06 PM> Brandon - Doctor: tell me how <1:10:06 PM> Brandon - Doctor: the <1:10:08 PM> Brandon - Doctor: dedications or anything you've tried has helped with with your mental health in the past <1:10:25 PM> Quyen Thai - Patient: it helps a little <1:10:28 PM> Quyen Thai - Patient: um my my lows haven't been <1:10:32 PM> Quyen Thai - Patient: out in the dumps like incredible feelings of like I can't I'm like <1:10:35 PM> Brandon - Doctor: mm-hmm <1:10:39 PM> Quyen Thai - Patient: I don't want to do it or like incredible feelings of like hopelessness <1:10:43 PM> Quyen Thai - Patient: if you know what I mean it's just it's kind of smooth and <1:10:45 PM> Brandon - Doctor: okay <1:10:45 PM> Brandon - Doctor: okay <1:10:47 PM> Quyen Thai - Patient: the the highs and the lows but <1:10:50 PM> Quyen Thai - Patient: I'm still <1:10:50 PM> Quyen Thai - Patient: I'm still <1:10:52 PM> Quyen Thai - Patient: down there and it's <1:10:55 PM> Quyen Thai - Patient: just a little bit better but it has I have been returned back to my cell <1:11:01 PM> Brandon - Doctor: sounds like there's some some more room for improvement for sure there <1:11:03 PM> Quyen Thai - Patient: like <1:11:03 PM> Quyen Thai - Patient: um I mean <1:11:06 PM> Brandon - Doctor: it looks like last time we were here we talked about seeing a therapist or a mental health specialist tell me your thoughts about that <1:11:15 PM> Brandon - Doctor: yeah just somebody to talk to somebody to <1:11:15 PM> Brandon - Doctor: to <1:11:20 PM> Quyen Thai - Patient: like a counselor <1:11:23 PM> Quyen Thai - Patient: yeah I don't <1:11:26 PM> Brandon - Doctor: the dive into what's been going on <1:11:33 PM> Quyen Thai - Patient: I don't know if <1:11:36 PM> Quyen Thai - Patient: counselors the right thing for me I don't <1:11:39 PM> Quyen Thai - Patient: and I just heard from like other people that <1:11:43 PM> Quyen Thai - Patient: and so <1:11:43 PM> Quyen Thai - Patient: counseling hasn't worked for them <1:11:46 PM> Quyen Thai - Patient: don't know if I want to like <1:11:48 PM> Quyen Thai - Patient: use my time <1:11:51 PM> Quyen Thai - Patient: it's a kind of be around a counselor <1:11:54 PM> Quyen Thai - Patient: just I just heard things from people that I've known that like they've had bad experiences and the counseling didn't work <1:12:02 PM> Quyen Thai - Patient: that that kind of just I don't know if I want to pursue accounts or <1:12:07 PM> Brandon - Doctor: okay okay <1:12:08 PM> Quyen Thai - Patient: um <1:12:10 PM> Brandon - Doctor: and just tell me a little bit if any what benefits do you think you could get from seeing a counselor <1:12:17 PM> Brandon - Doctor: got <1:12:17 PM> Brandon - Doctor: okay <1:12:20 PM> Quyen Thai - Patient: I guess in terms of benefits from a counselor <1:12:25 PM> Quyen Thai - Patient: um I guess they could like <1:12:30 PM> Quyen Thai - Patient: I guess they could work through my thoughts <1:12:35 PM> Quyen Thai - Patient: kind of parse out one I'm thinking and maybe <1:12:39 PM> Quyen Thai - Patient: um give me some motivation but I'm not too sure based on what I've heard that <1:12:45 PM> Quyen Thai - Patient: that might be like <1:12:49 PM> Brandon - Doctor: gotcha so it kind of sounds like to me you're not not too keen on seeing a counselor right now if you had to say on a scale of 1 to 10 how how willing are you to at least try it out <1:12:57 PM> Quyen Thai - Patient: anything <1:12:57 PM> Quyen Thai - Patient: and I mean if I don't have to I guess pay too much of a like a copay or <1:13:15 PM> Brandon - Doctor: okay okay <1:13:16 PM> Quyen Thai - Patient: maybe <1:13:16 PM> Quyen Thai - Patient: I'd say just to try it out <1:13:19 PM> Quyen Thai - Patient: like <1:13:20 PM> Quyen Thai - Patient: of four or five <1:13:23 PM> Quyen Thai - Patient: yeah <1:13:25 PM> Brandon - Doctor: so <1:13:25 PM> Brandon - Doctor: good good <1:13:26 PM> Quyen Thai - Patient: um <1:13:28 PM> Brandon - Doctor: so um at a four or five you know it could be lower tell me why it's not lower <1:13:34 PM> Brandon - Doctor: mm-hmm <1:13:38 PM> Quyen Thai - Patient: I mean I like I guess I said that people I've heard just don't think it constantly has worked for them but <1:13:49 PM> Quyen Thai - Patient: mean <1:13:51 PM> Quyen Thai - Patient: I'm still down here in like medication working only just a little bit <1:13:57 PM> Quyen Thai - Patient: it's not really <1:13:59 PM> Quyen Thai - Patient: back to my normal self and at this point I'm kind of getting a little bit <1:14:03 PM> Quyen Thai - Patient: for that special with this job interview coming up or evaluation coming up <1:14:03 PM> Quyen Thai - Patient: and <1:14:09 PM> Quyen Thai - Patient: I need to keep my job so that you know I have some Financial stability so <1:14:14 PM> Quyen Thai - Patient: if this cows like can help me <1:14:14 PM> Quyen Thai - Patient: just <1:14:18 PM> Quyen Thai - Patient: to help me <1:14:20 PM> Quyen Thai - Patient: get back to normal as well I mean I'm willing to try it <1:14:24 PM> Quyen Thai - Patient: I just heard <1:14:24 PM> Brandon - Doctor: okay for sure and just along the lines of you know this evaluation with your job where do you see your life if you know things don't change and things keep going keep going the way that it's going <1:14:26 PM> Quyen Thai - Patient: the <1:14:41 PM> Brandon - Doctor: okay <1:14:42 PM> Quyen Thai - Patient: don't change I'm <1:14:44 PM> Quyen Thai - Patient: I want to be an unemployed <1:14:47 PM> Quyen Thai - Patient: least I think you know <1:14:50 PM> Quyen Thai - Patient: really been doing much at work and I think they have every reason to <1:14:55 PM> Quyen Thai - Patient: fiery so <1:14:57 PM> Quyen Thai - Patient: I could either be unemployed or struggling to find work or having to move to another job so <1:15:04 PM> Quyen Thai - Patient: oh this is eval is very important <1:15:06 PM> Brandon - Doctor: okay yeah and that's very concerning for me too I don't want you to be out of a job what can we do to kind of raise raise your you know the four out of five four to four to five out of 10 to maybe a little higher of a number <1:15:25 PM> Quyen Thai - Patient: um I guess ________________________________________________________________________________ End of transcript at Jun 12, 2025, 1:15:34 PM