Transcript of conference held at Jul 17, 2025 in room first_test@conference.miaiconvo.com Initial people present at 1:10:29 PM: Paul Hershberger Victor Aballe Mosqueda - Patient Kyle Arens - Doctor Transcript, started at 1:10:29 PM: ________________________________________________________________________________ <1:10:29 PM> Victor Aballe Mosqueda - Patient joined the conference <1:10:29 PM> Paul Hershberger joined the conference <1:10:29 PM> Kyle Arens - Doctor joined the conference <1:10:29 PM> Paul Hershberger: it's not <1:10:37 PM> Victor Aballe Mosqueda - Patient: coming in <1:10:38 PM> Kyle Arens - Doctor: all right <1:10:45 PM> Kyle Arens - Doctor: it's not <1:10:50 PM> Kyle Arens - Doctor: a Victor how are you doing <1:10:50 PM> Victor Aballe Mosqueda - Patient: been good doctor how you doing <1:10:54 PM> Kyle Arens - Doctor: good so look in here <1:10:55 PM> Victor Aballe Mosqueda - Patient: yup <1:10:59 PM> Kyle Arens - Doctor: like we are here for a mid refill on some antidepressants sorry <1:11:06 PM> Kyle Arens - Doctor: okay how do you feel like everything's going for you <1:11:06 PM> Victor Aballe Mosqueda - Patient: ah not much of a change <1:11:09 PM> Kyle Arens - Doctor: it no <1:11:13 PM> Kyle Arens - Doctor: you feel <1:11:15 PM> Kyle Arens - Doctor: tell me more about them <1:11:15 PM> Victor Aballe Mosqueda - Patient: so <1:11:17 PM> Victor Aballe Mosqueda - Patient: um <1:11:19 PM> Victor Aballe Mosqueda - Patient: mean I still feel <1:11:23 PM> Victor Aballe Mosqueda - Patient: like I'm not myself <1:11:27 PM> Victor Aballe Mosqueda - Patient: um and I've been I've been feeling like this for a while and <1:11:33 PM> Victor Aballe Mosqueda - Patient: I don't know Doug I'm just I don't know I'm about to give up <1:11:38 PM> Victor Aballe Mosqueda - Patient: there is a there is a something to fixing me I think this is a new me <1:11:43 PM> Kyle Arens - Doctor: mmm <1:11:44 PM> Victor Aballe Mosqueda - Patient: I mean I I like my job I work hard to to get it and <1:11:45 PM> Kyle Arens - Doctor: here do you want to it sounds like yeah you're about ready to give up you said <1:11:53 PM> Kyle Arens - Doctor: it sounds like <1:11:53 PM> Kyle Arens - Doctor: you <1:11:55 PM> Kyle Arens - Doctor: want to give up <1:12:04 PM> Victor Aballe Mosqueda - Patient: and I I do used to enjoy doing the things that I you know <1:12:10 PM> Victor Aballe Mosqueda - Patient: like to go and do and <1:12:14 PM> Victor Aballe Mosqueda - Patient: you know being able to be normal person <1:12:16 PM> Kyle Arens - Doctor: mm-hmm <1:12:18 PM> Victor Aballe Mosqueda - Patient: yeah <1:12:18 PM> Kyle Arens - Doctor: but it just feels difficult for you <1:12:22 PM> Kyle Arens - Doctor: to sort of feel the way you used to feel <1:12:25 PM> Victor Aballe Mosqueda - Patient: or the medication is not doing the the work I don't <1:12:27 PM> Kyle Arens - Doctor: yeah <1:12:30 PM> Victor Aballe Mosqueda - Patient: I don't know <1:12:30 PM> Victor Aballe Mosqueda - Patient: it's not <1:12:33 PM> Victor Aballe Mosqueda - Patient: how much light should be like keep wearing I know you told me that to wait for a few weeks and you know getting the to see if the medication kicks on but <1:12:42 PM> Kyle Arens - Doctor: mm-hmm <1:12:44 PM> Victor Aballe Mosqueda - Patient: everything keeps piling up on me <1:12:46 PM> Kyle Arens - Doctor: yeah absolutely <1:12:47 PM> Victor Aballe Mosqueda - Patient: mm-hmm <1:12:49 PM> Kyle Arens - Doctor: last time we spoke we discussed the potential for you doing some mental health counseling <1:12:56 PM> Kyle Arens - Doctor: what are your thoughts on that <1:12:57 PM> Victor Aballe Mosqueda - Patient: I mean <1:13:03 PM> Victor Aballe Mosqueda - Patient: at this point <1:13:06 PM> Victor Aballe Mosqueda - Patient: I don't think that's gonna do much of a work <1:13:11 PM> Victor Aballe Mosqueda - Patient: and and I know I've talked to you so <1:13:15 PM> Victor Aballe Mosqueda - Patient: I don't I don't see <1:13:18 PM> Victor Aballe Mosqueda - Patient: I don't see the need but at the same time <1:13:21 PM> Kyle Arens - Doctor: like you said <1:13:21 PM> Kyle Arens - Doctor: oh yes so we could keep you know going up on the antidepressant Doses and hope that that works but <1:13:22 PM> Victor Aballe Mosqueda - Patient: I don't know what's your opinion <1:13:31 PM> Victor Aballe Mosqueda - Patient: I don't know I mean <1:13:33 PM> Kyle Arens - Doctor: are not really feeling <1:13:35 PM> Kyle Arens - Doctor: substantially better so I think it's a good time to look at <1:13:40 PM> Kyle Arens - Doctor: other options I mean if you let's say we go up on the dose okay <1:13:45 PM> Kyle Arens - Doctor: and we don't do the counseling <1:13:48 PM> Kyle Arens - Doctor: and nothing changes what do you think life's gonna look like for you then <1:13:54 PM> Kyle Arens - Doctor: you feel that <1:14:02 PM> Victor Aballe Mosqueda - Patient: maybe look for some alternative <1:14:02 PM> Victor Aballe Mosqueda - Patient: to <1:14:02 PM> Kyle Arens - Doctor: yeah do you think at that point you would be more willing <1:14:06 PM> Victor Aballe Mosqueda - Patient: deal with this <1:14:08 PM> Victor Aballe Mosqueda - Patient: maybe I don't know <1:14:12 PM> Kyle Arens - Doctor: to do mental health Counseling in addition to <1:14:16 PM> Kyle Arens - Doctor: the medications <1:14:23 PM> Kyle Arens - Doctor: yeah just thinking about if things <1:14:25 PM> Victor Aballe Mosqueda - Patient: all this is just causing me even more anxiety because <1:14:29 PM> Kyle Arens - Doctor: change for you how do you see <1:14:29 PM> Kyle Arens - Doctor: you know <1:14:33 PM> Kyle Arens - Doctor: some of these problems that you have like the roommate problem work problems and you mentioned that <1:14:39 PM> Kyle Arens - Doctor: the symptoms for depression aren't really going away how do you see that progressing as time goes on <1:14:52 PM> Victor Aballe Mosqueda - Patient: my roommate's moving out then I <1:14:55 PM> Victor Aballe Mosqueda - Patient: I feel like I'm about to lose my job I don't know <1:15:00 PM> Victor Aballe Mosqueda - Patient: I don't know how I'm gonna pay for the bills <1:15:00 PM> Victor Aballe Mosqueda - Patient: and <1:15:05 PM> Victor Aballe Mosqueda - Patient: it's just like a whole <1:15:09 PM> Victor Aballe Mosqueda - Patient: you know economics situation and <1:15:13 PM> Victor Aballe Mosqueda - Patient: and I don't want to go through that because I when I left home I said I'm just gonna make my own life and <1:15:23 PM> Victor Aballe Mosqueda - Patient: I'm having able to be successful that <1:15:23 PM> Victor Aballe Mosqueda - Patient: I feel <1:15:25 PM> Kyle Arens - Doctor: yeah <1:15:27 PM> Victor Aballe Mosqueda - Patient: get failure <1:15:28 PM> Kyle Arens - Doctor: yeah well I mean the fact that you're here and you're you know trying something tells me <1:15:28 PM> Kyle Arens - Doctor: that <1:15:28 PM> Victor Aballe Mosqueda - Patient: um <1:15:36 PM> Kyle Arens - Doctor: level you are motivated to make change <1:15:40 PM> Kyle Arens - Doctor: um <1:15:42 PM> Kyle Arens - Doctor: so I think my recommendation to you would be to try the mental health Counseling in addition <1:15:50 PM> Kyle Arens - Doctor: of antidepressants <1:15:52 PM> Kyle Arens - Doctor: as of like right now <1:15:52 PM> Kyle Arens - Doctor: um so on a scale of one to ten <1:15:59 PM> Kyle Arens - Doctor: zero being or one being not motivated at all you're not willing to go and 10 being you're ready to go sign up now or would you say <1:16:13 PM> Kyle Arens - Doctor: okay <1:16:13 PM> Kyle Arens - Doctor: so <1:16:13 PM> Victor Aballe Mosqueda - Patient: Jose I'm a seven <1:16:20 PM> Victor Aballe Mosqueda - Patient: I mean <1:16:22 PM> Kyle Arens - Doctor: feel pretty motivated to go then <1:16:24 PM> Kyle Arens - Doctor: yeah <1:16:28 PM> Victor Aballe Mosqueda - Patient: kind of there I'm just like <1:16:32 PM> Victor Aballe Mosqueda - Patient: you know <1:16:32 PM> Kyle Arens - Doctor: yeah <1:16:34 PM> Victor Aballe Mosqueda - Patient: been trying to do this for quite a while on medications not working <1:16:40 PM> Kyle Arens - Doctor: it can be exhausting <1:16:40 PM> Victor Aballe Mosqueda - Patient: I know <1:16:43 PM> Victor Aballe Mosqueda - Patient: well <1:16:44 PM> Kyle Arens - Doctor: you said <1:16:44 PM> Kyle Arens - Doctor: yeah we don't we won't really know until we try <1:16:49 PM> Kyle Arens - Doctor: seven I was just wondering why not why not lower <1:16:57 PM> Victor Aballe Mosqueda - Patient: I <1:16:59 PM> Victor Aballe Mosqueda - Patient: like I said I I need like I feel desperate to <1:17:06 PM> Victor Aballe Mosqueda - Patient: do you know like get rid of this <1:17:10 PM> Victor Aballe Mosqueda - Patient: either I don't like and <1:17:12 PM> Kyle Arens - Doctor: mmm <1:17:14 PM> Victor Aballe Mosqueda - Patient: I'm willing to do <1:17:14 PM> Victor Aballe Mosqueda - Patient: you know <1:17:15 PM> Kyle Arens - Doctor: it's good <1:17:16 PM> Victor Aballe Mosqueda - Patient: whatever whatever it takes <1:17:20 PM> Victor Aballe Mosqueda - Patient: well first of all I don't know I don't know how those therapy work I don't know exactly if it is what kind of therapist that those things that you see in the movie you lay down and you talk about <1:17:22 PM> Kyle Arens - Doctor: yeah well then I say we should go ahead and move forward with that and if it doesn't work for you it's not something you like there's no need to continue it we can stay at this current medication dose <1:17:35 PM> Kyle Arens - Doctor: um but just looking forward I think it's important to manage expectations so <1:17:41 PM> Kyle Arens - Doctor: what do you think change looks like for you <1:17:45 PM> Kyle Arens - Doctor: what what would you be happy with seeing month-to-month change <1:18:04 PM> Victor Aballe Mosqueda - Patient: as I don't know I mean <1:18:04 PM> Victor Aballe Mosqueda - Patient: I <1:18:07 PM> Victor Aballe Mosqueda - Patient: that's something I don't want to relieve you know not none of my traumas and <1:18:12 PM> Victor Aballe Mosqueda - Patient: but if I can if I'm able to like being able to concentrate on doing things <1:18:16 PM> Kyle Arens - Doctor: okay <1:18:19 PM> Victor Aballe Mosqueda - Patient: um get this anxiety that I have about losing my job having to to do this like economic responsibilities that I have <1:18:30 PM> Paul Hershberger: I'm going to stop here <1:18:30 PM> Victor Aballe Mosqueda - Patient: I'm being able to you know <1:18:34 PM> Victor Aballe Mosqueda - Patient: good to do well I'll be something I'll be looking forward to do <1:18:35 PM> Kyle Arens - Doctor: okay <1:18:42 PM> Paul Hershberger: be <1:18:45 PM> Paul Hershberger: couple clicks ________________________________________________________________________________ End of transcript at Jul 17, 2025, 1:18:48 PM