Transcript of conference held at Jul 21, 2025 in room first_test@conference.miaiconvo.com Initial people present at 2:44:31 PM: Angie Castle Makul Sharma Witty Kwok - Patient JP Khouzam - Doctor Transcript, started at 2:44:31 PM: ________________________________________________________________________________ <2:44:31 PM> JP Khouzam - Doctor joined the conference <2:44:31 PM> Makul Sharma joined the conference <2:44:31 PM> Angie Castle joined the conference <2:44:31 PM> Witty Kwok - Patient joined the conference <2:44:33 PM> JP Khouzam - Doctor: all right <2:44:37 PM> Witty Kwok - Patient: it's been it's been going all right I think I think crazy happening and fill in <2:44:40 PM> JP Khouzam - Doctor: what he had been a little bit since we've seen you last can you tell me a little bit more about <2:44:45 PM> JP Khouzam - Doctor: how's it going today <2:44:55 PM> Witty Kwok - Patient: are stressed lately but just kind of trying to get some medication refills today <2:44:57 PM> JP Khouzam - Doctor: okay can you tell me more about what stress you're feeling <2:45:00 PM> Witty Kwok - Patient: I'm just some stress at work trying to get promoted in my new job but a little a little stressed by the workload a little worried I won't get the promotion but I've been here for a while and really haven't seen much progress so <2:45:20 PM> JP Khouzam - Doctor: oh yeah I can see why that would be stressful what kind of like changes in your mood have you noticed <2:45:22 PM> Witty Kwok - Patient: I've just been feeling a lot more anxious and like can't really focus at work or even at home feeling like <2:45:41 PM> Witty Kwok - Patient: really able to just enjoy things I usually do <2:45:44 PM> JP Khouzam - Doctor: yeah I understand that and I believe last time we adjusted your dose of the medication a little bit how do you feel like that has helped <2:45:45 PM> Witty Kwok - Patient: like it helped initially <2:45:57 PM> Witty Kwok - Patient: I know like the work has only been like a recent issue and I don't know if that's impacted the medication dosage but I definitely did feel better with like the dosage change the last time I came by but just recently I feel like it hasn't really helped <2:46:06 PM> JP Khouzam - Doctor: okay I understand that are you able to take your medication just as prescribed and everything <2:46:15 PM> Witty Kwok - Patient: yeah I take it as prescribed at least like once probably like at night so I don't fall asleep during the day <2:46:27 PM> JP Khouzam - Doctor: okay and just kind of tell me a little bit more about your symptoms maybe at night are you anxious while you're in bed or just feeling like you can't do anything <2:46:38 PM> Witty Kwok - Patient: yeah I typically at night like even if I try to go to bed I can't really fall asleep for like now I've just a lot of time I just started thinking about work and then it just kind of <2:46:52 PM> Witty Kwok - Patient: can't fall asleep a lot of thoughts and then if I do fall asleep I will like wake up in the middle of the night and I just kind of can't go back and probably get like maybe three three four hours total and I <2:47:01 PM> JP Khouzam - Doctor: oh that's tough um so it seems like work is this just the main stressor right now are there anything are there any other stressors that are potentially making things harder <2:47:12 PM> Witty Kwok - Patient: the <2:47:12 PM> Witty Kwok - Patient: yeah I used to have a roommate but they moved out recently as well and now it's kind of just me at home it's a lot of like <2:47:29 PM> Witty Kwok - Patient: and how in the house and just kind of taking care of all the bills and everything else just kind of piled up for sure <2:47:30 PM> JP Khouzam - Doctor: yeah seems like there's a lot going on <2:47:41 PM> Witty Kwok - Patient: I think <2:47:41 PM> JP Khouzam - Doctor: what in the past what had helped you with <2:47:41 PM> JP Khouzam - Doctor: like <2:47:46 PM> JP Khouzam - Doctor: in terms of other than the medication <2:47:51 PM> Witty Kwok - Patient: for me I definitely enjoyed having someone around just kind of having that support I think my roommate and I got along pretty well <2:48:01 PM> Witty Kwok - Patient: um and like <2:48:02 PM> Witty Kwok - Patient: would go out hang out like maybe go to the movies go hang out with some other friends like he didn't watch movies stuff like that a lot of like things we just kind of hang out and do together but <2:48:02 PM> Witty Kwok - Patient: I think just <2:48:15 PM> Witty Kwok - Patient: with his job his job he has to like move out and go somewhere else and I don't quite have that support that just always with me so a little tougher to to get by every day <2:48:25 PM> JP Khouzam - Doctor: I see yeah um <2:48:30 PM> JP Khouzam - Doctor: what would things look like for you if you you know what are your goals as far as if you started feeling better again <2:48:32 PM> Witty Kwok - Patient: I think my first goal probably just <2:48:43 PM> Witty Kwok - Patient: to focus on whatever I'm trying to do right now I guess like if I'm trying to get this promotion and get my job going the right direction and probably just focus on that definitely was so be stressful but <2:49:00 PM> Witty Kwok - Patient: been that I would be able to see things a little more positive and <2:49:01 PM> JP Khouzam - Doctor: oh yeah and that makes sense um <2:49:04 PM> Witty Kwok - Patient: mmm <2:49:06 PM> JP Khouzam - Doctor: it seems it seems like there's a lot going on and that your goals are to just feel better and to do well at work and everything and it seems like you like that <2:49:16 PM> Witty Kwok - Patient: yeah <2:49:17 PM> JP Khouzam - Doctor: General like connection with others around you <2:49:22 PM> JP Khouzam - Doctor: how open are you to starting like maybe adjusting your medication dose do you think that's something we could explore <2:49:23 PM> Witty Kwok - Patient: it sure I honestly if adjusting the medication doses gonna help me feel better I'd be very open to it <2:49:38 PM> JP Khouzam - Doctor: okay that's that's good and you think that this change would potentially like what where in your life do you think this would change <2:49:40 PM> Witty Kwok - Patient: hoping this <2:49:40 PM> Witty Kwok - Patient: would change <2:49:53 PM> Witty Kwok - Patient: probably like my mood just feeling down and kind of anxious every day hopefully that'll get a little better so I can concentrate a little bit better at work and do what I needed to do in any of like the daily activity that I do at home with like chores and everything <2:50:10 PM> Witty Kwok - Patient: just I'm not bogged down all the time <2:50:11 PM> JP Khouzam - Doctor: oh that makes sense and it's great that you're like reaching out and getting ahead of things and telling me about this because <2:50:13 PM> Witty Kwok - Patient: excuse me <2:50:20 PM> JP Khouzam - Doctor: if you didn't then we would probably just continue on your refill and everything <2:50:25 PM> JP Khouzam - Doctor: it seems like you've been through this before so <2:50:25 PM> Witty Kwok - Patient: for sure <2:50:29 PM> JP Khouzam - Doctor: what we do next just make sure to like keep <2:50:33 PM> JP Khouzam - Doctor: like a log of your mood and everything and see how everything's helping so that next time you follow up we can adjust further or maybe go back to see how things work from there <2:50:45 PM> JP Khouzam - Doctor: how does that sound <2:50:48 PM> Witty Kwok - Patient: that sounds that sounds great I'm <2:50:48 PM> JP Khouzam - Doctor: okay <2:50:51 PM> Witty Kwok - Patient: start with that and see how it goes and I'll let you know <2:50:51 PM> JP Khouzam - Doctor: awesome ________________________________________________________________________________ End of transcript at Jul 21, 2025, 2:50:58 PM