Transcript of conference held at Jul 24, 2025 in room first_test@conference.miaiconvo.com Initial people present at 5:07:28 PM: Brian Lam - Doctor Joseph Kirby - Patient Paul Hershberger Transcript, started at 5:07:28 PM: ________________________________________________________________________________ <5:07:28 PM> Paul Hershberger joined the conference <5:07:28 PM> Joseph Kirby - Patient joined the conference <5:07:28 PM> Brian Lam - Doctor joined the conference <5:07:43 PM> Brian Lam - Doctor: right <5:07:44 PM> Joseph Kirby - Patient: hey nice to see I'm just here to refill these medications <5:07:45 PM> Brian Lam - Doctor: hi Mr Kirby <5:07:45 PM> Brian Lam - Doctor: <5:07:47 PM> Brian Lam - Doctor: what brings you in today <5:07:49 PM> Brian Lam - Doctor: okay and then <5:07:54 PM> Joseph Kirby - Patient: yeah yeah those ones <5:07:56 PM> Brian Lam - Doctor: we're talking about the antidepressant medications <5:08:01 PM> Brian Lam - Doctor: okay and then how are you doing now <5:08:02 PM> Joseph Kirby - Patient: I'm doing fine I guess you know things are okay really <5:08:05 PM> Brian Lam - Doctor: on the medications <5:08:08 PM> Brian Lam - Doctor: mm-hmm <5:08:12 PM> Joseph Kirby - Patient: yeah I know we talked about it last time but <5:08:13 PM> Brian Lam - Doctor: did you ever I believe last time you were here we discussed a referral to maybe some therapy sessions <5:08:25 PM> Brian Lam - Doctor: how did <5:08:30 PM> Joseph Kirby - Patient: time before I think but I don't know I just haven't really <5:08:30 PM> Joseph Kirby - Patient: haven't <5:08:34 PM> Joseph Kirby - Patient: really gone to that yet <5:08:35 PM> Brian Lam - Doctor: mm-hmm and <5:08:36 PM> Joseph Kirby - Patient: right I don't know I mean yeah like you're saying I've been I've been busy for sure and I'm just not so certain about it and <5:08:40 PM> Brian Lam - Doctor: and <5:08:40 PM> Brian Lam - Doctor: is there a reason why you haven't you chose not to go <5:08:47 PM> Brian Lam - Doctor: times you can be busy and all that stuff but is there a reason why <5:08:51 PM> Brian Lam - Doctor: mm-hmm <5:08:58 PM> Joseph Kirby - Patient: I don't know <5:09:01 PM> Joseph Kirby - Patient: yeah <5:09:02 PM> Brian Lam - Doctor: can you tell me a little bit more about the certainty aspect of it <5:09:03 PM> Joseph Kirby - Patient: certainty <5:09:09 PM> Joseph Kirby - Patient: I just I don't know it just I don't really see how talking to someone is gonna really like helped me you know like <5:09:15 PM> Brian Lam - Doctor: mm-hmm so you just kind of think it wouldn't be too effective for you <5:09:17 PM> Joseph Kirby - Patient: it's kind of feel the way I feel and <5:09:20 PM> Joseph Kirby - Patient: don't really think I have too much to say you know as far as it goes <5:09:24 PM> Joseph Kirby - Patient: so yeah <5:09:28 PM> Joseph Kirby - Patient: yeah I mean that's kind of what I think <5:09:32 PM> Brian Lam - Doctor: okay and is there any and then <5:09:39 PM> Brian Lam - Doctor: tell me about that business <5:09:42 PM> Brian Lam - Doctor: okay <5:09:43 PM> Joseph Kirby - Patient: yeah I just been working like all the time so I just feel like <5:09:47 PM> Brian Lam - Doctor: mm-hmm <5:09:48 PM> Joseph Kirby - Patient: you know if it's not going to do much and then I'm going to have to leave work for it <5:09:48 PM> Joseph Kirby - Patient: and <5:09:53 PM> Joseph Kirby - Patient: that's like a whole mess to try and like get that scheduled and everything <5:09:58 PM> Joseph Kirby - Patient: I'm like I guess a little bit <5:09:59 PM> Brian Lam - Doctor: how <5:09:59 PM> Brian Lam - Doctor: have you ever thought about <5:10:03 PM> Brian Lam - Doctor: therapy <5:10:05 PM> Brian Lam - Doctor: would help you out <5:10:07 PM> Brian Lam - Doctor: mm-hmm <5:10:11 PM> Joseph Kirby - Patient: um <5:10:12 PM> Joseph Kirby - Patient: you know but like I said I'm not sure I really <5:10:16 PM> Joseph Kirby - Patient: get it you know like I guess I I just talked to the person but <5:10:21 PM> Joseph Kirby - Patient: I don't know <5:10:22 PM> Brian Lam - Doctor: um there's certain like techniques that they use that have been developed <5:10:23 PM> Joseph Kirby - Patient: know if I would what would that really do <5:10:32 PM> Brian Lam - Doctor: improve your improved outcomes improve symptoms <5:10:36 PM> Joseph Kirby - Patient: for going to counseling <5:10:37 PM> Brian Lam - Doctor: um so on a scale of one to five with five being very well and like what's kind of and one being unwilling like where do you think you fall on that scale <5:10:53 PM> Brian Lam - Doctor: yeah yeah <5:10:56 PM> Joseph Kirby - Patient: RL maybe a one or two on a <5:10:57 PM> Brian Lam - Doctor: one or two <5:11:02 PM> Brian Lam - Doctor: okay and have you <5:11:05 PM> Joseph Kirby - Patient: I mean <5:11:05 PM> Joseph Kirby - Patient: yeah <5:11:06 PM> Brian Lam - Doctor: you're saying <5:11:08 PM> Brian Lam - Doctor: like you're still feeling like some symptoms of like depression and all that <5:11:14 PM> Brian Lam - Doctor: still <5:11:17 PM> Joseph Kirby - Patient: mean ever since my roommate moved out <5:11:17 PM> Joseph Kirby - Patient: I don't <5:11:20 PM> Joseph Kirby - Patient: I just feel <5:11:20 PM> Joseph Kirby - Patient: know it's just been been real different like <5:11:24 PM> Joseph Kirby - Patient: like <5:11:25 PM> Joseph Kirby - Patient: alone every night and you know I'm used to having him around and you know I guess I guess we weren't I didn't think we were that close but with him gone it's just been just sort of me hanging out at night when I'm not working so I'm kind of either working or I'm just back at home doing nothing <5:11:42 PM> Brian Lam - Doctor: okay and then <5:11:43 PM> Joseph Kirby - Patient: yeah yeah usually he'd be cooking something and we'd end up chatting for a while or joking about something you know he's a nice guy <5:11:43 PM> Joseph Kirby - Patient: so <5:11:44 PM> Brian Lam - Doctor: you in your roommate talking <5:11:46 PM> Brian Lam - Doctor: like having conversations and all that <5:11:49 PM> Brian Lam - Doctor: okay and then you're saying like you're kind of out of one or two on a scale of five to like get into C <5:12:07 PM> Joseph Kirby - Patient: hmm <5:12:07 PM> Brian Lam - Doctor: getting some therapy for this like <5:12:10 PM> Brian Lam - Doctor: what would it take to move you to like a three <5:12:14 PM> Brian Lam - Doctor: okay <5:12:16 PM> Joseph Kirby - Patient: I mean I guess <5:12:19 PM> Joseph Kirby - Patient: I guess if I felt like <5:12:22 PM> Joseph Kirby - Patient: then <5:12:22 PM> Joseph Kirby - Patient: I knew it would do something for me <5:12:25 PM> Joseph Kirby - Patient: that would probably get it get me to a three <5:12:29 PM> Brian Lam - Doctor: okay <5:12:30 PM> Brian Lam - Doctor: and then <5:12:32 PM> Brian Lam - Doctor: how what would what would it take you to convince you <5:12:35 PM> Joseph Kirby - Patient: hmm <5:12:38 PM> Brian Lam - Doctor: that it kind of works <5:12:40 PM> Joseph Kirby - Patient: better works <5:12:42 PM> Brian Lam - Doctor: yeah or it'll help be helpful for you <5:12:43 PM> Joseph Kirby - Patient: oh that's a good question <5:12:46 PM> Brian Lam - Doctor: one <5:12:47 PM> Brian Lam - Doctor: it <5:12:49 PM> Joseph Kirby - Patient: um let me think about that <5:12:52 PM> Joseph Kirby - Patient: what it takes to convince me <5:12:57 PM> Joseph Kirby - Patient: I mean I guess you're saying that the guy the person I'm with they just kind of talk to me and that's supposed to help like how I do stuff <5:13:10 PM> Brian Lam - Doctor: would you <5:13:12 PM> Brian Lam - Doctor: would you be interested in trying it <5:13:16 PM> Brian Lam - Doctor: like for a session and seeing how it goes <5:13:19 PM> Brian Lam - Doctor: because it seems like you're a little like unsure of how everything is and I also don't want <5:13:26 PM> Brian Lam - Doctor: don't if it's not working I don't think it'd be helpful if you just kept going and you know just <5:13:28 PM> Joseph Kirby - Patient: mmm <5:13:33 PM> Brian Lam - Doctor: wasting time like since it seems like you're not too sure of how it goes <5:13:40 PM> Joseph Kirby - Patient: yeah I mean I I guess I guess you're saying like <5:13:41 PM> Brian Lam - Doctor: how <5:13:41 PM> Brian Lam - Doctor: it could help <5:13:42 PM> Brian Lam - Doctor: you would you be open to maybe <5:13:46 PM> Brian Lam - Doctor: the session out <5:13:47 PM> Brian Lam - Doctor: yeah and just like seeing like <5:13:52 PM> Joseph Kirby - Patient: if I just tried one maybe I maybe I just see what it's like <5:13:56 PM> Joseph Kirby - Patient: mmm <5:13:56 PM> Joseph Kirby - Patient: so <5:13:59 PM> Brian Lam - Doctor: what they say like maybe they give you some advice maybe you can talk to them and you know and talk to a professional and like have them like coach you maybe give you some therapy <5:14:15 PM> Joseph Kirby - Patient: yeah like I could <5:14:15 PM> Joseph Kirby - Patient: sort <5:14:18 PM> Joseph Kirby - Patient: spend a lot of time and see what it's about first before I Really Turn It Down <5:14:23 PM> Brian Lam - Doctor: yeah before you really like dive in and you know commit commit it commit to it this doesn't have to be <5:14:31 PM> Brian Lam - Doctor: like I said it doesn't have to be like a long-term Commitment if it's not something that works for you but I think that <5:14:38 PM> Brian Lam - Doctor: this may be helpful for you so I think we should just try it out and see how you like it how you feel about it <5:14:44 PM> Joseph Kirby - Patient: okay <5:14:46 PM> Brian Lam - Doctor: and then you and then you can see how you know <5:14:49 PM> Joseph Kirby - Patient: yeah <5:14:50 PM> Paul Hershberger: can do <5:14:51 PM> Joseph Kirby - Patient: okay I think I'll give it a try then <5:14:53 PM> Brian Lam - Doctor: would like to <5:14:53 PM> Brian Lam - Doctor: see if it works for you and see if you <5:14:56 PM> Brian Lam - Doctor: you going that'll be your decision <5:14:57 PM> Paul Hershberger: we'll stop here <5:14:59 PM> Brian Lam - Doctor: all right sounds good <5:15:03 PM> Brian Lam - Doctor: this is ________________________________________________________________________________ End of transcript at Jul 24, 2025, 5:15:11 PM