Transcript of conference held at Aug 25, 2025 in room first_test@conference.miaiconvo.com Initial people present at 1:07:34 PM: Faith Neidert - Doctor Paul Hershberger Colleen Doyle - Patient Transcript, started at 1:07:34 PM: ________________________________________________________________________________ <1:07:34 PM> Colleen Doyle - Patient joined the conference <1:07:34 PM> Paul Hershberger joined the conference <1:07:34 PM> Faith Neidert - Doctor joined the conference <1:07:54 PM> Faith Neidert - Doctor: here this is not gonna work <1:08:01 PM> Faith Neidert - Doctor: I'll turn it down now yeah because yeah we don't need to hear him okay <1:08:06 PM> Colleen Doyle - Patient: sorry we're just trying to work out some technical things with being in <1:08:07 PM> Faith Neidert - Doctor: sorry <1:08:09 PM> Faith Neidert - Doctor: okay <1:08:09 PM> Faith Neidert - Doctor: um <1:08:11 PM> Colleen Doyle - Patient: home <1:08:13 PM> Colleen Doyle - Patient: Christmas <1:08:16 PM> Colleen Doyle - Patient: so three <1:08:17 PM> Faith Neidert - Doctor: so three months ago we increased your dose of your antidepressant how has that been for you <1:08:26 PM> Colleen Doyle - Patient: it's been fun <1:08:28 PM> Faith Neidert - Doctor: could you elaborate more <1:08:28 PM> Colleen Doyle - Patient: could you <1:08:31 PM> Colleen Doyle - Patient: yeah I mean <1:08:31 PM> Colleen Doyle - Patient: I've been taking <1:08:32 PM> Faith Neidert - Doctor: yeah I've been <1:08:35 PM> Colleen Doyle - Patient: and like usually some days <1:08:36 PM> Faith Neidert - Doctor: it's just <1:08:39 PM> Colleen Doyle - Patient: it's just like <1:08:41 PM> Colleen Doyle - Patient: I don't know I'm just like tired sometimes and just like takes me a while to take it and sometimes I forget or I just like don't feel like it <1:08:42 PM> Faith Neidert - Doctor: I don't know <1:08:43 PM> Faith Neidert - Doctor: it's like you <1:08:52 PM> Colleen Doyle - Patient: like <1:08:52 PM> Colleen Doyle - Patient: and <1:08:54 PM> Faith Neidert - Doctor: like I just <1:08:54 PM> Colleen Doyle - Patient: I feel like it's not really doing much of anything and so I just feel like <1:09:00 PM> Colleen Doyle - Patient: what's the point sometimes and yeah sometimes I like forget to get it felt so like skip a week <1:09:01 PM> Faith Neidert - Doctor: great <1:09:01 PM> Faith Neidert - Doctor: what's <1:09:02 PM> Faith Neidert - Doctor: yeah <1:09:08 PM> Faith Neidert - Doctor: is like <1:09:09 PM> Colleen Doyle - Patient: like whatever <1:09:13 PM> Faith Neidert - Doctor: okay how often do you think you're missing a dose <1:09:15 PM> Colleen Doyle - Patient: I don't know like maybe like once or twice a week <1:09:18 PM> Faith Neidert - Doctor: oh you <1:09:24 PM> Colleen Doyle - Patient: I <1:09:24 PM> Colleen Doyle - Patient: it usually I don't want you to like get mad at me for that but like one time I just <1:09:27 PM> Faith Neidert - Doctor: I don't know <1:09:30 PM> Colleen Doyle - Patient: eyes like in bed for a really long time and I just couldn't get up and I would just take all my work meetings from bed and like I just like didn't want to go to the pharmacy <1:09:32 PM> Faith Neidert - Doctor: yeah <1:09:35 PM> Faith Neidert - Doctor: however <1:09:36 PM> Faith Neidert - Doctor: safety <1:09:39 PM> Colleen Doyle - Patient: okay <1:09:40 PM> Faith Neidert - Doctor: okay I'm not going to get mad at you for not filling your prescription I just want to make sure that we're getting you better <1:09:45 PM> Colleen Doyle - Patient: I just <1:09:47 PM> Colleen Doyle - Patient: so <1:09:49 PM> Faith Neidert - Doctor: so <1:09:51 PM> Colleen Doyle - Patient: what we <1:09:52 PM> Faith Neidert - Doctor: what ways do you think we could improve <1:09:53 PM> Colleen Doyle - Patient: the frequency <1:09:55 PM> Faith Neidert - Doctor: the frequency of taking your medicine <1:09:58 PM> Colleen Doyle - Patient: we <1:10:01 PM> Colleen Doyle - Patient: don't you think I would do it if I knew <1:10:04 PM> Colleen Doyle - Patient: oh <1:10:06 PM> Faith Neidert - Doctor: okay um do you know if your Pharmacy will do deliveries of medicines <1:10:09 PM> Colleen Doyle - Patient: you know <1:10:11 PM> Colleen Doyle - Patient: will do <1:10:13 PM> Colleen Doyle - Patient: sorry what was that <1:10:14 PM> Faith Neidert - Doctor: so do you know if your Pharmacy will deliver refills <1:10:17 PM> Colleen Doyle - Patient: you <1:10:19 PM> Colleen Doyle - Patient: bring up um I think they have in the past for some of my medications so maybe we could try that <1:10:22 PM> Faith Neidert - Doctor: I think <1:10:26 PM> Faith Neidert - Doctor: yeah that could be a good way to make sure that you're getting the refills <1:10:27 PM> Colleen Doyle - Patient: yeah like <1:10:29 PM> Colleen Doyle - Patient: without <1:10:33 PM> Faith Neidert - Doctor: without having to get up if you're kind of having one of those moments where going to the pharmacy feels like too much <1:10:34 PM> Colleen Doyle - Patient: going to <1:10:38 PM> Colleen Doyle - Patient: you said <1:10:40 PM> Faith Neidert - Doctor: um <1:10:42 PM> Faith Neidert - Doctor: said that you had been taking your meetings for work at home in bed <1:10:43 PM> Colleen Doyle - Patient: your meetings <1:10:47 PM> Colleen Doyle - Patient: yeah <1:10:48 PM> Faith Neidert - Doctor: which is <1:10:50 PM> Faith Neidert - Doctor: is that affecting your work at all <1:10:52 PM> Colleen Doyle - Patient: I mean <1:10:56 PM> Colleen Doyle - Patient: I don't know I feel like I just haven't really been interested in my job recently <1:11:04 PM> Colleen Doyle - Patient: I used to love it <1:11:04 PM> Faith Neidert - Doctor: I used to I <1:11:06 PM> Colleen Doyle - Patient: um I <1:11:08 PM> Colleen Doyle - Patient: I just feel like recently like the patch and hasn't been there and <1:11:08 PM> Faith Neidert - Doctor: I just <1:11:14 PM> Faith Neidert - Doctor: again <1:11:16 PM> Faith Neidert - Doctor: I I don't know I want to use that yeah <1:11:16 PM> Colleen Doyle - Patient: I I just I don't know I'm having a lot of hard time it's like motivating myself and I like saw a team's event get added to my calendar for like next week with HR so like I'm a little worried about that <1:11:32 PM> Faith Neidert - Doctor: um <1:11:32 PM> Colleen Doyle - Patient: um <1:11:34 PM> Faith Neidert - Doctor: because I feel <1:11:34 PM> Colleen Doyle - Patient: I feel like my boss is just like not been super chill with me like The Vibes have been a little <1:11:37 PM> Faith Neidert - Doctor: you <1:11:40 PM> Faith Neidert - Doctor: oh <1:11:42 PM> Colleen Doyle - Patient: you know hasn't been one hundred <1:11:42 PM> Faith Neidert - Doctor: you know like <1:11:45 PM> Colleen Doyle - Patient: I don't really think that's funny but <1:11:50 PM> Faith Neidert - Doctor: um okay have you tried talking with your boss about what kind of going on with you right now <1:11:53 PM> Colleen Doyle - Patient: okay <1:11:54 PM> Colleen Doyle - Patient: how you <1:11:56 PM> Colleen Doyle - Patient: okay <1:12:00 PM> Colleen Doyle - Patient: oh I just feel like embarrassed because I feel like it's my fault <1:12:05 PM> Faith Neidert - Doctor: all <1:12:07 PM> Colleen Doyle - Patient: she <1:12:07 PM> Colleen Doyle - Patient: so I just don't want to talk to her about it because I feel like <1:12:08 PM> Faith Neidert - Doctor: here <1:12:13 PM> Faith Neidert - Doctor: human eyes <1:12:13 PM> Colleen Doyle - Patient: understand like she's like only three years older than me and <1:12:17 PM> Faith Neidert - Doctor: I feel like <1:12:18 PM> Colleen Doyle - Patient: feel like she so I'm such a loser and I have such a hard time <1:12:18 PM> Colleen Doyle - Patient: just like <1:12:24 PM> Faith Neidert - Doctor: thank you in my life <1:12:24 PM> Colleen Doyle - Patient: feeling like my life isn't going the direction that I wanted it to and I feel like she's just like judging me and <1:12:28 PM> Faith Neidert - Doctor: patients <1:12:28 PM> Faith Neidert - Doctor: prep <1:12:30 PM> Faith Neidert - Doctor: I don't want to <1:12:32 PM> Colleen Doyle - Patient: don't want to think less of me for <1:12:35 PM> Colleen Doyle - Patient: for being like this and so I feel like she wouldn't get it <1:12:36 PM> Faith Neidert - Doctor: survey <1:12:38 PM> Faith Neidert - Doctor: assignment <1:12:40 PM> Colleen Doyle - Patient: of it you <1:12:40 PM> Faith Neidert - Doctor: okay um do you have anyone at work that you feel like you could talk to about this <1:12:46 PM> Colleen Doyle - Patient: not really at work like I'm virtual <1:12:49 PM> Faith Neidert - Doctor: not really <1:12:54 PM> Faith Neidert - Doctor: so <1:12:54 PM> Colleen Doyle - Patient: so it's really hard to meet people and I feel like <1:12:56 PM> Faith Neidert - Doctor: I just <1:12:58 PM> Colleen Doyle - Patient: I use on my roommate who slept with me and we used to be like besties <1:13:00 PM> Faith Neidert - Doctor: you see the best series but I feel like she always <1:13:05 PM> Colleen Doyle - Patient: but I feel like recently she also was getting so annoyed with me and like she got married like I think probably that's why she moved out but I can't help thinking that's because like I'm just like such a loser and she doesn't want to live with me <1:13:10 PM> Faith Neidert - Doctor: you <1:13:14 PM> Faith Neidert - Doctor: it's <1:13:19 PM> Faith Neidert - Doctor: yeah <1:13:20 PM> Colleen Doyle - Patient: and I don't know I feel like I lost her as a friend too like now her husband's like gonna take her away from me and I feel like I'm not gonna have anyone except for my hermit crab <1:13:22 PM> Faith Neidert - Doctor: you <1:13:28 PM> Faith Neidert - Doctor: but have you express these concerns to her <1:13:32 PM> Colleen Doyle - Patient: Express <1:13:37 PM> Colleen Doyle - Patient: to her <1:13:39 PM> Faith Neidert - Doctor: to <1:13:39 PM> Colleen Doyle - Patient: my hermit crab or my friend <1:13:41 PM> Faith Neidert - Doctor: know your your roommate your previous roommate <1:13:44 PM> Colleen Doyle - Patient: yeah I have I feel like she <1:13:45 PM> Faith Neidert - Doctor: yeah <1:13:48 PM> Faith Neidert - Doctor: she <1:13:48 PM> Colleen Doyle - Patient: she was really nice it's just like I can't help but feel like <1:13:51 PM> Faith Neidert - Doctor: I can <1:13:53 PM> Colleen Doyle - Patient: what she's saying like she's not telling the truth like I feel like she was there for me and she said like she would always be there and I could always talk but I felt like I was a burden to her <1:13:53 PM> Faith Neidert - Doctor: which <1:13:56 PM> Faith Neidert - Doctor: like I feel like <1:13:59 PM> Faith Neidert - Doctor: you know it was <1:14:03 PM> Faith Neidert - Doctor: for you <1:14:05 PM> Colleen Doyle - Patient: and like I don't want to be a burden and so I just feel like really <1:14:07 PM> Faith Neidert - Doctor: so just <1:14:09 PM> Colleen Doyle - Patient: just like sad because I want to do better at work and like I want to have strong friendships but I don't know <1:14:10 PM> Faith Neidert - Doctor: six <1:14:16 PM> Faith Neidert - Doctor: where sorry <1:14:16 PM> Colleen Doyle - Patient: where I can start to feel better you know <1:14:20 PM> Colleen Doyle - Patient: like a vicious cycle <1:14:22 PM> Colleen Doyle - Patient: but you know <1:14:22 PM> Faith Neidert - Doctor: yeah I understand that it sounds really challenging <1:14:24 PM> Colleen Doyle - Patient: really <1:14:26 PM> Colleen Doyle - Patient: I think <1:14:27 PM> Faith Neidert - Doctor: I think <1:14:28 PM> Faith Neidert - Doctor: if we could <1:14:28 PM> Faith Neidert - Doctor: get <1:14:31 PM> Faith Neidert - Doctor: good to be a little more consistent with taking your medication that would be a good starting point I've placed referrals to <1:14:34 PM> Colleen Doyle - Patient: it <1:14:37 PM> Colleen Doyle - Patient: but <1:14:39 PM> Colleen Doyle - Patient: mental <1:14:40 PM> Faith Neidert - Doctor: mental health Counseling in the past <1:14:41 PM> Colleen Doyle - Patient: are used to <1:14:43 PM> Faith Neidert - Doctor: are you still interested in that <1:14:45 PM> Colleen Doyle - Patient: I don't <1:14:45 PM> Colleen Doyle - Patient: I just like don't understand like where that would help like <1:14:50 PM> Faith Neidert - Doctor: I don't <1:14:50 PM> Colleen Doyle - Patient: okay I feel like the only people go to therapists are people that like don't have friends to talk to <1:14:52 PM> Faith Neidert - Doctor: okay <1:14:56 PM> Faith Neidert - Doctor: I hear you <1:14:56 PM> Faith Neidert - Doctor: but <1:14:57 PM> Colleen Doyle - Patient: here <1:15:04 PM> Faith Neidert - Doctor: also saying that you <1:15:07 PM> Faith Neidert - Doctor: don't feel like you have anyone in your life that you can necessarily talk to without feeling like you're being a burden to them <1:15:11 PM> Colleen Doyle - Patient: without <1:15:13 PM> Colleen Doyle - Patient: so I feel to you <1:15:15 PM> Faith Neidert - Doctor: so I feel like seeing eight counselor <1:15:18 PM> Colleen Doyle - Patient: preview <1:15:19 PM> Faith Neidert - Doctor: how <1:15:19 PM> Faith Neidert - Doctor: could be a good option for you <1:15:24 PM> Colleen Doyle - Patient: okay <1:15:24 PM> Faith Neidert - Doctor: that make you <1:15:26 PM> Colleen Doyle - Patient: I mean <1:15:29 PM> Colleen Doyle - Patient: I feel like I can't really argue with that it is a good point <1:15:29 PM> Faith Neidert - Doctor: I feel like <1:15:33 PM> Faith Neidert - Doctor: I don't know <1:15:34 PM> Colleen Doyle - Patient: I don't know I just feel like you're paying someone to be your friend and like that's even more embarrassing and I'm afraid what people would say if they found out <1:15:39 PM> Faith Neidert - Doctor: you <1:15:40 PM> Paul Hershberger: what's that what's up here ________________________________________________________________________________ End of transcript at Aug 25, 2025, 1:15:55 PM