Transcript of conference held at Dec 1, 2025 in room first_test@conference.miaiconvo.com Initial people present at 2:27:39 PM: Justice Williams - Patient matt Paul Hershberger - Patient Steffen Fallini - Doctor Transcript, started at 2:27:39 PM: ________________________________________________________________________________ <2:27:39 PM> Steffen Fallini - Doctor joined the conference <2:27:39 PM> Justice Williams - Patient joined the conference <2:27:39 PM> matt joined the conference <2:27:39 PM> Paul Hershberger - Patient joined the conference <2:27:39 PM> Justice Williams - Patient: um I've been okay um yeah I've been just okay <2:27:39 PM> Steffen Fallini - Doctor: hey Justice welcome and it's good to see you again so how have you been <2:27:47 PM> Steffen Fallini - Doctor: okay um why do you say that <2:27:52 PM> Justice Williams - Patient: hmm well I came in a few months ago and got an increased my dose and I don't feel that it's helping very much I can't say that I noticed any help at all really <2:28:02 PM> Steffen Fallini - Doctor: okay um I remember kind of some of the things that we had discussed before but like what are some of the things that you're experiencing now <2:28:07 PM> Justice Williams - Patient: I just feel like I have low energy some fatigue I don't really feel motivated for work I just kind of feel anxious a lot and I thought the medicine would help but it really isn't helping even with the increased dose it's just I feel anxious and I'm like constantly wearing about work about my roommate I'm gonna pay my bills and <2:28:34 PM> Steffen Fallini - Doctor: okay I'm sorry to hear that so I I heard you said you have low energy you kind of fatigued and then you're feeling a lot of anxiety it sounds like you said specifically that you're anxious about work in your roommate could you tell me if you elaborate on that a little bit more <2:28:36 PM> Justice Williams - Patient: I just <2:28:36 PM> Justice Williams - Patient: not <2:28:38 PM> Justice Williams - Patient: filling the best <2:28:48 PM> Justice Williams - Patient: yeah I just have a lot of stress at work just making sure that I you know meet expectations and deadlines I feel like I'm constantly worrying about work even when I'm not working as far as my roommate they moved out so just trying to figure out how I'm gonna you know make extra money to kind of pay for their half or portion of the rent <2:28:57 PM> Steffen Fallini - Doctor: okay that does sound like a lot have you been able to talk to anybody about these <2:29:18 PM> Justice Williams - Patient: he's not really I mean there's not really much that anyone can do it's kind of about <2:29:18 PM> Justice Williams - Patient: what <2:29:24 PM> Steffen Fallini - Doctor: okay so still not having a lot of energy and then that makes it sounds like the anxiety a little bit worse because that seems to be disrupting your ability to then do the things you need to do to help relax your anxiety is that right <2:29:30 PM> Justice Williams - Patient: need to do I can pick up extra hours at work I picked up a part-time job and I just haven't really felt like it <2:29:37 PM> Justice Williams - Patient: yes yeah <2:29:55 PM> Steffen Fallini - Doctor: okay previously we had discussed going to a counselor have you had any thoughts about that <2:30:02 PM> Justice Williams - Patient: yeah I know we talked about it a few times <2:30:02 PM> Steffen Fallini - Doctor: okay what do you know about counseling <2:30:06 PM> Justice Williams - Patient: I don't know I just haven't went I don't know that it would be helpful <2:30:12 PM> Justice Williams - Patient: he talked to someone about your problems it may start you on medication <2:30:16 PM> Steffen Fallini - Doctor: mmm I completely agree and I love talking about all your I mean everything that's going on with you but they have a lot more time to be able to talk to you and <2:30:22 PM> Justice Williams - Patient: barely just talking through things which I feel like we kind of do <2:30:38 PM> Steffen Fallini - Doctor: it sounds like you have a lot of stresses in your life and I would love to have somebody that's able to provide you with like the help that you need I am here anytime you need me of course but have you had anyone in your family go through counseling <2:30:42 PM> Justice Williams - Patient: know my family doesn't really believe in that I haven't anyone about it but I just <2:30:53 PM> Steffen Fallini - Doctor: okay <2:30:58 PM> Steffen Fallini - Doctor: yeah <2:30:59 PM> Justice Williams - Patient: I kind of know what <2:31:01 PM> Justice Williams - Patient: family says about that so I don't really feel comfortable and he's ever done it so <2:31:07 PM> Steffen Fallini - Doctor: it can be difficult doing things that kind of go against your family's values that makes a lot of sense how do you think they would react if you did go to counseling <2:31:19 PM> Steffen Fallini - Doctor: okay <2:31:21 PM> Justice Williams - Patient: I think they would be surprised I don't know that I would ever want to share that with him though <2:31:30 PM> Steffen Fallini - Doctor: and is that a possibility then for you <2:31:32 PM> Justice Williams - Patient: I'm open to it I just haven't really had the energy to like go and talk about all the problems that I feel like are going <2:31:33 PM> Steffen Fallini - Doctor: absolutely yeah would you be interested in kind of going in the more medication routes <2:31:42 PM> Justice Williams - Patient: I mean do you think increasing my dose would help I am open to whatever you recommend <2:31:49 PM> Steffen Fallini - Doctor: very <2:31:49 PM> Steffen Fallini - Doctor: okay absolutely yeah there's two schools of thought when it comes to anything that has to deal with these sort of conditions and one of which if it's okay that I share is kind of that more therapy with the discussing and the talking and everything to try and learn more about what's going on and then it helps kind of relieve some of those anxieties versus the medication route which also does a good job but they are <2:32:25 PM> Steffen Fallini - Doctor: better <2:32:25 PM> Steffen Fallini - Doctor: much <2:32:26 PM> Steffen Fallini - Doctor: together it's kind of like a two plus two equals five sort of thing where whenever you have them both together really does work wonders for a lot of people <2:32:36 PM> Steffen Fallini - Doctor: I would love to provide you with the options for our other medications that we can also add on top I what I want to increase your current dose but there's other options that we can do in terms of providing you with increased energy have you tried anything to help your energy <2:32:49 PM> Justice Williams - Patient: mmm I mean I drink caffeine it doesn't really help really during the day it doesn't help then at night sometimes I'm not able to sleep <2:32:50 PM> Steffen Fallini - Doctor: okay <2:33:00 PM> Justice Williams - Patient: I mean I'm somewhere open to counseling I just don't know who that would be or <2:33:02 PM> Steffen Fallini - Doctor: yeah absolutely we have wonderful counselors I would love to provide you with any information <2:33:07 PM> Justice Williams - Patient: but <2:33:16 PM> Steffen Fallini - Doctor: going off of the caffeine route and your sleep you say that you have some difficulty sleeping what do you think kind of makes your sleep difficult <2:33:23 PM> Justice Williams - Patient: I just feel like the constant thinking overthinking just worrying <2:33:25 PM> Steffen Fallini - Doctor: okay okay so a lot of that anxiety is making your sleep a little bit harder which is then making you more tired in the morning and then it makes it harder to going to get work done which would then help your anxieties so it sounds like it's this vicious cycle and I'm very sorry to hear that <2:33:31 PM> Justice Williams - Patient: I think that maybe things wouldn't lay me down so much and maybe they can help me with some coping skills <2:33:50 PM> Steffen Fallini - Doctor: how do you think <2:33:50 PM> Steffen Fallini - Doctor: things <2:33:54 PM> Steffen Fallini - Doctor: change if you were to go and talk to somebody about these <2:33:59 PM> Steffen Fallini - Doctor: I think that's a very healthy way to think about it I I completely agree with you I think it'd be nice versus if you didn't go to counseling at this time how do you think the next couple months might be for you <2:34:09 PM> Justice Williams - Patient: on how to handle things differently <2:34:12 PM> Justice Williams - Patient: I guess things probably wouldn't change or you know they may get worse <2:34:27 PM> Steffen Fallini - Doctor: okay well we're going to discuss our options and we're going to see how we can improve your situation and then hopefully we're going to get you back on track <2:34:33 PM> Justice Williams - Patient: thank you ________________________________________________________________________________ End of transcript at Dec 1, 2025, 2:34:46 PM