Transcript of conference held at Dec 1, 2025 in room first_test@conference.miaiconvo.com Initial people present at 6:27:12 PM: Sabrina Mahanpour - Patient Anastasia Axiopoulou Paul Hershberger - Patient Jashlene Kaur - Doctor Transcript, started at 6:27:12 PM: ________________________________________________________________________________ <6:27:12 PM> Sabrina Mahanpour - Patient joined the conference <6:27:12 PM> Anastasia Axiopoulou joined the conference <6:27:12 PM> Paul Hershberger - Patient joined the conference <6:27:12 PM> Jashlene Kaur - Doctor joined the conference <6:27:13 PM> Jashlene Kaur - Doctor: hi Sabrina <6:27:20 PM> Jashlene Kaur - Doctor: how are you doing today <6:27:21 PM> Sabrina Mahanpour - Patient: I'm okay I feel like the medication that you gave me <6:27:23 PM> Jashlene Kaur - Doctor: it's not helping <6:27:29 PM> Sabrina Mahanpour - Patient: relevant helping <6:27:31 PM> Sabrina Mahanpour - Patient: mmm <6:27:33 PM> Jashlene Kaur - Doctor: in what way <6:27:34 PM> Sabrina Mahanpour - Patient: I'm still feeling the same like sad and <6:27:36 PM> Jashlene Kaur - Doctor: oh sorry to hear that <6:27:41 PM> Sabrina Mahanpour - Patient: just have no <6:27:44 PM> Sabrina Mahanpour - Patient: desire to get up in the mornings <6:27:48 PM> Sabrina Mahanpour - Patient: I <6:27:50 PM> Jashlene Kaur - Doctor: it has anything changed in your life or is everything kind of still going the same <6:27:58 PM> Sabrina Mahanpour - Patient: I am still <6:28:01 PM> Sabrina Mahanpour - Patient: work is going like it's not really going well <6:28:04 PM> Jashlene Kaur - Doctor: okay how are you feeling about that <6:28:05 PM> Sabrina Mahanpour - Patient: roommate moved out recently so I'm living on my own now <6:28:09 PM> Sabrina Mahanpour - Patient: yeah like <6:28:11 PM> Jashlene Kaur - Doctor: okay how are you feeling about work <6:28:13 PM> Sabrina Mahanpour - Patient: not really I mean any different <6:28:18 PM> Sabrina Mahanpour - Patient: hydrated like don't even <6:28:18 PM> Sabrina Mahanpour - Patient: I don't <6:28:21 PM> Jashlene Kaur - Doctor: okay you don't care <6:28:24 PM> Sabrina Mahanpour - Patient: really care <6:28:26 PM> Sabrina Mahanpour - Patient: like I just don't have the motivation to want to do better at work <6:28:28 PM> Jashlene Kaur - Doctor: here is there like a reason why <6:28:35 PM> Sabrina Mahanpour - Patient: um I just feel like it takes too much energy and it's exhausting <6:28:38 PM> Jashlene Kaur - Doctor: yeah that's fair work can be very hard <6:28:46 PM> Sabrina Mahanpour - Patient: I've been taking it every day like you told me and <6:28:50 PM> Jashlene Kaur - Doctor: um I know we like upped your medication dose of three months ago do you feel like it's been any difference since then <6:28:58 PM> Jashlene Kaur - Doctor: okay and then I know we also gave you like a referral for mental health counseling have you had a chance to see someone through that <6:29:04 PM> Sabrina Mahanpour - Patient: the same <6:29:06 PM> Sabrina Mahanpour - Patient: no I actually haven't made the appointment yet <6:29:15 PM> Jashlene Kaur - Doctor: okay why not <6:29:19 PM> Sabrina Mahanpour - Patient: the same thing like if she's been really busy and trying to <6:29:20 PM> Jashlene Kaur - Doctor: okay when do you plan on making that appointment <6:29:26 PM> Sabrina Mahanpour - Patient: stay afloat and I just haven't gotten to it yet <6:29:29 PM> Sabrina Mahanpour - Patient: um <6:29:33 PM> Jashlene Kaur - Doctor: okay <6:29:36 PM> Sabrina Mahanpour - Patient: I don't know maybe after my I have a job evaluation coming up so maybe after that <6:29:45 PM> Jashlene Kaur - Doctor: how do you feel about that job evaluation coming up <6:29:49 PM> Jashlene Kaur - Doctor: yeah I hope so too <6:29:50 PM> Sabrina Mahanpour - Patient: I don't think I'm gonna do like flying colors on it but <6:29:56 PM> Sabrina Mahanpour - Patient: I hope I do enough good enough to keep my job <6:30:00 PM> Sabrina Mahanpour - Patient: um <6:30:04 PM> Jashlene Kaur - Doctor: well <6:30:06 PM> Jashlene Kaur - Doctor: it's like sorry to hear that you are still not feeling so great despite the fact that we've kind of changed your medication or like increase the dose and stuff is there anything that you feel like we could do to help you get into feel better <6:30:21 PM> Jashlene Kaur - Doctor: yeah is there anything that you feel like you can change in your life to kind of help you get into feeling where you want to be at <6:30:25 PM> Sabrina Mahanpour - Patient: I don't know <6:30:27 PM> Sabrina Mahanpour - Patient: um <6:30:40 PM> Sabrina Mahanpour - Patient: I don't know I guess I've been like isolating myself a little bit <6:30:40 PM> Sabrina Mahanpour - Patient: so <6:30:46 PM> Sabrina Mahanpour - Patient: maybe getting back and touch with like friends family <6:30:47 PM> Jashlene Kaur - Doctor: yeah any particular reason why you've been isolating yourself recently <6:30:58 PM> Sabrina Mahanpour - Patient: um I just have like no motivation to <6:30:58 PM> Sabrina Mahanpour - Patient: want <6:31:03 PM> Sabrina Mahanpour - Patient: see people like I just kind of be <6:31:05 PM> Jashlene Kaur - Doctor: yeah um if you do you feel like reaching out to your family and friends would help you feel better <6:31:06 PM> Sabrina Mahanpour - Patient: alone <6:31:08 PM> Sabrina Mahanpour - Patient: I feel like it would help me feel better yeah <6:31:16 PM> Jashlene Kaur - Doctor: okay well how can you go about doing that <6:31:21 PM> Sabrina Mahanpour - Patient: I could just go in my quick call or text <6:31:26 PM> Jashlene Kaur - Doctor: what's been kind of stopping you from doing so up until now <6:31:30 PM> Sabrina Mahanpour - Patient: um <6:31:38 PM> Sabrina Mahanpour - Patient: just the same old like I feel like I'm <6:31:43 PM> Sabrina Mahanpour - Patient: really busy with work and trying to stay afloat that that kind of becomes like a background thought to reach out to them <6:31:44 PM> Jashlene Kaur - Doctor: yeah and it sounds kind of like <6:31:54 PM> Sabrina Mahanpour - Patient: mm-hmm <6:31:58 PM> Jashlene Kaur - Doctor: you want it to be a thought in the front of your mind <6:32:01 PM> Jashlene Kaur - Doctor: like other things in your life are kind of holding you back right now <6:32:02 PM> Sabrina Mahanpour - Patient: yeah yeah it also like I don't <6:32:10 PM> Sabrina Mahanpour - Patient: I don't want them to see me like this <6:32:13 PM> Sabrina Mahanpour - Patient: like and I want to feel better before I like see them <6:32:13 PM> Jashlene Kaur - Doctor: okay <6:32:15 PM> Jashlene Kaur - Doctor: how do you think you can get to feeling better in order to see them <6:32:19 PM> Sabrina Mahanpour - Patient: well that's kind of why I'm here maybe the medication dose needs to go up even more or I don't I don't know <6:32:29 PM> Jashlene Kaur - Doctor: yeah <6:32:36 PM> Jashlene Kaur - Doctor: we can talk about that is there anything else in terms of like a support system that we can do to help you to get feeling better <6:32:46 PM> Jashlene Kaur - Doctor: yeah <6:32:49 PM> Sabrina Mahanpour - Patient: I guess I should <6:32:51 PM> Sabrina Mahanpour - Patient: reach out and make an appointment for that referral you gave me <6:32:55 PM> Sabrina Mahanpour - Patient: start there <6:32:56 PM> Jashlene Kaur - Doctor: do you feel like talking to someone will be helpful for you if it's like outside of your family <6:33:00 PM> Sabrina Mahanpour - Patient: I think so I wouldn't have any <6:33:04 PM> Jashlene Kaur - Doctor: you're <6:33:04 PM> Jashlene Kaur - Doctor: yeah the only reason I asked because <6:33:09 PM> Sabrina Mahanpour - Patient: I wouldn't have to have like a filter or anything when talking to a counselor they're trained in it so <6:33:20 PM> Jashlene Kaur - Doctor: telling me that you think reaching out to family and having a better support system might help you feel better but also the stress of everything is kind of holding you back from doing so right now so I'm wondering if maybe reaching out to like a mental health counselor who's better trained at it would be helpful at all what do you think <6:33:26 PM> Sabrina Mahanpour - Patient: um I think it'll be helpful <6:33:41 PM> Sabrina Mahanpour - Patient: yeah I guess it just makes me like nervous <6:33:41 PM> Jashlene Kaur - Doctor: yeah <6:33:44 PM> Jashlene Kaur - Doctor: okay any reason why you feel nervous <6:33:48 PM> Sabrina Mahanpour - Patient: ah <6:33:54 PM> Sabrina Mahanpour - Patient: it would <6:33:56 PM> Sabrina Mahanpour - Patient: mean going deep into why I'm depressed and <6:34:03 PM> Sabrina Mahanpour - Patient: I don't know if I want to go there <6:34:04 PM> Jashlene Kaur - Doctor: yeah that's fair it can be really hard to open up and be vulnerable about things like that <6:34:05 PM> Sabrina Mahanpour - Patient: mm-hmm <6:34:11 PM> Jashlene Kaur - Doctor: um <6:34:12 PM> Sabrina Mahanpour - Patient: mm-hmm <6:34:14 PM> Jashlene Kaur - Doctor: yeah I would really <6:34:16 PM> Jashlene Kaur - Doctor: kind of just want to see what your thoughts are on about like next steps and how we can best support you outside of just like changing medications <6:34:16 PM> Paul Hershberger - Patient: we'll stop here ________________________________________________________________________________ End of transcript at Dec 1, 2025, 6:34:29 PM