Transcript of conference held at Jan 20, 2026 in room first_test@conference.miaiconvo.com Initial people present at 6:22:53 PM: Mallory Cassidy- Patient Hannah DeRespiris - Doctor Transcript, started at 6:22:53 PM: ________________________________________________________________________________ <6:22:53 PM> Hannah DeRespiris - Doctor joined the conference <6:22:53 PM> Cassidy- Patient joined the conference <6:22:53 PM> Mallory joined the conference <6:22:54 PM> Cassidy- Patient: perfect I'm doing good <6:22:54 PM> Hannah DeRespiris - Doctor: all right <6:22:59 PM> Hannah DeRespiris - Doctor: hi Cassidy how are you doing <6:23:01 PM> Hannah DeRespiris - Doctor: good so it's been a while since we saw you last you know we kind of our monitoring your <6:23:06 PM> Cassidy- Patient: oh it's been okay I feel like the medicine has helped some like feeling better but also been like pretty stressed out recently so could maybe be doing better <6:23:10 PM> Hannah DeRespiris - Doctor: of Medicine <6:23:10 PM> Hannah DeRespiris - Doctor: for <6:23:12 PM> Hannah DeRespiris - Doctor: depression how has that been going <6:23:27 PM> Hannah DeRespiris - Doctor: yeah tell me more about your stress <6:23:30 PM> Cassidy- Patient: um I guess I just workspend picking up a bit lately and I have like eval coming up and I'm worried that it's not going to go very well just with how I've been feeling lately <6:23:47 PM> Cassidy- Patient: I don't think that <6:23:49 PM> Cassidy- Patient: I've been doing as well at work as I'd like to and my roommate moved out so I'm just kind of feeling lonely at home and <6:23:54 PM> Hannah DeRespiris - Doctor: yeah sounds like going through a lot of big changes right now <6:24:06 PM> Hannah DeRespiris - Doctor: how have you been feeling lately <6:24:10 PM> Hannah DeRespiris - Doctor: yeah it's one option we could consider I know I mentioned some counseling might be beneficial to you last time how has that been going <6:24:11 PM> Cassidy- Patient: guess like compared to when like before I started the medication it's like a little bit better <6:24:19 PM> Cassidy- Patient: think I was like pretty depressed before and not doing as much and I'd say it's like a little better now but I still think I'm having like a lot of <6:24:30 PM> Cassidy- Patient: glow mood kind of symptoms so I don't know maybe if I need like a higher dose <6:24:37 PM> Cassidy- Patient: I haven't really done it yet it just seems like it would take a lot of time and I don't really know <6:24:56 PM> Hannah DeRespiris - Doctor: yeah <6:24:58 PM> Cassidy- Patient: do for that so <6:25:00 PM> Cassidy- Patient: like if the medication can help <6:25:02 PM> Cassidy- Patient: up I'll just do that <6:25:05 PM> Cassidy- Patient: um well I know like a lot of people who have like tried stuff and they talk about like how long it takes to find like <6:25:08 PM> Hannah DeRespiris - Doctor: what are like your hesitations towards counseling <6:25:13 PM> Hannah DeRespiris - Doctor: yeah those are very fair and reasonable concerns <6:25:22 PM> Cassidy- Patient: somebody to work with so I don't want to like take a bunch of time like away from work when I'm already not doing very well to try to do counseling if it's not gonna even gonna help me <6:25:41 PM> Hannah DeRespiris - Doctor: for depression <6:25:45 PM> Hannah DeRespiris - Doctor: combination therapy and medication is typically like the best possible treatment <6:25:53 PM> Hannah DeRespiris - Doctor: and I think maybe it sounds like you said earlier you were feeling a bit lonely since her roommate moved out <6:25:54 PM> Cassidy- Patient: for you <6:26:03 PM> Hannah DeRespiris - Doctor: what do you think about talking through some of those feelings with <6:26:08 PM> Cassidy- Patient: I mean I don't think it would be like bad to do but I also have like other friends and like family and stuff that I could talk to if I needed to <6:26:08 PM> Hannah DeRespiris - Doctor: a professional <6:26:11 PM> Hannah DeRespiris - Doctor: yeah <6:26:19 PM> Hannah DeRespiris - Doctor: oh sorry <6:26:19 PM> Hannah DeRespiris - Doctor: have you been talking <6:26:23 PM> Cassidy- Patient: like I guess I don't really see like what the like value of a therapist <6:26:23 PM> Hannah DeRespiris - Doctor: go ahead <6:26:25 PM> Hannah DeRespiris - Doctor: yeah have you been talking to your friends and family <6:26:29 PM> Cassidy- Patient: um yeah sometimes like <6:26:35 PM> Hannah DeRespiris - Doctor: yeah <6:26:38 PM> Cassidy- Patient: when I like I need to I haven't like <6:26:38 PM> Cassidy- Patient: seen <6:26:42 PM> Cassidy- Patient: like <6:26:42 PM> Cassidy- Patient: friends much lately just like we've all been busy but <6:26:48 PM> Cassidy- Patient: know I can talk to them if I want to <6:26:51 PM> Cassidy- Patient: here <6:26:52 PM> Hannah DeRespiris - Doctor: um <6:26:54 PM> Hannah DeRespiris - Doctor: and <6:26:54 PM> Hannah DeRespiris - Doctor: if you were to stay at this current dose <6:27:00 PM> Cassidy- Patient: I guess it would just be more of the same <6:27:00 PM> Hannah DeRespiris - Doctor: you also not go to therapy <6:27:04 PM> Hannah DeRespiris - Doctor: what do you see <6:27:06 PM> Hannah DeRespiris - Doctor: like the effects of that like what would your life look like do you think <6:27:15 PM> Cassidy- Patient: just not like feeling great and <6:27:18 PM> Cassidy- Patient: worried about like <6:27:22 PM> Cassidy- Patient: what that could mean like for my job <6:27:23 PM> Hannah DeRespiris - Doctor: yeah <6:27:25 PM> Cassidy- Patient: in the comment <6:27:27 PM> Hannah DeRespiris - Doctor: um <6:27:29 PM> Hannah DeRespiris - Doctor: and I can I understand you sound pretty concerned about your job and that <6:27:35 PM> Hannah DeRespiris - Doctor: valuations coming up is stressful <6:27:40 PM> Hannah DeRespiris - Doctor: has anybody in your life friends or family voice any concerns <6:27:47 PM> Hannah DeRespiris - Doctor: about like your mood or activity lately <6:27:52 PM> Cassidy- Patient: um I don't know I mean my like family doesn't really like believe in like the depression kind of stuff I think maybe you like my friends have noticed that I haven't been like coming to as much stuff but <6:27:52 PM> Hannah DeRespiris - Doctor: yeah <6:28:08 PM> Cassidy- Patient: like I'm <6:28:08 PM> Cassidy- Patient: I mean they also know that <6:28:11 PM> Cassidy- Patient: to see right now <6:28:14 PM> Hannah DeRespiris - Doctor: um would you be open to maybe trialing a session with a therapist somebody that I would refer you to <6:28:26 PM> Cassidy- Patient: I mean I'm not against it <6:28:30 PM> Cassidy- Patient: just <6:28:32 PM> Hannah DeRespiris - Doctor: yeah what positives do you think could come from that <6:28:41 PM> Cassidy- Patient: it's like I'm kind of like hearing you say that you think that it would be good for me to like have somebody else to talk to so <6:28:50 PM> Cassidy- Patient: I mean maybe it could help me feel better about some stuff I just don't really see like how it would be helpful <6:28:56 PM> Hannah DeRespiris - Doctor: yeah <6:29:01 PM> Hannah DeRespiris - Doctor: and lots of patients are also hesitant about it too it's important to find the right fit but <6:29:09 PM> Hannah DeRespiris - Doctor: especially with depression they can kind of help you work through some of those <6:29:14 PM> Hannah DeRespiris - Doctor: thoughts and get you out of like a cycle of that to change your thinking and behavior <6:29:21 PM> Hannah DeRespiris - Doctor: based on what we've talked about today on a scale of one to ten how willing would you be <6:29:28 PM> Hannah DeRespiris - Doctor: start therapy before our next visit <6:29:31 PM> Cassidy- Patient: I'm probably like a four <6:29:32 PM> Hannah DeRespiris - Doctor: okay yeah <6:29:38 PM> Mallory: okay <6:29:39 PM> Hannah DeRespiris - Doctor: think about it <6:29:44 PM> Mallory: will stop you there ________________________________________________________________________________ End of transcript at Jan 20, 2026, 6:29:49 PM