Transcript of conference held at Jan 26, 2026 in room first_test@conference.miaiconvo.com Initial people present at 2:20:44 PM: Noreen Altallaa - doctor Bryson Arnett - Patient Evan Hartman Transcript, started at 2:20:44 PM: ________________________________________________________________________________ <2:20:44 PM> Evan Hartman joined the conference <2:20:44 PM> Noreen Altallaa - doctor joined the conference <2:20:44 PM> Bryson Arnett - Patient joined the conference <2:20:51 PM> Bryson Arnett - Patient: yeah I'm all right <2:20:52 PM> Noreen Altallaa - doctor: um so tell me how are you doing today <2:20:55 PM> Evan Hartman: good to go <2:21:01 PM> Noreen Altallaa - doctor: all right tell me why it's just all right <2:21:11 PM> Bryson Arnett - Patient: well you know I just <2:21:13 PM> Bryson Arnett - Patient: things that things have been just okay my roommate moved out here recently and <2:21:20 PM> Bryson Arnett - Patient: things I've been a little bit worried about work <2:21:20 PM> Bryson Arnett - Patient: I have <2:21:23 PM> Noreen Altallaa - doctor: okay yeah I know that there's a lot kind of going on over there you and your roommate work clothes <2:21:23 PM> Bryson Arnett - Patient: are coming up and I know I haven't been my best so I'm just more about the results <2:21:29 PM> Bryson Arnett - Patient: we're decently close I mean <2:21:36 PM> Noreen Altallaa - doctor: okay <2:21:39 PM> Bryson Arnett - Patient: have to be roommates but <2:21:41 PM> Noreen Altallaa - doctor: mm-hmm <2:21:42 PM> Bryson Arnett - Patient: well I'm I'm in it and you know I do a lot of my work you know and by myself and things like that but just recently I know I haven't been as productive as I should have been <2:21:43 PM> Noreen Altallaa - doctor: you said <2:21:43 PM> Noreen Altallaa - doctor: okay well tell me a little more about your work <2:21:47 PM> Noreen Altallaa - doctor: had an eval coming up what makes you so worried about that <2:22:05 PM> Noreen Altallaa - doctor: okay so I mean it seems like you've noticed that you haven't been as productive do you have any idea why there's kind of been a change in that for you <2:22:05 PM> Bryson Arnett - Patient: but and I'm kind of worried that that's going to be reflected in my email so <2:22:13 PM> Bryson Arnett - Patient: you know it's kind of hard to pinpoint I think <2:22:29 PM> Bryson Arnett - Patient: for me it's just like I just haven't <2:22:32 PM> Bryson Arnett - Patient: been really feeling too motivated I feel like I've just been procrastinating a lot <2:22:38 PM> Noreen Altallaa - doctor: okay do you feel like there's kind of anything specific or you know anything that's been contributing to that lack of motivation that you've been feeling <2:22:50 PM> Bryson Arnett - Patient: I don't think anything specific I think just a lot with roommate moving out and you know I'm trying to figure out you know <2:23:02 PM> Bryson Arnett - Patient: bills lease all that stuff a little bit of added stress kind of been stressful <2:23:08 PM> Noreen Altallaa - doctor: yeah and that's you know all of that occurring is that a lot going on is is there anything that you've been able to do to help you cope with you know all of that new stuff and things that have been going on in your life <2:23:21 PM> Bryson Arnett - Patient: yeah I've been trying to talk to my friends but it's hard because you know they also work during the day you know I don't want to call them while they're at work and things like that you know where I <2:23:36 PM> Bryson Arnett - Patient: I have a little bit more free time because I do I I guess sometimes I work from home so a little bit more <2:23:37 PM> Noreen Altallaa - doctor: yeah yeah what about I know previously you were sent a referral for <2:23:53 PM> Noreen Altallaa - doctor: Mental Health Specialists and I know because you mentioned you know your friends being busy is that something that you know you feel could be helpful to you and being able to just talk to somebody about everything that's been going on <2:23:53 PM> Bryson Arnett - Patient: yeah I don't know I know I have the referral I just didn't do anything with it I just <2:23:53 PM> Bryson Arnett - Patient: think it was <2:24:14 PM> Bryson Arnett - Patient: be useful at the time <2:24:17 PM> Bryson Arnett - Patient: I thought I think you bumped up I <2:24:21 PM> Bryson Arnett - Patient: to your present you know whatever last time so I thought it <2:24:26 PM> Bryson Arnett - Patient: a chance so I didn't so I didn't go through with it now <2:24:28 PM> Noreen Altallaa - doctor: yeah and of course upping the dose of the antidepressant is supposed to be there as a benefit for you but you know like many things we always like to approach any situation from multiple different angles and I think that was kind of where our thinking was when it came to sending that referral in <2:24:55 PM> Noreen Altallaa - doctor: is how would you say your mind is where would you say your mind is at when it comes to <2:25:01 PM> Noreen Altallaa - doctor: um being more open to reaching out and doing something about the referral Now versus where it was when you first got that referral <2:25:10 PM> Bryson Arnett - Patient: yeah I don't know I feel like I'm I'm kind of at the same place because I <2:25:19 PM> Bryson Arnett - Patient: it just seems awkward to me I don't really want to tell somebody you know everything is going on I'd rather you know talk to my friends people that know me so just like a stranger <2:25:28 PM> Noreen Altallaa - doctor: yeah yeah I completely understand how you know talking to somebody who is a stranger to you could be a little <2:25:38 PM> Noreen Altallaa - doctor: know may not seem as beneficial to you but you know when we like to send these referrals it's <2:25:46 PM> Noreen Altallaa - doctor: these professionals who are very trained to talk to people who start off that strangers and begin to really develop some of those strong relationships with their patients and strong relationships that really allow for you know good communication allows you to really <2:26:03 PM> Noreen Altallaa - doctor: um <2:26:05 PM> Noreen Altallaa - doctor: really talk about what you want <2:26:07 PM> Noreen Altallaa - doctor: or <2:26:07 PM> Noreen Altallaa - doctor: um do you have any other concerns when it comes to the specialists <2:26:13 PM> Noreen Altallaa - doctor: what other concerns do you have <2:26:14 PM> Bryson Arnett - Patient: um <2:26:18 PM> Bryson Arnett - Patient: I don't know I think <2:26:21 PM> Bryson Arnett - Patient: it just doesn't seem like something that's good like right for me just like like when I think about it it's like you know I know that there's benefits to it and things but I just don't know if it would be beneficial for me you know if that makes sense <2:26:37 PM> Noreen Altallaa - doctor: what questions could I answer to kind of help lean you even if it's just a little bit towards <2:26:50 PM> Noreen Altallaa - doctor: that specialist what what could I talk about or what questions can I answer for you <2:26:51 PM> Bryson Arnett - Patient: okay <2:26:59 PM> Bryson Arnett - Patient: I guess like you know <2:27:02 PM> Bryson Arnett - Patient: how much time would it take up you know and then like <2:27:08 PM> Bryson Arnett - Patient: I don't want to be you know stigmatized as somebody that has to go to the therapy and things like that so <2:27:17 PM> Noreen Altallaa - doctor: yeah and and I'm glad you mentioned those points when it comes to this kind of specialist and they used referrals we really want it to be something that is <2:27:22 PM> Bryson Arnett - Patient: go <2:27:32 PM> Noreen Altallaa - doctor: done by you guys it's you know it's something to help you so when it comes to some of that time commitment it's really up to you to determine how much time you want to put into it <2:27:44 PM> Noreen Altallaa - doctor: and of course you know there's always a concern of stigma when it comes to any form of mental health but you know we really do like to emphasize the importance of getting our mental health checked out <2:28:00 PM> Noreen Altallaa - doctor: so it's something we like to emphasize there is there what motivation would you have to kind of really focus on your mental health <2:28:00 PM> Bryson Arnett - Patient: here <2:28:09 PM> Bryson Arnett - Patient: I mean I really want to keep this job you know it's been <2:28:16 PM> Bryson Arnett - Patient: and it's been good to me I mean it pays well but not perform well so I don't want to lose this job <2:28:24 PM> Noreen Altallaa - doctor: yeah um I can see how important it is for you <2:28:30 PM> Noreen Altallaa - doctor: is there anything specific what plans do you have to kind of help maintain that goal of yours <2:28:40 PM> Bryson Arnett - Patient: is just being more proactive <2:28:44 PM> Bryson Arnett - Patient: um at least trying to be <2:28:46 PM> Bryson Arnett - Patient: I know like I said earlier I've been pretty procrastinating <2:28:51 PM> Bryson Arnett - Patient: is my work but just you know <2:28:53 PM> Bryson Arnett - Patient: and be on top of things more often <2:28:58 PM> Noreen Altallaa - doctor: do you feel like that will also help with your mental health ________________________________________________________________________________ End of transcript at Jan 26, 2026, 2:29:06 PM