Transcript of conference held at Jan 27, 2026 in room first_test@conference.miaiconvo.com Initial people present at 3:54:17 PM: David Buchinsky-Patient Carli Carey- Doctor Alex Johnston Transcript, started at 3:54:17 PM: ________________________________________________________________________________ <3:54:17 PM> Alex Johnston joined the conference <3:54:17 PM> Carli Carey- Doctor joined the conference <3:54:17 PM> David Buchinsky-Patient joined the conference <3:54:17 PM> Alex Johnston: you are good to start whenever <3:54:17 PM> Carli Carey- Doctor: I did <3:54:17 PM> Carli Carey- Doctor: okay all right David so I know we talked about increasing the dose of your SSRI today <3:54:30 PM> Carli Carey- Doctor: and <3:54:30 PM> Carli Carey- Doctor: to talk to you about kind of the last couple times we've met we've talked about the possibility of you know going to speak with a specialist maybe do some counseling <3:54:31 PM> David Buchinsky-Patient: know I ended up being really busy with work <3:54:47 PM> Carli Carey- Doctor: did you go and do that <3:54:49 PM> Carli Carey- Doctor: okay um <3:54:58 PM> Carli Carey- Doctor: is is there anything kind of holding you back from doing that <3:55:00 PM> David Buchinsky-Patient: yeah I feel like right now much sure if I needed the concept counseling and also because work was really busy not having deadlines felt like it was something <3:55:03 PM> Carli Carey- Doctor: yeah well and I know we've talked <3:55:25 PM> Carli Carey- Doctor: like you have a lot on your plate right now <3:55:29 PM> Carli Carey- Doctor: with work a lot of stress um tell me again kind of what's going on causing you your stress <3:55:34 PM> David Buchinsky-Patient: and <3:55:34 PM> David Buchinsky-Patient: yeah so I work on like a three-person team <3:55:43 PM> David Buchinsky-Patient: part of <3:55:43 PM> David Buchinsky-Patient: my manager gives us very minimal instructions I think they think it's like <3:55:48 PM> Carli Carey- Doctor: yeah that does sound really stressful um <3:55:51 PM> David Buchinsky-Patient: are creative process of how we I'm a product manager and <3:55:57 PM> David Buchinsky-Patient: I get really stressed because I like to know what's going on and I like to know like what you know what the rules are and what the <3:56:06 PM> David Buchinsky-Patient: criteria is and I just feel like I had none of it and when I do go to ask for help or like explanation I get <3:56:15 PM> David Buchinsky-Patient: I don't really get anywhere so I just makes my trust worse <3:56:25 PM> Carli Carey- Doctor: what what are you doing right now to manage your stress <3:56:27 PM> David Buchinsky-Patient: I try to take like a few minutes to just meditate and breathe that's been a little bit helpful it's right now way too cold to go exercise outside so I can't do much of that <3:56:29 PM> Carli Carey- Doctor: yeah so I know you're saying you're not kind of feeling that like full Improvement um <3:56:44 PM> David Buchinsky-Patient: um and <3:56:46 PM> David Buchinsky-Patient: then yeah like the medication is a little bit helpful for the stress and my mood but I find like it's not really <3:56:55 PM> David Buchinsky-Patient: improving as much as I would like to feel by move <3:57:08 PM> Carli Carey- Doctor: we continue as we're going now <3:57:09 PM> David Buchinsky-Patient: number <3:57:11 PM> David Buchinsky-Patient: probably probably just continuing to get dressed at work not <3:57:13 PM> Carli Carey- Doctor: what do you see happening <3:57:15 PM> Carli Carey- Doctor: yeah is there anything <3:57:24 PM> David Buchinsky-Patient: getting better <3:57:24 PM> David Buchinsky-Patient: like <3:57:27 PM> David Buchinsky-Patient: wise maybe with the changes of season that might improve things temporarily but in the long term it probably would too much <3:57:41 PM> Carli Carey- Doctor: the stress is kind of holding you back from doing that you enjoy <3:57:42 PM> David Buchinsky-Patient: um I feel like it's sort of made my interactions with friends and family less meaningful like I'm just so practical with work and then I have to I cancel things with socially because I'm working and I'm trying to figure it out <3:57:46 PM> Carli Carey- Doctor: yeah that sounds really hard and I know like having a good support system is really important what are some reasons <3:58:03 PM> David Buchinsky-Patient: so like yeah that time that I used to have with with the people that I want to spend it with it's just really diminished <3:58:11 PM> David Buchinsky-Patient: camp <3:58:19 PM> David Buchinsky-Patient: I am I <3:58:21 PM> Carli Carey- Doctor: that you're choosing not to go to therapy sorry about that <3:58:26 PM> Carli Carey- Doctor: yeah well it sounds like you have a lot of <3:58:29 PM> David Buchinsky-Patient: I grew up just in a culture that like therapy was not a like a helpful resource and I tried to like really you know be a minded but I'm just not quite there yet <3:58:51 PM> Carli Carey- Doctor: you know tools that you've been trying <3:58:51 PM> Carli Carey- Doctor: to <3:58:54 PM> Carli Carey- Doctor: integer stress the meditation I know you said the medication helps sometimes <3:59:02 PM> Carli Carey- Doctor: on a scale of like one to ten <3:59:06 PM> Carli Carey- Doctor: one being not at all 10 being you know ready to try it where are you at on being ready to try therapy as a different tool to manage your stress <3:59:14 PM> David Buchinsky-Patient: probably like a three I don't feel like I'm really that ready for it <3:59:17 PM> Carli Carey- Doctor: yeah <3:59:25 PM> Carli Carey- Doctor: I wire three not why not a one or a zero <3:59:30 PM> David Buchinsky-Patient: because I think a one or a zero is like there's no chance that it happening and I <3:59:31 PM> Carli Carey- Doctor: yeah so it sounds like what you're saying is if you maybe had a little bit more information and you know evidence for the efficacy is that something that might help move that number forward for you <3:59:38 PM> David Buchinsky-Patient: I tried to stay like a little bit up-to-date on what my friends are doing and like maybe my siblings do for mental health so I could see a day that my mind changes but I think this point like as I said it's just something that I have a hard time <3:59:56 PM> David Buchinsky-Patient: fully like understanding and grasping more so I think that number could improve if I just have like more information you know I'm a product business person so like the numbers will help me understand things too <4:00:11 PM> David Buchinsky-Patient: yes <4:00:23 PM> David Buchinsky-Patient: yeah <4:00:27 PM> Carli Carey- Doctor: if <4:00:27 PM> Carli Carey- Doctor: okay well um I mean <4:00:28 PM> David Buchinsky-Patient: here <4:00:31 PM> Carli Carey- Doctor: if you're open to something like that that's absolutely something I can provide for you <4:00:38 PM> Carli Carey- Doctor: we can definitely do that is there anything else you know that you <4:00:38 PM> Carli Carey- Doctor: could <4:00:38 PM> David Buchinsky-Patient: um as far as my willingness to try therapy <4:00:44 PM> Carli Carey- Doctor: see moving that needle forward even in like regards to your mental health or distress you're dealing with <4:00:53 PM> Carli Carey- Doctor: mm-hmm <4:00:58 PM> David Buchinsky-Patient: I would say like if they if it's like a flexible appointment I don't know if there's options for like virtual or everything's in person still but when I did try to call like way while back they said it was like a six month wait and at that point I was just like you know it's not worth the hassle I'm not gonna do it <4:01:22 PM> David Buchinsky-Patient: like what it what is that look like <4:01:23 PM> Carli Carey- Doctor: me well yeah I mean I can imagine that's frustrating but we can definitely find resources that could work within your schedule <4:01:33 PM> David Buchinsky-Patient: okay <4:01:33 PM> Carli Carey- Doctor: okay <4:01:35 PM> David Buchinsky-Patient: okay that'll be great <4:01:37 PM> Carli Carey- Doctor: are we pausing there <4:01:37 PM> Alex Johnston: yeah we can pause there ________________________________________________________________________________ End of transcript at Jan 27, 2026, 4:01:40 PM