Transcript of conference held at Mar 10, 2026 in room first_test@conference.miaiconvo.com Initial people present at 2:49:14 PM: Paul Hershberger - Patient William Bohne - Doctor Transcript, started at 2:49:14 PM: ________________________________________________________________________________ <2:49:14 PM> Paul Hershberger - Patient joined the conference <2:49:14 PM> William Bohne - Doctor joined the conference <2:49:14 PM> William Bohne - Doctor: all right <2:49:14 PM> Paul Hershberger - Patient: you yeah call me Paul <2:49:21 PM> William Bohne - Doctor: hey there do you have a name <2:49:24 PM> William Bohne - Doctor: okay <2:49:26 PM> Paul Hershberger - Patient: I guess I guess okay <2:49:26 PM> William Bohne - Doctor: there Paul how are things going <2:49:29 PM> William Bohne - Doctor: okay do you want to tell me a little bit more <2:49:33 PM> Paul Hershberger - Patient: um <2:49:36 PM> William Bohne - Doctor: okay what kind of things have you noticed since we increase the dose <2:49:38 PM> Paul Hershberger - Patient: well you know I was hoping that when we increase this dose that <2:49:43 PM> Paul Hershberger - Patient: is a lot of difference and <2:49:46 PM> Paul Hershberger - Patient: can't say I've noticed much difference at all and how I'm feeling <2:49:55 PM> William Bohne - Doctor: okay but you you wouldn't necessarily say that you're any better either <2:49:57 PM> Paul Hershberger - Patient: ah I wish I was an easy question but it's actually a hard question I'm not sure I've <2:50:04 PM> Paul Hershberger - Patient: I've noticed <2:50:06 PM> Paul Hershberger - Patient: much of anything I I guess what I can say is I don't think I'm worse <2:50:12 PM> Paul Hershberger - Patient: up yeah <2:50:17 PM> William Bohne - Doctor: yeah how does that kind of make you feel you know trying to increase dose and not really noticing much change <2:50:20 PM> Paul Hershberger - Patient: yeah you know and if if it's <2:50:24 PM> Paul Hershberger - Patient: I'm better it's so <2:50:27 PM> Paul Hershberger - Patient: such a little bit that I really haven't noticed much <2:50:37 PM> Paul Hershberger - Patient: I guess you know I'm just disappointed <2:50:40 PM> William Bohne - Doctor: right <2:50:46 PM> Paul Hershberger - Patient: hi I had hopes that you know it's kind of hard to want to start taking a medicine in the first place but <2:50:57 PM> Paul Hershberger - Patient: once I did I hoped it would help more than it has <2:50:57 PM> William Bohne - Doctor: sure so I'm kind of hearing maybe a little frustration with you know trying to increase the dose of medication and not really getting the change that we want would that be accurate <2:51:02 PM> Paul Hershberger - Patient: yeah <2:51:16 PM> Paul Hershberger - Patient: yeah I'd say that's pretty accurate <2:51:20 PM> William Bohne - Doctor: okay I know I remember last time that we've we've been trying to maybe set up an appointment with counseling or somebody to talk to do you remember us discussing that <2:51:21 PM> Paul Hershberger - Patient: yeah and I figured you'd bring that up today <2:51:36 PM> William Bohne - Doctor: yeah what are <2:51:40 PM> Paul Hershberger - Patient: I haven't done anything with that you know <2:51:44 PM> Paul Hershberger - Patient: trying to keep up with work <2:51:47 PM> Paul Hershberger - Patient: and honestly <2:51:50 PM> Paul Hershberger - Patient: I don't know about going to talk to somebody that I don't know <2:51:55 PM> Paul Hershberger - Patient: I don't I don't know I'm not I'm not sure that would help <2:51:58 PM> William Bohne - Doctor: what are your thoughts about talking to somebody are you is it more that it's <2:52:07 PM> William Bohne - Doctor: somebody that you don't know like kind of uncomfortable talking with a stranger or what are your thoughts on on talking with somebody <2:52:19 PM> Paul Hershberger - Patient: you know I realize you got to start somewhere you know I first time I saw you I didn't know you I guess I'm I don't know what they'll ask me in <2:52:26 PM> William Bohne - Doctor: right <2:52:35 PM> William Bohne - Doctor: sure <2:52:37 PM> Paul Hershberger - Patient: you know I <2:52:40 PM> Paul Hershberger - Patient: talk about <2:52:40 PM> Paul Hershberger - Patient: I'm not somebody that typically wants to <2:52:44 PM> Paul Hershberger - Patient: my feelings I guess <2:52:46 PM> Paul Hershberger - Patient: and I figure they're going to want to me to talk about my feelings <2:52:47 PM> William Bohne - Doctor: yeah that's that could be one kind of component of of counseling I think there's a lot more insight that you can get from the counseling and you know being in as a physician this is something that I have seen be very helpful for a lot of my patients and considering that we've tried the medication route we've adjusted the medication a little bit and we're not quite where we want to be in terms of mood and depression I think this this would be in next step and I think it could be very helpful for you <2:52:50 PM> Paul Hershberger - Patient: ah <2:53:27 PM> William Bohne - Doctor: do you I guess <2:53:31 PM> William Bohne - Doctor: how willing are you to try to do the counseling on a scale of one to ten at this moment <2:53:38 PM> William Bohne - Doctor: okay why not a zero out of 10 or a one out of 10 <2:53:41 PM> Paul Hershberger - Patient: I don't <2:53:41 PM> Paul Hershberger - Patient: at this point I probably would say <2:53:46 PM> Paul Hershberger - Patient: maybe a four <2:53:48 PM> Paul Hershberger - Patient: well I <2:53:57 PM> Paul Hershberger - Patient: yeah you know you're telling me that you think it would be beneficial and and I you know <2:54:02 PM> William Bohne - Doctor: right <2:54:05 PM> Paul Hershberger - Patient: I assume there wouldn't be counselors if it wasn't <2:54:10 PM> Paul Hershberger - Patient: of benefit at all so <2:54:13 PM> Paul Hershberger - Patient: I think it can help people I'm guess I'm not sure can help me <2:54:14 PM> William Bohne - Doctor: oh yeah um have you thought about what it would take to get you up towards like an eight or a nine out of 10 and willing to try this <2:54:19 PM> Paul Hershberger - Patient: a <2:54:31 PM> Paul Hershberger - Patient: well I guess <2:54:37 PM> Paul Hershberger - Patient: since we're talking about it I guess just talking about it <2:54:40 PM> William Bohne - Doctor: right <2:54:45 PM> Paul Hershberger - Patient: might push me a little bit and I do want to feel better <2:54:53 PM> Paul Hershberger - Patient: yeah yeah that's <2:54:53 PM> William Bohne - Doctor: it's it sounds like there's a little bit of uncertainty with what the counseling involves a little apprehensive about maybe talking to a stranger about your feelings but I think you're aware of there may be some benefit here in terms of treating the mood and the depression that sound about right <2:55:18 PM> Paul Hershberger - Patient: that's that's clearly where I where I am <2:55:23 PM> William Bohne - Doctor: yeah <2:55:23 PM> Paul Hershberger - Patient: I was just going to say I <2:55:24 PM> William Bohne - Doctor: and <2:55:30 PM> Paul Hershberger - Patient: you know <2:55:30 PM> Paul Hershberger - Patient: probably <2:55:31 PM> William Bohne - Doctor: I would <2:55:33 PM> Paul Hershberger - Patient: that first step is the hardest <2:55:37 PM> Paul Hershberger - Patient: making the appointment and going the first time <2:55:39 PM> William Bohne - Doctor: definitely and I realized that is a big step for you to take <2:55:40 PM> Paul Hershberger - Patient: okay we'll stop here <2:55:46 PM> William Bohne - Doctor: sounds like you know we we've tried the the medication route we've you know started you on an antidepressant we've upped the dose of that still not where you're at so I you know ultimately the the choice is up to you is the patient of what you want to do and I'm here to just present the options for you I think <2:56:04 PM> William Bohne - Doctor: Counseling in addition to the medications were on right now as long as you're not having those any any of the side effects we discussed at previous visits I think this would be a great next step for you <2:56:17 PM> William Bohne - Doctor: seems like you're you're almost in that stage of <2:56:20 PM> William Bohne - Doctor: really wanting to do this and I know that you want to be you want to be better that's that's why you meet with me and we have that's why we have a good relationship so <2:56:29 PM> William Bohne - Doctor: I think this this is would be a great next step for you to at least try <2:56:34 PM> William Bohne - Doctor: okay ________________________________________________________________________________ End of transcript at Mar 10, 2026, 2:56:43 PM