Transcript of conference held at Mar 13, 2026 in room first_test@conference.miaiconvo.com Initial people present at 12:37:35 PM: Jed Speers - Doctor Ian Vannix - Patient Paul Hershberger Transcript, started at 12:37:35 PM: ________________________________________________________________________________ <12:37:35 PM> Ian Vannix - Patient joined the conference <12:37:35 PM> Jed Speers - Doctor joined the conference <12:37:35 PM> Paul Hershberger joined the conference <12:37:36 PM> Jed Speers - Doctor: all right Hi Ian how's it going today <12:37:36 PM> Ian Vannix - Patient: I'm doing okay doc <12:37:36 PM> Paul Hershberger: whenever you're ready Jed <12:38:00 PM> Jed Speers - Doctor: just doing okay <12:38:03 PM> Ian Vannix - Patient: it yeah um I know we've been on this this journey these meds kind of help mood but just it's nothing's changed yet at this point <12:38:05 PM> Jed Speers - Doctor: he said nothing's changed yet <12:38:17 PM> Jed Speers - Doctor: okay <12:38:19 PM> Ian Vannix - Patient: yeah so what we started <12:38:23 PM> Ian Vannix - Patient: we <12:38:23 PM> Ian Vannix - Patient: months ago and then I saw you again two months ago with no change and I think <12:38:27 PM> Ian Vannix - Patient: increase my my meds at that point and just my my feelings of you know <12:38:33 PM> Ian Vannix - Patient: Asian worth of status that really hasn't changed much at this point so I'm just kind of at a loss right now <12:38:41 PM> Ian Vannix - Patient: I mean I'm using the medication that you've recommended but I mean there's you know additional life stressors that always come up my roommate has moved out so I'm alone now I have this you know pending nothing is a job eval coming up at the end of the week that I'm pretty nervous about right now I know I've not been doing my best at work so it just feels like it just doesn't let up you know <12:38:43 PM> Jed Speers - Doctor: it what sort of things have you <12:38:47 PM> Jed Speers - Doctor: been trying to do to help with this <12:38:50 PM> Jed Speers - Doctor: yeah <12:39:19 PM> Jed Speers - Doctor: um <12:39:20 PM> Jed Speers - Doctor: tell me tell me about <12:39:23 PM> Jed Speers - Doctor: why you haven't gone to this <12:39:25 PM> Ian Vannix - Patient: you know part of it is I guess I <12:39:28 PM> Jed Speers - Doctor: resource that I recommended to you about counseling <12:39:32 PM> Jed Speers - Doctor: yeah yeah <12:39:36 PM> Ian Vannix - Patient: I initially forgot about the referrals who I saw you three months ago and I think you put it in again and <12:39:45 PM> Ian Vannix - Patient: you know I don't know the I was hoping these meds would be helpful I don't like the idea I guess I really seeing you know a therapist to shrink <12:39:55 PM> Ian Vannix - Patient: yeah it's just it's it's hard to you know make a change really hope the meds would have would have done the job at this point <12:40:06 PM> Jed Speers - Doctor: sounds like you've been really going through a lot and that the other things that you've been trying including the medications hasn't really been working for you <12:40:18 PM> Jed Speers - Doctor: what do you think is going to be <12:40:18 PM> Jed Speers - Doctor: the <12:40:19 PM> Ian Vannix - Patient: I mean I don't know I mean I'm here for a refill of my medication so I keep hoping you know they they say it takes time for it to kick in so keep hoping you know tomorrow will be the day right I don't know maybe it's time to bite the bullet and you know pursue the referral that you've made <12:40:21 PM> Jed Speers - Doctor: thing that takes you in the right direction <12:40:25 PM> Jed Speers - Doctor: okay <12:40:43 PM> Ian Vannix - Patient: wasted <12:40:46 PM> Jed Speers - Doctor: um <12:40:48 PM> Jed Speers - Doctor: if if this <12:40:48 PM> Ian Vannix - Patient: here I mean it's not going to keep impacting my work it's not going to get better <12:40:50 PM> Jed Speers - Doctor: if this kind of continues <12:40:53 PM> Jed Speers - Doctor: where do you see it going how do you think this is going to affect your job <12:40:53 PM> Jed Speers - Doctor: and <12:40:59 PM> Jed Speers - Doctor: your future <12:41:02 PM> Jed Speers - Doctor: okay <12:41:06 PM> Ian Vannix - Patient: I don't see anything improving by just stay the course if nothing changes <12:41:11 PM> Ian Vannix - Patient: so I guess I guess maybe I'm realizing yeah it's time to do something in addition to the medication since it's not not quite doing the job at this point <12:41:24 PM> Jed Speers - Doctor: um how how ready do you feel to make that change on a scale from one to ten <12:41:28 PM> Ian Vannix - Patient: like maybe a six <12:41:32 PM> Jed Speers - Doctor: maybe a six <12:41:35 PM> Ian Vannix - Patient: I mean I wish yeah I wish I wish I could say more but I don't know six months of trying something with really no improvement my hopes aren't necessarily very high that this will do it but you know something's got to give <12:41:37 PM> Jed Speers - Doctor: I'm glad you're as high as a six why not a four or a lower number <12:41:48 PM> Ian Vannix - Patient: I guess not lower in that I recognize you know I can't just keep doing the same old same old because it's it's just gonna be the same you know low motivation feeling worthless as we go on for six months and I don't want that I do want you know to feel better and you know if I need to add something else to the mix to improve it <12:41:55 PM> Jed Speers - Doctor: okay <12:42:17 PM> Ian Vannix - Patient: probably <12:42:18 PM> Ian Vannix - Patient: a good idea to check out <12:42:21 PM> Ian Vannix - Patient: I mean I guess the first piece would be you know following up with the referral you've made taken that step <12:42:24 PM> Jed Speers - Doctor: what what is this change going to look like for you <12:42:34 PM> Ian Vannix - Patient: and you know meeting with some counselor seeing what their <12:42:39 PM> Ian Vannix - Patient: valuation is and <12:42:41 PM> Ian Vannix - Patient: what steps can be taken to hopefully get things moving in the right direction <12:42:42 PM> Jed Speers - Doctor: okay so it sounds like after this time where this medication still has not been helping you as much as you wanted your feeling more ready to make a change <12:42:55 PM> Ian Vannix - Patient: it's <12:43:00 PM> Jed Speers - Doctor: and <12:43:01 PM> Jed Speers - Doctor: a more ready to go see this counselor <12:43:03 PM> Ian Vannix - Patient: you know <12:43:03 PM> Ian Vannix - Patient: I'd like to I got I got to get through this week with the job evaluation coming up you know I'm not sure if I can <12:43:07 PM> Jed Speers - Doctor: is <12:43:07 PM> Jed Speers - Doctor: so <12:43:08 PM> Jed Speers - Doctor: something that you're planning to do before the next time that I see you <12:43:21 PM> Ian Vannix - Patient: to make <12:43:21 PM> Ian Vannix - Patient: some kind of a deal with that so I might have to wait until that's done <12:43:24 PM> Paul Hershberger: here we can stop here Jed <12:43:27 PM> Ian Vannix - Patient: yeah I I should follow up <12:43:27 PM> Jed Speers - Doctor: okay <12:43:32 PM> Jed Speers - Doctor: okay great <12:43:34 PM> Paul Hershberger: and ________________________________________________________________________________ End of transcript at Mar 13, 2026, 12:43:38 PM