Video Transcript: >> Danica, the case manager, is talking to Allison, a

Video Transcript:
>> Danica, the case manager, is talking to Allison, a college student, in our next vignette. Allison is having difficulties with depression that seems to have been triggered by her return to college. Danica is working to help Allison formulate some goals for herself. Danica will use reflective listening and ask Allison open questions so that together they can find the best way for Allison to help herself deal with, and ultimately overcome, her depression. When we work with consumers, they are often not aware of what options for services are available. Notice that Danica does not force Allison to accept any option but does make sure that Allison is informed about what is available. Danica also expresses her opinion about the psychiatric evaluation and the medication check.
>> Hi, Allison. How are you doing?
>> Okay, I guess.
>> Okay. Well, the last time that you were here, you had talked about how you were having some trouble managing your feelings of depression and you felt like that was affecting your schoolwork. So, how, how have you been feeling since then?
>> Not really any better.
>> Okay. So, you, you’re not sensing any improvement in your overall sense of wellness?
>> No, because, I mean, I’m going to back to school and it usually happens about this time of year every year. I just, I get really down but it’s not just this time of year, but I think it’s this year mostly because I’m supposed to be graduating in the spring. So.
>> Okay, so you’re feeling an extra amount of anxiety because you’re supposed to be graduating?
>> Yeah, I’d say so.
>> Okay. Okay, so you, you’ve mentioned that you had experienced some depressive episodes in the past, and, and you said that you’re noticing that they occur usually when you return to school?
>> Yeah, but it’s not just then. It happens other times, too.
>> Okay, okay. So, what would you like to see as a result of your, your coming here to visit us?
>> Well, I mean, I’d like to feel normal. I mean, I know that I’m not going to feel elated or anything, but I definitely don’t want to feel like I do right now.
>> Right. Right, okay. So, and you, you also mentioned that you had in the past taken medication for these feelings of depression. What are your thoughts on, on that?
>> Well, it doesn’t work. I mean, well, it, it doesn’t work for me. I, sometimes I’ll forget to take it and sometimes I’ll just not take it because I go out with my friends and I don’t want to take it when I’m going out.
>> Okay. Can, can you tell me a little bit more about, about your reasons in, in not taking the medication?
>> Well, I know on the bottle it says that it has, like, bad interactions if you take it with alcohol, so I don’t want to take it if I’m drinking, so.
>> Right, okay. So, because you sometimes, you drink socially with friends you avoid your medication at that time?
>> Yeah, definitely.
>> Okay. All right. So, it’s, it’s, it sort of sounds to me that medication is something that you’d like to work on.
>> Yeah, I’d, I’d say so.
>> Okay. Okay. So, if we were to create some goals for you, maybe speaking to somebody about adjusting your medication would be something you’d like to do?
>> Yeah, I think so. Yeah.
>> Okay. Okay. Let’s see. Could you, I mean, could you summarize some other goals that you might have for yourself?
>> Well, I mean, I used to run a lot but just the way I’ve been feeling lately I haven’t really wanted to run. I haven’t wanted to do anything. So, maybe get that, get back into that at some point? So.
>> So, running was something that you used to enjoy a lot.
>> Yeah, I did it all through high school and, you know, I just have been kind of sad lately. I haven’t been wanting to do it. So.
>> It’s been hard for you.
>> Definitely.
>> Okay. Is there anything else that you want to address here today?
>> Well, I just, I feel really disappointed in myself lately. I mean, I used to be really good at school, really good at running, and lately I’ve been skipping classes and I’ve been, you know, not, not doing the homework that I’m supposed to be doing. And I just feel like, like I could be doing a lot better. And I also haven’t really been talking to my mom lately. She used to be the one that’d I call all the time whenever anything went wrong. And I just haven’t, I haven’t felt like I could call her even though I know I know I could. But, so maybe I’d like to talk to her some more, figure out a way to start talking again.
>> So, you feel, you feel like you’re, you’re sort of missing the connection that you and your mom had.
>> Yeah. Yeah. Definitely.
>> Okay, so if we were just going to summarize our meeting here today, it sounds like some goals that you have for yourself would be to improve your overall mood and, and your academic performance, and talk with somebody about maybe adjusting your medication?
>> Yeah.
>> And it sounds like running and, and getting back into a good sense of communicating with mom would be important for you as well.
>> Definitely.
>> All right. Okay. Well, what I’d like to do is take this to a treatment planning conference and just get everything sort of confirmed and then I can let you know what we, we could work together towards as far as a treatment plan for you.
>> Okay. That sounds good.
>> Okay.
>> All right.
>> We watched Danica guide Allison through the options to create goals for herself. You probably noticed that this was a collaborative process. In your work, you will help many consumers develop their goals.