**BPS Video — Transcript & Summary | SozAI** Source: https://sozai.app/transcript/bps-video/ Therapist Mallory Lee conducts a confidential intake session with Caitlyn, discussing depression, health, and personal background. ## Key Takeaways - Confidentiality and safety are emphasized at the start of the session. - Caitlyn has chronic depression managed with medication and psychiatric care. - Physical health issues like epilepsy and asthma impact her overall well-being. - Financial and social barriers affect her access to healthcare and self-care. - Stable relationships and social support are identified as important strengths. ## What the video covers - The video is a confidential therapy intake session led by Mallory Lee with a client named Caitlyn. - Caitlyn shares personal details including age, race, relationship status, and employment. - She discusses her long-term struggle with depression and current medication regimen including duloxetine and Xanax. - Caitlyn reveals she has frontal lobe epilepsy and asthma, and mentions challenges with physical health and energy levels. - She describes difficulties with sleep, eating habits, and feelings of burnout and low motivation. - The session covers family mental health history and barriers to accessing primary care. - Caitlyn expresses stress related to school, financial constraints, and relationship dynamics. - The therapist notes Caitlyn’s strengths such as stable relationships and social support. - The conversation touches on experiences of stigma, discrimination, and political views. - The session aims to establish goals for therapy including reducing depression and increasing enjoyment in life. ## Chapters 1. 00:00 Introduction and Confidentiality 2. 00:59 Relationship Status and Family Background 3. 02:05 Education and Employment 4. 03:34 Discovery of Therapy Services 5. 04:31 Medication and Depression History 6. 06:00 Symptoms and Impact of Depression 7. 07:02 Physical Health and Medical Conditions 8. 08:04 Sleep, Energy, and Medication Details 9. 11:03 Eating Habits and Lifestyle 10. 12:25 Neurological and Developmental Issues Answers ## Questions about this video What medications is Caitlyn currently taking for her depression and epilepsy? Caitlyn is taking duloxetine twice daily for depression and lacosamide for her frontal lobe epilepsy. She also has a prescription for Xanax at a low dose. What are the main challenges Caitlyn faces related to her mental health? Caitlyn struggles with chronic depression, low energy, difficulty staying awake, feelings of burnout, and lack of enjoyment in activities she used to like. What barriers does Caitlyn experience in accessing healthcare? Caitlyn faces financial constraints, limited work hours, difficulty finding a nearby primary care doctor, and relies on her parents' insurance until age 26. ## Full Transcript — Download SRT & Markdown 00:00 Speaker A Okay. So, before we get started today, I just want to let you know that I will keep everything that you say confidential. This is a safe space for you. Um, anything you say will, um, not be told to anyone except if you say that 00:18 Speaker A you want to harm yourself or someone else. Does that make sense? All good. What would you like to be called name-wise? 00:26 Speaker A Caitlyn. Okay. And what are your pronouns? She, her. Okay. And how old are you? 00:33 Speaker A I'm 24. All right. And what race would you say you are? Um, I'm white. I don't know what kind of white. 00:48 Speaker A That's fine. Caucasian. Okay. And are you married, living with a partner? 00:59 Speaker A My man don't want to put a ring on it. 01:06 Speaker A So? Oh, okay. But I am living with him. So, are you and your partner engaged or anything or just dating? 01:22 Speaker A Just dating. Okay. Wish it was, but whatever. Hey, I get it. And would you say like your parents are divorced or are they together? 01:43 Speaker A Girl, they should be divorced. 01:56 Speaker A They together. Okay. I understand that. And are you currently employed? 02:05 Speaker A Uh, yes. Um, I, I'm in grad school and then I have an internship and then I work at Starbucks on the weekends. 02:34 Speaker A Okay. Where are you at grad school? 02:44 Speaker A Um, the ESM School of Social Work. And then my internship is working with children with disabilities. 03:02 Speaker A Okay. And where is that located? 03:15 Speaker A Um, in purpose. It's called Jefferson Todd Education Center. 03:34 Speaker A Okay. And how did you learn about us and our services? 03:43 Speaker A Um, so I have been struggling with depression for a while and I kind of just looked up, um, therapist near me and you happen to pop up and I like your, um, 03:53 Speaker A your profile so I figured why not. Okay. And so is the depression your main concern for services? 04:12 Speaker A Yes, I've been depressed for the majority of my life. And have you ever taken medication for that or anything like that? 04:20 Speaker A Um, yes. I take, um, I do see a psychiatrist. I take, uh, duloxetine. Do you want me to spell that for you? 04:31 Speaker A Yes. D U L O X I T I N E. Okay, you might have to fact-check that spelling. I don't know. Um, but gives you an idea how to look at it. 04:50 Speaker A Um, and I take five milligrams of that. Uh, excuse me, 10 milligrams of that twice a day. Once in the morning, once at night for my depression. 05:20 Speaker A Okay. And I've been on it forever. Um, since 19, 24 now. So, I've been on that for about five years. 05:31 Speaker A Okay. So, why are you here today? I know like some of the depression, um, where does it show up prominently in your life? I think I don't know. I just be thinking about the state of the world sometimes, like I 05:48 Speaker A get overwhelmed by like the news and things like that and I just don't want to get out of bed. I don't want to, don't want to do anything. 06:00 Speaker A Like I used to enjoy like the things I'm doing, um, but now I don't really enjoy the things I used to do. So, okay. 06:08 Speaker A So what are your goals for this visit today and for future visits? This visit I mean just to kind of explain like you an idea like how I'd be feeling so we can know to go from there and then overall I guess be less burned 06:15 Speaker A out, be less depressed. Okay. Find enjoyment and things like that. And so these next questions I'm going to ask you are more about like your physical health and things like that. So, um, do you have any significant medical 06:31 Speaker A conditions that might be affecting some of this depression? I do have, um, frontal lobe epilepsy. 06:45 Speaker A Okay. Got diagnosed with that about four years ago. I take an anti-seizure med for that. It's called bossamon. L A C O S I M I D E. Sorry. 07:02 Speaker A That's fine. It should, it's just hard to spell. Um, that's fine. And then it wouldn't really affect my depression, but I do have, um, asthma. 07:12 Speaker A Okay. Just something make you write down whatever. Yeah, absolutely. And you do have an inhaler for that, right? 07:31 Speaker A Yeah. I haven't got one in a while 'cause it could be expensive, but understandable. 07:39 Speaker A But it is good to have one just in case. You never know. Um, and how would you say like your physical health is? Are you taking care of yourself? Going to doctor's appointments? 07:47 Speaker A All right. So, tell me more about that. Since I can only work two days a week and because my internship's not paid, I kind of just don't have enough money for things. And so like I would, I would like 08:04 Speaker A to go see my primary doctor and like get like my physical health like better. Like I feel like I've been, I've had less time to exercise and work out. I've been gaining weight. So that kind of makes me feel bad about myself. 08:22 Speaker A Okay. I'm just poor. I understand. Especially being in college and having an internship going on. 08:28 Speaker A I like your cat. Cute. His name's Toby. Does he bite? Sometimes, but he's usually pretty friendly. 08:43 Speaker A So, you have any disabilities? Um, chronic illness, pain, mobility, or other physical functioning concerns? 08:59 Speaker A Um, disability. I do feel like I'm disabled. Like, I do feel like there's something wrong with my body. 09:06 Speaker A Okay. But like I, I have problems staying awake, but I like technically I don't, um, I'm sorry. Um, I don't insomnia or anything like that. 09:15 Speaker A So, but I have a really hard time like staying awake. Okay. And like I've tried like medicine from my psychiatrist to help me stay awake, but I just don't have no energy no matter how much I sleep. Okay. 09:23 Speaker A And then other than the medications that you've already described, are there other, um, ones that you're taking? 09:37 Speaker A Um, I'll just be taking duloxetine for my depression. What else is she saying? Um, what other medications besides, um, that and the, um, one that you take for your epilepsy do you take? 09:58 Speaker A Yeah, for my epilepsy. And then what else should I be taking? I'll be taking I think that's 10 milligrams twice a day. 10:10 Speaker A And then I'll be taking, um, Xanax. It prescribed it. I'll be doing that. Okay. 10:18 Speaker A On the little ship. Um, but it's like the smallest dose. It's like I'd have to bring the bottle next time to tell you. 10:27 Speaker A But I think it's like the half half a gram or I think it's half. 10:40 Speaker A Okay. I'll have to bring it. No, that's fine. Just bring it next time. All right. And we already discussed your sleep. Um, that should be horrible. 10:46 Speaker A That, um, what about your eating habits? I be a big bag sometime. Um, I try to eat healthy. I try to eat like fruits and vegetables and stuff. I just have a snacking problem like I'd be eating like chocolate bars and 11:03 Speaker A stuff like that between meals. But my actual meals I feel like are pretty healthy. Like in the morning I'll have like a protein waffle and then for lunch I'll have like a sandwich and some fruit. And then for 11:23 Speaker A dinner I'll have like some soup or something. But in between I eat like chips like candy. 11:33 Speaker A All right. And how would you say your energy levels are? Not great. Um, I struggle to stay awake. 11:40 Speaker A Don't really know why. Okay. I can sleep for 14 hours and that's still okay. 12:04 Speaker A Um, and is there anything else health-wise that you would want to add? Not really. 12:25 Speaker A Okay. So, we did about your epilepsy. Um, are there any other developmental or neurological issues that you're having or have had? 12:34 Speaker A I just didn't have a good childhood, but okay. And I think we'll get to that in a different section. So, we'll definitely talk more about that. 12:50 Speaker A All right. Um, is there any family medical or biological history of depression or anxiety, anything like that? 12:58 Speaker A Not diagnosed. My parents don't believe in mental health. So, I could tell you the problem is, but a doctor seen them. 13:21 Speaker A So, okay. My dad's nerves are bad. Okay. When you say his nerves are bad, um, what do you mean by that? Like he can be irritable or he's very irritable and very anxious all the time. He has sleep problems, too. 13:40 Speaker A I think I might get it for him a little bit. And you have, um, I know we talked about like that you haven't been to your primary care physician in a while. 14:01 Speaker A Um, what are the barriers with that other than just cost and time? Like what could we do that might would help that? 14:16 Speaker A Definitely finding a doctor near me. Okay. Because everybody in be. Okay. And would, um, are you, do you have insurance? 14:35 Speaker A Yeah, I've been using my parents. Blue Cross Blue Shield. Okay, I got that. So, I turned 26. 14:52 Speaker A All right. And would you need a sliding scale or payment help services? Oh, yeah. 'Cause that don't be. All right. Yeah, sometimes it doesn't pay a whole lot. Why be pa 15:00 Speaker A I mean, I know a wooden stress, but try to run away from it. Okay. 15:12 Speaker A Like if I'm not laying down, I don't feel calm. Okay. So you would say that that would be like a coping strategy that you have is to when you feel stressed go lay down in the bed. 15:30 Speaker A It's just getting out of bed that's the problem. Okay. But yeah, you Do you have any safety concerns where you are at home? 16:07 Speaker A You mean like somebody being abusive or trying to hurt me? That could be it. Or um you know, do you feel safe in your environment at work? 16:17 Speaker A Um you know, just um feeling like you can function in your environment. I mean, nobody trying to hurt me now. 16:30 Speaker A Okay. I agitated with people. People be yelling sometimes at work, but that's just them taking that too serious. 16:39 Speaker A Yeah, yelling at work happens sometimes. All right. And so your family structure, so you said um that your parents are together. Unfortunately, sometimes marriage can be rocky. For sure. And would you say you have a positive or negative relationship with 17:14 Speaker A your parents? Big negative sign. Okay. All right. Is there anyone else that lives in the home with you? 17:27 Speaker A Just my boyfriend. Okay. We have two cats. I moved in with him about a year ago. 17:39 Speaker A Okay. Um, who would you say was the bread winner of your family when you were growing up? 17:51 Speaker A Definitely my dad for a while until I heard his neck and it was my mom. Okay. 18:13 Speaker A and what are some other friendships and social supports that you have? Um, I mean I be having my boyfriend but like I live with him so I feel like it's kind of different but he supports me enjoy the time. 18:27 Speaker A Okay. And then I had my friend Abuse my roommate and call. And then I have people that my classmates that I'm friends with. 18:38 Speaker A All right. And are you currently a parent or taking care of a relative or anything like that? Girl. 18:51 Speaker A Okay. Do not want no kids. And how are you functioning in school? Just barely. I mean, I'm doing my work, but it's rough. 19:08 Speaker A Okay. So, would you say that you're dealing with some stress in school? Yeah. I mean, like I can turn everything in and like do my best on everything, but I feel like other aspects of my life be suffering. Like I can't spend time 19:22 Speaker A with my friends. I don't do I don't really take care of myself like I should. Okay. 19:38 Speaker A Do you volunteer and do or do anything for fun like outside of your home? 19:43 Speaker A Normally I would, but my grad school is kind of hard, so not true. And do you do anything like in the neighborhood or anything like that? 19:54 Speaker A Before I started school, I would say no, but not at this moment. Okay. And what does your housing situation look like? I know you said you lived with your boyfriend. 20:05 Speaker A Um, would that be an apartment? Okay. He pays the rent. I just pay utilities. 20:12 Speaker A Okay. And what kind of do you have any stress around finances? I'd be worried about I'm going to pay my tuition or like for example my sleep like I need a sleep study done but I don't have the money for that. So 20:47 Speaker A and do you have access to any financial resources? And that's something we might look into at a later date. I can get you some paperwork on that as well. 21:06 Speaker A So, would you say that you have issues um paying for food, transportation, healthcare access, and other basic needs? 21:14 Speaker A Yes and no. Um my boyfriend like has money and like He's not rich, but he has money to give me. I just feel bad asking him for money, so I go without sometimes. 21:27 Speaker A Okay. He says I can't ask him for telling him about it when I don't. 21:40 Speaker A All right. So, would you say that's more on the food side or like transportation, health care or basic needs? 21:48 Speaker A He pay for food, but transportation and healthare. I'd be afraid to ask people. Okay. I feel like that's doing too much. 21:58 Speaker A Okay. And would you say that you feel a sense of belonging or social isolation um in your community and in your school? 22:14 Speaker A I feel like I belong uh in my school with like the students, the professors. 22:21 Speaker A They just there for a paycheck community. I don't really know my neighbors, but like we don't we don't break into each other's cars or nothing. 22:34 Speaker A Okay. Well, that's good. So would you say there's any legal educational um healthcare like child welfare or service social service issues affecting you? 23:01 Speaker A Just healthare healthare was like my insurance like don't be really like they quoted me for my sleep stud English or primary language? 23:40 Speaker A Yes. I tried to speak Spanish. I feel that. So I understand it can be difficult to learn a second language. 23:50 Speaker A Are there any other um identities that are important to you that I know? Not really. Yeah. I'm just like a feminist but if you count me being a woman, but besides that, not really. 24:10 Speaker A Have you had experiences of discrimination stigma marginalization oppression, or systemic barriers? I mean, I feel like as a woman, like we all got some compared to men. 24:23 Speaker A Okay. Cute cat. Thank you. But besides that, no, I'm not discriminated against because my race or anything like that. Okay. 24:44 Speaker A And do you follow a organized religion or spirituality? Girl, no. I I used to be like big Christian, but I don't know. I just like I still believe in God and all that, but the church, the things they were doing. 25:03 Speaker A Okay. What would you say? still believe in those things or is it just like a drift? 25:10 Speaker A I believe in Jesus but like not the Bible. Okay. Would you say that you have any personal values and beliefs that guide your decisions or behavior? 25:46 Speaker A I mean, if we're talking like politics, like I I vote pretty much everybody on the left. Like I just feel like like I support like LGBTQ. 25:56 Speaker A Like I think like all the races should be equal and they are, but we don't treat people. 26:04 Speaker A I'm pro-choice, things like that. Okay. What would you say as a source of meaning and purpose in your life? 26:18 Speaker A That I struggle with. Okay. And would you say you have any sources of hope, comfort, connection, or inner strength? 26:36 Speaker A I don't have a lot of hope. Um, comfort. I mean, I've been leaning on my boyfriend a lot, but like strength, I don't know. I trouble with that. 26:50 Speaker A I don't be saying stuff like I like about myself. Would you say you struggle with self-esteem then? 27:02 Speaker A So would you say you have any philosophical connections or connections in the community? I'd be connected to the earth. Like I believe in like nature and like protecting the environment and stuff, but I don't really feel connected to the 27:18 Speaker A community. Okay. Do you have any beliefs that influence your coping or your um help seeking like any health decisions you may make? 27:40 Speaker A Um relationships responses to adversity. Um, my self-esteem. Like sometimes I'm like, "Oh, like you don't need to be spending all this money on yourself even though it's like a psychiatrist appointment or something like that." That makes it kind 27:59 Speaker A of hard. Okay. Do you have any spiritual or existential concerns? I'll be worried about the end of the world sometimes. 28:21 Speaker A Let the world end. Would you say you have any resources within your spirituality? So like that could be um community based, it could be friend based like in the school. Um it could be about like different political groups or 28:56 Speaker A organizations within that as well. I mean I just mainly feel connected to my friends. Besides that, I don't really feel connected to anybody. 29:04 Speaker A Okay. So, I'm going to sum all this up for you to make sure that I am hearing you correctly. Um, so your primary concern is your depression and that is why you're seeking um treatment in the facility today. Um, 29:30 Speaker A you are currently living with your boyfriend um and and you are trying to get through grad school. 29:39 Speaker A Okay. And so, um, biologically you're struggling with burnout and different things like that. Um, psychologically would be more your depression. 30:02 Speaker A Um, from what I've heard in this interview, um, and then socially, um, you do have friends and, um, your boyfriend that helps support you. 30:28 Speaker A And then spiritually is more like within nature um and within like political views and different things like that. 30:39 Speaker A Okay. I don't like organized religion. It's not for me and it's not for everybody for sure. 31:00 Speaker A And so I learned that school impacts a lot of being able to pay for things um that part. 31:12 Speaker A Yeah. Being able to pay for health care and just different things like that um that you might need psychologically or physically. 31:27 Speaker A And so I would say um a good strength that you have is that you do have what seems to be a good relationship. It's stable and it brings you um a lot of support and closeness and then you also 31:40 Speaker A have some good friendships as well. I agree with that. Okay. So I would say like a barrier that we need to work towards um bridging the gap is um finances as far as affording healthcare and different things like 32:06 Speaker A that. Okay. Um and what would you say is the most important or most helpful thing that I could do for you? 32:21 Speaker A Just I mean I know you can't wake a magic wand and do it but um just make me less depressed. Just working on my depression. 32:29 Speaker A Okay. Feeling less burnt out. I think we're done with our Thank you so much for coming in. 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