Using the GAD-7 With Adolescents to Adjust Treatment

Transcript

• 00:03Hi Nikki. It's so good to see you
• 00:05again. How have you been feeling
• 00:06since the last time that that we met?
• 00:08Things have been good.
• 00:09Yeah. I saw my family
• 00:11this weekend, my cousins.
• 00:13We had a big BBQ, which was really fun.
• 00:16But I have been feeling pretty
• 00:19kind of worried today and I've and
• 00:21my stomach's been hurting a lot.
• 00:22So I've been thinking maybe I should
• 00:23go to the nurse. OK, so it sounds
• 00:25like it was a really fun weekend,
• 00:27but today you're just stomach
• 00:29isn't feeling right and it could
• 00:32be related to your worries.
• 00:34So why don't we do our session today?
• 00:35We'll do our feelings, check in,
• 00:37and then see how your stomach's feeling
• 00:39after that. And if you still need
• 00:40to go to the nurse after we meet,
• 00:41we can make sure to get you over there.
• 00:43OK, That sounds good. All right,
• 00:45So I just want to make sure that we're
• 00:47not missing anything about the different
• 00:49kinds of worries that you might be having.
• 00:51I'd love to have you just fill
• 00:53out this GAD 7 checklist.
• 00:55Now, did you want me to fill this out?
• 00:57We can fill it out together,
• 00:58or you can do it.
• 00:59I think I can do it. Yeah. OK, great.
• 01:01We've gotten so used to these.
• 01:03That's great.
• 01:03Take your time.
• 01:15OK, Good. Awesome. All right.
• 01:18So is it OK if we score this
• 01:19and we can talk it through?
• 01:21Great. All right. So remember,
• 01:22we do our quick math here.
• 01:25I know you can can let me know
• 01:27if I'm not adding it up right.
• 01:29Okay. So today it looks like
• 01:31your total score is a 12.
• 01:32The lowest score that you
• 01:33can get on this is a 0.
• 01:35And then the highest score is a 21.
• 01:37So today at 12 puts you in
• 01:39the moderate anxiety range.
• 01:41So not the highest, highest,
• 01:43but but you know higher up there.
• 01:45And it it looks like from this
• 01:47that you're feeling pretty nervous,
• 01:49anxious and on edge almost every
• 01:52day and having some trouble
• 01:54controlling your worrying and worrying
• 01:56about a lot of different things.
• 01:58It does look like though you are
• 02:00not really having as much trouble
• 02:02relaxing or feeling restless or
• 02:04having a hard time sitting still,
• 02:06which I can tell you look really
• 02:08calm just sitting here.
• 02:09But you're telling me that you have a
• 02:11lot on your mind with these scores.
• 02:14How does that fit with how you feel?
• 02:16Yeah, I think.
• 02:17I think that
• 02:17matches pretty well.
• 02:20Lately, I've been feeling like
• 02:22so many things could happen,
• 02:23but I just don't really
• 02:25have control over. And then
• 02:27I also have just been having, like,
• 02:28negative thoughts in general.
• 02:30OK, so it sounds like you're worrying
• 02:31about a whole lot of different things,
• 02:33actually, especially while
• 02:34you're here at the school day.
• 02:36Can you tell me a little bit more
• 02:37about the negative thoughts? Yeah.
• 02:39So, like, I guess I've just been
• 02:41feeling kind of paranoid lately,
• 02:43worried about, you know, my mom.
• 02:46What if she gets in a car accident?
• 02:48Or what if she gets COVID?
• 02:50Or what if I get COVID and
• 02:54then end up in the hospital?
• 02:55Or something really bad happens?
• 02:58This morning I was worrying
• 02:59about my math quiz.
• 03:01Even though I studied a lot
• 03:02last night, I still felt like
• 03:03I was going to fail the quiz,
• 03:05just kind of feeling really,
• 03:07like, nervous about things.
• 03:08So you're you're actually worrying
• 03:10about a whole lot of different things,
• 03:12including worrying about getting
• 03:14sick or COVID, but also things like
• 03:16the math test you were worried about
• 03:18even though that you had studied.
• 03:20So you have a lot of things on your mind.
• 03:22Yeah. OK.
• 03:22So it's really helpful to hear that.
• 03:25Thanks for sharing that with me.
• 03:27I was thinking that today for our session,
• 03:29we could keep working on some
• 03:31different ways to take deep breaths.
• 03:32I know we've been working on that.
• 03:34But now that I'm hearing about this,
• 03:35I'm wondering maybe you want to change
• 03:37things up if it would be helpful for you to,
• 03:40like, talk back to your worries
• 03:42or work on some mindfulness.
• 03:44There's different things that we could do.
• 03:46So what are your thoughts about
• 03:48what would feel helpful today?
• 03:49Yeah,
• 03:49I I really like the deep breathing
• 03:52and I like learning about it,
• 03:54but I feel like I can't think about it
• 03:56when I'm worried or like,
• 03:58I I don't practice it well,
• 03:59so maybe doing something
• 04:00else would be a good idea.
• 04:02OK, great. So it sounds like a
• 04:04good time to change things up,
• 04:05that we have lots of other choices.
• 04:07So let's see.
• 04:08There's a couple things we could do.
• 04:11We could do a worry jar where you
• 04:13actually write down your worries
• 04:14and you put them in a jar and
• 04:16and literally put them aside.
• 04:17And we could kind of talk through that.
• 04:19We could also start with
• 04:20some mindfulness activities,
• 04:21some really simple things.
• 04:22I don't know if you've
• 04:24tried mindfulness before.
• 04:25It can be a really nice way to quiet
• 04:27your mind when you have a lot going on.
• 04:29So what sounds good to you?
• 04:30Should we talk about the worry jar or
• 04:33do you want to start some mindfulness?
• 04:36I like both.
• 04:36I would want to try both,
• 04:37but I think maybe the
• 04:39mindfulness would be good today.
• 04:40OK, that's great.
• 04:41I have a great activity, kind of a
• 04:43starter activity that you might like.
• 04:45Great.