Using the Outcome Rating Scale
August 28, 2023ID10666
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- 00:09How you doing today? Good.
- 00:11Yeah. How about you? Good, Good.
- 00:12Can we start today and just start
- 00:14with our check in to see how things
- 00:16have been going overall and we can
- 00:17kind of use that as our springboard?
- 00:19Yes. For a session. OK. So I have you
- 00:21pulled up here and let's do the ORS. OK.
- 00:27So just take a minute and just
- 00:29rate how things are going for you.
- 00:42OK. OK, great. So it looks like today that
- 00:47your score is a 24 is actually a little
- 00:49bit higher than the last time that we met.
- 00:52And I can see over here that it looks
- 00:54like you're you're interpersonally
- 00:56and you're socially scores are
- 00:58a little higher than last time.
- 01:00Can you can you tell me a
- 01:02little bit about that?
- 01:02Have things been better
- 01:03since the last time we met?
- 01:05Yeah, I mean, like,
- 01:06I think we've talked about how,
- 01:08like, when school is bad,
- 01:09at least to the point where my
- 01:11grandma knows, like, you know what,
- 01:13when she knows that I'm skipping
- 01:15or my grades start sliding,
- 01:16Like she yells at me and I hate it so much.
- 01:19I feel like I'm letting her down.
- 01:21So, you know, she doesn't really
- 01:23get what I'm dealing with.
- 01:24But she doesn't deserve that
- 01:26stress either kind of thing.
- 01:28So I've been really trying to use that,
- 01:30like managing my emotions,
- 01:32stuff that we talked about and
- 01:34just trying to push through.
- 01:36So I'm hearing that school is
- 01:37still really a struggle for you,
- 01:39but you're working really hard to
- 01:40push through because how you're doing
- 01:42in school is really connected to
- 01:44your relationship with your grandma.
- 01:45So is that why we still see that the
- 01:48interpersonally and socially scores
- 01:49of the lowest of overall everything.
- 01:51Yeah. But like I said like things have.
- 01:54I've been really trying to push through.
- 01:56I feel like I've. You know,
- 01:57so I think things have gotten a
- 01:59little bit better. OK. But yeah.
- 02:01So. So this little increase does
- 02:03kind of match your experience.
- 02:04It sounds like things are going
- 02:05to be a bit better. Yeah, right.
- 02:06So how have you been able to do
- 02:08that and like, pushing through?
- 02:09Are there certain, like,
- 02:10strategies you've been using
- 02:11or are you keeping your grandma
- 02:13in mind or something else?
- 02:14Like how how are how are
- 02:16you making that happen?
- 02:17Mainly just like trying not to,
- 02:19like, catastrophize about like,
- 02:20what my classmates are thinking
- 02:23or what my friends are thinking.
- 02:25And then also just like,
- 02:26really not wanting to disappoint my grandma
- 02:29because I hate when she yells at me.
- 02:32So yeah, I I still hate being in class
- 02:37and I feel like everybody's on my case
- 02:39because I have a personality or whatever,
- 02:41so it's still annoying.
- 02:42But yeah, I'm just trying to like
- 02:44work through for my grandma, I think.
- 02:46But I have honestly noticed that,
- 02:47like when I don't sleep at night,
- 02:49things are a lot worse.
- 02:50Like I'm a lot more cranky and annoyed.
- 02:55Like last night,
- 02:55I didn't get any sleep at all.
- 02:57So
- 02:57are you noticing that each day is
- 02:59a little bit different and some
- 03:00days are harder than other days
- 03:01in terms of how you're feeling?
- 03:02Yeah. And you're noticing that's
- 03:04actually connected to your sleep,
- 03:05maybe in part, Yeah.
- 03:06That your harder days are when
- 03:08you're having a hard time sleeping?
- 03:09I think so. Okay.
- 03:13And I can appreciate how
- 03:14hard school is for you.
- 03:15I can tell that you're working really hard
- 03:17to kind of push through and stay in class,
- 03:20you know and and doing that on on
- 03:22behalf of kind of legal relationship
- 03:23at home with your grandma.
- 03:25But you know, thanks for
- 03:26mentioning the sleep issue.
- 03:28We actually talked about that a
- 03:29little bit during the intake like
- 03:31in the very beginning of the school
- 03:32year with you and your grandma.
- 03:34But we haven't focused on that very much.
- 03:37You know, in our sessions.
- 03:39Would it be useful today for us
- 03:40to talk about sleep or about or
- 03:42about something else? I think so.
- 03:44I think I have insomnia, honestly.
- 03:46So OK, is that even curable?
- 03:49We can. There's so much
- 03:50we can do to actually talk more
- 03:52about the kinds of sleep issues
- 03:54maybe you're experiencing,
- 03:55what those patterns are like.
- 03:57And there are things that we can do and
- 03:59try out to help you kind of get to sleep,
- 04:01stay to sleep, wake up,
- 04:02feeling a little bit more rested.
- 04:04So that might be an important
- 04:05target for us to kind of switch
- 04:07gears and focus on right now,
- 04:09since you're noticing that connection
- 04:11between your sleep and how you're
- 04:14feeling during the school day.
- 04:16So what do you think about that?
- 04:17Should we talk about some sleep stuff today?
- 04:19Yeah, Yeah. Yeah. It sounds good.
- 04:21Okay.
- 04:21And then when you the next time you come in,
- 04:24just keep in mind that you can use
- 04:26the individually scale actually to
- 04:28rate how you're doing on sleep and
- 04:30other things like that personally.
- 04:32So we might want to use that individually
- 04:34scale to kind of keep an eye on
- 04:36the sleep piece each time we meet.
- 04:37Yep, that sounds good. Okay.