Doctor: what was happening why did you come into the hospital?

Doctor: were there some problems?

Patient: hmmm…
Doctor: what were some of those problems?
Patient: I was having some problems believing in myself
Doctor: I'm sorry?
Patient: mm-hm believing
Doctor: believing in yourself in what way
Patient: you know I was depressed and
Doctor: can you tell me something more about that?
Patient: I wasn't working
Doctor: had you been working?
Doctor: was that a change
Patient: well I graduated from college I didn't know what I was gonna do with my life
Doctor: mm-hmm
Patient: I went to Colorado
Doctor: how much time did you spend in Colorado
Patient: seven months
Doctor: were you working in Colorado mm-hmm?
Patient: I was a waitress but I quit
Doctor: why did you quit
Patient: and why did I quit the job?
Doctor: mm-hmm
Patient because I decided to go see my boyfriend
Doctor where was he
Patient: he was here in Indiana
Doctor: did you move in with him
Patient: yeah
Doctor:how has that been
Patient: not very good
Doctor: you said before that you're living by
yourself now did you move out
Patient: yeah
Doctor :When did you decide to do that?
Patient: about a week ago
Doctor: did some major event affect that decision?
Patient:and there's always something major
surrounding any decision isn't there
Doctor: well was everything going smoothly
before you moved out?
Patient: I don't think it was going real smooth, I don't think I really tried hard enough at making the
relationship work
Doctor: but you felt everything was okay when you first moved out was your mood depressed then?
Patient: how didn't I I guess I was depressed
Doctor: when would you say things in your life changed that you noticed a difference in
your mood
Patient: difference in my mood?
Doctor: mm-hmm
Patient: my moods always changed don't yours?
Doctor: yours always change?
Patient: yeah
Doctor how do you feel now is it like you might feel if someone close to you died
Patient: No
Doctor: how is it different
Patient: justice
Doctor: how
Patient: when my grandmother died I just felt sad, now I feel he useless, I'm shame
Doctor: is there a time during the day when that feeling is worse than other times
Patient: when I wake up hi there on my bed, sometimes I just can't bear it
Doctor: after you moved out of your boyfriend's place did you find a place of your own
or move in with friends?
Patient: they don't deal with a friend
Doctor: are you trying to find a place?
Patient: not really
Doctor: how do you see your future
Patient: I'd like to
Doctor: like to find a place? mm-hmm
Doctor: how do you see your situation you see things
getting better?
Patient: No
Doctor:have you been spending your time lately, what do you enjoy doing
Patient: nothing really
Doctor: how would you say your energy level has
been
Patient: down
Doctor: have you been eating?
Patient: in the past month?
Doctor: mm-hmm
Patient: not really
Doctor: have you had much of an appetite? have you been hungry
Patient: no
Doctor: how is your sleep bin have you been sleeping
Patient: not really
Doctor: do you worry very much?
Patient: yeah a lot I guess
Doctor: what kinds of things do you worry about?
Patient: just normal things
Doctor: do you blame yourself for something you've done or something you haven't done?
Patient: yeah
Doctor: what things do you blame yourself For?
Patient: I'm out I was doing the right thing you know
Doctor: are you down on yourself
Patient: yes
Doctor: would you describe yourself as worthless as a failure?
Patient: I say that
Doctor: is that how you feel mm-hmm?