The interview begins with a brief discussion about confidentiality and the structure of the conversation, with the interviewer outlining the number of questions they are planning to ask. The interviewer introduces the purpose of the interview, which is academic, aimed at helping them practice clinical interviewing skills. They also reassure that everything shared during the interview will remain confidential and that the participant can choose to skip any questions.
The participant introduces himself as J. Brian Corres, a 20-year-old physics major who works at a photo studio on campus. He lives in Freeman Hall and is originally from South Jersey, around Atlantic County. His typical day involves attending classes, doing homework, and spending time with friends, though he feels that his academic workload often limits his social interactions. He notes that family communication is currently strained due to their busy schedules, with various family members juggling work and personal responsibilities.
The interviewer senses stress in the participant's situation and prompts them to discuss their support system. J feels somewhat supported but admits to a lack of solid reassurance. His reason for visiting the psychologist stems from a desire to understand his emotions better, especially since he has Asperger's syndrome, a diagnosis he received in childhood. He explains that recent life events, including the loss of his grandmother, have contributed to his emotional struggles.
He describes issues with sleep patterns which seem to affect his mental health, expressing feelings of fatigue despite minimal activities. J considers this could be linked to unspoken emotions or memories he is repressing, indicating an awareness of a deeper issue. He has experience with counseling from a young age, seeking help both during his childhood and more recently after his grandmother's passing.
The interviewer explores medical history, asking about any major health concerns. J reveals he had childhood asthma and once injured himself while trying to open a package, requiring stitches. He reports no current medications or major health issues and states that Asperger's is his only significant psychological diagnosis, although he reflects on feelings of depression that surfaced following the injury incident.
He discusses coping mechanisms, stating he tends to shut down under stress, and often struggles with procrastination. J is asked about his family structure, expressing that he lives with his mother, brother, and stepfather, while his biological father has been largely absent from his life. He shares the family's tendency to keep medical issues private, only mentioning his mother's Crohn's disease as a known condition.
J recalls a challenging period in eighth grade when he faced bullying, leading to thoughts of self-harm, though he emphasizes a matured perspective on life and recognizes that violence is not a productive solution to his problems. He expresses feeling mostly safe on campus, highlighting its acceptance relative to other areas in New Jersey. J reiterates his struggles with sleep, tying them to a tendency to block out painful memories and emotions, which affects his rest and leads to disconnection from his thoughts.
He describes a neutral yet sometimes positive feeling stemming from interpersonal relationships, compounded by a lack of clarity about what these feelings mean. J aims to manage his mental health more effectively while navigating educational and social pressures. He engages in walking as a form of physical activity, expressing a desire to return to the gym regularly.
While J has reduced alcohol consumption, he does occasionally use marijuana, seeking to maintain a healthy balance. He describes his mood as mostly on autopilot, influenced by the emotional dynamics of his friend group which can lead to fluctuations based on high or low sentiments within that circle.
During this autopilot mode, J admits to functioning more negatively, emphasizing feelings of being disconnected and unresponsive. This mechanistic way of living tends to dampen his spirits and heightens his frustration when faced with unexpected changes in routine or social interactions. Reflection on past experiences further irks him, noting that anxiety and irritability are heightened when recalling these events.
The interviewer probes into whether J perceives things that others might not. He mentions an instance where he felt scrutinized by someone he does not wish to engage with, demonstrating self-awareness about social dynamics. However, he does not feel actively threatened by others, indicating a degree of comfort within his established social circle.
As the session approaches conclusion, J is encouraged to identify coping strategies he finds helpful, such as sketching and spending time with more insightful friends, emphasizing the importance of connection and understanding in navigating mental health struggles. He identifies his strengths tentatively, including a willingness to support friends, despite wrestling with self-concept and confidence.
The interview wraps up with a note of gratitude towards J for his openness and honesty, fostering a sense of closure for the discussion. While J does not present further questions, the dialogue leaves a significant impact on both parties as it highlights the challenges of coping, family dynamics, and personal growth in the context of mental health.