Transcription (include what you said, and summarize client response including verbals and non-verbals)	Skills Used	Reflection
Hi I'm Nadesh. How would you like to be called today? Client stated she is doing fine
Hi Casey. Nice to meet you. I am going to be talking to you today and just for the record, anything that's been said or discussed between both of us today it's going to be confidential and this is going to be kept within us. And if he has to with harm to yourself, suicidal or. I'm to a minor, then I'll have to get all the parties involved, if that's OK by you. Client nodded her head and stated yes
So, what brings you in today? Client stated she is having problems with her weight and she wants to lose it, but it's hard for her.
OK, can you tell me more about that? Client nodded her head and stated ,Yeah. So, for a while she has been obese and for some reason she can't seem to Stop herself from eating the wrong foods and It's actually starting to affect her health.
OK, so if I understand you clearly, for a while, you've been obese and It's been affecting your health and you want to change your eating habits, if I got that right?
Do you see any dietitian? Client stated No, but I was planning on it. I don't really know if I want to.
OK, so if I may ask, what are some of the health challenges that have been caused by your eating habit and your obese? Client stated Well I have heart failure and also have high blood pressure and it is taking a toll on my mental health as well, because I get depressed all the time.
OK. So do you see a therapist for your depression? Client shaking her head and said yes.
OK that's good. That's quite impressive and You being here today is a sign of you wanting to make that change in which I truly appreciate you for coming forward with that effort and trying to make that change for yourself. So, if I may also ask, is there anyone at home that can assist you with shopping or making some Changes or helping you make out some choices that are healthy for your health and then you making that change. Client stated "Well, there is my fianc, but she's not very much help either because she has the same problem that I do. And anything I want, I get. So, it's kind of hard to find that support.
OK, so will you be willing and open if I can get resources with dietician and someone that can come into your home and help you out? Go grocery shopping and walk through it with you to be sure you're picking up the right things to help you make these changes. Client stated she thinks she can be willing to do it if it's somebody that seems to care , enough to help her. Then she will be open to it.
OK, that's good and will, your fiance be open to going to therapy with you in order to talk about this Issue because if both of you can help each other out. Is that something you guys will be able to seat with someone else and talk about it so that help can come in? Client stated while rubbing her hands, She would be open to it, but not sure about her fiance, because her fiance is Like independent and, she wants to do whatever she wants to do all the time.
OK, yeah, OK. Alright. So, in regard to your health. Is there a certain medication or a certain treatment you take that might limit you from making these changes, if I may ask? Client stated No, I do take a couple of high blood pressure medicines.

1. How were my non-verbals?
2. How was my pitch/pace/tone?
3. Did I seem "tuned in" to what the person was saying?
4. Did I use reflective listening?
5. Did I use action and exploration skills?

6. Did I use any motivational interviewing skills?