File for Ilona Pushkina
SSN: 150277-236S
Email: pushkinailona178@gmail.com
Phone: 0404840434
Address: Vanhanlinnantie 3C 50
Postal code: 00900
City: Helsinki
Country: FI


Appointments:

START 2017-03-06 16:00:00 - END 2017-03-06 16:45:00
MEETING NOTES:
<p>Asiakas on 40-vuotias, yksinasuva, naimaton, lapseton, ty&ouml;ss&auml;k&auml;yv&auml; nainen, jonka psykiatrinen historia; paniikkih&auml;iri&ouml;, OCD, tunkeilevia h&auml;iritsevi&auml; ajatuksia, masennus p&auml;&auml;-asiassa liittyy vuosiin 2013-2017, vaikkakin kertoo ett&auml; muistaa OCD oireilua jo lapsuudestaan. Aloittanut ja lopettanut useita l&auml;&auml;keit&auml; viimeisen 5-vuoden aikana (mm. Ciprolex, Seroquel, Temeska(0.5, ja 0.25mg), Seroxat (40mg), viimeksi mainittu kuulemma ainoa l&auml;&auml;ke parhaillaan PRN rauhoittavan lis&auml;ksi. Paniikkih&auml;iri&ouml;n kertoo triggeroineen "parisuhteen loppuminen vuonna 2014", ja kertoo olevansa kyvyt&ouml;n kertomaan tunteistaan, ja oireistaan suomeksi, ja n&auml;inollen l&auml;hetti ajanvaraus s&auml;hk&ouml;postin englanniksi ja toivoo ett&auml; sessio kielen&auml; k&auml;ytet&auml;&auml;n my&ouml;s englantia. Saanut apua oireiluunsa Auroran avokliniikalta, joissa ollut sek&auml; ryhm&auml;terapiassa ett&auml; "kognitiivisen terapian viikkokursseilla", ja "psykiatrin ja psykologin hoidossa joka p&auml;iv&auml; k&auml;vin siell&auml; muutaman kuukauden".&nbsp;</p>
<p>&Auml;iti suomalainen, is&auml; ven&auml;l&auml;inen, perheeseen kuuluu my&ouml;s 4-vuott vanhempi sisko. Hyv&auml;t v&auml;lit perheen kanssa, itkuisena kertoi ett&auml; "&auml;iti on mun paras kaveri", ja pelk&auml;&auml; ett&auml; &auml;idilleen tapahtuu jotain kauheaa, kertoo k&auml;rsiv&auml;ns&auml; tunkeilevista ajatuksista jotka liittyy varsinkin &auml;itiin, "ett&auml; tekisin jotin pahaa &auml;idille, mik&auml; olisi hirveint&auml; mit&auml; voin kuvitella koska rakastan mun &auml;iti&auml;".</p>
<p>Hakeamassa nyt KELA kuntoutustukea p&auml;&auml;st&auml;kseen parempaan el&auml;m&auml;nhallintaan, selviyty&auml;kseen t&ouml;iss&auml;, ja uskaltaakseen v&auml;hent&auml;&auml; ajan my&ouml;t&auml; l&auml;&auml;kityst&auml;&auml;n saamatta paniikkikohtausta. Sovittiin ett&auml; ilmoittaa kun saa KELA hakemuksen hoidettua, ja alustavasti suunnittelimme terapian aloittamista 1-2x/vk Huhtikuusta alkaen. Paras aika h&auml;nelle on joko klo 16, 17 tai 18.</p>
<p>&nbsp;</p>
Patient paid €90 for appointment.


START 2017-05-01 17:00:00 - END 2017-05-01 17:45:00
MEETING NOTES:
<p>Ilona's 2nd session</p>
Patient paid €90 for appointment.


START 2017-05-08 17:00:00 - END 2017-05-08 17:45:00
MEETING NOTES:
<p>Ilonas KELA applicaton was approved (1st year: 1.3.2017-28.2.2018).</p>
Patient paid €90 for appointment.


START 2017-05-08 17:00:00 - END 2017-05-08 17:45:00
MEETING NOTES:
<p>Ilonas KELA application approved (1st year 1.3.2017-28.2.2018).</p>
Patient paid €32 for appointment.


START 2017-05-15 17:00:00 - END 2017-05-15 17:45:00
MEETING NOTES:
<p>Ilona</p>
Patient paid €32 for appointment.


START 2017-05-22 17:00:00 - END 2017-05-22 17:45:00
MEETING NOTES:
<p>Ilona</p>
Patient paid €32 for appointment.


START 2017-05-29 16:00:00 - END 2017-05-29 16:45:00
MEETING NOTES:
<p>Ilona</p>
Patient paid €32 for appointment.


START 2017-06-05 14:00:00 - END 2017-06-05 14:45:00
MEETING NOTES:
<p>Ilona described a "challenging week", with several intrusive thoughts incld.</p>
<p>"what if smtng happens to my family?"</p>
<p>"what if the meds stop workng?"</p>
<p>"what if I hurt my beloved dog?"</p>
<p>and that although thought about taking the PRN medication Propral 10mg as prescribed "as needed", restricted herslf from taking it by saying to herself, "if I take it means that I&auml;m going backwards with my mental health", "I'm not suppose need to take it as I was fine without it for 2 mnths", and throughtout session discussed the prescribed meds and why it is recommended that she discusses the meds with the MD who prescribed them and takes them as prescribed. Did mention during session being aware that the meds together with her psychotherapy, is the most effective way to "get better", and that she is "just challenged in the beginning stages due to her ridgit thinking and the fact "I'm just hard on myself because of the bad memories about when things were really bad".</p>
<p>No hx or actual current intent to hurt self or others.</p>
<p>Ilona is now coming to therapy 2x/week.</p>
Patient paid €32 for appointment.


START 2017-06-08 17:00:00 - END 2017-06-08 17:45:00
MEETING NOTES:
<p>Ilona</p>
Patient paid €32 for appointment.


START 2017-06-08 17:00:00 - END 2017-06-08 17:45:00
MEETING NOTES:
<p>Ilona</p>
Patient paid €32 for appointment.


START 2017-06-15 17:00:00 - END 2017-06-15 17:45:00
MEETING NOTES:
<p>Ilona</p>
Patient paid €32 for appointment.


START 2017-06-20 17:00:00 - END 2017-06-20 17:45:00
MEETING NOTES:
<p>Ilona called to have an extra session due to anxiety she's been feeling for few days (sat, mon, and tues), said "im having these thoughts that I'm a bad person and that even my dogs think so".</p>
<p>&nbsp;</p>
<p>Towards end mentioned "i dont even care, because its been a long time, but I had abotion 15 yrs ago and again 3 yrs ago", described "horrible medical pain", the aftermath being worse than she was told by MD.</p>
<p>Said that she would talk about in next session, that "have a feeling I know about whats some of my trauma and anxiety about, " my friend was stabbed to death 29 times".</p>
<p>Traveling to Spain with sister 15-24.7.</p>
Patient paid €32 for appointment.


START 2017-06-26 15:00:00 - END 2017-06-26 15:45:00
MEETING NOTES:
<p>Ilona</p>
Patient paid €32 for appointment.


START 2017-06-29 17:00:00 - END 2017-06-29 17:45:00
MEETING NOTES:
<p>Ilona spoke about her lifelong dreams of becoming an accress preferably in a Quiton Taranntino type movies "where they cast strong female leads". Says she is feeling "mmuch better", especially the past 1 1/2 days, and has a little anxiiety about "how long will this&nbsp;good feeling last?".</p>
<p>Talked about chinldhood, moved to Finland from St. Petersburg at age 14 and was bullied there and hhere in Finland as well.</p>
<p>Will be on vacation next week, and next session on 13.7 and 27.7, wants to keep same day/time TO klo 17.</p>
Patient paid €32 for appointment.


START 2017-07-13 17:00:00 - END 2017-07-13 17:45:00
MEETING NOTES:
<p>Ilona kertoi voivansa paremmin, ja mietti ennen tuloaan "is this a good idea, perhaps I'll make myself more anxious by talking aboutt all my problems", mutta p&auml;&auml;tti kuitenkin tulla koska menossa 10 pvksi Espanjaan siskonsa kanssa joten tulee viikon tauko.</p>
<p>Kertoi perhetaustastaan, is&auml; ven&auml;l&auml;inen puhuu ven&auml;j&auml;&auml;, &auml;iti estonista ja puhuu suomea ja ven&auml;j&auml;&auml;, ja Ilona siskonsa kanssa ollut englanninkieliess&auml; koulussa st. peterburgissa, ja suomeen muutettuaan "they bullied me at school", haukuttu venakoksi ja syytetty asioista joita h&auml;n ei ymm&auml;rt&auml;nyt, pelk&auml;si , ja lukiosta muutti toiseen egnlanninkieliseen kouluun miss&auml; paremipi olla.</p>
<p>Seuraava sessio TO 27.7 klo 17.</p>
Patient paid €32 for appointment.


START 2017-07-27 17:00:00 - END 2017-07-27 17:45:00
MEETING NOTES:
<p>Ilona saapui sessioon hyvin puheliaana, kertoi olevansa "anxious", "dont know what to say first there's too much going on", mutta tasaantui mielelt&auml;&auml;n session aikana.</p>
<p>Kertoi ett&auml; Espanjan reissu siskonsa kanssa "was great overall, but terrible for the two first days", kertoo tuntevansa olonsa hyvin hermostuneeksi, "suspicious about if I caused certain negative things to happen"</p>
<p>kertoi jo edellisell&auml; visiitill&auml; halunneensa k&auml;yd&auml; "Los Angeles Avenue" nimisell&auml; kadulla, ja ett&auml; kun siskonsa kanssa sinne p&auml;&auml;siv&auml;t, "there was a mental hospital", ja mieless&auml;&auml;n alkoi yhdist&auml;&auml; asioita, "I deserve this because theres something wrong with me", negatiiviset ajatukset saaneet vallan my&ouml;s kun l&ouml;ysi salaatistaan "butterfly worm", ja yhdisti saaneensa rankaisun kun painosti siskoaan menem&auml;&auml;n juuri ko ravintolaan sy&ouml;m&auml;&auml;n.</p>
<p>Positiivisena piti hevosajelua, ja aikoo my&ouml;s etsi&auml; Helsingist&auml; paikan miss&auml; ratsastaa/hoitaa hevosia edullisesti.</p>
<p>Kotiteht&auml;v&auml;ksi annoin:</p>
<p>1) mindfullness harjoitusten opettelu netist&auml;.</p>
<p>2) jatkaa vision boeard'n tekemist&auml;.</p>
Patient paid €32 for appointment.


START 2017-08-03 17:00:00 - END 2017-08-03 17:45:00
MEETING NOTES:
<p>Ilona reported struggling with a sense of loss in many past relationships and rdescribed it as "almost getting fixated", "I can't let go, lose myself in it and afterwards spend a longg time being sad".</p>
<p>Did decribe couple situations where it did sound as if those people were imagined, not actual relationships; for example musicians, movie stars etc.</p>
<p>Appeared in better mood and clearer mind. Returned back to work this week.</p>
Patient paid €32 for appointment.


START 2017-08-10 17:00:00 - END 2017-08-10 17:45:00
MEETING NOTES:
<p>Ilona comes to the session feeling "so so, not that great", and says she's been thinking about last session and what I had mentioned about her possible defence mechanisims for not getting hurt, by being infatuated by men who are "starts and not available, possibly married".</p>
<p>She asked to contiinue examining whhat attracts her to the "wrong kind of men", and how to change that.</p>
<p>Gave her the values/category homework sheet and will fill out and bring back next week.</p>
<p>"Yes, I'm probably arrtacted to these men because they cant hurt me if I'm not with them".</p>
Patient paid €32 for appointment.


START 2017-08-17 17:00:00 - END 2017-08-17 17:45:00
MEETING NOTES:
<p>Ilona</p>
Patient paid €32 for appointment.


START 2017-08-24 17:00:00 - END 2017-08-24 17:45:00
MEETING NOTES:
<p>Ilona came to session feeling, "somewhat ok", but listed reasons for anxiety, especially now that her 94 y/o grandfather is feeling sick and Ilonas mother feeling worried about losing her father.</p>
<p>Told experiences in childhood feeling sick and how she was treated in st. petersburg and in Helsinki.</p>
Patient paid €32 for appointment.


START 2017-08-31 17:00:00 - END 2017-08-31 17:45:00
MEETING NOTES:
<p>Ilona</p>
Patient paid €32 for appointment.


START 2017-09-04 18:00:00 - END 2017-09-04 18:45:00
MEETING NOTES:
<p>Ilona</p>
Patient paid €32 for appointment.


START 2017-09-07 17:00:00 - END 2017-09-07 17:45:00
MEETING NOTES:
<p>Ilona come to session anxious and stated being afraid, "what if I never get better".</p>
<p>Practiced breathing and thought formation techniques.</p>
<p>How belief is formed?</p>
<p>At the end of session stated that while already feeling vulnerable, when she felt "crushed after a relationship gone bad", twice, she lost hope and balance, and started having "negative thoughts about self", negative automatic thoughts about oneself.</p>
Patient paid €32 for appointment.


START 2017-09-11 18:00:00 - END 2017-09-11 18:45:00
MEETING NOTES:
<p>Ilona</p>
Patient paid €32 for appointment.


START 2017-09-14 17:00:00 - END 2017-09-14 17:45:00
MEETING NOTES:
<p>Ilona</p>
Patient paid €32 for appointment.


START 2017-10-05 17:00:00 - END 2017-10-05 17:45:00
MEETING NOTES:
<p>Ilona kertoi voivansa permmin viime viikkoina ja vaikuttikin tasapainpoisemmalta, vaikkakin l&auml;pi session empi mm "do I have schizophrenia because sometimes I wonder if I actually hear voices?", ja miettii pit&auml;isik&ouml;h&auml;n kuunnella &auml;&auml;ni&auml;, joskus kuvittelee &auml;kev&auml;ns&auml; jotain ja alkaa miettim&auml;&auml;n onkohan se merkki sairaudesta jne.</p>
<p>Kertoi kuitenin ett&auml; kykenee ajattelemaan ett&auml; "there's no point in following that kind of thinking, it does not serve me".</p>
Patient paid €32 for appointment.


START 2017-10-09 18:00:00 - END 2017-10-09 18:45:00
MEETING NOTES:
<p>Ilonalla vaikea viikoloppu kun &auml;itins&auml; vieraili st. peterburgissa ja "tunsin oloni yksin&auml;iseksi ja siskosta ei ollut mit&auml;&auml;n apua p&auml;ivastoin", siskonsa sanonut ett&auml; suunnittelee Roomaan l&auml;ht&ouml;&auml; ja pyyt&auml;&auml; vanhemmat mukaan ja pyysi Ilonaa koiravahdisksi, mik&auml; triggeroinut ahdistusta entisest&auml;&auml;n.</p>
<p>&nbsp;</p>
Patient paid €32 for appointment.


START 2017-10-19 17:00:00 - END 2017-10-19 17:45:00
MEETING NOTES:
<p>Ilona kertoi voivansa "pretty good actually", v&auml;lill&auml; tuntee pelkoa "if I'm schizophrenic because I talk outloud, by myself", ja antoi esimerkeej&auml; kun jutellut koirilleen tai puuhailessaan kotonaan, session aikana huomioi ett&auml; tarkoitti sanoa "I meant think outloud", mutta vaikutti huomioivansa ettei &auml;&auml;neen miettiminen ole suoranainen merkki Skitzophreniasta, vaan tapansa prosessoida tekem&auml;&auml;ns&auml;, ja pit&auml;&auml; itse&auml;&auml;n "focussed".</p>
<p>Kertoi nauttivansa k&auml;sikirjoituskurssisttaan miss&auml; saanut my&ouml;s hyv&auml;&auml; palauteetta ohjaajaltaan, kirjoittaa toista k&auml;sikirjoitusharjoitusta, ja tuntee kirjoittamisen omakseen.</p>
<p>L&auml;hett&auml;nyt my&ouml;s resumen editointity&ouml;h&ouml;n firmalle jolta saanut palautetta, ja tekee heille "a work sample". "That may be my so called foot in the door technique that will pay off".</p>
Patient paid €32 for appointment.


START 2017-10-26 17:00:00 - END 2017-10-26 17:45:00
MEETING NOTES:
<p>Ilona stressed out about work, "I have to get the hell out of there", kokenut ahdistusta koska firmansa vaatii ett&auml; kaikki asiakkaalle annetut asiakairjat "must be signed by my full name, and I dont want to do that".</p>
<p>Looking for new job, frustrated.</p>
<p>Enjoys writing class, and almost finnished with a script. Appeared calemd and smiling after session.</p>
Patient paid €32 for appointment.


START 2017-11-02 17:00:00 - END 2017-11-02 17:45:00
MEETING NOTES:
<p>Ilonareported feeling sad as her mother 96 y/o father is not doing well, "may die", and the session end up being about fear of loss, and what trieggers fear, brings negative memories from the past trauma.</p>
Patient paid €32 for appointment.


START 2017-11-09 17:00:00 - END 2017-11-09 17:45:00
MEETING NOTES:
<p>Ilona kertoi ett&auml; ty&ouml;p&auml;iv&auml; ollut raskas ja ett&auml; v&auml;synyt, mutta vaikutti henkisesti tasapainoisemmalta, puhe hitaampaa ja rauhallisempaa, ei hyppinyt asiasta asiaan nopeassa tahdissa kuten yleist&auml; presentaatiossa.</p>
<p>96-vuotias ukkinsa kuollut perjantaina ja suunnittelevat perheen kanssa hautajaisia.</p>
<p>Saanut tehty&auml; editointity&auml;&ouml;n valmiiksi ja saa vastauksen 1.12.17.</p>
Patient paid €32 for appointment.


START 2017-11-23 17:00:00 - END 2017-11-23 17:45:00
MEETING NOTES:
<p>Ilona kertoi ett&auml; t&ouml;iss&auml; edelleen kiirett&auml; mik&auml; stressaan jonkin verran mutta huomenna S&auml;&auml;tytalolla juhlat Suomi 100 kunniaksi, mihin ostanut il&ouml;tapuvun.</p>
<p>Kertoi peloistaan ottaa alkoholia tai menn&auml; edes baariin vaikka joisikin alkohollittomia koska negatiiviset muistot triggeroituu helposti, "I'll work on it but Im not ready yet". "Im not ready to mee a guy either".</p>
<p>Nauttii k&auml;sikirjoitus kurssista, ja esitteli viimeisint&auml; ty&ouml;t&auml;&auml;n antamalla siit&auml; kopion luettavaksi.</p>
Patient paid €32 for appointment.


START 2017-11-30 17:00:00 - END 2017-11-30 17:45:00
MEETING NOTES:
<p>Ilona kertoi etrt&auml; ensi viikkolla kirjoituskurssi loppuu ja kirjoittaa viel&auml; sketsi&auml;, ja ollut kivaa itsen&auml;isyysp&auml;iv&auml;n juhlissa, l&auml;hd&ouml;ss&auml; Lontooseen siskonsa kanssa 7.12, joten ensi viikon sessio peruttiin.</p>
<p>Vaikutti hyvinvoivalta ja iloiselta, kertoi olevansa "positiivisell&auml; mielell&auml;", ja yritt&auml;&auml; menn&auml; kuntosalille session j&auml;lkeen.</p>
Patient paid €32 for appointment.


START 2017-12-07 17:00:00 - END 2017-12-07 17:45:00
MEETING NOTES:
<p>Ilona</p>
Patient paid €32 for appointment.


START 2017-12-14 17:00:00 - END 2017-12-14 17:45:00
MEETING NOTES:
<p>Ilona</p>
Patient paid €32 for appointment.


START 2017-12-18 18:00:00 - END 2017-12-18 18:45:00
MEETING NOTES:
<p>Ilonan kanssa k&auml;vimme l&auml;pi tavoitteisiin p&auml;&auml;sy&auml; kuluneena vuotena, "pretty satisfied, but ways to go still". "All has been well, but I still need to find a regular psychiatrist so that I can be better informed and connected to learn about medications, I only take the anxiety medication Xeroxat". KELA 2. vuostta varten my&ouml;s kertoo tarvitsevansa ajan l&auml;&auml;k&auml;rille.</p>
<p>Kertoi riidoistaan siskonsa kanssa Lontoon reissulla mik&auml; painanut mielt&auml;. Ottanut tatuoinnin ja menossa takaisin "to fill it up", ja ett&auml; paikkakunta on sama miss&auml; asustaa n&auml;yttelij&auml; johon "I have a crush on him".</p>
<p>Juttelimme siirrosta Kruununhakaan, "that even better for me". Seuraava tapaaminen 4.1.18 klo 17.</p>
Patient paid €32 for appointment.


