She is experiencing episodes of artistic mood and stays up for days to work on her art. Jillian describes loving everyone that has led her to have promiscuous sex and experience two unplanned pregnancies and abortions. She also describes having financial troubles after going on shopping sprees. The client does not report any type of substance or drug abuse at this time, but does report having diagnosed with Hepatitis C. Jillian reports of losing many relationships with people and most recently the termination of her relationship with her boyfriend. Because Jillian meets most of the criteria she is diagnosed with Bipolar I Disorder, Moderate severity.
Diagnostic Criteria
Bipolar I Disorder, Moderate 296.42 (F31.12)
A. A distinct period of abnormally and persistently elevated, expensive, or irritable mood and abnormally and persistently increased goal-directed activity or energy, lasting at least 1 week and present most of the day, nearly every day (or any duration if hospitalization is necessary)
B. During the period of mood disturbance and increased energy or activity, three (or more) of the following symptoms (for if the mood is only irritable) are present to a significant degree and represent a noticeable change from usual behavior:
1. Inflated self-esteem or …show more content…
Jillian will attend individual counseling sessions once a week in an attempt to identify her feelings and understand more about her symptoms and how these are affecting her life. The counselor will provide information and talk to Jillian about her Bipolar I diagnose; Jillian will also be provided with reading material about the mental illness and question will be answered in session two. Jillian will begin cognitive behavioral therapy (CBT) and work on short and long term goals. Referred the client to a psychiatrist that can provide the adequate medication to help stabilize her moods. The counselor will encourage Jillian to join a support group in order for her to understand her Bipolar I diagnose and seek support.
PLAN Goals
• Long Term Goals
Objective Completion Date
1. Work on alleviating manic episodes and stabilizing mood 1 year
2. Work on making healthy and safe choices regarding sexual encounters 5 months
3. Talk about her feelings of remorse about her previous abortions 6 months
• Short Term Goals
Objective Completion Date
1. Referred client to a psychiatrist that can evaluate and provide the appropriate medication. 1