The patient still has homicidal and suicidal ideations . She still belligerent, agitated and guarded. She stated that "I am god, I want to fight everyone there, I want to kill them all". She still planning to go to the motel and verbally threatens all the occupants there. Then He also wants to run into busy traffic to harm herself. She remains guarded and still cannot plan for personal safety. She still complains voices are loud and commanding her to harm people and herself. She has the feeling of helplessness, hopelessness and worthlessness. Her judgment, insight and impulse control are still poor. She remains a danger self and danger to others. She still needs an inpatient psychiatric hospital level of care as she refuses to contract for
