14

Fourteen
February 4 Imblgen 10
Adrienne Venet
DOB: 7-1-1982
Vanessa McClain, MA, LAPC
Psychotherapy Note
A.V. gave evidence of increased, pressured speech within the session. Client reported that her speech rate increases as she “feels stressed.” A.V. demonstrated a pattern of racing thoughts, moving from one subject to another without maintaining focus. She reported that she experiences racing thoughts, including difficulty concentrating on one thought as other thoughts interfere. Client reported that at times of quiet reflection, she is disturbed by thoughts racing through her mind. A.V. gave evidence of an inflated state of euphoric belief in capabilities that denies any limitations or realistic obstacles. She appears oblivious to her euphoric beliefs but sees others as standing in her way. In spite of attempts to try to get her to be more realistic, her euphoric beliefs have persisted. A.V. described a pattern of attaining far less sleep than would ordinarily be needed. The client’s thoughts, feelings, and behavior were explored for classic signs of mania, e.g., pressured speech, impulsive behavior, euphoric mood, flight of ideas, high energy level, reduced need for sleep. The clinical assessment confirmed the presence of classic signs of mania. Follow up session TBA.