Thursday, July 29, 2010

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34
Adrienne Venet DOB 7/1/1982
Vanessa McClain, MA, LAPC
Psychotherapy Note
April 7 Raven 13
A.V. reported that she experiences racing thoughts. Client reports that she has not slept for 72 hours. The client was restless and agitated within the session and reports an inability to relax. The client’s high anxiety level is reelected in increased motor activity, restlessness, and agitation. The client reported a behavior pattern that reflected a lack of normal inhibition and increase potentiality for self damaging activities. The client’s impulsivity has been reflected in sexual acting out. Client gave evidence of a very expansive mood that could easily turn to impatience and irritability if her behavior is confronted. The client displays bizarre patterns of dress. A.V. displays and unusual grooming pattern. The clinical assessment confirmed the presence of the classic signs of mania. Assessment was performed of the client’s ability to remain safe within the community. The client was judged to be unable to remain safe within the community due to her symptoms of mania and was referred for a more restrictive setting. Arrangements for hospitalization were made for the client in a psychiatric setting based on the fact that her mania is so intense that she could be harmful to herself and unable to care for her own basic needs. Client was not willing to submit to voluntary hospitalization, therefore commitment procedures were initiated. Follow up session TBA.

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