7/16/15
"I can't find enough things to do with my kids this summer."
Client endorses stable mood, good sleep, normal appetite, denies depression and anxiety, notes VH-sees cat, saw her daughter at end of bed last night while awake and she wasn't in room, endorses tactile hallucinations- felt her daughter touch her foot but she wasn't in the room. She notes it takes her a few minutes to process and realizes it is not real and does not think this it is bothersome, doesn't think this is prodome to manic episode. She does not want to change meds today. ..... and enjoys spending time with other friends at Starbucks. She recently received new tattoo, and explained the significance for hope when someone feels suicidal. She denies SI. [Suicidal Ideation]
"I made it through November."
12/3/14
Client notes stable mood, denies depression, anxiety, akathisia, denies SI.
She is able to care for her children and drive them to their activities and support them emotionally.
....She called crisis line, spoke with DBT therapist and a supportive friend and used ativan once when highly stressed. She continues with group DBT and individual.
10/29/14
Client "almost" back to baseline, endorses stable mood, denies depression, anxiety, denies SI [suicidal ideation]
Client has resumed zyprexa 10mg after trials of Latuda with akathisia and Fanapt with tachycardia over past several months.
She endorses being able to take care of her children, is receiving help for SSD [social security disability] application, has weekly therapy DBT and finds it valuable
"I want off zyprexa"
Client notes being stable "for most part", notes 3 days last week when she smoked which she normally doesn't do and thinks she was being impulsive. She notes mild anxiety, denies depression.
She denies AH/VH [audio hallucinations/ visual hallucinations] now and notes that she has experience these symptoms without being manic and notes a past psychiatrist was not sure if she had schizoaffective vs bipolar disorder.
Client has elevated triglycerides and has been on zyprexa for 2 years and would like to change meds- all past meds reviewed and she agreed to try Latuda.
She endorses having family/friends who see her often and notice changes in her behavior and she notes changes in herself too.
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