Once a day she reports hearing a voice with derogatory manner, notes it is the same voice that told to OD on pills, she notes she hears the voice and then thinks about what it says. She is not bothered by daily occurence now and notes it is a distraction. She has not discussed coping skills in therapy regarding voice. She notes zoloft has helped decrease her anxiety and is not worrying as much. "I didn't realize I worried so much until I didn't worry as much." She notes she is able to care for her children and herself and recently had stylish new hair cut and manicure. She denies depression, endorses good sleep at night and "wakes rested".
4/30/15
Client notes having depression with AH/VH [audio and visual hallucinations] and heard voice in head telling her to OD on pills which were in her hand. She notes calling crisis line several days prior and was eventually hospitalized at XXXXX. Her lithium was reduced by 300mg. zyprexa increased to 15 mg, trazodone 50mg and zoloft 50mg added. She denies AH/VH, endorses good sleep and feels rested upon waking. "feels better". She questioned borderline personality dx [diagnosis] given in hospital and writer [pdoc/nurse practitioner] disagreed with this diagnosis as well.
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