| Appearance |
-The patient appears tense -She appears unkempt hair -She looks sleep deprived - She depicts has grooming. |
| Attitude/reaction to the interview |
-Depressed attitude throughout the counselling period -Lack of interest in the topics presented by the counsellor. -Racing thoughts leading to increased desire to utter unnecessary words. -Inflated self-esteem and feelings that her husband is jealous of her achievements. -Psychomotor agitation or increased goal-oriented activity. |
| Motor behaviors, somatic functions and eye contact |
-Easily distracted -Unusual gestures or movements whereby she makes various facial expressions indicating uneven emotions. -Increased talkativeness and distraction of the counsellor when presenting her views or questions. -Repetitive movements, she keeps shaking her right leg. Walks with ease -She is uncomfortable throughout the interview. |
| Mood |
-Client admitted to experiencing depression, terming it a normal issue for all human beings. -Client depicts mood swings, some topics invoke happiness and openness, while other make her more agitated. -Client also appears anxious throughout the session. |
| Affect | -Narrow-constricted affect whereby the client does not want to reveal her exact emotional status. |
| Speech |
-Pressured speech whereby she started speaking out after getting influenced by the counsellor. -Unusual speech-rate whereby the client speaks faster and makes long sentences without pausing in between the sentences. -Unusual volume whereby she sometimes increases her volume to high levels. -Normal tone. |
| Thought Content (use client words) |
-Delusional- the client is unable to differentiate between the reality of life and her expectations towards the project she is undertaking. In this case, the client engages in an activity that could lead to emotive consequences in the future. She always working towards her block project, ignoring the need for sleep and involvement in other social activities. The client’s delusional mood can also be seen in the way she values the interactions she has established through the block project. -Obsession is also a key theme whereby the client is obsessed with her project, which makes her ignore the other social activities. For instance, she states, “I just want to go home, and I just want to keep working on it.” |
| Thought Process |
-Goal-directed whereby the client’s thought process is focused on achieving her project goals. -Obsessive thinking is also depicted in this case, the client only thinks about her success. |
| Perception | -Client appears to have perceptions like the feelings that her husband does not value her work and that there is a larger world, willing to understand her. |
| Memory and Cognitive Functioning | -Client appears to have high intelligence and normal concentration. |
| Insight and Judgment | The client has bipolar disorder, evident through her emotions, mood, affect, and thought process. |
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