Problem/Complaint/Symptoms:
-Client presents with a diagnosis for bi-polar disorder and suspected substance-abuse disorder
(alcohol and cocaine)
- Client experiences manic and depressive episodes that have historically been
controlled by medication.
- Client has not been compliant with medication for 6+ months.
- Client reports that mental symptoms trigger use of addictive substances
- Work and relational conflicts have caused client to seek treatment
Long Term Goal:
-Symptoms of bipolar disorder will be significantly reduced and no longer interfere with client’s
ability to maintain work obligations and personal relationships. This will be accomplished with
re-establishing medication compliance and through trauma focused therapy interventions.
-Client will maintain sobriety and manage mental health symptoms in healthy ways.
Short Term Goals:
-RI/RO SUD
-Client to attend daily trauma-focused SUD group therapy sessions
-Client to begin medication regimen to treat bi-polor disorder
-Teach coping skills to manage mental health symptoms other than with substances
-Explore mood symptoms with client to identify changes and appropriate actions
-Coordinate care with PCP for medication adjustments
Interventions:
-Set up family meetings 2x week with one hour of family counseling to provide psychoeducation
about bi-polar disorder and SUD to increase family’s insight into client’s struggles, and to
increase family’s ability to support and encourage client to use new coping skills.
-Client to attend trauma-focused individual counseling sessions 3x week to help client learn and
implement coping skills and help her identify, process, and resolve feelings and concerns.
-Medication management