A full detailed comprehensive longitudinal table in which her past functioning is divided by recent time frames characterizing changes in functioning is shown below.
| Time Frame
| Functional Status
| Mental Health Symptoms & Treatment
| Substance Use & Treatment
| Interactions
|
2004 |
- Living at home
- Attending school
|
- High energy and disruptive
- No diagnosis
- No treatment
|
|
- Felt more calm but sometimes down or sad
- Family conflict over drinking
|
2006 |
- Living at home
- Graduate from high school
- Enrolling in community college
|
- Boredom
- Increase in erratic behavior at home
- Not diagnosed or in treatment
|
- Weekend party use becomes more frequent
|
- More time spent seeking friends and activities that will get rid of feelings of being down and bored
- Increased use of alcohol and marijuana
|
2007 to 2010 |
- Living at home
- Leave community college after 1 semester
- Quit working 2007
|
- Episodes of lability and mood swings
- No diagnosis
- No treatment
|
- Regular use of alcohol, marijuana, and likely cocaine use
- Refusing suggestions for treatment
|
- Downward spiral of losses in friends, family relations, work
- Emergence of severe mental health symptoms and loss of control over use
|
June 2010 |
|
- Diagnosed with bipolar disorder
- first treated with medication
- rapid improvement in symptoms
|
- CD identified for potential treatment
- Reluctant to talk about use (precontemplation)
- Positive tox screen for cocaine
|
- Multiple life issues happening at the same time as mental health crisis.
- Diagnosis of bipolar disorder given
|
November 2010 to February 2011 |
- Much time spent away from home with boyfriend who uses
- No friends outside of group of friends who use
|
- Disrupted sleep and suspiciousness of others
- Not taking medication
- Irregular outpatient appointments
|
- Daily cannabis and alcohol use
- Almost daily cocaine use
-
|
- Not caring for herself
- Florid symptoms of psychosis during periods of heaviest use
|
January 30, 2011 to February 11, 2011 |
|
- No sleep, paranoid, confused, agitated,
- Medication restarted
|
- Daily cannabis and cocaine prior to admission
- Introduced to IDDT using motivational interviewing
- No substance use due to confinement
|
|
Feb 18, 2011
|
- Living at home
- Goal of planning for work and school
|
- Beginning outpatient mental health treatment
- Symptoms improving
- On medication
- Residual symptoms of hypomania evident
|
- No substance use for first 3 weeks after discharge
|
- Structure, sobriety, and medication reduce paranoid thinking and mania.
- Sleep remains a problem
|