192 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER B. The client verbalized that he/she sees social rules or mores as applying to others but not to himself/herself. C. The client is beginning to accept the need for rules within any society and to apply them to himself/her self. D. The client has not had a recent incident of disregard for social mores and is more compliant. 11. Bizarre Dress and Grooming (10) A. The client displays bizarre patterns of dressing. B. The client displays an unusual grooming pattern. C. The client's clothing is much more revealing that he/she normally wears. D. As the client is stabilized his/her mania/hypomania, his/her grooming and dressing pattern has returned to normal. INTERVENTIONS IMPLEM ENTED 1. Explore for Manic Signs (1) * A. The c lient's thoughts, feelings, and behavior were explored for classic signs of mania (e. g., pressured speech, impulsive behavior, euphoric mood, flight of ideas, high energy level, reduced need for sleep, and inflated self-esteem). B. The clinical assessment confirmed the presence of the classic signs of mania. C. The clinical assessment did not find adequate evidence to diagnose mania. 2. Assess Mania Intensity (2) A. The client was assessed for his/her current stage of elation: none, hypomanic, manic, or psychotic. B. The client's assessment indicated no current symptoms of mania. C. The client was assessed to be hypomanic. D. The client was assessed to be manic. E. The client's mania was so severe that periods of psychosis have been present. 3. Asse ss Ability to Remain Safe (3) A. An assessment was performed of the client's ability to remain safe within the community. B. The client was assessed in regard to his/her level of manic behavior, impulsivity, and propensity toward potentially unsafe situa tions. C. The natural and programmatic supports that can assist the client to remain safe within the community were assessed. D. Due to programmatic supports, the client has been assessed as being able to remain safe within the community, despite his/her symptoms of mania/hypomania. E. The client was judged to be unable to remain safe within the community due to his/her symptoms of mania and was referred for a more restrictive setting. * The numbers in parentheses correlate to the number of the Therapeutic Intervention statement in the companion chapter with the same title in The Severe and Persistent Mental Illness Treatment Planner, 2nd ed. (Berghuis and Jongsma) by John Wiley & Sons, 2008. 