Progress Notes

Patient name Bugs Nasty
Diagnoses Bipolar borderline
PTSD and substance use disorder

Client reported feeling anxious about his new album
Seems to have grand delusions about being successful in the music industry
We discussed strategies for managing anxiety including deep breathing and visualization exercises
Client practiced these techniques during the session and reported they made him feel like punching an old lady
Client seems to have severe anger issues

Client expressed frustration with his progress on getting rich and famous
We went over setting more realistic goals
Client said he's sick of taking advice from a woman

Client shared that he currently hates life
Due to dealing with "soul-sucking normies" all week
We processed the client's feelings
And explored ways to communicate without emotion
I recommended inpatient treatment to the client
And he told me to fuck off peed on my plant
And walked backward out the door
With both middle fingers up
If this behavior continues we may need to seek involuntary commitment