Project Outreach

                                                                                         Service · Integrity · Compassion

	Problems:
	Euphoria or excessively elevated mood		Racing thoughts and flights of ideas
	Lability of mood		Distractibility
	Inflated self esteem		Increased goal-directed activity
	Decreased need for sleep		Imprudent involvement in pleasurable activities
	Pressured, loud, rapid speech

	Goals:
	Reduce energy level such that patient can resume normal level of activity		Resume more coherent and appropriate rate of speech and thought process
	Reduce impulsivity, grandiosity and improve insight and judgment such that patient has greater understanding of consequences of behavior and have more realistic expectations		Develop insight into his/her illness including the initial signs of pending mania or hypomania
	Improve sleep to at least 6 hours per night
	Objectives:
	Patient will undergo complete psychiatric evaluation and follow through with recommendations including medications and possible hospitalizations		Patient will achieve lower level of psychomotor activation, agitation and distractibility
	Patient will verbalize insight into his/her illness and consequences of prior manic behavior such behavior as promiscuity, substance abuse, irresponsible spending sprees, etc….		Patient will attain at least 6 hours of sleep per night
	Patient will make decreased grandiose statements and demonstrate greater reality testing		Patient will verbalize acceptance of the need for ongoing supportive treatment and medication