A client is confused, sad, angry, depressed because she feels that her religious views no longer match her denomination of birth and wants to quit but fears being ostracized by her

Case study: Amanda – a 42-year-old with recurrence of a manic episode Amanda is a 42-year-old lady who has suffered from bipolar disorder since she was 22 years of age, and has had five acute episodes. Her bipolar disorder usually manifests itself as a manic episode although she did have one instance of severe depression during which time she attempted to take her own life. Amanda was prescribed lithium as a mood stabilizer since her first episode which has helped her to be symptom free for several periods, and so function as a full-time mother to two small children and hold down a part-time job. Amanda, who had been taught to monitor her mood, noticed that it had started to become manic. Her family had also noticed marked pressure of speech and that she appeared to be spending a large amount of money on presents for the children, for her sister’s children and on goods for the house. As a consequence of this she accumulated considerable debt on her credit card. Acting on a prior agreement with Amanda, and her previously agreed authority with the credit card company, Amanda’s husband arranged for her credit card to be suspended and for