1. By: Brittany Johnson

2. http://www.youtube.com/watch?v=hVO6VGqfWwQ BLACK SWAN. “I WAS PERFECT”

3. Diagnosis Obsessive Compulsive Disorder Paranoid Schizophrenia Eating Disorder Symptoms: 1.Obsessions = being perfect 2.Compulsions = scratching 3.Paranoid Schizophrenia = hallucinations and delusions of things getting in her way of being perfect. 4.Eating disorder = very thin, competitive occupation, vomiting when anxious SYMPTOMS AND DIAGNOSIS

4. Cognitive Behavioral Therapy Identifying triggers and coping mechanisms Spirituality/wellness groups Relaxation Expressive Art Therapy Leisure Education Self Esteem and Body Image TR INTERVENTIONS

5. Client will develop five new useful leisure activities and skills by the end of the 12 week treatment. Patient will participate in at least 1 group activities a day and 1:1 with the therapist for the first six weeks of treatment. Patient will identify three new coping skills that can be utilized to decrease triggers and obsessive thoughts from occurring. Client will establish 4 new social contacts in group activities of in the facility before impatient treatment ends. Client will enhance body image and self esteem by drawing hers positive qualities of self once a week. Client will participate in expressive arts therapy of her choice twice a week in group or individual settings. Client will fill out Leisure Attitude Measurement and Life Satisfaction Scale at the end of each week to track progression of treatment plan. Client will move to outpatient treatment at the end of 12 weeks if goals are met. Client will participate in CBT three times a week to decrease negative thoughts, behaviors and actions GOALS AND OBJECTIVES