Jane is seeking therapy on the advice of her husband, who has been noticing behaviors that are unhealthy. Jane is a 45-year-old software designer who is relatively isolated at work, but who can have some social interactions. In 2001, Jane had what could be considered her first manic episode, immediately following the events of September 11th. At 35, Jane's diagnosis could use the qualifier:

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Jane's diagnosis could use the qualifier for late onset, since Bipolar disorders are usually diagnosed in late teens or mid-twenties. Considering that this client also had trauma associated with a major national disaster, it could affect her presentation of what may or may not be a mood or thought disorder. However, it would certainly be specified that based on the qualifiers that you have, NOS would not be an option.

Jane Is Seeking Therapy on the Advice of Her Husband