History of present illness:

The client has been unwell from past two years. Her illness is episodic in
nature and this is her third episode. Symptoms were characterized as low
mood, weeping spells and decrease interest in daily activities/functioning. She
is having extreme levels of guilt feelings, hopelessness and helplessness Her
biological functions are markedly disturbed. She has to sleep forcefully and it
is for less than 4 hours whereas her appetite is also decreased. There is also
history of unprovoked aggression towards family members and everyone. She
use to fight on minor issues. She avoids social interation and famiky
gatherings. There is also history of suicidal attempt and currently suicidal
ideation is also present.
According to her her overthinking about past & future results in suicidal
ideation.

Accept you did something wrong, but move on.

If you did something wrong or hurtful, you will have to accept that you cannot change the
past but you can make amends for your behaviour,

Learning from our behaviours.

Guilt’s purpose isn’t to make us feel bad just for the sake of it. The feeling of guilt is trying to
get our attention so that we can learn something from the experience. If we learn from our
behaviour, we’ll be less likely to do it again in the future.

Perfection doesn’t exist in anyone.

Nobody is perfect, even our friends or family members who appear to lead perfect, guilt-free
lives. Striving for perfection in any part of our lives is a recipe for failure, since it can never
be attained. We all make mistakes and many of us go down a path in our lives that can
make us feel guilty later on when we finally realize our mistake. The key is to realize the
mistake and accept that you’re only human. Don’t engage in days, weeks or months of self-
blame or battering your self-esteem because you should’ve known, should’ve acted
differently, or should’ve been an ideal person. You’re not, and neither are others. That’s just
life.