Patient shows a return to the egotistical episodes recorded from the past, but the condition appears dampened by something - kept in check. Where before what could start out as simple as heightened self-awareness would rapidly escalate to a near-unstoppable manic episode. The patient is calm, generally has a good demeanor, and is more often than not, a pleasurable conversationalist. Also, while visible, the paranoia is very much calmed. So much so that I can't help but wonder if it "ever" crosses his mind (in his present state.)
He brought up the 'out-of-reach,' 'dream,' project again during our 20 minutes yesterday. He listed some detail of the storyline, including a basic skeletal outline of how he believes he could put it into motion. I am very much tempted to encourage him to pursue this dream project, as I believe it may be positively therapeutic, but I've got some questions I will need to answer before I can, in good conscience, encourage behaviors outside of the current treatment plan.
Something still bugs me, though. I don't know why it resurfaced in my brain today; maybe something he said triggered it. It was in relation to the loops he claims define and control his life. I've not been able to find anything to help him to understand that these loops, the repetition and the concept of the starting point being the end just the same, may just be a perspective - furthermore an unclear one. A person's life can't truly be the way he sees it. I started off with him, expecting to explain that one and move on, but the more I see it from his perspective, the more I've got to admit - I kinda agree with him. Another trouble for another day.
Patient Y - 11/22