Case conseptualization: Description of Problem

Case Conceptualization
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Description of Problem
The issue in question is that of Bill, a 25-year old male with a history of bipolar disorder first diagnosed at 15 years, and he has been hospitalized once before. Lately, he has extremely irritable toward his mother, siblings, and friends. He is also socially withdrawn, and when he goes out, it is mostly drinking. He reports experiencing insomnia and appetite loss for the past 1 month and appears to be anxious. However, there are instances where he seems to show increased energy, and in these cases, he has partied hard with some of his friends but then goes back to drinking alone. He is concerned that he lacks positive job prospects, and Bill has worked in various construction jobs and been dismissed from the last one. Despite this, he now claims to be a rich man who is not struggling financially. His mother brought him to the hospital, and his father died when he was 20 years old. Bill has not suffered serious behavioral disorders to require other mental hospital admissions. In the past, when he was hospitalized, there were no psychotic symptoms. 
Bipolar is a common and chronic psychiatric disorder, which mostly starts during adolescence or early adulthood. The mental disorder is characterized by drastic mood changes when there are recurrent episodes of mania and/or hypomania and episodes of depression. Detecting bipolar disorder in children and adolescents is challenging as the disorder has symptoms similar to other disorders. For instance, bipolar often has similar symptoms to other disorders such as attention deficit hyperactivity disorder (ADHD), unipolar depression, borderline personality disorder, and schizoaffective disorder. Among some adults living with bipolar disorder, the first manifestations of bipolar are during teenage years and sometimes this remains undiagnosed. Thus, proper diagnosis in childhood and adolescence is necessary to improve the long-term mental health outcomes. Bill openly admits to smoking marijuana for the past three years, and use has increased the past 6 months.
Among people living with bipolar disorder, the mood swings are intense and the changes extreme. In the manic episode, an individual will be very excited, irritable, and anxious, with moments of euphoria and hyperactivity. There may also be alterations in sleep and in the ability to concentrate. Bipolar and anxiety affect sleep patterns, and in turn, daily functioning as the patient is left feeling lethargic during the day. There is a tendency to act impulsively without assessing the risks or consequences of one’s actions. During a depressive episode, the bipolar client will feel very depressed, empty, have low motivation or self-esteem, and be inattentive. In extreme cases, there is a high risk of self-harm and suicide. The changes from one episode to another can occur during the same week or across several months. There are different types of bipolar disorder, where people can suffer from episodes of the depressive type, while other people suffer both episodes alternately. 
The client's vulnerabilities
Bill lives alone near his family and works in construction, but his work history is sporadic. ...