This is a mental health case study of a bipolar client in psychotherapy. Talking about struggles experienced by the client, diagnosis, medical treatment, involvement of psychotherapist with the mental team. Including client behaviour, symptoms, pharmacology; the impact of treatment. Critically evaluate how psychotherapy can help or how he can be a hindrance to a client with this diagnoses. what intervention would be appropriate or inappropriate and why? Ethical reflexibility to work with such clients.The connection between health services and their relationship with the work of psychotherapy.