By Emmy Vadnais, OTR/L and Carisa Hillman, OTS This case report was created by Emmy Vadnais, OTR/L and fieldwork student, Carisa Hillman, OTS, while providing occupational therapy with integrative health for their client “Mary” in 2016. It was submitted to an OT and mental health journal, and after two years of revisions, including thorough assistance from an OT professor, it was not accepted. We were not told clearly how we could improve it for acceptance. We chose to not submit it to any other journals as we believe it will likely get more exposure and readership here. During this time Mary’s Bipolar Disorder diagnosis was reported to be in remission…