Patient states understanding of the disease process and potential changes that may occur during exacerbations of this condition (ie: butterfly rash on face, rash covering body, etc.). Patient states they are willing to continue using the interventions to maintain high self-esteem. Patient utilizes support system and group to express their feelings and work through any episodes of low self-esteem. Patient continues to participate in enjoyable activities. Patient is smiling, and talking openly about her disease process and states she feels more confident since the implementation of these interventions. Patient states she will continue to utilize these implementations.