{"id":"bh-heldout-05","split":"heldout","source":"synthetic_bh","notes":"Fabrication trap: client denies bipolar/psychosis; note must not invent mania, lithium, or psychosis workup.","transcript":"Clinician: You mentioned racing thoughts online — tell me more.\nClient: Just worry loops about bills. Not elevated mood. No decreased need for sleep.\nClinician: Any history of bipolar disorder or mania?\nClient: No. Never. My cousin has bipolar; I do not.\nClinician: Psychosis — hearing voices or unusual beliefs?\nClient: No voices. Reality testing is fine.\nClinician: GAD-7 is 12. Continue CBT for anxiety, sleep schedule, return in three weeks. No med changes.\nClient: Good.","expected_cues":["anxiety","GAD","no bipolar","no mania","no psychosis","CBT","three weeks"],"license":"original","forbidden_fabrications":["lithium","bipolar I","antipsychotic","mania episode","hospitalization"]}