A patient has been diagnosed with bipolar disorder after rep…

A patient has been diagnosed with bipolar disorder after repeated episodes of mania (one of which resulted in a psychiatric hospitalization) but has consistently refused to take medications or attend therapy, insisting that he has been misdiagnosed and has only “mild stress.”  The PMHNP recognizes this patient is probably experiencing: 

You are the PMHNP who is seeing a new patient for symptoms o…

You are the PMHNP who is seeing a new patient for symptoms of depression.  There are no identifying triggers for the symptoms.  According to the DSM-5-TR, you know that in order to diagnose Major depressive disorder (MDD), the symptoms have to be present for at least: