A 41-year-old male presents via telehealth stating that cowo…

A 41-year-old male presents via telehealth stating that coworkers “talk about him behind his back” and “try to undermine him.” He is guarded and reluctant to share personal information. He denies hallucinations and does not demonstrate disorganized thought processes. His beliefs are persistent but not fixed delusions. Which diagnosis is MOST consistent?

A 28-year-old female presents via telehealth reporting “mood…

A 28-year-old female presents via telehealth reporting “mood swings” and difficulty maintaining relationships. During the session, she becomes tearful and states, “Everyone leaves me eventually.” She then shows superficial cuts on her forearm and says, “I wasn’t trying to kill myself—I just needed to feel something.” She denies suicidal intent, has no plan, and agrees to a safety plan. Toward the end of the session, she asks, “Can I message you later tonight if I start to feel this way again?”Which of the following is the MOST appropriate combined response by the PMHNP?

A patient reports avoiding social situations due to fear of…

A patient reports avoiding social situations due to fear of criticism and embarrassment. These symptoms have been consistently present since adolescence and affect most areas of functioning. The patient reports wanting relationships but avoids them due to fear of rejection. Which diagnosis is MOST likely?