A 21 year-old telephones an adult psychiatric and mental hea…
A 21 year-old telephones an adult psychiatric and mental health nurse practitioner to report that he has been unusually active, irritable, and unable to sleep for more than a few hours each night. He exhibits pressured speech and you may be concerned with mania based on how this individual is speaking. This patient has been diagnosed with a major depressive disorder, and was started on fluoxetine (Prozac) a six weeks ago. The psychiatric mental health nurse practitioner is most concerned about the possibility that: