A 45-year-old female with MDD and GAD presents to your office for a psychiatric evaluation. The patient’s blood pressure was 159/93, all other vitals were normal. She does admit to several elevated BP readings, but does not take medications for BP. She has no other medical issues to report. She is asymptomatic. She reports that she used to be on duloxetine about 5 years ago and it worked well. Patient’s exam is significant for moderate recurrent MDD. Her labs from her PCP are unremarkable but are from 1 year ago. Choose the most appropriate intervention

A 30-year-old male patient with a diagnosis of schizoaffective disorder has been stabilized on risperidone 2mg BID. During routine labs, the patient’s prolactin is 70 ng/mL  . The patient is asymptomatic, reporting NO hypogonadism, galactorrhea, or gynecomastia. He has failed two other antipsychotics. On risperidone, he has been able to start working.  His only other medical diagnosis is BMI of 35. Which interventions could be the most appropriate for the client? SELECT ALL THAT APPLY

A 32 year old male is diagnosed with paranoid schizophrenia and has been taking haloperidol for the past 6 months.  During his visit, the PMHNP notices repetitive muscle movements and excessive eye blinking that were not documented last visit.  An appropriate next course of action will be:

Cigarette smoking can affect the serum levels of certain antipsychotics.

All of the following are true regarding Chronic Obstructive Pulmonary Disease (COPD) and the serious mental illness (SMI) population except:

Of the following in need of an antidepressant, who is the best candidate for fluoxetine?

A 20  year old woman with schizophrenia (diagnosed 18 months ago) presents for a follow up visit.  She mentions that she has been feeling sedated and has gained 11 pounds since her last visit 4 weeks ago.  She is most likely taking which of the following?

A 38-year-old woman presents to your outpatient psychiatric clinic with a 4-month history of depressed mood, anhedonia, poor concentration, low energy, and hypersomnia. She reports sleeping 10-12 hours per night but never feeling rested. Her PHQ-9 score is 18 (moderately severe depression). She denies suicidal ideation. Her BMI is 34 kg/m². During the assessment, her husband, who accompanied her, volunteers that she snores loudly every night and he has noticed she stops breathing repeatedly during sleep, which frightens him. The patient confirms daytime sleepiness (Epworth Sleepiness Scale score of 16/24) and reports frequent morning headaches. She has no prior psychiatric history and medical history is significant only for hypertension managed with lisinopril 10 mg daily. She has not seen her primary care physician in over a year.  You suspect she may have undiagnosed obstructive sleep apnea (OSA) contributing to her depressive symptoms.   Which of the following is the MOST appropriate initial approach? 

Increased vascularity with color Doppler, termed the thyroid inferno or thyroid storm, is observed in ___________________.

Write down 3 hormones produced by the thyroid.