A 44-year-old female patient was told by her spouse 1 week a…

A 44-year-old female patient was told by her spouse 1 week ago that they wanted to get divorced.  They have 3 small children together.  The patient present to you as the PMHNP with symptoms of depression and anxiety; however, do not meet full criteria for major depressive disorder or generalized anxiety disorder and have no mental health history.  Which of the following is the most likely diagnosis?

A 22-year-old college graduate admits he has been sleeping m…

A 22-year-old college graduate admits he has been sleeping more than usual for the past month, sometimes up to 14 hours a night.  However, he still feels significantly fatigued throughout his normal waking hours.  He has no romantic relationships in his life, and his appetite has decreased, resulting in a 10 lb weight loss over the past month.  When asked about his weight loss, he says that sometimes making the decision on what to eat is difficult.  He also recently quit his band, saying that he is no longer interested in drumming.  He denies recent triggers. Which of the following issues is this patient most likely experiencing? 

The PMHNP has a 65 year old male patient who has been recent…

The PMHNP has a 65 year old male patient who has been recently diagnosed with Parkinson’s disease (within the past 2 months).  The patient has several symptoms of depression but does not meet full criteria for Major depressive disorder (MDD).  The patient does not have a history of symptoms like this in the past. The PMHNP knows that the most LIKELY diagnosis for this patient is: 

You are the PMHNP in an outpatient clinic assessing a new pa…

You are the PMHNP in an outpatient clinic assessing a new patient for initial evaluation.  The patient notes that they have had 3 years of hypomanic symptoms that you note do not meet criteria for a hypomanic episode per the DSM-5 and they also have numerous periods of depressive symptoms that do not meet criteria for a MDD episode.  Which of the following statements is most likely?

A 59-year-old man has been seeing the PMHNP for treatment of…

A 59-year-old man has been seeing the PMHNP for treatment of schizophrenia.  He was first diagnosed when he was 21 years old.  He remains medication adherent.  In getting to know the patient, it is revealed that he has very few social interactions, prefers to be alone, and has never had a romantic interest or desire to pursue one.  Which type of symptoms is pervasive in this clinical presentation?

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: