Margaret is a 27-year-old female who is 10 weeks gestation w…
Margaret is a 27-year-old female who is 10 weeks gestation with her first pregnancy. She has a history of depression and is referred to the PMHNP for assessment. Her PHQ-9 is 18 and her MDQ is 5. During the interview, she describes a period of time when she felt very confident in her ability to earn money selling supplements, so she took out several loans and maxed out her credit cards to buy stock. She reports that she needed less sleep during this time because she was very excited and energized by her work. An important diagnostic feature to assess next is: