Psychiatric Nurse Practitioner, PMHNP, MSN, MS
The diagnostic range of patients has been diverse, from general
disorder, ADD, major depressive disorder, bipolar disorder, to psychosis, and to dual diagnosis.
Mood disorders do not exist without psychosocial issues, such as school performance, employment conflict, unemployment, middle life crisis, marriage conflicts, divorce, parenting, broken family, financial troubles, bankruptcy, family deaths, etc. Manic symptoms can be taken as wild and difficult personality and a person can live years and years of social and emotional hardships without assessment and treatment. Undetected psychotic symptoms such as prodromal phase of schizophrenia in adolescent can delay treatment, resulting in isolation and violence. The pandemic has caused unimaginable degrees of various mood disturbances.