Reference no: EM133768368

Question

You are a PMHNP-BC in an outpatient clinic. You have an appointment with Michael, a 52-year-old man, who you have been treating for major depressive disorder for the past 6 months. He has been stable and is currently taking bupropion XL 300 mg daily and sertraline 100 mg daily. He has a history of major depressive disorder (diagnosed in his late teens), hypertension, and suicidal ideation. His most recent hospitalization was approximately 18 months ago for suicidal ideation. He was kept for 72 hours and then released to a partial day outpatient program before returning to your care. He is single, and both of his parents are deceased. He was an only child and had few friends. He has difficulty holding employment, but since his depressive episode 18 months ago, he was working steadily at a gas station near his home. He does not drive because he cannot afford a car. You receive a phone call from Michael approximately 20 minutes before your scheduled appointment. He tells you that he cannot get out of bed and will be missing his appointment with you. You quickly ask him if he is able to have a virtual appointment instead, and he agrees.