[Verified Answer]: A 34-year-old female is establishing care…

A 34-year-old female is establishing care with a health care provider at the local health clinic. The patient is accompanied by her spouse of 4 years. The patient gave birth to a baby boy 3 months ago. The couple recently moved to the area after relocating for work. Both have recently accepted new positions that they describe as “our dream jobs.” The patient reports that the main reason for seeking care is to “get renewals for my medications.” The patient’s medical history includes gastroesophageal reflux disease (GERD) and bipolar II disorder diagnosed when she was 23 years old. Both health issues are being managed with medication therapy. The patient reports that she has been without lithium for 2 weeks and has missed two doses of cimetidine. The patient admits to being more irritable than usual but adds, “I blame that on juggling parenthood with a new job and getting settled in our new home.” The patient’s spouse adds, “She was really depressed right before the baby was born; I’d hate to see that happen again.” The patient admits to “feeling down” but denies being “really depressed.”