Walter the Worrier is getting between three and four hours sleep each night. He feels as if he is moving at a snail's pace and has lost the ability to concentrate for more than a few minutes at a time. He finally made an appointment with you after his wife noticed that he wouldn't even go out for his Wednesday night bowling game. Before diagnosing Walter with a mood disorder, you must first rule out:

Question

Quizplus · Accepted Answer

Any mood disorders require that you first rule out the presence or use of any substances, including alcohol. When and if substances are found to be an important issue, treating them would be another matter entirely and would require different tactics from a mood disorder alone for the most appropriate treatment. While it is not necessary to refer out for service if you are appropriately trained, you must also encourage your client to treat their dual diagnosis.

Walter the Worrier Is Getting Between Three and Four Hours