Problem:
Due to the potential of medication abuse and diversion associated with stimulants, the PMHNP must exercise caution and discernment in assessing and prescribing for adults seeking treatment for ADHD when there is no documented history of diagnosis in childhood. Simultaneously, it is crucial for the PMHNP to engage in self-reflective practice, ensuring personal or professional biases do not interfere with delivering quality patient care for individuals with ADHD. As a future PMHNP prescribing for adult psychiatric patients reporting symptoms of inattentiveness, discuss two prioritized diagnostic rule-outs that could impact your prescriptive strategy, outlining why these rule-outs have been chosen. For example, how could stimulant intoxication actually mimic ADHD symptoms? Or how could anxiety manifest in similar symptom clusters?