intermediatedepressionhypothyroidismbipolar screeningmedical mimicstreatment failureantidepressant
A 45-year-old male is referred by his PCP for "depression." He reports low mood, anhedonia, fatigue, weight gain, and cognitive slowing over the past 4 months. His PCP started sertraline 50 mg 6 weeks ago with no improvement. What should the PMHNP evaluate FIRST?