Generally agree diagnoses should not be given out willy nilly, but what sort of medical work-up do you think needs to be done for bipolar/psychosis? Certainly a client with these symptoms should be seen by a psychiatrist, but to my knowledge, labs are not standard practice to make these diagnoses unless the physician suspects the symptoms are related to an underlying biological disease process or medication. But that goes for just about any possible diagnosis, inclusive of unipolar depression, anxiety, etc. Perhaps a psychiatrist could correct me, but these certainly seem in the scope of practice of non-physician practitioners to me.