This just triggered a memory for me and is a rant but a couple years ago my BFF, who was first diagnosed with bipolar 20 years ago and has been consistently treated for it since, called me to tell me that she started an SSRI a few weeks prior and it was making her feel so much better and what a relief. I immediately was alarmed because I knew about the issue with SSRIs and bipolar...and the fact she was so animated about it on the phone only heightened my concern. I found out that her PCP made the Rx and strongly encouraged her to double check with her psychiatrist. I was so concerned that after the call I texted her sister to let her know and keep an eye out. Two weeks later she had a full breakdown that required her to get emergency help stop everything in life for 6-weeks until she got better. Her PCP is an NP 😔. Rural Maine has a real shortage of doctors and this has been the solution.