when an unstable patient asks why it is necessary to add medications to his current regimen, the PMHNP’s best response would be:

a. in an extreme case such as yours more than one mediation is often needed

b. due to the ineffetiveness of your current medication, we need to try something else that can possibly potentiate its effects

c. medications are often specific to the neurotransmitters they are affecting and due to more than one neurotransmitters involvement it is often necessary to use more than one medication to improve symptoms.

d. i understand your concern. we can discontinue your current medication and switch to a different one that may better manage your symptoms