🧠 NP students: What’s on your differential? A 27-year-old patient presents with difficulty concentrating, leaving tasks unfinished, and struggling with daily activities such as showering, preparing meals, and keeping up with household responsibilities. The patient states, “I know what I need to do, but I can’t seem to get started. Then at night, I can’t turn my brain off.” What differential diagnoses should you consider? Before jumping to a diagnosis, tell us: - What are your top three differentials, and why? - What additional questions would help you distinguish between them? - What would you want to know about symptom onset, sleep, mood, and substance or medication use? - Drop your clinical reasoning below. A symptom is a starting point, not a diagnosis!