Diagnosing Bipolar Disorder

Tina Matthews Hayes, DNP, FNP, PMHNP discusses how she diagnoses bipolar disorder, including different clues or signs to be on the lookout for.

Tina Matthews Hayes, DNP, FNP, PMHNP


Tina Matthews-Hayes, DNP, FNP, PMHNP, discusses how she diagnoses bipolar disorder, including different clues or signs to be on the lookout for.

Relationships with coworkers, friends, and acquaintances may also be affected by depressive symptoms. People with major depressive disorder can miss work due to their illness and, when at work, may perform responsibilities poorly or ineffectively due to their condition.26 In a survey from 2001–2003, people with major depressive disorder lost an average of 27.2 workdays—8.7 days were due to absenteeism and 18.2 days from presenteeism.29 Problems with memory, attention, and executive function are also associated with lower wages and unemployment.26,28 Patients with major depressive disorder may have difficulty extricating themselves from their own thoughts and, as a result, may appear self-focused and disinterested in social activities and forging bonds with others.30 Along with a diminished ability to read nonverbal cues from other people, they may come across as insensitive and have few friends.30 

Caregivers such as family and friends of people with major depressive disorder can also be negatively impacted. This unpaid informal work can be time consuming and emotionally challenging,31 possibly leading to lost income and health insurance due to reduced work hours.32 In addition, they may experience fatigue, distress, and poor sleep, and may develop depressive symptoms themselves.3          

Relationships with coworkers, friends, and acquaintances may also be affected by depressive symptoms. People with major depressive disorder can miss work due to their illness and, when at work, may perform responsibilities poorly or ineffectively due to their condition.26 In a survey from 2001–2003, people with major depressive disorder lost an average of 27.2 workdays—8.7 days were due to absenteeism and 18.2 days from presenteeism.29 Problems with memory, attention, and executive function are also associated with lower wages and unemployment.26,28 Patients with major depressive disorder may have difficulty extricating themselves from their own thoughts and, as a result, may appear self-focused and disinterested in social activities and forging bonds with others.30 Along with a diminished ability to read nonverbal cues from other people, they may come across as insensitive and have few friends.30 

Caregivers such as family and friends of people with major depressive disorder can also be negatively impacted. This unpaid informal work can be time consuming and emotionally challenging,31 possibly leading to lost income and health insurance due to reduced work hours.32 In addition, they may experience fatigue, distress, and poor sleep, and may develop depressive symptoms themselves.32 

Tina Matthews-Hayes, BSN, MSN, DNP, FNP, PMHNP

Tina Matthews-Hayes, BSN, MSN, DNP, FNP, PMHNP

Dr Tina Matthews-Hayes is a dual-certified nurse practitioner from Pittsburgh, Pennsylvania. She completed a registered nurse diploma program at the University of Pittsburgh Medical Center Shadyside School of Nursing. She gained a bachelor’s and master's in the science of nursing, completed the family nurse practitioner program, and began a terminal degree at Carlow University in Pittsburgh, Pennsylvania. Dr Matthews-Hayes began her career at UPMC Presbyterian in the cardiac intensive care unit while maintaining concomitant employment in the outpatient psychiatric setting. In 2012, Dr Matthews-Hayes dedicated her practice to psychiatry in impoverished communities at Western PA Behavioral Health Resources. She transitioned her doctoral studies to Walden University, where she researched the benefits of pharmacogenomic testing in the pediatric psychiatric population while dually enrolled at Regis College of Massachusetts post-secondary master’s degree program to attain certification as a primary mental health nurse practitioner. Dr Matthews-Hayes is a national key opinion leader and serves on multiple advisory boards with the goal of advancing psychiatric care.


This resource is intended for educational purposes only and is intended for US healthcare professionals. Healthcare professionals should use independent medical judgment. All decisions regarding patient care must be handled by a healthcare professional and be made based on the unique needs of each patient. 

NP Psych Navigator is sponsored by AbbVie Medical Affairs. The contributor is a paid consultant for AbbVie Inc. and was compensated for her time. 

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