This case involves a 28-year-old male patient who had been undergoing mental health treatment every 6 months for 6 years. During this timeframe, the patient was seen and solely treated by a nurse practitioner. The nurse practitioner saw the patient in sessions which lasted less than 10 minutes at a time. The nurse practitioner diagnosed the patient with bipolar disorder, along with a variety of other mental health disorders, and prescribed the patient Clonazepam, Escitalopram, Lamotrigine, and Trazodone. The nurse practitioner never consulted with physicians at the affiliated mental health center. The patient was eventually referred to another psychiatrist who informed him that he had been misdiagnosed with bipolar disorder and had been inappropriately prescribed medications during his treatment. An expert family medicine nurse practitioner with experience working in a mental health capacity was sought to opine on the standard of care.