You are an outpatient PMHNP who is seeing John, a 28-year-old male who was recently hospitalized. John has a past history

You are an outpatient PMHNP who is seeing John, a 28-year-old male who was recently hospitalized. John has a past history of psychotic episodes; however this particular hospitalization followed a suicide attempt and severely depressed mood. He has a history of multiple hospitalizations in his past, and has been given many previous diagnoses. He was stabilized on olanzapine and lithium carbonate. His discharge paperwork lists his diagnoses as major depressive disorder and bipolar disorder, most recent episode depressed. Knowing what you do about John’s history and diagnostic precision, why is this diagnosis consider inaccurate