Competency is a legal concept regarding the determination that a client can make reasonable judgments and decisions regarding treatment and other concerns. A person is considered to be competent unless a court rules them to be incompetent.

Eye movement desensitization and reprocessing (EMDR) is a psychotherapeutic approach that is often used in the treatment of PTSD. The primary goal of EMDR is to achieve adaptive resolution. This involves helping the patient desensitize to traumatic memories and reduce the intensity of emotions associated with the trauma.

The MoCA was developed to detect mild cognitive impairment and assess a broad swath of domains. It is suitable for those at higher educational levels, and this patient is a lawyer.
The Hamilton Depression Scale assesses depression symptoms, as does the PHQ-9. A brain MRI with or without contrast would show the basic structure of the brain but not indicate the level of cognitive impairment.

Factors facilitating the growth of the nurse practitioner role include:
* Patient demand for services
* Patient acceptance of and satisfaction with nurse practitioners
* Decreasing stigmatization of psychiatric illnesses
* Emphasis on the need for integrated healthcare services
Factors constraining the growth of the nurse practitioner role include:
* Growing competition in the job market
* Reduction in salary due to nurse practitioner oversupply
* Reimbursement struggles with Medicare and private insurance companies
* Legislative battles for independent practice
* Mandatory physician supervision
* Resistance from powerful medical organizations

Factors facilitating the growth of the nurse practitioner role include:
* Patient demand for services
* Patient acceptance of and satisfaction with nurse practitioners
* Decreasing stigmatization of psychiatric illnesses
* Emphasis on the need for integrated healthcare services
Factors constraining the growth of the nurse practitioner role include:
* Growing competition in the job market
* Reduction in salary due to nurse practitioner oversupply
* Reimbursement struggles with Medicare and private insurance companies
* Legislative battles for independent practice
* Mandatory physician supervision
* Resistance from powerful medical organizations