About a third of patients walking into your office carry a diagnosis from the prior clinician that does not hold up. Saying so out loud is what new PMHNPs fumble worst. This Deep Dive walks through a calm, evidence-anchored conversation script for re-evaluating an inherited diagnosis without imploding the therapeutic alliance: how to open the conversation, what language to avoid, how to handle the meds question when the diagnosis changes, and when to keep the old label while you collect more data. You will come away with: - The opening line that signals respect for the prior clinician AND honesty with the patient - A reframe for the "so the last person was wrong?" question - A two-visit decision framework for when to change a label vs. when to wait Full script with the clinical reasoning: https://psychnpfellowship.com/inherited-diagnoses-new-pmhn ...