Paradigm Shift: Do We Need to Rethink Our Approach to Bipolar


About the Course  

A new research study has made a few waves recently! Metformin improving outcomes in some patients with bipolar disorder? Woah. Join Sally K. Miller, PhD, AGACNP, AGPCNP, FNP-BC, PMHNP-BC, FAANP as she dissects this study and explains the fascinating physiology about why this medication therapy just might work. 

Listen, Learn, and Earn CE Hours with this podcast course. Available on AppleSpotify, and other podcast apps. 

Learning Outcomes

Upon completion of this course, the learner will be able to:

  • Explain the mechanisms by which metformin may improve outcomes in bipolar disorder. 
  • Recognize the implications of this research for future treatment of bipolar disorder. 

About the Presenter

Dr. Sally K. Miller, is a Fitzgerald Faculty member. She presents the Fitzgerald Nurse Practitioner Certification Exam Review & Advanced Practice Update for family, adult-gerontology primary care, adult-gerontology acute care, and psychiatric-mental health. She also teaches pathophysiology and pharmacology courses. Dr. Miller is certified as an adult-gerontology acute care, adult-gerontology primary care, family, and psychiatric-mental health nurse practitioner by the American Nurses Credentialing Center (ANCC). She practices in rural health with NextGen Family Care Clinic and iCarePsychiatry in Las Vegas, NV. Dr. Miller is a fellow of the American Association of Nurse Practitioners (AANP) and a clinical professor at the Drexel University College of Nursing and Health Professions, Philadelphia, PA. Additionally, Dr. Miller is the APRN consultant/investigator to the Nevada State Board of Nursing. Dr. Miller has presented a wide variety of pharmacology and clinical topics at local and national conferences, including the National Conference of Nurse Practitioners, AANP, and the University  of Colorado Annual Nurse Practitioner Symposium. In addition, Dr. Miller conducts workshops in collaboration with other Fitzgerald faculty on suturing for primary and urgent care. She created the following Fitzgerald Health programs (available at and Intervention in Common GI Disorders: PUD, Gastritis, GERD, and IBS; Assessment and Management of Low Back Pain; Prescribing  for the Relief of Symptoms; Evaluation of Dizziness, Syncope, and Vertigo; Primary Care Management of Acute and Chronic Pain Syndromes; The Differential Diagnosis of Chest Pain: Who Needs the ECG?; and Controlled Substances: A Focus on Safe and Effective Prescribing. In addition, she developed and presented the programs Psychopharmacology for NPs & Advanced Practice Clinicians; Cardiac Rhythms: The Clinician’s Approach to Accurate Interpretation; 12-Lead ECG Interpretation: A Primary Care Perspective; and Beyond the Basics in 12-lead ECG Interpretation, which are also available at Dr. Miller is a member of numerous professional organizations, including AANP, the American Nurses Association, the Academy of Correctional Health Professionals, and the Nevada Nurses’ Association. She has been published in several nurse practitioner journals including the Journal of the American Academy of Nurse Practitioners, Biological Research for Nursing, Journal of Geriatric Physical Therapy, Journal of Primary Health Care, Journal of Correctional Health Care, and Advance for Nurse Practitioners.  Dr. Miller has also served as a content reviewer for many of these publications.

How to Receive Credit  

  • Listen to the entire recording which requires a half-hour commitment of time.
  • At the end of the course, answer the Yes/No Affirmation question to indicate that you have completed the educational activity.
  • Specific to Florida: A mandatory Final Examination with a passing score of 75% or higher is required. Exam questions link content to the course Learning Outcomes as a method to enhance individualized learning and material retention.
  • Provide required personal and payment information.
  • Complete the mandatory course evaluation.
  • Print your Certificate of Completion.

Resolution of Conflict of Interest

Planners, faculty, and others in control of content (either individually or as a group) have no relevant financial relationships with ineligible companies.

Sponsorship/Commercial Support and Non-Endorsement

It is the policy of Colibri Healthcare, LLC not to accept support from ineligible companies. Furthermore, ineligible companies are prohibited from distributing or providing access to this activity to learners.


The information provided in this activity is for continuing education purposes only and is not meant to substitute for the independent medical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition.  

©2023: All Rights Reserved. Materials may not be reproduced without the expressed written permission or consent of Colibri Healthcare, LLC. The materials presented in this course are meant to provide the consumer with general information on the topics covered. The information provided was prepared by professionals with practical knowledge of the areas covered. It is not meant to provide medical, legal, or professional advice. Colibri Healthcare, LLC recommends that you consult a medical, legal, or professional services expert licensed in your state. Colibri Healthcare, LLC has made all reasonable efforts to ensure that all content provided in this course is accurate and up to date at the time of printing but does not represent or warrant that it will apply to your situation nor circumstances and assumes no liability from reliance on these materials. Quotes are collected from customer feedback surveys. The models are intended to be representative and not actual customers.  

Accreditations and Approvals

Colibri Healthcare, LLC is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.