Book of Pearls for PMHNPs: Clinical Decision-Making in Practice is a practical guide for PMHNP students, new graduates, and early-career psychiatric clinicians. It focuses on real-world psychiatric decision-making, including assessment, differential diagnosis, medication selection, risk evaluation, psychosis, agitation, hospitalization decisions, and follow-up care. Written in a clear, concise style, this book helps readers organize clinical thinking, strengthen judgment, and make safer, more confident treatment decisions in everyday practice.