“…PCPs' proficiency in managing BD is essential due to the high prevalence of patient encounters, especially in the rural setting where primary care may be the only healthcare resource or point-of-contact available to patients (Terry & Terry, 2019). In rural settings, the lack of resources for mental health is even more evident as considerable health inequities, health disparities, under-funding, and limited access to services have been well established (Goodwin, MacNaughton-Doucet & Allan, 2016). In addition, those with mental health issues in rural areas are less likely to have medical coverage, are more likely to miss their appointments, and are more likely to face other issues such as poverty, homelessness, transportation difficulties, and social stigma (Finley, 2020).…”