Depakote is an absolute motherfucking horse pill and a really wild patient often ends up on 1.5g (which is THREE horsepills) or more and a patient that wild often doesn't want the depakote so I'm stuck trying to convince someone who doesn't want to stop feeling like Jesus and Superman's love child into choking down these fucking golf balls (I'm exaggerating but the point is they're the biggest pills I administer by a long shot) and they don't even make injectable mood stabilizers so the courts can order backup injectables but they're usually benzos or antpsychotics which can help but won't really do enough and they can order it as a syrup which helps with cheeking but tastes nasty (but I do usually get a laugh asking if they want some salt and lime with it) and it's just... ergsdhcktdfnaajkfdv

Anyway the nurse trick is to give it with a spoonful of something thick like applesauce, pudding, or yogurt. It can help with the taste but more importantly thicker substances are easier for your pharynx to control as part of the swallowing reflex (we actually have beverage thickener on most nursing units for this exact reason). You don't even need to crush most pills (you're not trying to hide it, you're just giving the throat something easier to direct down the correct pipe) just plop them on top of the spoonful and you'll be able to swallow them much easier.