Recent content by medium rare

I make multiples of that and see an average of 12 patients/day, 5 days/week.

As someone who has done this for the past 15+ years (clinical psychologist who prescribes as a psych NP), the most direct and consistent way to do this is to train as a psychologist first and then pursue PMHNP training - unless you know you want to go into psychiatry. I did my dissertation on...

Who would?

Catholic priests work for free. With a bottle of Scotch as an honorarium, perhaps.

Elavon through Costco has the best rates. I’ve checked rates numerous times and haven’t found any that beat Costco. Been using Costco for 15+ years.

I currently have 3 pro bono patients and 2 I see at a reduced rate.

Precisely. A big part of why I decided to go back to school to prescribe/manage medication was because of the ongoing difficulty I experienced with cross-provider communication and treatment planning - something that’s nearly impossible to do in the current healthcare environment. A good...

Too bad they’re not falling more quickly.

Same for when I applied 20 years ago!

This model hasn’t and doesn’t really work in psychiatry/psychology. I know several psychiatrists and a few psychologists who have considered this and all have decided against it for the reasons stated above as well as others. It just works better in mental health to do self-pay as you go.

The true stoners don’t want a stimulant ruining their bake, lol. If they complain of attentional issues, I tell them we can talk about that after a month or two T break.

Occasionally, not typically. When I do, I’ve done them randomly and when I suspect something nefarious. I’ve found regular, frequent follow-up to be quite effective in medication adherence and diverting misuse and drug-seeking behavior.

I always get what collateral is possible to obtain. That’s relatively easy to do in kids/adolescents, more difficult with some adults. I often ask to speak with spouses/partners/other family members of the patient or even close friends, as appropriate. If I think the person may be malingering...

I’ve posted on this before. Reader’s Digest version: I was a clinical psychologist first and decided to become a PMHNP because of the shortage of psych prescribers, especially child psych prescribers. Search my past posts for more information or feel free to DM me.

That paper (and others of his) is required reading in my opinion. If I had a dollar for every time I’ve had to educate patients, family members and other professionals on that issue, I could take a very nice, long vacation.