I am a (child) psych CNS who has functioned "in the APN role" all of my advanced practice career, providing direct care to clients, diagnosing and treating psychiatric disorders -- just not with medication
. The psych CNS role has always been (until fairly recently) that of psychotherapist; I've never had prescriptive authority, have never wanted it, and wouldn't take it if you tried to give it to me (I have lived and practiced in states where that was a possibility, and haven't pursued it). I'm one of the many who is somewhat offended by the recently developed notion that "advanced practice nursing" is defined as "having prescriptive authority." There is a lot more to advanced practice in nursing than pushing pills, which, to me, is more "medicine lite" than advanced nursing
practice. If people want to do that, I have no objection, but I do object to the idea that what I do isn't
advanced practice nursing.