Interesting thread. Short answer, yes, it is absolutely worth it. I have an independent practice with complete autonomy. I work 3/4 time and earn in the neighborhood of $140K. I make my own hours, come and go as I please.
I personally hate my psych patients, lol. I groan when I see chief complain "depression" or anxiety." I can not stand needy whiners. I'd rather do a DRE any day! Let's get it over with, you go on your way and we do not ever speak of it again, right?
I do not want to have to see you and hear about your sucky life and stupid imaginary problems every month for the next year. (Google the Bob Newhart youtube video "Stop It") In that sense, psych NP would be highly preferable to FNP because I suspect most of Zen's patients have genuine behavioral health problems vs. just a failure to cope with normal life challenges, which is mostly what I see labeled as "anxiety" and "depression." Suck it up Buttercup. Get some exercise, get some perspective. A prescription is not going to fix what ails you.
I do get yelled at occasionally, but here is the thing: I am there to treat a medical condition, no to pander to them or enable them. When people are inappropriate, I get up and walk out. The visit is over and I won't see them again.
I do see a variety of fascinating things and meet a lot of very interesting people, most of whom are very pleasant. I really love seeing patients that do what they are supposed to do and whom make good progress toward goals. I don't like seeing people that don't follow directions/advice, make no lifestyle changes. I usually cut them loose after a year of no progress. They need to find someone that inspires them to make healthy life change, if I can't I'm not the right provider for them. I 'm not going to just keep writing scripts for the same conditions if they won't even try to do anything for themselves. Besides, they get tired of hearing me harp on the same things and are ready to be done with me too, lol.
29/30 days work pass by pleasantly and without unexpected complications. Most of my grief comes from insurance companies. The words "prior authorization" sometimes make my blood boil, lol. My least favorite part of the job is paperwork. I can't stand filling out FMLA paperwork and endless forms for nursing homes, home health, physical therapists, etc, but at least I can bill for it. I take a half day a week to do nothing else and I don't enjoy that day very much, but it must be done. I usually treat myself to a nice lunch to give myself something to look forward to that day.
I like 75% of my patients, my career trajectory, , my day to day office life, my colleagues and my salary. I'd do it all again.