PMHNPs - also doing primary care? - page 3

by myelin

Hi everyone, I have a quick question. I was meeting with a student who is in the PMHNP MSN program that I am due to start next fall, and she made some interesting comments. She basically said that PMHNPs can sometimes be expected... Read More


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    Thanks for the feedback. I have a real interest in psych and I truly want to make a difference. I currently work in a jail as an RN. I see folks come in all the time on so many crazy meds...from the NP. It's polypharmacy at its finest. I don't want to fall into that trap. How do you all feel about that? Long term use of benzos, etc? I'm no stranger to mental health issues but some of my philosophies may conflict with the role of the NP.
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    Quote from mtsteelhorse
    I don't want to fall into that trap. How do you all feel about that? Long term use of benzos, etc? I'm no stranger to mental health issues but some of my philosophies may conflict with the role of the NP.
    I actually am critical of the psych field as well... I think there's a lot of crappy assessment and treatment going on (including terrible polypharmacy and rampant-non-evidence-based therapies). But instead of shying away from the field, I've chosen to embrace it and try to make a difference. It's corny, I know, but I think there needs to be people in psych who want to be here (this is more a problem with medicine where psych becomes a dumping ground for people who couldn't score high enough for the specialty they actually want so they end up stuck in psychiatry, but I digress) and who follow what the research actually says.
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    Good points made. So PMHNP majors are considered flunkies in demand? That makes me feel less excited than ever. I am so excited about getting accepted but have heard the psych programs are less competitive. I don't want to treat everything with pharmaceuticals. Yes, there is a definite need for meds. They can literally be lifesaving. Then there's treating people like my Mom who was told for years all her symptoms were "in head" and the root of her problems were ignored. I'm really concerned about this. I plan to shadow a new grad this month. Hope to glean more insight. Thanks for your feedback. What non EBP do you see?
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    Quote from mtsteelhorse
    Good points made. So PMHNP majors are considered flunkies in demand
    I believe myelin was referring to psychiatry residents, as psychiatry is a less competitive specialty (in terms of USMLE scores, etc.) than, say, dermatology. So people who didn't score as well in med school might get stuck doing a psychiatry residency because they couldn't get into rads or derm.

    And the lack of competitiveness might be because not everyone is the right fit for psych, it's not the most glamorous field, but it is so important and so neglected.

    How did you find a new grad to shadow?
    myelin likes this.
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    Psych is great----and you can make a difference. Most people will come off their benzos with good explanations of why they arent appropriate for their dx---(not all of course)--some are willing to try something else...some you may have to be firm aabout why they are not getting a benzo..
    People come to psych providers becasuse of psychological pain...I think you have to start there...
    Non psych NP's are usually glad to have someone else do the psych meds....
    myelin likes this.
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    I can't thank you all enough for this valuable insight. I'm so excited about my chosen path. You hit the nail on the head: psychological pain. And there is a huge demand for us. Many people shy away from the field. You're right, it has to be the right fit. I found an APRN to shadow because she's my daughter's NP. She was more than happy to show me the ropes. How great is that?! I can see how my whole perception has been a bit tainted because the psych patients I see on a daily basis are incarcerated. There's a much bigger world out there.
    myelin and Psychcns like this.
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    Quote from mtsteelhorse
    Good points made. So PMHNP majors are considered flunkies in demand? That makes me feel less excited than ever.
    Not at all, I was referring to physicians. Psychiatry, as a medical specialty for physicians, unfortunately, can be a bit of a dumping ground because people who don't score high enough to do what they want end up forced into psychiatry (this is true for family medicine and peds as well). This is not so for NP school - you choose your specialty in the beginning, and if you don't get in you can reapply. I think this is a huge strength of NP training. We are all in our specialty because we want to be, not because we couldn't match into something else that we prefer.
    Last edit by myelin on Oct 22, '12
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    [We are all in our specialty because we want to be, not because we couldn't match into something else that we prefer.[/QUOTE]

    Excellent point! I love this thread. I'm getting such great info. I see your point now. I spoke with a MHP this morning and he strongly encouraged me to go for it. The course work will be a bit overwhelming I'm sure. I've been out of the loop for a while in terms advance pharm and pathophys. I also need to take stats before I can take their research class. Yuck...
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    Quote from mtsteelhorse
    [We are all in our specialty because we want to be, not because we couldn't match into something else that we prefer.
    Excellent point! I love this thread. I'm getting such great info. I see your point now. I spoke with a MHP this morning and he strongly encouraged me to go for it. The course work will be a bit overwhelming I'm sure. I've been out of the loop for a while in terms advance pharm and pathophys. I also need to take stats before I can take their research class. Yuck...[/QUOTE]

    You never know, you might love stats. I hate most math, but I really love stats.
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    "You never know, you might love stats. I hate most math, but I really love stats."

    Where did you take it? Online by chance?


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