The beauty of nursing is that you can switch 'specialties'. Go where you're pulled. I've been in nursing since 1972, most of it psych. Most pts have some underlying psych dx. Plus, if you know your psych, you'll have an easier time with your boards. As mentioned before, non compliance is a huge problem, but, until they can stabilize meds for 6 months and have an implantable pump, it's difficult for the pts, their families and us! They get to a poiint where they gain weight, or don't think it works, so they flush it, sell it, trade it, loose it whatever! I think in psych, you must learn to think outside the box. What works for one, doesn't work for the identical twin with the same symptoms! The study and treatment of the mind is still in it's infancy. Also, most psych drugs take 4-6 weeks to work and pts are too frustrated! We are a society of 'fix it yesterday'. I'm on a local PET team and I can't tell you HOW many kids I get in the ER! Parents have had however many years to screw this kid up, indulge him, make excuses for their bx, take their side against schools, police, neighbors, relatives, etc, then want me to fix them in 60 minutes!! Sorry, pixie dust was optional with the RN renewal and I chose not to spend the $75 for it! A sense of humor is also important. (In it's place, of course). It helps if you have someone close to you who has a mental illness (and nowadays who doesn't?). Empathy is critical. You'll learn to think like they do. That's scary sometimes! Good luck and let me know how you're doing!!!