Quote from Whispera
I'm a MSN with a CNS in adult psychiatry. That degree let me prescribe until I decided I didn't want to do that anymore. Now I do counseling. The degree I earned prepared me much more for counseling than it did for the physicals/prescribing medications role, but it didn't prepare me well for either role. I think MSWs get much better preparation.
Until comparatively recently, when some states started offering Rx authority to CNSs (inc. psych CNSs), a psych CNS graduate program focused completely on preparation as a psychotherapist -- that was
the psych CNS role. I completed my psych CNS program back in the "good ol' days" and got excellent
preparation as a psychotherapist.
I'm v. disappointed that the psych CNS role is being "polluted" now by the prescribing piece, which means that the educational
programs are focusing on that, and the role of expert psychotherapist is being lost.
I agree with you, though, about the difficulty of finding good clinical positions that don't involve Rxing these days. Also v. disappointing.