Quote from juan de la cruz
Do you think this is because there's more emphasis on medication management and very little time devoted to fine tuning skills in Psychotherapy? I see some Psychiatrists heading in this direction too.
I think this is a component of an overall reduction in skills with both NPs and psychiatrists but since we are only paid for medication management now I would expect new NPs would be able to diagnose and prescribe and they are sorely lacking in these key areas.
Where the patients really suffer is that a majority are working the M-F outpatient sit behind a desk positions which is essentially prescribing in a silo. There are no checks and balances with often the only other set of eyes from a therapist who thinks there is a magic pill for every twinge. Working inpatient allows for more exposure to other's work. Taking call for other team members and rotating the weekends allows for first hand peer collaboration, learning and growth. Watching the prescribing patterns from psychiatrists I work with is still one of my most valuable tools.