MoonChile

Good day, Twoshea749, Since posting, I have gained much more experience and insight. My patients tell me how they are suffering and I hear them. As a licensed mental health provider, my training has prepared me to assist those who have assessable diagnoses with available medication treatments. What you present is not always the case with other patients and sometimes there are people who are drug-seeking. I've seen it from both sides. As you state "be honorable," I also would like the same assertion to be directed towards patients. My approach in my practice is to believe my patients, until I can't/won't. Thanks for sharing your lived experience. I hope you get the support you need.

I'm a relatively new. Psychiatric Nurse Practitioner. Recently I've noticed an uptick in people requesting stimulants. I want to know how other providers are making determinations to prescribe stimulants. Currently at my practice, we used Tova screening. I have also requested people to get psychological evaluations. Sometimes the psychological evaluations are cost prohibitive, so people pushback on those. If it's a new patient to me, I usually start them with non-stimulants. Almost inevitably, it doesn't work for them. I tend to think they have tried an Adderall or two and they are really looking for stimulants. In my previous position, I worked at a solo practice and the doctor made the determination to start a stimulant. At my new position, I have to make the determination about the stimulants before I send them over to my supervising physician to sign. I want to make good judgment about my decision to start a patient on a stimulant. When assessing and asking about symptoms, everybody always presents with ALL the symptoms. It just seems like there's a lot of people requesting stimulants these days. I'm interested to know how you handle these situations in your practice. Thank you!

That's it! Thank you so much! I knew if I put it out there, someone will answer my inquiry! Nurses are the best! All the best to you!

Good day, I'm a practicing PMHNP and I would like to get more resources for prescribing. I have Stahls. I recently saw a site that send psychopharmacology based info to your inbox daily. I'm trying to remember the site and just can't. I think it had "Simple" or something like that in the title. It's geared towards doctors and NPs. Is anybody familiar with this site?