Military spouse here also. Welcome back to the states! It is overwhelming right now as you adjust back to life here, but if you give yourself time you will find more options. We lived overseas for 4.5 years while I worked on my MSN and did not work, and then we PCS'd for a short 18 month duty station where again I didn't work. I was without any PAID work experience for 6 years, when I found a part-time job as a Psych Nurse in a large military hospital. They were much more understanding of my 6 year hiatus, and even the ICU was willing to hire me (I had 2 years experience ICU prior to OCONUS) but I did not want full-time with them as I had a 3 year old. I ended up hiring a nanny as that worked best for my family. The civilian hospitals I interviewed at all told me to take a refresher course and that I would not get hired without it. Uh huh. Yes a refresher course may help, but to me I wasn't willing to pay out of pocket for it and felt it was redundant and unnecessary. I don't think you "have" to do anything unless you want to. I know many hospitals would kill for an IBCLC, or even a ped office. Funny enough I'm sitting for the IBCLC exam in April, and starting a Psych NP program in January. Feel free to reach out, I fully know how hard the transition can be. But there are options and you can find them!