Li Lei

No, I don't. The percent of adults we see for ADHD is roughly 25% and of those sure there are some malingering but our practice has gotten smarter too.. they have to come in monthly, they can't fill early, they have to be employed (else why else do you need a stimulant to "focus"), have a history and/or clearly symptomatic. Sometimes we try a non-stimulant, or sometimes, if there is a history of addiction it doesn't preclude them from receiving a stimulant but we may have them come in for random pill counts, for others we are conflicted about we do UDS to show they are taking the meds versus selling.. lots of ways you can show due diligence and reduce diversion. This gets around and others think twice about coming to you for pill shoppoing. With saying that.. we find more PARENTS taking their kids or diverting their meds than adults coming in that do not meet criteria so if this is your concern you will see in the pediatric population as well. You could always say at screening, "we do not treat ADHD/ADD with medication" and that eliminates all the hassle. I have found some parents that work with me on sleep hygiene plus diet to reduce symptoms and with working with teachers on a behavior plan can manage children without medication.

This is a great question. If you are in an outpatient practice that screens clients, (as the one I work at does) then this is an easy request. Yes, we do have some providers that choose not manage this at all. We often will refer to the Psychologist for psych testing if we are on the fence and if they are an adult then 1 of 2 things... first, they most likely have been dx in childhood and treated or 2) if they have not and insist they are ADHD but not previously treated and I do not see the presentation to support the dx, I encourage them to do therapy to work on ways to manage their symptoms b/c I'm not going to treat just based on subjective data alone when it comes to anything controlled (this also includes anxiety eg:benzos) Ultimatey, you can shape the clients you treat and the practice you want to create.

Hello, I've worked in Psych for over 20 years and actually own 4 practices, Have worked on mergers, acquisitions and the day to day. I prefer Psych over the work I've done as an FNP however, I have generalized in Primary care with my FNP and that is the work I did not prefer. With saying that, I also branched into aesthetic medicine about 2 years ago and love this and would not have (as much) credibility with just a PMHNP. We do 45 minute new patient evaluations, 15 minute med checks (30 at times if clinically indicated) and average 32 patients per day. So its the same time increments almost as Primary. With saying that the patients comes in more routinely and once stable the visits are fairly smooth sailing so that is nice as well. If anyone has specific questions about Psych or starting a Psych practice etc. I would be happy to answer them. I can be reached at leidy at USC.edu

I applied to USU, Keiser, St. Thomas U, USC and got into all. Due to reviews of the program I was able to easily scratch this off my list. I met someone local to me that advised it was not "great" and while I would like a more financially affordable offer I have chosen to go to USC. Best of Luck.

Hello: I just came across USU and then came here to learn more. Can I ask how the program is going? You can reply here or via email at [email protected] Any info is greatly appreciated. I am okay finding my own clinicals/preceptors. Self learning is fine also.. I'm more concerned with being prepared for state licensure as I saw another person posted that you sign off on a waiver that states they do not prepare you for state examination.

V.Jones BSN RN: Just curious what your feedback is on the program? I am on the fence about FNP vs PMHNP (or FNP and post masters cert in PMHNP). Not gonna lie the feedback about STU is fairly discouraging. I'm trying to find an online program that is accelerated. I would like to be done in less than 18-24 months (ish). Any advise is greatly welcome (from anyone). Email: [email protected] Thank you to any/everyone that is willing to sent any recommendations!

Yes I'm finishing my BSN (have not taken NCLEX) and was waitlisted but I will say I have an undergrad in Psych, MBA, Post-Bacc PreMed Certificate, HS-BCP, and 20 years Director and/or ownership of a large Psychiatry/Mixed-specialty group. To add to that I have a 3.8GPA, was a student scholar for APNA, Psi Chi, Sigma Tau, and Alpha Chi honor societies. I applied after and was waitlisted so I do think they look at the overall student and I do feel if I applied early admission I had a good likelihood of being admitted. I also had recommendations from 2 Psych's and a fellow DNP/NP Vandy Grad. I did not apply any where else but if I am not pulled from the waitlist I do plan on spending this Summer honing down online grad programs and applying to other schools and re(applying) at Vanderbilt.

Niccceeee.. I think it would have made a difference too if I had already completed by BSN. I'm just finishing up now. Fingers crossed I get pulled off the list though.

Okay so I just checked and I started my app end of October but with my transcript issues it was not "complete" until January 14th.

Not at all. I can’t remember exactly.. I know I was trying to complete my file but I had an issue getting transcripts in on time and one recommendation letter ? let me check the portal and see what date it says. Brb

Applied after the deadline and found out Monday I’m waitlisted.. hopefully you’ll hear something any day!