Hi Imonet82. I read your question and went over all the answers. I am in the same situation as you. Just graduated May 2014. I am also an FNP.I have worked as a RN in a psych facility for about 2 years before graduating as a FNP.I have a psychiatrist willing to hire me to work for him with an attractive pay.However, I went back and forth with the texas board of nursing but all I got were vague responses. I pondered about the situation and concluded that the only problem will be if you are called in court to answer an error. Mind you this can happen with any specialty: WHNP, FNP, Pediatrics or Mental health nurse practitioner. FNP's You were trained in school on mental health. You assessed patients and came up with differential diagnoses.Remember when you did hypothyroidism, hyperthyroidism, remember your differential diagnoses remember how this was linked to bipolar disorder, anxiety disorder, depression, remember when you did women's health, think about the mental disorders you came across and how patient care was planned. Now remember when you did the actual mental health course! how much did you learn? alot to treat and safe a patients life. You have to trust your knowledge! you have several resources to check for side effects like drug and drug interactions or food and drug interactions which is the main concern when caring for mental health patients; even the Psych MD's use these resources, plus you have a psych MD right by you to help guide you. Now do you mean you will not be able to assesses and treat if a depressed patient comes to your practice? it can be medical practice, you will meet a lot of these type of patients, or a patient with schizoaffective disorder presenting with psychosis and hallucinations are you going to refer this patient to a psychiatrist without performing an intervention? No! NP's what are you all talking about. FNP's can treat psych patients, you will refer the patient but what can you do now to prevent a situation. What will you say in court if you send this patient home with a referral to a psychiatrist and the patient while waiting for the appointment commits suicide or hurt some one? the Judge will ask you: as an FNP you should have treated the patient with one of the common medications for depression or for schizophrenia while awaiting his appointment. The same model applies when working in the clinic with the psych MD. You can follow up the less complex cases and refer complex scenarios back to him. I am interested to know what you decided on, because I am working with this Psyc MD, inpatient and he will be my supervising physician for the medical clinic I am about to open. There are law suits every where what ever specialty, all we have to do is o be prudent with what ever we do with our patients, don't let any one discourage you on you plans. It make more sense for FNP to work with mental patients but the reverse does not make sense. The Texas board of nursing will never tell you not to see psych patients, they are not straight with their responses. For all the times I tried, all I got were very vague answers living you cold and dry to make the decision by your self, why the did we do FNP and mental health as part of the course of study if we are not allowed to diagnose and care of psych patients under the supervision of a Pych MD, why should psych MD's be allowed to be a supervising physician for FNP's if we are not allowed to work with them. Sum it up! doe'n't make sense.