Thank you for the input! It's hard to weigh out exactly how to do it. PA is 2 years, you're done, but you have to be supervised. In my state, I'd have to get the DPN, and the hardest year to navigate would be the RN training because I wouldn't be able to work.
It has been more than worth it financially. My practice is full and I have a waiting/cancellation list for new patients willing to wait to see me (even though I consistently try to refer them if I can't see them in a timely manner). Not taking insurance has not been a problem either. I cannot handle the volume the way it is; if I took insurance it would be entirely overwhelming.
What about IL? Chicago is pretty awesome.
Uh, Wut?
To be clear, what "certain cases" are we talking about? The studies, which are often heavily sided toward medication efficacy (e.g., placebo washout groups, favorable outcome measures), often represent typical prescribing habits. More precisely, SSRIs are often prescribed to anyone with depressive affect so, pooled data is a fairly accurate manner of assessing efficacy.
SSRIs are very effective in certain cases, but sure if you're pooling the data...
I view the literature very differently, yes SSRIs work but why do they work. The placebo effect seems to play a strong role but not exclusively. However, the serotonin-hypothesis has very little supporting evidence at this point.
I am not aware of any controlled studies indicating that such a low dosage of physical activity treats depressive disorders.
Work in the short-term but may potentially increase the chronicity of psychotic disorders.
I thought behavioral activation was a part of CBT.
In any case, I always recommend physical activity and also sunshine and fresh air and fun. If the patient and I can find one thing that combines all of the above, then all the better.
I forgot about this till being bored today. Sorry to retread an old post.
@PSYDR
I did this and it has worked out extremely well. Clinical Psychologist & Psych NP dual training is a great combination. PM me if you’d like more specific information.
I realized I never thanked you for providing this information. I'm very glad to hear this. I've taken my first steps and am enrolling in an RN program. I think the best way I can do this is do RN to BSN to DNP/MSN. I'm excited.
That’s a solid choice. It will be a significant career segue, but it will be well worth it in the end. Let me know if I can offer any support.
Thank you! It's a long path, but now seems like a good time with more flexibility and options than in the past. I guess one positive from Covid. I've found the RN program and a program that allows RN to MSN, so I'm pretty psyched. Can't believe I'm going back to school..... but I'm excited to hear that you've found it worth it. The only real question I have for myself is whether it's financially worth it. Knowledge wise it certainly seems like it is.
What are financial costs of those programs and how long do they take?
Crunching the numbers, it looks like it would cost $20-25,000 altogether. If you can just go straight through, it'd take about three years, but since I can't, it will take about four part time. But it also won't disrupt my life all that much.
Huh, interesting. Do you have to do regular clinicals along the way like other nurses or NPs or is it more clustered at the end?
There's regular clinicals. That's the part that's going to be the most challenging, without question. Juggling that with a job will be interesting.
The creep is coming.
APA PsycNet
psycnet.apa.org
APA officially has changed its stance on training. Up to this point, the argument was always that psychopharm training is definitely post-doctoral. Now, psychopharm training may be during doctoral training. Not to overreact but this is how a field transforms; with small steps toward a goal. I wonder what the next change will be in 10 years (i.e., should be)
My goal is not to reignite the years long debate but to highlight a potentially insidious change in training.
Yes there are 13 states with active RxP bills in their legislatures at this time.
Is there a list of this somewhere?>
I do agree with this. I keep getting career opportunities that take me off the NP track - just got another one so I don't think I'll be doing it after all. But I may pursue more training in psychopharm just to have the training and better understanding.
Here is a partial list. I saw a longer list, which totaled 13 states but it's buried in a LONG thread from the Div. 55 listserv. If I can find the longer list, I'll post it.
I have no idea what has changed but HI has not been able to pass this for almost 30 years. WA for nearly a decade.
well... don't keep us waiting. Do you know something we don't about the situation?
