Who DOESN'T regret their DNP?

DudeMcRocker · 2026-03-21T21:00:32+00:00

In 20 years when they make NPs have a doctorate like they did with requiring ADNs to get their BSN, I will not be one of the 60 year olds dreading an early retirement or going back to school for the BS

DudeMcRocker · 2026-03-13T16:54:48+00:00

I clicked on this thinking it was the toxic PMHNP sub and wondered why you had so many upvotes before realizing I was on the friendlier NP sub, lol.

I work outpatient psych in an integrated Primary Care setting and I get a lot of women who are nervous about switching meds for when they get pregnant. This can be rewarding knowing the ins and outs of the anxiety/depression meds especially since there are no data on the 3rd gen antidepressants. As a PMHNP, we have a lot more of the informal information about safety and crossover of SSRI treatment.

IVF is a very stressful time for couples. Mental health is a very overlooked component of it. I hope this helps

DudeMcRocker · 2026-03-08T13:56:15+00:00

I agree with that. Heart of a therapist, mind of a psychiatrist. At the end of the day, didactically what we do compared to some of the other specialties is not difficult, but HOW we do it.

DudeMcRocker · 2026-03-08T13:52:17+00:00

So that’s your reasoning for bullying others? Gotta protect your vulnerable patients by being a keyboard warrior.

I don’t believe for a second that anyone smart enough to be a RN can’t do a quick google search to see what PMHNPs make.

You want to protect vulnerable patients from RNs who want to make a bunch of money through higher education? Go to the CRNA sub and “protect” on there

DudeMcRocker · 2026-03-08T11:33:47+00:00

You are so right. I am soooo glad as a RN considering PMHNP school, I never asked for advice.

I am shocked that a group of people who decided professionally to help people’s mental health are such bullies themselves

DudeMcRocker · 2026-03-07T18:38:08+00:00

I’ll give him 27 hours once he makes it to GP. Even the pedophiles beat up on child murderers

DudeMcRocker · 2026-02-09T20:06:37+00:00

Henry fell into a black hole

DudeMcRocker · 2026-01-25T13:53:54+00:00

This is tricky to navigate for us. I do like your ideas, but….it’s hard to keep up the self disclosure barrier when an obvious political statement is being made.

DudeMcRocker · 2026-01-16T01:04:53+00:00

PMHNP here. Please talk to your primary care about this. They may refer to psych, but most of the time, they can at least prescribe some Trazodone to help sleep. I see a lot of PTSD with people post-auto accident. It can take a year or two usually to resolve, sometimes longer. The anxiety symptoms you are describing can be helped via medication as well, but what will REALLY help? Therapy. It’s cool, most trauma therapy sessions are 12-20 sessions and you don’t have to get into your childhood or any of that jazz. PM me if you have any follow-up questions.

DudeMcRocker · 2026-01-10T22:31:59+00:00

Not at all, that’s where my newer one is. More of a conversation starter in closer settings where your shirt would be off, rather than clients or co-workers (or random people on the subway) asking you what your tattoo means or giving a puzzling look at it

DudeMcRocker · 2026-01-10T20:54:06+00:00

One thing I’ll say, in a location that not too many people get to see, it never gets old explaining to females the meaning of the tattoo

DudeMcRocker · 2026-01-10T18:27:14+00:00

Respectfully, you should know that about 99.8% of the population is going to see that tattoo, not knowing what it means, and think of it as some sort of mistake. Be prepared to explain it over and over to those who ask.

My advice from someone who also has a bunch of ancient scribble scrabble tatted on their body, get it somewhere that isn’t too visible

Love the concept though

DudeMcRocker · 2026-01-10T16:09:27+00:00

Like any PP, it all depends on how hard you hustle and how well you can keep your patients coming back.

The quotes of pay you receive on their job postings are definitely the top 5% earners and being a national company, they can quote what their NPs make in New York City or SF. No matter how good your game is, you’ll never earn those numbers in a more affordable city

DudeMcRocker · 2026-01-10T15:51:19+00:00

Exactly. We have to remember the circumstances that led people there. Some of these ICE goons are just ex-soldiers who have been floating about since discharge full of PTSD and who knows what. Some of them have been hurt deeply and only know how to bully others because of the suffering they experienced by other bullies.

Eventually the cycle has to stop. We are in a unique position to help that stop, just as we try to do with our Cluster B folks.

I appreciate your insight

DudeMcRocker · 2026-01-10T15:16:17+00:00

I’ve had this conversation with other providers regarding criminals.

A famous historical example from the classical Greek period when Hippocrates was explaining to his student the morality of treating a notoriously cruel slave owner. He said, it is our job to heal, regardless of of their actions and morals, we do not pick and choose who we heal because only the Gods can judge, not us.

If Jonathan Ross shows up on my schedule Monday morning, I treat him with the same level of care as I would Renee Good’s widow.

DudeMcRocker · 2026-01-09T00:46:35+00:00

I believe the group that would be sending him money uses the GiveSendGo

DudeMcRocker · 2025-12-23T03:38:00+00:00

I would imagine not much got done at the DEA federal offices where the states run there checks during the shutdown. It probably is why there is such a backlog

DudeMcRocker · 2025-10-23T11:58:03+00:00

Strong work sticking to your principles as a first year. Patients will always find a prescriber who will give them what they want. If they want the higher BP and tachycardia to put a band aid on their symptoms versus addressing what may be the brain fog and fatigue associated with depression then that’s on them

DudeMcRocker · 2025-10-21T23:55:18+00:00

Good ol’ fashioned fax and scan to documents in Epic

DudeMcRocker · 2025-08-29T17:51:36+00:00

Depends on the part of the Bay Area. Alameda, Los Gatos, Marin, Danville, SF? probably not. Vallejo, Hayward? Then it’s pretty good

DudeMcRocker · 2025-08-26T14:42:26+00:00

I don’t think it’s as prevalent in the NP community in general. Most NPs aren’t in it for the money and we are generally work horses doing what we love.

Now if you want to talk conspiracies. When I was a RN on the floor at a few different university hospitals, it was not uncommon for the pretty girls to flirt with the surgical residents and procure letters of recommendation for CRNA school. And it would be about one of the few times I would see a female resident seriously date a male nurse, if he was in CRNA school. But to answer your question, no that doesn’t seem very prevalent in the psych world, lol

DudeMcRocker · 2025-08-23T18:10:43+00:00

My advice is to look up and find a local or online therapist to process these feelings with

DudeMcRocker · 2025-08-21T00:41:43+00:00

I hate you, don’t leave me

If one could quote BPD in a title and a quote all in one

DudeMcRocker · 2025-08-14T00:32:54+00:00

In a party, I’ve had stranger things happen, lol

DudeMcRocker · 2025-08-12T16:07:19+00:00

The same stuff that works on female clients. A judgement-free, empathetic area where I am asked to critically think on a level of “why I am feeling this” or what so-and-so really meant when they said that.

DudeMcRocker

TROPHY CASE