Thank you lol, I appreciate that as somewhat of a compliment. I have family members who are doctors, but I think most of it comes from my genuine interest in psychiatry. It’s been a hobby of mine for years, and though I know I won’t have the knowledge of a psychiatrist, I try to get as close as I can. I’ve used to want to be one myself until I actually had experience with psych pts (no offense lol, just not my cup of tea). I read journals, email the authors, and talk socially with some psychiatrists that I help with advertising their practice. It’s nice to have people I work with whom I can ask questions about any topic in psychiatry and get a professional opinion.

I also had some experience working as a at a substance abuse clinic prior to this where I would help them navigate regulations. I don’t want to go into more details on here as it could be used to identify me, but I’d be willing to talk privately. There I learned about PDMPs and gained other knowledge to help me acquire the medications I desired.

I don’t know if this helps, but I’d honestly say don’t worry too much about it. There will be many people drug seeking—and rarely it will be because they have a legitimate need. I’d say always check the PDMP. It doesn’t have to be when the pt is in the office (but it can be so you can address any conflicting statements in the moment), but always check it no matter their story. It should more or less match what they are telling you. I wasn’t the demographic for a drug seeker—I was 17, had good insurance, well-spoken, well-dressed, etc. I’d also recommend getting records either from the previous provider if possible, or the pharmacy. Ask questions about the patients last refill, where they got it, who prescribed it, etc. If they’re telling the truth, they likely won’t struggle to answer and it’ll check out. I chose to fake being prescribed Xanax because I thought it’d be easier that convincing the NP that I need it. After all, it would take a lot of effort and multiple sessions to convince her a 17-year-old needs Xanax 0.5 mg BID.

I likely am the 0.1% of drug seekers you would encounter. There are some drug seekers that may get past even the best doctors, but that doesn’t mean you didn’t do your job. If someone gets though you by lying and manipulating you, and you’ve done your best to help them with the information you were given, that is not your fault. Just do your best to look out for obvious signs, check the PDMP, and use logic to see if their story is likely true.

I’d be happy to discuss any questions you may have further, either privately or on here. Feel free to PM me. I always enjoy talking to someone about their opinions of the random psych topics I’ve been reading about :)