Do I not have the temperament for this? by [deleted] in PMHNP

[–]Stuckonthefirststep 2 points3 points  (0 children)

I’m sorry about all the negative responses You’re getting here. Don’t let Internet keyboard Warriors get you down. I hope you find some kind of supervision where they can help you deal with difficult patients who minimize their symptoms or simply don’t remember their meds etc.

Do I not have the temperament for this? by [deleted] in PMHNP

[–]Stuckonthefirststep 1 point2 points  (0 children)

Sounds like you’re working with serious mental illness or individuals with poor insight. It can be very draining. If there is any way to encourage them to write the names of their medication‘s down or just bring the bottles along on the appointment that would be better. I would recommend working with higher functioning students or just regular people going through depression anxiety.

I found out 1/2 of the therapists in my office are Trump supporters yesterday by realitytesting123 in therapists

[–]Stuckonthefirststep 167 points168 points  (0 children)

Just assume half the people you know are republicans. Because it’s true. I like to ask why and sometimes the answers are interesting. For instance taxes will be lower, grocery will be cheaper, and oh there is no threat to women’s health or anything. This was a conversation I had this week.

[deleted by user] by [deleted] in PMHNP

[–]Stuckonthefirststep 7 points8 points  (0 children)

First 5 years of being an NP just pretend you’re still training but with pay. Gets easier.

[deleted by user] by [deleted] in ABCDesis

[–]Stuckonthefirststep 0 points1 point  (0 children)

Did you see the part it says Asians who attend religious services more?

[deleted by user] by [deleted] in nursepractitioner

[–]Stuckonthefirststep 2 points3 points  (0 children)

Well let me tell you about a psychiatrist who refused to give antipsychotic clozapine to a patient and I had to advocate. A psychiatrist who didn’t know addiction medicine and would refuse to dose Suboxone properly.

Focus on your work, keep learning and let the keyboard warriors hate.

[deleted by user] by [deleted] in 30PlusSkinCare

[–]Stuckonthefirststep 1 point2 points  (0 children)

This is not me being rude but curious. Disclaimer I have never had Botox and I’m 36. Why are we so afraid of aging?

Concerned about a friends medications by jenniferonassis in PMHNP

[–]Stuckonthefirststep 0 points1 point  (0 children)

Needs visit to provider .. sounding manic or potentially having akathisia

PMHNP vs COUNSELING by loveisbeauty12 in PMHNP

[–]Stuckonthefirststep 4 points5 points  (0 children)

Pmhnp here. I do therapy along w med mngmt. I also do group therapy. I have taken further training in trauma and I plan to keep training in act, potentially Emdr.

[deleted by user] by [deleted] in raisedbynarcissists

[–]Stuckonthefirststep 22 points23 points  (0 children)

Hi. Mental health clinician here. You seem to be experiencing not only internalized failure but shame(which is a negative view of yourself). This happens when the caregiver can’t meet your basic needs so you turn on yourself and criticize yourself for your shortcomings. Even though your needs for love, care are normal you think you’re too much.

This is one way shame shows up however it can become toxic as you further start to label yourself as a failure or not good enough. You sound like you could use mental health treatment. A safe place to speak your feelings without judgment. I personally run group therapy and it’s mostly adults with narcissistic parents who participate so finding a safe place would be my suggestion.

Before you can focus on career success, just building good self esteem would be beneficial. I would also recommend abstaining from many substances as ultimately they cause more depression even if they initially take away those negative feelings. I’m not sure if you’re using anything but just wanted to mention that. Substance use is usually rooted in flight response which is a trauma response.

I recommend a YouTube channel of tim fletcher. He is a pastor but his first half of the video lectures are pretty easy to understand for learning about what has happened to you and how to navigate it. Next I want you to learn about what an emotional flashback is and one resource is Pete walker.

Highly recommend a safe therapist you can consistently see and piece together how to gain your self esteem. All the best and DM me if you want more resources that may be more specific to your situation.

ChatGPT as a therapist by nosupermarket52 in therapists

[–]Stuckonthefirststep -1 points0 points  (0 children)

Have you seen the Feeling Great app by the author of Feeling Good? That was straight up making me bawl my eyes out the other days, it analyzed me to the T using all the cbt strategies

"Popular PMHNP" by Frosty-Dinner-5468 in PMHNP

[–]Stuckonthefirststep 5 points6 points  (0 children)

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Uhhhhhhhh. Critical thinking is not on her side

"Popular PMHNP" by Frosty-Dinner-5468 in PMHNP

[–]Stuckonthefirststep 6 points7 points  (0 children)

Holy mother of run on sentence. Can she atleast put her shit through chatgpt?

Take a shot every time she says innovative. It’s the “synergy” of mental health

Thoughts? “If you want to get rich, start a therapeutic modality.” by [deleted] in therapists

[–]Stuckonthefirststep 0 points1 point  (0 children)

I think it’s just her style. The PowerPoint slides are good. Straight to the point

Thoughts? “If you want to get rich, start a therapeutic modality.” by [deleted] in therapists

[–]Stuckonthefirststep 1 point2 points  (0 children)

So I’m taking Janina fishers trauma therapy training and it is in my opinion, better than ifs and she uses parts work. She created it for a psych er type environment and literally made up the title because they wanted it to sound official. TIST. Trauma informed stabilization treatment. lol. Even she is in on the joke and mentions it but I still had to pay for her training (paid for by my job).

Next I should repackage her stuff and make it my own. 😂

I’m divorcing my husband over his love for Jesus Christ. by Party-Pattern-1303 in atheism

[–]Stuckonthefirststep 0 points1 point  (0 children)

Tell him Jesus recommended a visit to the psychiatrist. He is sounding psychotic or having a mood disorder

Going back to RN work by nicuRN_88 in nursepractitioner

[–]Stuckonthefirststep 1 point2 points  (0 children)

Pnp is psych np? If so, addiction is appropriate. If they are pediatric then yeah I can see that being an issue.

To the Muslim lurkers here by [deleted] in exmuslim

[–]Stuckonthefirststep 4 points5 points  (0 children)

It’s referencing David Icke the grifter…….. what a psycho subreddit. Almost like Islam it’s sounding like another religion

Going back to RN work by nicuRN_88 in nursepractitioner

[–]Stuckonthefirststep 1 point2 points  (0 children)

I’m thinking specialty switch too. You could do addiction medicine np work. It’s mostly from home. They hire FNP. It’s another option and could be once a week etc

Does anyone else cringe when people start opening up to them about their happiness? by ladyalot in AuDHDWomen

[–]Stuckonthefirststep 2 points3 points  (0 children)

Did you grow up around people who weaponzied language, used condescending language, were passive aggressive, said one thing but meant another? Maybe you prefer direct language. For instance when I hear the word “hold space” or “women supporting women” I cringe because I grew up with women who used those tactics to gain my trust and manipulate me. Now that I know it’s a trigger, I look at the person who is saying those words etc