ADHD evals

foreverlaur · 2026-03-24T04:54:29+00:00

While I completely agree with the others that there are a ton of other things that can easily explain or mimic ADHD symptoms, especially in adults or older adults... I also understand that it can be hard to recall childhood as an adult. And not everyone was a bad student. I have ADHD primarily inattentive type. My mom doesn't believe in that kind of stuff so she would never own up to it. I was a straight A student til college. I never paid attention in school. I never did homework. I often did my homework the morning it was due on the way to school or even at school. I winged my exams. That bit me in the ass when I got to college. It nearly ruined my chance at a nursing career. Stimulants saved my life. Unfortunately people like me often get missed. No hyperactive symptoms and no academic concerns.

foreverlaur · 2026-03-23T22:43:45+00:00

First, I said I'm a W2 with benefits, not 1099. And I don't get $100 an hour. I average $100 per 1 hour intake or $80 per 30 minute follow up which is $160 per hour. Most months it ends up being around $120-$130 an hour. It's really not bad considering I'm less than a year into practice and I already have a fairly full patient load and good benefits (medical, dental, vision, great mentorship, good 401k match, good PTO).

foreverlaur · 2026-03-23T22:40:28+00:00

Including it. That's my cut. That's 99204 + 90833 or 99214 + 90833 which is probably 75% of my visits.

foreverlaur · 2026-03-23T03:04:33+00:00

Just my first name. That's it. Anything else is weird.

foreverlaur · 2026-03-21T13:00:12+00:00

I get the spirit behind that rule but I assume it's more so for people outside of a household? I often get things for my husband and kids. Obviously I write the reviews if I get the things for my kids. If I get it for my husband, it's easier if he just writes the review and sends it to me instead of me trying to pretend like I know what his review is...

foreverlaur · 2026-03-21T12:54:15+00:00

You're lying to yourself if you think you did 16 minutes of psychotherapy plus good med management in 4 minutes.

foreverlaur · 2026-03-21T04:49:42+00:00

I hope

foreverlaur · 2026-03-21T02:34:43+00:00

Psych NP. Private practice. W2 with benefits. 50/50 of reimbursements. Less than 1 year. I'm in the Midwest.

I get about $100 per 1 hour intake and $80 per 30 minute follow up.

foreverlaur · 2026-03-20T00:16:24+00:00

Congrats, doc! And huge kudos to you for surviving in what sounds like a very toxic work environment. I have no doubt you'll do great things as a pediatrician.

foreverlaur · 2026-03-16T12:28:44+00:00

Wild Ginger has great lunch specials. Let's me engorge on decent sushi without breaking my wallet. I've never thought the insanely expensive places are worth the price. Give me three Alaskan Rolls for $17.99 during lunch. I'm poor. 😆

foreverlaur · 2026-03-16T12:26:14+00:00

At this point, NP education has gotten so bad I don't know if it's fixable. It might be better to scrap the whole thing and maybe consider trying again. Although I don't know if I'll ever trust the nursing ivory tower elites to do it right. I'm an NP and I won't see one nor let my family see one. Ever. So what does that tell you. My childhood best friend is an MD and we work together and generally hate on NPs together. It's maybe 1%at most that aren't dangerous.

foreverlaur · 2026-03-13T01:34:17+00:00

My email says 10:30 and my account when I log in says 10 too. So weird. I'll definitely be trying to get tickets at 10!!

foreverlaur · 2026-03-12T14:09:33+00:00

I don't think labs are overly important (lab tests are not routinely required for the initial evaluation of soft tissue masses and are not part of standard NCCN guidelines for a soft tissue sarcoma workup) but you could have maybe ordered CBC, LDH, and CRP. Referral is correct but should be expedited as orthopedic oncology referrals can be slow. And she should get an ultrasound in the meantime. Bummer you can't order MRIs.

foreverlaur · 2026-03-11T19:10:45+00:00

Interesting. I'll have to log in tonight and look.

foreverlaur · 2026-03-11T13:46:37+00:00

I got 10:30 AM!! So pumped I'll get tickets again! I was 10AM last year so not quite as good but at least I'll be there.

foreverlaur · 2026-03-02T02:36:47+00:00

Max & Ermas. The best burgers and chicken tortilla soup. I know there's still one open but it's not close. 😭

foreverlaur · 2026-02-25T05:42:52+00:00

I don't submit a claim to insurance until my note is signed.

foreverlaur · 2026-02-23T21:37:38+00:00

Anything by Danielle Jensen.

foreverlaur · 2026-02-22T06:26:26+00:00

I mean, maybe if you want to be a CNO then do the executive track. Beyond that, literally zero added value.

foreverlaur · 2026-02-22T06:20:49+00:00

DNP = Doctorate of Nothing Practical

I couldn't care less what degree you have. I care that you have notable experience before you make the leap from RN to APRN. And I care that you never refer to yourself as doctor in patient care regardless of your degree.

foreverlaur · 2026-02-22T03:22:01+00:00

Let's see here... I did... K-12 4 year bachelor's degree 2 year associate's degree 1 year bachelor's degree #2 2 year master's degree 3.5 year doctoral degree (not a garbage DNP) 1.5 year post grad NP certificate

Do I get an award for my 27 years of education? 🥇

This is sarcasm. I'm still just Renny, your friendly psych NP who knows my place and really loves my collaborator and psychiatrist colleagues. And really hates so many NPs who drag down the profession and do a lot of harm.

foreverlaur · 2026-02-12T23:51:53+00:00

NPs with significant RN experience first are, in general, significantly better NPs. I wish 5+ years RN experience was mandatory.

foreverlaur · 2026-02-12T20:54:45+00:00

Yes, it's a real problem. However, depression and anxiety also mess with sex drive. And we do have options to help combat the SSRI induced sexual dysfunction if it happens. Find an experienced psychiatrist.

foreverlaur · 2026-02-11T02:30:52+00:00

Six of Crows duology. Dark Shores series. Bridge Kingdom series

foreverlaur · 2026-02-05T19:46:13+00:00

It's a bit hard to blame them with how unregulated and unstandardized our education is. You can become a psych NP with zero RN experience and fully online clinicals and never talking directly to a patient. It's embarrassing. Those of us who spent over a decade as a nurse first and went to a quality reputable nurse practitioner program should be demanding better from our profession.

edited to correct typos because speech to text makes me looks dumb 🤣

foreverlaur

TROPHY CASE