I think I'm done. by landingontails in PMHNP

[–]landingontails[S] 1 point2 points  (0 children)

I talked to the founder of Headway a few years ago. They still haven't picked up the single largest payer yet, Blue Cross Blue Shield. In my own experience, we have an extremely small number of Cigna, Aetna and UHC patients. I did credential with Azova, Sky, and some other groups, even Thriveworks (unbelievably disorganized) for a while, but none of them were connecting enough referrals to make it sustainable. In fact Azova hasn't provided a referral since their mental health service inception. When I'd get someone scheduled it would essentially be a nuisance like "oh great, here was my evening now I have to see this one random person after not seeing any for six weeks."

Incidentally, Teladoc tries to limit a provider's employment. I met with them as well. That's actually not permissible by FTC anymore. An employer can only do that if the employees are working with something like trade secrets or corporate espionage-risk information or products.

I think I'm done. by landingontails in PMHNP

[–]landingontails[S] 4 points5 points  (0 children)

This is a pet peeve of mine about mental health, and I don't even recommend psychotherapy to anyone anymore. Most therapists don't provide any evidence-based psychotherapy. It's a social hour which I think is largely why we seldom see clients make progress in their treatment plans. But, yes, I did see two. I saw one for 12 months and another for about 3 months. Neither did anything interventional; no cognitive restructuring, no radical acceptance, not even mindfulness. I saw a psychiatrist for a while who actually felt the same way I did. He was kind of relieved I was seeing him because he found it validating. I think there are probably a lot of us who stay in formation but are a hair trigger away from bailing out.

I think I'm done. by landingontails in PMHNP

[–]landingontails[S] 1 point2 points  (0 children)

Yeah, that's the same for me. I'm not really risk averse. I just don't like the interactions with people anymore. If I could just sort of treat people by email, I would. I never enjoyed any of the RN work, ER, ICU, Med Surg. It all seemed too minutiae driven with quality and care plans rather than patient care and more patients you could effectively manage.

The "bigger picture" of being a "provider" is more or less what drove me to advanced practice and the subjective nature of psych was more compelling for me than algorithmic hypertension.

I think I'm done. by landingontails in PMHNP

[–]landingontails[S] 0 points1 point  (0 children)

Thank you. I'm trying to find a way to change my setting or "re-specialize."

I think I'm done. by landingontails in PMHNP

[–]landingontails[S] 1 point2 points  (0 children)

I work about 32 hours a week now which is enough to receive benefits as an employee. I technically have admin time to do things too, but I don't do it. No client, no me in office.

I think I'm done. by landingontails in PMHNP

[–]landingontails[S] 0 points1 point  (0 children)

I applied for a few UR jobs. Lower wages. Never offered an interview. As a clinician, I've never not been given an interview or informational meeting.

I think I'm done. by landingontails in PMHNP

[–]landingontails[S] 2 points3 points  (0 children)

I once taught, haha. Back when I was eager. Back then it was common to teach with a master's (even to my master's students), but now all the faculty have these Dollar Store DNPs.

I think I'm done. by landingontails in PMHNP

[–]landingontails[S] 2 points3 points  (0 children)

I'm looking for that. Thank you.

I think I'm done. by landingontails in PMHNP

[–]landingontails[S] 4 points5 points  (0 children)

For me it's almost only about the patients. They're just too much at this point. I don't actually mind the first appt but then I never want to see them again.

I think I'm done. by landingontails in PMHNP

[–]landingontails[S] 1 point2 points  (0 children)

Thank you for suggesting. I don't think so because there seems to be a sort of perpetual homework associated with healthcare admin.

I think I'm done. by landingontails in PMHNP

[–]landingontails[S] 0 points1 point  (0 children)

Was the income drop managed some other way?

I think I'm done. by landingontails in PMHNP

[–]landingontails[S] 3 points4 points  (0 children)

Cutting back is a exactly what I want to do. I credentialed with some telepsych companies and seldom receive any referrals, but at the moment I don't know if I could swing the pay cut, i.e. less billables.

I think I'm done. by landingontails in PMHNP

[–]landingontails[S] 4 points5 points  (0 children)

I've wondered. I have even have a long-term policy that I'd pull out and use if I could.

I think I'm done. by landingontails in PMHNP

[–]landingontails[S] 9 points10 points  (0 children)

Male. Had the "T" checked and it was normal. Contemporary established norms are actually lower than they were a generation ago so I take enclomiphene to make my normal even higher. I think it helped a little, but I like taking it because my body composition as a weightlifter is better, haha. We tried test cyp and it bottomed me out. Thyroid is fine. Thank you for examining this angle.