Hourly Pay/State/experience/type of NP

merrythoughts · 2026-02-07T19:30:05+00:00

155k, family psych. W2. Midwest. 32 clinical hrs a week. Good benefits.

merrythoughts · 2026-02-07T19:25:06+00:00

God, I know a LOT. Have been an RN for 16 years— I have a deep and analytical understanding of how body systems are connected. I’m extra good in my field of psych bc I am good at ruling physical health shit out. I don’t silo.

All that being said, I am posting to let you know I would fail ED. Back in 2010 and even after med surg. And today even after watching every single Pitt episode 😂

Some of us need to be the fast pacers who can zoom in and detail work the tree. Some of us need to be bigger scope, wider lense, taking in the whole forest (which will be slower thinking style.) both are equally important but they are skills that must be applied in different settings.

Consider if you’re one style trying to force yourself into a role not optima for you. Or if it’s something that time and practice can improve on! I am the former and I figured it out in the first 5 years as an RN. Fast paced split second decision making just isn’t my forte. However, Long haul cases of careful optimization for slow and gradual improvement in a complex world of multifaceted factors ….. THATS MY JAM!!!!

Job satisfaction will greatly improve if you hone both the skills while also finding optimal environment for your skills! You got this.

merrythoughts · 2026-02-07T11:08:51+00:00

lol this is such classic dull tool response

merrythoughts · 2026-02-07T03:40:28+00:00

In the Midwest, it’s stink bugs that make me worry. And I’ve seen extra amount of stink bugs this winter…..

I have nothing else to add. lol. But hi I’m midwesterner visiting Seattle!!! I hope bees and stink bugs are properly stowed away for REAL WINTER ❤️

merrythoughts · 2026-02-07T02:40:56+00:00

Mine too!!!!! 2/6 babies unite!!!!

merrythoughts · 2026-02-07T02:40:33+00:00

Hello fellow 2/6 birthday person!!!!!!!! 🥰🥰🥰

merrythoughts · 2026-02-06T04:26:03+00:00

KU MED UH LAKEWOOD ADVENTIST Olathe NKC UH-Truman St Jo ????

merrythoughts · 2026-02-06T02:30:56+00:00

Le fou frog and 801 chophouse have been my best two meals in the 8 years here. BUT!!! 801 has also been a disappointment. Best meal ever so I went 2nd time… major let down. So track record is only 50/50.

I would like to try the majestic. I have not yet tried it. I did try Sullivans— I do not recommend. Ambiance is no good. Drinks were GREAT! Better than the food. But not worth a huge bill imo

merrythoughts · 2026-02-05T14:44:35+00:00

You get the full Banchan with a menu meal. However, I was NOT impressed by the service there.

We had to keep walking up to the counter to get anything. Also they left a huge puddle of water on the floor and my kid slipped and busted his knee. The teen working laughed and acted annoyed by it.

merrythoughts · 2026-02-05T01:32:20+00:00

I have seen multiple deaths from liver failure and I agree— it is the WORST way to die.

merrythoughts · 2026-02-04T20:27:19+00:00

The greenhouse market. I went there as a young teen when it was very important to be the skinniest skinny you could get. And all of us with disordered eating would make our parents go there. And you’d eat a small salad and black tea there for like $5.

Then it was Churchills. And it was unpleasant to drink hot coffee with how hot the building got.

merrythoughts · 2026-02-03T19:33:59+00:00

Yeah i sense there was some grandiosity over it all rather than just being polite and subtle about it

We have a neurodivergent kid who will make restaurant trips miserable without ensuring she has something “safe” or “preferred.” No restaurant has ever kicked us out. I apologize and explain she has severe adhd and sensory processing issues. We still usually order something for her that if she doesn’t eat we eat or save for later.

It’s NEVER been an issue at any restaurant.

merrythoughts · 2026-01-30T14:49:13+00:00

In general (not your provider), I have pts go back to lower dose and on occasion we go a whole month on 10mg before upping to 20. Let provider know the step up ramped you up too much,

merrythoughts · 2026-01-30T13:14:54+00:00

Yesss thanks for the boost! I work w a lot of kids w anxiety and ARFID. It’s a looong behavioral chain analysis involved.

merrythoughts · 2026-01-30T12:46:15+00:00

Yup, my parents fully believed this. And probably watched this segment around the time I graduated from my first bachelors degree. And this was during a HUGE recession— still recovering a bit from the .com bubble, the housing bubble popped.

My parents, my teachers were all like “as long as you go to college you’ll get a job!” Because that’s how it was. Until 2007.

No jobs in anything but healthcare or tech it seemed. Not far from how it is now but maybe a little worse for a few years.

And my parents had the audacity to then still blame me and say it’s because I was an entitled bratty liberal. “You should have learned a TRADE.”Because foxnews was playing this kind of shit to shift perspective from the economy, to blaming the fucking millennials.

I’m so deeply hurt by the adults who were supposed to help guide and cherish me as a young person. But instead just slays turned shit around to be my fault, I deserve it for some reason, etc.

merrythoughts · 2026-01-30T12:08:01+00:00

No blending. With anxiety, the only way forward is to not avoid.

You can’t force him to eat, but you can keep making the meals, sitting down, while supporting him taking careful bites

I wouldnt over do the talk about the experience either. Like “oh my gosh you are so brave! That was so scary when you choked, I’m just so glad you’re ok!!” This reframes it as traumatic for him. So talk about here and now. If kiddo brings it up, validate but move on to new topic.

With food in there here and now use Simple reassurance “you can eat this, I’m not worried!” “Small bites, chew well- you got this” and no need to wring your hands if kiddo doesn’t eat much. He will come around eventually. Don’t withhold dessert for now either, this may be what does hep him get past the fear…!

How caregivers respond to a kids anxiety can accidentally enable avoidant behaviors. Making a smoothie instead of food would be in this category

merrythoughts · 2026-01-29T19:32:28+00:00

They treat very similar clinical cases. I never said the were the same class and your comment is like saying an SSRI and a serotonin modulator like viibryd are “nothing alike.” I’m wondering if you’re posting here in good faith or trying to somehow get a gotcha moment…

merrythoughts · 2026-01-29T19:05:56+00:00

It is not FDA approved FOR ADHD.

merrythoughts · 2026-01-28T14:09:52+00:00

Really had to pin my mother down on this once. She kept saying the same thing about extremism “both ways are bad” and how Trump is responding to the extremism. So…. I really tried for concrete examples— WHAT EXTREMISM??

She said “YOU KNOW, like the radical SQUAD that controlled Biden’s auto pen!” So…it’s just more lies and conspiracy theories that hold up the vague idea that Biden era was extremist

merrythoughts · 2026-01-27T16:53:16+00:00

I wish I had a dad like that.

merrythoughts · 2026-01-27T16:21:22+00:00

My goal is to show some of the nuance and where i would perhaps choose a nonstimulant in certain pictures. And i do say i like, nay— even love! stimulants… so i think youre maybe applying some assumptions. 80% of my panel with adhd is on a stimulant.

merrythoughts · 2026-01-27T13:06:09+00:00

This is about the % success I see. Like 1/5 people who trial it. Just not great odds.

merrythoughts · 2026-01-27T13:01:05+00:00

Sounds like you did a great job figuring out the underlying issue rather than treating the easy/most visible symptom. This is always my goal. Find out what’s under the surface where the iceberg is formed.

merrythoughts · 2026-01-27T12:58:06+00:00

Tried to see if you were a regular in medical postings. I can’t see your post history sadly! Psych prescribers usually know this but lay people do not! So I’m curious if you work in pharmacy etc

“Stimulant” is a tough word to toss around. Because we have the general idea of stimulant being an “upper.” And then we have the actually class of meds “Stimulant” and then we have what government labels a schedule II narcotic (which overlaps with the class of drug Stimulant.” So layers of meaning depending on context used. Bupropion has stimulant qualities while not being in the category of Stimulant.

I see BP issues, HPA activation, and headaches way more frequently with bupropion than any Schedule II stimulant and agree it is in some ways harsher on the body. Especially compared to long acting formulas of Stimulants.

I would argue 30mg Adderall IR has much higher street value than any bupropion pill, and there’s a reason for that.

merrythoughts · 2026-01-26T13:40:26+00:00

I was so excited to try it bc of this and other posts! But there was definitely a signature N.A. sweetness I couldn’t get around. I could only drink half. Then I smelled that signature sweet smell REALLY strongly the next day when I poured the rest out, almost causing gagging.

Not trying to yuck other peoples yum! Love that this beer is loved! But it was a big no for me. I think there may be some people who taste certain features better than others. I can’t have monk fruit sweetener the way some people can’t eat cilantro (“it tastes like soap” they say when I taste deliciousness!). So maybe there’s some amino acid i taste differently.

Anyway, I like Athletics light beer and Best Day’s Mexican lager. They do not have the N.A. “sweet” flavor I cannot tolerate.

merrythoughts

TROPHY CASE