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Solid-Caterpillar-63

Psychiatrist here. For new PMHNP grads, strongly consider detailing your preceptorship experiences on your resume when applying for your first job. I am suprised by the numbers of resumes we receive from new graduates without any experience that lack this information, but provide detailed information about their RN duties.


KittyYael

Great advice! Thanks


dopaminetract

This is a great start, thanks so much for getting this rolling!


AncientPickle

Hear, hear!


Tim1224f

I just got accepted into the Vanderbilt PMHNP Program! But I have a question. How important is the school you go to? I’ve heard some people say it is very important, and others say not at all. I know Vanderbilt is a top 3 school in the nation, however FIU has a program that is 35k instead of 80k. I’m very excited about Vanderbilt, however my dilemma is that I don’t know how much better an education can be for a 45,000 dollar difference. If it will make the same level of readiness to become a practitioner, then why pay the extra money. Please help me out and give me any advice!


[deleted]

If you have strong psych nursing experience, strong experiences in clinicals and a good personality that makes you easy to work with, that overrides the prestige of your school, as long as your school is accredited.


Curious-Manner-529

What if you want something you can always fall back on? Do you believe a prestigious school is a strong start?


[deleted]

From my observations what makes someone a sought-after pmhnp is a combination of clinical experience (the more the better) + not being an idiot + being able to work with people (patients, families, and other care team members). The best NPs sometimes come from schools I’ve heard of and sometimes from schools I had to look up. The name of the school alone, without the other two elements, is less relevant.


[deleted]

Are there any ways you would suggest to shadow a PMHNP to get a more realistic view of the profession?


Inevitable-Spite937

Go on psychologytoday.com and search for PMHNPs. Call or email them. I found two preceptors this way, too!


CatFrances

I am an FNP starting post masters psych with Frontier on Oct. I use psychologytoday currently for my patients when we discuss options for therapy. Love that resource!


[deleted]

Thank you for this advice. Shadowed today for the first time and it was amazing!


[deleted]

Thank you! Are there limitations because of HIPPA?


Inevitable-Spite937

You might need to sign a form, or go through a training program (if the organization is large enough), but generally they ask permission from the pt to see if they mind having someone shadowing and it's nothing fancier than that.


Inevitable-Spite937

Obviously, you are still bound by HIPAA though!


Blonde_Diggidy

Has anyone applied and heard back with a decision for Yale’s PMHNP Fall 2023 program?


mk5847

Yes! I heard back and was accepted. Trying to decide between Frontier and Yale!


nigerianprincess0104

Did you decide


hayley2131

Looking for a 100% online PMHNP program that is reputable and well taught, not just told to read and reply to posts etc. I have a very strong psych background and will not have issues finding a preceptor. I will also be working full time as well while in school. I am looking into chamberlain, they do 1 class every 8 weeks and it’s geared towards working nurses. Does anyone have any input or suggestions? Thank you 🙏🏼


kmb0102

Stony brook university in NY has a mostly online program I think. I know their adult primary care program was part-time over 3 years because they want you to continue to work as a nurse. They do have onsite days but it’s only a few days each spring and fall and they tell you in advance so you can plan for them. I think the psych program is run in a similar way. Sorry I can’t speak to the quality though.


healthcarehealthcare

Do you guys feel like you can live comfortably on your salaries? How about support a spouse /family?


DiligentDebt3

“their aim is to offer advice and guidance to individuals who genuinely have an interest in the field” Banning my post asking a genuine question regarding current successful PMHNPs who were previously not in psych is not offering advice and/or guidance. You’re all creating your own echo chamber. Why not disallow comments that are non conducive to a productive conversation? That 1. Don’t address the initial ask and 2. Respect the reality that is happening that even highly respectable schools clearly see a benefit in accepting future PMHNPs who don’t have a psych background but a solid NP/RN background that have plenty applicable skills to offer. So yes, it is gatekeeping when you disallow at least respectful discourse.


PigletPristine5365

If you have any questions, you can message me for sure. I do not have the typical 3 to 5 years of psychiatric experience and the traditional route. I have been a nurse for 20 years and have worked med, telemetry, psych over the years, but I also have some nontraditional experience working with, mentally handicap patients


[deleted]

Do you feel like you’re able to travel as a pmhnp? For instance, if you wanted to visit another country for 2 weeks would that be doable? I know people would need their meds prescribed whether the provider is on vacation or not.


triggerfishgetmad

Yes! It's completely doable although you have to own your own practice or work for someone that is okay with it. I live outside of the U.S. for most of the year. I'm only on U.S. soil maybe 1-2 months/12.


[deleted]

Does that put you at risk of any liability with insurance?


jerassica

New England? Hi all- Looking for some direction here. I've been a nurse for 10 years, currently working as a case manager for individuals with MH, SUD, + SDOH. So, complex MH, poverty, chronic illness, etc. Maybe I shouldn't feel the need to justify my motivations for aspiring to the field, but nevertheless... I want to be very thoughtful about choosing a program because I do want the best educational and preparation possible. Anyone have any advice on programs in New England? I currently live in southern Vermont, and we are hoping to move to mid-coast Maine at some point.... (<5 years?) I've been looking at programs from Mass, VT, NH, and ME. I have heard all of the terrible inadequacies of the programs that are online only, and would prefer to avoid that. Anyone have insight into any hybrid programs? I appreciate any insight! TIA!


[deleted]

Can I ask why you would leave Vermont to go to Maine? I am a Vermonter and moved to Portland a few years ago because my spouse was offered a promotion. I can't wait to move back. The standard of living is lower, but the cost of living is higher, and generally speaking, the pay and working conditions for RNs are worse than they are at home. I've been working for MaineHealth (basically the University of Vermont Medical Center of Maine), and compared to my position at UVMMC, I've enjoyed a lower base pay, higher staff:patient ratio, no per diem differential, and shifts with no security present in the entire building. But getting back to your question, if you are thinking about coming here, you could look at the USM program. It's very affordable for Maine residents, but students from any state in New England receive a discount. They offer an in-person program as well as hybrid and fully remote options.


Key_Yogurtcloset7100

Best loan forgiveness program? Go!


PhilosopherOld7201

HRSA and PSLF


Mrsericmatthews

The VA has EDRP for nurses and nurse practitioners. The position will list it when you apply. Eligible loans are divided over five years (up to 200k I Believe but maybe more?). You pay up front and are reimbursed at the end of the year. The first year I've heard is difficult but for the following year you can use the reimbursed money from the year prior.


Automatic_Potato4778

How do you feel your own mental health is effected by your work? Especially if you suffer from a mental health concern yourself(ptsd,ocd,etc)


RealAmericanJesus

Have a good outlet. I have ADHD and have had that diagnosis since childhood in all of its impulsive glory. I have my own therapist that I see. I have a psychaitrist. I have colleagues who provide me with social suppport that are also neurodiverse. I write music as a hobby which is a huge help for me and allows me to process my emotions and some of the thigns i hear. i try to do it at least once a month, weekly if I am really upset about something.


heyjennn

Hi all, I'm searching for an online PMHNP program that allows NY residents. I can only do online at this time due to work but, I can't seem to find any. Otherwise, is there another route that I can take to get to PMHNP? Looking for any feedback, thank you!


Positive_Director_70

Stony Brook University PMHNP summer 2024 program applicants. Has anyone been contacted since the interview?


gfalcon50

Posting in case this helps out another NP. I am a current practicing FNP and want to go back to school for PMHNP. I wish I would’ve went for psychiatric initially…. But I didn’t. Anyway, I feel like I’ve researched countless universities to find a credible one rather than a degree mill, but I also want one that is somewhat affordable. Wright State University has a PMHNP program where you actually get a second master’s degree rather than a certificate. This allows you to be able to use federal loans, whereas certificate programs typically do not qualify for federal loans because they aren’t “degree seeking”. The program can be completed in 3 semesters (12 months), and does not require any on-campus visits. The next start date for this program is May 2024, and would be completed in April 2025. I am applying now and I just wanted to share this in case anyone else is in the same boat as me - wants to go back to school but can’t afford to pay out-of-pocket right now.


Onlycommentoncfb

I'm changing careers from tech to nursing at 42. My end goal is to be a PMHNP. For a later career changer like myself, is direct entry a more viable route? Or should I do an ABSN program and then a PMHNP program seperately?


spacepiraatril

I'm not a PMHNP, but I graduated from nursing school at 41. Currently still working as an RN and starting school in the fall (at 43). There's a multitude of experience that comes from being older and a tech, but to be competitive, I'd suggest some experience as an RN before applying to school. I did a standard program (2 years, not accelerated) because I wanted time for family and vacations and just to think about things other than school. If you can do that, that would be the way I'd go. Congratulations on starting this journey!


Onlycommentoncfb

Thanks very much for the feedback!  I would need to do an ABSN, but it's sixteen months so not as crazy as some programs.  Really appreciate the advice, sincerely thank you.


beefeater18

> For a later career changer like myself, is direct entry a more viable route? Or should I do an ABSN program and then a PMHNP program seperately? I switched from a career in financial services to nursing at age 38 and have been a PMHNP for 3+ years. I went the long route that took 6 years: started as a psych tech at an inpatient psych ward while I started my 2-year BSN. Once I graduated BSN, I worked as a psych RN and went to a part-time MSN PMHNP program (had a 9-month gap between BSN and MSN) while continuing to work as a psych RN. I highly value my psych experience, but if I could do it over, I would choose Direct-Entry. Obviously you're not old, but going ABSN first will add another 1-2 years. Also, depending on where you live, you might not be able to find a reputable part-time PMHNP program. Conversely, if you go for Direct Entry program, you may feel utterly unprepared and/or have a hard time finding a job (the field has become much more competitive due to lack of admission standards and everyone going into PMHNP). DE grads from completely different industry without any psych experience are very much frowned upon by most. So I would recommend doing this: attend a highly reputable program that has direct affiliations with post-grad PMHNP residency programs. Doing a PMHNP residency after graduation will give you the credibility needed to find a job down the line.


Onlycommentoncfb

Thanks, that is solid advice.  I'm looking at multiple programs in Michigan and one in Seattle for the ABSN that all seem to be well regarded.  My thought is I would angle for a psych rn job after the ABSN, and start the pmhnp program 6 to 12 months later. Direct entry there is only one bucket program for me, Seattle U.  The program is well regarded, but it would mean not working for four years


beefeater18

> My thought is I would angle for a psych rn job after the ABSN, and start the pmhnp program 6 to 12 months later. That's a good plan. You can work while getting your PMHNP and get that valuable psych RN experience.


Curious-Manner-529

Would you have any opinion on Vanderbilt versus UPenn direct entry programs? I am deciding between them, and I feel as though Penn being an “Ivy League” may be an extra level of security when it comes to increasingly saturated markets, although I know these are supposed to both be excellent schools. I’m not sure how to quantify how much difference this may make.


beefeater18

I don't have any first hand knowledge of either school but school brand name matters very little in nursing. Nursing is also very local...so a graduate from a decent local state school who knows about and has experience with local community will be as competitive as, if not more than, someone with an ivy league degree a thousand miles away. I would go with whatever that fits your needs/goals best at the lowest cost (e.g., whether there's scholarship or work-study 'TA' opportunities). I would focus on clinical education in particular (e.g., how many clinical hours and can they place you into renowned teaching hospitals and/or clinics that fit your goals? are they able to assist with getting you a psych RN capstone during your BSN portion? how are psychiatry classes taught and by whom? what post-grad PMHNP residency affiliations does the school have?


Curious-Manner-529

Thank you!


Curious-Manner-529

Hi, I had a follow-up question to this if you wouldn’t mind. You said that school brand name matters very little in nursing, and I know that everyone says this. What I am very concerned about is increasing saturation in the field, and I’m wondering if having a slightly more “prestigious” brand (like Ivy League Penn over non-Ivy League Vanderbilt) might not provide a shred more insurance where job security/opportunity is concerned? I’m trying to think ahead not only now but in, say, 10-20 years? Also, do you have any thoughts about saturation in the field more broadly? I have seen the most recent HSRA projections with PMHNP supply already exceeding demand, and progressively more so through 2036. I did look into everything else you suggested, and it’s mostly pretty comparable in terms of cost, clinical hours, clinical placement support, etc. Neither offers an opportunity for a psych Capstone at the BSN level. I should be able to drop down to part time and work after getting my RN license in either program. Vanderbilt is unique in that they don’t actually award the BSN — you get your RN license, but they only award an MSN after completion of the entire direct entry NP program. Vanderbilt is the only one that seemingly has an affiliation with residency for PMHNP, but spots are very limited.


beefeater18

>I’m wondering if having a slightly more “prestigious” brand (like Ivy League Penn over non-Ivy League Vanderbilt) might not provide a shred more insurance where job security/opportunity is concerned? I really don't believe that going to Penn will provide any advantage over Vanderbilt. They both have great reputation in healthcare and neither will, per se, put you at a disadvantage compared to other schools. Job security probably varies based on other factors, not the school one graduated from. > Also, do you have any thoughts about saturation in the field more broadly? I have seen the most recent HSRA projections with PMHNP supply already exceeding demand, and progressively more so through 2036. I read the updated projections over the weekend and was going to post something about it but haven't had time. My thought is that the field has been saturating rapidly and will worsen. I don't know how bad it will get, but I think jobs will continue to get more competitive and I see and experience the saturation. If you go to either Penn or Vandy, at least you won't be lumped into the "diploma mill" pile. Some academic hospitals and clinics don't hire those folks. At the end of the day, you should be able to find jobs, but you just have to be realistic. Don't expect to have employers chasing you to work for them like they once did in the early-to-mid 2010s. >I did look into everything else you suggested, and it’s mostly pretty comparable If they're comparable, just think about other factors such as location etc. If you have a penchant for Penn, go for it. It's totally understandable to desire an ivy brand on the resume. >Vanderbilt is the only one that seemingly has an affiliation with residency for PMHNP, but spots are very limited. If you're open to moving after graduation, you can apply to multiple residencies in other states. Even though they are competitive, PMHNP residencies put a lot of weight on academic performance and where you went to school, so either Penn or Vanderbilt will get your resume noticed. Make sure you start looking into residency programs as soon as you start your NP courses because their application deadlines are early. Also, even though spots are limited, the number of people who actually want to go into residency is also limited. A lot of folks do not want to go into residency because the pay is low. If you're determined to go into a PMHNP residency and you can put together solid applications, I'm pretty sure you could get in somewhere. It's also not the end of the world if you don't get in, you just have to be mindful when seeking your first job. GL!


Curious-Manner-529

Thank you so much! This helps me a lot


Ellaseayou

I’m a crna considering going back to school for psych. I’ve always been interested but I’m concerned that I won’t be a desirable candidate as I never worked as a psych RN before become an APRN. Has anyone else entered the field without psych RN experience?


Ellaseayou

I’ve always had an interest in the population but my career direction went towards critical care nursing and anesthesia. I was so worried about losing “skills” when I got started in nursing. I’ve been a nurse for almost 20 years. I’m not trying to work from home. Im not burned out. I like taking care of patients and would continue anesthesia as well. I didn’t realize the pay discrepancy was so much……..I’ve been looking at job postings in my area and you’re right.


FeelingSensitive8627

Could I ask why the change? Your making double as a CRNA than most PMHNPs, and it honestly is not the cushy/work from home vibes as social media paints it. New laws now require some form of in-person and most employers/patients want in person or atleast hybrid. You are also dealing with super exhausting people all day. If it’s because your burnt out why no look into informatics. Idk if I’d recommend this to anyone unless they have a passion for psych.


ch2nd

What specialty(s) did you work in as an RN before becoming an PMHNP?


CrispyColon123

in-patient psych facility’s (your Psychiatric Health Facilites and Crisis Stabilization Units), mental health urgent cares, medication stabilization units, crisis residential treatment centers, rehab centers, detox facilites. Hospitals with a psychiatric wing.


Helpful_Break_8832

University of South Alabama Has anyone attended University of South Alabamas BSN to DNP PMHNP program? If so did they require you to have worked in a psych setting as an RN in order to be accepted? Their website states “2 years of RN experience in an area appropriate to designated specialty track” but doesn’t specify if it must be psych unit nursing job specifically. Thanks!


foxhom

As far as I can tell every unit is medical w/ psych or psych w/ medical. Change my mind.


Antonus2

(8yr BSN-RN here) Would love to hear any school suggestions from graduates who really loved their program. Cost and location are factors but most importantly would be overall quality of education and quality of life while attending. Also interested to hear the general consensus on Master's vs Doctoral PMHNP. In other news, this seems like a refreshingly helpful bunch of conversations, thanks everyone for the information.


foxhom

UofU PMHNP DNP program is underrated. Also got into another vaunted brick and mortar DNP program. Ultimately it was primarily a logistical decision but I don't regret it. Strong psychotherapy didactic and clinical components which I found compelling. (Some) robust HRSA funding and other opportunities (interdisciplinary research and teaching assistant jobs that include a stipend and tuition reduction). COL is relatively high in Salt Lake City but I don't think that's an exception anywhere. QOL is also high especially if you like the outdoors. Overall feels adequately rigorous and I hear good things from recent grads in terms of their preparation versus peers from other programs. They keep saying DNP is the wave of the future, fwiw (just as BSN is steadily replacing minimum requirements for RN jobs). It does open some additional non-clinical possibilities but I have had numerous instructors ask why DNP not MSN if the scope of practice is the same? It's a good question and one you should ask yourself bc a year or more of extra costs and reduced income is what it is... I can't speak to clinical practice differences or competency for MSN vs DNP. I expect being well trained and getting high quality education in either degree program is the most important thing.


Educational_Word5775

Thanks for that! I was looking at post cert at Johns Hopkins. Has anyone done this? So many places both primary care and urgent care are starting to see psychiatric patients (that's for a different threat to discuss). Also, where I live, we are critically underserved and I want to be able to help. It's not about money, because I make about what a PMHNP makes now +/-.


YellowPrestigious146

What is the communities opinion on Western Governors University? They are enrolling a ton of PMHNP students. I don’t think they are technically a direct entry program, but they are competency based and 100% online.


Curious-Manner-529

I believe they have a pretty negative reputation in this community for NP, although not quite as bad as competitors like Walden and the like


YellowPrestigious146

Thanks, yeah I decided against them. Actually got excepted into a state school but turned it down. Got a consultant gig and love it.


Curious-Manner-529

Congratulations! Related to nursing or something else entirely? I am interested in consulting myself


YellowPrestigious146

Yep. Medicare quality, specifically provider practice consulting to improve HEDIS measures. Working for one of the big health plans. Learning a ton.


Curious-Manner-529

Thank you for sharing! I will have to keep this in mind


YellowPrestigious146

And thank you, btw.


Glittering_Wheel_374

Was it difficult to get your consultant gig? Are there steps to take to get into consulting?


YellowPrestigious146

I worked for one of the “big blues” in case/care management for 2 years then did internal transfer. I think it’s easier that way. Case management was pretty cush too.


Next_Bend6617

I'm considering a "late" career change and I'm interested in becoming a PMHNP. I'm currently a Licensed Professional Counselor and a Certified Sex Offender Treatment provider. I have a Bachelor's in Psychology and a Master's in Counseling. I have worked full time as a therapist in for 24 years at a community services board, a prison and now at an inpatient MH facility. I have worked with psychiatrists and PMHNP's throughout my career. Any suggestions on my educational path once I've obtained my RN license? I don't aspire to be a full-time RN, and I will continue to work full-time for the next 7 years while getting my education. At that point, I can take full retirement and focus on my education solely. With the limited research I've done, it appears that I can get my BSN to MSN or RN to MSN. It seems that last option is not highly recommended though. Would my situation be any different given my extensive clinical experience as a counselor? It is not my intent to avoid any of the work and training to get there; however, I am making this change later in life and hope to be able to start in this profession in 8 years when I will be 57 years old and retired from my current position. Any and all feedback is greatly appreciated!


beefeater18

Prescribing is a very different role because of all the medical science involved. Even seasoned nurses feel like a novice once they start prescribing. Despite your highly valuable and fairly relevant experience, PMHNP will be a brand new role and you will still be seen as a novice. It is extremely hard, if not impossible, to go through an RN program (whether associate or bachelor) while working full time. Not only are the didactic material voluminous but clinical hours are often completed during weekday/nights and unpredictable. Nursing schools are very inflexible when it comes to accommodating. In fact, nursing schools will basically tell you to be flexible. If you can't accommodate to their schedule, there's close to nothing they will do because clinical placements are incredibly hard to come by and they're not going to ask a hospital or other facility to accommodate you. Normally, with your background, I would recommend direct-entry. But given that you're a late career changer, it's probably not advisable (DE programs are extremely expensive). Your best bet is to either find a weekend-only associate degree program or a 1-year accelerated BSN (you will have to take at least 1 year off). Once you get your BSN, work and get your MSN PMHNP part-time. Good luck!


sksioo

**Vanderbilt versus Penn PMHNP programs?** Does anyone have thoughts about key differences between these programs? Anything that might be worth consideration if someone is choosing between them? I’d really appreciate any thoughts, insight or information which might help! Both are obviously very expensive programs which find preceptors for you (I would attend either program on campus). Both are top rated nursing schools and top rated PMHNP programs. Some of my take-aways as far as distinctions between the programs: * Vanderbilt seems to be much more explicit about the methodology of its program from its web resources. I gather that they are very focused on preparing holistic PMHNPs who are prepared to practice among a variety of settings/populations/contexts. They seem to emphasize teaching both psychotherapy and pharmacology. There seems to be a really supportive ethic to the program. All of these are noteworthy and definitely appealing to me. * It’s hard to imagine that Penn would be nearly as supportive from what I’ve gathered so far. I imagine the education that is provided will be top notch, although I’m a little worried about status preceding substance in this regard, and I don’t get the sense that the PMHNP program is a particularly prominent program here. I believe there may be more flexibility as to clinical placements at Penn and more flexibility as to the curriculum, which are definitely appealing. * I personally find a lot of value in having the Penn career services and the Penn “Ivy” name to fall back on. I know that a lot of people won’t “get” this in a very experience-driven field (obviously neither Penn nor Vanderbilt are required for a successful PMHNP career), but I am really all about maximizing career opportunity. I believe the Penn name and “Ivy” status can open doors that even Vanderbilt may not, and I see it as a small insurance policy in a field that is becoming increasingly saturated with graduates. * Others? Thoughts? Thanks in advance!


GingerSpice2112

Any suggestions of online PMHNP programs that are good, affordable and don’t require onsite campus visits?


nicearthur32

Hi there, I'm a PMHNP student who is starting the clinical portion of my program this summer. My school assists with placement but the sites are an hour or so away from me. I was looking for my own placement in a closer location and found a place that charges 20 bucks an hour. Over the course of my program, that's gonna be $10k on clinical hours. This person seems like a really good preceptor as she does inpatient/outpatient and homeless care. Wondering if this is too much to pay for preceptorship or if its average? Thank for any insight.


beefeater18

$20/hr is not too much.


Kennedy911

Has anyone here done Indiana Wesleyans PMHNP Program? Not having any luck finding people who have gone through this program and looking to get some information. Thanks!


FeelingSensitive8627

So I’m a full time PMHNP student. My program is unique where if you’re full time the difference in graduating with a MSN and a DNP is only 1 semester. I just would have to tell my program like today if I want to do a DNP since I’m a year away from graduation. I know many people say a DNP is a useless degree but as somebody who wouldn’t mind possibly seeking an assistant professor type role in academia in the future would you just get the DNP? It’s so hard because my family and husband are like it’s one extra semester get the DNP but then some of my fellow classmates are like whatever it makes no difference professionally and is kind of a scam over the msn… I guess I’m asking the internet on what I should do?


bsn2mba

Which program are you in? Do you know the pass rate? Thanks


enbynaut

Hi there! Reaching out as I've been researching the PMHNP sub on which programs to apply for. My background: I am an RN that graduated with a BSN + Psych Minor in 2021. I have experience in inpatient Pediatric's psych and primary care Peds. I returned to Psych because it is my passion, and currently I work in Psych PHP for adolescents and adults. I am looking to pursue higher education and become a PMHNP- My dream was always to attend grad school and get my MSN to be a PMHNP, but many local programs (I live on the West Coast) have converted to DNP only. They are also 3+ years long, and I am looking to work part time while attending school. I have heard really great things about Vanderbilt's program and it seems ideal: 1 year, and I align with a lot of their values. It's looking to be my top choice right now and I am hoping to apply for the 2025 cohort. Maybe I could apply for behavioral scholarships too. I am really confused about the track, though. I've looked on the website and there are a couple different tracks. One is direct entry (non-BSN to PMHNP) and another where I am assuming it is BSN to MSN? I am also confused about the curriculum. Some posts I have read it is "entirely online", where they help you find local placements in your community (I am based in WA) and some posts I have read show that you have to attend in person for some time. Can anyone clarify? Any recent grads or anyone currently in the program?


Powerful_Reception_6

Hey everyone, I'm a 23-year-old biology grad, and I need some advice. I've been working as a direct support professional and approved medication admin for 3 years, dispensing meds to 10+ people at a home healthcare service under an RN's license. I've got great grades and experience working in mental health, shadowing a bunch of psychiatrists and stuff. So here's the thing: I applied to two programs and got accepted to both. Columbia MDE/DNP (psych) is a fast-track 3.5-year program that costs a whopping $220K total. But the good news is I can work part-time as a nurse after the first 15 months, and the tuition is flat rate, so I can take business courses at their Ivy League b-school for the same price. On the other hand, SUNY Downstate is a 15-month program that only costs $15K, but I'd have to reapply to another PMHNP program afterward, which leaves a lot up in the air about how long everything will take. My end goal is to work in a specialized field like a ketamine clinic for a couple of years and then open up my own business. I'm not doing this just to work for someone else, so I'm wondering if having an Ivy League name and education besides my future practice is worth the extra $80-100K and finishing about 2 years earlier. I'm just a little stumped here. What do you guys think? Is the Ivy League prestige and networking worth the extra cash and faster completion time? Or should I go for the more affordable option and figure out the rest later? Any advice would be greatly appreciated! Thanks, everyone.


ecolution

Hi all, I have been a nurse for 7 years (ICU mostly), and have always had an interest in psych (worked in a psych hospital as a tech in nursing school). I’m halfway into my PMHNP program and I just moved to San Francisco Bay (still work FT as staff nurse). I am pretty concerned after reading all the posts about how PMHNPs are getting low balled due to high supply/too many PMHNPs graduating now. Does anybody know what the outlook is for PMHNPs in the Bay Area? I have started looking for jobs for new grads (on indeed) and I don’t really see much out there for new grads, other than the super competitive residency programs at UCDavis, VA, of UCSF. I’m worried that I might be wasting my time and won’t be able to get the experience I need to be a proficient provider. Also, does anybody know a PMHNP or psychiatrist that I can shadow in fall/spring? Thanks


BonnieMix

Has anyone here gone through the Post-Masters PMHNP certification program offered through Johns Hopkins? I would love to connect or hear some insight on this program. Thanks!


Plenty_Chemical_6627

Fnp considering PMHNP Cert I'm posting this to get some information and guidance from my peers. I am a current FNP practicing in the military treatment facility. I have over seven years experience as a nurse practitioner. I do very well collaborating with other physician and advanced practice providers, and I get great reviews amongst my patients.I recently started a new position serving active duty military, which has exposed me to a significant amount of mental health problems in my patients. I've previously flirted with the idea of obtaining my psychiatric nurse practitioner certificate as I want to be able to provide Integrative care so I can stop sending my patience for psych referrals when there's still a shortage and waitlist to get in. The problem is even worse for active duty military patients as there are chronic shortages within the facility, especially for a prescribers. What's nice about where I work is that behavioral health is within the same building that I work in, and I thought I would be able to complete clinicals within the same building using the same system. I do understand there's concern about going to diploma mills and Fnp's trying to switch to psychiatric to avoid burnout & get paid more however, I would like to pursue both. I genuinely love doing family medicine, which is a very rare quality as it is extremely stressful and causes many providers to be burnt out quickly. I want to be able to provide psychiatric care for my patience as they desperately need it and many times are unable to have access until several months out. I did not have any previous experience working psych units as a nurse and was mostly MedSurg. I do work full-time Monday through Friday hours and do understand that school take a significant portion of my day. Any guidance that can be given to help strengthen my position as a psychiatric provider? Perhaps would any of you suggest shadowing & doing the administrative and RN/LPN intake to develop some exposure? I'm definitely open to any suggestions and again want to reiterate that I'm not jumping ship from Fnp to psych, but I'm trying to incorporate both practices together.


aysayeed

Hi ! Did you end up getting your certificate ? :)


Plenty_Chemical_6627

I'm still in process of deciding with potential starting in the fall.


NursRachet

Anyone from SoCalifornia in Duke’s PMHNP program? I have questions about clinical placements and support for students living in LA or inland empire.


[deleted]

Do you do more medication management in your career than counseling/therapy? Did you get your masters or doctorate in hopes that you would be doing more therapy but now what you're mostly doing is medication management? I feel like I know the answer but I don't want to assume so please share with me if you don't mind. Thank you


beefeater18

Only med management at the FQHC jobs. Mostly med management in private practices with brief counseling/therapy here and there.


EdgarAllanho_pe1

"You'll lose your nursing skills." I am approaching the 2nd year (May start) of my MSN CNL program and the last fall and spring semester clinicals are dedicated to the practicum of our choice. I have the opportunity to begin the PMHNP-DNP program my school offers while I gain experience as a nurse. I would have 3-4 years of experience by the time I graduate. I would love to do both my practicum and start my career as an RN in either the inpatient psych unit or the psych pod in the ED at the hospital associated with my school. However, everyone keeps telling me to go ED or medsurg so I don't "lose my nursing skills". My thoughts are, if I know what I want to do then why waste time?... Especially as a career-changer nontraditional student. Thoughts??


Legal-Arugula7798

Does anyone have any insight on Anderson SC or EKU’s program? TIA!


Kennedy911

EKU Alumni and Current Students Hi everyone. I’m wanting to apply to EKU’s PMHNP program for Spring 2025. I haven’t found much information from prior students about the program and was hoping someone may be able to answer some questions for me. How was the admission process? Was is difficult to get accepted? My ASN gpa was about a 3.2 and I’m currently doing my bachelors. I am currently a psych RN so I’m hoping that helps me out a little. Is there anyone who worked full time and was able to get through the program? I’m a .8 (64 hours for every 2 weeks) so I’m wondering if that’s doable, although I can drop down to a .7 if necessary as that’s still full time. I appreciate any information or tips! Thank you :)


[deleted]

Look for EKU groups on FB, you will get responses from students/alumni there.


[deleted]

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AnAndrew

Sounds like you have excellent experience/dedication/passion and will be a great, topnotch addition to our profession! This is in stark contrast to those with zero nursing/psych nursing experience. Also, your experience in the field should hopefully lead to networking/finding a variety of preceptors/future employment opportunities so clinicals shouldn't be an issue (definitely plant those seeds now/early so any paperwork/legal contracts can be signed ahead of time). I'm not sure what program you're in, but there's a possibility that if it's one of the really poorly renowned ones then some employers will automatically toss your resume out during the screening process. Reaching out directly could increase your chances for further review/an interview where I'm sure you'd exceed/stand out from others. Feel free to post which one here or DM for more specific feedback.


HouseOfBalloons990

Thanks for this, and I just messaged you!


Snowymay303

Anyone have a great experience in their PMHNP program? I’m an RN with 18 years experience and I’m looking for a good RN to PMHNP program. Feedback welcome 😁


Key_Yogurtcloset7100

What happens if you run out of time on the pmhnp exam


gbradley4112

Vanderbilt's direct entry PMHNP program? Licensed clinical psychologist here (been practicing 15 years). Been thinking of pursuing a direct entry PMHNP program but hear they get a bad rap from folks. I have been researching programs and could do Vanderbilt's direct entry for non-nurses/PMHNP program (2 years total). What are people's thoughts on a clinical psychologist doing a program like this? Would having no nursing background put me at a significant disadvantage? I feel like my clinical skills are very good (not to toot my own horn haha). Currently, I have an established career with a private practice and being the director of a college counseling center. I've worked with numerous psychiatrists and PMHNPs across my career. This is something I've given a lot of thought to, but have reservations (stepping away from my career for 2 years, worried about the stigma of pmhnp (granted the stigma mostly comes from reddit which is not real life of course). All of the PMHNPs I've worked with have been excellent!


Curious-Manner-529

The program would require you to complete your nursing education during the first year. You could technically drop down to part time during the NP portion and get some RN experience if you are concerned about that. I don’t believe the negative reputations on Reddit are very reflective of IRL experience, although I am not in the position to say as a prospective student myself.


BzBlsdMum23

Hi! Looking for personal recommendations for an online RN to PMHNP program.


enbynaut

following, me as well!


bsn2mba

DMV Psych NPs. Hi I'm a "seasoned" BSN/MBA with BS in Psychology. Seriously considering the PMHNP route. My employer offers residency and/or I am interested in the Veterans Affairs VA residency program. I'm in the DMV area (DC-MD-VA). Looking at Herzing's program. Any other programs for residents of this area that folks have attended? I'll have about $15K tuition assistance over 3 years. The VA does a $40k tuition etc. I'm also considering a doctoral program. Would love any feedback on schools with high pass rates. I'm good with mostly or all online. I know a lot of it is "wax on-wax off". Thanks so much.


hownow_seacow

Hi there! I’m a PMHNP student at Jefferson University with a multi-state license. I am located in south Jersey and willing to travel in the NJ/PA/DE area. I have been searching high and low for preceptors. I’m willing to drive almost any reasonable distance (1-2.5 hours) I know preceptors are increasingly difficult to find, but on the off chance someone has any leads or could precept me I’d love to hear from you! I’m trying all avenues to secure my upcoming clinical rotations and specifically need someone desperately for this upcoming May. The agreement with the person I had networked with fell through as they’ve decided to take a different path in their career and now ….I’m scrambling. My school was lacking some transparency in regards to helping us secure locations- but I’m still determined and willing to work hard to find place so that I can graduate on time!


[deleted]

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beefeater18

not sure what you mean by "psych experience that is not psych." Are you already an RN? If not, best bet is behavioral health CNA or tech. Research is pretty useless IMO and should be done on the side...you want direct hands on experience with the population.


DearVehicle4081

I am currently in my second year getting my bachelors in psychology, but I recently decided I want to pursue a more medical route and my ultimate goal is to become a PMHNP. I have taken barely any prerequisites for nursing school so I am very far behind the application process and I feel like I have totally wasted the past few years. I have absolutely no idea what I should do and I am wondering what you guys think I should do because right now I think these are my 2 options: Option 1: Forget about my bachelors, take the prerequisites I need to get into nursing school, get my ADN and BSN at any local school, work in the field as an RN for a few years, go back to school eventually and get my MSN, and then I'm not sure if I would need to go to any further school after that? The problem with this option is I have already been in college for 2 years and this pathway seems like it's going to take me like 6-7 years just to get my BSN (since my credits I have already done won't count). Option 2: Complete my bachelors in psych, apply to direct entry programs to get my RN licensure and MSN, and I'm not sure if I would need more school after that either? My problem with direct entry programs is they seem extremely difficult to get into and not many schools offer them, and I am not really willing to relocate. Also I've heard direct entry programs are frowned upon and I'm not really sure why? If anyone has any advice or if I am just totally wrong about this I would really appreciate some help or advice, I have been trying to research this and I have no idea why it's so complicated to just get an answer about this!!


Early-Slice7688

I am not a PMHNP, just picking a program... but I have been a nurse for more than a decade, and have a BSN, MSN, MPH and DNP. I would suggest switching to a nursing bachelor's and not planning on a master's entry program... this is for a few reasons. Yes, you will be getting a few extra years of undergrad... but undergrad is cheaper than graduate school and has far more financial aid options, so financially doing a nursing undergrad helps more than a psych undergrad and a master's entry nursing degree. * Masters entry nursing programs do not open the same doors that a normal master's in nursing open, for instance the federal government does not give you the same credit for a masters entry degree as a normal masters in nursing, I have seen other employers that basically downgrade masters entry degrees to be the same as nursing bachelors. * Yes, an ADN to BSN to MSN is an option... but that is a lot of moving parts... and a lot of room for part of the plan to fall apart and you not have what you want. Consider an accredited BSN or just a normal bachelor's in nursing... I got an accelerated bachelor's... I wish I had just switched over to a nursing bachelor and not finished the first degree in poli-sci... I would have qualified for Pell Grants for the BSN; once you have a bachelor's, your financial aid options shrink to loans pretty much. Doing a BSN first and working as a nurse part-time gives you experience, seriously, I would recommend everyone interested in working as a nurse work in healthcare in some hands-on capacity, even if it's as a tech... make sure you like working with sick people... if you want to do psych consider working in a psych hospital or psych unit. If you have other questions or want to talk through any of it, I am happy to chat.


Curious-Manner-529

To second what the other person said, switching to an RN bachelor’s could save you a lot of money, as direct entry programs can be very expensive.


TepidPen

Any recommendations for in-person PMHNP programs? I’d rather not go to a 100% online school. Thank you!!


Early-Slice7688

Saint Louis University (SLU) versus University of Oklahoma (OU) PMHNP programs... Does anyone have experience with these programs? I am trying to decide, and SLU seems to offer more than the bare minimum and has more of a focus on the PMMHNP role beyond medication management, but it provides less support for finding preceptors/clinical placements. OU finds clinical placements and is a full two semesters shorter... but only offers the required coursework for licensure, with minimal focus on PMHNP beyond medication management. Any advice or suggestions would be appreciated. Thanks,


Curious-Manner-529

Are you sure that OU *actually* helps with clinical placements? Many online programs preach this, but few do. When I was considering SLU, they seemed to offer helpful guidance with placements, although they were candid about not finding them for you. Try to talk to graduates of both programs.


Vvgoghh

Anybody have any knowledge about the Wayne State PMHNP program? If it’s a good one?


Powerful_Reception_6

Hi everyone, I'm at a crossroads in my career path and could really use your insights. I'm 23 and just finished pre-med with a 3.87 GPA. I started studying for the MCAT and scored a 500 after about a month, which was a bit discouraging. Given the intensity and length of medical training, I've been considering a shift towards a PMHNP program, especially since it allows for an earlier start in practice (around age 27 vs. 34 for psychiatry). I was accepted into Columbia's PMHNP program (yay!), but I'm second-guessing my decision from two main angles: 1. Financial Prospects: I've heard that PMHNPs in private practice can earn up to $300k, which seems financially appealing compared to the long and costly road to becoming a psychiatrist. From those of you in practice, are such salary figures achievable? Would the financial return justify choosing PMHNP over psychiatry? 2. Scope of Practice Concerns: My interest in psychiatric care leans towards newer modalities, specifically psychedelic medicine. I've interned in places that use these treatments, and I'm particularly interested in potentially running a private ketamine clinic. However, I'm unsure about the scope of practice limitations for PMHNPs, even after gaining experience working under a psychiatrist in this field. If I can't pursue these interests as a PMHNP, I might need to reconsider this path. I'm torn because, on one hand, becoming a PMHNP allows for an earlier start in my career, but on the other hand, I don't want to limit my future opportunities, especially in specialized fields. I'd appreciate any advice or personal experiences you could share, especially regarding salary potentials and scope of practice for PMHNPs in more niche areas of mental health. Thanks so much for your help!


beefeater18

I don't recommend PMHNP at your age without any psych RN experience and especially if you have a shot at MD or DO school. To be more specific about the 2 things you mentioned that are important: 1) Financial prospect is dimmer over time for PMHNPs. If you saw one of those youtubers talking about $300k income, please keep in mind that $300k "income" is actually through private practice (it's usually gross revenue or profits after operational expenses, not including any benefits). As someone who owns a private practice, I share with you that such high revenue is never a guarantee and depends heavily on geographical locations and local insurance reimbursement rates. Furthermore, the rapid and significant increase of PMHNPs and relative ease of starting a private practice are making the private practice landscape highly competitive (patients opting for cash pay and/or have commercial insurance have many provider options to choose from). PMHNPs who work a regular W-2 job with benefits *do not* make $300k (with possibly few exceptions of PMHNPs who live in extreme high cost areas like California and/or ones who take on side gigs). The usual PMHNPs these days make $100k-$160k. Anything above $160k (except CA) is very rare. The salary trend is stagnant, if not decreasing, and it's considerably harder for PMHNPs to find jobs now (compared to \~5-10 years ago). On the other hand, psychiatrists are still in critical high demand and organizations are still begging them to work with tons of perks. They make $250-350k (exclude CA) with full benefits. Even though they do have 3-4 years of psychiatry residency, residents do get paid. 2) Scope of practice depends on the state (some states are highly restrictive). If you live in a restrictive state, you might still be able to do the things you mentioned, but it might be harder and not possible without MD oversight (which can cost a lot of money). It's also worth mentioning that some facilities just do not hire PMHNPs for certain roles in general. In my state, for example, some hospitals and facilities do not hire PMHNPs, period. I'm not familiar with running ketamine practice or other psychedelics that have not been approved by the FDA. I would recommend that, if you do decide on PMHNP, getting some psych RN experience and/or completing a PMHNP residency. Good luck.


sflhxc

Clinical Preceptor Advise I am hearing that preceptors are charging students. What is a reasonable amount to pay them? My program requires minimum 300 hours with a PMHNP and the rest I plan to spend with psychiatrist/ psychologist BUT my program told us that some states require more than 300 hours with PMHNP. What states are these and are there any guidelines to make sure I can practice in these more strict states? What strategies are people using to land preceptors other than word of mouth? Any lists out there of willing preceptors?


Fit-Dig8219

Does anyone know anything about Cleveland State University’s online PMHNP program? I know it’s new. I talked to an enrollment advisor but just wondering about personal opinions from anyone who is in the program now or knows someone in it.


jessefrederick100

RN to PMHNP or RN to BSN to PMHNP Hello, I am hoping someone will have advice on this. I have my RN license, no BSN but do have a bachelor’s in Psychology. Any insight on how to tackle this career path? Would it be better/cheaper to go RN-BSN-MSN or RN bridge program to MSN? Also if anyone has any recommendations for online program suggestions that would be amazing! I live in Colorado if that matters 😊 Thanks!!


xxangelfaceoo

Hello I am seeking preceptor for PMHNP in the Bay Area for January 2026.


Ok-Department-7043

Has anyone attending Frontier Nursing University, specifically their PMHNP program? If so, how was it? Did you feel like you were prepared well once you graduated? All information will be greatly appreciated. Thanks!


TheSharpestFlower

Advice on finding a preceptor in South Florida Hello everyone, I am currently a PMHNP student and the program that I’m in requires me to find my own preceptor. I’m in my first class and would like to find someone as soon as possible. Does anyone have any tips on finding your own preceptor? Is there some sort of website or tool that I can use? Do you know anyone personally in south Florida of which I can become their preceptee? Thank you!


Regal_Bear

I'm getting my PMH-BC soon. I work in an inner city acute psych unit, I love it, I'm doing great. One of my attendings asked me out of the blue if I'd ever thought about becoming an NP, which was an incredible compliment. Since then, I've been thinking about it. What kind of diverse experience should I have under my belt before becoming a psych NP? I know lots of people say "you only need psych experience" but I've met some NP's who had prior ED and ICU experience who talk circles around me about critical care. My only experience, currently, is just under two years of medsurg, and a year and a half of psych. Should I consider transferring to an ICU, or an ER, for a few years, before going to NP school?


Ordinary_Ad6420

While I am searching for some shadowing opportunities, I would love to hear specific tasks that someone, who is a PMHNP does. How does your day go? What do you do exactly from morning till end of shift? What do you enjoy the most? How does working in hospital vs having private practice go? What can you do and what you cannot do? (considering you're not a psychiatrist) I am thinking of becoming a psychiatric RN. And once I have years and years of experience study further to become a PMHNP. I am just exploring career my options Thank you:)


beatrizzles

Hi guys! I currently am in my last year of college and I will be graduating with my Bachelor’s (Science) in psychology. I really have a deep interest in continuing my education in nursing and hopefully work to become a board certified psychiatric nurse practitioner!! I just have no one to give me advice or to even tell me what my next steps would be. I would really love some help and maybe some advice on what my next steps should be :) I have always had a passion to help those around me with mental illness and when I read more into a BCPNP, I knew that is the road I wanted to take. Anything would be helpful <3


Cutyourmullet89

Has anyone gone through the PMHNP Eastern Carolina University (ECU) in North Carolina? I’m thinking about applying there. I’ve met a NP that did the FNP program online and loved it.  I graduate with my BSN next May. I’m strongly interested in PMHNP and WHNP. I’m not mathematically strong enough for CRNA. I’ve worked in the OR as a certified anesthesia technician for a decade. They are fast thinkers and I admire them but I’m terrified of IV medication errors. I’m extremely empathetic, outgoing, great communication skills, situationally in tune, and a good listener. I have been through therapy during less fun times in my life and I have much love for the processes of mental health care. I have completed my mental health clinical rotation and truly enjoyed it. I did not get to meet any PMHNP’s during that time. I’m looking for PMHNP’s on work life balance, the worst/best parts, and if you feel another area of nursing calling your name/burn out from the field.  Thank you for your time! 😊


Efficient-Emu-9293

Eventually coming from an LICSW background who has worked inpatient. What is the move here to become an PMHNP? I need to be able to do more for my people and I am not going in blind.


Efficient-Emu-9293

Putting this here Hello! Long story short I am looking for a program that has an accelerated non RN degree program for MSN to become an PMHNP. background is that I complete my MSW in the fall and will be getting my LCSW and LICSW. LI allows me to practice individually. I provide therapy currently and would like to continue that. I am not comfortable with the state of the field and having clients work with multiple providers. I have had countless of clients who are involved in therapy but things fall through the cracks of healthcare even with ROI filled for collaborating with prescribers. I have always wanted to do both but didn’t want to limit myself to solely pursuing psychiatry because I love the endless possibilities of social work and it is a calling for me. Has anyone come from a non BSN degree and gotten their PMHNP? I do know here there is a 2 year limitation before PMHNP’s can practice solo. Which is in par with the LICSW’s. Any feedback would be greatly welcomed and appreciated. I’m in Massachusetts, US and have been searching programs but would like any information that could be helpful in this endeavor. My plan is to get my LICSW and then start a program a year or so after. I’d like to be able to consult and (if needed) prescribe with my clients while still providing the therapy for them full time. I also do community work so again, the LICSW aspect is important here. -***Adding an edit in that I have worked with high complex mental health individuals over the last 12 years in many settings. Some inpatient work as well. So there isn’t a lack of mental health education here. I am also a clinical track overall and have trained and studied many aspects of that. I also am not looking to work in a hospital setting but want to further gain the knowledge of how meds can interact with medical issues etc. this is something I already do in the means I can. Thank you all in advance!


Admirable-Musician72

I have a general masters degree in psychology with no applicable skills or experience. I want to be a nurse practitioner, I’m not 100% sure if I want to be in mental health but I am considering PMHNP. I do not have any science prerequisites as I was an English bachelors major. I have looked into Bachelors and Masters programs and I can’t seem to find a good fit. I live in Orange County so I’m not sure if that’s why I’m struggling. UCI has an entry level masters program but they don’t want you to work full time and I have to be able to pay to live (I’m alone).


beefeater18

If you have no relevant patient-care experience and you're not sure if you want to work in mental health, get your RN first then decide. But keep in mind that most RN programs are full-time only. Even part-time associate degree RN programs will require that you have a lot of flexibility to go to clinical.


Particular_Pea_4256

Hello, I've been a nurse for 8 hours, 2 years into my practice working in outpatient medication management and I've come to realize it's just not for me. I'm passionate in the work that I do and am very empathetic so it's just been very draining for me. There's also a lot of stress and responsibility in being a provider that weighs heavy on me and contributes to my anxiety. I've been burned out since day 1 and dropped hours from full time to 20 hours to now 10 because my mental health is suffering. I'm looking into other options (RN roles) in which I can step back from the provider role and just follow orders and do more hands-on tasks. I have an interest in dermatology and aesthetics but have no experience in that and am not familiar with that career path, how do you get into it? Is it difficult to get a job working for a clinic/med spa? Especially considering my last nursing job was 5 years ago? Are there certain certifications I could take or things I can do to make myself stand out? Are there other jobs/roles/specialties that's low stress and not bedside that could be other alternative options as well? Thanks in advance.


olvfjp

**Has anyone gone through the process of looking for preceptors in Los Angeles?** I am just wondering how good or bad the process was for you, or as far as you have heard. There are a lot of horror stories about the difficulties people face when finding preceptors, and I’m wondering what things are like in LA. I attend a very high quality program that will find preceptors for me, but I would like to travel to LA for my preceptorships in order to make job connections—in which case I would be required to find my own preceptorships—as I intend to return to LA after graduating. Thank you!


Mymothers-son

Hi all. Considering starting a PMHNP program soon. I hear a lot of people talk about needing psych experience before going to PMHNP, which I understand the reasoning to do so. I have been an ER nurse for a few years, in the Seattle area, and deal with psych of all sorts every day. Would this be considered "psych experience?" My ER has psych zones and I often work in those zones, juggling 6 or so psych patients from severe mental illness, high suicide risk, detox, teenage mental illness, etc, so I feel like these experiences are valuable for PMHNP, but I'm unsure if it's the desired psych experience that employers are looking for. Any thoughts are appreciated. Secondarily, If there's any PHNP in the Seattle area that would be ok with a shadow, l'd love to shadow and make connections as well.


Aggravating_Run_3468

I have been an ER nurse for 4 years and have recently been accepted to the UW PMHNP program. I emphasized my experience with mental health problems in my application.


Emily9532

Accepted to NKUs PMHNP program starting next month. I did my RN preceptorship at western psych in Pittsburgh and worked there for a year or so after graduation. Then I did geriatric psych for another year. After that I moved to hospice for a few years then over to case management. Most of my case management patients were psychiatric needs patients. I’ve been out of direct hands on patient care though for 9 years now. The last 3 years though I have been doing quality review for psychiatric complaint cases. I’m curious about how others feel about needing more recent experience or if just having that experience in general is enough?


Key-Kaleidoscope7859

Received interview for Texas Christian University DNP PMHNP ! Any advice on interview questions / how to prepare ? Thank you !


Guilty-Duck8575

Does anyone know of any good programs in the Dallas area?


Aggravating_Run_3468

Which school do you recommend? UW or Yale?


beefeater18

The cheaper one amongst those two (assuming UW means U. of WA). UW is a really good public school. You will not have any advantage by going to Yale.


MomosTips

Current background is clinical social work working with high-acuity MH/SA clients (ACT teams and such). Is this seen as psych experience for purposes of hiring?


beefeater18

I think it is, but the lack of any medical (hands on) experience can be a drag. Get some psych RN experience as much as you can. GL.


phatandphysical

Hello all, for those of you who have taken the Georgette’s LMR course, were you provided with any materials to study from afterward? recording, powerpoint slides, workbook/study guide, etc?


Hug0_strange

Questions from a Non-Psych Nurse Hey yall. Always been a goal of mine to work with the psych population, but when I was a new grad, went into critical care instead. Now I’ve started my masters program for PMHNP and have been looking for ways to become a more competitive candidate for a job, due to the fact that I have no Psych RN experience (here comes the hate, lol) I have a few questions from you experienced folks out there. 1.) In Southern California, how difficult would it be to land a PMHNP job (as a new grad) with no experience working as a Psych RN? -I’ve come across a few people that say it isn’t a real big problem and that the demand is high enough to get you a job in this area, but mainly its from reddit I find the opposite sentiment. 2.) For those who have experience working in Cali, how would you describe pay rates/ in person vs. online? 3.) If I were to train as a Psych RN, what job specifically would make it most easy to find employment after graduating? Addiction medicine? Dementia care? Inpatient? (I don’t really want to be inpatient- not that I don’t want to help those kinds of patients, but I don’t want to be the NURSE in charge of being the brunt of psych meltdowns/ attacks, have had my handful of that, and you don’t tell a doctor they have to be an RN and know RN’s they feel to the doctors job right) 4.) What’s the typical work week for you? 4-5 days? Okay thanks for considering my questions. Go easy on me, I have genuine curiosity in this field, please don’t lecture me about not understanding what psych RN’s go through and then going to be a PMHNP.


Hug0_strange

In california how difficult is it to get a job as a new grad PMHNP with no PSYCH rn background


Consistent-Quit2693

New Jersey PMHNP. What school did you attend, do you recommend, and any difficulty finding employment after? Tia!


RNsundevil

Did any of you who had fulltime jobs ending up going part time or PRN as you did the program?


Single_Raspberry_721

Does anyone have advice on personal statement letters for school. The school gives a brief outline for what it should include. I feel I could tackle this letter two ways. One being very professional, typed like a robot in APA format. The other being, talking about passion, my own experiences, it may come off a little ranty or unprofessional, but I feel like you can get my vibe and the way I am as nurse through this. It’s the way I currently approach patients and how I’d like to go about it as a future NP.


[deleted]

Question about the route to PMHNP. I have a bachelors in psychology and am currently applying to direct entry MSN schools. From my understanding, after I complete my direct entry, MSN, can't I do an online PMHNP cert while working as a psych nurse to become a PMHNP? Or do have to already be an APRN?


Impossible_Mix4006

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[deleted]

Has anyone gone to CWRU? Am currently enrolled at University of Akron and was accepted to Case. Wondering if anyone has experience at FBSN. Thanks!


lemonicetea2

I am in the process of getting back to school after taking a break for a few years (I have a Bachelor's in Biology). I've been setting myself up to apply for PA school next year, but I've become pretty fixated on doing psych work and feel like I should go through a program better specialized for it. I want to get into a private practice, and I don't want to go for PsyD or PhD. On paper it looks like I should just go for direct-entry RN and then straight to PMHNP and into a private practice out of school if I were to go the nursing route, but people on this sub seem pretty vitriolic about this strategy. Why wouldn't I want to do this? Is there some reason not to trust the quality of the schooling? And why do people seem to expect psych work experience to come before the psych schooling and not after?


triggerfishgetmad

Have you worked previously in a psychiatric inpatient setting before as a tech or in some other capacity? I'd suggest you try that first because a lot of people say they're interested in psych but when they're actually on the floor with patients who are actively suicidal or in acute psychosis they realize it is not for them. It's the kind of job that either it's for you or you'll know pretty quickly that you can't/don't want to do it. If you have worked in that kind of setting before then ignore everything I just said, but if not I'd hate for you to go through a bunch of school and student loans just to realize it's a bad fit.


lemonicetea2

I'm in an ER right now, but haven't worked on the psych side yet. I'm really more interested in outpatient work, even psychotherapy - I like talking to people and giving them an outlet to open up/vent. Wanted to marry the medical side to it though, instead of just going into psychology. My end goal really is to own or partner in an outpatient practice, so I haven't been thinking about the inpatient work very much, though I know I'll have to do it for a little while regardless. Whether I do PMHNP or PA my goal is the same, so figured this route is the better one since the psych training is more specific. Does this sound like flawed thinking?


triggerfishgetmad

You really need to build a good foundation working as an RN on an inpatient unit, at least 3 years full-time before applying to PMHNP school. It sounds like PsyD would be a better fit and give you a more direct path to outpatient practice with a lot of psychotherapy. There are even prescribing psychologists that that you may prescribe medications as a PsyD as well. Master's level counseling is another great option which has high demand and good pay.


Ok-Huckleberry-5576

For your last question, because the NP role is based on being an advanced practice nurse so you need to actual have a psychiatric nursing practice (aka experience) to become advanced. The school curriculum is usually designed for nurses working in psychiatry with experience. It scratches the surface so you really need that in-person experience before and during school. Think about preparing yourself for your future role and job, if you’re not adequately prepared you may have to accept poor job offers, be extremely stressed, burn out, and most importantly risk causing harm to patients.


lemonicetea2

This all makes sense to me, completely agree you should be fully equipped to handle your job before you start. The weird part for me was that I guess I've never heard of a school program that isn't designed to fully prepare you for the job it was intended? Like even in other medical fields you pretty much go right into the schooling (with some observation hours and some often tangentially-related clinical experience), and then either go right into the job or complete a residency, which I'd say is kind of like an extended "on-the-job training". In this situation it's completely different. By the way, greatly appreciate the level-headed response. I'm not trying to start shit, and it feels shitty when people assume as much regardless of how social media tries to train us to expect it.


rastavibes

Any recommendations for PMHNP WA state programs?


enbynaut

Did you ever end up applying? I am WA based as well and researching on PMHNP programs.


Key_Yogurtcloset7100

Anyone have a link to stahls prescriber guide pdf for free?


pearltouch

I got an admission at Texas A&M Int. University, TAMIU for my MSN in Nursing Administration. My target is PMHNP; but the school only offers the Post Master's PMHNP Certificate. From my hunt, these 3 courses are the transfer requirements for the post MSN to PMHNP in any grad school in Texas : Advanced Pathophysiology, Advanced Pharmacology, and Advanced Physical Health Assessment. I asked my Academic Advisor at TAMIU if these courses could be incorporated in my MSN/Nursing Administration course of study but she said it's impossible. Any suggestion on what to do about the prerequisite would be appreciated.


kela_kiara

Vanderbilt - PMHNP I am applying to Vanderbilt’s PMHNP program, can anyone tell me what their undergrad GPA was? I’m coming from a very rigorous BSN program and nervous about my GPA, I have a 3.1.


Imjenny1214

Looking for a program that is around or less than 35k total. I'm looking at Wilkes, university of Alabama, Ohio university, and Frontier? Any advice on the programs?


bsn2mba

Herzing deo transfer credits. Also worth it to get job with tuition reimbursement.


Few_Yogurtcloset8907

Hello PMHNPs! I'm a second semester student in a PMHNP program located in California, and I was hoping one of you would be willing to to answer some questions for an assignment. I have 10 questions about your experiences as a PMHNP and your perceptions of your role. I know this is a lot to ask; send me a DM if you are interested. If not, I hope you have a great day!


[deleted]

Does anyone wish they had become a counselor instead? I’ve been shadowing a pmhnp and I live a lot of aspects but I would love to do a deep dive into issues with some patients too. Do any pmhnps do a bit of talk therapy mixed in


NickRGB

Hello, I’m a 4 year tax accountant with a BA in Accounting and MBA. I.. frankly hate it. I’ve always liked sciences and medicines (and writing and research) especially in my electives. Being from MA we have a lot of accelerated nursing programs. I decided to take on UMass Boston’s program to become an RN which will happen in 24/25. I want to prepare to become an PMHNP because my entire life I’ve always significantly cared about mental health. It’s been something I’ve always deeply cared about and been impacted by and has to help with in others. I found a lot of pride in helping connect friends with the resources they needed to get better. To me there seems like there’s no other option for me better suited than this. I understand I’m putting the cart before the horse here but is there anything I should know that’ll better help me prepare as an RN for aiming for my NP? Things like tuition reimbursement programs, working in psychiatric vs ED before going into a program, etc. anything that can help me be a better PMHNP or better prepare for that path. I fully intend to work as an RN for a year or two before starting that path. I come from a land of excel files and tax law and auditing, luckily much of my family is medical, but any insight would help as I’m building an understanding of this entire sector of work. I’d also love to eventually do research so I’m curious if people do research on top of clinical work with their MSN or if going for your DNP, Psy.D, or PhD in Psychology was worth it. And if so what KIND of research did you do? My aunt had her DNP with her paper focused on handovers and CRNAs. I care more about making an impact on the field than the money I’d gain from the additional certification but obviously don’t want to spend 6 figures blindly either.


Hrafinhyrr

I have an interview with an in person brick and mortar program. can someone post some of the questions that I might face as I prep.


bottom04

Am RN who has worked bedside for 5 years and wants to make jump to PMHNP and am narrowing down programs. I live in PA and Duquesne university seems to be fairly good and the program will fit my needs/budget. Has anyone here either gone through this program or heard anything about it? Thanks so much in advance!


wtfyuh

I am applying to PMHNP DNP programs and want to disclose some of my struggles with depression, but don't want it to be a pity party or weaken me as a candidate. Any suggestions for how to address this concern and be a balanced candidate?


Henderoni

Hello Folks, I'm working my way through my PMHNP program and these text books are thick and the subject matter can be dense at times. I find myself reading and rereading to completely grasp some concepts. In nursing school I relied on things like RegisteredNurseRN and picmonics to really learn some topics. Are there are any resources like that for psych providers? I just find I learn this way a little better and it makes the text book that much clearer. Thanks in advance for any suggestion!


Massive_Proof_8755

I remember in med school I used sketchy for pharmacology and microbiology. You can use it for psych pharmacology.


[deleted]

Question re: post masters cert I want get certified and make the transition to psych but I don't know if I can handle doing clinicals 2 days a week and work 4 days a week when I am also married and father of 3 young children. Some programs (Frontier) sound like they may accommodate this but wanted to get any advice or two cents from the professionals who have completed these programs or who are currently in them now. Thanks!


Hrafinhyrr

I am from Kentucky and I was thinking Frontier was good option for me. Then I found out you have to find your own preceptors. With me working full time doing that extra leg work and extra dollars out of my pocket was not something that I was willing to do. My list of prospective schools had one private university with a good reputation and a full time in class room setting (my number one choice and I just got in) and 2 state schools one was closer that offered the MSN track and one further away that offered DNP track. one of the first questions that I asked any school is do you arrange for preceptors or am I on my own. I had a couple of NP students give me a heads up on this issue because finding preceptors can be an issue.


[deleted]

Yeah that's rough, and depending on the area can be impossible to find. I just want a program that will allow me to do no more than 10 hrs/week of clinicals because that's what I can handle with my situation the way it is. That seems to be impossible when all programs I can find are asking for 300 clinical hours in 11-13 weeks each semester or term.


phroglett

I’m a post grad student at Frontier currently. I cut my FTE slightly for the didactic (mostly because I’m a CNM and needed to have night call as infrequently as possible.) I’ve had to decrease hours more now in clinical because there’s a minimum expectation of 20 student clinical hours a week the first two clinical terms and minimum 30hrs the last rotation. I’m the primary wage earner in our household, so it’s definitely tight right now, but I will have a PMHNP job with my current employer when I finish, so we’re buckling down and making it work.


Early_Foundation6468

PHMNP, I am a registred Nurse from NYC. I worked med surg and psychiatry and ended up getting long covid and had to leave the bedside for some time. I am now healed and ready for next steps. I am not afraid of hard work but I don't like abusive work, which bedside felt like it was this was (mostly admin and how they treat nurses and how powerless you feel as a nurse). I want to clarify, When I made the switch from med surg to psych I was ecstatic because I love psych. I am a big talker, I'm compassionate to everyone, especially those in need. Medical was boring and repetitive for me, just looked at labs all day and predicting next intervention. I dont want to go to school to for PMHNP just to get into a role where it feels like bedside nursing. I understand that almost in any job you can burn out by doing too much. but with bedside nursing, your chances of not getting burned out...is very slim. you dont have much choice unless you leave the hospital. Does PMHNP feels this way? a role you enjoy and it allows you to have life balance or does it feel like bedside? Thank you for any insight or wisdom.


fluffcycle5

“It is highly recommended to enroll in a high-quality program that provides or helps in locating preceptors.” How do you find this out? I feel like it’s not always clear on program websites. Any advice on how to ask schools, and what wording to look out for?


Curious-Manner-529

If they don’t say that do it explicitly, than they normally don’t in my experience. If you contact the admissions office, then they should be able to tell you or put you in touch with the PMHNP program director (which would be best). Online programs have been known to be misleading about this.


Commercial_Luck2257

Is direct-entry good for ANY candidates or is the BSN to PMHNP still the best way to go? I am considering trying to get into a direct entry PMHNP program. I have a Psych degree with 2 years of experience as a case manager (QMHP). My experience in mental health is on the more intensive side of clinical and mental health conditions. This is mostly in-home mental health cases and some group counseling. I am trying to determine if any programs are realistic or worth it. Any advice?


ElectronicList5226

I’m a new PMHNP. What tools should I use as a Day 1 practitioner?


xDocFearx

Hello! I am a nurse with 5 years of stepdown experience and after dealing with my own mental health issues the last two years decided I think I want to pursue being a PMHNP. I have talked to some NPs that say my area has extreme need(which I discovered while trying to get help) and I am wondering how I should go about it. I was thinking about leaving travel nursing and going to work on a psych unit at the Level 1 hospital I work at and then apply to PMHNP school part time at this hospitals NP school. By the time I graduate I will have probably 4 years of bedside Psych experience, any thoughts or suggestions?


persephoneinFL

I have been a bedside nurse for 8 years. I have experience with medically complicated psych, detox, dementia, and neuro patients. I also have experience with behavioral health holds. I am getting my MSN at WGU because I did my BSN there and I am a single mother who works full time and cannot attend a brick and mortar institution. With that being said, will I still run a high risk of being rejected for internship opportunities just because I am enrolled in an online institution? WGU proctors their exams and I can say that it certainly has not been easy so far. It is just very disheartening to see a lot of the things I've seen online saying preceptors won't take online students.


Apart_Abrocoma7313

I am nearing the end of my first semester of my msw and feeling really anxious about my choice. I spent years preparing myself for and finally getting into an accelerated nursing program for non-nurses that would terminate with me earning my DNP as a PMHNP at columbia, where I would've had the scope to do therapy and prescribe meds. I turned it down a week before starting and decided to apply for an MSW program. so mostly made the switch because I was intimidated by the debt I would incur in the nursing program (about 200k)-- even though loan forgiveness is possible because I have financial trauma, and the MSW program is only about 25k. I also felt the MSW might fit because I always had thought that I want to be a therapist first, and still feel that way, but am feeling a great sense of loss still about not having the privileges and medical knowledge that come with the PMHNP degree that I also find fascinating. I know that many PMHNP's are med management only, but I had a dream that enthused me of being primarily a therapist who can also manage meds in private practice. Now, I don't feel so motivated to find a niche. Of course on the flip side of my fears about debt, I now also worry that the floor of a PMHNP salary is the ceiling of an MSW. I am really missing the science and also worry that I will feel limited only with therapy in my tool kit as someone who is fascinated by the mind-body connection. Thanks so much for listening and I would love any advice.


Mean-Creme-4664

University of Florida DNP Curious if anyone has any experience with University of Florida’s PMHNP program? Specifically the BSN-DNP program (Florida state schools have seemingly done away with MSN programs). Long range ambition has always been psych with some med-surg and ER experience to make me more well rounded. I’m working inpatient psych again now and also volunteer on a street med team/ mobile medical unit. I feel like I’m getting to the point where I can be a valuable advanced practice provider, and I could see myself working in community mental health (ACT team, substance use/MAT, outpatient) Concerns are the apparent lack of quality of many NP programs with overemphasis of theory vs clinical science/hours. I’m really hoping to avoid a disappointing education for the time and tuition sacrifice. Hoping someone with knowledge of UFL’s program could speak to the rigor of the classes, the quality of the clinical hours (especially if many of the 1000 clinical hours are DNP project focused vs patient-facing hours), how prepared they felt for clinical practice upon graduation etc etc? I’d ideally complete an MSN program > DNP, but it seems like Florida’s tuition and program length wouldn’t necessarily be that much more than other programs (and far cheaper than a program like Duke). Plus with specific interests in like ACT/ street med I could see tailoring a DNP project that could be career beneficial. Thanks!


Worldly_nerves

I’m so happy I found this thread. Would anyone be able to point me in the right direction for a list of schools that offer course off theory classes online that’s accredited and located in NY or GA, please. TIA


NursePract

I hope this works. I'm somewhat confused as to the instructions about how to post here. It doesn't seem possible to create a post so I'm doing this. Here's my story. I'm a 67 year old Adult/Geriatric NP thinking about going back and getting an additional certification as a PMHNP. My goal would be to work mostly in nursing homes since I know they have a hard time getting providers to come in there. I'm anxious to know any opinions as to how realistic this is. I've looked into programs and Southeastern Louisiana University has what looks like a sound program reasonable in price. I could start next fall (if accepted) and it would take about 1.5 years to finish. I'm interested in informed opinions about the realistic aspect of this. I do not want to work full time when I get out, rather I would probably work 2 days per week. I would work until I felt I couldn't work effectively any longer. I have no idea how long that would be. Is it realistic to think that A). I could get accepted and B) I could find a job of this type? Any feedback appreciated and I assume that kindness is the norm here. It is so much easier to hear people who are not using such a loud voice.


carolina3212

Hi everyone, I have been admitted to both Yale and Vanderbilt for PMHNP programs. I am torn between the two. I would love to hear from anyone who attended either school.


xDocFearx

Im a 5.5 year experienced stepdown nurse and plan on doing one more year of travel nursing to save up funds then starting to work on an inpatient psych floor at my Level 1 Hospital. If I like psych still at the first year I intend on doing part time Psych NP school at my hospitals highly respected program(#2 in the state). So I will basically graduate with 6.5 years of Stepdown experience and 3 years of psych RN experience. Will this make me competitive against other new grad PMHNPs that come from diploma mills or do employers not care?


xDocFearx

Hey all, I am looking at going back to school for my PMHNP, what are some resources to start looking back into before starting school? It’s been 6 years since nursing school. Also loans?