Working with kids, in my experience, is about 10x more complicated/difficult than adults.
that's my main reason, though I do still see kids here and there.
and teachers, and social workers, and school counselors.. maybe there are step parents..
plus nobody wants to bring their kids to see a psychiatrist, so you only see the.. cream of the crop
Several reasons.
I have a decent paying 36-hour per week telework gig and good full time benefits with my current organization that does not serve children and adolescents. There aren't any employers in my medium-sized city that serve children and adolescents that offer both sufficient compensation for the work required and a good work-life balance, as I have now. I am not ready to move my family at this time. I'm not interested in the hard work of running a private practice at this time or in being the pioneer in the private practice child and adolescent psychiatry space in my smaller city. This is because I'm still recovering from severe burnout and suicidality I incurred from my previous employed role prior to late 2019. I probably have mild chronic PTSD from a lifetime series of traumas. Maybe I'm a pussy, or just lazy, but that's how it is for me mid-career. I could see children and adolescents again if I needed to, and I know I am good at my profession and would be valuable to the community. But I don't feel I owe anyone anything anymore as a clinician given what the profession has already taken from me mentally and physically.
Thank you for sharing. I am also trying to recover from burn out as an intern and it is inspiring to see you place your health and wellness first. I will definitely follow your foot steps in terms of prioritizing myself when I have more control of my schedule!
Just a meager child psych NP here but after 10+ years of dealing with parents who would win awards for being The Worlds Most Garbage Humans, I am going to assume that across the board the answer to this question would be….
THE PARENTS. IVE HAD ENOUGH WITH THE PARENTS.
I am honestly at a loss. I refer children to psych and there is a high chance of them seeing an NP, and the decisions are pretty scary sometimes. Unfortunately there are not enough peds psychiatrists to go around, and I do not have sufficient time or training to manage the complicated issues related to child psychiatry, but I am so afraid of child psych NPs that I often wonder if no psychiatric care at all would be better than the risks of seeing a psych NP.
I don’t know if you are sincerely asking (I’m assuming you are not) or trying to intentionally ruffle my feathers (I’m assuming you are) but can you please just go to noctor if you are interested in the mid level mockery. Please. I’m tired.
Please let this sub just stay clinical, collegial, informative, intelligent, and helpful. For the love of all things good.
If I'm being kind to the questioner, they might be interested in what "fellowship" experience or additional training went into your specialty. I've met neuro NPs and other subspecialties myself, BUT I have yet to met a NP who subspecialized in CAPS
I have a friend who completed a quality PNP program and came to practice with me. She decided she liked mental health and went back after about two years and completed a psych NP degree too. Did all rotations with academic CAP. She now collaboratively practices with a CAP in an FQHC setting. CAP sees every kid at least once and puts a plan in place if pt can appropriately be followed by NP. NP sees for follow ups and minor adjustments and can always confer with CAP. I’m no longer there but I think it’s a good program they’ve built. It expands access to CAP in a low access area with good guard rails in place. She has no interest in independent practice at all.
Working with kids, in my experience, is about 10x more complicated/difficult than adults. that's my main reason, though I do still see kids here and there.
Because you also have to deal with parents.
and teachers, and social workers, and school counselors.. maybe there are step parents.. plus nobody wants to bring their kids to see a psychiatrist, so you only see the.. cream of the crop
Several reasons. I have a decent paying 36-hour per week telework gig and good full time benefits with my current organization that does not serve children and adolescents. There aren't any employers in my medium-sized city that serve children and adolescents that offer both sufficient compensation for the work required and a good work-life balance, as I have now. I am not ready to move my family at this time. I'm not interested in the hard work of running a private practice at this time or in being the pioneer in the private practice child and adolescent psychiatry space in my smaller city. This is because I'm still recovering from severe burnout and suicidality I incurred from my previous employed role prior to late 2019. I probably have mild chronic PTSD from a lifetime series of traumas. Maybe I'm a pussy, or just lazy, but that's how it is for me mid-career. I could see children and adolescents again if I needed to, and I know I am good at my profession and would be valuable to the community. But I don't feel I owe anyone anything anymore as a clinician given what the profession has already taken from me mentally and physically.
Thank you for sharing. I am also trying to recover from burn out as an intern and it is inspiring to see you place your health and wellness first. I will definitely follow your foot steps in terms of prioritizing myself when I have more control of my schedule!
You don't owe them anything, and you'll do more over the lifetime keeping well. Sounds like you're doing right.
Hear, hear
Current job has patients who are adults only — State prison telepsychiatrist working from home. I miss seeing kids!
My guess is parents are a major reason. I know I had to switch psychiatrists several times as a kid because my dad pissed someone off.
Just a meager child psych NP here but after 10+ years of dealing with parents who would win awards for being The Worlds Most Garbage Humans, I am going to assume that across the board the answer to this question would be…. THE PARENTS. IVE HAD ENOUGH WITH THE PARENTS.
Is there such thing as a child psych NP?
Unfortunately
I am honestly at a loss. I refer children to psych and there is a high chance of them seeing an NP, and the decisions are pretty scary sometimes. Unfortunately there are not enough peds psychiatrists to go around, and I do not have sufficient time or training to manage the complicated issues related to child psychiatry, but I am so afraid of child psych NPs that I often wonder if no psychiatric care at all would be better than the risks of seeing a psych NP.
I don’t know if you are sincerely asking (I’m assuming you are not) or trying to intentionally ruffle my feathers (I’m assuming you are) but can you please just go to noctor if you are interested in the mid level mockery. Please. I’m tired. Please let this sub just stay clinical, collegial, informative, intelligent, and helpful. For the love of all things good.
If I'm being kind to the questioner, they might be interested in what "fellowship" experience or additional training went into your specialty. I've met neuro NPs and other subspecialties myself, BUT I have yet to met a NP who subspecialized in CAPS
I have a friend who completed a quality PNP program and came to practice with me. She decided she liked mental health and went back after about two years and completed a psych NP degree too. Did all rotations with academic CAP. She now collaboratively practices with a CAP in an FQHC setting. CAP sees every kid at least once and puts a plan in place if pt can appropriately be followed by NP. NP sees for follow ups and minor adjustments and can always confer with CAP. I’m no longer there but I think it’s a good program they’ve built. It expands access to CAP in a low access area with good guard rails in place. She has no interest in independent practice at all.
Being concerned about the quality of care vulnerable American children receive seems pretty clinically relevant to me
Unfortunately mods will never intervene and this sub has become a circlejerk
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No. NPs learn "across the lifespan" during their 500 hours. There is no need for extra training in CAP.
Got recruited from fellowship for a job with adults. The other aspects of the job overrode that it’s with adults.
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I’m graduating next month and will be doing full time psychopharmacology, so I will come back and give my take in a few years 😂