- cross-posted to:
- chat
As someone in healthcare who is also working on an advanced degree as a nurse practitioner in mental health, I can understand where this provider is coming from, especially if it's a therapist. I'm less understanding if it's a PMHNP or a psychiatrist. Schizophrenia is a delicate balance of meds and other therapies and it really is something you'd rather your mental health professional feel confident they're within their depth. I know it's frustrating, but better to have them try to steer you in the direction of someone more capable of working with you than to just take your money and not do anything to help you feel better.
We've invested a lot of money in a very boutique hyper-specialized form of health care where a handful of heavily credentialed professionals are the only ones technically qualified to deliver services.
Then we've invested a lot of money in "urgent care" and other McHealthcare services, where a plethora of general practitioners can bill $5000/visit for putting you on a saline drip or handing you an ankle brace.
And we've invested a lot of money in carceral services, such that anyone with sever physical or mental issues stuck out on the street are vacuumed up into
concentration campsstate prisons to be warehoused until they die.But after that, we don't have any money left (excuse me, cutting another $40B check to Ukraine) because government is just not a good medium for delivering public services for some reason.
Schizophrenia is almost always going to be out of the scope of practice for a PMHNP that knows their limits. To suggest otherwise is reckless.
Hard disagree. In Illinois a solo practitioner PMHNP has a doctorate and three years inpatient psych experience. If schizophrenics are the population that NP has the most experience with, they're probably a better option than some psychiatrists. In a state where NPs are only required to have a masters I'd agree, though.
NPs are "probably better" than physicians in dealing with medically complex patients? You're past reason.
Nothing says "principled communist" quite like a big mad, gatekeeping MD. Drown in pig shit, you arrogant prick.
Overworked understaffed, people slip through the cracks. Life fucking sucks
Wait is this a place that is advertising that they do provide those services? And they mean to say they aren't taking new patients?