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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 8 of 8. This is the beginning of the thread.
Posted by Roslynn on October 14, 2018, at 16:18:18
Hi all,
With the shortage of psychiatrists (especially those accepting Medicare), I've noticed more and more Psychiatric Nurse Practitioners showing up in my insurance lists.
Are they fully qualified to treat patients or do they have to practice under supervision of a psychiatrist? Do they have full prescribing privileges (such as xanax, etc.)?
Lastly, is this even a good idea? I mean obviously you want a doc, but could some of them be sharp, compassionate, up-to-date with the meds, etc?
Thank you for any insight!!
~Roslynn
Posted by Christ_empowered on October 15, 2018, at 11:01:04
In reply to Psychiatric Nurse Practitioners?, posted by Roslynn on October 14, 2018, at 16:18:18
hi. where i live, there should be at least 1 psychiatrist (maybe any sort of MD/DO?) in the practice, to supervise. I don't know how it is in your state, but...where I live, you can look them up on the licensing board website, and it'll show the MD/DO supervising. If you're feeling extra inquisitive, you can look up that MD/DO and see how many NPs they're currently supervising. oh, and board complaints, sanctions, etc. that, too.
i think the current law in my state is that NPs can prescribe anything except Schedule II, maybe Schedule III. So...benzodiazepines, Lyrica, the Z-hypnotics...yes. Amphetamines, Ritalin...no. I don't know of any Schedule III psych drugs, except maybe some not so commonly used barbiturates and milder pain pills.
but I imagine each state varies, considerably. some states have put in crazy restrictions on the benzodiazepine prescribing, even though they're left in Schedule IV. lots of paperwork, scrutiny. oddly enough, I read that shrinks in those states are resorting to Equanil and some barbiturates, to avoid the hassles. LOL.
ok. hope this helps. :-)
Posted by Roslynn on October 15, 2018, at 11:45:37
In reply to Re: Psychiatric Nurse Practitioners?, posted by Christ_empowered on October 15, 2018, at 11:01:04
> hi. where i live, there should be at least 1 psychiatrist (maybe any sort of MD/DO?) in the practice, to supervise. I don't know how it is in your state, but...where I live, you can look them up on the licensing board website, and it'll show the MD/DO supervising. If you're feeling extra inquisitive, you can look up that MD/DO and see how many NPs they're currently supervising. oh, and board complaints, sanctions, etc. that, too.
>
> i think the current law in my state is that NPs can prescribe anything except Schedule II, maybe Schedule III. So...benzodiazepines, Lyrica, the Z-hypnotics...yes. Amphetamines, Ritalin...no. I don't know of any Schedule III psych drugs, except maybe some not so commonly used barbiturates and milder pain pills.
>
> but I imagine each state varies, considerably. some states have put in crazy restrictions on the benzodiazepine prescribing, even though they're left in Schedule IV. lots of paperwork, scrutiny. oddly enough, I read that shrinks in those states are resorting to Equanil and some barbiturates, to avoid the hassles. LOL.
>
> ok. hope this helps. :-)
Thank you, this was very helpful! Good info.~Roslynn
Posted by alexandra_k on October 21, 2018, at 2:20:13
In reply to Psychiatric Nurse Practitioners?, posted by Roslynn on October 14, 2018, at 16:18:18
> could some of them be sharp, compassionate, up-to-date with the meds, etc?
Yes.
There is variation, though. But then, there was variation with p-docs, too, yeah?
Posted by Roslynn on October 21, 2018, at 16:05:38
In reply to Re: Psychiatric Nurse Practitioners?, posted by alexandra_k on October 21, 2018, at 2:20:13
> > could some of them be sharp, compassionate, up-to-date with the meds, etc?
>
> Yes.
>
> There is variation, though. But then, there was variation with p-docs, too, yeah?
>
Good point!
Posted by rjlockhart37 on December 1, 2018, at 1:38:39
In reply to Psychiatric Nurse Practitioners?, posted by Roslynn on October 14, 2018, at 16:18:18
their under usually a psychiatrist, or a medical organization, and yes they prescribe meds and check up on medical checkups. A main psychiatrist is usually over them. And yes they can be helpful and work with you.
Posted by roslynn on December 1, 2018, at 13:10:32
In reply to Re: Psychiatric Nurse Practitioners?, posted by rjlockhart37 on December 1, 2018, at 1:38:39
Thank you!
Posted by Lamdage22 on December 16, 2018, at 13:08:54
In reply to Re: Psychiatric Nurse Practitioners?, posted by rjlockhart37 on December 1, 2018, at 1:38:39
I was in Luxembourg and i forgot my meds. A nurse in the emergency room prescribed everything. I was dumbfounded. In Germany thats not possible.
This is the end of the thread.
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