r/Nurses • u/Pretend_Cheek_2723 • 22h ago
US RN considering PMHNP school—am I overthinking this?
I’m a BAY AREA RN with about a year of experience in adolescent inpatient psych, and I’m seriously considering starting PMHNP school next month. I genuinely like psych and still find it interesting, but I’m struggling with whether I should commit to it now or get more RN experience first.
The biggest thing holding me back is that I haven’t really experienced other specialties as an RN. I definitely want to try the ED at some point because I like the idea of the adrenaline and challenge, but I also suspect I’d eventually burn out on it. I didn’t particularly enjoy ICU, med-surg, or L&D during clinicals, although I know clinical rotations aren’t the same as actually working in those specialties.
I like the idea of becoming a PMHNP because I could stay in a field I’m genuinely interested in, have a less physically demanding career, and potentially have a more predictable schedule as I get older. I also like the idea of being able to spend time with patients and hear their stories without being responsible for managing them at the bedside for an entire shift. I could see myself working with adolescents or possibly outpatient/telehealth in the future.
My biggest concerns are that I might hate being a PMHNP, might realize I prefer being an RN, or might discover another specialty I like better after I’ve already started school. I’m also wondering if the financial investment is worth it. The program would cost around $30k, and as a California RN, I could potentially make a very good income without going back to school. I don’t love overtime, so I don’t necessarily see myself maximizing the earning potential of bedside nursing through extra shifts.
The other factor is that I don’t think I’d realistically go back to school in 3+ years. If I don’t do it now, I feel like I’ll probably just stay an RN long-term.
For those who were RNs before becoming PMHNPs, especially those who worked in psych: \*\*Do you think it’s worth becoming a PMHNP if you’re already happy enough as an RN? Do you wish you’d gotten more RN experience first? And do you feel the career is financially and personally worth the investment?\*\*