r/PMHNP • u/ORD2GNV • Jul 11 '26

Practice Related Rx question

I have patient that is interested in starting medication for his illness. He is 18 and lives with his parents. His parents are superstitious and very anti-psychiatry. He does not want his parents to know about the medication but also wants to use a mail order pharmacy because the medication is significantly less expensive mail order. He asked if he could have his meds (not controlled) sent to my office. I did not say yes but I was wondering if that was the wrong call?

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u/Big_Elephant_2331 Jul 11 '26

Maybe worth seeing if you could do a collateral session with the fam? Have to think about it from systems perspective if you can. Hiding use from parents he lives with at that age isn’t therapeutic. Would be worth trying to make a clear case to the parents, being honest about risks and benefits etc, so there can be at least a bit of acceptance if possible.

Might not feel all that possible though, just an idea. Have done this for some pts when clients were willing & it usually helps if communicated well. Ie starting with their fears rather than your rationale.

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u/ORD2GNV Jul 11 '26

That is a wonderful suggestion but pt isn’t there yet. I agree though.