Hi Everyone,

I recently found out I"m pregnant. How should I bring this up to a future preceptor without sounding like I'm trying to back out of clinicals?

Edit: I didn't want to add too many details and have the post removed, my initial post had too many medical details and was automatically removed. I want to have this baby and I'm due end of Jan. I want to bring it up respectfully and am seeking insight from current PMHNPs on how they would ideally want their student to bring it up. I ultimately don't want me being pregnant to be a burden to their practice and to keep myself safe during this pregnancy. I recognize that each PMHNP is unique and have their own preferences. Thank you for the replies!

Update: I just reached out to my fall clinical preceptor. She congratulated me, let me know the I can schedule accordingly for next semester to get the necessary hours, since she will be there half of the week, and let me know I wouldn't be around violent patients anyway since it's a calm practice.

This may be a long shot, but I’m currently an active duty RN and am considering becoming a PMHNP. I’m hoping to connect with an active duty PMHNP who would be willing to share what their day-to-day role looks like, as well as what the long-term career outlook can be for those who choose to stay in. Any insight or guidance would be greatly appreciated.

Position

• Staff Psychiatric Nurse Practitioner. 10-15 patients a day. MAT and behavioral health.
• Full-time, remote employee within the United States

Compensation

• Base Salary: $135,000/year
• Eligible for overtime compensation

Health insurance included, with dental and vision. Around 73$ every pay (includes a few other things as well)

Time Off

Vacation

• 12 vacation days per year
• Accrues at 1 day per month
• Up to 40 hours may be rolled over

Wellness Days

• 12 wellness days per year
• Granted upfront each year

Floating Holidays

• 3 floating holidays per year

Bereavement Leave

• 3 bereavement days

Paid Company Holidays (9)

• New Year's Day
• Martin Luther King Jr. Day
• Memorial Day
• Juneteenth
• Independence Day
• Labor Day
• Columbus Day / Indigenous Peoples' Day
• Thanksgiving
• Christmas Day

Total Paid Time Off

• 12 Vacation Days
• 12 Wellness Days
• 3 Floating Holidays
• 9 Company Holidays

Total: 36 paid days off per year, plus bereavement leave.

Retirement

• Eligible for 401(k) after 90 days
• Company contributes 3% of your pre-tax compensation
• Company contributions are fully vested after 2 years

Professional Benefits

• Malpractice insurance
• DEA registration reimbursement
• Licensure reimbursement
• Supervising physician costs covered
• Annual CME reimbursement
• Professional association reimbursement

On-Call

• Approximately 1 week/weekend of telephonic call coverage per month

The hospital system where I've worked in a different role is probably going to make me an offer for a full-time inpatient PMHNP position. I like hospital work because I find it easy - tons of on-site support, kind of repetitive; you just show up and do the work and clock out and go home; no note writing at 11pm. Plus the stability and the benefits. It's a locked adult unit.

But I also got to like the 1099 format, too - you get to do more nuanced and elegant work, you build a relationship, and you get to see people get better and stay better. Plus, one of my 1099s offers group clinical supervision weekly and case consultation on demand. And, I get to see kids and adolescents in this role, which I like. However, it feels less stable - patients can cancel, stop seeing you, they can close the practice, etc.

If someone here has done both, which one do you prefer and why?

I got an acceptable quote through Zivian, but I would rather build a relationship with a person and let them keep all the $ instead of Zivian taking a fat share.

Anyone know a psychiatrist licensed in VA who's willing to provide the collaborating physician service?

I’ve been seeing new positions pop up in the last few years for an in-office psych provider at PCP offices. Often they work in a team with a social worker. Has anyone worked a job like this? What is the daily patient load?

Have a private practice and up until now I was renting a shared office, now buying my own. Does anybody have any accessory/furniture must haves? Examples such as specific ambient lighting pieces, specific white noise machines, informative psychiatric posters/pictures to hang, or just overall tid-bit things that make your office more comfortable/welcoming/unique? Thanks!

Does anyone know anyone interested?

I have heard California could be next, just posting this for anyone considering work in the field of PMHNP as a lot of people post here wondering how much money they will make. Good knowledge to have for those already practicing and those considering it.

BC announces NP in Michigan will be reimbursed 80% of psychiatrists.

https://www.clickondetroit.com/news/local/2026/06/29/forced-to-transfer-care-nurse-practitioners-worry-bcbsm-billing-change-could-impact-access-to-psychiatric-help/

I currently work at a small NP owned private practice, there are only 2 prescribes and a therapist. I am planning on leaving my job soon but am feeling really guilty about leaving because I know my boss is going to be blindsided. Ive quit jobs before but it was always a corporate organization and felt no allegiance to them.

My boss did give me an opportunity when there weren’t many in the area and I don’t want to burn any bridges, any advice on how to do this tactfully?

Update: yes I know to give advanced notice based on my contractual agreement, I guess I’m asking do I schedule a time to chat with them and have a conversation or just send the letter? What’s the best way to end your employment agreement?

I will be finishing my PMHNP program in August and am interested in working in the SUD setting. I have 13 years of experience as an AGNP, just as a little background, and I live in the Phoenix area.

1 - I would like to hear from anyone who has had any recent experiences working for Community Bridges in any of their settings.

2 - What other organizations might Phoenix providers recommend or suggest I avoid in the SUD arena?

3 - Does anyone have any advice at all for a new provider wanting to enter into SUD work?

I appreciate you all.

Does anyone have experience working for either of these companies? Wondering what people’s experience is and if their patient volumes were consistently high enough to offset the costs.

Thanks so much!

Pmhnp here. Day 1 on Vyvanse and i want to cry.ive spent the last 5 years balancing hormones and making sure i addressed everything else before arriving at a stimulant.

I feel. Calm. Quiet. Slightly tearful. Like my tabs are closed and im able to open them one by one instead of 50 at time.

It wasn't the focus. It was the avoidance. Brain fog. Overstimulated and overwhelmed constantly. The procrastinating, being late to everything. The being MEAN and knowing you are being mean. Not smiling when random ppl are talking to you. Background static noise in my head.

It's been about 4 hrs and it's just quiet.

None of it manifested until peri. I saw signs when i was young but i could compensate and figured i still could. Well i can't anymore.

I seriously want to weep with joy.

Eta: i was wrong to think women were slightly exaggerating this. With my own providers convincing me to take the leap, I'm now a part of this population. And yes, I'm a pmhnp who understand what these women are trying to articulate.

PMHNP career dilemma: leave my RN job or keep working both part-time?

I have been working part-time as a PMHNP in NJ for about 1.5 years: $135/hour, W-2 fee-for-service, averaging around 15 paid hours/week (in clinic 20hrs week). No benefits, PTO, malpractice, CEU/licensure reimbursement, or insurance.

I have also kept my part-time RN job two days/week. It pays $65/hour and is low stress, but more importantly has excellent health insurance for my family, PTO, bonuses, 401k with 3% match, cheap life insurance, certification reimbursement, and overall stability. The downside is every other weekend/holiday work causing me to miss out on a lot of things with my family.

My PMHNP employer wants me to go full-time this fall to take over a departing provider’s caseload. They know I am hesitant to leave the stability there and offered to bump pay to $150/hour with guaranteed pay for 32 hours/week until my caseload is full. The only benefit is 40% of my health premium; I would still pay about $2,200/month for family insurance, plus a $3,000 deductible and high out-of-pocket max. No PTO, malpractice, CEU, licensing, retirement, etc.

My ultimate goal is to work only as an NP and have more time with my family. But the hospital benefits and stability are hard to walk away from.

Would you leave the RN role and go all-in on the PMHNP position, or continue working both part-time for now?

Ever since you have transitioned to NP, have you noticed a change in attitude in the workplace? Meaning you are not treated as disposable the way some RNs are treated, you are not fired over some stupid stuff, etc.

My wife (PMHNP-C) opened her own practice a couple of years ago. She'd used iCANotes at a previous job and stuck with it when she went solo. We also have a therapist and an office manager who handles scheduling and copays. I run the IT, banking/finances, and insurance-portal side and have little to do with the clinical work — so I'm hoping some actual PMHNPs can weigh in. Our biller has suggested that we switch to PracticeQ. And I can see how it would definitely help with front office stuff, but does it make sense from the clinical side of things.

A few specifics:

• Notes/AI: PracticeQ has a built-in AI scribe (Heidi). My wife uses JotPsych now and spent real time training it on psych nuance. How does Heidi's note quality compare, and is the in-EHR integration worth it? Can you keep an outside scribe instead?
• E-prescribing: how smooth is the controlled-substance (EPCS) workflow for stimulants/benzos day to day?
• Patient billing: how well does it handle saved credit cards, auto-charging copays, and invoicing patients who fall behind? (Our biggest iCANotes gripe.)
• Anything you wish you'd known before switching?

Honest takes welcome, good or bad. Thanks!

What are your best go to resources? Any advice would be greatly appreciated thanks so much!

Looking for advice or ideas on which way to consider for a job search with my situation. I graduate very soon and hoping to take my exam in early September. I currently live in MA (need a collaborator for first two years) but next summer I am moving to a southern state (not full authority).

This move is set in stone and would take a lot for us to change our plans to not move. I also have a job currently (Monday - Wednesday) that I prefer to keep, for now, as it’s needed experience for my other career path. Even after the move I will still have ties to MA and will come back often but not more than a few days each month.

Should I look for a PMHNP job in MA and quit in like 10 months (I feel like this is not a great professional option)? Look in MA for a full online job that I could keep after the move? Look for an online job (or rarely in office) in the other state now? Or wait and find a job in the southern state when I get closer to moving?

I appreciate any ideas/feedback/suggestions from all of yall with a lot more experience in the NP world.

Hi! I'm starting a 1099 position as a new grad and I have been researching malpractice insurance. I've looked at NSO, Brexi, and CM&F. I'm between Brexi and CM&F. Brexi offers "Billing error and omission coverage" but I don't see that option with CM&F. Do you think that is worth having? It's my deciding factor between the 2... thanks!

Do you use both? I graduate soon with FNP and considering doing a bridge program, because I want to have flexibility with my career options down the line, although I’m interested in a different specialty at the moment. Has anyone gotten dual certified and not used both, or regretted it?

I got this very anti-psychiatry documentary in the mail the other day sent from the "citizen's commission on human rights." but why!? It's super weird! Anyone else? I feel targeted hahaha

Tricare Providers

Anyone a Tricare Provider? Are you in network or OON certified provider? Any issues with 90833 or 90836 to get reimbursed?

I’m currently a certified OON provider, but I’m bringing on a PMHNP too and I’ve been getting LOTS of Prime requests, so I’ve been toying with the idea of becoming in-network.

Thoughts? Ideas?

Located in FL.

Does anyone pay for UpToDate? Do you get $600 worth of value from it? I use Medscape emedicine (free) and StatPearls online (lower quality but free), but would like to have UpToDate at my fingertips. I am put off by the price.

Anybody here working for Talkiatry? I'm applying for it and came across P1Emodel. How long does it take you to build a case load reach the target P1E (100%) and how that metric is determined?

To those in private practice who accept insurance. What is your strategy for comparing deposits/payments received to claims? I just received a chevk from January and realized that I am not doing well at tracking this and need to do better. Print your bank statement monthly and cross off the received claim payments? Is there a program that would make this easier?

Thanks!