Is it worth it to be a PSYCH NP in 2023? 

Hello, would it be possible to get some more information from you on how you achieved this? Thank you!

Erm ya and can you plz teach me how to life better, Gabe? 😂 good freaking lord. Is that true??? $500k??? Pretty sure we found the 🦄, people.

Hi Gabriel, do you expect recent law changes will have an impact on your telehealth practice?

@@Test-zn9rs Yes, so I work 4 days a week. One of those days I'll schedule for in-person initial evaluations and follow ups that require controlled substance prescriptions. Otherwise, if there's no need for controlled meds, then no requirement to see them in-person. My office lease is $109 per month and each day that I rent an office will cost $135.

@@gabrielparsons6338 Thank you Gabriel, that sounds like a pretty good set-up. So basically, you pay a very low monthly rate for the office, and then you pay more for each day that you actually use it? Is this becoming a common office arrangement?

Thank you for watching! I feel like a fish out of water, since I am not a psych NP (nor studying to be one). Would be awesome if you did a video on why you think it is worth it, and your thought process on being a psych np!

@@DavidWarrenNP Yes, I will try to do that in the next few weeks!

Did you have Psych RN experience prior to applying?

Totally agree! For instance, I don’t believe when new grads go straight to ICU to become CRNA and say “Anesthesia is my passion”. How can you be passionate about something you haven’t even tried??? . In my opinion, They are in love with the idea of making big money 💰 or have a respected degree. That is not passion! They might not be able to handle stress and work load etc. So, I agree with you. People have to learn and develop a passion for what they do. Always be honest with yourself and always look 👀 for a job that meets your basic needs. Such as: low or medium stress level , good schedule, remote job, career growth, level of autonomy, salary or work life Balance, etc. But, if you only choose a career because of the money 💰; THAT ONE FACTOR will not outweigh the negative aspects of that we’re ignored and it will be hard to develop a passion or learn to be passionate about your job.

Well said I have been struggling with this exact thought as I am contemplating going back to school for my np. I have watched many videos and read many comments and yours is the first I have come across with this amazing perspective. Thank you.

what are the downsides...?

@@DaJakeWhite he stuck at home all day

@@thepoweraboveall you are right I am at home 3 days a week. But it is definitely worth it.

@@DaJakeWhite downsides = you are at home, no interaction with collegues, you have to be very independent (which to me is not a downside). I miss working with colleagues. To me there are not other downsides --- maybe that it does get old at times but all jobs get old --- but the upsides are so good that I don't get too bothered by them.

I noticed this too-I think he just meant that, no matter what, you’re working with psych patients, whereas you can work with a greater variety of populations in some other specialities.

Sweet! Thank you for watching and commenting! I would imagine inpatient pays lower. I can see owning your own business and making very good money- that seems to be the consensus.

2nd paragraph is bery true🤣🤣🤣

@Cwht1708 I admire and totally agree with everything you have stated. This has nothing to do with passion or liking. Just as you said, a huge percentage of nurses do not like their job, but still show up and get things done. As a BSN nurse, I will be the first to admit that bedside nursing is also a nightmare for me and almost all the other nurses that I work with. I am yet to find a nurse who loves bedside. " If you know, you know, and if you don't know, then you don't know." I 100% agree with you when you also stated that due to our dislike of Bedside, we pursue an advanced nursing degree to get away from it. I further agree when you mentioned that living in a capitalist environment forces us to make the best of our situation by going for an advanced degree that will pay us more. THIS HAS NOTHING TO DO WITH PASSION OR WHAT WE LIKE OR DISLIKE. WE HAVE TO MAKE THE BEST OUT OF OUR SITUATION TO FEED OUR FAMILIES OUT HERE. Thank you for reading my mind. I am about to start my PMHNP very soon. I will be adding my FNP later in the future. God bless you.

how do you know starting pay is declining? are you a psych NP?

I wholeheartedly agree. A couple things I learned very quickly as a psych RN is you must be able to maintain a poker face. One of my long term patients is severely schizophrenic but also easily triggered into violence. His delusions are very real to him but ludicrous sounding and I’ve learned to be stoic so as not to trigger him for my safety. I also feel if one has any prejudices towards anyone as to their lifestyle or career choice or addiction/substance abuse, then that person needs to rethink this choice. You will see the gamut in psych from extreme abuse to dementia/Alzheimer’s. Some patient’s past or current situations are heartbreaking and I’ve gone into the staff bathroom very emotional at times. I also care for mentally I’ll inmates who have committed despicable acts. One has to learn how to separate the person’s illness and their crimes. So many things to consider when going into psych!

Are you a pmhnp?

Nurse Practitioner test is really fustrating , I can't believe I failed again after studying so much 🥺🥺😓😭😭

Nurse Practitioner exams won't bother you or be a problem if you work with someone like MRS CATHERINA ALISON .. She's God sent, she saved me from taking the test for the 3rd time

Mrs Catherina is obviously the best, i studied her questions and answers just in 5 days and I passed, the materials she provided was exactly the questions I saw on my test day

Thank you!

Yesss I see that as well. I believe it is that way across much of the US. You are choosing a great field!

I don't know why np are so underpaid for the amount of responsibilities they carry . I make 160 k as lpn in pa and I'm willing to eventually become a psych np but it looks like financially it won't make much sense.

Hey Sabrina, I totally agree. Psychiatric care in the US is lacking SO much. Very very sad.

And I know with every fiber of my being that this is what I was meant to do. All I’ve gone through in my life and career was preparing me for this, I feel. I was a bedside nurse for 20 years so I’m very in tune with the physical but oftentimes physical disorders can actually contribute to psych symptoms so I feel it’s good to have the bedside experience.

Hi what school are you going? I would like to embark on this journey

@@gayanngodfrey2824 I’m hoping to start summer semester at Maryville University online in St. Louis, MO.

Great comment. Age is unimportant. A patient, caring heart is.❤

What state are you in?

Hey Brigitte thanks for watching and commenting! Congrats on finishing your program and getting started with a job! Best of luck to you. We need people like you who are passionate about their populations!

@@DavidWarrenNP Thank you! I am really excited and nervous to start 😅 I have watched your journey throughout and have a lot of respect for NP’s who love ER. I once thought I would be an ER nurse about 16 years ago and quickly learned exactly what you have been saying “ to thine own self be true” kind of a cheesy saying but it has served me well! Thanks for sharing your journey and knowledge about the field. It has been great to watch and very honest ( no fluff) 😊

Why does the Board of Nursing continue to do this and how can we change it?

Nah they're getting paid more now

I'm about to start nursing in an infirmary in corrections and I've been told that it's about 50/50 medsurg/psych. I'm thinking of pursuing becoming a PMHNP in the future. If you don't mind me asking, what RN experience did you get before becoming a PMHNP and did you feel that it was very helpful? Thanks!

That is so cool! We need top notch psych providers who love what they do!

Can you give us some ball park figures on the salary, work schedule and work life balance ?

@@Scar-jg4bn 20 years as an RN. No psych experience

@@gerardragoobar3805 four 10’s a week. Great work/life balance. No on call. Salary 175k+

Yeah that makes sense. You will (most) always make more money when you have your own ship.

How can a PHNP have their own practice?

@@AntonioLiberato08 You need to either be in a state that allows NPs full practice authority, or something similar, or you can partner with a physician.

What state?

@@AntonioLiberato08 By opening one and doing it? Literally just have to put in the work, nothing is stopping you.

That's low pay considering I'm just an lpn and I make 160k . I still wanna pursue it but it seems like financially is not gonna be that much better ...

@@ricardorodriguesrr18 lol lpn making 160? Im a rn and don’t make that

@Mp yep . I do contract at a va facility.i don't think I'm overpaid, but I think a lot of rn and np are underpaid.

Were these friends who became psych NPs had experience in psychiatric nursing prior? Or more of a medical background?

@@ricardorodriguesrr18 good for you my dude

I hear this all the time about oversaturation. However, at least in the northeast there are not even remotely close to enough psych providers. Also, my program is renowned yet still has low enrollment where as the family nurse practitioner programs are full with waiting lists. We need more psych providers like yesterday. The more the better and the sooner the better. I really wish we could dispel this over saturation myth I see all the time mainly online and never in real life.

CRNA

Thanks for watching!

@@DavidWarrenNP you welcome

Hey! Thanks for watching. I feel that, at some point, a DNP will be the entry standard. I'm sure the MSN prepared NPs will be honored so-to-speak. But I do think at some point, entry education to NP is headed to the DNP route solely.

They have ben trying to do that since 2007 and it has not been successful, just as they were trying to make the BSN de-facto degree for nursing since the '70's and they still have not been able to do so. We still have all these different entry points in nursing i.e. LPN, ASN, BSN, diploma, entry level master's MSN now, etc.

Hey! Good question. You can-- however, you will be limited unless you also have a FNP certification. You will be unable to see pediatric patients. Now, if you work in a large trauma center where there is a childrens hospital close by, and pediatric patients don't frequent the department much- you can def work there. However, if you want to live in middle town america where community hospitals are- you cannot, because about 20% of all ER visits are pediatrics.

Yes.

That is awesome! Thanks for sharing!

CRNA is not a fix either tons of mills there too and they are threatened with AA+ anesthesia providers, the problem is 3 million RNs which is one of the highest populations of workers, all want to do something else, leading them to higher education. Every advanced degree of nursing is doomed to overpopulation

Julie- you are most likely correct. Especially since psych NPs, like all other areas of NPs, have zero barriers to entry. Thanks for watching and thanks for commenting.

Self less- I would disagree for anesthesia. There is less tendency for over saturation, since all anesthesia schools have very high barriers to entry. Also, you cannot work in CRNA school- this is a big factor for most people. Also, people routinely fail out of CRNA school. Hardly anyone ever fails out of NP school.

@@DavidWarrenNP I was allowed to work for the first year for my program, and entry wasn’t bad at all, maybe vs NP, but not hard in general….Your still left with many different pathways to achieve an anesthesia provider, right now it’s okay because the rotation of MD anesthesiologist are being replaced by CRNA, but in 30 years as you say who knows. It’s a tiny market that’s being rapidly filled.

@@FellowOfHammer Yes I agree- and that's what. Iwas referring to- comparing the entry requirements to that of the NP program. And true about replacements/small field. I suppose we will see! Where do you work now?

Why would u join just for $?? Dont u think u will burnout?? Do you care that these are very depressed suicidal patients?

Goat mindset

Is there still a bag or is there market saturation?

According to salary.com, NYC psych NPs make between 120-140k per year. This is usually a general average- there will be higher salaries, and lower salaries in this area.

I worked with psych NPs in hospital in queens NY, they make 160-170k a year salary.

Hi there, I understand that you disagree with me regarding the little barrier to entry, however, you didn’t explain your position about NP school not having a low barrier to entry. You simply stated that crna school is going the same path etc. Anyway- I’ll offer you this: There are accelerated nursing/MSN programs out there that allow nursing students to go straight into nurse practitioner school. That is a very definition of a low barrier to entry. There is no experience required. When you say there are not low barriers to entry for NP programs, perhaps you can explain what you mean by that? 🙂

@@DavidWarrenNP I am not here to speak 🗣️ for her. But I agree with you that there are low barrier entry to NP programs. Some Universities might be more strict than others. So, If nurses want to do the right way, they will do what she mentioned; work bedside for a few years, get a MSN be certified, get more experience in a specialty and then go for a DNP. However, people want shortcuts and that only benefit Universities and hospitals because Nurses will saturate the market and lower their salary; which is great for hospitals and for Universities that keep producing NP like crazy. Now! Nothing is set on stone for CRNA. Meaning that there are no laws or rules to a federal or state level that prevent low barrier of Entry. CRNA is great degree with so much liability and autonomy. It is the type of profession where you can’t fake it until you make it. However, there are more new grad nurses that only try to get into ICU to get 2 or 3 years of experience, CCRN and GRE to get in the program. This could be an example of a low barrier for CRNA. How can a nurse with 2 or 3 year of experience be consider for such an important role??? I think this applies to what she said about providers who struggle to get into and finish an advance program but their knowledge doesn’t reflect in the work field. She is also right about CRNA program now no asking for CCRN or GRE. I already found a few schools. I think my bottom line David is that hospitals don’t need Anesthesia Providers in a huge quantity. Eventually, even with high expectations and requirements from CRNA school nurses will saturate this field as well, just like they did with NP. Why? Because more nurses want to do it for the money 💰. Universities will be less strict with their requirements to capture more students and retained 💰 from tuitions. So, eventually salaries for CRNA will drop and once again Universities and Hospitals will benefit. I know you might say that it will take many years for what I mentioned happening, but remember what I just told you, a Clinic or Hospitals don’t need huge numbers of Anesthesia providers . I am here with a neutral opinion because at the end we all healthcare professionals are used by a business model that works very well for healthcare companies. Greetings

Midwestern state university in Texas. 22,000 total all online PMHNP

@@ivorianking6942 thank you so much! How are you making out with being a NP? Did the schooling prepare you for the boards? How many clinical hours did you have to complete? Thanks again!

@@ivorianking6942 how long is the program?

$220k a year means you're a travel nurse or you're picking up a lot of overtime in one of the high cost of living states? Over saturation is a myth in any medical field. Psychiatry is not an easy field and not something most people like. No one cares about your gpa lol

Do you work an insane amount of extra shifts? I know a lot of RNs who make this but are literally working themselves to death.

@@keshathomas3033if u make 75/hr base you only would have ti work about 4 shifts a week to make 200k

This is my dilemma now I wanted CRNA but I value my flexibility more … i took a year of to presue IT in hopes of working from home … so I know PMHNP is probably the route I will take .

Congratulations!! That’s really awesome!! I am trying to find an online program currently. I have been a psych nurse for 12 years now and I want to become a NP. Any recommendations? Thank you!

@@AntonioLiberato08 Thanks :) I went to Northern Kentucky University it’s online. It was a good program. Not perfect, but the price was reasonable and I finished in a couple years so it worked great for me😊 Good luck! I am glad I did it!

@@brigittelee694 Hi How much was the program? Was it self paced? Could it be finished in less than “a couple years?” Pros and Cons of the program?

Thank you for watching!