FNP graduate certificate? What should I expect?

Most graduate certificate programs are 18 credits or so. Does anyone know what the schedule would look like for a FNP graduate certificate track? Any other details? Are there really no proctored exams?

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▲ 5 r/PMHNP

PNES

What medication, or none at all, are you using to treat PNES? I have dealt with patients in the forensic setting before with this disorder and it is usually a response to stress or a possible tactic to get out of prison/lockup. It never works, but it ends up they are being treated for other problems like pain, depression, etc.

Fast forward to today, I have a new patient in the outpatient clinic and they have PNES and they are unable to work. Its unusual because I frequently have patients that don't want to work, but this one actually does and they are deriving no benefit from not working. Their employer won't let them work because of the frequent seizures or episodes at work. The seizures have been occurring more often in the last 3 months, but the patient reports they are due to a near death experience while using drugs in the distant past. Extensive drug history and trauma history. It makes sense there is a high mortality rate with PNES.

From my reading it says there is a possible help from taking sertraline at higher doses of maybe 200mg. OCD symptoms are a possibility, but I am not convinced they have OCD. They have appointments with neurology, but months out. Any experiences or suggestions appreciated.

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u/Available_Horse_7131 — 19 days ago
▲ 3 r/PMHNP

Anxiety assessment

When I searched anxiety all I saw was provider anxiety. Is there a specific way you assess and prescribe with patients that have multiple sources of anxiety? I get quite a few patients that get anxiety from current or former drug/alcohol use, relationships and marriages, maybe something they are born with, work and money, and illness like COPD, mental illness, or something physical (seen a lot of tremors and heart problems). What do you focus on first?
Most recent patient has COPD and functional seizures, can’t work due to functional seizures, PTSD from drug overdose, and family member is drinking that causes more anxiety. Any tips appreciated.

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u/Available_Horse_7131 — 1 month ago

I worked for a French company in the USA and I own some shares through their ESPP. Its around $10,000. They recently switched to some 3rd party called Uptevia. Not sure what that is, but wondering if anyone is familiar with how I could transfer my shares from Uptevia to Fidelity? I'd to hold on to what I got, but if I want to sell, this new company sucks.

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u/Available_Horse_7131 — 4 months ago