u/SuitLive607

I’m a psychiatry resident and I’ll say it plainly: I don’t think NPs should be diagnosing and prescribing independently. I’ll focus specifically on psychiatry in this post, although my opinion applies to every medical specialty being infiltrated by midlevels.

Physicians spend 4 years in pre-med, 4 years in medical school and another 4 years in psychiatry residency (add another 2 for fellowship) before practicing independently. Meanwhile, some PMHNP programs accept nurses with minimal experience and provide a fraction of the supervised clinical training. These are not equivalent paths, and pretending otherwise is ridiculous.

Psychiatry is medicine. It requires recognizing medical disease, managing complex medications, and understanding what you don’t know. It is not just matching symptoms to a diagnosis and prescribing an SSRI.

What bothers me even more is patients thinking they’re seeing a psychiatrist when they’re actually seeing an NP. If a patient calls you “doctor,” correct them. Getting a DNP and using “doctor” in a clinical setting only adds to the confusion and should be illegal.

I think we all know why healthcare organizations love independent midlevels. They can pay NPs far less than physicians while having them diagnose and prescribe independently. The organization saves money on doctors, while the patient gets someone with a fraction of the medical training.

Patients deserve physicians, transparency, and better than corporate healthcare cutting corners on their care.

And to all the NPs here who want to argue with me: if your loved one ever needed immediate, life-saving medical care, ask yourself who you’d want treating them, your NP colleague or an MD/DO?

I did some deep diving into the Lindsay Clancy case and found out she was being treated by psychiatric nurse practitioners (NPs), alongside MDs, who prescribed her a staggering 13 different medications in just four months. To give you an idea of what her brain was dealing with, she was put on a heavy cocktail of distinct drug classes. She was given antidepressants like Prozac and Zoloft to alter serotonin levels, anti-anxiety meds (benzodiazepines) like Klonopin, Ativan, and Valium which act as powerful central nervous system sedatives, and mood stabilizers/antipsychotics like Seroquel and Lamictal to change brain chemistry for severe mood shifts. She was also prescribed heavy sedative-hypnotics like Ambien and Trazodone to force sleep. Shifting rapidly between, stacking, or abruptly stopping these opposing, heavy mind-altering chemicals likely created a catastrophic neurological storm.

And people are still shocked at the outcome? This woman was failed by the healthcare industry.

I’m not a Loren fan at all but seeing women on here who claim to be muslim bully her for her looks, body shame her and tell her (a grown woman) what type of sounds she can or can’t use in her videos is crazy business.

Last time I checked being modest and wearing the hijab also means checking what comes out of your mouth, so if you’re going to call her out on being a shitty muslim then you gotta check yourself first.

Don’t get it twisted, i’m not defending her; I think Loren is the most superficial, boring, monotone, uninteresting influencer i’ve seen in a while..but I don’t sit on a moral throne like a lot of the women in here. And that’s why the muslim community is seen as incredibly toxic.

Hi everyone. I've been struggling with this for a while and wanted to share it somewhere and maybe get some advice.

I'm 29F. When I was 15, my parents moved to West Africa for my dad's job, and I started attending an international school. That's where I met my first love. We became inseparable, but after a year I moved back to my home country. We were teenagers living on different continents, so eventually we lost touch, although I always felt connected to him.
Six years later, while I was in medical school and working as an au pair in Paris for the summer, I reached out to him. He was studying in the UK at the time, and a few days after we started texting, he booked a flight to Paris. We spent five days together, and it felt like no time had passed.

The timing couldn't have been worse. He was graduating and moving to Japan, and I still had four years of medical school left. We tried long distance, but with the distance and our circumstances, it became clear it wasn't going to work. Because being apart was so painful, we eventually stopped talking altogether.

A few years later, I met my husband. I love him deeply, and I couldn't be happier with the life we've built together.
What I don't understand is why I still think about my first love almost every day. It's been six years since I last saw him. He shows up in my dreams at least once a month, and when he does, it affects me emotionally for days afterward. Sometimes it feels like I've been carrying an emptiness since losing him when I was 15.

Why am I still feeling like this after all these years?

Has anyone experienced something similar or have any insight into why this happens?

She’s definitely one of my favorite creators on tiktok and very outspoken on the whole NP issue. Obviously gets a lot of shit in the comments from salty NPs but honestly seeing her speak up repeatedly on these issues is such a breath of fresh air.