u/WitheredWornWallaby

My understanding is that PAs specialize through on-the-job training at specialized sites post-graduation, rather than being formally educated and trained in that field. For example, I know someone who is an orthopedic PA, though this is because they were hired at an orthopedic site which agreed to train them, rather than them bringing prior education and training in the field.

In contrast, NPs are specifically educated and trained in a field in order to practice in that field. An example would be Psychiatric Mental Health Nurse Practitioners, must who complete a program specializing in psychiatric care and become certified in the field. This seems to differ from PAs, who are hired in psychiatric roles without formal education or training in psychiatric care. I looked at a job listing for a psychiatric NP/PA role, and they request that NPs bring the specific psych certification while PAs only need to be generally certified.

Other examples of providers who must be formally educated/trained in a field in order to practice as a specialist include physicians, dentists, veterinarians, and clinical psychologists (which applies to me). I recognize that these are all doctoral-level positions, with the exception of most NPs.

With this in mind, do you feel that PAs should be held to similar standards as other providers in the sense that they should have education and training in a field in order to specialize, rather than being hired without any particular education or training? In the world of healthcare, it seems that the PA situation is pretty unique.

(I am neither a PA nor NP and have no intention of pursuing either role, and completely recognize the purpose of these roles so please don’t think I’m being a “Noctor” or something. That is not my intention. This question popped into my mind while I was poking around job listings for a variety of roles.)

The lawsuit has been ongoing for almost a year now and I realize OpenAI has the resources to evade accountability so they'll be unaffected, but does this give you pause when you use ChatGPT as a source of mental health care?

Edit: I suppose I am also referring to the other documents instances as well, such as that time it drafted a girl's suicide note and offered guidance on committing suicide.

I am a clinical psychology doctoral student considering this topic for my dissertation.

By extension, does the use of chatbots as a replacement for therapy indicate that person severely needs actual therapy?

There’s another subreddit where people regard ChatGPT as a romantic and/or sexual partner, which seems like a sign that they especially need human interaction. Is this subreddit a similar situation?

I almost feel like using ChatGPT as a genuine replacement for human interaction will soon be a diagnosable mental illness, but that simply hasn’t happened yet since AI is so new and the DSM-V-TR was published before ChatGPT existed.

I recently moved and therefore need a new psychiatrist who is licensed in my state. I was diagnosed with bipolar disorder and have been treated with multiple meds for years, resulting in demonstrable stability. I was then diagnosed with ADHD and have been treated with Adderall. I am about to start grad school and am worried that a new psychiatrist will think I'm on too many meds and will switch things up, causing instability right before this very important stage in my life.

I feel great, stable and not manic or depressed at all. The people around me have noted my drastic improvement as well. Has anyone been in a similar situation where their ADHD (or other psychiatric) meds were changed or stopped right after starting with a new psychiatrist? Obviously I will follow their instructions if they decide to do this.

I was born In NYC to Indo-Guyanese parents. I have interacted with many Indian people across the United States (+Canada and the UK), and the same can be said of my family and Indo-Guyanese peers. There is a relatively common experience of Indian Americans being unkind to Indo-Guyanese and Indo-Trini people, including those born in the US. This happens both in real life and online.

Are there particular reasons for this? This is obviously not the case with all Indian Americans.

I am currently in a PsyD program and I recently learned that psychiatrists and PMHNPs have virtually identical scopes of practice in many states. I also recognize that PMHNPs can legally provide psychotherapy on top of their more common medication management.

With this in mind, can a PMHNP do essentially everything that a clinical psychologist can do (excluding specialties like neuropsychology)? I know they can and do diagnose conditions like ADHD and ASD. They can serve as expert witnesses and do fitness for duty evaluations.

I looked up PMHNP programs and the first one I saw was Xavier U (which also has a PsyD program). It is a 48-credit program with 100% of coursework online and no on-campus requirement. Do graduates of this program have all of the legal and clinical abilities of a clinical psychologist?

edit: I thought I was posting this on r/PsyD which is why I didn’t mention PhDs but obviously this applies to both. Sorry about that. 

I stated taking 10mg amphetamine salts over the past week and I haven’t noticed a significant change. It definitely had a small effect but not what I’m looking for. Is it normal to need a higher dose?

I have been more productive, sitting at my desk for hours writing my thesis. If I take it too late in the day, I have a hard time sleeping. Beyond that, I was expecting much more of an effect. It just seems mild.

Just wanted to share my story. I was a huge stoner starting in freshman year of college, and that continued until I was 28. Then I started applying to doctorate programs and finishing my masters, realized that being a stoner wouldn't help me with these goals, and just abruptly stopped. I've even had dreams where it was offered to me and I was like "no thanks!" I used to have trouble falling asleep and sometimes still do, but it's all worth it. That's all.

I started at 178 lbs and I'm currently at 156. I get full very quickly and I don't feel hungry until around 5 PM. It might be overly ambitious but I hope to hit my goal weight of 140 within the next 2 months. Just wanted to share in case anyone wanted confirmation that this stuff works.