Met with my PsychNP today over Zoom. He's feeling the crunch of being the only mental health practitioner in town and the stress of building a new location for his practice from the bottom up. He serves a town of about 20,000 alone. There's a hospital there, but if someone has a urgent psychiatric issue that needs to be addressed or even wants to see someone on the regular, they typically have to travel at least an hour, one way, to see them.

My PsychNP asked if I would be willing to make my weekly appointments bi-weekly to accommodate the extra demand. For now, I'm doing OK and have no objections, but "Wow." is all I have to say to that situation. Screwed up all around.