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#1
Apr 13, 2017, 02:17 PM
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My pdoc is retiring as I mentioned here recently. I now will have a nurse practitioner prescribing my meds. She apparently has experience with Bipolar. I'm not sure what to think. Any thoughts about an NP taking care of your cocktail?
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A lovely combination of bipolar 1, ptsd, anxiety, binge eating disorder, substance abuse, served with a cocktail of effexor rexulti trileptal lamictal vistaril aderall clonopin   
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#2
Apr 13, 2017, 02:53 PM
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Hi!
I have a nurse practitioner. I picked her because she was recommended by my T. The fact that they work together is a HUGE plus. When I first started seeing her, I told her I was concerned about "stepping down" from a PhD to her. I explained my long history and how devastated I was to lose him. She did not take it personally and expressed genuine understanding. She asked if I wanted to know her background. I did so I asked her to give me info on her education and experience with my disorder. I decided to give her three sessions. That's the same thing I would do with any clinician. Those three all turned out good, by which I mean they demonstrated she was well-informed with bipolar in general, my case in specific, and psych med prescribing overall. So I decided to stay. She has consistently demonstrated excellence in knowledge, availability, response time, and compassion. I think your decision is a hugely important one that you need to be comfortable with. The things I just listed above (knowledge, etc.) are the things that are important to me in a prescriber. Your list may be different. Maybe you could come up with a list of what's important to you in a prescriber and see how s/he matches up with it. If "PhD" is on that list, then an NP is definitely not for you. But I think my note may help you understand that they can definitely work out--just as there are plenty of rotten psychiatrists out there. It all depends on the person. Keep us updated!
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Julie Bipolar I Agoraphobia w/Panic Features Current Episode: Depressed beginning 11/16 Oxcarbazepine 1200 Tapering off Quetiapine Bupropion ER 300 Yoga and Meditation You are not your illness. You have an individual story to tell. A name, a history, a personality. Staying yourself is part of the battle. --Julian Seifter |
 dog daze
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#3
Apr 13, 2017, 03:13 PM
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Like others have said, interview the NP and then decide if you want them vs. another practitioner. There's nothing inherently wrong with seeing an NP.
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Meds: Latuda, Lamictal XR, Vyvanse, Seroquel, Klonopin Supplements: Monster Energy replacement.  Also DLPA, tyrosine, glutamine, and tryptophan
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| dog daze
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#4
Apr 13, 2017, 03:30 PM
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I see an NP. She is great. She is supervised by an MD, so if she has any questions she can go to him. It works out very well.
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Qui Cantat Bis Orat - He who sings prays twice Ingrezza 80 mg Propranolol 40 mg Benztropine 1 mg Vraylar 6 mg  Gabapentin 600 mg Klonopin 1 mg 2x daily |
| dog daze
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#5
Apr 13, 2017, 05:00 PM
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Quote:
Anybody know?
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Julie Bipolar I Agoraphobia w/Panic Features Current Episode: Depressed beginning 11/16 Oxcarbazepine 1200 Tapering off Quetiapine Bupropion ER 300 Yoga and Meditation You are not your illness. You have an individual story to tell. A name, a history, a personality. Staying yourself is part of the battle. --Julian Seifter |
| dog daze
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#6
Apr 13, 2017, 05:05 PM
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Yes, NPs and PAs have to be supervised by a physician.
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Meds: Latuda, Lamictal XR, Vyvanse, Seroquel, Klonopin Supplements: Monster Energy replacement. Also DLPA, tyrosine, glutamine, and tryptophan
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| dog daze
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#7
Apr 13, 2017, 05:56 PM
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I've seen plenty of NP's for physical medicine reasons and they were fine. I have not had great experiences with psych NP's. I've found that psychiatrists are generally much more effective.
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| dog daze
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#8
Apr 14, 2017, 01:02 PM
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As far as if they are required to have supervision -- the answer is that it depends where you live. There are levels of what is called "prescriptive authority" which vary state by state. In some states they have "full prescriptive authority", which means they can prescribe and do their jobs without an overseer. There are various gradations of independence according to each state's laws governing such things. (I've got pretty strong views on the blatent paternalism of the systems in some states, but won't go into. I just wanted to get the fact out there.)
That bit of info aside, I'm in the depends on the person camp. There are great psych NPs and there are ones who aren't. The EXACT same can be said of psychiatrists. |
| Daonnachd, dog daze, xRavenx
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This is an old thread. You probably should not post your reply to it, as the original poster is unlikely to see it.|
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