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SSRI Hyponatremia: A PMHNP Sodium Monitoring Protocol
SSRI hyponatremia risk peaks in week one. A PMHNP protocol for who needs a baseline sodium, when to recheck, and what to do at each level once it drops.
The Fellowship Blog
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Real talk about psychopharmacology, clinical confidence, and building a practice you love — from Lindsay and the Fellowship faculty.
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PMHNP Confidence
PMHNP Credential Challenges: “Are You a Real Doctor?”
When a patient asks a PMHNP "are you a real doctor?", the next 20 seconds shape the visit. The three-sentence script, the title law, and what not to say.
PMHNP Confidence
ESA Letter Requests: A PMHNP Confidence Script
A PMHNP script for emotional support animal letter requests: what HUD requires, how to assess the ask clinically, and how to say no without losing the patient.
Career & Business
PMHNP 1099 vs W-2: What the Offer Really Pays
A $90/hour 1099 offer can pay less than a $145,000 W-2 salary. Here is the 2026 break-even math, tax rules, and contract terms every PMHNP should check first.
PMHNP Confidence
Patient Self-Diagnosis From TikTok: A PMHNP Script
Half of top ADHD videos on TikTok are misleading. Here is the four-move script PMHNPs can use when a patient arrives already certain of their own diagnosis.
Clinical Practice
Lamotrigine Rash: A 2026 PMHNP Titration Protocol
Slow lamotrigine titration cuts serious rash risk from 1 in 100 to about 1 in 2,500. A PMHNP protocol for dosing, interactions, rash triage, and restarts.
Industry
Psychedelic Therapy in 2026: What PMHNPs Must Know
No psychedelic is FDA-approved yet, but two FDA notices in July 2026 moved the timeline. What PMHNPs need to know about psilocybin, MDMA, and state programs.
Industry
Medicare 2027 Proposed Rule: 3 Shifts PMHNPs Face
CMS proposed a 2027 Medicare pay cut, kept the mental health telehealth waiver alive through 2027, and set a September 14 comment deadline for PMHNPs.
Clinical Practice
LAI Antipsychotics: 2026 PMHNP Transition Protocol
PMHNP step-by-step protocol for switching oral antipsychotics to long-acting injectables in 2026: aripiprazole, paliperidone, risperidone overlap.
Clinical Practice
Prazosin for PTSD Nightmares: 2026 PMHNP Titration Protocol
85% of patients on prazosin for PTSD nightmares are underdosed. The 2026 PMHNP titration ladder, sex-specific target doses, and orthostatic safety floor.