Deep Dive with Lindsay Hill, DNP, PMHNP - Psych NP Mentor - PMHNP Mentor

S2E32: Geriatric Psychopharmacology for PMHNPs: Safe Prescribing for Older Adults

In this deep-dive episode, we unpack Geriatric Psychopharmacology for PMHNPs: Safe Prescribing for Older Adults. Older adults are the fastest-growing population in psychiatric practice, and standard adult prescribing approaches can be dangerous in this group. This guide covers age-related pharmacokinetic changes, Beers Criteria application, deprescribing strategies, and evidence-based approaches to depression, anxiety, insomnia, and agitation in older adults. Read the full post: https://psychnpfellowship.com/geriatric-psychopharmacology-pmhnp-safe-prescribing-older-adults/

S2E31: Psychiatric Emergency Management for PMHNPs: Stabilization Protocols for Outpatient Settings

In this deep-dive episode, we unpack Psychiatric Emergency Management for PMHNPs: Stabilization Protocols for Outpatient Settings. Psychiatric emergencies happen in outpatient settings. PMHNPs need protocols for managing acute suicidal ideation, severe agitation, psychotic decompensation, and medication emergencies in clinic. This guide provides practical stabilization algorithms and decision frameworks for when to manage in office versus transfer to emergency care. Read the full post: https://psychnpfellowship.com/psychiatric-emergency-management-pmhnp-outpatient-stabilization-protocols/

S2E30: Collaborative Practice Agreements for PMHNPs: Negotiation, Compliance, and Independence

In this deep-dive episode, we unpack Collaborative Practice Agreements for PMHNPs: Negotiation, Compliance, and Independence. Whether your state requires collaborative practice agreements or you’re transitioning to full practice authority, understanding CPA structure, negotiation strategies, and compliance requirements protects your career and your patients. This guide covers what every PMHNP needs to know about CPAs in 2026. Read the full post: https://psychnpfellowship.com/collaborative-practice-agreements-pmhnp-negotiation-compliance-independence/

S2E29: Substance Use Screening in Psychiatric Practice: A PMHNP Clinical Protocol

In this deep-dive episode, we unpack Substance Use Screening in Psychiatric Practice: A PMHNP Clinical Protocol. Every psychiatric patient deserves systematic substance use screening, but many PMHNPs lack a structured protocol. This guide provides a step-by-step clinical workflow using validated tools like AUDIT, DAST-10, and SBIRT, with practical guidance on brief interventions, referral pathways, and documentation. Read the full post: https://psychnpfellowship.com/substance-use-screening-psychiatric-practice-pmhnp-clinical-protocol/

Why 75% of LAI Antipsychotic Starts Fail: A 2026 PMHNP Protocol

Three out of four PMHNPs who try to start a patient on a long-acting injectable antipsychotic do it wrong on the first attempt — under-load, over-overlap, wrong second-dose interval. Two hosts walk through the 2026 fix: when to actually offer the LAI (first-episode psychosis, schizophrenia maintenance, bipolar I with mixed features), the molecule-specific loading and oral-overlap rules for aripiprazole (Maintena, Asimtufii), paliperidone palmitate (Sustenna day 1 / day 8 / monthly), and risperidone (Consta vs. Uzedy), the missed-dose windows for each, and the 90-day monitoring schedule that decides whether the patient is still on the injection at year one. Full post and dose-conversion tables at https://psychnpfellowship.com/lai-antipsychotic-transition-protocol-pmhnp-2026/