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

Lindsay Hill
  • 3.7 (9)
  • Mental Health

Welcome to my podcast. I am Lindsay Hill, DNP, PMHNP BC, and this show is my space to slow down and really unpack what psychiatric care looks like in real life. Each episode is built from the learning that shapes our work in mental health: lectures, clinical meetings, medication updates, webinars, books, and the conversations that make you stop and think. We will dig into the details that matter, like diagnostic clarity, treatment planning, psychopharmacology, side effects and monitoring, comorbidities, therapeutic approaches, patient communication, and the practical judgment calls that rarely fit into a tidy script. My goal is simple: take complex topics and make them feel understandable, usable, and grounded. Whether you are a student, a clinician, or someone who loves learning about the mental health field, you will leave with clearer frameworks, helpful reminders, and takeaways you can bring back to your practice and your life. Thanks for being here. Let’s dive in. This podcast is for education and discussion only and is not medical advice.

  1. 3d ago

    S2E82: PMHNP CE Requirements by State: 2026 Guide

    Got something to say to this podcast? Send a voicemail, and you might hear yourself on the next episode! PMHNP CE requirements for 2026: ANCC's 75 contact hours, the DEA's one-time 8-hour rule, and a 50-state table of APRN renewal hours and required topics. In this Deep Dive episode, two hosts walk through “PMHNP CE Requirements by State: 2026 Guide” from the Psych NP Fellowship blog by Lindsay Hill, DNP, PMHNP-BC. Key takeaways: • A PMHNP answers to up to three CE authorities at once: the state board (RN and APRN licenses), the national certifying board (ANCC or AANPCB), and the DEA. • ANCC's PMHNP-BC renews every 5 years with 75 contact hours, 25 of them in pharmacology. AANPCB's PMHNP-C asks for 100 contact hours (25 pharmacology) plus 1,000 practice hours. • The DEA's 8-hour substance use disorder training under the MATE Act is a one-time attestation, made at your first DEA registration or renewal on or after June 27, 2023. • One CEU equals 10 contact hours, so "2.5 CEUs" is 25 hours. Pharmacology hours only count when the certificate designates them. • State rules swing widely: 21 of 51 jurisdictions in our table set their own pharmacology hours, and 39 require controlled substance, opioid or pain management training for prescribers. • ANCC's renewal handbook changes on February 1, 2027: every one of the 75 hours must be accredited or formally approved, and the 8 renewal categories become 3 pathways. Read the full article: https://psychnpfellowship.com/pmhnp-ce-requirements-by-state-2026/ Explore the Psych NP Fellowship: https://psychnpfellowship.com/programs/ This content is for educational purposes and does not replace individualized clinical judgment or supervision.

    S2E82: PMHNP CE Requirements by State: 2026 Guide

  2. 6d ago

    S2E81: PMHNP Student Loan Caps: What the RISE Rule Changes

    Got something to say to this podcast? Send a voicemail, and you might hear yourself on the next episode! Grad PLUS is gone and nursing lost professional-degree status, capping loans at $20,500 a year. What the RISE rule and court fight mean for PMHNPs in 2026. In this Deep Dive episode, two hosts walk through “PMHNP Student Loan Caps: What the RISE Rule Changes” from the Psych NP Fellowship blog by Lindsay Hill, DNP, PMHNP-BC. Key takeaways: • Since July 1, 2026, new graduate borrowers are capped at $20,500 a year and $100,000 total in federal loans, and Grad PLUS is closed to new borrowers. • The Department of Education's RISE rule left NP and DNP programs out of the "professional degree" group that gets $50,000 a year and $200,000 total. • A federal court in Washington, D.C. partially blocked that definition on June 25, 2026, but the order is preliminary and can still be reversed. • The gap is $29,500 per year. Over a three-year PMHNP program, that is $88,500 a student may need to find somewhere else. • Practicing PMHNPs feel it too: a thinner new-grad pipeline, more preceptor requests, and tuition help showing up as a hiring perk. Read the full article: https://psychnpfellowship.com/pmhnp-student-loan-caps-rise-rule-2026/ Explore the Psych NP Fellowship: https://psychnpfellowship.com/programs/ This content is for educational purposes and does not replace individualized clinical judgment or supervision.

    S2E81: PMHNP Student Loan Caps: What the RISE Rule Changes

  3. Oct 6

    S3E1: PMHNP wRVU Pay: How Productivity Contracts Work

    Got something to say to this podcast? Send a voicemail, and you might hear yourself on the next episode! PMHNP wRVU pay explained: 2026 work RVU values for 99214, 90833 and 90792, the math behind productivity bonuses, and the six contract clauses to get in writing. In this Deep Dive episode, two hosts walk through “PMHNP wRVU Pay: How Productivity Contracts Work” from the Psych NP Fellowship blog by Lindsay Hill, DNP, PMHNP-BC. Key takeaways: • A wRVU (work relative value unit) is a fixed credit CMS assigns to each CPT code. Many employers pay PMHNPs a set dollar amount per wRVU above a yearly threshold. • In 2026, a 99214 follow-up earns 1.92 wRVUs. Add a documented 30-minute psychotherapy add-on (90833, 1.71 wRVUs) and the same visit earns 3.63, about 89% more credit. • wRVUs do not shrink when Medicare pays NPs 85% of the physician rate or when a patient has Medicaid. That makes wRVU pay safer than collections-based pay for many PMHNPs. • Behavioral health codes were exempt from the 2026 CMS efficiency adjustment, which cut work RVUs 2.5% on about 7,700 non-time-based codes. • Before signing, get six things in writing: the wRVU threshold, the dollar rate, the fee schedule year, a ramp-up guarantee, how add-ons are credited, and how unpaid work is handled. Read the full article: https://psychnpfellowship.com/pmhnp-wrvu-compensation-explained-2026/ Explore the Psych NP Fellowship: https://psychnpfellowship.com/programs/ This content is for educational purposes and does not replace individualized clinical judgment or supervision.

    S3E1: PMHNP wRVU Pay: How Productivity Contracts Work

  4. Oct 5

    S2E80: Antipsychotic Hyperprolactinemia: A PMHNP Protocol

    Got something to say to this podcast? Send a voicemail, and you might hear yourself on the next episode! A step-by-step PMHNP protocol for antipsychotic hyperprolactinemia: who to screen, the 4-lab workup, when to image, and when adding 5 mg aripiprazole works. In this Deep Dive episode, two hosts walk through “Antipsychotic Hyperprolactinemia: A PMHNP Protocol” from the Psych NP Fellowship blog by Lindsay Hill, DNP, PMHNP-BC. Key takeaways: • Risperidone, paliperidone, and older high-potency antipsychotics raise prolactin the most; aripiprazole, brexpiprazole, cariprazine, quetiapine, and clozapine raise it the least. • Most patients will not bring it up. Ask every patient on an antipsychotic about periods, breast discharge, libido, and erections at baseline and at follow-up. • Before you blame the drug, check four things: a repeat prolactin, a pregnancy test, TSH, and kidney function. • Most medication-related elevations stay under about 100 ng/mL. Very high values, headaches, or vision changes call for pituitary imaging and an endocrine consult. • In a 2022 network meta-analysis, adding aripiprazole 5 mg was the only option that reliably lowered prolactin above 100 ng/mL. Recheck in about 4 weeks. • A high number with no symptoms usually does not need treatment, but long-term low estrogen or testosterone can thin bones. Read the full article: https://psychnpfellowship.com/antipsychotic-hyperprolactinemia-pmhnp-protocol-2026/ Explore the Psych NP Fellowship: https://psychnpfellowship.com/programs/ This content is for educational purposes and does not replace individualized clinical judgment or supervision.

    S2E80: Antipsychotic Hyperprolactinemia: A PMHNP Protocol

  5. Oct 4

    S2E79: AI Therapy Laws 2026: What PMHNPs Can Still Use AI For

    Got something to say to this podcast? Send a voicemail, and you might hear yourself on the next episode! Seven states now restrict AI in mental health care, and Illinois's law names psychiatric APRNs but not physicians. Here's what PMHNPs can still use AI for. In this Deep Dive episode, two hosts walk through “AI Therapy Laws 2026: What PMHNPs Can Still Use AI For” from the Psych NP Fellowship blog by Lindsay Hill, DNP, PMHNP-BC. Key takeaways: • Seven states now restrict AI in mental health care: Illinois and Nevada (2025), plus Colorado, Maine, Rhode Island, Tennessee and Vermont (2026). Utah and California regulate chatbots through disclosure and crisis rules instead. • Illinois's law names the licensed advanced practice psychiatric nurse and leaves physicians out. A PMHNP there is covered, and the psychiatrist down the hall is not. • Scheduling, billing, reminders and drafting notes are still allowed. The laws call this administrative and supplementary support. • Recording or transcribing a session for an AI scribe takes the patient's written, specific, revocable consent in Illinois. Patient consent can't make the banned uses legal. • Three uses are off limits: AI making therapeutic decisions on its own, AI holding therapeutic conversations with patients, and AI detecting emotions or mental states. • Illinois fines run up to $10,000 per violation, enforced by the state's professional licensing department. Read the full article: https://psychnpfellowship.com/ai-therapy-laws-2026-pmhnp-state-guide/ Explore the Psych NP Fellowship: https://psychnpfellowship.com/programs/ This content is for educational purposes and does not replace individualized clinical judgment or supervision.

    S2E79: AI Therapy Laws 2026: What PMHNPs Can Still Use AI For

  6. Oct 1

    S2E78: Selegiline Patch for TRD: A PMHNP Prescribing Protocol

    Got something to say to this podcast? Send a voicemail, and you might hear yourself on the next episode! The selegiline patch (EMSAM) is the MAOI with no diet rules at 6 mg. A PMHNP protocol for candidates, washouts, dosing, tyramine, and monitoring in TRD. In this Deep Dive episode, two hosts walk through “Selegiline Patch for TRD: A PMHNP Prescribing Protocol” from the Psych NP Fellowship blog by Lindsay Hill, DNP, PMHNP-BC. Key takeaways: • The selegiline transdermal system (EMSAM) is an FDA-approved MAOI for adult major depressive disorder, and at 6 mg/24 hours it needs no tyramine diet. • A 2025 real-world cohort of 117 patients with treatment-resistant depression found the patch was 0.81 CGI-S points better than tricyclics and better tolerated than oral MAOIs, with no hypertensive crises or serotonin syndrome. • The washout is the dangerous part: about 1 week off most antidepressants, at least 5 weeks off fluoxetine, and 2 weeks after stopping the patch before starting a contraindicated drug. • Start and stay at 6 mg when you can. Going to 9 or 12 mg brings back the tyramine diet, starting the first day at the higher dose. • Expect skin reactions (24% vs. 12% on placebo) and insomnia (12% vs. 7%). Check orthostatic blood pressure at every visit. • Contraindicated under age 12 and not recommended ages 12 to 17. For adults 65 and older the recommended dose is 6 mg. Read the full article: https://psychnpfellowship.com/selegiline-patch-emsam-treatment-resistant-depression-pmhnp-2026/ Explore the Psych NP Fellowship: https://psychnpfellowship.com/programs/ This content is for educational purposes and does not replace individualized clinical judgment or supervision.

    S2E78: Selegiline Patch for TRD: A PMHNP Prescribing Protocol

  7. Sep 30

    S2E72: Bright Light Therapy: A PMHNP Prescribing Protocol

    Got something to say to this podcast? Send a voicemail, and you might hear yourself on the next episode! Light therapy works well beyond winter. A 2025 JAMA Psychiatry meta-analysis of 11 trials and 858 patients found 40.7% remission with bright light versus 23.5% with control in nonseasonal depression. Two hosts cover the standard dose — 10,000 lux from a UV-filtered box, 20 to 30 minutes in the early morning, 12 to 24 inches from the face — when it's reasonable to push to 60 minutes, and who shouldn't start without a conversation first. Full protocol: https://psychnpfellowship.com/bright-light-therapy-depression-pmhnp-protocol-2026/

    S2E72: Bright Light Therapy: A PMHNP Prescribing Protocol

  8. Sep 29

    S2E77: PMHNP Noncompete Clauses: 2026 State Law Guide

    Got something to say to this podcast? Send a voicemail, and you might hear yourself on the next episode! Six states rewrote healthcare noncompete rules in 12 months. What PMHNPs should check, negotiate, and refuse in a 2026 job contract before they sign it. In this Deep Dive episode, two hosts walk through “PMHNP Noncompete Clauses: 2026 State Law Guide” from the Psych NP Fellowship blog by Lindsay Hill, DNP, PMHNP-BC. Key takeaways: • Between August 2025 and July 2026, six states changed their rules on healthcare noncompetes: Colorado, Texas, Utah, Virginia, Tennessee and Maine. • Colorado, Utah and Virginia now void most new noncompetes for nurse practitioners. Maine bans them unless the clinician owns part of the practice. Texas still allows them but caps them at one year, a 5-mile radius and a required buyout. • Tennessee moved the other way for almost every PMHNP: a noncompete of two years or less is now presumed reasonable for anyone earning $70,000 or more. • None of these laws is retroactive. The date you sign (and in some states, the date you renew) decides which rules apply to you. • Several states that ban noncompetes still allow patient non-solicitation clauses, and in psychiatry those can cost you more than a radius does. • The FTC's nationwide ban never took effect, but in September 2025 the agency warned large healthcare employers that overbroad noncompetes can still draw enforcement. Read the full article: https://psychnpfellowship.com/pmhnp-noncompete-clause-2026-state-law-guide/ Explore the Psych NP Fellowship: https://psychnpfellowship.com/programs/ This content is for educational purposes and does not replace individualized clinical judgment or supervision.

    S2E77: PMHNP Noncompete Clauses: 2026 State Law Guide
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3.7
out of 5
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About

Welcome to my podcast. I am Lindsay Hill, DNP, PMHNP BC, and this show is my space to slow down and really unpack what psychiatric care looks like in real life. Each episode is built from the learning that shapes our work in mental health: lectures, clinical meetings, medication updates, webinars, books, and the conversations that make you stop and think. We will dig into the details that matter, like diagnostic clarity, treatment planning, psychopharmacology, side effects and monitoring, comorbidities, therapeutic approaches, patient communication, and the practical judgment calls that rarely fit into a tidy script. My goal is simple: take complex topics and make them feel understandable, usable, and grounded. Whether you are a student, a clinician, or someone who loves learning about the mental health field, you will leave with clearer frameworks, helpful reminders, and takeaways you can bring back to your practice and your life. Thanks for being here. Let’s dive in. This podcast is for education and discussion only and is not medical advice.

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