Insights for Psychiatric Prescribers
Clinical reasoning frameworks, billing compliance clarification, and documentation strategy for PMHNPs and psychiatric prescribers.
These articles teach you how to think through diagnostic uncertainty, bill correctly without paranoia, and document complex cases—not just follow protocols.
Clinical Judgment & Decision Making
Documenting High-Risk Situations: Protect Yourself Without Writing a Novel
When to document deeply vs. when baseline is enough: risk triggers, tactical templates, and avoiding both under-documentation and burnout.
Clarifying Billing Compliance: What Actually Matters vs. What Doesn't
Learn what auditors actually check, when 99214 + 90833 is appropriate, and how to avoid compliance paranoia without undertreating.
Navigating Diagnostic Uncertainty: How to Think When the Diagnosis Isn't Clear
Clinical reasoning frameworks for working diagnoses, base rates, heuristics, and documenting uncertainty professionally.
The Medication Escalation Trap: When Distress Doesn't Mean Treatment Failure
How to distinguish symptom distress from medication failure and when NOT to increase doses.
When Do You Really Need a Med Check? Rethinking Follow-Up Intervals
Clinical judgment vs. billing schedules: how to set appropriate visit frequency without rigid protocols.
Bayesian Reasoning for Clinicians: The Cognitive Framework Behind Sound Judgment
Clinical judgment isn't intuition. It’’s systematic reasoning under uncertainty. Learn the Bayesian framework that underlies diagnostic thinking, risk assessment, and treatment decisions across all clinical contexts.
Competence Isn't a Certificate: How Boards Actually Evaluate Scope and Clinical Judgment
How boards evaluate scope-of-practice questions, the difference between certification and demonstrated competence, and why training pathways matter more than titles when defending clinical decisions.