When Psychiatry Gets Complicated
Back to basics in psychiatry is often the most helpful mindset when clinical cases become complicated. Patients aren’t always straightforward, and even seasoned PMHNPs can be thrown off track by unexpected presentations.
You might encounter patients with extensive psychiatric histories who are poor historians. Others may be tangential, talking in circles without giving you the space to guide the conversation. Some patients may even become agitated or belligerent when you explain why a certain medication or treatment isn’t appropriate.
In these moments, it’s not about knowing everything. It’s about having a clear, repeatable framework that guides how you approach every patient you see.
Why the Basics Still Matter
Mental health treatment is rarely black and white. There’s an incredible amount of gray area in:
- Patient presentation
- Diagnostic criteria
- Treatment approaches
Not to mention how much variation exists between providers—even when they’re treating the same condition.
That’s why the back to basics in psychiatry mindset is so valuable. It helps you stay grounded and confident, no matter how complex the case.
Use a Framework and Template
When you’re stressed or overwhelmed, returning to a fundamental clinical approach can help you:
- Be more efficient during sessions
- Document more clearly and thoroughly
- Stay anchored in best practices
- Feel less mental clutter and decision fatigue
Having a go-to patient assessment framework and documentation template makes all the difference in streamlining your practice. And it makes your clinical day flow more smoothly.
Start with a Strong Foundation
If you’re looking to simplify your clinical decision-making and boost your confidence, go back to basics in psychiatry.
Start by building your foundation. My Mental Disorders Crash Course is designed to help you create a more stress-free and grounded practice.
Or if you’re wanting a free training to get a taste of what the Mental Disorders Crash Course is like, check out my free Master Mental Health training.
Keep Learning
For more practical strategies, check out our post on using SSRI half lives to strengthen your prescribing practice.
You can also explore the APA Clinical Practice Guidelines for evidence-based approaches to psychiatric care, including major depression, schizophrenia, and PTSD.