Join this insightful peer consultation session where psychiatric nurse practitioners navigate the complexities of clinical decision-making and private practice dynamics. The group explores the nuances of scope of practice, specifically debating when to manage medical comorbidities like migraines or withdrawal symptoms and the utility of "two-for-one" medications like topiramate. Listeners will gain practical strategies for switching antipsychotics, including specific tips on cross-tapering versus direct switching based on receptor occupancy. The episode also features a deep dive into a severe, treatment-resistant OCD case, examining augmentation strategies, TMS, and the critical role of Exposure and Response Prevention (ERP) therapy. These real-world discussions provide valuable support and clinical pearls for PMHMPs seeking to enhance their psychop ...