Abstract
AT NATIONAL MEETINGS of psychiatric nursing organizations, there occurs healthy debate around the clinical nurse specialist versus nurse practitioner designation. At these sessions, one thing becomes clear, psychiatric mental health (PMH) nurses value psychotherapy and view it as an essential element of their work. It is therefore unsettling that PMH advanced practice nurses (APNs) seem to be leaving the psychotherapy role behind or at least putting it on a lower priority rung. Recent surveys of PMH APNs indicate that much of their practice involves prescribing, diagnostic assessments, and psychotherapy combined with medication management (vs.
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