Wow. Looks like NP Amanda Decoursey has no reservations about completely outsourcing her patient's next medication experiment to the Facebook peanut gallery. Let's see - this poor patient has already been trialled on Buspar, clonidine, Lexapro, Prozac, and even Xanax (never mind the side mention of the patient diverting a controlled substance from someone else for their own use). We're already four psychotropic medications deep, and so far this this NP doesn't seem to have the slightest clue as to what might be going on...

Lo and behold, it turns out this NP is only an FNP, and not even a PMHNP! Although, it's not like one should expect much more from a PMHNP, given the similarly shit-tier Facebook consults we've seen from them. Although, this begs the question as to why a family NP who likely has little or no training in psychiatry is playing around willy-nilly with psychiatric medications.

Amanda, when your idea of a consult is to go on Facebook and ask random people to name an "anti anxiety med that will not have weight gain property", I think it's time to throw in the towel and formally consult someone (not on Facebook!) who knows what they're doing. You know, like an actual physician or psychiatrist. Too bad there don't seem to be any at your clinic (yep, Maryland is a full practice authority state).