I read with interest the article written by Gardiner Harris on the Sunday, March 6th of the Bend Bulletin. “Since talking doesn’t pay, psychiatrist simply write prescriptions.” http://bit.ly/eIhDoh I’d like to mention another option to see for your mental health issues which seemed to be neglected in the article. I am a Psychiatric Mental Health Nurse Practitioner (PMHNP) in private practice in Bend. Http://bendmentalhealth.com Advanced practice nurses, who have Masters or Doctoral degrees in their specialty, are independent providers in most states of the Union. In the specialty of psychiatry, we do psychiatric evaluations, order and interpret lab work, prescribe medications and do psychotherapy. Most of my patients I see for 45 minutes and many I see once or twice weekly. Most insurances will reimburse my fees. Many patients prefer us to psychiatrists as we spend more time with them listening to them. In fact, because I spend more time with my patients I feel I can be more effective in medication management and am more satisfying to the patient. I do not believe good medication management or any psychiatric care can be done in 15 minutes! For more information about PMHNP services in general please feel free to contact the American Psychiatric Nurses Association.