Nick Goodwin built one of the more interesting psychiatric practices in the country, and he did it on a shoestring. Eight years ago he opened Goodwin Health Cafe in Spokane with $800 for his DEA license, a free fax tool, and a friend's spare office. Today it's a four-provider practice across two locations, built around treatment-resistant depression — Spravato, TMS, and a space designed to feel nothing like a clinic.

He's also the psych NP who writes the psychiatry courses for The Elite Nurse Practitioner, so he's taught thousands of new NPs both the clinical and the business side of this work. And he came on the show to give it all away.

We get into the real stuff. How he bootstrapped a practice for almost nothing, and which expenses he'd actually pay for up front. The hiring mistakes that cost him friendships, and the business rule he got from his dad (whose old company inspired the movie Office Space) that he'll never break. His honest read on new grads jumping into private practice, what to do if you're shaky on pharmacology, and the EHR headaches nobody warns you about.

Then he says the thing a lot of nurse practitioners have been waiting to hear out loud: the constant dunking on NP education is, in his words, "horrifically sexist." He explains why, and it's worth the listen.

If you're building a practice, thinking about it, or just tired of the gatekeeping, this one's a gift.

Go listen. Then tell me which part landed. — Lindsay

CHAPTERS 00:00 The cold open 01:11 Meet Nick Goodwin & Goodwin Health Cafe 06:24 How he got into psych (his mom and the state hospital) 08:51 Clinical hours vs. running the business 10:49 "The criticism of NP school is sexist" — Nick's take 12:27 What to actually do in your psych NP clinicals 14:43 Opening a practice in 2018 for $800 16:33 The expenses worth paying for on day one 17:08 EHR lessons (and the billing trap to avoid) 18:25 Hiring NPs — and the friendships it cost him 22:00 His dad, "Office Space," and why he'll never take a partner 23:45 Honest advice for new grads going solo 29:33 Becoming the Elite NP psych course creator 31:50 "Get out of here" with the scope-of-practice gatekeeping 39:50 What "No Prior Auth" means to him

CONNECT WITH NICK Goodwin Health Cafe — Spokane, WA: https://www.goodwinhealthcafe.com/ Nick's psychiatry & practice courses at The Elite NP: [add the course links Nick is sending]

LISTEN TO NO PRIOR AUTH 🎥 YouTube: https://www.youtube.com/playlist?list=PL2xQMQAfCsq3OrVz3RTndA80gfFEFOsez 🍎 Apple Podcasts: https://podcasts.apple.com/podcast/id1893233469 🎧 Spotify: https://open.spotify.com/show/5tNbJqeMERnglfTHedOhym 🌐 Website: https://psychnpfellowship.com/podcast/ 👥 Community: https://www.skool.com/psych

#PsychNP #PMHNP #PrivatePractice #NursePractitioner #Spravato #TMS #MentalHealth #PMHNPlife