Nurse Reset Program – D.R.I.V.E.™ Protocol
After-hours psychiatry telehealth for nurses. Fridays 6–8 pm (by appointment only).
What this is:
A structured, time-limited program using the D.R.I.V.E.™ protocol, plus medication management when clinically indicated. This program is a five session program for nurses who want a clear plan, not open-ended therapy. Sessions are planned, solutions-focused, and built on the DRIVE™ framework.
Define what is happening.
Regulate your state.
Initiate the next step.
Verify the plan.
Execute with follow-through.
Supportive psychotherapy is based on this framework, infused with cognitive behavioral therapy (CBT), acceptance and committment therapy (ACT), and solutions-focused therapy modalities. When desired and indicated, medication management may be part of the treatment plan adjunctive to the D.R.I.V.E. framework. This is for nurses who want practical support without taking time off work. The program includes a full psychiatric evaluation and a focused, step-by-step plan. This is outpatient care, delivered via secure telehealth, and is for busy adults who have commercial insurance or are self-pay, and located in PA. Appointment slots are limited.
Program structure:
- Visit 1: Comprehensive psychiatric evaluation by board-certified PMHNP + a clear plan (60–90 minutes)
- Visits 2–5: Focused follow-ups with skills + medication management when needed (45 minutes each)
- Handout(s) and weekly action plans
- Optional maintenance visits after completion if clinically appropriate
D.R.I.V.E.™ protocol
- D – Define: Identify what is actually happening. Clarify the problem, the trigger, the state you are in, and the priority. This step separates the real issue from the noise around it.
- R – Regulate: Bring your mind and body back into a more usable range. This step is about reducing overwhelm, reactivity, agitation, shutdown, or scattered attention enough to function more effectively.
- I – Initiate: Start the smallest effective next step. This is the move from paralysis, avoidance, or overthinking into action. The goal is not to complete everything. The goal is to begin effectively.
- V – Verify: Check whether your thinking, plan, or direction is accurate and realistic. This step helps prevent acting on distortion, assumption, impulsivity, or a badly aimed plan.
- E – Execute: Follow through with action. Sustain the effort, adjust as needed, and keep moving until the task, decision, or response is carried out in a workable way.
Common reasons nurses schedule
- Anxiety and panic symptoms
- Sleep disruption and shift-work recovery
- Burnout, irritability, and emotional depletion
- Low motivation, energy, interest, and pleasure
- Stress after difficult shifts and persistent rumination/guilt
- Medication optimization and follow-up
- ADHD evaluation and management (when appropriate)
The “Fine Print”
This after-hours service is offered for commercial insurance and self-pay patients only. It is not available for Medicaid or Medicare at this time.
This service is not for emergencies or crisis care. It may not be appropriate for severe or unstable conditions (for example active suicidal intent, uncontrolled psychosis, unstable mania, or severe substance use). If you’re in crisis, call 988 or go to the nearest emergency department.
Controlled medications are not initiated during after-hours telehealth. If clinically appropriate, controlled meds require an in-person visit during regular business hours to start, and a minimum of 2–3 in-person visits per year if continued. Monitoring requirements may apply (agreement, PDMP checks, urine drug screening when indicated).
Commercial insurance and self-pay are accepted (provider is credentialed with most commercial insurance plans). A valid credit card is required on file for all after-hours appointments. Patient responsibility (copays, deductibles, coinsurance, and any self-pay balances) is due at the time of service. Late cancellations and no-shows are subject to a fee, since after-hours appointments are limited and reserved in advance. A deposit may be required to reserve an after-hours appointment (applied to the visit when you attend).
Scheduling an appointment does not guarantee medication prescribing, controlled substance prescribing, or patient-provider relationship. Treatment recommendations are based on clinical judgment, safety, and appropriateness. We may recommend a different level of care, referral, or in-person follow-up when indicated.
FAQ
- Q: Is this telehealth only? A: Yes. After-hours appointments are telehealth video visits.
- Q: What should I expect? A: After scheduling, you’ll receive a brief pre-visit questionnaire to complete. Visits are structured and solutions-focused. Each session ends with a clear plan, one small weekly action, and a short handout. Medication management may be included when clinically indicated.
- Q: When are appointments available? A: Currently Fridays 6–8 pm by appointment only. Availability may change.
- Q: Can you diagnose and treat ADHD through telehealth? A: Sometimes, when clinically appropriate. ADHD evaluation is completed through a structured or semi-structured clinical interview and review of symptoms, functioning, and history. Collateral information may be required. If a controlled medication is indicated, in-person requirements apply.
- Q: Can you order labs or diagnostic testing? A: Yes, when clinically indicated. If labs, vitals, or other objective data are needed for safe care, we may order testing and/or require an in-person visit during regular business hours.
- Q: Is medication prescribing guaranteed A: No. Medication decisions depend on clinical judgment, safety, and having adequate clinical information.
- Q: What do I need for a telehealth visit? A: A private location, reliable internet, and a device with camera and microphone. Please log in a few minutes early. If video is not workable, we may need to reschedule or arrange an in-person visit when appropriate. Must be physically located in the state of Pennsylvania at time of visit.