Allison Sikorsky has been in healthcare since she was 16. Pharmacy tech, hospice nurse, clinical coordinator, geriatric psych on a floor so acute the ratio was 1:2. She graduated from Rush University's PMHNP program in 2011, spent seven years learning every setting she could get into, and then decided she was done being an employee.

• In this episode, Allison talks about building At Your Service Psychiatry into a multi-state telehealth practice years before COVID made virtual care mainstream. She did 50 EHR demos, couldn't find what she needed, and built her own system. She walked away from insurance contracts, applied for licensure in 25 states, and figured out direct-to-consumer psychiatric care when most people thought telehealth was "just for rural."
• She also gets real about the hard stuff. A colleague getting stabbed by a patient. Losing patients to suicide and sitting through root cause analysis meetings. A very public meltdown on an inpatient unit that ended with her walking out for good. And how she processes all of it now, including breathwork, calling families, and giving herself exactly 30 minutes to obsess before putting it down.
• Then there's PMHScribe, the AI documentation tool she built from her own audit-tested templates after years of being flagged as a "high numbers provider." She designed it so the charting practically writes itself for the auditor. https://pmhscribe.com/

If you've ever thought about going independent, going telehealth, or building something that doesn't exist yet, this one's for you.