Questions
Before You Ask
I'm a PMHNP student and honestly feel overwhelmed. Where do I start?
Start free: grab the 50 Pearls study guide on Patreon, then pick episodes by your current topic — everything is organized by drug and by diagnosis. A few cases in, the meds start connecting to real patients instead of flashcards.
Is Pearls and Prep a replacement for my PMHNP program?
No — it's a supplement to your formal PMHNP education, built to fill the gaps between the classroom and your first patient: real-world differentials, prescribing nuance, and interview skills.
What's the difference between joining free, Pearls Plus, and Boss Pearl?
Free members get the 50 Pearls study guide. Pearls Plus ($8/month) adds member-only posts and extras. Boss Pearl ($20/month) unlocks the full clinical library — every collection, deep dives, Case Crunch challenges, and the 100 Interview Tips eBook free.
What is the Mafia Pearl Simulation Lab?
Live practice: NP Z plays your patient in small-group sessions capped at 8, pressure-testing your diagnosis, medication selection, and interview — with direct feedback and open office hours. It's $100/month; see the Simulations page to join.