The Pearls & Prep Podcast
Psychiatric Case Studies
There are two kinds of clinicians — the ones who follow algorithms, and the ones who understand the “why.” Each episode walks a real-world psychiatric case from chart review to treatment plan: psychopharmacology, DSM-5-TR differentials, and the pearls that stick. Built for PMHNP students, new grads, and practicing clinicians.
Hosted by NP Z, Duke-trained Psychiatric Nurse Practitioner · New episodes every Tuesday
Listen wherever you get podcasts
Center stage · Premium
NP Z mentors PMHNP students and new nurse practitioners in psychiatry the way it actually works: live clinical simulations twice a month plus open office hours for your real questions. Groups capped at 8 — you present, you get feedback, you walk into your first job ready.
$100 / month
250 PMHNP board-style questions written the way the exam actually thinks — tricky differentials, med traps, and the reasoning behind every answer.
$49.99
Get BOARD BOMBS™ →The e-book for your first evaluation: 100 field-tested tips to open, steer, and close a psych interview with confidence. Free for Boss Pearl members.
$39.99
Get the e-book →Same dimmer-switch engine, different aim. Why Vraylar’s D3 grip matters for negative symptoms, the weeks-long half-life nobody warns you about, and the Abilify impulse-control conversation.
Read the article →Efficacy is a tie — the obstacles decide it. The half-life chasm, CYP2D6, cardiac safety data, and how to plan the exit on day one.
Read the article →The sprinter and the marathoner. The FDA-approval trap every board exam sets, the rash rule, and the estrogen interaction students miss most.
Read the article →Go Beyond the Episode
Join Pearls and Prep on Patreon free and get 50 Pearls from Pearls & Prep — 50 high-yield clinical pearls condensed for quick review.
The full clinical library is the paid heart of Pearls and Prep: every study guide, psychopharm deep dive, and practice-question set NP Z publishes, organized into collections by drug and diagnosis so you can pull exactly the pearl you need before a shift, an exam, or a hard patient. New material lands there first — the podcast is the trailer; the library is the film.
Free Member
The 50 Pearls study guide, plus new-episode extras and community posts.
Mafia Pearl Top tier
$100/month. Live clinical simulations with NP Z — two small-group Zoom sessions a month, never more than 8 members, open office hours, and the full clinical library unlocked. Practice on cases before your first real patient.
Boss Pearl Most popular
The full clinical library — and the 100 Psychiatric Interview Tips eBook, free with this tier.
In the Shop
100 Psychiatric Interview Tips For Your 1st Eval eBook — $39.99 (free for Boss Pearl members).
Our free study guide: 50 high-yield clinical pearls from the show, condensed into quick-review lessons you can work through on a lunch break. Join Patreon free and it's yours.
Get the free guide →A fresh pearl in your feed every week — a prescribing nuance, a differential that trips people up, a board-style trap to watch for. Follow along free and keep your edge between episodes.
Follow free on Patreon →Curious what members get? Browse the public previews from the Boss Pearl clinical library — study guides, psychopharm deep dives, and practice questions — and see if it's for you.
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