PMB Wellness PLLC

PMB Wellness PLLC PMB Wellness, pllc is an evidence-based mental health clinic Telepsychiatry services are offered in Texas.

PMB Wellness, pllc is an evidence-based mental health clinic that uses technology to create a personalized treatment plan for our patients. With the use of telepsychiatry, we aim to provide the same high-quality care that is provided face to face with minimal disruption in our patient's daily schedules. Potential patients will no longer have to deal with the hassle of finding childcare and repeate

dly asking for time off. Board-certified psychiatric mental health nurse practitioner Dr. Krista Lewis, DNP, APRN, FNP-C, PMHNP-BC, specializes in adult psychiatric care, providing exceptional compassion, medical services, and confidentiality with online telehealth visits. The team at PMB Wellness is well-versed in mental health and offers comprehensive evaluations with a holistic, whole-person, integrated approach. They work with patients to meet their mental, emotional, and physical needs. The practice specializes in medication management and treatment for conditions that include anxiety, depression, attention-deficit / hyperactivity disorder (ADHD), obsessive-compulsive disorder (OCD), post-traumatic stress disorder (PTSD),bipolar disorder, and insomnia. They also help patients who are dealing with personality disorders and dementia. To experience the warmth and care at PMB Wellness, call the friendly office staff to book an appointment today at 346-213-4707 or use this link

www.pmbwellnesspllc.com

09/09/2026

These are the psych medication levels you need to know for PMHNP boards! 📚

💊 Lithium: 0.6–1.2 mEq/L
🚨 Lithium toxicity: 1.5 mEq/L or higher
💊 Valproic acid: 50–125 mcg/mL
💊 Carbamazepine: 4–12 mcg/mL

PMB Board Pearl: Lithium levels should be drawn as a 12-hour trough. With valproate, check ammonia when a patient develops altered mental status.

Save this chart for your board review! ✨

For educational purposes only.

09/09/2026

CBT-I (Cognitive Behavioral Therapy for Insomnia) is the first-line treatment for chronic insomnia. One high-yield strategy is stimulus control: strengthen the connection between bed and sleep—if you’re unable to sleep, get out of bed and return when sleepy.

📌 PMHNP Board Pearl: Chronic insomnia → think CBT-I first.

For educational purposes only.

09/08/2026

🧠 PMHNP Board Challenge — Question #42

Not all insomnia medications work through GABA. 💊🌙

This question tests whether you can recognize the mechanism of action of insomnia medications and identify the medication that targets the brain’s wake-promoting orexin system.

Do you know the answer? 👀
👇 Drop A, B, C, or D in the comments!

💾 Save this question and come back tomorrow for the answer + rationale!

📚 For educational purposes only. Not medical advice.

09/07/2026

🧠 PMHNP Board Challenge — Question #41

The medication is working—but routine follow-up reveals new clinical concerns. 💊

This question tests your ability to determine the MOST appropriate initial action while considering both psychiatric stability and medication safety.

What’s your answer: A, B, C, or D? 👇

💾 Save this question and come back tomorrow for the answer + rationale!

📚 For educational purposes only. Not medical advice.

09/07/2026

🚨 Clinical Pearl #10: Lamotrigine — Start Low, Go Slow

One of the most important safety concerns with lamotrigine (Lamictal) is serious rash, including Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN). Risk increases with rapid titration and with valproate, which increases lamotrigine concentrations.

💊 Standard adult bipolar titration without valproate or enzyme inducers:
Weeks 1–2 → 25 mg daily
Weeks 3–4 → 50 mg daily
Week 5 → 100 mg daily
Week 6 → 200 mg daily

⭐ PMB Board Pearl:
Lamotrigine + new rash = take it seriously.

Assess medication interactions, titrate appropriately, and educate patients to report a new rash promptly. Valproate requires a lower starting dose and slower titration.

💾 Save this schedule for your PMHNP board review!

For educational purposes only. Dosing varies with interacting medications and clinical indication; follow current prescribing information.

09/06/2026

🌿 Clinical Pearl: Kava & Anxiety

Kava (Piper methysticum) is an herbal supplement associated with anxiolytic effects, but “natural” does not mean risk-free.

⚠️ Why it matters for PMHNPs: Kava has been associated with hepatotoxicity and can interact with medications. Patients may not automatically report vitamins, herbs, or supplements during a medication history.

⭐ PMB Board Pearl:
Kava → Anxiety + Liver Risk

Always assess specifically for herbal and supplement use as part of medication reconciliation to identify potential interactions and safety concerns.

💾 Save this pearl for your PMHNP board review!

For educational purposes only.

09/05/2026

🧠 PMHNP Board Challenge — Question #40

A medication is given for anxiety—but the patient’s behavior changes shortly afterward. 💊

Can you identify the BEST explanation for what happened?

👇 Drop your answer: A, B, C, or D!

💾 Save this question and come back tomorrow for the answer + rationale!

📚 For educational purposes only. Not medical advice.

09/03/2026

🧠 PMHNP Board Challenge — Question #39

Medication interactions are a favorite board-testing area. 💊

This question tests whether you can recognize an important patient-education consideration when starting a psychotropic medication.

Which counseling point is MOST appropriate?

👇 Drop your answer: A, B, C, or D!

💾 Save this question and come back tomorrow for the answer + rationale!

📚 For educational purposes only. Not medical advice.

09/02/2026

🧠 PMHNP Board Challenge — Question #38

The medication has been stable, but something in this clinical picture has changed.

Can you identify the MOST appropriate next action?

👇 Drop your answer: A, B, C, or D!

💾 Save this question and come back tomorrow for the answer + rationale!

📚 For educational purposes only. Not medical advice.

09/02/2026

Anxiety Disorders Made Simple 🧠 | PMHNP Board Review

Anxiety disorders can look very similar on the boards—the key is recognizing the clue that separates one diagnosis from another.

In this review, we break down the high-yield concepts you need to know, including normal vs. pathological anxiety, panic disorder, agoraphobia, specific phobias, social anxiety disorder, GAD, separation anxiety disorder, medical mimics, duration clues, differentials, and treatment connections.

📌 PMB Board Pearl: Don’t stop at “the patient is anxious.” Ask: What is driving the fear? Then look at the trigger, duration, avoidance pattern, and functional impairment.

Save this video for your board-prep review and practice recognizing the patterns instead of trying to memorize every line.

✨ Up next: OCD & Related Disorders Made Simple

For educational purposes only. This content is intended for board review and does not replace clinical judgment or individualized medical care.

Address

24285 Katy Freeway Suite 300
Houston, TX
77494

Telephone

+18323039324

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