Building Better Access: Primary Care in Rural Nevada with Dr. Emily Shipley

Dr. Emily Shipley is seven months out of residency, working at a federally qualified health center in Carson City, Nevada. Her patients drive 45 minutes from towns with populations under 2,000. When they need a psychiatrist, that's an eight-hour drive to Las Vegas—if they have insurance that's accepted.In this conversation, Emily shares what it's like to be the only mental health resource for patients facing serious psychiatric conditions, why she chose advanced med-peds training to work in under resourced communities, and how she's building skills through Nevada's TNT Primary Care Fellowship to diagnose and treat mental health conditions alongside physical health.From teenagers experiencing psychosis with no specialist available, to the reality of treating depression and anxiety as routinely as diabetes, Emily's story shows both the crisis and the hope in rural mental healthcare delivery.🎯 CHAPTERS:0:00 - Introduction 0:45 - Why Carson City, Nevada? 2:30 - The State of Mental Health Care in Rural Nevada 4:15 - Eight Hours to the Nearest Psychiatrist 6:20 - A Teenager Seeing Shadow People: When There's No Specialist 9:45 - Why Med-Peds Over Family Medicine 12:30 - Training Gaps in Psychiatry During Residency 15:10 - Joining the TNT Primary Care Fellowship 18:25 - How Training Will Change Her Practice 22:40 - Nevada's Investment in Primary Care Mental Health 25:15 - Message of Hope: Mental Health is Treatable 28:00 - Making Primary Care the SolutionInterview Recorded On: January 16, 2026💡 ABOUT TNT OPEN MIND INSIGHTS: A video interview series from UC Irvine's Train New Trainers Primary Care Fellowship program, featuring candid conversations with healthcare professionals transforming mental health access and delivery.🔗 Learn more: tntopenmind.org#RuralHealthcare #MentalHealthAccess #PrimaryCare #Psychiatry #BehavioralHealthYouTube Tags (under 500 characters):rural mental health,primary care psychiatry,mental health access,rural healthcare,Nevada healthcare,FQHC,underserved populations,psychiatry training,behavioral health,mental health crisis,primary care fellowship,rural medicine,health equity,mental health treatment,depression anxiety,schizophrenia,medical education,residency training,community health,telehealth alternatives Subscribe to TNT Open Mind Insights - Mental Health Interview Series on Soundwise