As a Virginia CNS, I support the proposed revisions of Virginia CNS regulations in accordance with the Consensus Model for APRN regulation. I am a Child and Adolescent Psychiatric-Mental Health CNS, certified in this specialty since 1986. I practiced marital and family therapy for 30 years, in a psychiatric institute and  in private practice in the Commonwealth of Pennsylvania. My focus has always been clinical practice and my scope of training and education as a CNS have allowed me to practice fully as a family therapist, providing counseling , court ordered child custody evaluations,  behavioral health interventions in community-based primary health care settings and consultation and supervision to other health care providers. A Virginia CNS should be able to fully practice within the scope of her or his training.