In the mid-1970s, an article discussed the identity crises of nurse pr
actitioner (NP) students which occurred during their educational exper
ience. This article noted that NP students progress from dependence to
interdependence and demonstrate regression, anxiety and conflict. Twe
nty years later We have also observed these changes in our own graduat
e students. This article describes our observations, analyzes them wit
h respect to well-known developmental theory, and offers suggestions f
or teaching methodologies which enhance successful transitions through
the crises.