I was in my psychiatric training.  My supervisor and clinic director had booked me to see a patient.  I was often booked for some very difficult patients, because I am good at this sort of thing.  But he warned me about this particular patient.

“She is not a patient we want to follow in this clinic.  Just see if she needs medicines, and give her a little bit.  The psychologist will do the work.”

I thought he had to be kidding, as I prided myself on being an all-around psychiatrist, and I wanted to take care of everything psychiatric.  Especially while in training, under the malpractice coverage of the University, with their supervision.

“They say she has multiple personality disorder.  We don’t believe in that diagnosis.  We leave it, as much as we can, to the psychologists that do.  This patient is a mess.  Lots of commitments, lots of suicide attempts, lots of restraining orders.  Let the psychologist do it.  Stabilize her quickly on medication, and get her out of here, with monthly checkups, then bimonthly.
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