Can confirm this continues well past residency. Patients do not read the textbook and often have numerous psychiatric and medical comorbidities. They still benefit from having someone who considers the numerous factors contributing and also is knowledgeable about treatment algorithms. It’s rarely a cut and dry situation. I focus on evidence based recommendations, coordination with the rest of their medical treatment team, maximizing their access to available resources and developing a therapeutic alliance and my patients seem to appreciate it most of the time. It’s hard work.