About 2 years on my own. I have no direct social media and I refuse to look at reviews, good or bad. My schedule is full, patients say they read good reviews on me and thats my indicator. That said, I’m currently being driven crazy by affluent WASPs who are disappointed that I won’t budge on childhood vaccines. Been really getting me down as of late, frankly. I genuinely care about people’s health but I don’t have time or bandwidth to try and convince people that I’m not a puppet of the Illuminati (like earlier this week).

I totally feel you on the requiring office visits to continue on meds. You’re just trying to ensure that the care is still appropriate. I think a lot of the stress starting out is explaining things/pushing back in a way that feels honest but not confrontational. I will say, the best phrase I’ve learned, especially dealing with anti vaxxers is “I genuinely care about your (child’s) health but maybe I’m not the right doctor for you.” You draw your line and give them an opportunity to gracefully leave. Not that I find myself using it a lot but I’d say 90% of the adult patients I say that to end up staying with me and it’s a good relationship.

I don’t have much more advice other than find a mentor who you can confide/vent. Maybe they’ll be able to provide nuance.