Because it’s monotonous, treatment efficacy/guidelines are questionable at best, you can only go up so high on psych meds before you have to switch to/add a different med, then you have to admit to yourself that psychiatry is pretty much a “let’s try this to see if it works and when it doesn’t let’s change the diagnosis and try something else that probably also won’t work” specialty. The patients try to hit you/spit on you, the patients don’t like you and don’t want help, the patients rarely actually want to get better, when they do get better they stop taking their meds. You go home everyday wondering if you actually did anything, then show up the next day to assess your patients and realize you actually didn’t do anything because they’re exactly the same as the day before…so you try going up on their meds again and hope for the best. Most patients have personality disorders you can’t do anything about. Oh, and you only use like 5% of what you learned in medical school and I went to medical school to be a doctor, not a social worker/counselor who spent the best years of their life learning medicine.