I ended up in an area with a demographic of significantly-lower SES and younger. Families tend to be lower functioning and the majority of cases are predominantly behavioral issues combined with poor parenting skills, and a good chunk with the added fun of untreated parental pathology. The majority are noncompliant with treatment recommendations, have little to no interest in being involved in the treatment process, adjust meds on their own based upon their education and training at Google Medical School, and on and on and on.
I have had a parent insist on changing a well-tolerated and extremely-effective medication because a relative told them the outer layer may not completely digest and be seen in their stool, which naturally cause, "their guts to get all knotted up and make hemmorrhoids". Another parent and adolescent looked right at me and insisted the teen takes the medication, "every day", and has been without any missed doses or interruption, even after I very clearly showed them in the EMR the last time it was filled was for a 30-day supply 6 months ago.
Stuff like that. Several times a day. Every day. I vent about this thing I call the, "merry go round" patients try to trap me in. Essentially, they show up and complain about X; I recommend treatment to address this concern whether it's meds, therapy, or a combination; they are blatantly noncompliant with these reccs in some way, reducing the possibility that things may actually improve to zero; alas, they follow-up and lament that nothing has changed, we discuss their noncompliance and why they can't expect anything to change, rreview the treatment reccs again, then schedule a f/u. Repeat over and over and over, with about every third appt they demand a change to meds, which they also won't follow. If relevant, any attempt to venture into the whole, "identified patient" concept just leads to more misery, and eventually gets sabotaged when the kid is unnecessarily admitted for less than a week and discharged with a bogus diagnosis made during a half-assed evaluation that gives the parent exactly what they need to continue distracting from the real problem.
It really is insanity.