even if i do pass, i'm seriously considering finishing my residency and then pursuing sub-specialty training in psychotherapy as this was the reason i went into psychiatry in the first place. i don't think i have what it takes to manage acute inpatient med-psych wards or consultation services with patients with extensive medical comorbidities. i miss the patient-physician relationship we have in the outpatient psychotherapy clinics. i find myself envying the work that our staff psychologists (PhD and PsyD practitioners) get to do with our patients. titrating doses of clozaril was never my dream and i feel like a heel for taking up a spot in a highly-sought-after psychiatry residency program while also having these feelings. i don't know if its that i don't have the guts to drop out or that i simply don't have the mettle to stick it out. either way it adds up to a pathetic scenario for someone who put so much time, effort, and personal finances into a dream that doesn't seem to pan out and yet is now tied to in order to provide health insurance and money for my young family.