I am a medical student, currently taking a year to do an MPH, then next year will be my 4th year. So I'm spending lots of time this year mulling over my residency decision. Definitely strongly leaning toward psychiatry right now. It's so right for me in so many ways. The other contender would be primary care IM, but right now I'd say my percentages are 80/20 respectively. I keep hearing everywhere that to go into psychiatry, you should really be drawn to working with the psychiatric patient population. While I know for sure that I like working with people who have mood and anxiety disorders, I've also noticed that as the severity of the illness increases (i.e. more psychosis) and the axis II component increases, I become less empathetic and more uncomfortable/upset. Of course, I still find these psychiatric illnesses interesting on an intellectual level, so I tend to see the patients more as cases and less as people, which I guess sounds pretty horrible. One good thing is that I try very hard to monitor my reactions, and check myself to be aware of how my biases/societal stigma comes into play. So is this something that most people feel when they go into psychiatry, and they get over it or find ways to adapt? Or is this really a sign that I'm just not cut out for psychiatry?