Treating schizophrenia, bipolar disorder, intractable depression, obsessive-compulsive disorder, anxiety disorders, and other disorders is sometimes like fighting a war, requiring the use of all available resources and forces to defeat these persistent illnesses. Anti-psychotic medications are the weapons that psychiatrists use to help their patients overcome their illnesses, and a wide variety of anti-psychotic medications are like eighteen different kinds of weapons. In psychiatry, there is a relatively common phenomenon that some old experts prefer to use a certain drug, or certain drugs, such as the Zhongshan Three Hospitals, there is an old expert who loves to use Fenazen, the late President Chen of the Guangzhou Brain Hospital loved to use Shupil, there is a director who prefers to use sodium valproate, he treats few patients without sodium valproate, these ordinary drugs used by these old experts, usually more effective than other doctors These common drugs used by these old specialists are usually more effective than other doctors and have fewer side effects than other doctors, why? They have been using a drug in large quantities for decades, so they know the characteristics of the drug and how to optimize its efficacy and minimize its side effects. What does this relatively common phenomenon of old experts preferring a certain drug tell us? As a psychiatrist, you should study the clinical use of drugs, think actively, be good at summarizing experience, think about how to make the best use of a drug, think about how to reduce the adverse effects of the drug to a minimum, after years of experience in using the drug, you will be familiar with all the characteristics of the drug, will be proficient in the various uses of the drug; if you can also summarize your good experience and techniques on the drug If you can also summarize your good experience and technology about the drug and make it public to benefit your peers and patients, it will be more than good. 2. If a patient’s medication is not effective, do not easily attribute the reason to the limitations of the existing psychiatric science. And don’t be so quick to say that a patient is a refractory schizophrenic, a refractory obsessive-compulsive disorder, or some other refractory psychiatric disorder that you can’t cure, but maybe there are other doctors who can. And of course, don’t easily make a conclusion about which new drug to use. If the effect is not very satisfactory, it may just be because we don’t know how to harness it yet. 3, at present, there are dozens of anti-psychotic drugs commonly used in our country clinically, each of these drugs has its own advantages, as a clinician, to be proficient in each drug, it is almost impossible and unrealistic, without years of extensive use of a drug, you can not be proficient in this drug. However, it is possible for you to be proficient in 1 of each type of drug. If you can really be proficient in 1 of each type of drug, you are definitely a very high level psychiatrist, and you will definitely have many patients coming to you, so you will be more proficient in that drug. The effect of a doctor who is proficient in a certain drug is different from the effect of other doctors who use this drug; even if it is a very common, old-fashioned antipsychotic drug, the effect of a doctor who is proficient in the drug may be better than the effect of a doctor who is not proficient in the most expensive drug today. The reasoning is simple: the Shaolin stick of an ordinary Shaolin monk certainly can’t beat the nunchaku of Bruce Lee. 4, I mentioned earlier, I check the prescriptions of doctors throughout the hospital, but also “steal” their valuable experience in the use of drugs, in fact, to take the strengths of others, to make up for their own shortcomings, this is any psychiatrist who wants to do his job well should have the quality. To be proficient in a certain psychotropic drug, one can only be proficient in a few drugs at most, if one is limited by one’s own time, energy and other resources, but psychiatrists often have the “illusion” that they are proficient in all drugs and often accuse other doctors of using the wrong drugs. In fact, the so-called “wrong medication” of other doctors may be their mastery, but you just don’t know it. I have been in the psychiatric clinical work for more than twenty years, medication, psychotherapy, online consultation, telephone consultation, now I am almost every day immersed in the clinical, feel that I have gained every day, every day progress, but more and more feel their “ignorance”, whether it is psychiatry, or psychology, are vast and profound, and I will always only understand the depth of it. I will always only ever understand a very small part of it.