For me, the work at the clinic was slowly taking its toll. I enjoyed the challenge of working with individuals with severe mental illness, but the no-shows, the paperwork, and a role that was limited largely to psychopharmacology discouraged me. I was more and more exhausted by the end of each day. In contrast, working in my small private practice was nowhere near as stressful. Though my private-practice days were filled with emotionally intense psychotherapy sessions, I would go home with a greater sense of professional satisfaction.