In nursing school, I really enjoyed my psych clinical, but I wonder how much of the 'real' psych world we actually saw. Most of our day was spent out in the milieu, going to activities with patients and sitting in on a few patient/psychiatrist evaluations. I enjoyed it, but Im sure there is a much more expansive view of the psych world that I never saw.Now, I am working in LTC and we have a few patients who have chronic behavior issues. I have the hardest time dealing with the patients who yell non-stop when they want something. Even if you are in the same room with them, if you are not immediately meeting their need, they keep yelling. These patients are usually on psych meds, but are rarely re-evaluated by the psychiatrist. At any rate, since it is LTC, they will likely not be discharged, so I will be working with them daily until I find a new job or they pass.I would like to pursue employment at a psych facility, based on my clinical experience.... but I am worried that I will find myself in a situation much more like the current non-stop yelling situation. I wonder if I am seeing the opposite ends of the spectrum? The best case scenario and the worst case scenario?So I guess my question is...... what is your average patient load really like? Lots of difficult, high needs people, or a mix?