What's the Biggest Challenge to Prescription of Psychiatric Medicine?

I find that people, unless it's an acute state of anxiety, I find that people have been struggling years before they even get in treatment sometimes. The pressure on us is how quickly can I help without doing any harm and help people to get on doses of medication where they're not having horrible side effects so that they tolerate the medication instead of throwing them in the garbage and giving up. We don't make meds that make people happy though, but happier.