In this insightful lecture, Evan Rieder, MD, dual board-certified in dermatology and psychiatry, shared practical, psychologically informed tips to help dermatologists navigate some of the most complex patient encounters. From setting time boundaries and regaining control of talkative patients, to recognizing when a mental health referral is needed, Dr Rieder broke down real-world strategies that enhance clinic efficiency and safeguard both patient and provider. He highlighted tools like “verbal valium” (breathing techniques, guided imagery, ASMR), emphasized the importance of screening for body dysmorphic disorder, and encouraged attendees to know their limits, offering guidance on when to ask for help or even resign from care. This talk reminded the audience that some of the hardest dermatology cases go beyond making a difficult diagnosis, and that effectively utilizing psychiatric principles in practice can improve patient care.