Why do psychiatrists think they are so smart when it’s subjective and literally just guessing?

Psychiatry - guessing, trying, seeing what “works.” I think it’s convenient that every person reacts differently to differently psych medications, that way if you don’t agree with it in your body after you take it or have a bad side affect they can use the well you just reacted to it this way but my other patient uses it and it works well for them.

The only code and knowledge they go off is the dsm but I find most of the time they make stuff up. Whatever they want. Sometimes they start to believe it too. Then they just go through life treating people with whatever they made up, that isn’t true and that doesn’t work/isn’t helpful. Who is to stop them?

Psychiatrists like to feel like they are smart. I mean they passed medical school after all. Now every night they kiss their diploma. They like to act like they are smart. Which leads to a huge ego and thinking they are smarter or better than everyone. To them everything is a clinical judgment.

I think part of the reason is why someone wants to be a psychiatry is insecurity. Particularly around being intelligent, how smart they are and a lack thereof. Some psychiatrists are genius level and they like to brag using their profession but most are stupid and try to overcompensate by being a doctor, not realizing a psychiatrist isn’t a real doctor and they think by being a psychiatrist they are above a medical doctor.