How should difficult patient personalities affect my treatment fees? They should affect them directly, and you need to read this at the exam, not three appointments in. Not every patient is easy. Some have difficult personalities, and a few have extremely difficult ones. The patient who talks through every visit, needs constant bathroom breaks, has postural issues that make the chair time miserable, can only come one day a week at one odd hour, all of that eats your schedule. Anything that takes more of your time has to show up in the fee. Here is the trap. If you do [...]