This document discusses communicating with difficult patients. It begins by noting that difficult patients are a daily occurrence in medical practice, as patients come in with a range of personalities and emotional states. It then lists and describes various types of difficult patients, such as angry, demanding, or somatizing patients. The document emphasizes that communication skills are needed to understand patients, take thorough medical histories, and ensure compliance. It provides tips for communicating effectively with difficult patients, such as not taking things personally, setting boundaries, listening empathetically, and using concise messages. The goal is to assess patients' physical and psychological issues, while staying organized and efficient.