Do you have a high maintenance practice? I don't mean a practice full of maintenance patients, but a practice that requires a great deal of emotional investment to maintain?
It may be a sign that you make patient relationships about meeting your needs rather than theirs. It means you have assumed a parental role, imposing your will on patients. Even if you justify your heavy-handed caring as in their best interests, your "mother henning" is disrespectful and unsustainable.
Patient's become the problem. You take their choices personally. Their rejection produces doubt, anger, fatigue and eventually burnout. When you live through others, you are unable to be the anchor patients secretly crave, impairing the most important component of all: hope.
By caring about what you have little or no control over (the pace of their healing, their desire to follow through, the priority they place on their health, etc.) your impact is blunted and your capacity reduced.