Why is dr.carrothers unable to calm Andy down?

Dr. Carrothers is unable to calm Andy down because Andy is overwhelmed by intense emotions and stress that make it difficult for him to listen or respond to reason. Additionally, Dr. Carrothers may lack the specific techniques or rapport needed to connect with Andy effectively in that moment. The situation may also be exacerbated by external factors that are beyond Dr. Carrothers' control, leaving him unable to soothe Andy's distress.