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Not only the mentally ill refuse medication. Why?

Not only the mentally ill refuse medication. Why? "I feel good, no pills, no I do not." "Medication me harms, rather it will set in." "With the disease I have to deal only myself." These and many other reasons that lead people suffering from mental illness to the fact that they choose to quit treatment. A sensible step but definitely not.

Lack of patient compliance during self-treatment is a big problem across medical specialties. Individuals with psychiatric diagnosis by no means in this context the only sinners. According to statistics worth taking the wrong medication (outside the doctor's recommendation) each year for 125,000 deaths, not only in the United States. 10-25% of all admission to hospitals or nursing homes the same reason. Patients also often violate dietary measures, neglecting exercise and recommended daily regimen. They are usually only a few are willing to modify their lifestyle . All this can lead to a worsening of their condition and ultimately to an increase in total expenditures for treatment.

More reasons why No cleaning

The so-called noncompliance or nonadherent not among patients with mental illness a rare phenomenon. Experts consider the main reasons:
Some characteristics of the disease itself (eg. schizophrenics may be immune to drugs or doctors paranoid, depressed people may suffer from feelings of futility and resignation, the individuals in the resting phase of the disease have the feeling that they are healthy and do not need treatment, etc.).
inability to recognize their own illness (denial of the disease) and lack of insight into the need for therapy;
problems arising from the treatment (eg. side effects, long-term use of drugs);
lack of support from relatives;
stigma attaching to mental illness and the need to resort to a psychiatrist;
  the inability of doctors to establish a therapeutic relationship with the patient and provide him with enough data needed.

Partnership and trust

That an individual suffering from mental illness was taking recommended drugs and generally in the treatment worked well, they must have sufficient information. First of all he should know the diagnosis that he was determined, and everything related to that disease. The doctor and patient should be partners in therapy together to negotiate. Sick should not be afraid to draw attention to the side effects of drugs that may bother him. Suitably informed should also be close to the patient. They are often the first to detect signs of worsening disease. Confidence in the physician and psychiatry as such, they should obtain the patient and his family, it is a prerequisite of good cooperation and successful treatment.


Author of the article: MD. Veronika Richterová
Specialization: Psychiatry
Source: U lékaře.cz



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