Comments on: Predictors of nonadherence to antidepressants in depressed patients http://www.shockmd.com/2009/02/25/predictors-of-nonadherence-to-antidepressants-in-depressed-patients/ A Neurostimulating Blog Fri, 19 Mar 2010 07:14:21 +0000 http://wordpress.org/?v=2.9.1 hourly 1 By: Lisa http://www.shockmd.com/2009/02/25/predictors-of-nonadherence-to-antidepressants-in-depressed-patients/comment-page-1/#comment-6522 Lisa Mon, 18 Jan 2010 07:16:06 +0000 http://www.shockmd.com/?p=1959#comment-6522 Maybe patients have compliancy issues because they feel they are dependent (not addicted) on their medications to function. Sometimes psychiatrists present meds to their patients in such a way that the only way a mental illness is going to remit is if they take their meds every day, forever...the meds are the treatment. No psychiatrist I had ever seen, and I've been seeing them since I was 16, has ever has actually included ME as part of my treatment until I saw Dr. K. Dr. K helped me develop a "relapse prevention plan." It's a written self-management plan for schizophrenia...similar to an Asthma Action Plan for asthma. It helps me to know how to handle my schizophrenia when I start to get symptoms so that they don't escalate. If they do get worse, then I go to the next level and follow my "relapse prevention plan." It makes me feel very empowered. In all honesty, before this, I had a very bad attitude toward my meds. After this, my attitudes towards my meds changed. I know I'll be taking my meds for a long time, but it doesn't bother me anymore. I understand now that meds aren't the only thing, that there are ways in which I contribute to my treatment as well. That is something I really needed to know and understand. I suspect it is something that other patients might need to know, too. Maybe patients have compliancy issues because they feel they are dependent (not addicted) on their medications to function. Sometimes psychiatrists present meds to their patients in such a way that the only way a mental illness is going to remit is if they take their meds every day, forever…the meds are the treatment.

No psychiatrist I had ever seen, and I’ve been seeing them since I was 16, has ever has actually included ME as part of my treatment until I saw Dr. K. Dr. K helped me develop a “relapse prevention plan.” It’s a written self-management plan for schizophrenia…similar to an Asthma Action Plan for asthma. It helps me to know how to handle my schizophrenia when I start to get symptoms so that they don’t escalate. If they do get worse, then I go to the next level and follow my “relapse prevention plan.” It makes me feel very empowered. In all honesty, before this, I had a very bad attitude toward my meds. After this, my attitudes towards my meds changed.
I know I’ll be taking my meds for a long time, but it doesn’t bother me anymore. I understand now that meds aren’t the only thing, that there are ways in which I contribute to my treatment as well. That is something I really needed to know and understand. I suspect it is something that other patients might need to know, too.

]]> By: mudphudder http://www.shockmd.com/2009/02/25/predictors-of-nonadherence-to-antidepressants-in-depressed-patients/comment-page-1/#comment-2599 mudphudder Thu, 26 Feb 2009 02:59:55 +0000 http://www.shockmd.com/?p=1959#comment-2599 I would disagree that 15% is hardly a significant factor. Given how little we know about the underlying factors in non-adherence, recognizing even 15% allows us to address a big chunk of patients' non-adherence. I would disagree that 15% is hardly a significant factor. Given how little we know about the underlying factors in non-adherence, recognizing even 15% allows us to address a big chunk of patients’ non-adherence.

]]> By: Dr Shock http://www.shockmd.com/2009/02/25/predictors-of-nonadherence-to-antidepressants-in-depressed-patients/comment-page-1/#comment-2587 Dr Shock Wed, 25 Feb 2009 07:34:49 +0000 http://www.shockmd.com/?p=1959#comment-2587 @NiroZ Your right. These kind of studies are mostly for discovering probable explaining factors. Real proof and significance needs long term follow up studies with a priory hypotheses. @NiroZ
Your right. These kind of studies are mostly for discovering probable explaining factors. Real proof and significance needs long term follow up studies with a priory hypotheses.

]]> By: NiroZ http://www.shockmd.com/2009/02/25/predictors-of-nonadherence-to-antidepressants-in-depressed-patients/comment-page-1/#comment-2585 NiroZ Wed, 25 Feb 2009 06:10:42 +0000 http://www.shockmd.com/?p=1959#comment-2585 15% is hardly a significant factor. 15% is hardly a significant factor.

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