PROBLEMS WITH THE PATIENT, THE PATIENT'S FAMILY AND THE PHYSICIAN
One of the most important factors in the success of treatment is the positive and trust-based treatment relationship and communication established between the patient and the physician. Therefore, what is necessary to ensure that the treatment is not left unfinished is to ensure trust in the physician and the treatment, and to adequately inform the patient about the disease and treatment methods from the very first meeting. However, the information given at the first meeting may remain in the air and be forgotten due to the patient's decreased interest and attention due to reasons such as depression or panic disorder. This information should be reinforced in subsequent interviews.
A problem encountered in panic disorder is that the patient, whose interest and attention has turned to his own body, is busy looking for a disease in himself, and is afraid of death, either does not use the drug at all or does not use it at all, out of concern that he may be harmed by the drug. is to use lower doses than recommended. In this case, the patient will undoubtedly not be able to receive treatment. A severely depressed patient, on the other hand, may not take his medication, feeling pessimistic and thinking that recovery is not possible, saying, "It won't work anyway." Sometimes, due to the feelings of guilt and worthlessness brought on by depression, he may not continue treatment, thinking that he deserves everything and should suffer.
We cannot say that the habit of using regular medications, from antibiotics to blood pressure medications, is fully established in our society. A patient whose depression symptoms have significantly regressed in a few months, who feels better, or a panic disorder patient who no longer has attacks may find it unnecessary to continue drug treatment, thinking that he or she has fully recovered. In this case, the complaints will return in a short time and the treatment will become even more difficult. It is a common situation to discontinue treatment without consulting a physician, despite warnings from the beginning.
In mood disorders (manic-depressive disorder), treatment may be interrupted and disease attacks may occur, both for the reasons we have mentioned and because of the boredom caused by long-term use of medication.
For reasons such as constant discord within the family of the person receiving treatment for depression, exposure to violence, and not receiving enough support and attention from family members, the patient becomes frustrated and refuses to use any of the medication. He may terminate the treatment, thinking that it will not improve his condition.
If our patient has alcohol or substance use problems in addition to his depression, these may interrupt medication use, attendance at the doctor, and attendance at therapy.
In psychotic disorders where reality assessment is impaired, During severe depressions with psychotic features and manic episodes, the person will not be willing to use medication because he or she is not aware of his or her illness and often does not accept it. In these cases, if necessary, following inpatient treatment in the hospital, oral medication can be used when the patient partially or completely gains insight into his illness, that is, when he realizes his illness and accepts the need for treatment. In the meantime, family members should closely monitor medication use and take the patient to a doctor for a check-up. The boredom and frustration that may occur in the family after long and tiring years of illness with hospitalizations, discharges, medication use, and treatment interruptions, as well as less interest in the patient and less care for the treatment, are also important factors in the disruption of treatment.
Conducted under control. Adequate treatment will strengthen our ties with life and increase our ability to cope with problems. Goodbye.
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