Skip to main content

mental health mondays :: a share of the blame

one of the trickiest parts of treating mental illness is the sheer number of patients who are "non-compliant". that means that once their doctor prescribes a regimen of treatment and medication, it isn't followed and, unsurprisingly, the patient doesn't improve.

there are a lot of reasons given for the particularly high rate of non-compliance, including a lack of tangible results, intolerable side effects and the stigma of being on psychiatric medication and/ or being told that the problem is psychosomatic. other reasons include not being able to afford prescribed medications [particularly in the united states] and simple forgetfulness, particularly if the regimen is complicated.

these all seem pretty straightforward, but i was interested to find a slightly different perspective reading this article from 2007, that takes a slightly different perspective. while acknowledging that most patients are responsible for their own patterns of non-compliance, the article also apportions some of the responsibility to the doctors treating them, citing studies that show that the poorer the communication between doctor and patient, the less likely the patient is to take their medications.

it seems that simply having regular follow-ups helps in keeping patients compliant, and establishing an empathetic relationship is even more important. given how brief and automated most check-ups can be, this last part is a real challenge, because empathy requires careful listening and giving a the patient time to express themselves- something which is often difficult for people who have mental disorders.

with waiting times to see psychiatrists stretching into the years, making more time for individual patients is going to be a longer term project. but i am happy to see an acknowledgment that there is more at issue with non-compliance than just the patients' intransigence. and clearly, the way to deal with mentally ill patients is not simply to medicate them, but to treat them. there's an important difference.

Comments

as long as you're here, why not read more?

jihadvertising?

i keep seeing this ad for tictac candies:



am i the only one who finds the suicide bomber clown at the end a little unnerving? all the nice natural things like the bunny and the [extinct] woolly mammoth and the fruit get devoured by a trying-to-appear-nonthreatening-but-obviously-psychotic clown who then blows himself up. congratulations, tictac, i think this ad has landed you on about a dozen watch lists.

oh and by the way, showing me that your product will somehow cause my stomach to explode in a rainbow of wtf makes me believe that doing consuming tictacs would be a worse dietary decision than the time i ate two raw eggs and a half a bottle of hot sauce on a dare.

making faces :: getting cheeky

blush might just be the last thing that a beauty lover comes to appreciate, seeing as it can be a matter of slight degrees that separates one product from another, and it's most difficult to tell from just swatching a product how it's going to look. and it did take me a long time to appreciate that, despite loving my refined pallor and believing that my natural rosy flush was more than enough of a blush for me, blush is my friend. it softens, sculpts, perfects and, although you might not see it at first blush [yuk yuk yuk], it is something that subtly harmonises with the other colours in a look to make it "complete". yes, it's the most tricky thing to pull off when you're wearing something that doesn't mesh with your own undertones. but it's also the thing that can take a face from gloomy to glowing with a swish of the magic wand known as a makeup brush.

highlighters are an even trickier lot, since many of the more brilliant ones have a tendency to e…

making faces :: women's rites

the magic of the internet, specifically the magic of instagram, recently brought me in contact with rituelle de fille, a new brand [launched in 2014] and completely new to me, although some of their products have apparently received plaudits from the media. their branding reminds me very much of the early years of illamasqua: a well-edited collection of colour products [there are no base or complexion products as of yet, except blush] with an emphasis on including shades that are daring and unexpected. 

i picked up three products, which are offered individually or as a set, as the "fleur sauvage" collection, inspired by "lush overgrowth, the deadly allure of carnivorous plants, and the strange chromatic language whispered between flowers and pollinators". there is no price difference between buying the items separately or individually, it's just a matter of selected partnering [and i believe all three products were launched together in spring 2015]. there are tw…