Posted by LlurpsieNoodle on July 22, 2007, at 11:43:55
In reply to in honor of pseudoname---CBT and med adherence, posted by gardenergirl on July 22, 2007, at 1:54:51
"In this case, we believe that a CBT-based adherence intervention is going to be ideal for a person who:
Rejects "having schizophrenia";
Does not like the idea of a label of mental illness; or
Does not want a biomedical model teaching approach;
but is still willing to engage with someone to talk about what is distressing him or her.
End excerpt."I think this is timely advice for me. I'm really really not liking my medication regimen right now. I have to take pills 3x a day and even though my side-effects are mild, having to take the pills is a constant reminder of my "illness" or whatnot.
I've been talking about this in therapy. That's why the book An Unquiet Mind was recommended to me. I think I need to take a more structured approach and write out a list of pros and cons of taking meds. This is especially imperative because I think I've got a high chance of "relapse", if I'm not relapsing already. 3 [psychotic?] episodes in a fortnight. Not good Llurpsie.
I told my mom about my reluctance to take the meds. She has been calling me regularly to ask me about whether I've been taking them. My husband wants me off of the pills and was openly dismayed when my doses were increased 2 days ago. (not too much help there). My psychologist said that I should take the high doses, as that is what would happen if I went to the hospital.
Trying to avoid the hospital is powerful motivation too. But not always. Sometimes the hospital seems a welcome respite from troubled times. Kind of like a time-out.
****
I wonder if the relapse rates for schizophrenia are indeed higher? An alternative explanation is that the symptoms of schizophrenia are simply more overt than some of the quieter psychiatric illnesses, which have a more insidious onset.Food for thought. Good article Gg. Why in memory of pseudoname?
toodles,
-Ll
poster:LlurpsieNoodle
thread:771086
URL: http://www.dr-bob.org/babble/psycho/20070714/msgs/771123.html