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It is an unfortunate truth that many mental illness patients won’t take their medications at one time or another.
And also unfortunate is the fact that when a person with a mental illness refuses to take their medication they almost inexorably get sicker. I think the most important question to ask is why is the person refusing to take their medication. Their medication is working, they’re experiencing wellness and so they think they no longer need their medication. In this case a loved one might want to approach the case logically and say that without treatment, the mentally ill patient can’t get better.
In this case patients often feel like they have told their doctor about the side effects but the doctor hasn’t listened. Families can help by attending psychiatric appointments to help get treatment back on track in a way with which the patient agrees. A loved one can approach this situation with logic such as, “remember before the medication, you did such-and-such, whereas on the medication, you’re able to such-and-such . However, the truth is that the patient may simply have to fall before they realize that it was the medication that was holding them up.
No matter what camp the person falls into, it’s very hard, but try to look at the situation from their perspective – they likely have a real reason why they are treatment noncompliant.
And as I’ve said above, remind them that real honesty with their doctor is the most important thing and that they are in control of their own treatment. There is actually much more to say about handling this problem, but, alas, I’ve gone long already. It’s just hell knowing that there is little you can do when you know there is another medication that will really help her but she refuses to take it, and the hospital doctor should never have changed it. Tomorrow I have to go to court to ask the court to force my 45 year old daughter to take drugs that she vehemently does not want to take. Plz suggest me, if someone refuses to take medicine after becoming normal, and if we try to convince her that what she did before taking medicine, then she refuses to accept that she did all these things. If the Mom you were responding to has been handling her BP son for 18 years already, I would trust her judgement in knowing that her son needs to take his meds – how to get him to take them is her real problem right now. This is truly a great website and appreciate the content addressing the mental illness issue. Right now I am writing as a troubled brother as my elder sister is in the state of mental illness that has relapsed after two years.
What if the tables were turned on you Irene, and some monster starting saying you were mentally ill, and had the capacity to lock you away for a long time? So, you might be able to convince him that getting back on his medication is a good plan for the time it takes to defend his thesis.
Unfortunately, you should accept that he will probably end up screwing things up pretty badly. This is simply a personal opinion: you institutionalize people who you strongly believe are a threat to their own lives or to the safety of other people.
So, it’s been more helpful for people to figure out what the cause was and try to figure out how to fulfill that need in a less destructive way.
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This is known as treatment noncompliance or treatment nonadherence, if you want to be a bit more politically correct. People with bipolar disorder who won’t take their medication, for example, often become manic and then wind up hurting themselves or someone else and end up in the hospital. Stopping the treatment was understandable, but now it’s time to assert some control over treatment and find something that works. And it’s important to remind the patient that better treatments are available and they don’t have to live with horrendous side effects. Once a person is well, they see the medication as a hindrance, forgetting that it is the medication that made them well.
For a loved one this is painful to watch but try to remember to be there if something like this happens and help out with returning to treatment. And, if you can, try to support their wishes and act as their back-stop in psychiatric appointments.
He became more violent this time and hit all family members incl our mother and grand father.
My 23 year-old daughter had an episode 2 weeks ago after never having exhibited anything more than occational anxiety or depression.
She has been off her medication for a good while and has auditory hallucinations that involve the FBI, CIA and famous people.
My therapist said to me after only 3 sessions that if I don’t go on seroquil, she won’t see me anymore! If he does that, he’ll hopefully be in a better position to reflect on what happened with some insight. Because a manic person has unshakable faith in their perspective, they cut off or ignore feedback from people that disagree with it.
He will interpret a bunch of people telling him the same thing as a conspiracy behind his back trying to persecute him for who he is, not a group of concerned people he negotiated a sound policy with. This is an amazingly helpful website and recently I’ve been visiting it very often as my husband stopped taking his meds and he has now a full blown episode for almost three months. One in 5 Americans over age 45 has a chronic condition, such as high blood pressure, which often requires daily medications. As you just learned, sleep medications alone can cause problems, but if you’re also taking pain medications, it can get worse. If your diabetes drug increases your blood pressure, explains Arbaje, your heart rate might not increase because of the blood pressure medication—so you may not be aware of the problem. DeGroote Institute for Infectious Disease Research at McMaster University, said in a statement.
But, the thing is, you have to get through the medication that doesn’t work to find the medication that does and going off of medication is not the way to do this. But that’s why it’s time to, again, assert more control over treatment choices and state to the doctor clearly that these side effects are intolerable and another treatment must be found. People dealing with psychiatrists often feel more comfortable being honest with this back-up which means they are more likely to get treatment that works for them. I feel so alone now I truly understand true pain not being in control of your brain barely I’m starting to truly feel mental more than ever. It originated due to acute depression that came from family conflicts (as the doctor told). If he’s successful in passing the defense, that will give him some success to moderate the depression which is going to almost inevitably follow the manic period. If they can’t get away from those people, they will quickly develop a persecution complex. If he’s physically abusing your family or threatening them, you pretty much have the choice of allowing him to beat you up (no) having him arrested (not good for him) or having him committed (the least bad option).
During this he has been fired from his job, he has moved to his parents house and generally he has been transformed into a monster.
In my experience, helping people get back to a program and stay there depends on figuring out why they got off. It becomes my turn to participate and what is in my mind isn’t consistent with the conversation, maybe in content, maybe in tone. Even if you are taking just one or two medications, now is the time to develop the self-protective habits (such as exercising and eating a healthy diet) that can help you prevent future problems — or identify existing ones.
The answer is to talk with your doctors and pharmacist to explore whether a medication, or a combination of them, may be causing you problems. If you wish, you'll have the opportunity to connect with a representative, with no obligation. If the medication isn’t working, it’s time to work with a psychiatrist to find better medication that does work for the patient. No one wants to be on medication and this is a trick the mind plays to provide an excuse for refusing medication.

She believes she is intercepting important information and wants to call the police or sheriffs department for their help. See if you can work with your son in getting him closer to health instead of force medicating him leaving him closer to death.
During mania a person has an absolute faith in their perspective and anyone who opposes it is either stupid or suspect. But, if his mania is resulting in him being self-destructive and not a threat to his own life, he will not interpret hospitalization as helpful or caring.
Sometimes it’s really hard to help a bipolar person, especially when manic, see that their decisions are causing very bad outcomes.
It’s maybe true that people were unsympathetic to you, and to me, when we were younger. That tower preserved me during the times in my life when people were intolerant and abusive. She calls and leaves me messages where she is in danger or homeless or living with someone new.
I just found out from my niece that he’s been spitting the pills out even though I watch him take the meds.
We are not finding any way out despite trying all the avenues including giving proper reasoning and made her talk to the doctor. He might think that on his medication he will not be as brilliant and exciting, but he has already established his talent by being in a PhD program.
He will focus on the negative aspects of the experience, and it will distance him from psychiatric help in general. I experience what I think is an additional burden of energy, attention, irritability, and so on.
But the result is sometimes I make these really long pauses, or I need to restart a sentence a couple of times, or I just kind of nod and say something very slight. The hospital was just supposed to get her stable so we could continue her care on an out-patient basis, but a paperwork mistake—we were told—resulted in her being transferred to a recovery center. The only thing which could go wrong is that he might say something strange during the defense that would concern his committee. In general, being institutionalized is a pretty traumatic experience under the best of circumstances. If people exclude you for that, it hurts, and it changes the way you think – and often not for the better. The staff at the center told us a court hold had been placed on her and they refused us access except for a 20 minute visit and a few phone calls over an entire week. Manic people value consistency quite highly, so it’s possible to divert that away from self-destruction.
Now he is just destroying his life nd it really pains me to see this as despite my anger for his foolish decision, I think he will have to start from scratch when he gets over it. And, eventually, if you small-talk people enough, you start to talk about things which are more serious.
We worry about her as the daughters take advantage of her and take her money and feel entitled to her never ending support. Terrible things happened while she was trapped there and she was forced to take a cocktail of drugs that made her sick. Isn’t his doctor the one who can take the decision of putting him into hospital or should we take it? She spent the week trying to convince them to let her go and wondering if we might have abandoned her.
Each of us as parents know that it must be so difficult to say no to our children and we want to protect them but, when do you say enough ?
Now she is so traumatized she suspects anyone who suggests she take ANY medicine that she wasn’t already taking before the episode.
Now a week has passed and she is starting to slip back into speech and behaviors that are incomprehensible to anyone but herself. About the only treatment she doesn’t oppose is a councillor who saw her once before when she was having relationship problems, and she has agreed to see a psychiatrist as long as we find a female doctor. Now he doesn’t live with us anymore but he has been obsessed about taking custody of the kids as he says I am an unfit mother.
My fear is that by the time I can find the doctor she wants and get her an appointment she will be completely lost again.

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