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  • Limited access to healthcare

  • Poor relationship with healthcare provider

  • Primary care to specialist

  • Inability to express concerns

  • Unfavorable personal attitudes toward treatment

  • Poor follow-up from patient and provider

  • Potential psychotic episode or issues

  • Potential low education level

  • Financial issues

  • Potential co-morbidity issues

  • Poor health literacy

  • Lack of insight

  • Perception of medication effectiveness

  • Delayed onset of medications

  • Discontinuation when they feel better

  • Denial from diagnosis through treatment

  • Lack of awareness regarding depression

  • Lack of confidence, especially with poor self-esteem issues

  • Significant behavior change required

  • Cultural issues

  • Lengthy psychiatric history

Lifestyle-related factors that have been identified as potential barriers to medication adherence include the following:

  • Current living situation

  • Financial issues

  • Employment

  • Family/care giver support

  • The need for other social services

  • Legal issues

  • Abuse

  • Immigration or other cultural barriers

  • School problems

  • Language barriers

Depression

Notes

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