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change dramatically if you shift your focus to what the individual wants and his/her perspective of what is important about medication.

Individual education, psychological treatment, and the two efforts combined were substantially more effective than no intervention in improving adherence to antidepressant therapy.62 The Internet has rapidly become the most popular place for individuals to learn about healthcare topics. While brochures in a healthcare professional’s offices may begin the education process of an individual seeking knowledge about depression, the Internet supplies the detail. There are numerous sites that have reliable information about depression. It is important to note that the ability to read and understand materials is very important, as is the drive to learn this material. In addition, selecting the preferred method of learning, such as a lecture, a reading, a demonstration, or a video, are equally important. Finally, if there are cultural influences that will affect the learning process, they should be identified, as well as any other obstacles to learning.

Medication knowledge requires the individual to do the following:

  • Understand the administration of the medication.

  • Understand the importance of taking all the medications.

  • Strive not to skip or miss doses.

  • Know what to do if a dose is missed.

  • Recognize side effects.

  • Accept the presence of side effects.

  • Understand the importance of lab work and that tests are important to

prevent potential harm to major organs (kidneys, liver, bone marrow).

  • Call a physician before stopping any medication.

  • Always discuss with a psych physician any new medications ordered by

another physician or use of OTC medications.

Motivational Tools

Motivational tools may be effective for the individual with depression. Be aware that the care manager is not the counselor. There is a fine line that this professional must walk with these interventions. Remember to communicate not only with the depressed individual but also with the full interdisciplinary team. Tailored care to each individual is paramount. Observe coping methods throughout these interventions and always consider the current state of mind of the individual and his/her ability to process information. Avoid situations or discussions that may produce embarrassment or become overwhelming. The stigma of mental illness may create challenges for the individual. Assessment of the individual’s motivation must be balanced with the potential of stigma or embarrassment.




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