A 2015 study found that only 50 percent of people diagnosed with schizophrenia adhered to their treatment regimen despite the fact that antipsychotic medications effectively control psychotic symptoms in 70 percent to 80 percent of schizophrenics. In a separate study, 10 percent to 60 percent of patients claimed that they did not take their antidepressants regularly, and after 40 days most claim to stop taking the medication altogether, even if the response to the drug is positive.
Poor compliance is seen more quickly if there are side effects or if the condition worsens or doesn’t improve.
“Cost, side effects, personal beliefs, lack of social support and [other] substance abuse are all contributing factors that might make it difficult for people to take medication even if they are open to the idea,” said Preston.
What is pill shaming?
Pill shaming — mocking or making critical comments about people who take medication — is often directed toward people who support taking prescribed psychiatric medications for their mental illness.
With compliance already a problem, pill shaming makes it even harder for people to take these helpful medications.
“The big issue are the people who struggle with mental health issues who never get to a place where they see a psychiatrist or mental health professional,” Preston told NBC News on Monday. “I think there’s a large culture of self-reliance in America, that people ought to be able to handle their problems on their own. A lot of people believe taking medication is an admission that you haven’t been able to handle these issues on your own and you need some external help.”
More than 44 million adults in the U.S. live with a mental illness, with 1 in 6 Americans reporting that they have used some form of psychiatric drug. Talk therapy, such as cognitive behavioral therapy, and exercise are also commonly used in conjunction with medication in comprehensive treatment plans.
Some patients may worry that treating the disorder might crimp their creativity. But “most people, in the few studies that have been done, are as productive if not more productive once they’ve gotten treatment,” Kay Redfield Jamison, a professor of psychiatry at the Johns Hopkins School of Medicine and author of “Touched with Fire: Manic-Depressive Illness and the Artistic Temperament,” told NBC News in an earlier interview.
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