Stage 7: Shared Decisions & Prescribing in the Encounter
Concept 4 of 8
E7.4

Adherence

Half of patients don't take psychiatric medications as prescribed. Build adherence into the prescribing — don't treat non-adherence as character failure.

Encounter card
Setting
Every prescription, every follow-up. Adherence is a clinical outcome, not a patient trait.
Opening move
Ask non-judgmentally. Assume some missed doses; ask about them specifically. Address barriers — side effects, beliefs, cost, complexity, forgetting, ambivalence.
Sample language
  • "Most people miss doses sometimes — how often have you missed yours this week?"
  • "What's getting in the way?"
  • "Tell me about the times you don't want to take it."
  • "Would simplifying the schedule help — once a day instead of twice?"
Listen for
Specific barriers (side effect that bothers patient, belief that medication should be temporary, financial barrier, complex schedule). Ambivalence about treatment. Cultural or family pressure against medication.
Common pitfalls
Asking "are you taking your medication?" (closed, leading). Assuming non-adherence = noncompliant patient. Failing to address financial cost. Failing to address simplifying regimen.

Red flags / escalate: Stopping a medication abruptly without telling clinician (especially psychotropics with discontinuation syndromes). Adherence concerns with medications where non-adherence is dangerous (lithium, clozapine, MAOIs).

Documentation
Specific adherence pattern documented. Barriers identified. Interventions to improve adherence.

Adherence is a clinical outcome to be built. Build it through SDM, simple regimens, side effect management, and ongoing conversation.

Warm grey-tinted clinical notebook page, muted teal accent. Asking about adherence non-judgmentally — assume some missed doses, ask about them. Sample script. Margin clusters on the framing.

Adherence — taking medications as prescribed — is a clinical outcome to be built, not a patient trait to assume. Roughly half of patients with chronic medical conditions don't take medications as prescribed; psychiatric medications often have lower adherence than other chronic conditions. Treating non-adherence as character failure misses the clinical opportunity to address it.

Ask non-judgmentally. "Most people miss doses sometimes — how often have you missed yours this week?" The framing assumes some missed doses and normalizes them, which produces more honest answers than "do you take your medication every day?" — a question patients often answer "yes" defensively, even when the answer is actually no.

Specific barrier categories shape the response. Side effects that the patient finds intolerable. Beliefs about medication (it's "addictive," "shows weakness," "shouldn't be needed"). Cost — the medication that isn't affordable isn't being taken. Complexity — the TID regimen that's hard to maintain. Forgetting — the dose missed because the patient was busy. Ambivalence — the patient who isn't sure they want to be taking the medication. Each has a different intervention.

Match intervention to barrier. Side effects → discuss specifically, adjust dose, switch agent if intolerable. Beliefs → psychoeducation about the actual mechanism. Cost → switch to generic, use patient assistance programs, choose less expensive options. Complexity → simplify regimen, switch to once-daily formulations. Forgetting → pill organizers, phone reminders, anchor to daily routines. Ambivalence → motivational interviewing, exploration of underlying concerns.

Build adherence into the prescribing. Choose once-daily formulations when possible. Discuss expected side effects at the start so they don't surprise the patient and trigger discontinuation. Use long-acting injectables for adherence-limited illness when appropriate. Plan follow-up frequency to support engagement during initiation. Each of these decisions affects adherence before the patient takes the first pill.

The non-adherent patient is rarely a non-compliant patient in a character sense. They're a patient whose specific barriers haven't been identified and addressed. Identify the barriers; address them specifically; document the work.

Barrier categories — side effects, beliefs, cost, complexity, forgetting, ambivalence. Each has a different intervention. Margin notes on matching.
The anchor

Adherence is a clinical outcome, not a patient trait. Ask non-judgmentally, identify specific barriers, address them. Half of patients miss doses; build adherence into the prescribing.

Interventions to build adherence — SDM at prescription, simplifying regimens, addressing side effects, LAI for adherence-limited illness. Margin clusters on the toolkit.
Prove it

A patient on sertraline 100mg for depression says "I take it most days but sometimes I forget on the weekends." How do you respond?

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