Offer to discuss the concerns and name the involved persons of the family Offer information about medications before prescription  Discuss the information actively  The information should include the name , mechanism, effects and side effects of the medication Involve the patient in decisions Recognise and address the concerns of the patient as treatment progresses For schizophrenic patients, social and family support be ensured

Illness in the the patient needs treatment from the clinician in your environment   Illness related factors eg lack of insight Patient related factors eg personal beleifs about the illness Treatment related faactors like side effects or cost Clinician related factors eg ignoring patient's autonomy Environmental factors eg beleifs of the society 

I ACE I mpulsive A ntisocial  C old E gocentric 

PEN Psychoticism Extroversion Neuroticism

More PADS Mood disorders, (chronic) Medical conditions especially epilepsy Personality Disorder Alcohol abuse Drug  abuse (other), DSH past history Schizophrenia * DSH deliberate self harm

Predominant mood in grief is feelings of emptiness and loss , while in depression, one has a persistent low mood and anhedonia .  Mood in greif improves over days to weeks in waves , while it is persistent in case of depression. In greif there may be waves of positive feelings including humor as compared to depression where , there is only low mood.  The grieved person is preoccupied with memories of the deceased, depression on the other hand is characterised by the depressive cognitions of guilt, pessimism, hopelessness, worthlessness. 

Trust your Autonomy and Initiate the Industry , or your idenity will be isolated rather than self integrated . Trust versus mistrust  Autonomy versus shame and doubt Initiative versus shame and doubt Industry versus inferiority  Identity versus confusion Intimacy versus isolation   Generativity vs self absoption Integreity vs despair