Identifying and improving non-adherence in bipolar disorders

Abstract

Objectives: To review the definition of non-adherence, its clinical and economic impact and identify its role and impact in clinical practice. Methods: A selective review of the literature as conducted of articles and literature known to the authors. Results: There is a paucity of studies examining specifically treatment non-adherence and its consequences in bipolar disorder. Few studies have systematically examined ways in which treatment adherence can impact treatment and improve outcome. Conclusion: Non-adherence is common in the management of bipolar disorder. Clinicians and Researchers alike need to remain alert and be aware of issues related to non-adherence - in particular suicide. Like other course-modifiers non-adherence has to be considered, sought and addressed, and this is perhaps best done by including psychoeducation in routine clinical care. © Blackwell Munksgaard, 2005.