Adherence according to Mary Poppins: strategies to make the medicine go down.
OBJECTIVE
This article reviews the prevalence, risk factors, and burden of nonadherence in mood and psychotic disorders, and presents evidence-based, disease-specific strategies shown to improve adherence.


CONCLUSIONS
A comprehensive approach based on the goal of remission, designed around the patient's individual needs, facilitates adherence, leads to improved quality of life, and reduces disease burden.


CONCLUSIONS
Adherence in mood and psychotic disorders can be improved when providers take time to build trusting relationships; identify risk factors; anticipate nonadherence; individualize treatment; and educate patients, families, and other healthcare providers.
Hardeman
Suzanne M
SM
Division of Biological Research and Department of Neuropsychiatry and Behavioral Science, University of South Carolina School of Medicine, Columbia, SC, USA. shardeman@uscmed.sc.edu
Narasimhan
Meera
M
D002908:Chronic Disease; D003430:Cross-Sectional Studies; D006801:Humans; D055118:Medication Adherence / Q000523:psychology*; D054539:Medication Therapy Management / Q000458:organization & administration; D001523:Mental Disorders / Q000188:drug therapy / Q000451:nursing* / Q000523:psychology; D009042:Motivation; D009730:Nursing Assessment; D010353:Patient Education as Topic; D011619:Psychotropic Drugs / Q000008:administration & dosage* / Q000009:adverse effects; D014481:United States; D016903:Drug Monitoring
D011619:Psychotropic Drugs