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Cts" (P15) "I had a meeting at perform the next day

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BMC Psychiatry 2013, 13153 httpwww.biomedcentral.com1471-244X13Page 7 ofmania or beliefs regarding the effect of non-adherence on symptoms "I wanted to understand what I really thought and I believed that the medication was controlling my thoughts - so it had to be stopped" (P35) "Too low felt there was no point as was going to kill myself anyway" (P15) "I am hearing terrible voices and they often inform me that the medication is poison" (P7) "I was high as a kite" (P4) "Thought I may possibly really feel improved if dose missed occasionally" (P16) Further, exactly where service customers reported sensible difficulties these could occasionally be understood as combining with side-effects or symptoms with a resulting enhanced influence "I was stuck within a flat with small power after becoming on two a great deal of medication sleeping 16 hours or far more with no transport" (P24) One shared element of your two themes presented so far may be the way in which decision-making and behaviour tends to become in response to the day-to-day challenges and demands of PP58 In Vivo living with a severe and enduring mental illness, instead of on longer term considerations. For some, forgetting appeared to be a function of `Feeling nicely enough', that may be, of a remission of symptoms andor getting busy or usually engaged with every day life "Just forgot also busy at work" (P15) "Somehow I forgot to take the medication, maybe simply because I was feeling well" (P25) For other folks `forgetting' was a part of the knowledge of "Contending with side-effects and symptoms" "last evening I forgot to take my lithium simply because I was as well tired and did not want to really feel sick" (P23) "Last week, was awake for three days didn't take any medicine through this period" (P14) This also incorporated aspects of loss of motivation "too mentally and physically tired to have out of bed and fetch medicationwater" (P27) "I did not really feel like doing anything and taking medication was certainly one of those things" (P37) also because the expertise of symptoms straight impacting on adherence, including delusional thoughts or fears about medication, hopelessness, hallucinations,Gibson et al. BMC Psychiatry 2013, 13153 httpwww.biomedcentral.com1471-244X13Page 6 ofFigure 1 Service user satisfaction with medication.Figure 2 Service user satisfaction with assistance.Gibson et al. BMC Psychiatry 2013, 13153 httpwww.biomedcentral.com1471-244X13Page 7 ofmania or beliefs regarding the impact of non-adherence on symptoms "I wanted to understand what I truly believed and I believed that the medication was controlling my thoughts - so it had to be stopped" (P35) "Too low felt there was no point as was going to kill myself anyway" (P15) "I am hearing poor voices and they from time to time inform me that the medication is poison" (P7) "I was higher as a kite" (P4) "Thought I may feel much better if dose missed occasionally" (P16) Further, where service customers reported sensible troubles these may possibly sometimes be understood as combining with side-effects or symptoms using a resulting increased impact "I was stuck in a flat with little power after getting on two plenty of medication sleeping 16 hours or much more with no transport" (P24) One shared element in the two themes presented so far will be the way in which decision-making and behaviour tends to be in response towards the day-to-day challenges and demands of living having a severe and enduring mental illness, instead of on longer term considerations. This will be discussed under.treatment suggestions with their medical professional.