Cts" (P15) "I had a meeting at function the subsequent day so skipped my evening dose" (P9) "I had been coping nicely to get a important period of time" (P33)Subthemes `Feeling properly enough'; `Contending with sideeffects and symptoms' Service users had been asked to choose from a list of options that ideal described the  reasons for their unintentional non-adherence (Table 1). Analysis on the service users' accounts of their unintentional non-adherence suggested the theme `Obstacles to adherence' with two subthemes, `Feeling nicely enough' and `Contending with side-effects and symptoms'. Therefore while 17 service users reported that they had forgotten to take  medication (Table 1), inside this group the experiences described differed notably. For some, forgetting appeared to become a function of `Feeling properly enough', that is definitely, of a remission of symptoms andor being busy or normally engaged with everyday life "Just forgot also busy at work" (P15) "Somehow I forgot to take the medication, possibly because I was feeling well" (P25) For other people `forgetting' was a part of the experience of "Contending with side-effects and symptoms" "last evening I forgot to take my lithium because I was as well tired and didn't want to feel sick" (P23) "Last week, was awake for 3 days did not take any medicine during this period" (P14) This also incorporated aspects of loss of motivation "too mentally and physically tired to get out of bed and fetch medicationwater" (P27) "I did not really feel like undertaking something and taking medication was among those things" (P37) too because the encounter of symptoms straight impacting on adherence, which includes delusional thoughts or fears about medication, hopelessness, hallucinations,Gibson et al. BMC Psychiatry 2013, 13153 httpwww.biomedcentral.com1471-244X13Page six ofFigure 1 Service user satisfaction with medication.Figure two Service user satisfaction with help.Gibson et al. BMC Psychiatry 2013, 13153 httpwww.biomedcentral.com1471-244X13Page 7 ofmania or beliefs in regards to the impact of non-adherence on symptoms "I wanted to understand what I actually thought and I believed that the medication was controlling my thoughts - so it had to become stopped" (P35) "Too low felt there was no point as was going to kill myself anyway" (P15) "I am hearing terrible voices and they occasionally inform me that the medication is poison" (P7) "I was higher as a kite" (P4) "Thought I might feel superior if dose missed occasionally" (P16) Additional, where service users reported sensible difficulties these may well in some cases be understood as combining with side-effects or symptoms with a resulting enhanced influence "I was stuck within a flat with little power just after getting on two lots of medication sleeping 16 hours or extra with no transport" (P24) 1 shared element of your two themes presented so far will be the way in which decision-making and behaviour tends to be in response to the day-to-day challenges and demands of living having a extreme and enduring mental illness, rather than on longer term considerations. This will be discussed below.therapy suggestions with their medical professional. A few of the factors for not discussing non-adherence connected to concerns concerning the consequences, accessibility of wellness care experts, or to the service user's personal state of thoughts "in worry he may take me off the haloperidol" (P7) "frightened of getting sectioned" (P27) "I never see the doctor for an additional six months" (P3) "I did not want to interact with anyone" (P18) "too ashamed" (P26) In other situations service customers described a connection in wh.Cts" (P15) "I had a meeting at function the next day so skipped my evening dose" (P9) "I had been coping well for a considerable period of time" (P33)Subthemes `Feeling effectively enough'; `Contending with sideeffects and symptoms' Service customers had been asked to pick from a list of alternatives that most effective described the factors for their unintentional non-adherence (Table 1).