Psychosis-related poor insight

Denies illness, sees treatment as harmful/controlling/persecutory

RoutineReview due

At a glance

Watch forRefusal of essential treatmentescalating violencesevere self-neglect

Altered reality testing drives refusal rather than simple preference.

Separates the Treatment Refusal / Non-Adherence / Poor Insight group. It is not specific to Psychosis-related poor insight.

Rows marked “Whole group”: Applies to the Treatment Refusal / Non-Adherence / Poor Insight group — not specific to Psychosis-related poor insight

Denies illness, sees treatment as harmful/controlling/persecutory

Key features

Refusal of essential treatment, escalating violence, severe self-neglect.

High-risk causes3 causes

Applies to the Treatment Refusal / Non-Adherence / Poor Insight group.

Altered reality testing drives refusal rather than simple preference.

Helpful clues

Applies to the Treatment Refusal / Non-Adherence / Poor Insight group.

None listed

Priority steps

Applies to the Treatment Refusal / Non-Adherence / Poor Insight group.

None listed

Core tests

Applies to the Treatment Refusal / Non-Adherence / Poor Insight group.

None listed

Consider

Clinical reference — not validated decision support. Review before use.