Stigma

Medication feels like weakness, madness, shame, identity threat

RoutineReview due

At a glance

Watch forDisengagementconcealmentfamily conflicttreatment dropout

Altered reality testing drives refusal rather than simple preference.

Separates the Treatment Refusal / Non-Adherence / Poor Insight group. It is not specific to Stigma.

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

Medication feels like weakness, madness, shame, identity threat

Key features

Disengagement, concealment, family conflict, treatment dropout.

High-risk causes4 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.