NO DRUG THERAPY IN PRIMARY CARE (ASSESSMENT & ADVICE)
Covers a patient's difficulty accepting or adhering to treatment for a known illness; the GP addresses the underlying concerns, health beliefs, or side-effects driving poor adherence, since this is a counselling issue rather than one treated with a specific drug. - Assessment and advice
Children follow the same pathway: assessment, explanation and follow-up. No primary-care medicine is implied.
No dose - no medicine is given for this in primary care
Covers a patient's difficulty accepting or adhering to treatment for a known illness; the GP addresses the underlying concerns, health beliefs, or side-effects driving poor adherence, since this is a counselling issue rather than one treated with a specific drug.
- No medicine is prescribed for this in primary care. The value of the consultation is recognition, explanation and follow-up, and referral if the red flags above appear.
- RED FLAG - Patients using maladaptive coping mechanisms (avoidance, disengagement) are at higher risk for health-risk behaviors such as cigarette and alcohol use.
- RED FLAG - Avoidance coping styles are correlated with underlying psychiatric disorders including PTSD, anxiety, and major depression, as well as more severe somatic symptoms.
- RED FLAG - Non-adherence to treatment for a serious condition such as insulin, antihypertensives, or antiretrovirals, risking real harm, or underlying depression or denial affecting illness acceptance.