{
  "schema_version": 1,
  "kind": "condition",
  "id": "own-illness-problem",
  "name": "Problems Coping With Own Illness",
  "category": "chronic",
  "sources": "ICPC-3 (WONCA International Classification of Primary Care, 3rd edition) - condition scope only, no dose · Medicines adherence: involving patients in decisions about prescribed medicines and supporting adherence (NICE guideline CG76) - https://www.ncbi.nlm.nih.gov/books/NBK55438/ · No dose - no medicine is given for this in primary care",
  "review_status": "reviewed",
  "verified_against": "No dose - no medicine is given for this in primary care · Coping Mechanisms - disease-level clinical article (own-illness-problem-clinical.txt)",
  "verified_date": "2026-08",
  "treatments": [
    {
      "id": 1298,
      "generic": "No drug therapy in primary care (Assessment & Advice)",
      "line": 1,
      "is_adjunct": false,
      "form": null,
      "strength_mg": null,
      "adult_dose": "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.",
      "adult_duration": "Assessment and advice",
      "dose_source": "No dose - no medicine is given for this in primary care",
      "rationale": "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.",
      "cautions": [
        "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."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "Children follow the same pathway: assessment, explanation and follow-up. No primary-care medicine is implied.",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [],
      "condition_id": "own-illness-problem"
    }
  ]
}