Lack of insight is one of the defining characteristics of psychotic illness. Lack of insight entails a failure to accept that one is ill and to appreciate that symptoms are due to illness. In the International Pilot Study of Schizophrenia (5) lack of insight was the most prevalent symptom reported in schizophrenic patients. It occurred in approximately 90 per cent of cases. Insight is often partial. In particular, even in instances in which a patient acknowledges suffering from an illness, he or she might fail to accept that psychotic symptoms such as delusions or hallucinations are a manifestation of that illness. Lack of insight is one factor that contributes to unwillingness to accept treatment. However, the clinician should be aware that other factors, including lack of appropriate education about the illness and justified fear of side-effects of treatment, can also impede the development of a therapeutic collaboration between physician and patient.

Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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