Thank you for drawing attention to these considerations. The relationship between diagnosis, medication adherence, and recovery is so important. I feel it is critical to provide psycho-educational support to clients and families on an ongoing basis, as immediately following a first episode or diagnosis the client and family may feel resistant to or hesitant about the diagnosis. These are moments of substantial personal stress and are often imbued with feelings of guilt and stigmatization. Revisiting conversations on the nature of medications, long term-impacts, and efficacy of pharmaceutical interventions at regular intervals may help facilitate medication adherence.
It is also important to understand that non-allopathic models of psychosis do not necessarily adhere to an understanding of psychotic disorders that aligns with the dominant western models, including understanding psychological wellness in a more holistic and comprehensive capacity. This can include preferencing cultural and ceremonial intervention, as well as conceptualizing psychotic episodes as transient experiences during moments of disequilibrium rather than enduring formal diagnoses. Finding a balance between operating from the lens of biomedical care and honoring distinct understandings of health and wellness is deeply challenging but critically necessary in allowing for not just client-centered but client-directed care.