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  • Tell them to stop medication immediately
  • Assess side effects, educate on management strategies, discuss alternative medications with the physician, and provide support to maintain adherence
  • Tell them to ignore side effects
  • Only focus on the diagnosis
  • Report non-adherence immediately
  • Implement Directly Observed Therapy (DOT), provide incentives for adherence, address barriers (e.g., food, shelter), and connect to support services
  • Tell them they will not get better
  • Only provide written instructions
  • Advise stopping immediately if feeling better
  • Educate on the importance of gradual tapering of steroids to prevent adrenal insufficiency, and to never stop abruptly without physician's order
  • Advise taking more if feeling better
  • Tell them it's safe to stop suddenly
  • Only focus on adult mental health
  • Advocate for increased funding for school-based mental health programs, early intervention services, and integration of mental health into primary care for youth
  • Ignore mental health in youth
  • Only provide individual counseling
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