TREATMENT RESISTANCE

Treatment Resistance: An Overview

Treatment resistance is a phenomenon in which a patient does not respond to interventions and treatments designed to manage a health condition or disorder. This can occur in a variety of medical contexts, and is a challenge for clinicians, as it can lead to higher costs, increased suffering, and reduced quality of life for the patient. The purpose of this article is to provide an overview of treatment resistance, including its causes, its implications, and potential approaches to managing it.

Definition and Causes

Treatment resistance is best defined as the failure of a patient to respond to standard interventions and treatments designed to manage a health condition or disorder. This can occur for a variety of reasons, including non-adherence to treatment, the presence of comorbidities or interactions between drugs, or a lack of efficacy of the interventions used. Additionally, treatment resistance can be caused by biological factors, such as genetic or metabolic factors, or psychological factors, such as a patient’s beliefs or attitudes about their condition.

Implications

Treatment resistance has a wide range of implications for patients, including increased suffering, reduced quality of life, and higher costs. Treatment resistance is also associated with poorer health outcomes, as the patient may not be able to adequately manage their condition or disorder. Additionally, treatment resistance can lead to longer hospital stays and increased medical costs, as clinicians may need to use more expensive or aggressive interventions to manage the patient’s condition.

Management Strategies

A number of strategies can be employed to manage treatment resistance. These include improving adherence to treatment, re-evaluating the diagnosis and comorbidities, assessing the patient’s beliefs and attitudes about their condition, and exploring alternative treatments. Additionally, clinicians may need to adjust the dosage of medications, change the type of intervention, or use a combination of interventions to manage the patient’s condition.

Conclusion

Treatment resistance is a challenge for clinicians, as it can lead to higher costs, increased suffering, and reduced quality of life for the patient. This article has provided an overview of treatment resistance, including its causes, its implications, and potential approaches to managing it. It is important for clinicians to be aware of the risk factors for treatment resistance, and to employ strategies to address it.

References

Aghdami, N., & Alamdari, F. (2014). Treatment resistance: A review of definitions, mechanisms and management. Iranian Journal of Psychiatry and Behavioral Sciences, 8(2), 75–82.

Chen, C., Mu, Z., & Jiang, L. (2015). Treatment resistance in psychiatric disorders. Neuroscience & Biobehavioral Reviews, 53, 97–105.

Friedman, M. A., Safford, M. M., & Griffith, J. L. (2017). Treatment resistance: Causes, consequences, and strategies to improve care. The American Journal of Managed Care, 23(7 Suppl.), S123–S128.

Koen, N. (2018). Treatment resistance in psychiatry: Identifying causes and managing risks. Australian & New Zealand Journal of Psychiatry, 52(7), 622–631.

Mondelli, V., Pariante, C. M., & Dazzan, P. (2011). Treatment resistance in psychiatric disorders: A review of definitions, biological mechanisms and treatment strategies. Current Pharmaceutical Design, 17(2), 140–150.

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