Immediate time pressures
Having an uncertain schedule or no schedule around which to plan to take ones medications or do one's treatments Having too much structure (e.g., a schedule with no breaks or a schedule that begins too early) which interferes with morning treatments Difficulty finding time to do one's treatments or medications Feeling too tired for therapies Feeling too rushed to complete therapies Forgetting to complete therapies Busy schedules of both adolescent and household that affect both the adolescent's ability to fit all the treatments in and parent's ability to keep track of adolescent's treatment Awareness of disease trajectory
Recognizing the potential for futility in adhering to a therapeutic regimen Avoiding therapies in favor of other activities due to a sense that life may be limited Trade-offs between completing therapies and other life goals Recognizing the potential for futility in adhering to the therapeutic regimen Competing priorities
Making trade-offs between completing therapies and other goals, such as a desire to succeed at school or in one's career Resenting time spent doing treatments, away from other life activities Parental priorities: that is, choosing one's battles, dealing with other adolescent issues, not wanting to jeopardize the parent-child relationship by continuously focusing on therapies Privacy concerns
Wanting to be “normal”; not wanting to seem different or disabled Self-consciousness about taking medications at school Not wanting to bring equipment outside the home to friends' homes Parent wanting their child to be seen as healthy Lack of perceived consequences
Not recognizing or taking seriously the value of treatments Thinking that adherence to therapies “makes no difference” in how one feels Thinking there is no need for therapies if one feels fine Not seeing an impact on one's health right away from skipping treatments or medications
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