References: (videos) Evidence-based Strategies for Addressing Burnout and Enhancing Well-being

Patrick Smith is a 33-year-old male who has previously been diagnosed with Paranoid Schizophrenia and has been on antipsychotic medication for the past 5 years. However, Patrick has stopped taking the prescribed anti-psychotic medication for approximately the last 3 months. Patrick complains they make him put on weight and make him feel “weird”. Typically, “weird” feelings include making him walk or pace all the time as “my legs feel restless” and he has put on 10 kilos of weight since taking the medication. The GP has previously explained to Patrick that antipsychotic medication for schizophrenia or other illnesses can cause type 2 diabetes when Patrick was diagnosed with type 2 diabetes one year ago. The GP explained the mechanisms for developing diabetes are due to the side effects which are drug-induced weight gain and a direct metabolic effect as the medication causes insulin resistance. Patrick has not followed the GP advice around dietary changes, increasing physical activity, and was only checking his BGL sporadically and taking some oral medications (Metformin 2g), intermittently to control his blood glucose. He is now required to self-administer insulin (Lantus® – glargine insulin – a long-acting insulin once a day) but has so far been non-adherent. His most recent HbA1c was 10.1%. three priority fro above

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