Abstract
Youth with severe mental illness who are nonadherent present a particular challenge to the clinician and to their families. Strategies that incorporate psychodynamic understanding of the youth and their family will be presented to describe ways in which the clinician can intervene to enhance adherence by a deeper understanding of the youth. As psychotherapy research has developed, there is a greater appreciation for the importance of the relationship to enhance treatment adherence for youth with severe mental illness. Individual and family strategies that incorporate psychodynamic understanding of the youth have been used to enhance adherence.
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