Table 4: Putting it all together.
Cognition | Cognitive flexibility | Adherence | Interventions |
Above average | Good | Very good. | Standard care. |
Above average | Limited | Fair. Likely to ignore treatment plan if it does not meet his/her wishes. May have narcissistic traits. |
Short term interventions.
Follow-up appointments to discuss concerns within days or weeks. Provide advice that can be experienced as attentive to their needs. |
Average | Good | Good, with support from others. | Give visual or easy to read information about illness and treatment. |
Average | Limited (due to isolated deficits in cognition that lead to frequent misunderstanding of information) |
Fair, due to executive function and social cognition deficits. | Involve significant others and family when possible. Make use of reminders by staff sending texts or emails every few days. |
Learning weakness Below average | Limited (due to deficits in social cognition) | Poor will require significant support from others with better cognitive abilities. | Use short term interventions and repeat back of information. Follow-up with reminders of treatment recommendations by staff sending texts or emails every few days. |
Intellectual disability | Limited | Limited and will need significant support. | Will need responsible parties with good cognition and cognitive flexibility. |