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I'm currently seeing the crisis team as I'm hearing distressing voices and feeling suicidal. I am due to see the team doctor tomorrow to review my medication as I told them it had been six weeks since I had taken my medication (Aripiprazole and Sertraline). This is strictly true as it's been six weeks since I last swallowed a tablet but it's been about six years since I took any medication consistently. I hate swallowing tablets and often have difficulty doing so. I gag and cough them up again, even small ones. It usually takes several attempts to take them by which point the tablet has started to disintegrate and tastes disgusting. Because of this I avoid taking any meds that don't feel necessary - I'll take pain killers if I'm in pain but not the meds I'm prescribed for mental health symptoms. I take them from time to time if the symptoms seem bad. I know these meds need to be taken on a consistent basis and I always have good intentions to do so. I just never carry through. In the past I have told my psychiatrist I have difficulty taking pills and have as a consequence been put on depot injections and liquid lithium but even then I found myself avoiding taking them. I was always paranoid my lithium blood levels would give away that I wasn't taking it properly. I can't fully explain my reluctance to take meds but it's there and probably a major reason why I keep having these crises. Should I tell the psychiatrist this tomorrow? Can I be forced to take medication?
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