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attempt (carbon monoxide and having left a note!) supports this view.

      We have drawn an agreement between her and her mother that she needs to ensure that she takes her medication before 11:30 p.m. and are hopeful that will work.

      This is exactly the right thing. And from the doctor's point of view, I think you should not have the expectation of a transformation. This is a serious illness that unfortunately has a guarded prognosis. What I am saying is that you should not be demoralized if she is not cured. Doctors who have high expectations of their patients are carrying the risk of making themselves vulnerable to disappointment and eventual burnout (Maratos, 1996). The issue of burnout among healthcare workers is of enormous significance. I attached references from the extensive bibliography that the reader may find useful (Maslach et al., 2001; Maslach & Leiter, 2016; Pines & Maslach, 1978).

      1 Maratos, J. (1996). Professional burnout. In G. Manthoul, M. Manthoul, E. Besevegis, & A. Kokkevi (Eds.), Contemporary psychology in Europe. Theory, research and applications (pp. 301–311). Hogrefe & Huber Publishers.

      2 Maslach, C., & Leiter, M. P. (2016). Understanding the burnout experience: Recent research and its implications for psychiatry. World Psychiatry, 15(2), 103–111.

      3 Maslach, C., Schaufeli, W. B., & Leiter, M. P. (2001). Job burnout. Annual Review of Psychology, 52, 397–422.

      4 Pines, A., & Maslach, C. (1978). Characteristics of staff burnout in mental health settings. Hospital & Community Psychiatry, 29(4), 233–237.

      5 Rutter, M. (1970). Normal psychosexual development. Journal of Child Psychology and Psychiatry, 11(4), 259–283.

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