The severity of a patient's expressed symptoms, their willingness to engage socially and their ability to manage their situation and the changes that treatment has made to their situation all have been identified as barriers to promoting disobedience towards their treatment. Patients who were able to participate in department activities and group sessions, as well as patients who were able to understand their condition, were more successful in completing their treatment plans. Patients who believed their medications helped them get better also seemed more willing to adhere to treatment than those who did not believe their medications helped. Overall, patients who were engaged in their treatment had better outcomes than those who were not (Timlin, Riala, and Kyngas,