Hmmm perhaps there is to much empathis on 'compliance' I mean typically that term is used to indicate that one should obey an authority figure. Just does not seem appropriate. For instance say a mom asks their kid to check the mail on the way home, well before the kid makes it to the mail box they step on a large shard of glass and are bleeding so bad they have to go to the hospital........Did the child not comply by being unable to check the mail?

Point being sometimes there is a very valid reason as to why the patient isn't following the treatment plan or making the expected lifestyle changes or improvements. And it can be very dis-validating when the psychologist, therapist or whatever treats it as though the patient could have just done it and simply refused out of blatant disrespect or just because. Even if its a flawed reason chances are it is quite convincing and real to the patient experiencing it.

Also I just noticed something....'physicans cannot help patients who don't help themselves.' well I thought in the case of mental health people seeked out the help of mental health professionals because they cannot help themselves and need help. So isn't it sort of in the job description?