Are physicians and psychiatrists aware of how much patients self meditate, swap meds with friends and drink alcohol? since i got out of the air force i have watched fellow veterans and other people as well exchange medicines. drink with the medicines and

Sometimes :-): No human can possibly know what others intend or are doing, unless the person tells it. Or, sometimes they may be seen by others who report it. I'm thinking you mean "self-medicate" rather than "self-meditate." I really hope my patients are meditating -- and they're welcome to do it without telling me. :-) It's very sad when they're uninvested enough in their health to swap meds.

Probably not so awar: In general, I think that doctors are no aware of the extent of this. But to some of us, it is also a matter of knowing one's patients. As a psychiatrist, an implicit or explicit assessment if made off how the patient will handle prescribed medications.

Self-medicating: It is a sad occurrence that is difficult to monitor at times, and can involve any branch of the medical field. Compliance with treatment is a way to pave the road toward recovery.

Yes at times: The only person these patients are fooling and hurting are themselves. Being honest with your doctor is always the best policy to insure you get the best treatment.