It should be about Iranian adults, or we can use the middle east concept. I am using my mother mental health disorder. This disorder is hypochondriac. These patients don’t believe what the doctor says to them. They don’t have the trust to take medications. My mother googles the drug and see the side effect and didn’t want to take her medications. So we need to explain from engagement strategy how the psychologist should behave with these patients, become friends with those patients, and make them trust them. We can say in Iran or the middle east; psychiatrists have a lack of this ability. They just prescribed the medication and didn’t aware of the engagement strategy. Relate all engagement strategies to my mother and the psychiatrist. And talk about barriers; for example, my father doesn’t believe in mental disorders and always tell my mother that you should solve your problem, you should be strong. Even I explained to my father how brain has hormones, and the excess and lack of them may cause many mental disorders, he doesn’t accept it. ( old fashion cultural believes)