It's quite a bewildering struggle. You need hope to overcome the downward spiral and grow where you can, yet the experience is often so hopeless. You don't want to admit defeat - you have to survive. To admit defeat is like dying in your soul. So we fight with everything we can. We get told we have "anosognosia" and don't realise how sick we are (another kick in the nuts of hope). Then when we fail to function adequately, we get the benefits of social rejection or scorn (another kick), and we have to recognise we need help. We find ourselves unemployable, or building up a stockpile of failure experiences that nail hope to the coffin lid from the inside. So when we find ourselves considering the status of "disabled" and dependent (on the state or our families) we kind of have to justify to ourselves and others that we really are sick enough to be such a burden. So we embrace a label and identify with a diagnosis. Wow! That sure is motivating for recovery. (sarcasm).

I think our pdocs need to understand this dynamic and the need for survival of our souls before they tick the box "anosognosia" or "non-compliant". Or perhaps they do, but their idea of recovery from mental disability is somewhat tempered with expectations of failure.