I know some people who choose not to take their meds & use alcohol & crack instead. They do this probably because the meds offer only a partial solution to their problem & the alcohol & crack offer instant gratification. It is their choice to do this but once they do this they lack insight into their behavior. Some of them lack insight into themselves at the core & are not responsible for their choices. Sometimes it's hard to tell the two apart. I know because I work at a drop-in center for the homeless mentally ill. Some of these folks don't use drugs, but the medication still doesn't work. It's very sad. I'm grateful I have insight enough to take my medication. It's a choice for me. I choose to get better.
BTW, I liked the poem by ellen bass.
Jody