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nicholus_h2 t1_j1f2qy0 wrote

I mean, that's the rub, isn't it?

People with serious psychiatric illness oftentimes have poor insight and poor judgment, which is part of their illness. They don't always appreciate that anything is wrong, or might feel that something is wrong, but can't figure out why and the paranoia makes it hard to trust people / doctor's.

Paranoid delusions and/or delusions of grandeur are much harder to reality test for people who are, legitimately, at the top of the world.

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