This page is from a book called “From Strangers to Ourselves: Unsettled Minds and the Stories The Make Us” by Rachel Aviv.
The degree of “insight” a person is seen to have is what determines their treatment. I am quite fortunate in that my mental health team think I usually have excellent insight. The flip side is that they equate insight with the degree of my distress and pain i.e. my pain isn’t great because I have excellent insight into it. So I don’t get help. You can’t win. They try to lock me up and force medication on me when I’m not asking for their help, but when I am severely depressed and suffering the worst pain and trauma imaginable, I am just left to deal with it alone.