“…Complexities in schizophrenia are so challenging for researchers that most clinical trials fail, with only 20% to 30% of patients showing significant improvement over a placebo. 2 Psychiatrists, hospitals, and clinical staff are not well trained or equipped to manage patients with poor insight, and few institutions have effective protocols for engagement, medication, or therapies for anosognosia patients. The sickest psychiatric patients, those unable to recognize their illness, have been effectively carved out of the healthcare system.Obtaining life-saving medical care for patients with anosognosia has become increasingly difficult.…”