There were other reasons, too. Meds didn’t necessarily revert a person to normalcy, though they might mute the symptoms. Some patients grew attached to their delusions, some ditched the meds as soon as they felt better, and the nasty side effects were for real. Blunted emotions, drowsiness, nausea, tremors, decreased sex drive, high cholesterol and diabetes, and weight gain, which especially devastated young women. “And then there’s the stigma. High-functioning young woman like your sister, whole life ahead of her? She has her pride,” said Nurse Bob. “So denial is understandable, too. Right?”

