I would think that if a person KNEW they were insane they would ask for help....but much like a drug addict or alcoholic....there is a vast amount of denial due to living in their own world. I doubt they know how nuts they really are because their version of reality is vastly different than ours.
They hear and obey voices, they are paranoid, they are confused. Reality as we know it isn't within them. So, how can they be coherent enough to ask for help?
I think of kids who are horribly abused and there is really no wonder theygrow up all farked up. It's not an excuse....but if we could start there....helping them...maybe we could curb some of these bizaare behaviors of their adulthood.
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