My apologies - somehow this turned into a rant.
So frustrating that anosognosia being a symptom is not better known or understood. I know that you have expressed this frustration in other posts.
When my older child with high functioning autism was in elementary school, the teachers wanted to talk about his knowledge and high scores. We would want to talk about his progress with his social skills. They would go silent.
Nowadays, when I talk to my younger adult child’s psychiatrists, they always want to marvel at his retained cognition. He is an extremely well read college graduate with a strong background in math and science. Glad they seem to take such pleasure in the rareness of his retained cognition with scz, at least someone does, because he can’t take any pleasure in it at all anymore. To be extreme - my emotion here is like I am presenting them with a dead rat and they marvel at what a pretty rat it is. I use the rat (apologies if the rat community feels slighted -totally unintended) as it feels like they see my son as an interesting specimen due to this retained cognition issue.
While his last psychiatrist does seem to be correct that within certain perimeters he is having “success” living on his own working part-time with ssi and ssdi making it possible, trying to feed himself on $147 a month. BUT - what if meds could make it even better? His paranoia has him living in constant fear -come on people!! How can the laws keep ignoring my son’s suffering? My son’s life is one crucial step better than life on the streets - and that’s not good enough in my mind.
His most recent doctor wanted to stress how much better he was off than many- I felt as though that doctor doesn’t see him as an individual.
I think its criminal that the laws keep me from having him medicated. He would never choose to be unmedicated if anosognosia wasn’t in the way. The laws have moved but, so far, here, they have only to made it easier for judges to order meds for the frequently hospitalized or jailed. My son is neither.
So little is known about anything medically when the brain starts misfiring, its exhausting.