Oh trust me #2 is very true. Maybe not with the mood disorders, but certainly with the psychotic disorders. If only I had a dollar for every time a delusional pt tells me, "No, don't you see, the police CAME into my house and left those three beans in my colander to harrass me, you must be Tue crazy one if you don't believe me". #1 is so true. If I had a psychotic disorder, I would rather have hallucinations than delusions. Hallucinations are far easier to treat with meds than delusions. Once we get into delusions, you're dealing with a person's core beliefs and damn if that isn't hard. Thank you for this. It's helpful to know people out there understand that the mentally ill don't leave their somatic issues at the door. In fact many of them get substandard somatic care because , "its all in their head". As a nurse and a person with Bipolar type 2, I thank you.