I have represented forensic psychiatric “patients” for 15 years. I go to their monthly treatment plan reviews, advocate for their preferences with their treatment teams, and litigate for them in the criminal or mental health court system. This is my entire, full-time law practice in Illinois. I can honestly say that no forensic “patient” who is released into the community on a presumption that he or she has gained “insight” and will therefore continue to take psychotropic medications will ever do so, if they can possibly avoid it. Every one of them will stop taking meds as soon as they believe they can get away with it. The “insight” they gain in the institution is all about how to lie convincingly, even to themselves. Nobody ever believes, deep down, that the drugs are restorative or good. They only know that it might be difficult to stop taking them. Sometimes they look for someone to blame for that, and for revenge.