So, my schizophrenic patient is telling me she doesn't want to take her very much necessary medication, because she doesn't like how it looks.
"If you don't take the medicine, you're crazy."
[long, awkward silence]
"I didn't mean it like that."
"No, it's okay, I am crazy. I know I'm crazy."
"You're not crazy, you have an actual illness. I didn't mean to call you crazy. The medication is important."
"Well, if you think I'm taking it, you're crazy."