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People who have schizophrenia have a distorted perception of reality, and tend to have delusional beliefs. They often do not understand that they have a mental illness, and even if they do understand that, they may not believe that they can be helped, or that psychiatrists could be trusted to help them. If they have paranoid schizophrenia, they will often think that other people are hostile toward them, even when those people are actually trying to help them.

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