Why do families of people with mental illness think that it is the patient’s inability to think that they have the illness? Many family members of patients, think this way because they equate common psychological problems with mental illness. They think that mental illnesses, like psychological problems, are caused by certain psychological factors. This is actually not the case. Psychological problems refer to specific and definite factors such as interpersonal relationship, marriage and emotion, or study and work, resulting in psychological conflict, confusion and adverse experience. For example, the psychological dilemmas caused by loss of love, divorce, unemployment, etc. are all within the scope of psychological problems. The person concerned will often be very distressed, and if it can be changed, most of them will take the initiative to seek help, or at least passive help, such as solving the problem with the help of others. At this point in time, psychological factors are the cause of the psychological problem and there is a direct causal relationship. Whereas mental illnesses can occur with or without predisposing factors. That is, some mental illnesses can occur with no triggers at all. For example, schizophrenia, or depression. An elderly patient with depression once said, “I have no burden now, my children are working and filial, and I have a lot of retirement pay, so how can I be depressed? In fact, depression, as a mental illness, can be completely endogenous and has nothing to do with the external environment. It is within the body, specifically in the brain, certain chemicals, such as pentazocine, its concentration in a certain part of the decrease, the inner experience and external manifestations, is depression. As to how this decrease in concentration occurs, the mechanism is not entirely clear. It may be related to certain endocrine changes in the brain, or it may be related to the seasonal climate, or it may be related to the expression of certain genes. But in any case, it is just not possible to find an explanation for mental illness in the current life circumstances. Sometimes, it is possible to find some factors that are related to the occurrence of mental illness, but not enough to explain why it leads to mental illness. For example, this factor would not lead to mental illness in many people; or in the past, it would not have led to mental illness for the person in question. However, here and now, it induces mental illness. The psychological factor at this time is no longer the cause of the mental illness, but the causative factor. There is no causal relationship with the mental illness. Its effect is the equivalent of a lit fuse, or a pulled trigger. It simply triggers the mental illness. But many people do not understand the cause and effect relationship, even if the family suffers from mental illness, but also reluctant to go to the doctor, and always fantasize through the “change of environment”, or let the patient “to hold in the heart of the words out”, and other non-pharmaceutical methods to solve the mental illness. In fact, this will delay the time of treatment. Do counseling and psychotherapy work for mental illness? Yes! However, there are conditions. For example, if you choose medication first, psychotherapy is best when your condition is in partial or substantial remission. Other times are not impossible, but the effect is limited in time and the effect is superficial. Some routine psychological support, psychological suggestion, will basically meet the needs of treatment. Of course, if the patient can like and insist on doing a long course of psychoanalytic treatment, it is also possible.