People living with a mental health disorder don't always make the best decisions when enacting healthy living behaviors in their life.

In most cases, the nature or manifestation of mental health symptoms interfere with people making better choices for healthy living. Indeed, severe cognitive disruptions may interfere much more with identifying healthy decisions.

Without an ongoing and straightforward thought process, people have little hope but to hope that their choices will pan out and work for them. Therapists and peers familiar with mental health disorders know that bizarre thoughts can mean strange and less productive actions and behaviors.

Even worse, a fixed or solvent delusional system even slightly enmeshed into a thought process may result in unhealthy choices and decisions, resulting in unfavorable mediating factors and behaviors with poor outcomes in terms of healthy lifestyle choices.