There’s also that they might be sane enough in the moment to refuse treatment but not sane enough long term to improve, stop, or be aware that they’re causing that much of a problem.

[Proofreading edit: The following is mostly me working through some stuff, but it might still be relevant? It’s certainly apt if it’s some guy rambling about something and nothing and disturbing people though.]

I say this as someone currently with agoraphobia, and bus-phobia, which, yes, is the exact opposite of a problem passenger (can’t be a problem if you’re not on the bus), but I can easily see myself in their shoes. In fact that might be part of the bus-phobia. Force me onto a bus and I don’t know how I’ll react. I don’t want to be that guy.

Also, I’ve kind of lost confidence in treatment, which I’m well aware isn’t going to help any kind of therapy to work. (Also, I’d have to go somewhere where the therapy is, because I don’t want people in my house.)