Prediction is always a question of probability, and psychiatry is the same as the rest of life. I think there are certainly cases in which there's an extremely high rate of probability that this particular condition is not going to remediate.
Part of the struggle for everyone is.... What has also been discussed is the question of what new kinds of things are coming down the pike, whether it's ketamine or certain kinds of brain stimulation or whatever. That is the case for anybody who comes to a MAID panel.
Honestly, the best predictor of the future is the past. Someone who has attempted or gone across a wide range of treatments without response.... I think there's a point where we would take that as being a reasonable conclusion.