It's highly variable. It's going to depend on the condition and the treatment options available and so on. Generally speaking in psychiatry, for mental disorders, whether there's a comorbid physical condition or not is almost irrelevant really, but there are treatments that require a lot of time and patience and follow-up care and a lot of changes. Even with regard to the very first medication you prescribe someone, strictly speaking, according to the research, you wouldn't say there's been a treatment failure until three months have gone by—and that's the first one, not to mention the second, third, fourth and fifth ones that people try, and then all of the combinations that people try and then all of the neurostimulatory treatments that are accessible.
When we talk about standard treatment, we're really talking about years—years of trials of different things. That's the kind of treatment history that I think MAID assessors are looking for, whether it's a chronic mental disorder or a chronic physical disorder. Quite frankly, in Crohn's disease, epilepsy and rheumatoid arthritis, you're looking at exactly the same kinds of things: What kinds of care has the person had? What kind of follow-up? What subspecialty opinions have they had? Have they had novel treatments, etc.? It's a very similar kind of thinking.