Is anosognosia a delusion, a negative symptom, or a cognitive deficit?

Institutional Neglect of Anosognosia Is a Critical Barrier in the Treatment of Psychosis Related Disorders

“…The neurological symptom of anosognosia, which occurs in 50% to 80% of individuals who develop schizophrenia and other psychosis spectrum disorders, is the primary barrier to receiving life-saving medical care. Anosognosia robs a person's ability to recognize that they are sick 1 and can block caregivers and families from obtaining treatment for their loved ones.…”

Brain damage from recurrent relapses of bipolar mania: A call for early LAI use

“…In contrast to the depressive episodes of BD I, where patients have insight into their depression and seek psychiatric treatment, during a manic episode patients often have no insight (anosognosia) that they suffer from a serious brain disorder, and refuse treatment. 4 In addition, young patients with BD I frequently discontinue their oral mood stabilizer or second-generation antipsychotic (which are approved for mania) because they miss the blissful euphoria and the buoyant physical and mental energy of their manic episodes. They are completely oblivious to (and uninformed about) the grave neurobiological damage of further manic episodes, which can condemn them to clinical, functional, and cognitive deterioration.…”