Not all conditions are equal. Paranoid schizophrenia can be quite debilitating because it affects one of the most critical aspects of human living: the ability to determine what is real and what isn't.

I agree with the points you're making, but most people suffering from psychotic conditions tend to prefer being in a lucid, non-psychotic state. It can be like waking someone up from a dream, or more often, a nightmare. Unfortunately, this can often only be done with the use of anti-psychotics, which can sometimes cause horrible side effects; in some cases so horrible they affect someone's life more than the psychosis itself.

Regardless, I don't think concern about this man's condition is condescending.