Longitudinally, the majority (76%) of these satisfied patients remained so after 6 months despite no significant improvements in psychosocial functioning (t=−1.9, df=357, p=0.06, Cohen’s d=0.2). This result is somewhat intuitive, as we would not expect individuals to strive for change if they were satisfied with their current situation. Of note, it has been reported that individuals with schizophrenia overestimate their level of functioning and environmental assets (1). Both biological and psychological factors have been implicated (3), although underlying mechanisms remain poorly understood. Our findings here affirm that level of functioning is not without importance, and it remains that many individuals are in fact not satisfied. Those individuals involved in care need to be aware that patients with schizophrenia, even early in the illness’ course (3), may undergo a considerable shift in terms of goals and values. This clearly affects rehabilitation efforts and may, at least in part, explain the difficulty engaging individuals in programs that fail to take this into account.