IMO, you raise a legitimate question regarding coercive treatment (often that means psychotropic medication) for mental illness.  We have, across the nation, tens or hundreds of thousands of individuals who clearly need intervention, but because of our laws regarding such coercive intervention, are not receiving it.  Dr. Appleby will have to be declared by a court to be an imminent danger to himself or to others before he will be "forced" into our mental health system.....or, declared mentally ill through the court system after committing a crime.  I'm guessing the latter is possible in his case.  

The issue of coercive treatment for mental health issues is a huge unresolved one.  Unfortunately, many of the truly heinous crimes we see are committed by individuals with recognized but untreated mental illness issues...most frequently schizophrenia, bi-polar disorder and, especially with vets, PTSD.  There's a very difficult balance between indvidual rights and public safety. Gary Crum