Defendant: "I demand to be treated like everyone else!"
Judge: "I sentence you to 20 years in prison. No post-prison supervision. No mandatory medication."
Defendant: "Oh wait, that's not fair, I'm mentally ill. I need an exception."
Judge: "Okay... I sentence you to maybe like 5 years in a halfway house, with, uh,  25 years probation and court-ordered medication."
Defendant: "That's more than 20 years total. That's not fair! You're treating me differently because I'm mentally ill."
Judge: "You're certainly mentally ill. No doubt about that."