Produce a sentence which has a cefr level of "c1" and keywords: psychiatrist, family, multiple, cycles, medication.
The psychiatrist explained that this family, like so many others he has known, will have to endure multiple cycles of medication refusals, worsening symptoms, assaultive behavior, hospitalization, and then release to Eastside Services, before learning to regard Joel's problem as an illness, and not just excessive anger.