Apytele

Every once in a while a guy will know something about women's bodies that makes me go "ooooh OK that one's actually really like kinsey 0 straight" instead of some other weird combination of interests that are approximately straight in a mostly possessive way. Sometimes I'll hear "straight" guys talk about how gross vaginas are but then you hear a guy talking about pH balances and lactobacilli and it's just really obvious which guy actually wants to be in one.

Well. Emotional swings like that can occur as part of a manic episode specifically. Mania just means the emotions come faster than usual, not that they're good. Ppl w mania are actually frequently extremely angry, usually because they're going a million miles an hour and don't understand why everyone else won't just keep. tf. up.

But yeah if op has always just been like that consistently without any ebb and flow over month's / years then yes it points more towards a thought disorder. I used to have a really cool infographic from a textbook on the differential dx between borderline, bipolar, and adhd since they can all have very similar presentations or even just be comorbid in certain patients.

I've actually seen a good few patients who we all swore up and down were borderline then the meds would click into place and oh. Look at that you really were just bipolar. huh. (I say all of this having a childhood dx of ADHD, an adult dx of borderline, and a current psychiatrist who thinks I'm bipolar so...)

As a night shifter whose employer exclusively uses Windows, ty

Fun fact: In addition to being willing to sit in a square outlined on the floor with tape, Cats will literally sit in the illusory suggestion of a square shape.

I'm just locking this now before I wake up in 6 hours and the knives are out. I already know there's not enough manners to go around.

Psych patients actually do this a lot. Some places I've worked actually have protocols for it that include stuff like having the bathroom locked and only unlocked for supervised use, or having the water only be cut on when the contents of the toilet have been verified (also helpful to have water shutoffs for psychogenic polydipsia because they WILL drink their way into a hyponatremic seizure and they dgaf if it's from a toilet) but also for the flushing usually they're limited to one set of clothes and bed linens, one towel / washcloth, and have to ask for small quantities of toilet paper as needed. Then they yell at you about having to ask you use the bathroom like they didn't flood the unit three nights in a row. One time we didn't catch it fast enough and some poor bastard on medical got leaked on. Motivations vary but the most common is wanting to feel in control of something and it can be difficult to try to find safe things for that kind of person to be allowed control over.

Connections Puzzle #745

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My parents told me it's a hit list for when the fascists take over ...but then they voted for the fascists.

An oldie from my nightcafe, took a while to get it to do this and be challenge eligible, I actually had to start with a wineglass.

Also I'm specifically a gnostic / esoteric Christian at this point so the obligatory:

If I'm gonna believe some wildass shit I might as well really go for it you know?

On a semi related topic it's not unusual for my patients to insist they were sexually assaulted overnight (despite all evidence to the contrary including 24h video feeds verifying no one did anything more than open the door and look in during checks), and when the cops take down their report they often describe knowing it happened because they woke up with a boner or wet vagina. Sometimes they also describe sleep paralysis (although usually they interpret that as aliens, demons, magic etc), but a looot of them primarily describe the experience as just normal genitals doing normal nighttime genital stuff. Sex Ed is really that bad, folks. Also the cops get really weirded out when I insist they take down reports for delusional shit because like. Yeah it's fucking bonkers but it's a human rights thing. a) what if they're describing something that did happen but at some other time and they're just too psychotic to get the details right right now and b) I do NOT want to be the person responsible for picking where the "too delusional" line gets drawn and if they've got any sense in their heads neither do they.