#mentally ill system

[c-0-yote-teeth]

[powerrangersystem]

[thecouncilofidiots]

Gentle reminder that disabilities are disabling.

You're not some awful, bad person for not doing things that able-bodied people can do without negative consequences.

Sometimes, you haven't showered in a while.

Sometimes, your room is a mess.

Sometimes, the dishes pile up.

That doesn't make you a failure or deserving of less respect, support, and kindness.

Being disabled, having disabilities, and things that result from said disabilities, don't change the fact you deserve to exist. You deserve peace, and love.

[starry-bi-sky]

on a completely separate note; shizun luo binghe with a disciple shen yuan who fell into the abyss??? *thinks about LBH canonically stealing SQQ's corpse for 5 years* he'd hallucinate i think. like, like visual and audial hallucinations.

Keeps thinking he's seeing SQQ in the corner of his eyes, or wandering between the trees, amongst a group of disciples. Thinks he hears him calling for him, but its just the wind or another disciple.

Gets Xiu Ya reforged but patently fucking refuses to make a sword mound. Because his disciple Is Not Dead :))) There was No Body. He's Not Dead. And If You keep Insisting That He Is, He's Gonna Skewer You :). He's holding onto Xiu Ya so he can return his most favored disciple's sword when he returns. It's on his hip right next to Zheng Yang where it's supposed to be.

Also this motherfucker?? does not sleep btw. He has the image of SQQ, wide eyed and hysterical and standing at the mouth of the abyss burned into his fucking eyelids. Can't use the dreamscape to escape it either because he keeps trying to save him and either he does and it's an incredibly cruel trick to wake up to, or he doesn't and he gets his heart broken in several different pieces again.

There is no convincing this man that Shen Qingqiu is dead. Absolutely nothing at all. He is buried so deep in denial that moles would be jealous of how deep he is. He keeps making tea for two in the bamboo house only to remember that it's just him. SQQ's fans are hiding everywhere, little reminders of his presence. He goes to wake up SQQ on the mornings he sleeps in-- only to find the room empty.

[necroticcadaver]

Do not claim to be a mental health advocate or a safe space for the mentally ill if you demonise systems, cluster B personality disorders and/or psychotic disorders.

[reasonsforhope]

Story from the Washington Post here, non-paywall version here.

Washington Post stop blocking linksharing and shit challenge.

"The young woman was catatonic, stuck at the nurses’ station — unmoving, unblinking and unknowing of where or who she was.

Her name was April Burrell.

Before she became a patient, April had been an outgoing, straight-A student majoring in accounting at the University of Maryland Eastern Shore. But after a traumatic event when she was 21, April suddenly developed psychosis and became lost in a constant state of visual and auditory hallucinations. The former high school valedictorian could no longer communicate, bathe or take care of herself.

April was diagnosed with a severe form of schizophrenia, an often devastating mental illness that affects approximately 1 percent of the global population and can drastically impair how patients behave and perceive reality.

“She was the first person I ever saw as a patient,” said Sander Markx, director of precision psychiatry at Columbia University, who was still a medical student in 2000 when he first encountered April. “She is, to this day, the sickest patient I’ve ever seen.” ...

It would be nearly two decades before their paths crossed again. But in 2018, another chance encounter led to several medical discoveries...

Markx and his colleagues discovered that although April’s illness was clinically indistinguishable from schizophrenia, she also had lupus, an underlying and treatable autoimmune condition that was attacking her brain.

After months of targeted treatments [for lupus] — and more than two decades trapped in her mind — April woke up.

The awakening of April — and the successful treatment of other people with similar conditions — now stand to transform care for some of psychiatry’s sickest patients, many of whom are languishing in mental institutions.

Researchers working with the New York state mental health-care system have identified about 200 patients with autoimmune diseases, some institutionalized for years, who may be helped by the discovery.

And scientists around the world, including Germany and Britain, are conducting similar research, finding that underlying autoimmune and inflammatory processes may be more common in patients with a variety of psychiatric syndromes than previously believed.

Although the current research probably will help only a small subset of patients, the impact of the work is already beginning to reshape the practice of psychiatry and the way many cases of mental illness are diagnosed and treated.

“These are the forgotten souls,” said Markx. “We’re not just improving the lives of these people, but we’re bringing them back from a place that I didn’t think they could come back from.” ...

Waking up after two decades

The medical team set to work counteracting April’s rampaging immune system and started April on an intensive immunotherapy treatment for neuropsychiatric lupus...

The regimen is grueling, requiring a month-long break between each of the six rounds to allow the immune system to recover. But April started showing signs of improvement almost immediately...

A joyful reunion

“I’ve always wanted my sister to get back to who she was,” Guy Burrell said.

In 2020, April was deemed mentally competent to discharge herself from the psychiatric hospital where she had lived for nearly two decades, and she moved to a rehabilitation center...

Because of visiting restrictions related to covid, the family’s face-to-face reunion with April was delayed until last year. April’s brother, sister-in-law and their kids were finally able to visit her at a rehabilitation center, and the occasion was tearful and joyous.

“When she came in there, you would’ve thought she was a brand-new person,” Guy Burrell said. “She knew all of us, remembered different stuff from back when she was a child.” ...

The family felt as if they’d witnessed a miracle.

“She was hugging me, she was holding my hand,” Guy Burrell said. “You might as well have thrown a parade because we were so happy, because we hadn’t seen her like that in, like, forever.”

“It was like she came home,” Markx said. “We never thought that was possible.”

...After April’s unexpected recovery, the medical team put out an alert to the hospital system to identify any patients with antibody markers for autoimmune disease. A few months later, Anca Askanase, a rheumatologist and director of the Columbia Lupus Center,who had been on April’s treatment team, approached Markx. “I think we found our girl,” she said.

Bringing back Devine

When Devine Cruz was 9, she began to hear voices. At first, the voices fought with one another. But as she grew older, the voices would talk about her, [and over the years, things got worse].

For more than a decade, the young woman moved in and out of hospitals for treatment. Her symptoms included visual and auditory hallucinations, as well as delusions that prevented her from living a normal life.

Devine was eventually diagnosed with schizoaffective disorder, which can result in symptoms of both schizophrenia and bipolar disorder. She also was diagnosed with intellectual disability.

She was on a laundry list of drugs — two antipsychotic medications, lithium, clonazepam, Ativan and benztropine — that came with a litany of side effects but didn’t resolve all her symptoms...

She also had lupus, which she had been diagnosed with when she was about 14, although doctors had never made a connection between the disease and her mental health...

Last August, the medical team prescribed monthly immunosuppressive infusions of corticosteroids and chemotherapy drugs, a regime similar to what April had been given a few years prior. By October, there were already dramatic signs of improvement.

“She was like ‘Yeah, I gotta go,’” Markx said. “‘Like, I’ve been missing out.’”

After several treatments, Devine began developing awareness that the voices in her head were different from real voices, a sign that she was reconnecting with reality. She finished her sixth and final round of infusions in January.

In March, she was well enough to meet with a reporter. “I feel like I’m already better,” Devine said during a conversation in Markx’s office at the New York State Psychiatric Institute, where she was treated. “I feel myself being a person that I was supposed to be my whole entire life.” ...

Her recovery is remarkable for several reasons, her doctors said. The voices and visions have stopped. And she no longer meets the diagnostic criteria for either schizoaffective disorder or intellectual disability, Markx said...

Today, Devine lives with her mother and is leading a more active and engaged life. She helps her mother cook, goes to the grocery store and navigates public transportation to keep her appointments. She is even babysitting her siblings’ young children — listening to music, taking them to the park or watching “Frozen 2” — responsibilities her family never would have entrusted her with before her recovery.

Expanding the search for more patients

While it is likely that only a subset of people diagnosed with schizophrenia and psychotic disorders have an underlying autoimmune condition, Markx and other doctors believe there are probably many more patients whose psychiatric conditions are caused or exacerbated by autoimmune issues...

The cases of April and Devine also helped inspire the development of the SNF Center for Precision Psychiatry and Mental Health at Columbia, which was named for the Stavros Niarchos Foundation, which awarded it a $75 million grant in April. The goal of the center is to develop new treatments based on specific genetic and autoimmune causes of psychiatric illness, said Joseph Gogos, co-director of the SNF Center.

Markx said he has begun care and treatment on about 40 patients since the SNF Center opened. The SNF Center is working with the New York State Office of Mental Health, which oversees one of the largest public mental health systems in America, to conduct whole genome sequencing and autoimmunity screening on inpatients at long-term facilities.

For “the most disabled, the sickest of the sick, even if we can help just a small fraction of them, by doing these detailed analyses, that’s worth something,” said Thomas Smith, chief medical officer for the New York State Office of Mental Health. “You’re helping save someone’s life, get them out of the hospital, have them live in the community, go home.”

Discussions are underway to extend the search to the 20,000 outpatients in the New York state system as well. Serious psychiatric disorders, like schizophrenia, are more likely to be undertreated in underprivileged groups. And autoimmune disorders like lupus disproportionately affect women and people of color with more severity.

Changing psychiatric care

How many people ultimately will be helped by the research remains a subject of debate in the scientific community. But the research has spurred excitement about the potential to better understand what is going on in the brain during serious mental illness...

Emerging research has implicated inflammation and immunological dysfunction as potential players in a variety of neuropsychiatric conditions, including schizophrenia, depression and autism.

“It opens new treatment possibilities to patients that used to be treated very differently,” said Ludger Tebartz van Elst, a professor of psychiatry and psychotherapy at University Medical Clinic Freiburg in Germany.

In one study, published last year in Molecular Psychiatry, Tebartz van Elst and his colleagues identified 91 psychiatric patients with suspected autoimmune diseases, and reported that immunotherapies benefited the majority of them.

Belinda Lennox, head of the psychiatry department at the University of Oxford, is enrolling patients in clinical trials to test the effectiveness of immunotherapy for autoimmune psychosis patients.

As a result of the research, screenings for immunological markers in psychotic patients are already routine in Germany, where psychiatrists regularly collect samples from cerebrospinal fluid.

Markx is also doing similar screening with his patients. He believes highly sensitive and inexpensive blood tests to detect different antibodies should become part of the standard screening protocol for psychosis.

Also on the horizon: more targeted immunotherapy rather than current “sledgehammer approaches” that suppress the immune system on a broad level, said George Yancopoulos, the co-founder and president of the pharmaceutical company Regeneron.

“I think we’re at the dawn of a new era. This is just the beginning,” said Yancopoulos."

-via The Washington Post, June 1, 2023

[autopsycollective]

a reminder that the host isn’t the only person in the system who should be respected and made to feel comfortable.

the host is not ‘the important part’, we are all completely conscious and capable of our own thoughts, feelings and our own boundaries. our brain created us because it decided that we are all important and needed.

the host is not the only member of a system you should care about.

[sknygothboi]

I’m so depressed my existence feels like that of a ghost. I don’t exist but watching life from afar.

[thehellsaint]

being an endo is some of the most white ppl shit I've ever heard 💀

wdym you're so privileged with spare time and energy that you roleplay being disabled to get chronically online social credit

[c-0-yote-teeth]

[fairsweetlonging]

i have so many thoughts about luo binghe rising early from the endless abyss but instead of joining huan hua palace he returns to qing jing peak for revenge, believing his shizun must be happy and celebrating, but instead he finds a grief-stricken shen qingqiu who calls out for binghe like he's still there and who sits at his sword mount for hours every day, holding himself in a state of inedia and neglecting the care of without-a-cure like he's punishing himself; and binghe decides then and there that no one can look after his shizun and keep him safe like he can, and his shizun clearly needs him even if he doesn't want to see him, so he follows shen qingqiu in secret and helps him from the shadows

[thecouncilofidiots]

We're honestly surprised and lowkey disappointed that this is our first :(

Like, we're part of so many communities that are targeted by bigotry (queer, nd+mentally ill, poc, ect), and the first hate-driven message is for supporting/not hating another community

We didn't even get called a slur! It's a bit anti-climactic...

Not that we WANT that, it's just that we expected and were mentally prepared for worse (especially considering what we've seen on this fucked up site...)

Anywho, spread love and kindness <3

Immortalizing our first hate-driven message <3 (anti-endo commenting on an endo-safe/inclusive post we made)

(@/everyone please don't harass, it costs nothing to use the block button <3)

Have a wonderful day <3

💜🩷🩶

[the-fictive-haven]

Headmate 1: I wanna watch this show

Headmate 2: I want to start learning sign language

Headmate 3: Well I want to learn new art mediums

Headmate 4: NO, practicing our digital art!

Headmate 5: We should really be finding a job

Headmate 6: Hey remember those phone calls you need to make

Me: ...

Stays in bed all day because ADHD said no

[d1zt0rt3dl3zb14n]

do yall also ever get the soul crushing realisation that you are in fact mentally unstable and its not just something you made up for attention or because its "quirky" and then just sit there like damn

[autopsycollective]

systems don’t owe you anything.

not our headcount,

not our trauma,

not our medical records.

we can choose how much we share with others and we are entitled to our privacy.

[divinerapturesys]

Welcome to my Ted Talk about AsPD, or Antisocial Personality Disorder, which the internet likes to coin as sociopath 👌🏻 if you don’t like long infodumps about stigmatized mental disorders from someone who is diagnosed, move on.

Quick toxic rundown: People with AsPD are generally characterized as emotionless, violent, manipulative abusers who kill animals and like to make other people their bitches. The biggest pet peeve we have is the emotionless, sadistic and abusive generalization.

Personally, we are highly neurotic, with highs and lows of: depression, frantic drive, self abuse tactics, chronic fear, lapses of rejection, overwhelming over-analyzation, grey area thinking, false goods and false bads, ultimatums, obsessive compulsive behavior, harsh self demands, and irritability.

AsPD is a disorder that is caused primarily (according to current research) by trauma and abuse in childhood; most notably being emotional neglect and absent caregivers that cause a child to have emotional shutdowns and repression episodes in an attempt to self soothe. Primary caregivers who do not bond with their children are also a factor. Children learn how to behave from those around them. If a primary caregiver is emotionally distant and unavailable, children will learn that is normal behavior and that’s how people are. If a primary caregiver does not provide empathy and sympathy during moments of distress and fear, children will learn that aloofness and disregard of others feelings is normal behavior. If a primary caregiver does not keep a child safe, children will learn that they should not prioritize their own safety or the safety of others. You can find my follow up post regarding this here.

Neglected and abused children often act out trying to get attention and help, often acting out in bad ways because they lack the ability to articulate what they’re feeling and what is happening to them. The pipeline for AsPD typically is: Oppositional Defiance Disorder as a child, Conduct Disorder as a teen, AsPD as an adult. There are a lot of warning signs cueing that AsPD is becoming a risk for development, but often kids do not have a support system to help negate it as it’s their support system that is usually a factor in its creation.

Being AsPD is like being an emotional La Croix 70% of the time. If you’re depressed, then it’s like someone in the other room has depression and is telling you about it. The other 30% of the time, if you’re depressed, your brain doesn’t understand how to handle it so it’s an ultimatum between doing something drastic to remove the Trigger or ignoring and dissociating for days on end.

People with AsPD are very good at ignoring things. Honestly it’s problematic as fuck but it’s not hard to ignore major issues when you just, don’t care. It’s not in the terms of being cruel or making ourselves not care, but the fact that finding the emotional willpower is so far out of our feasible reach we don’t do it. This causes us to piss people off because we don’t have the capacity to care as much as they want us to, even if we can and do to an extent.

Think of it this way: empathy/sympathy is a deep tub of water that everyone has. They can easily fill their measuring cup for the needed amount of empathy without any issues and it’s easy for them. People with AsPD don’t have a tub of water. We have shallow skillet. When we try to dip our cup to fill it, we can’t, it always comes up short and it is difficult to get any water in it as there is no room for the cup to dive. Our ability to care is limited because we do not have the same emotional resources everyone else does.

❌ False Positives & False Negatives ❌

I operate on what I’ve learned are called false positives and false negatives. These are things that are trained into the brain from an early age based off of childhood trauma and other factors. False positives are a distorted version of why we do something to help ourself and for our own good, meanwhile a false negative is something we do because it’s a threat, or based out of fear.

❌ Some of my false positives:

- It is good to be afraid of nothing

- It is good to adapt to someone’s personality if they are stronger than you

- It is good to isolate yourself

- It is good to be a silver tongue because you can get into any place you want

- It is good to become a social chameleon and shape yourself to whatever those around you need/want most, because then you have no chance of being abandoned

❌ Some of my false negatives, which can explain the false positives as well as core beliefs:

- it is bad to be afraid, if I am afraid then I am vulnerable and it can be used against me

- It is bad to be emotional or show concern for others emotions because they do not care for mine

- It is bad to be able to be exploited, because I believe it is everywhere

- It is bad to allow myself to be bored, because boredom begets bad thoughts and no one can or wants to help me when I spiral

- It is bad to not shape yourself to the social circle, because people quickly grow tired of those who do not match them perfectly and being discarded means I failed

My core beliefs can be viewed as the root for the false positives and negatives, because they are based on the core of trauma, abuse and neglect. They come from patterns and instances that make someone with AsPD become the opposite of what they experienced:

- eat or be eaten

- If I don’t show that my bite is worse than my bark, I will be taken advantage of and I must remain on top because the ones on top are safe

- I must look out for myself because nobody will do it for me

- It doesn’t matter what happens to me, therefore it doesn’t matter what people think of me

- If I cannot do something well, then I should not do it at all

- If you are dependent on others for emotional and mental well being, you are weak, therefore I must isolate myself to avoid becoming codependent and a burden and useless

- If I can handle the stress of a situation better than everyone else, therefore I will keep the problem (financial, emotional, mental, etc) to myself to reduce chances of being abandoned due to failure of perfection

People with AsPD are hard to get along with. We often:

- are always anticipating a fight

- lack respect for authority

- ignore social structures to an extent

- tendency to lie if it’ll lessen punishment or if we feel the lie is more acceptable than our actions

- limit social support because it’s wrong to be dependent on others

- have an inflated view of our own importance — which turns into a self ridicule for believing someome like me could be found important to others —

- can be rude and inconsiderate of others feelings somewhat unintentionally

- are unable to read the correct social cues in relation to empathy towards people and animals

- am constantly confused by others dependence upon empathy and inability to make desicions from logic based standpoints

We can’t speak for everyone who has AsPD, nor are we saying that no one with AsPD is capable of being a murderer/abuser etc. but we are saying that y’all need to stop automatically classifying someone as a certain “type” as soon as you know about their disorder.

One last thing I do want to point out is that it is not uncommon for people with AsPD to derive some sort of enjoyment in causing harm, doing something illegal, hurting someone or animals, etc. This entirely stems from lack of environmental control as a child. Being able to control what happens to others or being able to control the things you say or do that hurts someone else is a hefty high to get addicted to; it soothes the underlying itch of not being able to control your own trauma and abuse, so in turn you push these behaviors onto others and enjoy it because it gives you a sense of power and control. Some people with AsPD do genuinely love hurting others, and some enjoy hurting others when they believe it’s deserved or their ire has been stoked. Some enjoy causing pain to those they think deserve it, and others don’t care who they hurt as long as they feel like they’re in control of the situation.

Hope this have some insight into AsPD 🤙🏻 if y’all have any questions, shoot.