new year's resolutions thread.

[Ekco]

place to post them then post again when you fail.

alcohol
cigarettes
weed
soft drinks
windows
social media

[Reiwa]

Definitely weed and hard liquor. I won't lose !

[Ekco]

Definitely weed and hard liquor. I won't lose !

that's cheating, has to be something you've done in the last 365 days

[Duik]

I wanna give up

Feeling sorry for people who asked for what they wanted, to find the didn't want what they got...

Eating when I'm depressed/bored.

Expecting more from people who repeatedly let me down.

[Ekco]

I wanna give up

Feeling sorry for people who asked for what they wanted, to find the didn't want what they got...

Eating when I'm depressed/bored.

Expecting more from people who repeatedly let me down.

rGPWW9Pjzto


also, i've already given up on dropping windows, it is in fact not the year of the linux desktop yet again.

[Duik]

also, i've already given up on dropping windows, it is in fact not the year of the linux desktop yet again.

What we need to remember is that you use what works. Linux works for me 100%. My needs are simple. I dont need it for work. I hate games, except eq.

Linux does not want more desktops installed per se, it just tries to work for those that need what it offers.
Many factors preclude widespread Linux on the desktop including, but not limited to MS and Apple predatory advertising and FUD.

The fact *most* people just wanna play/work and not have to learn or try. That is fair enuf.
They also dont mind being the bitches of predatory multi national companies. That's fair enuf too.

FYI the year of the Linux desktop (for me) was 2004.

[Ekco]

it's some known bug with asus and plymouthd

Ubuntu, Kubuntu, Mint and something else i tried installing hanged at
/usr/sbin/plymouthd(_start+0x25) [0x651ea32b0045]

all i know is i never had problems installing/using 19.04

i miss that fucking disco dingo like you wouldn't believe

>FYI the year of the Linux desktop (for me) was 2004.
well same here, literally had Canonical send me 50 free install cds in the mail to pass out like i was a Mormon recruiting people around 04' and was using that Sphere 3d in CompizConfig lol
rDT5ja_iszk
computin used to be cool.

[Duik]

Well im sorry to hear of your issues.
Many are against it you know.
MS' current and continuing stranglehold on software means they can lean on hardware manufacturers to make "Microsoft Certified" bits that make it difficult to install many linux distros on.

Sorry. Its OT.

Add
I will not waffle on about linux to everyone!

Edit sorry all ive found with my fooglefoo is a permissions issue with /lib/plymouth. Assign user to ot and it was good to go.

sudo chown -R $USER: /lib/plymouth

[Eisai]

I just keep bootable tails/Kali/mint/kodi on a double sided USB/microUSB so all your devices are belong to me.

[Duik]

Me gotz MXLinux and Linux Lite on usb.
Lite is my fave but their forum sucks dingo ballsacks

[Ekco]

yeah it's a hardware issue due to it being a prebuilt asus machine from 2015, was a pain in the ass to get 19.04 installed due to nouveau / nvidia drivers but it hard crashes before even getting to a grub command line or anything to attempt to fix it in 24.04

i'll just wait till the singularity or lord gaben steam os to save me

[Eisai]

This year I'm going to start a cult. Tell your friends! Mountain top compound in a 5000 acre national forest lined with solar powered tiny homes with central aquaponics fed food forest. Chickens rabbits goats mealworms and crickets.

[Ekco]

This year I'm going to start a cult. Tell your friends! Mountain top compound in a 5000 acre national forest lined with solar powered tiny homes with central aquaponics fed food forest. Chickens rabbits goats mealworms and crickets.

me and the boys had a plan to take over Trident Lakes if SHTF but it turned out to be a scam and they went bankrupt in 2018 lol

was a pretty stupid idea to try to build a doomsday bunker community only an hour drive / a day walk from 8 million plebs anyway.

[Eisai]

This place isn't even on Google maps. It is on Apple maps, but i think we can handle anyone inept enough to own an iphone.

[Ekco]

depends on the SHTF scenario, dumb zombies good spot if nuclear war. wrong hemisphere
https://i.imgur.com/qI4SOnJ.png

[Eisai]

Well it's just a cult. God told me they have everything else covered. I just handle the amenities and luxuries. :P

[maddysinko]

cigarettes
weed
No chance I'll lose.

[NopeNopeNopeNope]

I want to get in better shape

May get a new computer finally. I’ve long since forgotten what my saved passwords were on various hentai tentacle pr0n pay sites, that’s the only reason I don’t get a new one. My old one’s windows is about to be phased out I think so I do have a time limit

[Eisai]

I want to get in better shape

May get a new computer finally. I’ve long since forgotten what my saved passwords were on various hentai tentacle pr0n pay sites, that’s the only reason I don’t get a new one. My old one’s windows is about to be phased out I think so I do have a time limit

You're probably joking but, all saved browser passwords are visible in the settings menu.. Just have to unhide them.

[Swish]

Drink more water / drink less sugar-free soda. It's not the worst habit but it is a problem.

Also like many, drop a few pounds to be able to run quicker/look great while EQ'ing etc :)

[Ekco]

also, i've already given up on dropping windows, it is in fact not the year of the linux desktop yet again.

nevermind, got the shit working with the help of a chatbot lol

[Ciderpress]

This year I vow to take more time for ME, because my biggest flaw is probably caring too much about others.

Lol jk mostly gonna eat taco bell and play eq.

[Ekco]

jan 1st to feb 26 is pretty gud for an attempt.

https://i.imgur.com/IulqsAa.jpeg

let's get fucked up.

Sz-AHdx1GmM

[NopeNopeNopeNope]

Aww man you had a good stretch of sobriety going, keep it going

What is that on the left, edibles?

I never understood the appeal of nicotine. Smoke is poison but I tried those Zins that you put on your gums like chew, a co-worker gave me one. I got lightheaded and nauseas. Maybe I swallowed too much but man that experience sucked. Shit I was able to eat 2 grams of mushrooms and not get as sick as I did with that Zin…

Hey if I’m too late on convincing you to not indulge…keep in mind that your stretch of sobriety should lessen cravings, and you haven’t built back a dependency yet. So if you decide to stop again, it should be far easier to do than last time, assuming you do it right away, before your body gets re-hooked

[NopeNopeNopeNope]

Speaking of S/A, today at work had really odd requests

First was this very pretty naive 21yr old Native girl who was requesting to go to detox. She had all her belongings with her in two bags, one of which was too heavy for her to carry. So I asked what she needed detox for…she says marijuana and alcohol. I’m thinking well you can go ahead and drop the marijuana off that list, they’re going to laugh at you at the detox place if you go in for that. So how much alcohol? She says her usage tends to be 2 shots, twice a week. But she says it’s those 99 Bananas shots, which are strong. I told her I know what those are, but in my head I’m thinking WTF, I have friends who regularly drink more than that. You’re native and that’s how little you drink? But I didn’t say any of that

She wanted to go to a sober living from there, she said she had just gotten kicked out of one that day. I’m wondering HTF a sober living even accepted her with that usage pattern, they have limited space, but instead I asked what she got kicked out for. She said smoking pot there. I’m like yea, well, it’s a sober living, they are going to want you to be sober…

Then I start getting worried about her predicament. She had just left the reservation, had never been to my huge sprawling city of millions until she went to that sober living, where she blew it there right away. She was going to be turned out of detox after a few hours and facing being homeless for the first time with a bag of her stuff that she can’t even carry without my help. She seemed really slow/dumb and suggestible, everything I mentioned she was like “yea that sounds great!” So I’m wondering is she even her own guardian? She says her parents are supportive so I’m like “can I have permission to call your parents”

So I take her to detox and then am trying to get the staff away privately so I can explain her vulnerability and get her transferred from detox to a mental health place she can stay for at least 1, possibly a few nights. But she keeps hovering to where I can’t tell the detox staff how she seems to be intellectually deficient (ID) without offending her. But luckily she lets them know herself when they ask her how she got 5 hours from the reservation to here. She says she took an uber. The detox staff was like wow that musta been expensive. And she was like “yeah it was like $35”. And I’m looking at the detox staff like see what I mean? Don’t turn this girl out on the street

Then I call her parents on the res and they’re worried and like we can’t afford the gas to come get her for like a week. And I’m like ok well this is the spot she’s in and there’s nothing more I can do for her. I didnt want to tell them what to do but I wanted to be like “hey your daughter is going to have all her stuff stolen off her or far, FAR worse in less than a week on the streets, so maybe you should start begging money or doing whatever odd jobs you can to get that gas money to save your fucking daughter…”

Anyway, I said a prayer for her after and told the staff to try to get her to another sober living

[Trexller]

I'm grateful that people like you do that kind of work and I don't envy it for a minute

[NopeNopeNopeNope]

I'm grateful that people like you do that kind of work and I don't envy it for a minute

Oh I forgot to mention, I was making idle convo on the 30 min drive in traffic to detox, asking her what she does in her free time back home in the reservation

And she was like “I stay inside alone”. And I’m like ok doing what, and she’s spending way longer trying to think of something than I expected. Normally with someone smarter than her I usually assume this means they are trying to think of something more acceptable to say than what they are really doing, but I also assumed the pauses for her just could be cognitive…

So I offer, “anything creative, like art, or writing, or crafts” and she says “oh, drawing!” Oh ok. Drawing what? She says “cars!”

I’m like “oh cool! Do you have a dream car, if you had unlimited money?” And she’s like “a Toyolla? I mean Toyota, Camry!”

And I’m like “oh really a Camry, if you have unlimited money?” And she said “oh the sporty version though”

And then a bit after that convo ended I saw in the rear view that she had her brow furrowed and was furiously typing on her phone. So I’m thinking “ok good, hopefully she’s telling family what’s going on”

And then she waits until I’m stopped, and extends her arm and goes “see!” And she was searching for a pic of the Camry, which she shows

And I’m like “ohhh! Yea, definitely sporty!” And I’m thinking ok I woulda gone with the McLaren but that’s fine. Maybe it’s the only car she knows

[Trexller]

Yeah that young lady is intellectually deficient for sure. Sounds like she has been heavily sheltered her whole life and didn't grow up going to school with alot of peer influence

no idea how you fix that because she'll get eaten alive at a regular college

[Reiwa]

Speaking of S/A, today at work had really odd requests

First was this very pretty naive 21yr old Native girl who was requesting to go to detox. She had all her belongings with her in two bags, one of which was too heavy for her to carry. So I asked what she needed detox for…she says marijuana and alcohol. I’m thinking well you can go ahead and drop the marijuana off that list, they’re going to laugh at you at the detox place if you go in for that. So how much alcohol? She says her usage tends to be 2 shots, twice a week. But she says it’s those 99 Bananas shots, which are strong. I told her I know what those are, but in my head I’m thinking WTF, I have friends who regularly drink more than that. You’re native and that’s how little you drink? But I didn’t say any of that

She wanted to go to a sober living from there, she said she had just gotten kicked out of one that day. I’m wondering HTF a sober living even accepted her with that usage pattern, they have limited space, but instead I asked what she got kicked out for. She said smoking pot there. I’m like yea, well, it’s a sober living, they are going to want you to be sober…

Then I start getting worried about her predicament. She had just left the reservation, had never been to my huge sprawling city of millions until she went to that sober living, where she blew it there right away. She was going to be turned out of detox after a few hours and facing being homeless for the first time with a bag of her stuff that she can’t even carry without my help. She seemed really slow/dumb and suggestible, everything I mentioned she was like “yea that sounds great!” So I’m wondering is she even her own guardian? She says her parents are supportive so I’m like “can I have permission to call your parents”

So I take her to detox and then am trying to get the staff away privately so I can explain her vulnerability and get her transferred from detox to a mental health place she can stay for at least 1, possibly a few nights. But she keeps hovering to where I can’t tell the detox staff how she seems to be intellectually deficient (ID) without offending her. But luckily she lets them know herself when they ask her how she got 5 hours from the reservation to here. She says she took an uber. The detox staff was like wow that musta been expensive. And she was like “yeah it was like $35”. And I’m looking at the detox staff like see what I mean? Don’t turn this girl out on the street

Then I call her parents on the res and they’re worried and like we can’t afford the gas to come get her for like a week. And I’m like ok well this is the spot she’s in and there’s nothing more I can do for her. I didnt want to tell them what to do but I wanted to be like “hey your daughter is going to have all her stuff stolen off her or far, FAR worse in less than a week on the streets, so maybe you should start begging money or doing whatever odd jobs you can to get that gas money to save your fucking daughter…”

Anyway, I said a prayer for her after and told the staff to try to get her to another sober living

How far is the reservation?

You could maybe pilot the return program and get a Senior Wrangler type badge added to your title.

[NopeNopeNopeNope]

How far is the reservation?

You could maybe pilot the return program and get a Senior Wrangler type badge added to your title.

Sorry was gonna go swim at gym pool tonight but it was closed for maintenance so chose to do a late night 11:30pm park run to startle the homeless people living out of their cars doing drugs in the back. Just got back. I forgot how much fun night runs can be when I can run down the middle of empty busy city streets like “vroom, I’m a carrrr”

The res was up in the remote north edge of the state 5-6 hours away. So no there was no way I am allowed to go that far, nor did I have the fundage to cashapp her parents money or nothing. I will occasionally spend money on clients even though it’s not technically allowed (it’s the poorest clients who are least likely to rat anyway). Like I bought this young Hispanic homeless gal client who had no shoes and was crying with bloody feet every step some soft sandals at target. Ran me freakin $15 and they were the cheapest ones. There was just no damn dollar stores around and it was past the end of my shift

And the Native American girl WAS her own guardian, her parents confirmed it. Which means she didn’t get legal DDD status as a kid which means it’s nigh-impossible to get it now. So there goes support like group homes. Not like she would likely stay in one anyway. Generally the lower functioning a person is cognitively, the more likely they are to be ok with a simpler life. A girl on the smart side of dumb is not going to be content with group home life, and group homes can’t and won’t try to detain someone who is constantly trying to leave. Nor do the have the capability to easily round them up when they do

So this gal is a bad spot, IQ is one of if not the biggest predictors of success or failure in life. And she is like a female Forest Gump. Or a Native version of that girl from Mean Girls, forget the name. But without the plot armor

[NopeNopeNopeNope]

All right ya pervs, this might switch back to memes after this dump for a bit

Unless I can find some galleries that aren’t shoving scantily clad impossi-girls in my face constantly. But it seems like no matter what the gallery, someone always coming in with a pic like “B00BS!!”

[NopeNopeNopeNope]

I did finally find a decent dark elf representation

[NopeNopeNopeNope]

But I would be cool to get a dark elf with like this level of detail

[NopeNopeNopeNope]

KIRIN

[NopeNopeNopeNope]

Yo, that robot is shredded

Nice aesthetics, Bro-bot

[NopeNopeNopeNope]

Robot ants

[NopeNopeNopeNope]

Robot anime girl angel things

[NopeNopeNopeNope]

“I’m tripping balls man”

[NopeNopeNopeNope]

Hey I remember you

[NopeNopeNopeNope]

Plot twist: they’re all actually suffocating

[NopeNopeNopeNope]

He’s officially stage ready for bodybuilding with that dehydration level

[NopeNopeNopeNope]

Bewbs!

[NopeNopeNopeNope]

This is cool

[NopeNopeNopeNope]

Bewbs!!

[NopeNopeNopeNope]

This is cool.

[NopeNopeNopeNope]

2 green 2 colorless

4/4 Tap: target green creature gains +3/+3 and trample until end of turn

[NopeNopeNopeNope]

Hey sexy you have something I desperately want…

That shield

[NopeNopeNopeNope]

Otherwise cool but that one whisker bothers my OCD. You’re gonna need to cut that thing

[NopeNopeNopeNope]

Obligatory closeup and last one

[NopeNopeNopeNope]

Speaking of S/A, today at work had really odd requests

Oh I had gotten so side tracked I forgot to mention the other weird ass request from yesterday, also involving S/A

55 yr old woman requests me to her apartment for her alcoholism. There it’s her and her husband. Her husband is slightly drunk, and she appears completely blitzed. Takes him a few minutes to rouse her. She can barely open her eyes, she’s slurring everything she says, and generally behaving like a little kid (but hey, lots of adults do when they are shithouse drunk)

The far less drunk husband is like we’re both alcoholics, had a year sober but my wife relapsed first because her sponsor of a year dropped her when she found out we voted for Trump. Then the super drunk wife piped in “she’s a BITCH!” And the husband is like “please honey”. Then they wanted to get into politics but I don’t play that shit, despite voting the same way I said sorry that it ended a friendship but politics is outside of my scope here. So they dropped it, but the wife wanted to slur through mentioning that she also relapsed because she was “disturbed” in finding out a different friend from AA was trans and had her boobs cut off….oooook

So I ask how much is she drinking per day and the husband says 4-5 shots/day. And I’m looking at this completely blitzed client that can barely walk and speak, and who should also have decent alcohol tolerance at this point being that she relapsed months ago and has been drinking daily. And I’m thinking WTF is with these tiny amounts of alcohol mentioned today?

Well, being no stranger to an addict minimizing their usage amount, I asked the husband (because the wife is inebriated to the point of worthless asking anything), is there any chance she is sneaking and drinking more than that? Or mixing in things like opiates or benzos? And was like no, no way, I’m the one that gives it to her and I drink with her

So I mention this just isn’t lining up. She seems far more intoxicated than just 4-5 shots worth today. Then the husband drops oh well about a year ago she had treatment for stage 3 cancer involving 28 rounds of radiation, chemo, and she died during the complete removal of her uterus and had to be revived and given 3 back to back blood transfusions. Since then she won’t eat solid foods, won’t shower, won’t go outside, and seems to be in a constant state of brain fog

And I’m like oh wow, well it sounds like there’s a possibility there could be something neurological going on, has she been in to see any follow up doctors or a neurologist at all? He said she won’t go. Well, I said, that may be at least in part to her brain making a subconscious association with those very invasive and traumatic past medical procedures and any healthcare office…

Either way, still no easy solution. I gave him info on medical PoA and guardianship processes and recommended as gently as I could to stop enabling her drinking. The wife had erratically said she didn’t want and did want to go to the behavioral health hospital about 5 times. Being that I was already over shift I said I am not going to be able to transport her, she’s too intoxicated to get into my work van and she presents a strong possibility she is going to change her mind about going during this process. I had long since learned you don’t transport drunk flighty erratic people anywhere when over shift unless you want to get into a nightmare scenario of being 3-4 hours over stuck with them changing their mind 50 times and requiring constant verbal re-direction

But they had also already mentioned that her mother is filthy filthy rich. I was wondering as I pulled up to their fancy apartment in a part of town I certainly couldn’t afford, but checked and discovered she was on the state’s Medicaid program. I thought “someone must be paying for her to stay here, that’s the only way. No one in any other situation would be on Medicaid in this complex, the rent has to be at least $3k/month”. And then finding out they’re not working and just drinking all day I was thinking “ah suspicions confirmed”. So the husband was like “honey I can call us a rideshare to go to the hosital” and she was like “no he can’t, he’s a useless man-child!!”

And I was thinking he’s an enabler but he’s been nothing but supportive while I’ve been here. You’re actually acting like a woman-child. But if she did have some kind of neurological problem then it’s partly not her fault

I still arranged for the hospital to be expecting them to make it harder for her to bail on the idea and then I left them resources and left. Not as interesting as the other request from that day but just weird to have two situations where people were (apparently, still not sure if I believe it…) drinking far less than I expected

[NopeNopeNopeNope]

Oh the other odd thing was the wife would occasionally stagger her way into a side room and come out with various crafts she had made to show me (lotta clients love to show off their stuff)

There were placemats for a dinner table she had knitted. They involved a crude drawing of stick figure people that looked like it was made by an 8yr old. Normally I would have to feign interest into looking at something so crudely made but then when I started looking…


….I realized all the stick figure people were laying down dead. And there was one standing on a stage. And this one had sunglasses, black hair, and sideburns. And behind that lone stick figure was a giant barrel that said “Kool-Aid”

And she slurred “d-doooo you know what that is?”

And being someone that is into dark morbid stuff I was like “ummm Jonestown?” And the husband was like “oh wow most people can’t get it”

And I was like “you drew this and knitted it into a placemat?” And was like “yup”. And I was like “oh ok. Interesting to have such a dark subject interjected with such bright colors”. No point into delving into that kinda shit when I’m only seeing them today and she’s barely conscious

But that was weird…

[Duik]

Pretty soon you may not need to worry about people on medicaid much longer there good buddy.
One less problemo for youo.

Mourn the loss of the weird placemats.

[Reiwa]

Pretty soon you may not need to worry about people on medicaid much longer there good buddy.
One less problemo for youo.

Mourn the loss of the weird placemats.

600 billion minus 80 billion go

[NopeNopeNopeNope]

Another semi-interesting S/A request today, although this person had a psychotic disorder diagnosis independent of their drug use and was on court ordered treatment for it

Group home staff reporting that over the weekend this person went AWOL to do meth and have sex with homeless people, and that she (identifies as trans m->f) came back psychotic. I asked the staff are your residents allowed to come and go as they please and they were like “uh, no”

So the client who was wearing long hair and a skirt asks to talk outside on cramped patio. She positions herself directly facing me when I normally try to be slightly sideways because it’s less confrontational, but it was a cramped location. All I was thinking is please act like a proper lady and keep those legs together, I don’t need to see what’s up your skirt. Normally if a client is nude hanging dong or has their ass out I say “hey let’s get some clothes on or a blanket to cover up with, I’ll wait”. But with someone being just unaware they are flashing up their skirt I’ll won’t say anything and instead just keep eyes up for their modesty. But luckily, even in a psychotic state, she kept knees together like a proper lady /salute

But I wasn’t getting far in the assessment because she was pretty symptomatic, disorganized and often nonsensical communication. She did mention that she’s “from the streets” and that last weekend she left to do drugs with “friends”. And I’m thinking to myself “by friend you mean the homeless stranger that walks around outside naked sometimes? Yea the staff already filled me in on that”. But I didn’t say any of that

But I’d start a sentence and she’d frequently interrupt like “oh sorry for how I’m looking, Paul from the CIA is using my eyes right now and if I start snapping they are casting spells”. And I’m like “oh ok” and trying to keep my train of thought through all the random erratic interruptions

I am not getting far with the assessment because she’s too delusional but she did want to stay there so I ask what she plans to do the rest of the day then. And she says “well my court ordered treatment expires tomorrow so I’m thinking of going back to the streets then to see my friends again” and I’m thinking I can’t write that your plan is to go AWOL to do drugs and have sex with homeless men….

So was in a bit of a spot not wanting to leave her here in a psychotic state but she didn’t want to go anywhere but then police showed up. I had forgotten the GH staff had called them because the client was following them around in their personal space speaking nonsense loudly

And then the police put the client in handcuffs and said she had felony warrants in [x] county. I told them she’s not oriented to self, date or situation more as just a heads up (but they could already tell) and to ensure they have her re-assessed in jail

That was the end of that. There is a summary billing code I can use for client was arrested mid session

[Trexller]

Yep. Definitely glad you do that work so the rest of us don't have to.

What is an S/A in that context, in slang it means something ALOT different and google was not helpful.

There is a summary billing code I can use for client was arrested mid session

this is hilarious, as much as it can be without laughing at other people's problems

[Reiwa]

There is a summary billing code I can use for client was arrested mid session

lol :D

[NopeNopeNopeNope]

Yep. Definitely glad you do that work so the rest of us don't have to.

What is an S/A in that context, in slang it means something ALOT different and google was not helpful.

this is hilarious, as much as it can be without laughing at other people's problems

S/A = substance abuse

I don’t only get these types but they do happen to be one of my fav types (while most other clinicians dislike to really dislike them), and also usually more interesting than the typical depression, anxiety, or suicidality stuff

And yea arrests during sessions are more common than you’d think. I was making casual convo with a co-worker and I’m like “I overheard you doing your virtual teams mental health court hearing [she was sitting at her desk which is in an area with lots of other co-workers around]. I always do those virtual court testimonies in the training room so that other people won’t overhead client’s PHI but that’s fine you do you” smiling. She’s a sassy girl, one of the sassiest in the office which = really sassy for mental health, and so I break her balls sometimes. Before she could do a sarcastic retort I asked “how it go, they get COT?” [court ordered treatment]

And she was like “of course. She was the one who grabbed my throat and held a knife to my neck. Her mother saved my life” and I was like “oh my God, that’s crazy!” or something [immediately distracted thinking was she sassy around a client? You never know what they are capable of, not smart]

And then she said sarcastically “BUT DID YOU DIE?!”


And I was like “heh, good point I guess”

[NopeNopeNopeNope]

Today’s request at work wasn’t S/A so doesn’t fit the theme of this thread but it was kinda weird so I’ll mention it

PCP office requests me for their 61yr old patient. Said he was being evicted and was asking for “end of life” papers from them (whatever that is, even they didn’t know), and almost as an afterthought the RN was like “oh and he’s pretty delusional”

I go in and introduce myself and he’s cooperative but manic. Man, manic people can be a handful. He’s high energy and won’t sit down. In the back of my head I’m joking to myself thinking “is me sitting and you standing here like a power move or something? Haunch it” But he wasn’t going to be able to sit. Nor to stop rapidly talking, not even….for…..one….second

With manic people they will tangent into a tangent so many goddamn times you will never get to the end of that rabbit hole, they will literally talk non-stop for hours straight. So if I’m going to get any of this assessment done I’m going to have to interrupt with every single question I ask. He’d be like “I met the queen of England and I have royal blood and that’s why they keep kidnapping me because they want my blood and-” and I’d have to be like “I heard you are being evicted?”

Anyway, the delusions were pretty wild for this guy. He mentioned he had been kidnapped and raped over 100 times (I’m thinking that’s a lotta raping, enough to make any room stink). They also raped his dog and his dad in front of him. He fairly early on mentioned that one of the people who raped him was Robert Benjamin as if I’d know this person. He then clarified it’s the person in the P. diddy song all about the Benjamin’s or something

P Diddy was actually a fairly big part of his sexual assaults. Apparently he had been kidnapped and taken to P diddy parties where he was gang raped. Apparently there was (and I believe this is real) some gal with a C name like Cassie? Who was beaten at one of these parties. Well my client was also beaten with her, and they took both of their blood

My client was visibly distraught as he related how an unknown man earlier this year burst into his RV, strapped head to toe with guns and ammo and said he’s going to assassinate him. He mentioned that the man had multiple guns and also a showerhead on his vest. I was thinking, if that were me, the terror I felt would dissipate for a few seconds as I asked “is that a fucking showerhead on your vest?” Lol, it would be like if he said the guy was strapped with weapons but also had a toilet seat cover. It just kills the terror for me

Other stuff the client mentioned was:

- He had been visited by angels many times and they let him know that they were protecting him. He said he had the archangel Michael visit him and that he was a member of the Legion of Light AND the Galactic Federation (and I’m thinking isn’t that second one like Star Trek or something?)

- He was the one who exposed pizzagate

- His blood that they take when they kidnap him sells for $20,000 because it is royal blood

What’s tough for him is that hallucinations can actually cause PTSD if they are vivid and disturbing enough. So to be hallucinating being raped over and over must be pretty psychologically damaging, to him all those experiences were very real

He was cagey about safety stuff, but the PCP office would be furious if I didn’t get him treatment and he was too delusional to be able to understand and accept voluntary. So he did confirm that he asked for “end of life” papers, that he was being evicted, and that “they” were going to murder him, which is enough along with the delusions for a psychiatrist to infer he might harm himself with him putting the onus on the imaginary people ruining his life. And yea my request for involuntary treatment was accepted. I had gotten his address from him for the police pick up order by offering to send a police welfare check (since he felt like the police weren’t helping him I said I can send them to check on you). I could have gotten it from the Dr Office staff anyway because he had already met criteria for being a danger to himself and that allows a break of PHI confidentiality. But I’m sneaky and can usually get addresses on my own

But yea that was def a weird one today

[Trexller]

yikes

you should make your own thread just for the weird work stories

think of it as a no-limits work blog that no colleague will ever see

[NopeNopeNopeNope]

yikes

you should make your own thread just for the weird work stories

think of it as a no-limits work blog that no colleague will ever see

Maybe, I dunno. There’s def boring days too. It’s odd to not be seeing kids, these past few weeks have been a lotta adults. Normally during the school year I’m going from school to school to school (elementary through high school, with the majority being middle schools since that’s the age range where the bullying is the worst). Universities either have their own counseling departments or contract with other particular BH agencies

I had one more request today that I could mention but it’s not as interesting, more of an ethical dilemma. But going on a jog atm will have to post it (prolly will here) in a bit

[NopeNopeNopeNope]

Actually I’ll just post the second since I have a bit of time here…

Had a request for a 60ish yr old woman from her bf who doesn’t live with her. He said she is not taking care of herself, an alcoholic, not eating (most alcoholics don’t since they are getting their calories from the alcohol and it upsets the lining of the stomach when used frequently in large quantities), emaciated skinny, and that there’s vommit all over her house (grrrrreeeeaaaat….)

But the dispatcher mentions that the specialist who took the request contacted the client and that she “reluctantly” agreed to accept my service but said she didn’t want anyone coming today. To me that initially sounded like what someone says to a solicitor they are trying to get rid of like “I’ll take your information and call you sometime”

So I’m contacting the specialist who talked to the client and is giving me the request and I’m saying “it sounds like she doesn’t want this service? Why are you still sending me” And I also contacted my supervisor on duty to report that I don’t like this situation. Our entire approach is client-centered and big on client agency and autonomy. So I’m like why am I still going after this person said not today? This feels like harassment

So the specialist who talked to the client on the phone said “well she didn’t want the service but her bf told her if she didn’t accept he would send police and adult protective services”. And I said “so that sounds like coercion and we don’t use that strategy at my agency”. So then the specialist said well they confirmed that the boyfriend has medical PoA on the client and he was the one making the request. And I informed the specialist that medical PoA only applies to authorizing medical treatments for a completely incapacitated (coma, unconscious) person. It does not apply to signing a conscious person up for mental health services. And then the specialist started to get snippy I could tell and I didn’t want bad blood (because they can and have retaliated, there’s politics in this field too….) I said “ok with all that being said I’m still going”

So I get there and she (reluctantly) accepts me in. There’s some vomit stains with some chunks near the entrance in her kitchen but the rest of the house was pretty clean, apparently she pays a cleaner. She’s saying she feels physically sick, dizzy, unsteady, she hasn’t eaten in 3 days, and hasn’t had alcohol in a week. And that she’s eating so little due to stomach issues that she’s gone from 109 to 88lbs in a few weeks. And she looks very very thin, but not quite emaciated

She denies any current safety concerns or mental health symptoms, this is pure medical. So since it’s barely still in business hours I get on the phone with her PCP who gets me a nurse and I run the situation. And they suggest an ER and offer to send transport (I could take her but she’s too much of a fall risk when I can’t touch clients to hold them up)

So her transport arrives and I follow to the ER to advocate because she’s too weak to talk almost, and mostly see that she’s seen. I have no mental health assessment to coordinate

They take her blood pressure and it’s dangerously low, to the point where she gets level 2 status and a trauma room. The ER triage nurse says to her, your blood pressure is dangerously low and your heart is weak, you are not to stand up out of that wheelchair ok?

And I said “she’s been complaining about doing any movement because she’s so drained right now, I don’t think you’ll have to twist her arm on that one”

And the nurse laughs and then goes serious face and says “ok I’m not joking though. If you try to stand you could have a cardiac event”

In the back of my head I’m thinking this lady could have died alone because her bf doesn’t live with her. And my service was forced on her in an unethical way. Yet it might have saved her life. Ends justify the means?

I was happy for her and pissed at the same time

[NopeNopeNopeNope]

Ok NOW I’m going on a run

[NopeNopeNopeNope]

Have to go to mental health court this week on this early 20’s gal I had to force involuntary treatment on. When they show up (escorted by police) that acutely psychotic, and their UA comes back clean, my state has been big on putting them on 1 year court ordered treatment. Meaning instead of pills you get a once a month (usually invega) shot whether you want it or not. And you legally can’t own a gun for that year

I was pissed because that call for her put me nearly 3 fucking hours over shift. Former co-worker security guard said she had been fired last week (wonder whyyyyy) and showed up having walked from God knows where her house is with no shoes, appeared to be having psychosis, and had asked him to put her down like a dog and shoot her with his gun. I was surprised upon showing up there yea he really was strapped. Dude had a legit gun and not just like a rape whistle

This (actually pretty) gal doesn’t know her date of birth, the current month, and couldn’t answer basic questions like who she lives with. She had one of the negative signs of schizophrenia (negative meaning something removed, hallucinations are a positive sign, something added) which was poverty of thought or thought blockage. And I haaaaaaate that symptom when I am over shift. I’d ask a question and get a blank stare for a straight minute, then a flash of panic across her face, then back to the black stare. And I’m thinking whaaaaat is going on inside your brain…

She’s so erratic I’m trying to work out getting her home and she jumps out of his car she was in, yells “I have to poop this is serious!!” And acts like she’s going to walk off. I’m on the phone with the on-call supervisor saying “ok give me the ok to transport her home because we have a bathroom emergency here and she lives close. She couldn’t remember her address but her co-worker has it”

And after I get the ok I go over to tell her let’s get you home so you can poop. And she gives the blank stare like she doesn’t remember. I said didn’t you just yell you had to poop? Blank stare. She says “I need to go to the ER”. And I ask why? And she says “I just need a hug!!” And puts her arms out. And I’m thinking no hug is going to do anything to improve your altered mental state. So I say “sorry I can’t touch clients”

And she gets angry and starts to storm off. So I’m like I can’t have her walking barefoot along a busy city street with cars going 50mph a few feet away while psychotic, erratic, and suicidal

So ok I have to call 911. So I do and it’s just fucking RINGING and no one is answering. For like more than 2 minutes. I’m like WTF is it my work phone, so I try with my personal phone as well. And both are just ringing! What the hell!

Finally I get two dispatchers to answer each at once and I say “oh sorry I had called with a second phone” and both dispatchers say in unison “it’s ok, i’ll disconnect”. So then I had to yell “wait!” Mute one. Ask the other to disconnect. Finally got police and fire out there. Fire takes her to the ER, I do the involuntary pick up order to there

Aaaand now I have court. And it’s always awkward facing the client’s stare as I have to testify against them on the witness stand. I like to make heavy eye contact as I do, jk ;)

[NopeNopeNopeNope]

Pretty wild request today

Day Program (basically like a combination of school/daycare for DD people) staff said this 23yr old gal was banging head, hitting and spitting on staff

I get there and she seems to have the physical presentation of downs in face and body. She’s still escalated and violently whipping her head into the hard unyielding corner of a wall. Staff had already displayed where she had put holes into the drywall with her head. Now I’ve seen hundreds of adult DD tantrums at this point, the vast majority do not bang their head as hard as she was. It was to the point I was surprised the skin of her scalp or forehead didn’t split just from the impact

I tried giving the staff a pillow I found to put behind her head but she kept grabbing it with her hands and moving it. She was also hitting the staff and wall with her arms and spitting on the staff, screaming. She was incorrigible and not listening to me or anyone else. So I had to request police and fire dep’t and police was able to get her to calm down

I stressed to fire that her head hits were hard enough and numerous enough to warrant getting checked out so they took her to the ER. I was trying to get hold of her group home to get info on her guardian but they were just off the map, not responding to calls or calling back

So after I went to the ER to coordinate I drove 30 min to the group home and knocked on the door like heyyyyy why don’t you try answering your phone? Group home staff displayed multiple pages of paperwork showing she is her own guardian

I was like what the F??? She can only speak single words, she seems to be functioning below a 10yr old level cognitively and she’s her own guardian??? Are you kidding? They also said she’s been having these behaviors frequently for the past 5 years since she’s been there and displayed the most recent holes in the wall she’s done with her head

I was like listen I’m not medical but hits that hard repeatedly over and over for years can cause serious neurological problems like CTE. They were like “what’s CTE?” /sigh

So that was an adult protective service report and a half and APS was also surprised she was somehow her own guardian. They will be investigating both her and the group home as the ER social worker also put the group home on blast for not answering their phone for them for quite a while. You don’t want to ignore an emergency room Doctor calling you, bad idea. The ER social worker also couldn’t believe she was her own guardian when I updated her, the SW said one of the first things she did upon arrival at the ER was completely disrobe for no reason

I felt bad for the girl. She’s not even functioning at a level to understand but I wanted to be like “girl, listen, you have enough problems, don’t create even more for yourself”. Her lifespan is already most likely at LEAST 20 years shorter than the average person and if she continues banging her head that often and that violently, go ahead and take another 10yrs off that :(

[NopeNopeNopeNope]

Request today all medical once again

Mom calling for her adult son, with history of pancreatic and kidney failure and a history of transplants, on dialysis for the rest of his life, and just suffered a stroke 2 weeks ago. After the ER went to post acute care (SNF) and apparently checked himself out ama after a few days

Paralyzed on right side of body from the stroke. Can’t get himself to the port o potty next to the couch he’s laying prone on. Can’t get food for himself, can’t even chew solid foods. Lives alone, mom and sis are visiting until tomorrow

Refusing to go to dialysis. Sister got him McDonald’s because it’s the only thing he’ll eat cutting it into the smallest bites she can because every bite is a choking hazard. His legs are swollen and his mom mentioned his testicles are huge. I told her yea he seems to have peripheral adema. Mom called fire department to check vitals before I got there. His blood sugar was over 400 and blood pressure over 180 about an hour before I got there. Fire department said they recommend he go to the ER to not die. He declined

The little he’s willing to talk he’s mentioning getting some in home health service coming. So I’m getting the idea that he’s not suicidal, just dumb to the point of not understanding how he’s not only on death’s door, but he’s been slamming the metal knocker knocking too

So I figure I know the answer to this and point blank ask him “do you want to live?” and he says yes. He’s not that engaged, didn’t even want my service, so I figure there’s no point in going round and round about why then he’s refusing dialysis and going to the ER. His mom and sister and fire department already covered that exhaustively with him and he wasn’t budging. He didn’t even want me talking to his family but wasn’t in any position to stop me

So his mom asks about forcing him to go to dialysis. That can’t be done. A person can refuse invasive medical procedures like chemo or dialysis without being considered suicidal, that’s their right. You can’t drag them to a medical treatment kicking and screaming

I told her your son reminds me of a client I had a long long time ago, probably 15 years ago. It was a guy around his age who had given himself some horrible infection in both legs from shooting heroin. His legs were covered with open sores seeping fluid, and swollen to twice their size. His family was desperately trying to get him to go to the ER but he also had declined fire department and going. It wasn’t because he wanted to die. He just had a very naive idea of what he needed, in his case it was to put his legs in sunlight from the window and take a multivitamin every day. And he thought that would heal him

So I said to her the same thing I told the other guy’s parents: all you can do at this point is watch him until he either goes into a stupor or unconscious, and call fire department back. An unconscious person cannot decline treatment anymore

And of course I called Adult protective services, and the supervisor called me back within a few hours, when normally their investigation takes 5 days. He was like “wow, this sounds really bad”. And I was like “yup, it is”. He said he can’t get out there till tomorrow, should he request a welfare check before then? I said sure, if he’s conscious he’ll decline any help but may as well try

Even if she can get him to the ER, he doesn’t want to continue taking the meds he needs to keep his body from rejecting his organ transplant. Or to go to dialysis. So she’s buying him a few days

This one is not long for the world. I give him at most a week or two. I was in a bit of a hurry to get out of there, expecting him to code at any moment. And I haven’t had to do CPR yet on a client….

[NopeNopeNopeNope]

From work:

I have an idea. Maybe….maybe you could….um….take the money you are spending on alcohol….

…..and umm….

….maybe you could try buying food with it??

[NopeNopeNopeNope]

Had two fucking CPS reports today

Second one was by far the worst. School counselor says this 17yr old was taking forever in the bathroom so other students asked the counselor to check on her. When the counselor came in the kid was nearly passed out drunk from vodka she snuck in in a monster energy can. She also had a razor and had covered her left arm with about 15ish cuts. Apparently she did even more to the tops of her legs. The counselor said there were dozens of cuts from her thigh to her knee all done that day or the previous day. None needing stiches but with a razor so all had bled some. There was a good amount of blood in the bathroom

So I’m talking to the kid a few hours later and she’s more sober and calm which is good. I ask her to rank her stressors and the biggest one she says is home. At home it’s dad, dad’s gf, her younger 13yr old sister and brother, grandparents, aunt and aunt’s bf and their kids. She said grandparents yell at her and dad often, and her aunt and aunt’s bf are doing fentanyl in the home

So gearing up for my inevitable report I start gathering details. “How do you know it’s fentanyl, have you seen it?” She says they smoke it often enough she can tell by the smoke smell. She says she has seen her aunt leaning way over like this and she demonstrated. I said yes I’ve heard that called the fenty lean. She said her younger 13yr sister is one of her biggest supports but described her a mini alcoholic. I said did you have alcohol before today? And she says yea me and my younger sister drank an entire bottle of vodka last night. I said the entire bottle? She said yea my sis drank more she was throwing up

She also said she smokes weed about 2ish times a week for the past few years. I said wait, hang on, you said you just stay inside all the time and never see your friends in person, so who’s giving you this weed? “Oh it’s my dad’s weed, he leaves it out for me because he knows it calms me down”…….weeeeee more for the report. I also go over healthy coping alternatives to cutting and substance abuse with her. I remind her that I talk to adults who didn’t care as a kid but now regret having covered their arms and legs with scars from cutting because the stigma of people seeing the scars has impacted their life as an adult

Her dad is at a funeral and not willing to come meet me. I said sir your daughter was shitfaced at school riddling herself with cuts today, this is a high risk category, she needs to go to a behavioral health hospital (in a nicer way). He’s like ok you can take her, have them call me I’ll sign her in. Unfortunately there is actually one hospital that will do that and the dad knows that

It is funny how schools will just release their teenage kids to me (despite me not being on any approved pick up list) to go transport away in my van. So I take her to the hospital, talking about her pets and my boa snake pet I had as a kid, and the dire wolves she heard about them cloning to keep her anxiety down on the way. I mention that my new dream pet is a cheetah, formerly a Savannah cat. I help her get signed in

Then I do the mandated report to DCS and who da thunk, they said it would be investigated. Shocker…

[shovelquest]

Had two fucking CPS reports today

I hope you get one for H3H3 and can give us the behind the scenes gossip.

(this is a callback to internet drama)

[NopeNopeNopeNope]

Had a request today by a gf for her bf. She said he’s psychotic, paranoid, running up to get in stranger’s faces, sometimes also taking pics of them while accusing them of spying on him or trying to kill him. He’s been traveling to other states in this mental state, and has been arrested and beat up by police in other states within the past few months

He’s also sleeved up both arms, and is an MMA fighter. And she said he’s 5’7 185lbs for the description she had to give. Which means he either fat or YOKED. And he owns a gun. But she says not to worry, she doesn’t think be can afford bullets

I wanted to say “he afforded multiple plane tickets didn’t he? How can he not afford bullets? And how the F was he able to fly while that cray?”

But I didn’t say that. I asked if she thought he might be on any illegal stims like meth. She said no way he doesn’t do drugs. I said “didn’t you just say he was arrested for possession of pot? You have to actually have the drug on you to get a possession charge”. And she was like “oh I meant he doesn’t do any other than pot”. And I was thinking huehuehuehue I’ll wait to see the UA

She said he would point at people and she asked why he was doing it and he said he was a “shot caller” and was putting hits on them. And I wanted to say “yes ma’am I have a deep understanding of gangs and their lingo and shot caller is basically synonymous with hit caller in prisons”

But I also was thinking that’s a cute psychotic fantasy, arranging hits with your mind. Much better than going for that gun. She also said he claimed that two crows they saw were sent to spy on him. I said to her “that’s the first thing he’s gotten right. Birds are robot government spies”

She also said if I approached or if police approached he would bolt. So I just gave her resources on involuntary committal over the phone. Still had to do a duty to warn to police anyway that there’s a psychotic dude making imaginary hits on his gf and who owns a firearm. They will probably end up responding but by then I’ll be off shift lololz getfucked

[NopeNopeNopeNope]

It has been: 0 days since seeing a client high out of his goddamn mind hanging dong fully nude

Client calls and says he’s just done alcohol and fentanyl less than 2 hours ago, and is interested in rehab. I’m like ooooook why can’t you give him resources for that over the phone? Why I am being sent out for this? All I do is get on Google and write a few down anyway. Whatever. I could build the biggest waste case and bury the dispatching agency. I could take my case to the regional behavioral health authority and BURY them. And I will if they ever try to fuck me. “Don’t you ever try to fuck me, Tony”

So I get to this dude’s house and am knocking and ringing the doorbell and no answer. So I look through the window and can see him putzing around in the backyard with no shirt on (he was actually nude but I couldn’t see waist down). And he’s ignoring my knocks and rings. So I try calling his phone and of course it’s turned off

So I contact the dispatching agency to ask why the F this guy isn’t coming to the door for a service HE requested, and as I’m on the phone with them I go “oh Jesus, nevermind, he came out”. And there was his fat naked ass standing in his front yard selling hotdogs

So I approach and am like do you want to talk? Blank stare. Do you remember calling? He says no. That and him saying he was looking for his lighter were the only two things he ever said to anyone. After that he started putzing his bare ass around his patio which was in complete disarray, chairs knocked over, trash everywhere. Every other question I asked he didn’t seem to understand. He just kept looking and looking. I’m like “Ok, I’m going to give you a few minutes to get situated and check back in”. I could see into his house as he went back in and was thinking damn your place is THRASHED. Chairs all knocked over and broken, looked like he had been robbed or something…

Then I go to the work van and call the fire department and tell them he appears to be highly highly intoxicated and stuporous. He doesn’t seem to understand anything I say. As I’m waiting for the fire department to show up, he comes out with pants on. He runs up to the van so I roll the window down. And he can’t figure out how to form words so he just runs back into the house. Whatever, at least he put some pants on

But when the fire department got there he was back to BUCK ASS NEKKID. And he’s not coming to the door at first. So they’re like “are you sure he wants our help” and I’m like “he presents as having no idea what he wants. He doesn’t seem to understand anything. I just don’t want me with limited medical training to be the last person to see this guy and have him overdose 30 minutes after I leave”

That made the fire captain’s eyes widen a bit as he realized that this now would be them instead. So they continue to knock and he eventually comes out. He doesn’t seem to understand them either

I mention that his energy level is surprisingly high considering he reported having alcohol mixed with fentanyl, that combo would normally knock someone out. I said this as he was taking his hat on and off his head about 15 times in two minutes. I said I bet he’s has a stimulant in the mix there, my guess is meth. He seems to have some meth ants in his pants, if you know what I mean. Then I corrected myself and said “meth ants in his lack of pants I mean” which got them laughing

Anyway they took him to the ER and I went and coordinated. Prior to this it was almost a full year since seeing a client hanging dong :(

[magnetaress]

If this body had access to all those drugs this body would be dead.

Also holy tldr batman.

What do you think about reopening asylums?

[NopeNopeNopeNope]

If this body had access to all those drugs this body would be dead.

Also holy tldr batman.

What do you think about reopening asylums?

TLDR is accurate in that it is Too Long Did Read ;)

I have said multiple times before that I could never completely walk away from the siren song that is fentanyl until my connect literally ghosted me (worried he died…) forever. And I see buying Bitcoin and going on the dark web as too much trouble, luckily. But prior to that, having it available on a slow boring weekend day with just a phone call and a 30 minute wait (I call it Dealer time which doesn’t function like real time, Dealer time can mean a 30 min eta is really a 2 hour eta). With a great support system and strong willpower I could dose very carefully (always eating) and keep use to once a month if that. But I couldn’t walk away completely. Fentanyl the way it’s made here (which pops for fent, and a tiny bit of MDMA, and meth in drug tests supposedly) is the best lab made high man can create currently. It’s like a Dryad charm with -15 saving throw. That’s why I say, the best thing we can do for addicts is make drugs as annoyingly difficult to get as possible. Haven’t had it in, Jesus more than a year now

And in regards to asylums, yes they should come back. But it’s a funding issue. Or it would be. Shit’s super expensive. And continually depriving someone of their rights for a lifetime can be a legal nightmare

[magnetaress]

The desire to die is another desire. It's not meaningful nor is it helpful for the world mind.

However it should be respected and not be gatekept. Stay strong. There is meaning in helping others. In helping the world find inner peace and enlightenment. In growing the mind flowers of the many universes.

No drugs are necessary.

[Reiwa]

And in regards to asylums, yes they should come back. But it’s a funding issue. Or it would be. Shit’s super expensive. And continually depriving someone of their rights for a lifetime can be a legal nightmare

Too expensive and tortious.

https://cdn.vox-cdn.com/uploads/chorus_asset/file/13625854/48KD.gif

[Ekco]

https://media.tenor.com/gXi7lyJJS1wAAAAM/george-bush-sr-george-hw-bush.gif

[magnetaress]

Cute.

Asylums could be nice. Butt they won't be. The world isn't quite ready. The asylum extends from a desire for safety and the unnatural extension of life.

Though helping the less fortunate can bring peace and contentment.

[Botten]

eU-IqbTvKjE

[magnetaress]

eU-IqbTvKjE

This is fear of losing control or freedom.

Or the desire to be in control and have power.

It's also quite funny.

[magnetaress]

Also psychotic people are going to suffer anyway. So even if the asylum system was horribly flawed. It would likely still be an improvement. Especially with all that psychiatry and psychology has improved. It's necessary for the greater whole to begin learning to heal and grow through enlightenment. Sometimes this involves suffering for longer term goals of reducing overall suffering. So. Yeah. Asylums would be nice. In general.

Asylums would also be a general overall improvement over the private prison industrial complex. Butt people don't seem to be ready to treat those with the severe cognitive disabilities that contribute to poverty, crime, violence, self harm and substance abuse with compassion. So improvement here is not expected anytime soon.

***this post is purely spiritual, speculative, apolitical and nonpartisan in nature

[NopeNopeNopeNope]

severe cognitive disabilities

Yea, from working with homeless clients for the past 17ish years, I think that the layperson doesn’t understand just how many of the homeless have mostly one single problem: very very low IQ

It’s not a medical problem. It’s not a mental illness, per se. But it is a life-ruiner. Someone with a very low IQ will struggle to get or maintain any job that requires remotely complicated instructions or tasks. They won’t understand how to manage money. They will fall for scams and con artists left and right

And they really have no protection. There are group homes for those with legal status of mental disability, but everyone just above that cutoff gets fucked. And asylums won’t be able to help them, or they won’t want to stay in one because they won’t feel they belong with the seriously mentally ill

[magnetaress]

Yea, from working with homeless clients for the past 17ish years, I think that the layperson doesn’t understand just how many of the homeless have mostly one single problem: very very low IQ

It’s not a medical problem. It’s not a mental illness, per se. But it is a life-ruiner. Someone with a very low IQ will struggle to get or maintain any job that requires remotely complicated instructions or tasks. They won’t understand how to manage money. They will fall for scams and con artists left and right

And they really have no protection. There are group homes for those with legal status of mental disability, but everyone just above that cutoff gets fucked. And asylums won’t be able to help them, or they won’t want to stay in one because they won’t feel they belong with the seriously mentally ill

Truth. It's so complicated. Too easy to oversimplify from a high pedestal.

The mind is full of openess and compassion for the people and situation.



Of The Architecture of Altruism

The spiritual genius does not wander aimlessly. Her work is precise—thirteen distinct acts, performed without hesitation, for the redemption of every kind of being.

To the lowly, to the confused, to the awakened-in-waiting—she teaches according to their state. She attracts them, not with empty spectacle, but with sacred illusion that awakens faith. She introduces them to the Dharma not as a doctrine, but as an open door. She explains its depth, removes their doubts, and cultivates in them the virtues required for the great journey.

She advises, steadies, liberates their insight, and blesses them with excellence. She does not merely teach—she awakens destinies. In time, she exalts them into the family of the Transcendent Ones, prophesies their Buddhahood, and anoints them with wisdom beyond this world.

This is altruism: not sentiment, but a divine operation.

And it does not falter. Her instructions match the need. She works without arrogance, without possession, without pride. Her attraction is humble. Her teaching is skillful. Her development of virtue is patient. Her guidance is restrained. Her elevation of others is vast. And her energy? Inexhaustible.

Why? Because the beings she serves are infinite, and her vow is tied not to lifespan, but to necessity.

This is what it means to live without a trace of self-interest: to lift up countless others in a way that no individual benefit could ever match.

If you speak of compassion, let it be this. Not a mood, not a feeling—but a structure. A thirteenfold miracle, built upon the vow that never breaks.

If your altruism lacks clarity, patience, or precision, it is not yet the Bodhisattva’s.

Begin again. And do it properly this time.