Marcel's Syndrome

Marcel's Syndrome 	Marcel's Syndrome 	Marcel's Syndrome	Marcel's Syndrome
 	 	 	
drawing made by a person diagnosed with Marcel syndrome	drawing made by a person diagnosed with Marcel syndrome 	 	
Speciality 	Psychiatry 	 	
Symptoms 	Delusions, impulsivity, disorganized thinking, schizophasia 	 	
Complications 	Suicide, educational and employment problems, lifestyle diseases 	 	
Usual Onset 	Around ages 28 	 	
Duration 	Chronic 	 	
Causes 	Environmental and genetic factors, with many uncertain factors 	 	
Risk factors 	Family history, childhood adversity, long-term stress, certain genetic conditions	 	
Diagnostic method 	Clinical observation of behavior, reported experiences 	 	
Differential diagnosis 	Bipolar disorder, Schizophrenia, Schizoaffective disorder, Psychotic depression 	 	
Management 	AdoPHARMA™ copiux pills, counseling 	 	
MarceL's Syndrome often referred to as Marcel Syndrome, is a mental and psychotic disorder, it is a proposed spectrum disorder condition of a loosely defined cluster of certain abnormal characteristics in neurological and behavioral mannerisms.
==Classification==
MarceL's Syndrome has never been included in the Diagnostic and Statistical Manual of Mental Disorders or DSM, the standard tool for diagnosis of psychiatric illnesses and disorders in the U.S. and Canada, mainly due to the lack of a consistent body of academic research. Proponents to the condition's recognition have been predominantly from Adoria who continue to lay the groundwork of the development and trends of Marcel syndrome.
Research sponsored by the Ador City State Lab and Ador City Sanatorium has repeatedly affirmed the legitimacy of the condition having successfully achieved affirmative results in all official conclusions and replications into the circumscribed observations and hypotheses that detail what Marcel's syndrome is.
This research has organized Marcel's syndrome as a mental disorder, specifically a schizophrenic/psychotic disorder. Diagnosis of MS is based on the content of behavior and psychosis that is observed, it is these observations that conclude with disorganized thinking and a decreased state of consciousness that form the core delusions characterizing the syndrome. These associated characteristics describe a wide spectrum of symptoms that define the parameters of the syndrome. Delusions also occur as symptoms of many other mental disorders, especially the other psychotic disorders.
==Signs and Symptoms==
Symptoms are described in terms of positive, negative, and cognitive symptoms. The positive symptoms of Marcel's syndrome are the same for any psychosis and are sometimes referred to as psychotic symptoms. There are many signs associated with MS; the presentation varies widely: 
*Poor comprehension of the object permanence of server channels that vanish during server breaks.
*Compulsively downvoting legislative agenda unless compelled to do so otherwise.
*Feeding your sister's 1.5mo baby a bit of beer into his milk to make him sleep the whole day.
*Mania, depression, narcissism, impulsivity, avolition, irritability, incoherence, dysphoria, delusions, grandiose delusions, hallucinations, schizophasia, substance abuse, derailment, tangentiality.
===Positive Symptoms===
Positive symptoms are not normally desired, but are present in people during a psychotic episode of Marcel's syndrome. This includes disorganized thinking which can bring moods of mania sometimes characterized as euphoric, abnormally aroused. As self-awareness becomes impaired, more and more impulsive and narcissistic tendencies can develop bringing a sense of elation to those with the condition. Voyeuristic arousal has been reported as understandings of personal boundaries and a sense of privacy begin to break down.
===Negative Symptoms===
Negative symptoms include the break down of normal emotional responses and thought processes. The volatile emotional state of someone with Marcel syndrome causes disruptions in normal mood, psychomotor activity (the level of physical activity that is influenced by mood)—e.g. constant fidgeting during mania or slowed movements. Psychotic symptoms such as delusions or hallucinations may occur along with avolition, irritability, and dysphoria. The biological mechanisms responsible for triggering MS remain poorly understood.
===Cognitive Symptoms===
The cognitive deficits brought on from Marcel syndrome can impair basic functioning abilities in those with the condition. Decline in Social cognition and the decreased state of consciousness result in disorganized thinking, and is one of the hallmark features of MS. These disorganized thoughts are characterized by incoherent and illogical speeches and decisions. As the mind becomes increasingly derailed from any sense of structure, tangential speech ensues. schizophasia has been reported causing compulsive cursing and racial slurring. Deterioration in the Broca area inhibits articulated speech, despite this the Amygdala and Basal ganglia which are responsible for animalistic speech such as cursing and screaming remain intact allowing for a comprehensive vocabulary of discriminatory language in a state of heightened overall activation with enhanced affective expression together with lability of affect.
== Diagnosis==
Marcel's syndrome is not included in the DSM-5. It is described by the Ador City Sanatorium. The ACS criteria states that to be diagnosed with MS, two diagnostic criteria have to be met. One of the symptoms needs to be schizophasia, delusions, mania or psychosis. Secondly the pathogenesis of the syndrome is denoted by a mental break down or series of break downs onsetting diagnostically specific signs and symptoms. Before this there are no tangible manifestations of prodrome. Four months or more with symptoms severe enough to affect ordinary functioning is a Adoria State Lab guideline for diagnosis.
=== Differential diagnosis ===
Psychotic symptoms may be present in several other conditions, including bipolar disorder, borderline personality disorder, substance intoxication, substance-induced psychosis, and a number of drug withdrawal syndromes. Although there are no biological tests that are diagnostic of Marcel syndrome, blood tests and/or imaging are carried out to investigate whether medical illnesses with clinical presentations similar to that of MS are present before making a definitive diagnosis. Neurologic diseases such as multiple sclerosis, complex partial seizures, strokes, brain tumors, Bipolar disoder, traumatic brain injury, Huntington's disease, and complex migraines can mimic features of Marcel's syndrome.
==Management==
The primary treatment of Marcel's syndrome is the use of antipsychotic medications, often in combination with psychosocial interventions and social supports. Voluntary and involuntary admission to medical supervision is common especially with severe episodes. Copiux pills developed by AdoPHARMA™ are anti-stress pills that provide anxiety relief and can help moderate symptoms of MS. Exercise including aerobic exercise has been shown to improve positive and negative symptoms, cognition, working memory, and improve quality of life. Exercise has also been shown to increase the volume of the hippocampus in those with Marcel syndrome. A decrease in hippocampal volume is one of the factors linked to the development of the condition. However, there still remains the problem of increasing motivation for, and maintaining participation in physical activity. Supervised sessions are recommended. In Adoria, healthy eating advice is encouraged alongside exercise programs.
==History==
The term Marcel's Syndrome was first used by Adorian psychologist Dr. Tomi da Silva during the vote of no confidence against Vice President Bert. This moment would be the result of complex political relations that had been in the making for a long time.
===Patient Zero===
On 25 May 2021, Prime Minister Lich resigned in the political fallout resulting from the passage of the YouCare Act. This resignation would make DPM Fran the new PM, who was currently an independent. As he held no responsibility to any party he would choose his ministers as he wished for the short time that he had as PM. On 28 May 2021, he would appoint Dr. Tomi to be the new Health Minister. Minister Tomi's first actions would be reform the membership of the Health committee. He would kick BlazerGazer and add MapleSpace, Yannick, MapleSpace, Bossman, Glikko, and Big Ben. Tomi would describe these choices as completely loyal, picked completely unbiased, and all knowledgeable in some agree about medicine and health. Finally Dr. JavyBean would be appointed as his deputy minister citing his experience working in foreign clinics.
Now that the Health Ministry was reorganized their first action would be send 10 kilograms of AdoPHARMA™ copiux pills to Vice President Bert and NA Speaker Based Autocrat. For the entirety of this day VP Bert would be muted since he had toxically insulted Riccardo Ferola the previous day resulting in a 48 hour mute. Due to this he would transmit a message via Frederick Llama to ask Industry Minister Daniel Index about his executive order distributing small business loans and grants into Maritania. Bert's message would ask how much is to be spent in loans and how much in grants and how would it effect NPC businesses. Daniel would annoyingly answer while detesting Bert's decision to unnecessarily spread their DM conversations into the public eye for no good reason. Health Minister Tomi would call Bert's actions unacceptable and voyeuristic for publicly involving himself into things that did not concern him. Tomi would also reveal that Bert's physical absence and resorting to letters was due to the fact he was recovering in an Adorian clinic because of a mental breakdown he had in the National Assembly. These behaviors have been reviewed as being classic examples of an increasingly uninhibited self-awareness as his mannerisms grew more impulsive. The intimate details of Bert's breakdowns would never be publicly revealed due to patient privacy but serves as the pathogenesis upon which all of Marcel syndrome is built upon.
On 29 May 2021, Vice President Bert's mental condition would rapidly deteriorate. In response Health Minister Tomi would issue an executive order quarantining Bert at the Ador City Sanatorium until he could complete his recovery. Contradictory to this message, VP Bert would issue a statement that he would be attending President Montiel's EU trip to seek emergency relief for Maritania. He would also call the Sons of Liberty dyslexic and illiterate for not understanding that €270 per refugee meant per capita refugee spending and refugees were not being paid to come to Adoria. He would call for Dr. Tomi to quarantine Riccardo Ferola for having ape disease where everything that he touches collapses. These remarks became more and more incoherent resulting in Bert's derailment into tangentiality.
0n 30 May 2021, Dr. Tomi would issue a statement that Bert's condition was very poor; Bert had suffered several breakdowns within the last few days. The he had begun repeatedly saying the N word. Due to these developments Bert's quarantine would last much, much longer than the Health Ministry had hoped for. Contemporary research would conclude this as a form of aphasia or schizophasia. Articulated speech is controlled by the Broca area and at this time it was obvious Bert's had been severely incapacitated. Despite this the Amygdala and Basal ganglia which are responsible for animalistic speech such as cursing and screaming were still intact allowing Bert to say the N word no matter how much brain damage he had. On this day the Health Ministry would issue a quarantine for Jacire for exhibiting paranoia. Bert would be reported attending the EU trip putting a vast contradiction in the official Health Ministry line of events. It is theorized that Bert had either escaped unseen or the event had been a delusion of Bert possibly sparking a mass false memory. In the meantime Dr. Tomi would establish the Adorian Drug Agency to regulate drugs in Adoria. At the same time however a trial would wage against Tomi for his actions against Bert and Jacire.
===Bert and Jacire v. Tomi===
On 30 May 2021, the High Court would convene as Bert and Jacire had filed a lawsuit protesting their quarantine. They would be represented by Frederick Llama who declared the quarantine had no legal nor medical basis and was simply being abused by Dr. Tomi to lock up people he doesn't like. Tomi would represent himself stating that the Health Ministry held the authority for their actions from the Ministerial Powers Bill and that Bert and Jacire were under quarantine for their own safety. Dr. Tomi would state that he had diagnosed Bert with schizophrenia and Jacire with OCD and paranoia. Llama would question the validity of Dr. Tomi's Oxford medical degree while Tomi submitted Bert's diagnosis for schizophrenia as evidence. Dr. Tomi would leave for a short trip to Portugal mid-way for personal holiday. Once the closing arguments concluded Head Judge HeyIt’sJoe and Judge RMSteve would vote guilty. While Judges Daniel Index, SoleSol and Riccardo Ferola voted not guilty. The next day the verdict would be delivered finding Dr. Tomi not guilty of committing illegal detention in his actions as Minister of Health and Social Affairs.
Frederick Llama would appeal this verdict to the Supreme Court who would accept the case as part of their docket.
===Removal of Vice President Bert===
On 30 May 2021, the Confidence Resolution would be passed by its author King Adoria. This law enacted by the 50th National Assembly allowed for Vice Presidents to be removed by parliament by a special 2/3rds vote of no confidence. Before impeachment had been the only way to remove a VP. On 1 June 2021, the 51st National Assembly would open and their first bill for the term would be vote of no confidence against Vice President Bert with 20 signatures. In his time as VP, Bert had been wildly unpopular for how strict he had been in addition to his frequent mutings for drunken ramblings that impaired his duties. Even Bert's defense lawyer Frederick Llama had signed. It is here where Dr. Tomi da Silva testified during the debate that Bert had schizophrenia and also a "Marcel's Syndrome" this syndrome would be left unexplained but the bill's preamble would be amended to include schizophrenia and Marcel's syndrome as reasons for removing Bert. The vote would be presided over by President pro tempore SoleSol. After this debate Bert would hold one for a Pet Care bill showing he was able to still debate bills despite his quarantine. Despite this the Assembly still did not want him and would quickly vote for his removal. Seeing the writing on the wall Vice President Bert would resign after just a few hours. The vote would pass the next day with over 80% in favor.
=== Bert and Jacire v. Tomi appeal===
On 1 June 2021, the Supreme Court would assemble to deliberate the High court's verdict. Justices Galtright, Gvizdod and LastCelebration would uphold it in a majority. Despite this Justice Galtright would challenge the constitutionality of Dr. Tomi's actions and the next day Galtright v. Tomi would begin. While Dr. Tomi had not violated the Ministerial Powers Bill it was argued he had violated the Adorian Federation Constitution by quarantining Bert and Jacire against their will. Justices Gvizdod, Fionn, King Adoria would rule Dr. Tomi guilty on offense of Article 24 (Freedom of movement) but innocent on Article 34 (obstructing the VP's constitutional duties). Justice LastCelebration would dissent and find the defense guilty on both charges. On 3 June 2021, they would issue their verdict sentencing Dr. Tomi to 8 years in prison (capped at 4 weeks) and a ₺60,000 fine.
===Assassination of Bert ===
Despite loosing his job as Vice President, Bert would bounce back quickly and got a position as Finance Minister of the 51st Government (SDP-AWF-BA-LU) that formed that same day. However tragedy would soon strike when on 5 June 2021, a stray bullet from a rifle shot Bert while he was driving home from the Finance Ministry causing his car to careen off the road into a ditch. In his Will, his inheritance and belongings would be transferred to his husband David Cameron. The Government's Justice Minister, Andefar, would not open an investigation into the event. On 7 June 2021, a motion would be passed allowing for Bert to be laid to rest at the Ador City Graveyard where all those of significant service to Adoria are allowed to be buried. It would not be until 16 June 2021, when the 52nd government formed that a federal investigation would be opened into the event but nothing would be found.
==See Also==
*Judge RMSteve's dissent on the Bert and Jacire v. Tomi case
*51st Adorian Election
*52nd Adorian Election
*Battle of Ashenwood
*The Bucket Affair
*First Galactic Imperial Party