Terms of Joining

## Rules

* If you want to join as the patient, please choose one or two of the mental illnesses and classification. Note that there is a limit for the number of patients for a few classifications. We might consider changing the limit if there are more patients than expected. (go to List of Members.)
* If you want to join as the psychiatrist/nurse, please read the conditions and terms for Psychiatrist and Nurse at the bottom of the page.

1. We will do a short interview at the time your tweet had been responded.
2. Patients will be assigned after the interview ended.
3. Doctors may stay in the hospital, because there are facilities for the workers to utilize in the Asylum grounds. But if they would like to go home, it is fine as long as they are puctual.
4. For interns will be guided by the seniors until they had prepare to do a few tests and will only be approved if they passed.
5. For doctors/psychiatrist/nurses, please complete the terms and do the medications and treatments.
6. Please interact with each other. We're in an asylum, so it's common that people who suffered mental illness talk to each other, even if the conversation doesn't make sense at all. The only exceptions being a few special cases who poses a great deal of danger to others.
7. Please keep your character as IC as possible.
8. Please do contact us when you will be on Hiatus (of any kind), and when you're going to do a temporary swap or permanently swap. We will allow two weeks of semi-hiatus, a month for hiatus, and up to two months of long hiatus. If there is no notification afore, we will automatically unverify those who hasn't been online for a week.

Listed pictures of the current building here. (WIP)

## Mental Illnesses

#### **Anxiety Disorder**

* People with anxiety disorders respond to certain objects or situations with fear and dread, as well as with physical signs of anxiety or panic, such as a rapid heartbeat and sweating. An anxiety disorder is diagnosed if the person's response is not appropriate for the situation, if the person cannot control the response, or if the anxiety interferes with normal functioning. Anxiety disorders include generalized anxiety disorder, panic disorder, social anxiety disorder, and specific phobias.

#### **Dissociative Disorder**

* People with these disorders suffer severe disturbances or changes in memory, consciousness, identity, and general awareness of themselves and their surroundings. These disorders usually are associated with overwhelming stress, which may be the result of traumatic events, accidents, or disasters that may be experienced or witnessed by the individual. Dissociative identity disorder, formerly called multiple personality disorder, or "split personality," and depersonalization disorder are examples of dissociative disorders.

#### **Eating Disorder**

* Eating disorders involve extreme emotions, attitudes, and behaviors involving weight and food. Anorexia nervosa, bulimia nervosa, and binge eating disorder are the most common eating disorders.

#### **Factitious Disorder**

* Conditions in which a person knowingly and intentionally creates or complains of physical and/or emotional symptoms in order to place the individual in the role of a patient or a person in need of help.

#### **Mood Disorder**

* These disorders, also called affective disorders, involve persistent feelings of sadness or periods of feeling overly happy, or fluctuations from extreme happiness to extreme sadness. The most common mood disorders are depression, bipolar disorder, and cyclothymic disorder.

#### **Obsessive-Compulsive Disorder (OCD)**

* People with OCD are plagued by constant thoughts or fears that cause them to perform certain rituals or routines. The disturbing thoughts are called obsessions, and the rituals are called compulsions. An example is a person with an unreasonable fear of germs who constantly washes his or her hands.

#### **Personality Disorder**

* People with personality disorders have extreme and inflexible personality traits that are distressing to the person and/or cause problems in work, school, or social relationships. In addition, the person's patterns of thinking and behavior significantly differ from the expectations of society and are so rigid that they interfere with the person's normal functioning. Examples include antisocial personality disorder, obsessive-compulsive personality disorder, and paranoid personality disorder.

#### **Post-Traumatic Stress Disorder (PTSD)**

* PTSD is a condition that can develop following a traumatic and/or terrifying event, such as a sexual or physical assault, the unexpected death of a loved one, or a natural disaster. People with PTSD often have lasting and frightening thoughts and memories of the event, and tend to be emotionally numb.

#### **Psychotic Disorder**

* Psychotic disorders involve distorted awareness and thinking. Two of the most common symptoms of psychotic disorders are hallucinations -- the experience of images or sounds that are not real, such as hearing voices -- and delusions, which are false fixed beliefs that the ill person accepts as true, despite evidence to the contrary. Schizophrenia is an example of a psychotic disorder.

#### **Schizophrenia**

The patients will be divided into 4 types of schizophrenia.

* 1st type: Disorganized

The first type is called childish or disorganized type. Characterized by a disorganized speech, which is difficult to understand, and flattening or inappropriate emotions. People with this type may laugh inappropriately for no apparent reason, make illogical statements, or seem preoccupied with their own thoughts or perceptions. Their disorganized behavior may disrupt normal activities, such as showering, dressing, and preparing meals.

* 2nd type: Paranoia

This is the most common type of schizophrenia. People who had this 2nd type were mostly look fine. Typically, they had certain themes of characteristics and those characteristic would likely to remain consistent over time. A person's behavior often are related to the content of their thoughts.

* 3rd type: Residual

This type were mostly characterized by past events, but the patient didn't have a disorganized speech, hallucination, delusion, etc. This type consist of monotonous face expression and monotonous voice. Residual type didn't disrupt normal activities.

* 4th type: Unidentified

This type is characterized by some symptoms seen in all of the above types, but not enough of any one of them to define it as another particular type of schizophrenia.

#### **Stress Disorder**

* Stress response syndromes occur when a person develops emotional or behavioral symptoms in response to a stressful event or situation. The stressors may include natural disasters, such as an earthquake or tornado; events or crises, such as a car accident or the diagnosis of a major illness; or interpersonal problems, such as a divorce, death of a loved one, loss of a job, or a problem with substance abuse. Stress response syndromes usually begin within three months of the event or situation and ends within six months after the stressor stops or is eliminated.

## Patient Classifications

The patients will be divided into five classifications :

### **Classification A**

Patients with no criminal records /at all/, and who are considered to be mentally healthy enough to only come to the asylum for schleduled checkups.

### **Classification B**

Starting from this state are the patients who are staying in the building as long as necessary. Classification B is used to identify patients with no criminal records—and have started their recoveries, or newly-taken individuals who got in simply to keep their mental disorders from going wild.

### **Classification C**

Still, patients who are registered with no criminal records at all. This classification is used to classify them whose minds are very unstable, and every-so-often has to get their caretakers run around for their attention. (Since they could pose a threat, either to themselves or to others.)

### **Classification D**

Classification D is for patients with a minor criminal record—basically any crime as long as no lives were lost. (Mental illness still necessary.)

### **Classification E**

Classification E is for patients with a major criminal record. It matters not whether they've taken a few or many lives, as long as someone has died by their hands. (Mental illness still necessary.)

## Terms for Psychiatrists and Nurses

### **Activities**

* Psychiatrists must do a routine check-ups, give medications, and monitor the blood counts of the patient minimal once a week for each patient.
* Nurses must give routine medicine to the patients.

### **Medication and treatments**

* Clozaril is the only drug that has been shown to be effective where other antipsychotics have failed. But it produce side effects, including weight gain, changes in blood sugar and cholesterol, and possible decrease in the number of infection-fighting white blood cells.
* Blood counts need to be monitored every week during the first six months of treatment and then every two weeks and eventually once a month indefinitely in order to catch this side effect early if it occurs.
* Other atypical antipsychotics include Abilify, Geodon, Invega, Latuda, Risperdal, Saphris, Seroquel, and Zyprexa. Another atypical antipsychotic, Fanapt, has been FDA-approved for acute (but not long-term) treatment of schizophrenia. The use of all of these medications has allowed successful treatment.