My tentative diagnosis:

[PCIntern]

I have long stated that Orangina has an incredibly complex pathology and the amount and nature of diseases on all five axes is unusual. And yes, I’m aware that the mental health industry did away with the axis model years ago, but I don’t care. It works for me.

I think we are witnessing a prolonged episode of manic behavior instigated by a combination of psychiatric illness, knowledge of near-imminent mortality, and narcissistic collapse. It well known in medical circles that even a terminally ill patient rallies at the end. I saw that with my own very ill father: I recall distinctly taking him out to breakfast and remarking afterwards that I hadn’t seen him that vital in years. Three days later he was in ICU and never regained consciousness.

I post this following result from a search engine: sound vaguely familiar? Add to it CHF, long history of drug utilization, possible systemic infections/diseases which have been suggested by outward symptoms, and severe stress as things collapse coupled with nearly certain fronto-temporal involvement. A recipe for disaster of all types as we are witnessing and experiencing.



Manic behavior prior to a crash or depressive collapse often involves a dramatic escalation in energy and a loss of touch with typical constraints. Identifying these warning signs is critical because unchecked mania usually peaks and abruptly shifts into severe depression, sometimes requiring a clinical stay.Early warning signs and escalating behaviors often include the following: Drastically Reduced Sleep: Needing only a few hours of sleep but waking up feeling energized and rested.Racing Thoughts and Rapid Speech: Thoughts moving too quickly to control, coupled with speaking so fast that others struggle to keep up.Grandiosity: An inflated sense of self-esteem, where an individual may feel invincible or destined for unrealistic feats.Impulsive and Risky Behavior: Engaging in reckless activities, such as excessive spending, overindulgence, or impulsive decisions that contradict normal behavior.Agitation and Irritability: Experiencing a severely shortened fuse. Frustration can arise quickly if others fail to keep pace with rapid ideas or plans.Why the "Crash" Happens: A manic phase pushes the brain and body to extreme, unsustainable limits. Once the intense chemical surge subsides, individuals often experience an abrupt "crash" or collapse into a profound depressive episode. This transition period can feel incredibly draining and is frequently characterized by extreme fatigue, lingering shame, sadness, and an overwhelming loss of motivation as the brain readjusts to stability.