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SS14 - Psychiatric

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The Psychiatrist is a unique and often underappreciated role in Space Station 14. Somewhere between a doctor, a therapist, and a containment officer, the Psychiatrist is tasked with keeping the crew mentally stable — or at least preventing total meltdown before Security arrives.

🧠 What Does a Psychiatrist Do?

[redigera | redigera wikitext]
Evaluate Crew Mental Health
Meet with crewmembers showing signs of psychological instability, stress, hallucinations, or violent outbursts.
Perform roleplay-based evaluations, ask questions, and document symptoms on paper or console.
Diagnose and Document
Create and maintain psychiatric records (IC paper forms, folders, etc.).
Use humor or dark RP elements (e.g., clown-induced trauma, AI obsession, lizard conspiracies) for immersive interaction.
Administer Psychiatric Medication
Prescribe and administer legal meds such as:
  • Pax – to calm agitated or violent patients.
  • Haloperidol – for treating delusions and hallucinations.
  • Chloral Hydrate (with approval) – for sedation in extreme cases.
Work with Medical or Chemistry to produce appropriate compounds.
Coordinate with Security and Medbay
Detain or isolate crewmembers who pose a threat to others or themselves.
Recommend patients for temporary holding or forced treatment if they’re unfit for duty.
Work closely with the CMO and Head of Security to define safe protocols.

🧰 Tools & Setup

[redigera | redigera wikitext]
  • Psych Office – Usually located near Medbay or Psychology Wing.
  • Clipboard / Paper / Pens – For documentation and official-sounding nonsense.
  • Pill bottles / Syringes – For medicating patients.
  • Bed / Couch / Padded Room – Optional. Adds RP flair and containment options.
  • Medical Records Console – For updating psych evaluations (if enabled).

💬 How to Roleplay Effectively

[redigera | redigera wikitext]
  • Interview crewmembers using in-character psychological language.
  • Keep notes or written evaluations — even if silly, they enhance RP.
  • Use psychiatric checklists, symptoms, and medication sheets for realism.
  • Offer fake diagnoses like Clown-Induced Laughter Trauma or Station Command Delusions when appropriate.
  • Don’t powergame. Psychiatry is mostly RP-based.

💡 Tips to Excel

[redigera | redigera wikitext]
  • Introduce yourself early in the round. Let command or medbay know you’re available.
  • Use creative RP to get involved — pretend to evaluate a clown, analyze command decisions, or hold therapy sessions for traumatized miners.
  • Keep a calm and clinical demeanor — or go full Freud. Up to you.
  • If someone’s truly dangerous, call for Security or Medical backup.
  • Encourage therapy before tasing — it looks better in the records.

❌ What Not to Do

[redigera | redigera wikitext]
  • Don’t drug people without consent or a very good RP reason.
  • Don’t perform surgery — you're not a surgeon.
  • Don’t impersonate Security or command staff.
  • Don’t diagnose everyone as “clownpilled” unless it’s true.
  • Don’t ignore cry-for-help emotes or legitimate psych RP moments.

❓ Example Psychiatric Conditions (In-Game RP Use)

[redigera | redigera wikitext]
  • Hallucinations from radiation or chemical exposure
  • Aggressive behavior caused by trauma or brain damage
  • Obsessive AI worship
  • Fear of lizards
  • Persistent honking
  • Claustrophobic behavior in escape pods

📝 Templates

[redigera | redigera wikitext]

Here are some Templates for the psychiatric, remember that some drugs are illegal once other like: THC Classified as a recreational psychoactive / narcotic Often contraband; HoS may permit

  • Happiness
    • Highly addictive, causes brain damage in overdose
    • Allowed in small doses if monitored
  • Nocturine
    • Syndicate-made sedative; stealth use / knockouts
    • Usually restricted or illegal
  • Space Mirage
    • Hallucinogenic; creates disorientation and balance loss **Definitely illegal (Syndicate chem)
  • Desoxyephedrine
    • Stimulant with severe side effects; potential abuse Often **flagged if not medically needed
  • Tear Gas
    • Riot control agent, weaponized
    • Restricted to Security use
  • Mute Toxin Silences targets; often used maliciously
    • Illegal without strong medical cause
  • Norepinephric Acid
    • Causes temporary blindness
    • Illegal if used outside surgery
  • Impedrezene
    • Slows mental processing; dangerous when misused
    • Often seen as neurotoxic

Pax Prevents violence ✅ Legal Watch dosage; always get consent Happiness: Uplifting / antidepressant ✅ Legal (low dose) Addictive; monitor use ONLY MAX 20u a shift Chamomile: Mild sedative ✅ Legal Great first-line calming option Melatonin Sleep aid ✅ Legal Excellent Nocturine replacement

⚕ Basic form for you to fill out about the patients

[redigera | redigera wikitext]
[bold][color=blue]NANOTRASEN MEDICAL DEPARTMENT – PATIENT EVALUATION FORM[/color][/bold]  
Filed by: Dr. Charlie Nobody – Psychiatrist  
Form ID: Ψ–INTAKE–2025A  
Shift time:   

================================================================

[bold]Patient Information[/bold]  
Name:   
Job/Role:   
Species:   
Shift Location:   

================================================================

[bold]Mental Health Screening – Practitioner Use Only[/bold]  
(Check [x] under Ψ if behavior is relevant to psychiatric observation.)

1. General Mood/Behavior  
[ ] Calm and composed  
[ ] Irritable or agitated  
[ ] Anxious or paranoid  
[ ] Depressed or withdrawn  
[ ] Inappropriate or erratic behavior  
[ ] Unresponsive or disconnected  
[ ] Other: _________________________      [ ] Ψ  

2. Cognitive Assessment  
[ ] Clear and logical speech  
[ ] Slurred or incoherent responses  
[ ] Difficulty concentrating  
[ ] Disorganized thoughts or confusion  
[ ] Expressing delusions/hallucinations  
[ ] Repetitive or compulsive behavior  
[ ] Memory loss or inconsistencies         [ ] Ψ  

3. Social and Emotional Awareness  
[ ] Cooperative and open  
[ ] Avoidant or hostile  
[ ] Displays empathy  
[ ] Lacks emotional response  
[ ] Exhibits detachment or paranoia       [ ] Ψ  

4. Substance and Medication Use  
[ ] Under influence during evaluation  
[ ] Admits recent chemical use  
[ ] On prescribed medication (list below)  
[ ] History of abuse/addiction  
[ ] Refuses to disclose or lies            [ ] Ψ  

Notes:  



================================================================

[bold]Diagnosis or Preliminary Notes:[/bold]  
[ ] Recommend chemical therapy  
[ ] Recommend monitoring and follow-up  
[ ] No psychiatric action needed  
[ ] Immediate intervention required  
[ ] Refer to security if danger to self/others  
[ ] Unknown – further evaluation needed  

Additional Notes:  



================================================================

[i][color=gray]Confidential document. To be filed under NT Medical Privacy Protocol 17-B.  
Access limited to Medical, Command, and Security personnel only.[/color][/i]

📋 Other Basic forms for the patients

[redigera | redigera wikitext]

#################################
### [color=blue]STATION PSYCHIATRIC EVAL FORM[/color]  ####
# 🩺 Dr. Charlie Nobody – Psychiatry Division #
#################################
[bold]• Name: [/bold]
[bold]• Job/Role: [/bold]
[bold]• Species: [/bold]
[bold]• Shift Time: [/bold]
[bold]• Shift Location: [/bold]


[bold]RECENT SYMPTOMS[/bold] [italic](Select all that apply)[/italic]  
🧠 Mood Assessment Checklist – Psych Department

[color=grey][italic](Please use a sanitized pen. If lost, blame the Clown.)[/italic][/color]
[ ] [color=grey]Trouble sleeping [italic](hearing distant HONKs at night again?)[/italic][/color]
[ ] [color=grey]Sudden mood swings [italic](went from calm to "axe the Captain" in under 60 seconds)[/italic][/color]
[ ] [color=grey]Difficulty concentrating [italic](especially when Security is screaming over the radio)[/italic][/color]
[ ] [color=grey]Loss of interest in work/hobbies [italic](including "accidentally" airlocking assistants)[/italic][/color]
[ ] [color=grey]Emotional numbness or outbursts [italic](either totally zen or punching vending machines)[/italic][/color]
[ ] [color=grey]Hallucinations [italic](did that monkey just call me “Chief”? Be honest.)[/italic][/color]
[ ] [color=grey]Paranoia [italic](suspecting the Janitor is spying for Syndicate again?)[/italic][/color]
[ ] [color=grey]Uncontrollable laughter or crying [italic](may or may not be Clown gas-related)[/italic][/color]
[ ] [color=grey]Existential dread [italic](staring into the void... and it HONKED back)[/italic][/color]
[ ] [color=grey]Compulsive toolbox collection [italic](if you have more than 3, it's a thing)[/italic][/color]
[ ] [color=grey]Feeling like a background character in a tragedy [italic](usually when near Engineers)[/italic][/color]  

[color=pink][italic](Complete only if not currently on fire or being ejected into space)[/italic][/color]

[ ] [color=pink]Talking to inanimate objects (and they’re starting to talk back)[/color]
[ ] [color=pink]Sudden urge to “liberate” items that aren’t yours (hello, greyshirt klepto chic)[/color]
[ ] [color=pink]Chronic fear of vending machines plotting against you[/color]
[ ] [color=pink]Feel like you’re in a simulation being watched by bored interns[/color]
[ ] [color=pink]Recurring dreams of being demoted to Cargo Tech[/color]
[ ] [color=pink]Uncontrollable rage when doors just barely close before you[/color]
[ ] [color=pink]Belief that the station is haunted by the souls of rage-quitters[/color]
[ ] [color=pink]Trying to self-medicate with Space Lube and regret[/color]
[ ] [color=pink]Thoughts of starting a religion based on a sentient trash pile[/color]
[ ] [color=pink]Inability to go 5 minutes without yelling “SEC TO MEDBAY!!”[/color]
[ ] [color=pink]Compulsively pushing random buttons[italic] “just to see what happens”[/italic][/color]
[ ] [color=pink]Experiencing deep personal betrayal by the clown again[/color]
[ ] [color=pink]Brief but intense identity crisis after wearing a monkey suit[/color]
[ ] [color=pink]Existential confusion after being revived with someone else’s brain[/color]
[ ] [color=pink]Trust issues caused by mime staring at you for 30 uninterrupted minutes[/color]
[ ] [color=pink]Feeling emotionally closer to the station cat than your coworkers[/color]
[ ] [color=pink]Nightmares where you’re the last one alive—and still can’t find the Captain’s spare[/color]

─────────────────────────────────────────
[bold]CURRENT TREATMENTS[/bold]  
[  ] No known treatments  
[  ] Yes – List below:  
  

─────────────────────────────────────────
[bold]REASON FOR VISIT[/bold] [italic](Select one or more)[/italic]  
[  ] Mood stabilization (e.g., Happiness)  
[  ] Anxiety relief / calming (e.g., THC)  
[  ] Sleep aid / sedation (e.g., Nocturine)  
[  ] Violence inhibition (e.g., Pax)  
[  ] Other:   

─────────────────────────────────────────
[bold]CONSENT TO TREATMENT[/bold]  
[  ] Yes – I consent to chemical psychiatric treatment  
[  ] No – I do not consent at this time  

─────────────────────────────────────────
[bold]KNOWN ALLERGIES OR REAGENT REACTIONS[/bold]  
[  ] None  
[  ] Yes – List:  
  
[color=red] All responses will be kept confidential unless patient poses risk to self or others.[/color]

[bold][color=red]MENTAL HEALTH ASSESSMENT[/color][/bold]
[bold][color=blue]Name:[/color][/bold]
[bold][color=blue]Work:[/color][/bold]
[bold][color=blue]Time:[/color][/bold]
[bold][color=blue]Do you consent to treatment:[/color] [ ][/bold]
[italic](x = mark all that apply)[/italic]

[color=grey]Presenting Symptoms[/color] [color=red][x][/color]:
[color=red][ ] [/color] [color=blue]Mood instability [/color] [color=red][ ][/color] [color=blue]Paranoia [/color]
[color=red][ ] [/color] [color=blue]Depression [/color] [color=red][ ][/color] [color=blue]Disassociation [/color]
[color=red][ ] [/color] [color=blue]Hallucinations [/color] [color=red][ ][/color] [color=blue]Sleep disturbance [/color]
[color=red][ ] [/color] [color=blue]Anxious behavior [/color] [color=red][ ][/color] [color=blue]Affective flattening [/color]
[color=red][ ] [/color] [color=blue]Other: [/color]

[bold] Some more serious notes [/bold]
[ ] [color=blue]Displays acute paranoia[/color]
[color=white][bold](e.g. believes crew is plotting against them)[/bold][/color]
[ ] [color=blue]Persistent anxiety or panic attacks[/color]
[ ] [color=blue]Inability to focus; easily distracted by irrelevant stimuli[/color]
[color=white][bold](e.g. lights, beeps, clowns)[/bold][/color]
[ ] [color=blue]Signs of hallucinations[/color]
[color=white][bold](auditory, visual, or tactile)[/bold][/color]
[ ] [color=blue]Engages in erratic or impulsive behavior[/color]
[color=white][bold](e.g. sudden running, public nudity)[/bold][/color]
[ ] [color=blue]Obsessive routines or compulsions[/color]
[color=white][bold](repeating tasks unnecessarily, refusing changes)[/bold][/color]
[ ] [color=blue]Expresses depressive thoughts or emotional numbness[/color]
[ ] [color=blue]Displays aggressive or violent behavior without provocation[/color]
[ ] [color=blue]Manic behavior[/color]
[color=white][bold](e.g. rapid speech, inflated ego, risky actions)[/bold][/color]
[ ] [color=blue]Detachment from reality or identity confusion[/color]
[color=white][bold](e.g. refers to self in third person)[/bold][/color]
[ ] [color=blue]Difficulty sleeping or excessive fatigue reported[/color]
[ ] [color=blue]Delusions of grandeur[/color]
[color=white][bold](e.g. claims to be the AI, god, or head of all departments)[/bold][/color]
[ ] [color=blue]Signs of PTSD[/color]
[color=white][bold](startle responses, hypervigilance, emotional shutdown)[/bold][/color]
[ ] [color=blue]Hoarding medical or engineering supplies without authorization[/color]
[ ] [color=blue]Refusal to comply with basic safety or hygiene protocols[/color]
[ ] [color=blue]Fixation on a station member[/color]
[color=white][bold](e.g. stalking, unwanted contact)[/bold][/color]
[ ] [color=blue]Difficulty distinguishing jokes from threats[/color]
[color=white][bold](clown-related or otherwise)[/bold][/color]
[ ] [color=blue]Repeatedly enters dangerous areas without cause[/color]
[color=white][bold](e.g. reactor, toxins lab)[/bold][/color]
[ ] [color=blue]Flat affect or emotional detachment during high-stress events[/color]
[ ] [color=blue]Evidence of substance abuse[/color]
[color=white][bold](e.g. ethanol, strange chemical mixes)[/bold][/color]

📑 Basic form questioning 2-6 for patients

[redigera | redigera wikitext]
[color=blue][b]OFFICIAL MEDICAL DIVISION[/b][/color]  
[b]Psychiatric Treatment & Chemical Prescription Form[/b]  
Authorized Practitioner: [i]Dr. Charlie Nobody, Psychiatrist[/i]

======================================================

[b]Patient Information[/b]  
Name:   
Job/Role:   
Species:   
Date / Shift Time: 

======================================================

[b]Presenting Symptoms[/b]  
(✓ = mark all that apply)

[ ] Mood swings  
[ ] Anxiety / panic  
[ ] Depression / sadness  
[ ] Hallucinations  
[ ] Insomnia / sleep disruption  
[ ] Emotional numbness  
[ ] Aggression / outbursts  
[ ] Trauma / memory issues  
[ ] Substance withdrawal

======================================================

[b]Prescribed Medication(s)[/b]  
[list type=disc]  
[*] Name:   
[*] Dosage:  units  
[*] Route: [  ] Pill [  ] Injection   
[*] Intended Effect:   
[*] Duration:   
[/list]

Additional Notes:  


======================================================

[b]Consent & Monitoring[/b]

[ ] Patient has given informed consent  
[ ] Patient was assessed as a risk to self/others  
[ ] CMO notified / authorization confirmed  
[ ] Treatment log entry submitted

  
Time: 

[i][color=red]All psychiatric medications must be administered with oversight and logged for station records.[/color][/i]

Signature:  (Dr. Charlie Nobody)



===============================
Psychiatric Drug Reference
Dr. Charlie Nobody, Psychiatrist
===============================

PAX
- Purpose: Inhibits violent behavior
- Dose: 5u every 30 minutes
- Notes: Ideal for aggressive or psychotic patients

NOCTURINE [color=red]Illegal[/color]
- Purpose: Induces sleep/unconsciousness
- Dose: 5-10u
- Notes: Emergency sedation or insomnia treatment

HAPPINESS
- Purpose: Euphoric antidepressant
- Dose: 5u as needed, Max 20u/shift
- Notes: Highly addictive, may cause mood swings on overdose

IMPEDREZENE
- Purpose: Dulls cognitive function
- Dose: 5u
- Notes: Suppresses higher brain activity; use ethically

THC
- Purpose: Anxiety & stress relief
- Dose: 5-10u
- Notes: Mild sedation, psychoactive effects

SPACE MIRAGE
- Purpose: Induces hallucinations
- Dose: 3-5u
- Notes: Psychedelic therapy under supervision only

BANANADINE
- Purpose: Mild hallucinogen
- Dose: 5u
- Notes: Trivial effect, safe placebo

NICOTINE
- Purpose: Stress coping (RP only)
- Dose: Variable
- Notes: Highly addictive, not medically endorsed

MUTE TOXIN
- Purpose: Prevents speech
- Dose: 5u
- Notes: Use only in extreme RP scenarios

NOREPINEPHRIC ACID
- Purpose: Induces temporary blindness
- Dose: 5u
- Notes: Dangerous, unethical for civilian use


[color=red]Notes:
All prescriptions are subject to psychiatric discretion and require consent, unless patient is a danger to self or others.  
"First, do no harm." — Dr. Nobody[/color]

⚕️ Psychiatric treatment form

[redigera | redigera wikitext]
🧠 STATION PSYCHIATRIC INTAKE FORM  
🩺 Dr. Charlie Nobody – Psychiatry Division  

PATIENT INFORMATION  
• Name: 
• Occupation: 
• Shift Time: 

(mark with [x])
────────────────────────────────────────────
1. CURRENT MENTAL STATE  
[  ] Calm and focused  
[  ] Anxious or restless  
[  ] Depressed or unmotivated  
[  ] Angry or agitated  
[  ] Numb or disconnected  

────────────────────────────────────────────
2. RECENT SYMPTOMS (Select all that apply)  
[  ] Trouble sleeping  
[  ] Sudden mood swings  
[  ] Difficulty concentrating  
[  ] Loss of interest in work/hobbies  
[  ] Emotional numbness or outbursts  

────────────────────────────────────────────
3. CURRENT TREATMENTS  
[  ] No known treatments  
[  ] Yes – List below:  
  

────────────────────────────────────────────
4. REASON FOR VISIT (Select one or more)  
[  ] Mood stabilization (e.g., Happiness)  
[  ] Anxiety relief / calming (e.g., THC)  
[  ] Sleep aid / sedation (e.g., Nocturine)  
[  ] Violence inhibition (e.g., Pax)  
[  ] Other:   

────────────────────────────────────────────
5. CONSENT TO TREATMENT  
[  ] Yes – I consent to chemical psychiatric treatment  
[  ] No – I do not consent at this time  

────────────────────────────────────────────
6. KNOWN ALLERGIES OR REAGENT REACTIONS  
[  ] None  
[  ] Yes – List:  
  

────────────────────────────────────────────
7. SUBSTANCE HISTORY  
[  ] No history of addiction  
[  ] Prior addiction – Details:  
  

────────────────────────────────────────────
COMMENTS OR NOTES TO DOCTOR  
  
  

[color=red]📌 All responses will be kept confidential unless patient poses risk to self or others.[/color]
────────────────────────────────────────────
🖋 Signature: below     🕒 Time: 
────────────────────────────────────────────




🧾 Legal Prescription

[redigera | redigera wikitext]
[STATION MENTAL HEALTH DIVISION – APPROVED SCRIPT]

Patient: [REDACTED]  
Prescribed by: Dr. Charlie Nobody, Psychiatrist  
Date: [Insert shift time]

• Happiness – 3u  
• Melatonin – 2u  
• Chamomile Extract – 3u  
• Pax – 1u (optional, situational)

Total Volume: 9u  
Delivery Format: Syringe or patch (species-appropriate)  
Follow-Up: Required next shift for reevaluation

Approved under NT Mental Health Protocol 4-B

[color=purple][b]PSYCHIATRIC CASE FILE[/b][/color]  
Filed by: Dr. Charlie Nobody, Psychiatrist  
Sector: Medical Wing – Mental Health Division  
Patient ID:   
File No: 

========================================================

[b]PATIENT DETAILS[/b]  
Name:   
Species:   
Job/Assignment:   
Date of Evaluation: 

========================================================

[b]MENTAL HEALTH ASSESSMENT[/b]  
Presenting Symptoms (✓):  
[  ] Mood instability        [  ] Paranoia  
[  ] Depression              [  ] Disassociation  
[  ] Hallucinations          [  ] Sleep disturbance  
[  ] Anxious behavior        [  ] Affective flattening  
[  ] Other: 

Observed Behavior:  
  


Background Notes:  
  


========================================================

[b]CHEMICAL TREATMENT LOG[/b]  
Medication:   
Dosage: u  
Delivery: [ ] Pill  [ ] Injection  [ ] Patch  [ ] Inhalant  
Effect Observed:   
Follow-up Action: 

Medication:   
Dosage: u  
Delivery: [  ] Pill  [  ] Injection   
Effect Observed:   

Follow-up Action: 

========================================================

[b]RECOMMENDATIONS & NOTES[/b]  
[  ] Fit for continued duty  
[  ] Fit with supervision  
[  ] Temporary relief observed  
[  ] Psychiatric hold recommended  
[  ] Chemical therapy discontinued
[color=red][  ] Oversight intake[/color]

Further Notes:  
  


  
Date:   
[color=gray][i]All information contained herein is confidential under Privacy Protocol 17-B.[/i][/color]
Signed: Dr. Charlie Nobody


🗃️ BEHAVIORAL BULLETIN

[redigera | redigera wikitext]
[b][color=orange]BEHAVIORAL BULLETIN – FOOTWEAR FIXATION[/color][/b]  
Filed by: Dr. Charlie Nobody, Psychiatrist  
Ref: Ψ–INT–S2025

Recent incidents show repeated attempts to obtain shoes from fellow crew members. This may indicate one or more of the following behaviors or risks:

– Identity mimicry  
– Fetishistic or compulsive behavior  
– Greytiding or clown distraction behavior  
– Symbolic dominance assertion  

[color=red][b]Protocols for Medical and Security Staff:[/b][/color]  
– Deny access to uniforms/footwear unless medically required  
– Observe for escalation (verbal coercion, physical theft, stalking)  
– Notify Security if behavior persists or repeats  
– Initiate psychiatric evaluation for compulsive tendencies  
– Cross-reference incident logs for other role-disruptive behavior

[i][color=gray]File under Threat Profile 17-B. This document is not to be disclosed to general crew. Use by Medical, Command, and Security personnel only.[/color][/i]

====================================================  
[b][color=gold]ADVISORY APPENDIX: WHY WOULD SOMEONE WANT YOUR SHOES?[/color][/b]

🕵️‍♂️ [b]Possible Motivations and Risks:[/b]

1. [b]Syndicate Agent Activity[/b]  
   – [i]Risk:[/i] Uniform theft for identity fraud  
   – [i]Signs:[/i] Persistent requests, attempts to isolate, carrying cuffs or injectors  
   – [i]Action:[/i] Alert Sec; verify ID and status
 – – [i]Check:[/i] Use a health scanner or secmate if you're unsure—Syndicate often show up with strange chems or minor injuries.

2. [b]Glove Check Trick[/b]  
   – [i]Risk:[/i] Insulated gloves hidden in shoes  
   – [i]Signs:[/i] Interest only in certain staff (engineers, atmos)  
   – [i]Action:[/i] Deny access; record intent

3. [b]Clown or Mime Antics[/b]  
   – [i]Risk:[/i] Harmless but disruptive RP  
   – [i]Signs:[/i] Honking, banana peels, mimed boxes  
   – [i]Action:[/i] Humor them, but stay alert

4. [b]Art or Lore Project (Cargo/Science)[/b]  
   – [i]Risk:[/i] Mild hoarding or exhibit activity  
   – [i]Signs:[/i] Collection tags, labeled crates, murals  
   – [i]Action:[/i] Check manifest; low priority unless disruptive

5. [b]Greytiding Behavior[/b]  
   – [i]Risk:[/i] Pure chaos and antagonism  
   – [i]Signs:[/i] No clear reason, repeated infractions  
   – [i]Action:[/i] Sec detainment, brigging, or counseling depending on frequency

====================================================  
[i][color=gray]Psychiatric Oversight – Behavioral Case Series Revision 5B[/color][/i]


[i][color=gray]File under Threat Profile 17-B. This document is not to be disclosed to general crew. Use by Medical, Command, and Security personnel only.[/color][/i]

“The act of removing someone’s footwear is often symbolic—a stripping of control, identity, or mobility. Whether clown, traitor, or patient... always question why.”

[bold][color=red]Space Station 14 Psychiatric Intake Form[/color][/bold]
[italic]Department of Dubious Mental Wellness[/italic]  
[bold]Form 66-D: "Totally Not For Mind Control"[/bold]  
[italic]Please fill out to the best of your unstable ability.[/italic]

[bold]PATIENT NAME:[/bold]   
[bold]PREFERRED NAME (if delusional):[/bold]   
[bold]SPECIES:[/bold]   
[bold]OCCUPATION (current or imagined):[/bold] 

[bold][color=red]SYMPTOM CHECKLIST[/color][/bold]  
([x] Check all that apply. Yes, even the ones you're pretending don't exist.)

[ ] Persistent urge to honk inappropriately  
[ ] Belief that station is haunted (by the Clown)  
[ ] Heard voices over intercom (that [italic]weren’t[/italic] from comms)  
[ ] Attempted to "heal" others with a defibrillator… to the face  
[ ] Romantic fixation on AI  
[ ] Claimed to “totally not be a Syndicate operative”  
[ ] Compulsive tool-stealing  
[ ] Nightmares involving cargo techs  
[ ] Believes lizards are conspiring to take over command  
[ ] Refuses to wear pants "for medical reasons"

[ ] Displays acute paranoia (e.g. believes crew is plotting against them)
[ ] Persistent anxiety or panic attacks
[ ] Inability to focus; easily distracted by irrelevant stimuli (e.g. lights, beeps, clowns)
[ ] Signs of hallucinations (auditory, visual, or tactile)
[ ] Engages in erratic or impulsive behavior (e.g. sudden running, public nudity)
[ ] Obsessive routines or compulsions (repeating tasks unnecessarily, refusing changes)
[ ] Expresses depressive thoughts or emotional numbness
[ ] Displays aggressive or violent behavior without provocation
[ ] Manic behavior (e.g. rapid speech, inflated ego, risky actions)
[ ] Detachment from reality or identity confusion (e.g. refers to self in third person)
[ ] Difficulty sleeping or excessive fatigue reported
[ ] Delusions of grandeur (e.g. claims to be the AI, god, or head of all departments)
[ ] Signs of PTSD (startle responses, hypervigilance, emotional shutdown)
[ ] Hoarding medical or engineering supplies without authorization
[ ] Refusal to comply with basic safety or hygiene protocols
[ ] Fixation on a station member (e.g. stalking, unwanted contact)
[ ] Difficulty distinguishing jokes from threats (clown-related or otherwise)
[ ] Repeatedly enters dangerous areas without cause (e.g. reactor, toxins lab)
[ ] Flat affect or emotional detachment during high-stress events
[ ] Evidence of substance abuse (e.g. ethanol, strange chemical mixes)

[bold][color=red]MENTAL STATE RATING (Self-Evaluation)[/color][/bold]  
On a scale of 1 to [italic]"Space Madness"[/italic]:

[ ] 1 – Lucid, stable, normal (i.e. lying)  
[ ] 2 – Slightly eccentric, possibly exposed to plasma  
[ ] 3 – Converses with walls; walls reply  
[ ] 4 – Believes they are the station  
[ ] 5 – Existing solely as a collection of regrets and traumas  
[ ] 6 – God  
[ ] ∞ – Has transcended sanity and is now HR

[bold][color=red]RECENT TRAUMAS[/color][/bold]  
(Check all that apply. Bonus points for originality.)

[ ] Witnessed clown survive execution  
[ ] Spaced by captain “on accident”  
[ ] Turned into monkey and [italic]nobody noticed[/italic]  
[ ] Operated on by drunk chemist  
[ ] Woke up next to mime. No memory. No escape.  
[ ] Found “self” in morgue, tagged “Still alive?”  
[ ] Shared feelings with bartender. Regret everything.  
[ ] Medical exam involved wrench and prayer.

[bold][color=red]THERAPEUTIC GOALS[/color][/bold]  
(Choose at least one. Or invent something worse.)

[ ] Scream less in public  
[ ] Learn to stop biting  
[ ] Work through unresolved cargo bay rage  
[ ] Stop writing erotic fanfiction about the captain  
[ ] Channel murderous urges into interpretive dance  
[ ] Become emotionally available for once in your godforsaken life  
[ ] Reintegrate soul with body

[bold]Patient Signature (in blood, if necessary):[/bold] ___________________________  
[bold]Date (or approximation thereof):[/bold] ___________________________

[italic]Note: By submitting this form, you agree to waive all rights to sanity, compensation, or vengeance. The Psychiatrist is not responsible for any additional madness caused during therapy. You’ve been warned.[/italic]



💊 [bold][color=red]Psychiatric Treatment Plan – Medication Options[/color][/bold]

([x] Check all that are applicable to patient’s current condition. All treatments must be logged and approved by CMO.)
[bold]🧘‍♂️ Sedatives / Anxiolytics[/bold]

Used for calming agitation, anxiety, and preventing violent outbursts.

[bold]Chloral Hydrate[/bold] – Heavy sedative. Emergency use only for aggressive or uncontrollable patients.

[bold]Neurotoxin (Low Dose)[/bold] – Mild CNS depressant; useful for calming panicked individuals.

[bold]Haloperidol[/bold] – Antipsychotic; suppresses delusions and hallucinations.

[bold]Spaceacillin (Psych Use)[/bold] – Placebo used for non-critical patients with psychosomatic complaints.

[bold]😵 Antipsychotics / Delusion Management[/bold]

For treating hallucinations, paranoia, and extreme mood swings.

[bold]Haloperidol[/bold] – Standard antipsychotic; reduces delusional ideation and manic symptoms.

[bold]Pentetic Acid (Microdose)[/bold] – Used off-label to clear residual toxins contributing to psychosis.

[bold]Salicylic Acid (Psych Use)[/bold] – Rarely used placebo to treat self-diagnosed syndromes.

[bold]😞 Antidepressants / Mood Stabilizers[/bold]

Helps with depressive episodes, emotional flattening, and lethargy.

[bold]Libital™ Compound Mix[/bold] – RP-friendly fictional antidepressant mixture (custom compound).

[bold]Inaprovaline (Low Dose)[/bold] – Stabilizes vitals and mildly improves emotional regulation.

[bold]Bicaridine (Supportive)[/bold] – For psychosomatic fatigue or trauma-related exhaustion.

[bold]🛌 Sleep Aids / Insomnia Treatment[/bold]

Used to induce rest or regulate circadian rhythm in overactive patients.

[bold]Chloral Hydrate (Low Dose)[/bold] – Induces sleep in patients suffering from insomnia or mania.

[bold]Sleep Toxin (Custom Blend)[/bold] – RP-use only; medically induced nap.

[bold]Warm Milk (Imaginary)[/bold] – Offered to mime patients only.

[bold]⚠️ Emergency Sedation Protocols[/bold]

For patients posing immediate danger to self or others.

[bold]Chloral Hydrate + Haloperidol Combo[/bold] – Full sedation and antipsychotic coverage.

[bold]Administer via Syringe Gun[/bold] – Use only if physical restraint is not possible.

[bold]Notify Security and CMO Immediately[/bold] – Required after forced medication or hold.

[italic]Note: All treatments require follow-up therapy and behavioral assessment. If symptoms persist, consider permanent relocation to Brig Psychology Wing or the Cryo Unit.[/italic]


[bold][color=red]MENTAL HEALTH ASSESSMENT[/color][/bold]  
[color=grey]Presenting Symptoms[/color] [color=red][x][/color]:  
[color=red][  ] [/color] [color=blue]Mood instability [/color]      [color=red] [  ][/color] [color=blue]Paranoia  [/color] 
[color=red][  ] [/color] [color=blue]Depression [/color]            [color=red] [  ][/color] [color=blue]Disassociation  [/color] 
[color=red][  ] [/color] [color=blue]Hallucinations [/color]        [color=red] [  ][/color] [color=blue]Sleep disturbance  [/color] 
[color=red][  ] [/color] [color=blue]Anxious behavior [/color]       [color=red][  ][/color][color=blue]Affective flattening  [/color] 
[color=red][  ] [/color] [color=blue]Other: [/color]

💊 Medicin administered to patient

[redigera | redigera wikitext]

Check out medicin first


[bold]Patient Name:[/bold][color=blue][/color]
[bold]Time: [/bold][color=blue][/color]
[bold]Administered By:[/bold]  [color=blue]Dr. Charlie Nobody[/color]
[bold]Medication:[/bold] [color=pink]Pax[/color]
[bold]Dose:[/bold] [color=red]5 units (u)[/color]
[bold]Method:[/bold] [color=blue]Syringe injection (intramuscular)[/color]

[bold]Reason:[/bold] [color=blue]Patient displayed mild agitation and verbal hostility during intake. 
No physical violence. [/color]

[bold]Pax administered[/bold] [color=blue]to reduce agitation prior to psychiatric evaluation.[/color]

[bold]Response:[/bold][color=blue] Patient showed signs of calm within 10–20 seconds. No adverse reactions observed. Further monitoring advised.[/color]