Did john cash have bipolar disorder

I know I'm not perfect. I know I fucked up during this situation too, but I feel like my husband is constantly using DARVO against me.
This morning was not the smoothest wake up so he was already a bit frustrated. We decided to head to a cafe to pick up breakfast before heading to the dog park. He promptly hit his shoulder on the car door which made him even more frustrated. At this point I've told him to take a breath and slow down if he needs to at least 3-4 times but he keeps insisting he's fine. I get uncomfortable around people who are upset, so I was a bit quieter.
We get to the cafe and parks. I unbuckled my seatbelt at the same time he did and he snaps at me demanding to know if he's getting it or am I? At this point my discomfort has morphed into irritation. I snap about his attitude and he immediately asks me what the hell is wrong with me? I tell him he's had an attitude since before we left the house. He responds with he just hit his shoulder and why do I always think that he's upset with me when he is frustrated (which I never once said). I said "I'm sorry for losing my composure" and tried to explain why I was feeling the way I was feeling.
I responded that while I had gotten frustrated at the pups earlier, I had only been frustrated at them and didn't take it out on him but he was taking out his frustrations on me. It starts escalating to where we both are raising our voices and he does something he's never done before - he gets out of the car and says he's going to walk home (about 1/2 a mile so nothing crazy but still).
This brought up a memory of when I was 9 and my dad did the same thing. He walked out of the car and left me, my brother, and my mom to drive home without him. Coupled with me telling him numerous times in the past that when he just walks away, it makes things 10x worse in my head, that I'd appreciate it if he tells me he needs to cool down so I don't just assume the worst. So I panicked and shouted that if he left, then we were done.
He returned to the car pretty pissed at me for saying it. I reminded him of what I'd gone through and how that had made me feel. His response was "well your dad isn't the only one who would walk away from your mom" (which, while true because my mom is a whole 'nother problem on her own, hurt). I wrote out my feelings after we got home but he never read the text I sent. In it, I had apologized for my own wrongs during the fight and had told him how I had felt using an analogy of my being soda and his anger being like shaking the carbonation in said soda. How his walking out like that had felt like someone smashed my soda bottle on the floor and then got mad at me for making a mess. He did eventually apologize and I figured we were fine.
We split up for the afternoon and then this evening, I went upstairs to read for a while. I had no idea it had gotten late and that he'd been cleaning the kitchen. He came upstairs and was pretty aggressive with his tone when he mentioned I hadn't helped with the kitchen. For me this had come out of nowhere so I snapped that he should ask for help next time if he needs it.
I realized I messed up so I went, washed my face to calm down, and came back. I said "I don't want to start a fight. I'm sorry I snapped at you. I really didn't like how you talked to me and I'd appreciate you ask me if you need help." His response was that he hadn't gotten an apology from that morning from me. I asked him what that had to do with anything and if that was an excuse to talk like that to me. I also told him we could discuss that after we finished the conversation I had brought up. My goals in the conversation were to establish a better routine for us before bed to help each other more. I'm forgetful and so is he, so I figured it might be a good idea.
Nope. He had no response to my question and instead doubled down that he was still upset from that morning. That I don't help clean in the kitchen enough and he shouldn't have to ask. I do the floors. I load our dishwasher. I do the laundry. I help bring in the trash cans when he asks. I often ask him if he wants my help when cooking or will sometimes just hop in and do something like prep work for him. On the rare occasion, I'll cook myself. I'm not very confident with it and I know I should do it more often, especially since I work from home, but I just don't get hungry as regularly as most people do. Food doesn't always cross my mind. If I do get hungry and don't eat within a certain time frame, I just... stop being hungry and forget about it. I went through chemo and I've just been like that ever since. He knows this.
It wound up snowballing into a huge fight where he gave a half-assed apology about how he'd spoken to me and agreed to ask me for help. This came after I'd already gotten upset over half an hour of bickering. I've told him time and again that he can't expect me to just calm down immediately. My emotions aren't like flipping a switch. I don't get over things as quickly as he seemingly does - he can go from really upset to calm pretty quickly if he's left alone for a bit for the most part.
Again, I know I messed up during this a ton. I know I explode a bit too quickly because my fuse isn't as long as I would like it to be. I've gotten on antidepressants and have come a long way, I think, from who I used to be when I'd get angry. I've asked him to see a doctor because I think he has rejection sensitivity disorder and/or bipolar but he never has. I'm trying to identify where and when I screw up so I can improve myself but I can't see this objectively. Help?

Guys I can’t believe I watched most of Gypsy and Nick’s interrogation for the first time. I don’t know how I got through her’s, but both were quite interesting and telling. They were NIGHT AND DAY differences in Gypsy’s understanding and intelligence and Nick’s.
I’m just going off of memory so correct me or jump in and add details to discuss:
Gypsy: 1) They gave her a comfy sofa, pillow/stuffed animal, blanket. She was super polite to the officers and kept saying “thank you sir.” She made random small talk with them about movies and shows she was interested in. Idk how girlie kept it together knowing her mom was DEAD. I truly believe she felt her superficial charm and southern politeness would get her out of there and she’d “get it over with/behind them.” (something Nick said in his interrogation about her.) 2) At one point she says how people look at her in handcuffs and says, “I didn’t kill nobody, I don’t smoke, do drugs, drink. I didn’t do nothing! I’m a good girl.” Which seems like a normal sentence, but the way she said it you could tell she was trying to convey that SHE didn’t belong. She’s worried about how she appears to others. 3) She lies a LOT starting with her age. 4) She keeps saying she doesn’t know why she’s there 5) Once the detective says the mom is dead, she puts on a performance of shock and feigns concern. She is like omg did she have a heart attack? She has health issues. Omg don’t tell me it was suicide!!! She had bipolar disorder. Girl, WHAT?! 6) She doesn’t give up any information until the officer mentions Nick and he knows Nick did it. He still pushes her to answer “why.” She finally is like “he didn’t get along with my mom.” She didn’t let them be together, and “that’s why Nick hated her.” (Noting: no mention of abuse. She basically says it was to be with Nick, which Nick also says in his reason why.) 7) I skipped a lot and saw how she listens under the door. 8) the detective gives her MANY chances to come clean and basically in the end he says she might face murder charges and girly pop is SHOOK. He tells her he knows she pulled the strings and she is soooo offended and keeps denying. She cries some more and yells out “I want a lawyer, sir!” 9) At some point she claims Nick raped her and “how she hopes he can get the help he needs.” 9) They give her time to put her boots on and take her away in handcuffs.
Nick: 1) He hasn’t slept in however many hours they were detained. He said he was worried about Gypsy the whole time meanwhile his princess is taking naps on a comfy couch. I don’t know how long they had them there, but he’s handcuffed and has a desk and a chair. That’s about it. 2) They do both get the same food, but Nick didn’t eat it since he ate something before and he was worried sick about Gypsy. The way Nick starts describing it was my first hint that he may be a bit more “different” (intellectually) than Gypsy. He says something like “They’re called ham sandwiches. Sometimes they make those with Mayo.” 3) He doesn’t know what coercion means. He says it’s punishment and the female detective says “yes, like trickery“ while reading him his Miranda rights. He clearly should’ve had a lawyer present during this. 4) He gives the clean version of events that she was kicked out of her home and they ran away together. 5) The detective clearly knows this guy loves her more than she loves him. She says “Gypsy told us everything and you’re not saying it. I know you love Gypsy but don’t put her in that difficult position.” So this is when Nick goes into detail about everything, at least his version of events. He talks about the events leading up to, during, and after. He says many times he loves her so much he did this for her and there’s no one else he’d do this for. 6) Basically Nick tells this detective everything, or in MUCH more detail, likely closer to the truth than Gypsy’s version. They take pictures like they did with Gypsy. What stuck with me is how this man can accurately remember numbers over everything else. He remembered his hotel room number, which I don’t think most people remember after checking out. His story consistently stays with 4 stabs and neck slash. 7) Towards the end, the detective leaves and he’s muttering to himself a lot. I skipped over much of it since it was repetitive, but it’s very sad and he’s clearly worried about Gypsy. At one point he questions to himself besides being honorable, where will the truth get him. 8) At the end of the video, he’s taken away in handcuffs barefoot. He asks to see Gypsy one more time.
My opinion: At first I was happy she was being released and getting a second chance at life. I didn’t know much about the case so I looked at her interviews. I soon felt like things were off with Gypsy, I just couldn’t put my finger on it. My bullshit radar went off when I finally heard her say she didn’t identify as a murderer and she pinned everything on Nick. Looking at the interrogation tapes, it’s my opinion that he struggles with something developmentally. His parents said he was diagnosed with autism in grade school. It disturbs me how he didn’t want to murder, but Gypsy talked him into it multiple times. I fully believe he was done dirty in the interrogation and outcome of the case. He did seem to tell much of the truth during his interrogation. Gypsy’s interrogation was lie after lie until she realized it wasn’t going to work with the detective who interviewed her. He knew and you could tell he was getting increasingly frustrated at her trying to manipulate and detail the conversation. If you haven’t, please go watch the videos. Let me know your thoughts.

Sorry about format, as I'm on mobile. I'd get some snacks and a drink, cause this is gonna be a decent sized one. This is pretty much about my entire life. Also, I have mental health and sometimes add too many details to things. I kinda over share, so apologise if that happens. Me(F) my mom(F) sister(F)
My entire life, I have felt less than when it comes to my mom. It's pretty obvious my sister is the favorite child. Ever since she was born, I was put on a back burner. Then my brother was born, and it got even worse. (My brother is an amazing man, so I don't fault him for anything at all. He's pretty much my unofficial child. I will die for him.) When I was 3, my bio dad died. I did get checks every month for survivors checks, but when I turned 18, I never saw any of it. I understand that she needed it for me while I was a minor, but once I turned 18, it was supposed to actually go to me. I was still in my last year of high school, so it didn't stop til I graduated. If I would have gotten those checks, I would be way farther in life. My mom got with my siblings dad when I was around 4 or 5. That's where the abuse came in. She got pregnant with my sister, and pretty much made me the clown. My sister's dad was a Dr*g addict, and would go on binges, leaving me home alone to watch my siblings, while Mom was at work. I was 6 at this point. Granted, she did call the police and he got charged with 3 counts of child endangerment. (My brother was born at this point). Then, she stayed with him, even though he left us like that. When I was 9 was when I found out about my dad. She wasn't even going to tell me about him, but she had to, cause my grandma filed for grandparents rights. Mom didn't even tell me. Siblings dad is the one to sit me down. That's when my mental health started to really show. I was 9 and finding out the man that I called dad, wasn't actually my dad, and my real dad is never meet cause he's dead. My soul broke that day. Fast forward a few months and I get a puppy for my birthday. It pooped in the house, and G(siblings dad) was so irate, he left the puppy outside in the middle of the night, during the winter... He killed my dog. It was maybe 15° F that night. I woke up the next morning to mom telling me the dog ate paint off the wall ... She did, but the bite marks were there from a week prior. I was 9, not stupid. I saw through her lies. Fast forward again. They end up separating. He had gotten upset, then kidnapped my siblings taking them to a completely different state. He finally came back, and was in jail for 6 months. After he got out .. she got back with him. The final straw happened a few years later. When I was probably 8-10 can't remember exactly how old, I was having issues with my math homework. I have major dyslexia with numbers(can't remember the actual name) and math was my worst subject because of that. I was frustrated cause I just couldn't understand the math homework, so I crumpled the paper. (I was a kid. I know I shouldn't have done it, but I did.) She got up, and started to hit me. She was smacking my arms, and had me pinned down to the couch. I turned my head and she hit my nose hard enough for it to gush blood. (Granted I could flick my nose and it'd bleed, but I digress). Then, I had "played" with a belt with her and G, and one of them(can't remember who) was hitting me with another one. I didn't understand at the time, but we was all smacking each other with belts, tryna hit the others the hardest. (My lord I just realized how bad that actually was.) I went to school the next day, and had a few welts on my arms. Went to the nurse for some ice, and got asked who did it. I explained what happened, and cps got called. I didn't know, but I got home and got screamed at by G. He was in my face, so close I could smell his breath and feel his spittle hitting my face. Then my mom said it wasn't them, but my sister who scratched me. (It wasn't a scratch. It was a welt clearly from a belt.) There's probably more, but my brain made me forget to protect my sanity. Fast forward, she is finally away from him. Then she gets with my now step dad. I was 12 at the time. He was an okay guy. He has 5 kids. Well, of course I was the built in babysitter. I am the oldest out of all 8 of us kids. I wasn't allowed to hang out with friends as much as I should have been growing up, cause I was always the one to be the second parent to them. That's when my mental health started to get severe. I started self harming at 13. It would get so bad. Nothing of significance really happened between then til I was 16. (That I can remember. Thanks brain for protecting me.) I get into highschool. Freshman year. I'm finally able to start hanging out with friends more often. I end up having sex(I was coerced, wanted to wait til I was on bc, but I finally gave in. Shouldn't have, but it's whatever. I'm over it now.) Wasn't on birth control and didn't wear a condom. Had a scare I may have been pregnant. Mom finds out, gets a test and takes me to my grandma's to take it. She berates me in front of my grandparent and my aunt and cousins. Thankfully it was negative. Fast forward to when I was 16. Got my first job. Finally I'm old enough to make my own money. Well, I can't even spend my checks the way I wanted to. Majority of them went to her. I gave her prob 85 percent of my checks. I wanted to save for a car. Couldn't. (Not that it mattered. Didn't get my license til I was 23... I'm 27 now.) Kept getting my temps, only to never practice. Yet, when my sister is 18, she takes her out to drive and helps her get her license. But, whatever. Finally I graduate, and all I get is a gift card(I'm thankful of course. I'm not stingy, I just have envy from all the things my sister got, that I didn't.) Sister got a full blown party. Every single person I have been romantically with, she would put in my head that they aren't good enough. So much so, I thought I would never be with someone who genuinely loved me. (I have that now, so shout out to my amazing fiance.) I'm still cutting on a daily basis at this point. Cut from the ages of 12 to 20. I'd still be, if I wasn't with my fiance. (I was didn't sewer slide myself and actually did it right this time, anyway. Tried 5 times. Thankfully I failed each time.) I have bipolar disorder, anxiety, depression and ADHD. Not once did she take me to get health. She always dismissed me when I would try and talk to her about it, so I just kept to myself. It took my fiance's mom to take me and get me the help I needed. I barely graduated cause I just didn't care in 9th and 10th grade. I felt like I wasn't going to live past high school anyway, so why should I care? 11th grade comes up and working had actually given me motivation to keep going. (Plus I started smoking the devil's lettuce, so I was feeling better mentally.) Turn 18 and I move out. Ended up losing my job I had then, and go down a spiral. I got addicted to alcohol and pills for a couple of weeks. Not enough for withdrawals, but it was still bad. Thankfully I woke up one day and realized what I was doing. (I'll give her this, I called and she immediately came to get me so I could get out of that situation.) Fast forward more, I move out again, but just down the street. I'm now 19 and start dating my now fiance. We have been together 8 years and I barely talk to her anymore. Esp this past year. I don't really message her first anymore. I've gone 6 or more months without talking to her. Shoot, without talking to anyone in my family. Fiance's parents get me the mental health I needed. Get diagnosed with depression, anxiety and bipolar disorder. I've told Mom I have bipolar since I was 16 and she just dismissed me, saying it's my hormones. (Jokes on her) About 4 years in, she starts telling me I need to find someone else to be with. He isn't good enough for me. (Yeah, like the rest weren't. No one is good enough for her.) It gets to the point I had to tell her and my sister both to stop, or I was gonna cut them out of my life completely. (Should have, looking back, but we learn.) They stop for a while. Sister is now showing her true colors. She's a narcissist and gaslighter, just like her father. She cannot own up to her mistakes, what so ever. She gets into an accident, not her fault. She gets into a fight she started, not her fault. Can't hold down a job, not yet fault. (I've had trouble holding down a job as well, but I'm getting better. I finally got diagnosed with ADHD and am in meds, so I'm not feeling impulsive as bad. Id switch jobs pretty frequently, due to the better sounding one. It's still affecting me to this day, but I'm seeing a change in my mind. Just gotta push through a bit more. Not blaming it on my ADHD, but the disease doesn't make it easier.) Mom has gotten sister a job with her at every single job she's had the past 4 years. Sister ruins it for mom, cause sister can't stand mom not paying attention to her, or doing everything for sister. Sister has bad anxiety, and uses it as an excuse to keep mom working. Sister wants all the pay of being a manager, without actually doing the manager duties. Sister always tells me I need to dress better. Says i "need to look more presentable and not like a slob". I wear skinny jeans and a Tshirt usually. Frequently, I'll wear sweats if I'm just going to moms and not going out. I like being comfy. Constantly criticizing me for every single thing I do. Finally mom says she realizes how bad she has treated me throughout my life. I forgave her a long time ago. Gets to the point mom says she wouldn't have anything to do with sister, if she wasn't her kid. Thought things were gonna change. Clearly not. Mom and sister both get another new job, the same job. Again. It's like nothing has changed since that conversation. Still barely talk to her, and everything. Last time I hung out with them, it was for only 3 hours. THREE HOURS. yet, I had anxiety and panic attacks from that small amount of time, for the next 3 days... I can't do this anymore, but I feel SO freaking guilty for even considering this. I love my mom and sister. I want them in my life, but I can't keep feeling like this. My mental health is always needing to be restarted after being around them. It's like I go back to that 12 year old me and want to self harm all over again. I'm now almost 10 years clean from it. There is no longer any scars, and I'm happier now. I just can't help but to feel I should just suck it up and "get over it". I know this is rediculously long, so if you've read this far, thank you. I just need some other people's perspective that isn't biased and I feel you guys are the best chance for that. I'm really struggling on what to do and feel so guilty for even typing this stuff out. My worst fear is disappointing her, yet I do every day. I also really hate confrontation. I'll do whatever it takes to avoid it, but I just can't anymore. I've always wondered how life would be if my dad was alive. I don't remember him, but I can still say I miss him. I miss the opportunities that I didn't get growing up.
Thank you guys. I'll take whatever you guys throw at me. I just want to see if my feelings are valid or not. This is literally causing me pain. I need help.

I get these episodes where my whole body gets heavy and I basically have to fight for control of my limbs. My knees buckle repeatedly as I fight to stay standing. I've bruised my arm slamming into an open drawer. I've had one doctor bring up periodic paralysis because I also get episodes where this happens because I'm so exhausted, and I've had episodes where I can't move my body or respond to external stimuli. I get so tired I walk into walls and I can't see straight. Episodes typically happen within half an hour of waking up, but hard fatigue can hit anytime during the day, typically after standing up. They can last anywhere from 30 seconds to four hours if I don't lay down and sleep. I'm fine after taking a nap, which can be anywhere from 30 minutes to six hours. If I try and get up before my body naturally wakes up, I'm likely to have another episode. Episodes happen 2-5 times a month and have been happening for years even through med changes. During flare-ups, episodes happen 2-4 times a week.
One specialist doctor brought up Periodic Paralysis due to my hEDS. My primary is concerned about either that, a neurological condition or a conversion disorder. She did send in a referral to neurology.
Yes I have PoTS, but these episodes feel different than my PoTS episodes. I don't get lightheaded with these and they come on so suddenly. Occasionally I get a warning because my face gets hot. We've ruled out seizure activity. I've had blood work done. My white count is always slightly elevated and has been for years.
29F
Other diagnoses: Autism. ADHD. OCD. Anxiety. BPD. cPTSD. Depression. Somatic symptom disorder. Bipolar 1.
In the process of getting diagnosed with: Depersonalization Derealization Disorder OSDD 1 or DID
PoTS. Fibromyalgia. Secondary Hyperhidrosis. Asthma. Endometriosis. Chronic Migraines. Trigeminal Neuralgia. Occipital Neuralgia. Other neuropathy. SVT. GERD. Insomnia. Mild Arthritis. hEDS. Type 2 diabetes. Kidney stones. PMDD. -Restless Leg Syndrome -small fiber neuropathy -possible rheumatoid arthritis
(- indicates suspected conditions)

So this is an insane story that I've put a post on LegalAdviceUK to try get some advice from the legal eagles but that didn't really cover the full story. But having an informal chat in a comments section of this page about it and posting the legal ins and outs yesterday has given me some strength. And if I need to I will have the tub of cookie dough ice cream to comfort my big fat butt. So here we go a story which I've been trying to do for months without feeling nothing but shame and humiliation for allowing this parasite into my life enough to impact it like this.
So some backstory on my life in January 2023 I was working for Uber Eats as a delivery driver and had a Motorcycle accident. As a result I broke my foot, lost my insurance as Uber did everything they could to make sure it was invalidated to avoid responsibility for me. As a result I became jobless and homeless within a matter of days as I was already behind due to high insurance costs and low pay. I spent the next 9 months couch surfing and jumping from job to job until I finally settled working for a convenience store chain and leaving the city of Portsmouth for the town of Gosport across the way. I was settled with a roommate in October and I was doing well again.
During this I'd won a seat for myself into a semi major Poker tournament that I cashed in during August. I made £1300 for a weekend. In enters Mr S the person who will be the focus of this piece. He needed me to help him out with opening up some betting accounts for some online sports betting. He sweetened the deal by saying that he would invest in me to make my dream company come true, making a film business. He would invest £5000 into me to get me started which is all I needed because my plan was to work from home and get film clients and work up to an office. I too would invest £5000 over time. You see Mr S was a successful businessman in the community, a former sports personality and everyone loves this guy. Couldn't find someone to curse his name in a thousand miles I'm pretty sure. I had known him through my times as a poker player for nearly 12 years myself and I couldn't say I knew a bad thing about him. So I opened the accounts thinking nothing of it, then he asked to borrow money off me which I thought nothing of at the time as he said that he had it in cash and could pay me back in the morning as it was in cash not the bank apparently. He regularly did have this issue apparently because he worked in a cash heavy business (buying precious metals) and he was a regular at casinos. So I gave him the money. He paid me back some of it then made me wait another week to get the rest after I was calling him regularly to make him respond. This would be a recurring theme throughout the story.
After this issue was resolved I made a thought to push for the money to secure the investment. Mr S got the call and stated that we needed a business meeting in his office. So I asked to set up the business meeting which he regularly called to reschedule. After two months of this I got fed up of him brushing me off whilst he's borrowing my entire salary to gamble on and off when he ran out of his own money. So I changed the passwords on all the gambling sites to force him to take a meeting and pay me back the most recent amount he borrowed. I was naturally pissed off that this multi-millionaire was so reckless with his money that he was borrowing off of me and was constantly late paying me back. He paid me back and set up a meeting. He didn't make the meeting but assured me he was going to transfer me £3000 without one. He did not claiming his accounts were frozen by the government (I know I should have ran like a Gazelle from a Hyena at this point). Well I excused this behaviour because he reassured me everything would get sorted. This accounts frozen issue also became a recurring theme throughout the story too.
For a while Mr S didn't borrow any money off of me, he just used his own money (or some other poor sods), I kept asking him to invest into the business as I had opened a business account and I was investing my own money and borrowing money via a credit card. In total I put in £5000 whilst working a minimum wage job and using small amounts I'd earned through a bit of penny stock trading and poker, trying to get the money together. I worked 50-60 hours a week to pay for Christmas and invest in the business because of the fact that I didn't want to waste time. I set up business meetings, got business cards, bought equipment and got my friend who I will simply call Angel to work with me to put together a team. My friend Alf and a guy we found on LinkedIn I'll simply call J became our first team. We also found a lovely Graphics Artists online who I'll call Ally. Everyone was on freelance for now as we needed to get clients but we assembled the team. Mr S kept missing business meetings with clients that I set up for him to secure including three major ones that might have cost me a potential 6 figure contract that I spent two months setting up. Making County Football (Soccer for you Yanks) games on a Patreon page and YouTube for live streams. This mega pissed me off and Mr S reassured me he would get the contract back or getting a bigger one. I entrusted him with this task but as far as I can tell he never did anything for it.
On the night of his youngest child being born, whilst his wife was giving birth he spent his time playing online poker or sports betting, I know this because I had the transaction record and he even borrowed money off of me. He took a week to pay me £500 and I almost lost my brand new housing because of this. Thank goodness for my new friend and housemate being understanding of the situation and after this I put my foot down and said no more borrowing from me and if he asked again I would cut him off. I also insisted again that he should invest into the business. He made his excuses of the bank being frozen again and I told him to get his shit sorted out and invest because I'm getting annoyed waiting on him. I wanted to make an advert and without his money I couldn't do this.
So it comes January 2024 I lost my job with the convenience store after I stopped a shoplifter who'd assaulted me when I turned a corner. And by stop I mean used my big boy voice and scared the crap out of them. Don't know why they fired me for that but what do I care it freed me up and paid me £2000 to go away. I got a new job whilst also securing my first client. The client paid the first half of the money which they owed for the filming to be done and Mr S knowing this asked me to lend it to him for the purpose of gambling which I flatly shut down because it was staff wages for the project. When I told him this he said "I'm sure I'll have it back in time and if not they won't mind because they'll get experience." Yep you read that right he was willing to let the staff work for free so he could bet on horses. I told him that I would never put myself or him above my team when it comes to pay because we have no right to ask anyone to work for nothing when they are all multi talented individuals.
Angel was a video editor, animator, photographer, camera operator and lighting expert. She holds a Masters degree in film technology.
J was a camera operator who had worked on major TV documentary sets and was already taking a pay cut to work on this as an investment in the companies future. He held a BA degree.
Alf is a sound operator and musician with a masters degree in music.
Yep this guy wanted to not pay these guys so he could gamble recklessly. I semi caved though by giving him my personal money because he would repeatedly call me three times an hour over this. This was his tactic, begging and harassing me so he can get the money and then when I want the money back ignore and excuse the debt for a week. He regularly said he'd have it back in a day and it would take a week. He gave me £200 extra on top of this debt and said to put it into the business account to help pay for an advert. I did it and yeah that apparently was all I was going to need to make and distribute an advert in his mind. In reality it would barely cover the graphics and music for the advert.
Finally my old debts were catching up with me in March 2024 and I got myself an IVA (Individual Voluntary Arrangement) to protect myself and the company as a debt management option. This is because of the fact that old bills, credit cards and loans that I'd taken out were catching up with me that I expected to pay off by now. Which I might have done, had Mr S not been screwing around with the investment. In this process I had to shut down all the gambling sites to comply with the IVA. I called Mr S and informed him to which he promptly told me he was no longer going to invest in my business if I won't let him gamble and risk my IVA. According to him he was going to invest when he won £10000 and was going to give me half of the money as his investment forgetting he'd already won that and then some 2 weeks prior and I knew it. I called him out on this fact and told him to pony up or bugger off because he'd wasted 8 months of mine and my teams lives promising his investment and failing on every level. He exploded on me telling me no one talks to him like this, how dare I describe him as a con artist and a fraud. He demanded his £200 back which I flat out refused as I didn't have it. I spent it paying the Angel the money I owed her because she did extra work on the editing that I failed to secure the money for from either Mr S or the Client. She offered to work for less but I flat out refused that offer because it was my mistake and my problem to deal with.
Over the next 6 weeks now I've been harassed every few days over £200 to be paid back which I'm now refusing to pay because screw him. He lied to me for 8 months and as far as I'm concerned he stole money out of the company and then wants me to pay him more money to buy him out and disregard the team members so he can get his money when he's a multimillionaire and the team are like me on minimum wage and freelancing. So AITA for calling him a thief and con artist whilst refusing to pay him a penny so I can prioritise fixing the damage he had caused? If he'd had invested in the business the way he said he would and it was a normal falling out I probably would pay him out as the business would have been more likely on solid ground with an advert made and a chance for the business to thrive. But this was my lot. I've since been told I'm a worthless person because I won't pay him back and take his calls. I'm a terrible friend for letting such a small issue like me trying to sort out my life at the expense of Mr S's gambling life.
As it stands I haven't paid Mr S back, I still owe a small amount to Angel but am paying her back and I've taken a new job at my local Maccies to insure I do. I'm still looking for more clients to do film work with to get my team into the swing of it. Hopefully we do get more work as I have a wonderful team and I want them to get work with me and make a very successful future for us all. I'm looking into getting a start up business grant from the UK government as well so we can go forward properly as well.
So AITA for cutting Mr S out of the business, trusting him at all and risking so much on his word or for not paying him back the £200?
Click here if you are interested in seeing our first clients advert. I apologise to the great Lady Charlotte Dobre for plugging my work on her channel but I would love to have people view my teams wonderful work and hopefully get more work for the future here in Hampshire UK. Please DM me for details to hire us too we intend to make music videos, business adverts and commissioned films.
For all you reading/listening this short novel I thank you and I wish you well. I hope I get more business soon and I want everyone to know that we will be posting up Patreon work soon covering Entitled People and Neckbeard Stories from Reddit along with Documentaries that we might be making with Sky TV, English Heritage and also a planned comedy show in the style of a budget John Oliver Last Week Tonight. Again sorry for plugging myself Lady Charlotte Dobre and I send you love and respect because your videos make my days feel better when depression is biting my ass.
PS - That Ice Cream Tub didn't survive.

I was talking to my friend about some compulsive behaviors I have- specifically two. One is the need to stare at my alarms when I set them at night to make sure I set them correctly and double check after I put it down to make sure they didn’t accidentally get turned off, if I don’t I have a very hard time falling asleep because I’m worried that they weren’t set correctly so I do it every night. The other is centered around shopping, I’ve always had really bad spending habits in general and just buy things I like without thinking but in the last year or two I’ve noticed a lot of the times I’ll see something I want to buy and if I don’t, I will not be able to stop thinking about it and feel like I absolutely need to have it until I eventually buy it. This doesn’t happen all the time and I definitely have worked on it a lot to where it doesn’t happen as often as it did before. She told me it sounds like I have OCD but I told her that I don’t think that’s necessarily true, just that there are certain compulsions that come up but it’s not something impedes my ability to function. Also for context- I started seeing a psychiatrist about a month ago who diagnosed me with general anxiety disorder, an “unspecified mood disorder that sounds like bipolar 2”, and most likely ADHD but I still need to do an official screening. During the first appointment t where we did the overall screening when it came to the questions relating to OCD I scored very low. I guess my question is do people have compulsions without having OCD?

~RIGL Thesis – 5/18/2024~
Outstanding Shares 175M
131 Institutional Holders
111,129,461 Total Shares Held
63.36% Institutional Ownership
Total Cash on Hand 3/31/2024 = $49.6M
Total Debt: $101.5M
Cash Burn Approximate = $8M per quarter (6 quarters of cash without any increases in revenue)
Q12023 REV = $26M
Q22023 REV = $26.8M
Q32023 REV = $28.1M
Q42023 REV = $35.8M
Q12024 REV = $29.5M (Decline from Q4 likely from end of year versus new-year tracking of Rx and shipments of drugs, resetting of Copays)
Most Recent EPS -$0.05 per share
May 22, 2024 - Vote on S will take place, caution
~Statistics Applicable To Thesis~
333.3 million US Population (2022)
8,109,679,892 Global Population (2024)
~Drugs On Market~
~Tavalisse – Treatment for ITP, FDA Approved April 17, 2018~
~What is ITP?~
Immune thrombocytopenia (ITP) is an illness that can lead to bruising and bleeding. Low levels of the cells that help blood clot, also known as platelets, most often cause the bleeding.
Once known as idiopathic thrombocytopenic purpura, ITP can cause purple bruises. It also can cause tiny reddish-purple dots on the skin that look like a rash.
Children can get ITP after a virus. They most often get better without treatment. In adults, the illness often lasts months or years. People with ITP who aren't bleeding and whose platelet count isn't too low might not need treatment. For worse symptoms, treatment might include medicines to raise platelet count or surgery to remove the spleen. Immune thrombocytopenia (ITP) - Symptoms and causes - Mayo Clinic
~What is Tavalisse?~
TAVALISSE is a prescription medication used to treat adults with low platelet counts due to chronic immune thrombocytopenia (ITP) when a prior treatment for ITP has not worked well enough. It is not known if TAVALISSE is safe and effective in children.
The cost for Tavalisse oral tablet 100 mg is around $15,404 for a supply of 60 tablets, depending on the pharmacy you visit. Quoted prices are for cash-paying customers and are not valid with insurance plans. This price guide is based on using the Drugs.com discount card which is accepted at most U.S. pharmacies.
Tavalisse Prices, Coupons, Copay & Patient Assistance - Drugs.com
TAVALISSE IS AN ORAL MEDICATION TAKEN TWICE DAILY WITH OR WITHOUT FOOD¹
A 12-week evaluation period is recommended
60 tablets = 1 month supply, evaluation period = 3 months, Cost for 3 months = $46,212 Cash, assuming cheaper through wholesale, insurance, discount cards, etc.
Dosing TAVALISSE® (fostamatinib disodium hexahydrate) tablets (tavalissehcp.com)
~Addressable Market~
“Our findings suggest that nearly 20,000 children and adults are newly diagnosed with ITP each year in the US, substantially higher than previously reported. Among patients requiring formal medical care, the economic burden during the first 12 months following diagnosis is high, with estimated US expenditures totaling over $400 million.”
Primary immune thrombocytopenia in US clinical practice: incidence and healthcare burden in first 12 months following diagnosis - PubMed (nih.gov)
The estimated prevalence of ITP in the United States is 9.5 per 100,000 people, with a global prevalence of over 200,000 people at any given time [1].
Immune thrombocytopenia. [ Oct; 2022 ]. 2022. https://rarediseases.org/rare-diseases/immune-thrombocytopenia
~Author Calculations/Estimates~
ITP estimated cases based on measured statistics 31,635 cases a year in the US and 770,355 cases globally each year.
~Rezlidhia – R Acute Myeloid Leukemia, FDA Approved December, 22, 2022~
~What is Relapsed or Refractory Acute Myeloid Leukemia?~
Relapsed, or recurrent, acute myeloid leukemia (AML) means the leukemia has come back after treatment and remission.
Refractory AML means the leukemia did not respond to treatment. Complete remission has not been reached because the chemotherapy drugs did not kill enough leukemia cells.
Both relapsed and refractory AML need more treatment to reach complete remission.
Your healthcare team will suggest treatments based on your needs and work with you to develop a treatment plan. Some factors considered for your treatment include:
your age
your health
how long the leukemia was in remission
treatments you had before
where the leukemia comes back
Treatment options usually include chemotherapy and a stem cell transplant if possible. Targeted therapy may also be used.
Treatments for relapsed or refractory acute myeloid leukemia Canadian Cancer Society
~What is IDH1?~
Somatic mutations in isocitrate dehydrogenase (IDH) genes occur frequently in adult Acute myeloid leukemia (AML) and less commonly in pediatric AML… Enhanced genomic and epigenomic profiling of acute myeloid leukemia (AML) has led to identification of recurrent mutations that are prognostic and are candidates for targeted therapy. Somatic mutations in isocitrate dehydrogenase (IDH) genes, IDH1 and IDH2, occur in ∼6% to 16% and ∼8% to 19% of adult patients with AML, respectively.^1-5 In pediatric AML, IDH mutations are rare, occurring in <4% of patients.^6-11
Characteristics and prognostic impact of IDH mutations in AML: a COG, SWOG, and ECOG analysis Blood Advances American Society of Hematology (ashpublications.org)
~What is Rezlidhia?~
REZLIDHIA is a prescription medicine used to treat adults with acute myeloid leukemia (AML) with an isocitrate dehydrogenase-1 (IDH1) mutation when the disease has come back or has not improved after previous treatment(s).
Targeted Treatment REZLIDHIA® (olutasidenib) capsules
The cost for Rezlidhia oral capsule 150 mg is around $17,468 for a supply of 30 capsules, depending on the pharmacy you visit. Quoted prices are for cash-paying customers and are not valid with insurance plans. This price guide is based on using the Drugs.com discount card which is accepted at most U.S. pharmacies.
Rezlidhia Prices, Coupons, Copay & Patient Assistance - Drugs.com%20is%20a%20member,on%20the%20pharmacy%20you%20visit.)
~Addressable Market~
The annual incidence of new cases in both men and women is approximately 4.3 per 100,000 population, totaling over 20,000 cases per year in the United States alone.[13] The median age at the time of diagnosis is about 68, with a higher prevalence observed among non-Hispanic Whites. Furthermore, males exhibit a higher incidence compared to females, with a ratio of 5:3.
Acute Myeloid Leukemia - StatPearls - NCBI Bookshelf (nih.gov)
~Author Calculations/Estimates~
Cases of AML with IDH1 would be 11% based on the median of statistics above (6% to 16%) leaving approximately 1500 to 2000 cases a year in the US. Appling the same calculations to world population would amount to approximately 38,500 cases a year globally.
~Gavreto – Treats RET+ Non-Small Cell Lung Cancer In Adults and RET+ Thyroid Cancer in Kids and Adults, FDA Approved August 9, 2023~
For the sake of common ground, I am going to assume these types of cancers do not need to be elaborated on as we all likely have a basic understanding of what they are. The medical conditions treated by Tavalisse and Rezlidhia I felt needed a more in-depth explanation because they are not common. I will elaborate on RET+ a little later in this writing.
~What is Gavreto?~
GAVRETO is an oral once daily prescription medicine used to treat certain cancers caused by abnormal rearranged during transfection ~(RET+)~ genes in:
Adults with non-small cell lung cancer (NSCLC) that has spread
Adults and children 12 years of age and older with advanced thyroid cancer or thyroid cancer that has spread who require a medicine by mouth or injection (systemic therapy) and who have received radioactive iodine and it did not work or is no longer working*
It is not known if GAVRETO is safe and effective when used to treat cancers caused by abnormal RET genes in children for the treatment of NSCLC or in children younger than 12 years of age for the treatment of thyroid cancer.
Home GAVRETO® (pralsetinib)
The cost for Gavreto oral capsule 100 mg is around $11,745 for a supply of 60 capsules, depending on the pharmacy you visit. Quoted prices are for cash-paying customers and are not valid with insurance plans. This price guide is based on using the Drugs.com discount card which is accepted at most U.S. pharmacies.
The recommended dosage for adults and children 12 and over is 400mg orally once daily. Each capsule is 100mg, which means you will take 4 capsules. Gavreto should be taken on an empty stomach, at least 1 hour before or 2 hours after a meal.
Gavreto Prices, Coupons, Copay & Patient Assistance - Drugs.com
~What is Rearranged During Transfection Positive (RET+)?~
RET-positive cancer is caused by a mutation or abnormal re-arrangement of the RET gene. It occurs most commonly in lung cancer and several types of inherited and sporadic thyroid cancers. RET alterations also occur in an estimated 1-2% of multiple other cancers, including ovarian, pancreatic, salivary, breast, and colorectal cancers.
RETpositive Empowering Patients and Driving Research
Rearranged during transfection (RET) rearrangements were first identified as oncogenic drivers in NSCLC in 2012. The proportion of patients with NSCLC who have RET rearrangements (ie, fusion-positive disease) is approximately 1%-2%.
RET Fusion-Positive Non-small Cell Lung Cancer: The Evolving Treatment Landscape The Oncologist Oxford Academic (oup.com)
RET alterations occur most commonly in lung cancer (non-small cell lung cancer (NSCLC)) and the number of new cases diagnosed each year is considerable, accounting for approximately 37,500 [IG1] cases worldwide and 4,000 cases in the US (2% of NSCLC) (2,3). RET alterations are also common in several types of inherited and sporadic thyroid cancers and can occur in other types of cancers like ovarian, breast, pancreatic, and colorectal cancers, among others (4-8) adding >110,000 cases yearly worldwide (9).
What is RET Positive Lung Cancer? - The Happy Lungs Project
(2) Although medullary thyroid carcinoma represents 5-10% of all thyroid cancers, activating RET gene abnormalities occur in over 90% of hereditary and approximately 40%-60% of sporadic medullary thyroid carcinoma cases.
Patients – RETpositive%20Although%20medullary%20thyroid%20carcinoma,sporadic%20medullary%20thyroid%20carcinoma%20cases.)
~Prevalence of Non-Small Cell Lung Cancer~
Most lung cancer statistics include both small cell lung cancer (SCLC) and non-small cell lung cancer (NSCLC). In general, about 10% to 15% of all lung cancers are SCLC, and about 80% to 85% are NSCLC.
Lung cancer (both small cell and non-small cell) is the second most common cancer in both men and women in the United States (not counting skin cancer). In men, prostate cancer is more common, while breast cancer is more common in women.
The American Cancer Society’s estimates for lung cancer in the US for 2024 are:
About 234,580 new cases of lung cancer (116,310 in men and 118,270 in women)
About 125,070 deaths from lung cancer (65,790 in men and 59,280 in women)
Lung Cancer Statistics How Common is Lung Cancer? American Cancer Society
Worldwide, an estimated 2,206,771 people were diagnosed with lung cancer in 2020. These statistics include both small cell lung cancer and NSCLC.
Lung Cancer - Non-Small Cell: Statistics Cancer.Net
~Author Calculations/Estimates~
Approximately 187,664 cases of NSCLC in the US based on an 80% factor.
Approximately 1,765,416 cases of NSCLC worldwide based on an 80% factor.
~Prevalence of Thyroid Cancer~
Rate of New Cases and Deaths per 100,000: The rate of new cases of thyroid cancer was 13.5 per 100,000 men and women per year. The death rate was 0.5 per 100,000 men and women per year. These rates are age-adjusted and based on 2017–2021 cases and 2018–2022 deaths.
Lifetime Risk of Developing Cancer: Approximately 1.2 percent of men and women will be diagnosed with thyroid cancer at some point during their lifetime, based on 2017–2019 data. Lifetime risk based on data through 2022 will available soon.
Prevalence of This Cancer: In 2021, there were an estimated 979,295 people living with thyroid cancer in the United States.
Thyroid Cancer — Cancer Stat Facts
About 44,020 new cases of thyroid cancer (12,500 in men and 31,520 in women)
About 2,170 deaths from thyroid cancer (990 in men and 1,180 in women)
Thyroid cancer is often diagnosed at a younger age than most other adult cancers. The average age when a person is diagnosed with thyroid cancer is 51.
This cancer is about 3 times more common in women than in men. It is about 40% to 50% less common in Black people than in any other racial or ethnic group.
Key Statistics for Thyroid Cancer American Cancer Society)
Addressable Market
Given Gavreto’s dual treatment capacity, the total amount of potential patients with NSCLC with RET+ indications would be approximately 2,800 cases in the US and approximately 26,500 cases worldwide each year using a factor of 1.5% of total NSCLC cases. The total amount of treatable cases for Thyroid Cancer would be approximately 650 in the US and 16,500 cases worldwide respectively each year applying the same 1.5% RET+ percentage rate. DOUBLE CHECK MATH…
~Rigel Pharmaceuticals Pipeline~
~IRAK/4 – Clinical Trials~
Rigel’s investigational candidate, R289, is an oral, potent and selective inhibitor of interleukin receptor-associated kinases 1 and 4 (IRAK1/4).
Toll like receptors (TLRs) and the interleukin 1 receptor family (IL-1Rs) play a critical role in the innate immune response and dysregulation of these pathways can lead to a variety of inflammatory conditions such as psoriasis, rheumatoid arthritis, and inflammatory bowel disease. Chronic stimulation of both receptor systems has also been implicated in causing a pro-inflammatory bone marrow environment leading to persistent cytopenias in lower-risk myelodysplastic syndrome (LR-MDS) patients1.
R835 is a selective dual inhibitor of IRAK1/4 that blocks TLR4 and IL-1R-dependent systemic cytokine release. In preclinical studies, R835 demonstrated activity in multiple animal models of inflammatory disease2,3 and showed that dual inhibition of IRAK1 and IRAK4 provided more complete suppression of inflammatory cytokines when compared to an IRAK4-selective inhibitor4.
Development of R289:
In a Phase 1 clinical trial, R835 was well tolerated and inhibited LPS-induced inflammatory cytokine production in healthy volunteers, demonstrating proof-of-mechanism.5 Phase 1 clinical studies of R289 (an oral prodrug that is rapidly converted to R835 in the gut) are also complete.
A Phase 1b open-label, multicenter trial of R289 in patients with relapsed/refractory lower-risk MDS is currently enrolling (NCT05308264). The primary endpoint for this trial is safety with key secondary endpoints including preliminary efficacy and evaluation of pharmacokinetic properties.
~Bemcentinib – Bergenbio Partnership~
In June 2011, Rigel entered into an exclusive, worldwide research, development and commercialization agreement with BerGenBio for its investigational AXL receptor tyrosine kinase (AXL) inhibitor, R428 (now referred to as bemcentinib).
Bemcentinib is a potent, selective and orally bioavailable AXL inhibitor and the furthest along in clinical trials. In preclinical studies, bemcentinib was shown to have an effect as a single agent therapeutic in the prevention and reversal of acquired resistance to standard of care cytotoxics and targeted therapies and may also slow or prevent tumor metastasis.
Rigel received an upfront payment and is eligible for milestone payments and potential sublicensing revenue, as well as tiered royalty payments on any future net sales of products emerging from the collaboration.
~R552 Systemic – Eli Lilly Partnership~
Rigel’s investigational candidates are oral, potent and selective inhibitors of receptor-interacting serine/threonine-protein kinase 1 (RIPK1).
RIPK1 is a critical signaling protein implicated in a broad range of key inflammatory cellular processes including necroptosis, a type of regulated cell death, and cytokine production. In necroptosis, cells rupture leading to the dispersion of cell contents, which can trigger an immune response and enhance inflammation. RIPK1 inhibition has therapeutic potential in treating autoimmune, inflammatory, and neurodegenerative disorders.
Rigel’s RIPK1 inhibitor program includes R552, a systemic molecule being developed for the treatment of autoimmune and inflammatory disorders, and brain penetrating RIPK1 inhibitors for central nervous system (CNS) diseases. In preclinical studies, R552 demonstrated prevention of joint and skin inflammation in a RIPK1-mediated murine model of inflammation and tissue damage.
Development of R552:
In Q2 2023, the initial Phase 2a trial (NCT05848258) in moderately to severely active rheumatoid arthritis (RA) was initiated by partner Eli Lilly.
Development CNS-penetrating RIPK1 inhibitors:
Currently in preclinical studies.
~Milademetan – Daiichi Sankyo Partnership~
Rigel has a long-standing collaboration with Daiichi-Sankyo for developing murine double minute 2 (MDM2) protein inhibitors in cancer, which were discovered in Rigel’s laboratories.
Preliminary safety and efficacy data from an early Phase 1 study of milademetan (formerly DS-3032), an oral selective MDM2 inhibitor, in hematological malignancies suggests that it may be a promising potential treatment for oncology indications.
Rigel received an upfront payment and is eligible for milestone payments, as well as tiered royalty payments on any future net sales of any products emerging from the collaboration.
~Rxxx (CNS Penetrant) – Eli Lilly Partnership~
Rigel’s investigational candidates are oral, potent and selective inhibitors of receptor-interacting serine/threonine-protein kinase 1 (RIPK1).
RIPK1 is a critical signaling protein implicated in a broad range of key inflammatory cellular processes including necroptosis, a type of regulated cell death, and cytokine production. In necroptosis, cells rupture leading to the dispersion of cell contents, which can trigger an immune response and enhance inflammation. RIPK1 inhibition has therapeutic potential in treating autoimmune, inflammatory, and neurodegenerative disorders.
Rigel’s RIPK1 inhibitor program includes R552, a systemic molecule being developed for the treatment of autoimmune and inflammatory disorders, and brain penetrating RIPK1 inhibitors for central nervous system (CNS) diseases. In preclinical studies, R552 demonstrated prevention of joint and skin inflammation in a RIPK1-mediated murine model of inflammation and tissue damage.
Development of R552:
In Q2 2023, the initial Phase 2a trial (NCT05848258) in moderately to severely active rheumatoid arthritis (RA) was initiated by partner Eli Lilly.
Development CNS-penetrating RIPK1 inhibitors:
Currently in preclinical studies. Pipeline :: Rigel Pharmaceuticals, Inc. (RIGL)
~Summary and Prediction~
The current share price of sub $1 does not feel justified. I would anticipate financial breakeven by the end of 2024 or potentially in Q1 or Q2 of 2025. The robust pipeline, progress, and expected revenue growth are enough to justify a much higher valuation. The debt load is manageable, but the potential for S is concerning. I believe that the S is not necessary and revenue growth and progress should speak for itself. I am not as bullish as the analysts at HC Wainright for a $15 PT, but the valuation should be at least 3x to 5x from the current value. This thesis does not highlight the patents surrounding their drugs either which some extend into 2035 and beyond. Perhaps what Wall Street is discounting is the fact that most of the drugs are very niche. However, the currently available drugs have an addressable market, albeit less universal than some, but you should value it in the sense of multiple facets (a 1000 headed snake is the phrase I wanted to use). I believe the company should be valued with specialty drugs in mind which would command a higher PE ratio. At the current day and time of writing, the value should be at least $1.50 to $1.75 ~at a minimum~ with a 12 month price target of $3 to $5+. I will be looking for continued revenue growth in each quarter this year and realization of revenue from Gavreto in Q2 or Q3 this year. The partnerships should not be discounted either and the current share price if it lingers here perhaps may attract a merger or acquisition. I initially began the research thinking that perhaps the drugs were too niche, but given the multiple drugs they are working with, I believe their revenue sources will continue to grow if you do not focus on one particular drug as the main performer. With the most recent inflation report being cooler than expected, I would suspect larger funds and institutions will be circling back to riskier assets.

F28 with Ovarian Cancer and I really need some advice here, please don’t downvote this. I am really struggling with medical negligence not just from one doctor, but multiple. I’ve been dealing with a lot of discrimination because I’m young and “healthy looking” and doctors constantly dismiss me or discriminate me for some reason and I’m tired of it. I’ve been sick and disabled since last November and I had a job but started my LOA then.
For two years I was seeing a rheumatologist for an underlying autoimmune disorder(s) like SLE OR MS and was diagnosed with Rheumatoid Arthritis, Primary immunodeficiency, dysautonomia, fibromyalgia, CIDP and still being investigated for more issues.
In November I decided to go on a LOA because my flares were starting to become more frequent and severe. My psychiatrist was the one who filled out the LOA paperwork for the time from Nov-Dec because I was hesitant to ask my Rheumatologist. I was told by my rheumatologists office that filling out LOA paperwork was $300 out of pocket and at the time I didn’t have that money so my psychiatrist signed it because I was also struggling with my mental health and family issues that time.
I was supposed to go back to work in January but at the start of the new year I got really sick and my flares started to ramp up again so I had to request a new LOA. My psychiatrist couldn’t help me with my LOA paperwork anymore because it was more health related now and told me to go see my rheumatologist. I was still hesitant because of the fee and then when I was about to see my rheumatologist again and get my bloodwork done I got a surprise bill from the lab where I get my bloodwork done for $400 after insurance. They wouldn’t let me get additional tests until I paid the fee and I couldn’t see my rheumatologist until I had my bloodwork done. I made an appointment with my rheumatologist anyways but the soonest I could get wasn’t until after the LOA deadline in March. I also couldn’t get any disability benefits until that LOA form was filled out by my doctor so I had no income to pay for any of this.
I ended up in the Emergency Room on 2/16/24 a little over a week before I needed to submit the forms for LOA and at this point my employer was threatening to fire me for failing to provide the LOA paperwork. I tried explaining the situation to one of my managers but he wasn’t having it and didn’t care.
When I went to the first emergency room I went in for multiple serious symptoms, they knew I had an underlying autoimmune disorder causing the flares and that I had surgery 3 years prior to remove ovarian cysts on my right ovary. I told the emergency room that I had a lot of abdominal pain across multiple areas, I was really weak, fatigued, dealing with vertigo, migraines, blood in stool, persistent bloating, frequent urination, appetite loss, rapid weight gain, insomnia, tachycardia, high bp, neuropathic itch/ polyneuropathy and my symptoms were to the point where I was losing my ability to walk. My partner was holding me the entire time so I wouldn’t fall.
The emergency room did a bunch of tests that included a basic blood panel, physical exam and a CT scan of my abdomen. They didn’t find the bleeding but instead found that I had a complex 14cm tumor on my right ovary which they deemed a dermoid cyst.
When they gave me the news they officially diagnosed me with a “dermoid cyst from birth” even though I countered their diagnosis and told them that was impossible because I had surgery 3 years prior. The doctor didn’t backtrack at all, just stuttered and continued to discharge me because it “wasn’t an emergency” just because I wasn’t bleeding out despite all of my serious progressing symptoms.
I angrily left the ER knowing it was utter BS and deep down I knew it was cancer because of how sick I was. I could literally feel I didn’t have much time but because I looked young and healthy and my basic blood panel didn’t throw up any huge red flags at them even they dismissed me and misdiagnosed me. I wasn’t even given anything to manage the pain.
I even told them I was already on a medical leave and that I’ve been really sick but that it was getting bad and I couldn’t see my rheumatologist. However I didn’t know about the tumor until then. I told them I needed help with the LOA paperwork too and had they admitted me I would have been able to get an extension and still have my job and benefits. I could have started treatment sooner and received disability pay but instead was forced to continue living with this pain. It was so large that I was at risk of torsion rupture and necrosis, Not to mention permanent nerve damage.
The next day I called up every gynecologist I could to see where I could go for the soonest appointment for an ultrasound. I found a doctor who took me as an emergency appointment a few days later and he confirmed it was most likely malignant and that I needed surgery ASAP. I talked to him about my LOA situation too because I was running out of time and I was too disabled to work. He also refused to help me sign my LOA paperwork because according to him, “ovarian cancer can’t cause systemic symptoms and you’re going to need to wait until surgery before I put you on leave”. I told him I had an underlying autoimmune disorder that I think is being exasperated by the cancer and I was just dismissed yet again despite needing someone to physically help me walk so I don’t fall. He also didn’t give me anything for the pain I was in.
I had to turn in my LOA that day but because of this I was forced to resign my position or face getting fired and becoming un-hirable so I had to quit. In quitting I lost everything, benefits, stocks, my job, my health, doctors. I’m now in debt with multiple cc going to collections because I haven’t been getting an income since January and I’m just starting chemo so I have no idea when I’ll be able to work again. I don’t know what to do here. I was going to try to settle my debt but with what money?? I might be forced into bankruptcy for 7 years now.
After I lost my insurance I applied for medi-cal but something with my application in there system wasn’t right and it was in a never ending pending limbo state(Took about two months to actually sort it out). I tried waiting it out for two weeks, calling them sorting it out and doing it right by the system but every day I was getting sicker and I felt I was running out of time as I was bed ridden at this point.
Two weeks later I went to a different ER because at this point I couldn’t sleep, I couldn’t eat and I started getting migraines. I was miserable from enduring all the symptoms and never ending anxiety and mood swings of possibly having an autoimmune disorder like SLE and ovarian cancer.
The second ER finally admit me and confirmed it was cancer. I was admitted for emergency surgery and by this time the tumor had already ruptured, twisted my ovary and grew to 20cm at the largest point. This was also a battle but that’s besides the point.
Anyways now to my current situation. I started chemo about two weeks ago and my current oncologist is also being negligent.
I found out the other day that she blindly prescribed a medication for nausea that interacts with a medication that I was already on. The interaction is known to cause arrhythmias apparently. During my first week of chemo I was taking both meds and mentioned that my chest had been feeling heavy and I had pain. I was told it was steroids. It continued and then one night as I was falling asleep my heart started to pound really hard for about 10-15 seconds. I told my doctor about it and again steroids.
That same day I went to pick up a prescription and just happened to ask if anything interacted and that’s when I found out that it was a major interaction and I literally could have died had I not luckily already been titrating off of the offending medicine. I stopped taking those meds and immediately the chest pain stopped and I haven’t had an episode like that since.
I am freaked out and don’t want to continue my care with her due to her negligence. This should have been a conversation at minimum and she didn’t even tell me she prescribed it let alone double check for interactions(she had the list of my current medications). I just got a notification from my pharmacy that it was ready. I also didn’t know about the interaction when it was picked up because my mom picked it up for me and she doesn’t speak English very well.
I talked to my care teams assistant and told her I wanted a change of doctors because I didn’t trust her after this and she said she was going to put in the request. They called me yesterday though and said they weren’t going to switch me because I had already started treatment. They refused to switch my doctors despite everything that’s happened even though she literally almost accidentally killed me. I am livid and don’t want to continue with them but they’re giving me no choice but to continue seeing her.
I already set up an appointment for a second opinion but that’s not for another two weeks before the appointment and I don’t want to interrupt the treatment.
I have a rare type of ovarian cancer with a high grade tumor. It was a germ cell tumor called an immature teratoma. They said it is stage 1 but because I had emergency surgery and everything was rushed I don’t feel this is an accurate diagnosis because I have pain in all of the surrounding areas where the tumor was pushing up against. (I also mentioned this to my oncologist but instead of running tests or anything else I was given a psych referral for anxiety because I have an adhd & bipolar diagnosis even though I’ve been stable for years and I wasn’t overreacting in this case). The tumor was exasperating all of my autoimmune symptoms and causing me to be in a never ending flare so my body has been heavily damaged. Im becoming disabled at 28 and I don’t know who to hold accountable here. I have so much anxiety with doctors now because I’m traumatized from my experience with them dismissing me and discriminating against me. Like I’m young so I “must be able to tolerate more”. I have to constantly look up my lab results, medications, conditions, because of how much negligence and dismissal I’ve been dealing with over the years. I’m scared I’m going to die from something preventable and not cancer at this rate.
I’m in a dark place right now and really need some advice here. What should I do? What CAN I DO? Who do I hold accountable? What do I need to have a solid malpractice case?? I have medical records for everything even when I went to the first ER that shows I had surgery before and their diagnosis or dermoid cyst from birth. I also have proof that my oncologist had a list of all my medications when she prescribed the anti nausea medication and she knew I was sensitive to most medications as I recently found out I’m allergic to morphine and Benadryl of all things.
I feel like the first emergency room should at least be held liable for making me lose my job, misdiagnosing me, failing to treat me or provide relief and then sending me a $1600 medical bill. Someone help me with this please I am struggling and still haven’t gotten approved for disability benefits yet so I’ve had no income since January. Thanks.

TLRD; Recently jumped from 25mg to 50mg of Lamictal (taken with other medications) after two weeks and wondering if my painfully unstoppable energy is a side effect.
Hey all. I currently started taking Concerta 36mg generic a few months ago and restarted Lexapro 10mg generic at the beginning of the year. Because of my gene type my psychiatrist suggested I take Lamictal generic to help boost the effects of another medications. This isn’t new to me, I had a different doctor do the same with Abilify years ago. I read that it can cause withdrawal and I suffered that from Effexor last year, but she assured me that the risk is low up until a certain point.
I started on 25mg and was taking that for a couple weeks consistently, then moved up to 50mg a couple days ago as we planned. But I just realized that I’ve been getting pretty overstimulated and wired since my increase. I’m super hyper-focused and fixated and energetic. It’s EXHAUSTING me. I’m not sure if it’s because of the medication or some other factor, but it’s been a lot. For reference, I have a general intake of caffeine because I work at a coffee shop, but no more than I’m used to >! a couple days after starting the Concerta I had a triple shot of espresso compared to my 1-2 and it made me WIRED— I spent four hours in a Target !<
Has anyone else experienced this? Is it just a side effect of changing doses? I’m scheduled to jump to 75mg in two weeks so I just want to know what to expect or look out for.
[Edit to add: I’m not taking this for bipolar disorder or epilepsy, though it was prescribed in part because I did have a seizure during my childhood.]

TLRD; Recently jumped from 25mg to 50mg of Lamictal (taken with other medications) after two weeks and wondering if my painfully unstoppable energy is a side effect.
Hey all. I currently started taking Concerta 36mg generic a few months ago and restarted Lexapro 10mg generic at the beginning of the year. Because of my gene type my psychiatrist suggested I take Lamictal generic to help boost the effects of another medications. This isn’t new to me, I had a different doctor do the same with Abilify years ago. I read that it can cause withdrawal and I suffered that from Effexor last year, but she assured me that the risk is low up until a certain point.
I started on 25mg and was taking that for a couple weeks consistently, then moved up to 50mg a couple days ago as we planned. But I just realized that I’ve been getting pretty overstimulated and wired since my increase. I’m super hyper-focused and fixated and energetic. It’s EXHAUSTING me. I’m not sure if it’s because of the medication or some other factor, but it’s been a lot. For reference, I have a general intake of caffeine because I work at a coffee shop, but no more than I’m used to >! a couple days after starting the Concerta I had a triple shot of espresso compared to my 1-2 and it made me WIRED— I spent four hours in a Target !<
Has anyone else experienced this? Is it just a side effect of changing doses? I’m scheduled to jump to 75mg in two weeks so I just want to know what to expect or look out for.
[Edit to add: I’m not taking this for bipolar disorder or epilepsy, though it was prescribed in part because I did have a seizure during my childhood.]

(Sorry, it’s kinda long)
Hey everyone,
A bit about me: I grew up in a toxic household with an alcoholic abusive single mother. She had anywhere from 15-20 stray cats in our home that she spoiled and loved more than me. She sure made that clear! My father left me and my mother when I was two years old and he never came back. I was put into the California foster care system at age 13 due to my mother being reported multiple times by my junior high school counselor. From there I went to several mental hospitals, lockdown facilities and group homes up to my 18th birthday. I was diagnosed with bipolar disorder and major depressive disorder back in my adolescent years. I haven’t been evaluated as an adult but I’m sure I would be diagnosed with MDD if I were.
I have spent almost my entire adult life doing nothing with myself. I spent a lot of time early on sleeping in my car and showering at my friends houses. My grandma in Arizona helped me out a great deal and let me stay with her and find work, and I was proud of myself although I was working a menial janitorial job at a casino. I’m pretty tech savvy and skilled with automotive repair but I never pursued further education. When my grandma passed away in 2007 I got severely depressed but I managed to get a place to live with roommates and held down a full time job, again at a casino doing janitorial work. Developed a gambling addiction and an alcohol addiction. Got a DUI in 2008 and that started my legal troubles. Lost my place and lost my job.
I slept in my car and worked at casinos doing menial work again. Met a woman at one of the jobs and got married April 2010. She had a few kids with a bunch of baby daddy drama, and I couldn’t deal with it so I just walked away and the divorce was finalized by the end of the year. I stopped drinking after that. From there I kept working until 2011, when I decided to quit my job, take my old Subaru XT and hit the road. Went all over the southwest US sleeping in the car and exploring, got a few tickets for no insurance, got my license suspended for said tickets and also for not paying my payments on the DUI. I got to Albuquerque NM and my car finally croaked on me. Transmission failure. Slept in it for a week or so in a mini-mall parking lot until the cops were called on me and unsurprisingly took my car. I was officially a street person at age 26.
I spent several years hitchhiking, panhandling, dumpster diving, hopping freight trains and finding spots to sleep or camp wherever I could. I was so depressed that I didn’t take very good care of myself and had no desire whatsoever to try to better myself and dig out of the hole I got myself into. I used to call myself an urban survivalist. I remained in this state of mind until late 2022 when dental problems nearly killed me. I finally found a place to stay in Nevada with a lady I called a foster mother but I had a very hard time getting used to being housed. I got all my teeth yanked and a set of dentures thanks to Nevada Medicaid. I got a job at a car wash for six months but gave up the job due to stress at home and workplace nepotism. I even got a few credit cards and got my score up to 719! Anyhow, foster mother was an alcoholic, she started to remind me of my biological mother and I couldn’t stand it anymore. I had a few thousand dollars saved up and moved back to Arizona a couple of months ago.
I am currently at a weekly motel and have been attempting to find any work I can. Managed to get interviews for dishwasher jobs, housekeeping jobs, janitorial jobs and night crew at a grocery store. Haven’t heard back from any of them though. I have half of my savings left and it seems inevitable that I’ll run out of money pretty soon.
I have a good feeling that the ridiculously long gap of employment looks terrible on my resume and that may be a reason I’m not getting anything. I mean, what do I tell the interviewer, that I was a damn bum?
I like to think I’m pretty smart. I was disassembling and reassembling IBM PC’s before I hit puberty. I was the computer technician for my high school back in the Windows XP era. Once I started driving I began teaching myself automotive repair with Chilton and Haynes manuals along with plenty of trial and error. It blew people’s minds when I, a dirty bum, helped get their car back on the road if I noticed they needed assistance. I helped a man I met at a park and did an engine swap on his Nissan Xterra over a couple weekends in exchange for new camping gear.
I can’t get work as a mechanic or do any driving related jobs unless I get my license back and it would take a LOT of money to get it back. On top of that I have to have an ignition interlock in any vehicle I drive. I wouldn’t mind getting into computer repair but I don’t have the certification to do so, and I’ve been out of the loop for a long time. I have a MacBook Air M1 and wish I could learn a way to make money with it like some sort of remote job but that seems impossible to me at this point.
For the record, I still don’t drink and I’ve never done a hard drug in my life. I haven’t smoked weed in months so I am able to pass a drug test if I were hired somewhere. Also, I have no felonies whatsoever on my record. Some people like to be stereotypical so I figured I’d throw that out there.
I guess what I’m asking is what should I do at this point? What path would you take if you were in my shoes? I won’t lie, suicide has been on my mind a lot lately. I don’t have many friends and I don’t have any family to talk to. I don’t like being a burden on anyone. Should I just accept that I’m gonna probably be homeless again, possibly for the rest of my life? Is there anywhere in the US that I could possibly get back on my feet with some sort of labor work and a place to sleep? I’d move anywhere if I knew I had a shot. Am I a lost cause at age 38? I’d love to hear some ideas!

*Possible trigger warnings for BP2, mental illness in general, and a mention of death. I apologize for weird formatting. I’m on my phone, I don’t own a laptop, and this is only my second time posting to Reddit.
Sleeping has been my only escape from what he’s done. It’s genuinely starting to scare me. The last time I did this was over 10 years ago, when my best friend passed away in High School. I was diagnosed last year with Bipolar Disorder Type II, so at least I have one hell of a manic episode coming my way when this is over. I lied to myself and said I wasn’t sad this time. But I am. I’m really sad.

Hello, everyone. 35M with Chiari 1 of “only” 3-4mm diagnosed at 17 years old with MRI due to headaches that later resolved. Subsequent scans in 2022 and 2024 revealed that the size has remained constant. Throughout the years, I literally forgot I had it due to a lack of symptoms and/or conflating the symptoms with Bipolar 1/ADHD and treatment side effects. In 2022, I had an onset of neuropathy with a job I took that had me bending over repeatedly. I remembered the Chiari at that time and got referred all the way to neurosurgery but was never able to go due to a move. Symptoms subsided again. I was on lithium, which I later learned increases ICP. I had jumpy vision (I described it as fast-forward vision) which was terrifying and for which I suspected mania, not knowing it has to do with Chiari. I had some photophobia that mostly occurred at night when seeing police lights and I assumed it was perhaps epileptiform activity, still knowing essentially nothing about Chiari. Went to a NUCCA chiropractor, at which point the photophobia became severe and permanent and I no longer drive, except on totally cloudy days, and even then with great difficulty. My symptom is silent headaches with immediate onset of dysphagia that goes away when I force myself to swallow and remove the trigger. It is still extremely debilitating and causes a panic attack basically every time because despite having never had a seizure except ECT, I still assume that that’s what’s going on and that I have to quickly to prevent it. When I finally got an EEG to try to rule out epileptiform activity it came back normal with no epileptiform activity, but admittedly, I was on a low dose of 300 mg of lithium (an anti-epileptic) because it seemed to help the headaches I was having at the time so I’d like to discuss whether that could’ve thrown the test with a medical provider.
I stay in dark rooms and get motion sick from the motion of tree shadows coming through the window (the intermittence of tree shadows and sunlight driving is my main photophobia trigger driving), screens in general, especially TV flashes on the walls. I’ve been unable to comply with CPAP therapy due to it making my wooishng tinnitus worse and me waking with a jerk right as I’m falling sleep, but I’m going to try harder to push through the waking reactions despite needing Seroquel nightly for sleep. I was already facing functional or total disability because of the Bipolar but now hopefully Chiari is some of the picture and I can regain some function. Phone calls, Zoom, especially speaker phone are difficult too. Because of pitch-dependent noise sensitivity. Car motors and other repetitive and high-pitched sounds are also instant triggers. At the peak, was having bad phonophobia with onset of panic and weakness that felt like a blood sugar crash when planes and big trucks would pass, and only after hearing them consciously after the initial reaction did I understand what was going on.
I’m coming to the end of a course of physical therapy (with an emphasis on longer-term posture correction) with dry needling that definitely helped, and the one night that I was able to sleep with the CPAP seem to clear up a lot of the headache symptoms and some of the photophobia as well. The sudden onset of the photophobia has me concerned and I don’t want it to be permanent or worsen and I’d like to drive again. Also off of all meds, including psych meds because everything seems to cause me this silent headache, which is basically overwhelm and worse, severe dissociation (Lithium and Depakote did this, to my recollection, though they initially helped pain when I had that and I only tried a crumb—as is now typical—of Topamax with the same result of severe dissociation and panic. Admittedly, my problems with these panic attacks started when I had too much cannabis one time without prior experience but now Chiari seems to be a complicating factor and it’s hard to know whether ICP and Chiari stuff or panic is at work in these reactions definitively, but I also tried Gabapentin recently and it didn’t cause dissociation just some calm with a reduction of muscle pain but an increase in Chiari symptoms on at least one occasion besides messing up the functioning of my sleep meds). I was adjusting my meds pretty frequently at one point and suspected them in the photophobia for a long time as well, but I’ve been off of all meds for probably four months now. I also have visual snow and nystagmus at night, when reading and I just catch it general when I’m outside—my eyes don’t know what to focus on and jump around and are taking longer to focus the last several days.
I’m trying to get a neurosurgery appointment with Dr. Judy Huang at John Hopkins, besides trying to get CPAP to work and I’m curious about mild traction. It seems to help me when done rightly, but I know there are conflicting reports here about it and that it’s pretty individualized. Sometimes when therapies I try seem to be going poorly, perhaps I quit it too soon, but sometimes I gaslight myself and tell myself to try harder and push through bad reactions. There’s only so much I can do about severe dissociation and panic attacks and no one around me gets it but thankfully, my providers are fairly understanding.
There’s definitely a strong positional component to symptoms. I’m normally intracranially hypertensive but tried Prilosec in two cases and a pinch of baking soda in water in others and they send things hypotensive, likely due to poor flow. Drinking water and using the restroom both seem to instantly affect pressure in head too so it seems to very much be Chiari. I don’t know my tolerance or the merits of trying other migraine medications and treatment, for example. Ibuprofen helps as has sipping caffeine, though it’s a mania trigger. I’ve also tried eye drops, glasses, biofeedback and neurofeedback for headaches as well as specialized glasses for light sensitivity and I think I’ve ruled out green light therapy with a dimmer at this point having tried it, but I understand there may be some more specialized eye exams to try. I know I have Chiari and had mild photophobia but then it got worse very quickly. Don’t know if adjusting meds or NUCCA adjustment or other traction, exercises or poor posture were to blame or this is just the progression of Chiari or the onset of a migraine component alongside all these symptoms above which are largely new. Differential diagnosis between Chiari and migraine seems to be a special challenge. CPAP and rolling my neck seemed to also help my debilitating OCD but lately rolling my neck has become irritating. I also have worsening brain fog which I forgot to mention until the very end.
Thanks for listening to the rant.
Please weigh in if it connects with your experience!
TL;DR Tried chiropractic, including NUCCA over the years and have since discontinued due to onset of photophobia after NUCCA. Did physical therapy with dry needling, tried soft collar, CPAP (still trying to get it to work—helped the one time I could sleep with it, biofeedback, neurofeedback, eyeglasses and eyedrops for photophobia which is my main concern for which I’m seeking consultation for surgery (it’s so bad, I often wear sunglasses indoors and have cover my eyes totally by hand—even stray light through a thick eye shade is an instant trigger) but what else should I try?

Hi guys.
After 6 months of evaluation I (24F) got diagnosed with CPTSD and autism. For the past 11 years of my life I was going from: depression, bipolar disorder and in hospital they tried to label me as BPD. My primary psychiatrists then decided to re-evaluate me, bringing me here.
6 months of tests, talks, looking into medical history and after it is behind me, I kinda don't know what to do and even think. They told me I'm "high functioning" and that CPTSD is the reason for my suffering since childhood (I was labelled weirdo by peers, but generational abuse is the main cause).
I revised a lot of medical studies about autism and I do see some similarity but, what if it's just coincidence? I saw posts here with really complex issues and I wouldn't want to impose your comfort space(?).
Did any of you felt that way after results? How can I kinda come to terms with it? And do you know how accurate the tests for autism in women and masking are? Any advice at all?
Sorry for the long post and have a nice time everyone!

For context: 23F, bipolar disorder 1 (stable w meds), now seeking treatment for ADHD. Other disorders diagnosed as well but irrelevant.
I got my official diagnoses when I was 21. Everything finally made sense. Started treatment for bipolar disorder and am officially stable. Now currently treating ADHD.
If you don’t know, stimulants can cause hypomanic/manic episodes in individuals with bipolar disorder. Stimulants are widely discouraged if the patient isn’t taking a mood stabilizer and/or antipsychotic. (This is also true for antidepressants as well).
Now that I’m medicated and stable for that, we tried Strattera first. The starting dose didn’t help, and the second dose made me so incredibly nauseous I couldn’t even work. Now we’re trying guanfacine. I’ve heard it makes you super groggy even when taken at night. I already struggle tremendously with low energy and low motivation.
Prior to my diagnosis, I had taken Adderall XR in my teens. Obviously, it worked as intended rather than make me speed. That is what led to my self-diagnosis. My brain was just… quiet. It’s like all the tabs closed and the radios turned off and I could have one singular thought at a time. If I thought about something I needed to do, I just got up and did it. No pep talk. No procrastination. No beating myself up because I just simply couldn’t. I just did it.
I haven’t told my psych about the adderall because.. ya know. Illicit use still. But I’m getting tired of this trial and error (I was previously medicated for MDD and bipolar 2 for roughly 10 years before my bipolar 1 diagnosis) with medications, and I know that Adderall at least helps. But I also can’t afford to come across as drug seeking. ADHD is really starting to impact my job and my personal life. I have a husband, a toddler, two cats, work full time, college part time starting in the fall, etc.

I feel bad for Hating my nephew. My nephew is 13. My family has had custody of him since January of this year. My nephew in all fairness hasn’t ever really had it easy. His father left when he was 3. His mother never remarried but became very close to an old friend, who proceeded to raise my nephew as his own. From the ages of 4 to 11 before he passed away. Granted my nephew however is not an easy child. His issues started when he was about 8 years old. Setting fires, stealing things, stealing from his school, pathologically lying, and getting violent. He used to beat his mother black and blue, and yes despite being small and young, my sister is a skinny twig, so he really packed those punches and cause she would bruise very easily. He’d call her a shit mom, tell her to fuck off, the cops had to called countless times before he was even 10. To the point the cops just stopped responding even telling my nephew “ he was a very troubled kid, and the cops wouldn’t even react if his mother flipped the switch and beat him”. Countless hours of medication and counseling seemed to only stop the fires, not the lying or stealing. He would threaten his stepdad by telling him he was not his father. Because he couldn’t attack my brother in law as he was a 6’5 250 man, he’d hurt him by destroying his dead fathers memorabilia ( his father was a pretty small town famous tattoo artist and show performer). So that was all my brother in law had left of him, and my nephew would destroy it. I’ve had to run over and help my sister and him rein my nephew back in. One night we asked him to please put the stack of clean ceramic plates away, he Argued and thought it’d be best to just raise them up and slam them down on the kitchen floor. I was not wearing shoes and got cut a bunch from the shards flying. As time went on and the more difficult my nephew got, my brother in law and sister started to drink. Not much and not all day or everyday. Talking to my brother in law privately he’d cry and be so stressed he was losing weight. He became more and more withdrawn. Finally he got incredibly sick and was given a couple months to live. The stress combined with the alcohol caused his organs to fail. I feel I share my head with 5 other people, my psychiatrist thinks it’s part of my schizophrenia. So while I consciously don’t blame my nephew for my bother in laws death, the other people in my head certainly do. My sister shutdown while still trying to deal with my nephew. She called me one morning begging me to come over while crying. I walk in to her asking my nephew to please get dressed for school, she’s tired of getting truancy letters (he’d run away before school would start, he was 10 at this point), only for him to scream at her “shut the fck up you stupid btch). He knew I didn’t play like that so as soon as he saw me albeit sobbing he put his clothes on and I walked him to the campus and watched him go in ( sometimes he’d head to school but never actually go in). When he was 12 so last year my sister really hit a new low, got a new man, who In turn gave my nephew a gaming computer, consoles and vr headsets. He’s now acting like a 26 year old computer addict.
I think my sister let it happen because she had been dealing with my nephew by herself for years, and at this point I think she didn’t care what he did as long as he wasn’t screaming, swearing, breaking things or hurting her. Like I said we’ve had him for awhile, him living with us has been hard. Food constantly goes missing, he constantly lies, or takes peoples things and won’t admit it. Some days my mother is understanding and forgiving some days she doesn’t seem to notice anything. She is 74 and doesn’t notice a lot. I’ve noticed my nephew is also a great gaslighter and manipulator. So he can convince her that he accidentally took her brand new towels and threw them away by accident, or that he doesn’t know how a broken bowl wound up underneath his bed. And most times my mom just accepts his answers while not understanding why I’m getting on him so hard. I had a breaking point a few weeks ago, I know it may seem small compared to what others think. But we had just a conversation with him about not eating peoples ice creams (that’s the biggest thing he does is takes sweets) we tell him just ask and we’ll be more than happy to share with you. I had a frozen yogurt I was saving for after my physical therapy appointment. Came home. It was gone. I asked him and he screamed and cried he didn’t take it. I found the remnants later and sent him a video to only then did he confess that he had taken it. Lately my other sister who lives with me and along with her kid can’t take it anymore. Even though it’s easy for her to block my nephew out as she has her own kid, she can’t stand the yelling when he’s on the computer or coming home and everyone’s fight with him. She is moving out this summer, and I’m planning on moving out next January. I have attachment disorder. I love hard and easily but once you screw that up it doesn’t come back to me easily.
Before my brother died I hadn’t spoken to him in 10 years after what he said to me during a depressive episode when I was 10. I didn’t like him and I wanted nothing to do with him as he himself was an alcoholic with anger issues. Point being I’m seeing my nephew the same way I see my brother. I admit I don’t like him. I admit I try to tel myself repeatedly he’s been through sh*t and he needs help but a part of me is like “ you’ve been his half parent since he was 3 and you’ve been trying to reel in his behavior since he was 8. He’s now 13. So yes it’s getting harder and harder to have sympathy for his situations. I don’t really acknowledge him anymore other than when I am giving his cat back (his cat is a kitten and can’t be left alone while he’s in school so I take care of him during the day). I noticed I don’t respond anymore when he says “ I love you”.
I am bipolar and schizophrenic. When I start to lose my shit my moms all confused as to why and I point out to her my conditions and tell her it’s been a long time coming. For a bipolar person to always keep their anger under control 24/7 for 5 months is very hard and yes sometimes my brain just spills out. Don’t worry I’m still mentally there so I understand it’s best not to have a meltdown in front of children which is why I always retreat to my room and don’t come out for the day. I’m torn because I am the family caretaker. I take care of the dogs, cats, 7 chickens, the gardening, the cleaning and the cooking and cleaning up the kitchen. As I said my mother is 74. She’s had nothing but screwed up children all her life since she was in her 30s. 5 kids and all of us ended with some mental illness or another. I know she’s tired, and I know she’s breaking down (I’m sorry I’m starting to cry). I’m scared to move out cause I’m afraid the difficulty of raising my nephew is gonna stress her out so bad she too might die sooner rather than later. She was already very physically sick last month. She’s mentally stressed out and always exhausted. My sister lost custody of my nephew as I said.
I truly believe part of the reason she refuses to fight for custody of my nephew is because she doesn’t want him and his behaviors backs. From vandalizing the school property to stealing from people, she is over it, my other sister is over it, I’m over it but trying to be strong for my mom. And my mom I think is just numb from him. We’re great at still doing what an auntie and grandmother should do. Play with him, listen to his rants, try to calm him down when he’s mad. Gently point out his mistakes, take him out to a movie or food, or the arcade. But it’s all a facade internally. I won’t even mention how a 13 year old treats female classmates or his perverted views on them. We’ve have to tried to get him admitted, we’ve tried medication, we’ve tried counseling but this child knows he can just run away and refuse. The cops have given up on doing anything with him. So for the time being, everyone has to hide they’re stuff in personal fridges in our bedrooms. Good we don’t want taken or missing. I have cameras in my room, the garage has a motion sensor light, we all have to hide out debit cards and wallets as he’s been known to steal those as well countless times. It sucks. I know deep down subconsciously I love him like a little brother. Consciously my schizophrenia does not like him. I have the type where I hear, smell or have multiple voices in my head. Like I said it’s like having 5 other people living in my head. Luckily my schizophrenia is controlled heavily by therapy, medication and as I know the difference between right and wrong, and can comprehend one’s emotional well-being so I never lash out at anyone but it doesn’t stop the voices from speaking they’re truths. Sucks watching him walk in and the voices immediately saying sht like “ yea he’s gonna end like all the screwed up men in this family” Guys he’s only 13, he’s been through stuff “Shut up OP even you’re sick of his sht, you can’t even say I love you too back when he says it”
I know I just freeze up cause emotionally I’m conflicted, I’m trying to give him the benefit of the doubt and have hope. But in that moment i don’t how to respond when he says that.
“B*tch you’re on your own, all of us have no hope”
I’m at a loss of what to do. I want my own space for my mental wellbeing. Yes having the second floor and balcony to myself is nice but I feel I need my own own space. But I’m terrified of leaving my mother alone with the animals, house and mostly my nephew. I am however forcing her to go to Barcelona for a month, so I’m hoping that’ll at least give her brain time to relax. I’ve talked to my counselor and therapist, they are kind of at a loss of what to do as well. Except increasing my dosages especially on my anxiety meds. I don’t mind it but it makes me very stoned out and that makes me fall behind in house tasks, cause I’m just tired all the time. I’m scared, I’m tired of crying, I’m tired of being angry, I’m just tired. Between the house, yard, animals, my nephew, and my mothers well-being, I’m very tired. I’m sorry for the long rant, I’ve been sitting on this for a while and I feel I can’t tell anyone. Just need it out.

Context:
I am a man who is in his twenties, I have been in psychological therapy and psychiatrist since I was 14 years old, my initial diagnosis has been paranoid schizophrenic, I was medicated for that, I took a process, they made me electro shock therapy.
My life took a 180° turn, after the electroshock therapies I went from being a boy who in spite of not being extroverted was open with people and had a group of friends at school, to not having any close friends.
During my last years of high school I was branded as a hypocrite and cynical, which I now admit I was, but I did it to get an advantage over my classmates.
At the present time I am in a study at the university and then I abandoned it, and then I took it up again and the cycle repeats itself, in spite of the fact that I do not like alcohol, every 2 or 3 months there is a day where I abuse it, without my parents or any family member noticing it.
It is also worth mentioning that I have only had two partners in my life, but I did not feel anything for either of them, they were just whims and an attempt to show others that I could also have a partner, I have never really fallen in love, I also do not enjoy sex, I am not able to reach orgasm, although I have made several acquaintances believe the opposite.
I am really good at hiding my feelings and making people believe the opposite, although I have never read a single book on psychology or manipulation.
In spite of not liking to get into conflict with anyone, more than once I have wanted to break the face of more than one, only that I controlled myself, I have patience and if given the opportunity, I charge what that person did to me in a way that I do not notice that it was me (it is not always like that, but I try).
My current psychiatric diagnosis is bipolar affective schizoaffective with generalized anxiety, which in itself is very bad, but sometimes I think I have anti social personality traits or behaviors, the reason I created not having that diagnosis is that I am not 100% honest to my psychiatrist or my psychologist.
Summary: despite having a psychiatric diagnosis of schizophrenia with bipolar, from current and past behaviors, I am suspicious of having antisocial personality disorder traits or suffering from antisocial personality disorder.
Summary in case you don't care to read the whole bible: Maybe besides being schizophrenic, I am sociopathic.

Not sure if this needs a TW
I have bipolar and borderline personality disorder. I am suffering greatly. Almost got hospitalized but I lied to the psychiatrist at the hospital when I saw how unprofessional everyone was there. I asked for a med evaluation and all they did was slightly increased my zyprexa. I couldn't trust them to care for me.
I'm trying to get a new psychiatrist at this other company and they can't see me for a psych evaluation until next month. But I'm suffering greatly NOW. The psychiatrist I have now, I told him what I was going through and he said "I'm not your therapist."
I don't know what to do. I can't keep living like this. I don't understand why I have to keep living for everyone else. I feel like they're the selfish ones for wanting me here when I have to suffer with so much depression and emotional distress all the time.

JEFFERSON CITY — The 2024 legislative session that ended Friday seemed more a referendum on Republican Party loyalty than a collective venture toward policy.
Constant infighting among Republicans over priorities and which ones were truly conservative led to days-long filibusters, name calling and the death of many conservative bills, including a top party priority: making it more difficult to amend the Missouri Constitution.
The divisions were so ingrained that the Senate Democrats, holding 10 seats in a 34-person body, delivered the deciding votes on some of the session's most important bills.
The hard-right Freedom Caucus has said their issue with mainstream Republican leaders in the legislature is a lack of dedication to “big red” policies like reducing personal property tax and preventing foreign countries from owning Missouri land.
Looking back at previous sessions, that argument doesn’t quite stack up. In the last several years Republicans have passed one of the nation's most strict abortion bans, limitations on transgender health care and enacted several income tax cuts.
The Freedom Caucus went to great lengths to disrupt Senate procedure and strong-arm leadership in an effort to pass their highest priority, changes to the initiative petition process. The impact was that they were tossed off Senate committees by the Republican leadership and later in the session failed to convince their Republican colleagues to embrace their priorities.
Less than two weeks before the constitutional deadline for the budget and with an important federal health care reimbursement that creates over $4 billion in revenue, Freedom Caucus members filibustered for 41 hours with the demand that leadership first bring up a resolution changing the approval threshold for state constitutional amendments.
Going into the last week of session, initiative petition reform still had not passed.
This week, the Freedom Caucus supported a motion among Republicans to end the Democratic filibuster on the issue through an extraordinary motion — the previous question — that hasn’t been used in the Senate since 2020. But only 16 Republicans would support that plan, which needed 18 votes, so it was never brought before the floor.
With that failure on Wednesday, the resolution was sent back to the House, which refused to budge on Thursday and sent it back to the Senate. On Friday the Senate adjourned without any further action and the effort died.
The failure to pass the resolution making initiative petition changes showed the inability of even a supermajority to act when splintered on such chaotic, disruptive lines.
Senate President Pro Tem. Caleb Rowden, R-Columbia, said that this session showed that more can get done through compromise than confrontation.
"I'm walking out of here as a guy that has basically accomplished everything I wanted to accomplish and I did it in a way that was respectful and collegial," Rowden said in a press conference after adjournment.
Senate Minority Leader John Rizzo, R-Independence, backed up that point saying, "I don't think Democrats won or Republicans lost (the session), I think decorum won."
Fiscal Year 2025 budget
A set of constitutionally mandated bills that fund the state's operations passed just three hours before the May 10 deadline. The final budget is $51.7 billion, $1 billion less than what the governor proposed, and about $2 billion less than last year's budget.
Three things stuck out in this year's budget: Infrastructure continued to be a major focus, spending was reduced to come in line with revenue projects and numerous members on both sides of the aisle were frustrated by the lack of transparency in the process.
Over the last two years, about $3.5 billion has been put into widening I-70 to six lanes statewide and I-44 in the southwestern part of the state. Both projects are about equally funded through debt and general revenue. The budget that was approved is expected to reduce the state surplus to about $1.5 billion.
Up-to-date numbers from the Office of Administration show a more rosy revenue picture than anticipated. So far Fiscal Year 2024 revenue receipts are up 2.7% year over year. That's far higher than the projected .2% growth in revenue used to craft the budget. If that revenue continues at the same pace and with a current general fund balance of over $4 billion there is a chance the state's surplus will hardly be tapped over the next year.
The declining budget also represents a return to normal state budgeting. Since the pandemic, states have received an unprecedented influx of federal COVID relief and infrastructure cash. That has led to record high appropriations that oftentimes don't get spent. In the FY 2023 budget, $10 billion of the $48 billion appropriated was never used. In 2018, only $2 billion of the $28 billion budget was left unspent.
No public comment was taken during the budget process and meetings between the House and Senate where the final budget package was finalized only existed behind closed doors. Senators only had a few minutes to review the bills before voting on them and House members had little time to debate as they passed the budget just hours before the constitutional deadline.
This backdoor process drew criticism from Democrats, Freedom Caucus members and the governor as many felt out of the loop.
Elections and initiative changes Fighting over changes that would make it harder to amend the Missouri Constitution again put the brakes on normal operating procedures on the Senate floor this session.
The Freedom Caucus has more than once sent the Senate into disarray over a piece of legislation that again failed to cross the finish line after years of attempts.
The legislation, sponsored by Sen. Mary Elizabeth Coleman, R-Arnold, would have asked voters whether the current threshold to amend the state constitution — a simple majority, or 50% plus one — should be raised to also require a majority vote in at least five of the state’s eight congressional districts.
This year’s proposal included two provisions that led the chamber to several lengthy filibusters totaling more than 100 hours. In addition to the threshold requirement, the provisions would ask voters to bar noncitizens from voting on constitutional amendments and to ban constitutional amendments sponsored by foreign governments.
These provisions are already state law and Democrats made a point of filibustering against those provisions.
Republicans this session also pushed a resolution that would ban ranked-choice voting in Missouri. SJR 78 was passed by the House on Friday. The question will now go to voters to decide.
Ranked-choice voting is a practice where voters rank their preferred candidates on a single ballot until a winner is declared after receiving a majority of the vote. The idea is to give voters more options once their top-ranked choice is eliminated by distributing their vote to their next preferred candidates. Opponents said the practice does the exact opposite by splitting the vote.
While it is not in state law, St. Louis practices a version of ranked-choice voting that will be protected if the ban passes.
Education bill An omnibus education bill, SB 727, raising the minimum teacher salary, allowing charter schools in Boone County and providing private school scholarships to low-income students, has already been signed into law by Gov. Mike Parson. The provisions of the bill, approved by the minimum vote required in the House, are estimated to cost the state $468 million.
The new state minimum salary for teachers is set at $40,000 a year beginning with the next school year and includes additional incentives for teachers with longer careers and those with master’s degrees.
The voucher-like scholarship program for private school students offers up to $6,375 per child for expenses such as tuition, textbooks and transportation. The program is funded by private donors who can claim tax credits.
The size of the bill ballooned from 12 pages to more than 150 because of amendments in the Senate. House leaders blocked amendments so that the bill would not have to be returned for another vote in the Senate out of concern it would die because of filibusters on other topics.
The law requires a public vote to approve any switch to four-day school weeks while providing incentives to schools that stick with five-day weeks.
New crime provisions A major public safety bill that passed during the final House session on Friday made changes to how children are viewed in the court system, increased punishment for various crimes and limited the authority of citizen police review boards, among other items.
The bill tracks legislation passed last year, except for two technical provisions that prompted a veto by Parson. The law increases the age under which children could be considered adults in felony offenses from 12 to 14.
On July 4, 2011, Blair Shanahan Lane was killed by reckless celebratory gunfire. A portion of the bill dubbed "Blair's Law" creates penalties for such activity. After the bill passed on a bipartisan basis Friday, House members rose for a round of applause directed at Blair Lane's mother, who was in attendance.
The bill also creates "Valentine's Law" raising punishments for fleeing a law enforcement stop. It is named for St. Louis County Detective Antonio Valentine, who died in a crash pursuing a person fleeing police.
And there is a provision known as "Max's Law" that increases punishment for injuring or killing law enforcement K-9 dogs.
Sludge regulations House Bill 2134, which would create new regulations for wastewater sludge under the Missouri Clean Water Act, gained bipartisan approval and was signed by Parson.
The bill gained traction as concerns about waste lagoons and land application practices by Arkansas-based Denali Water Solutions have been brought to light. The new law prevents companies like Denali from applying waste as fertilizer without a regulatory process and testing.
Denali was previously forced to cease operations in Missouri after 6,000 gallons of slaughterhouse waste spilled into a field, causing residents to complain about the smell and runoff concerns.
Regulatory Sandbox Act The House Friday gave final approval to SB 894 creating an avenue for new companies offering innovative products to be excused from meeting some state regulations for the first 24 months that they begin offering innovative products to consumers.
Companies would be required to apply and meet certain criteria to participate in the program.
The bill also creates an Office of Entrepreneurship within the Department of Economic Development that will promote policies and initiatives to support the growth of entrepreneurship of Missouri-based businesses with less than ten employees.
Eviction moratorium A bill passed on Friday barred any municipality from enacting an eviction moratorium. The bill, SB 865, comes in the aftermath of the COVID-19 pandemic when cities across the country prevented landlords from evicting tenets. Realtors and apartment associations spoke in favor of the bill as they feel moratoriums violate the rights of property owners.
National Guard deployment Parson signed a bill on May 8 approving additional funding for a Missouri National Guard deployment to the southern border. The governor traveled to Eagle Pass, Texas, to sign House Bill 2016 into law and visit with members who have been deployed since March.
“The battle that we’re fighting down here at the border is keeping it from happening in our own borders, in our own state in Missouri,” Parson said before signing the bill.
Members of the National Guard are assisting with Operation Lone Star after being invited by Texas Gov. Greg Abbott. Operation Lone Star is a state-level border security effort at the Texas-Mexico border that began in 2021.
The $2.2 million in funding supports the operations of approximately 200 National Guard members and 22 Missouri State Highway Patrol officers for 90 days. Since the start of their mission, only around 50 guardsmen and 22 members of the highway patrol have served in Texas.
Sports wagering moves ahead After years of failed attempts to get legalization through the Missouri General Assembly, sports gambling appears to have found a more promising path.
Early in May, the Winning for Missouri Education committee along with a coaltion of Missouri professional sports teams submitted over 340,000 signatures for a ballot initiative to the Secretary of State's office desk.
If the Secretary of State verifies that enough signatures are genuine, the question would be put to voters in November. Thirty-eight other states have legalized some form of sports wagering.
The petition proposes a 10% tax on wagers to be collected by the Department of Revenue, deposited into the state treasury and credit to the "Gaming Proceeds for Education Fund," raising a projected $35 million.
Approximately $5 million in funds from the sports wagering tax would go into a fund to help compulsive gamblers and the rest would go to public school and higher education programs.
Child tax credits Bipartisan support and a State of the State address plug by Parson helped two bills, SB 742 and HB 1488, which would add provisions allowing for tax credits related to child care services to reach the Senate floor for consideration.
However, opposition from Freedom Caucus members of the Senate stalled action both in an effort to advance bills they felt deserved more priority and out of a general dislike of tax credits. The Senate version is sponsored by Sen. Lauren Arthur, D-Kansas City, while the House bill is sponsored by Rep. Brenda Shields, R-St. Joseph.
Protecting IVF House and Senate bills to protect in vitro fertilization clinics got a flurry of attention but did not advance following an Alabama state court ruling that relied on a state abortion ban to restrict in vitro fertilization clinics.
The Missouri Court of Appeals in St. Louis ruled in 2016 that IVF-created embryos were a matter of “marital property of special order.” This has provided legal protection for doctors and patients in the IVF field.
However, that court ruling cited abortion protection offered by Roe Vs. Wade, which was overturned in 2022. With Missouri having a similar abortion ban to the one in Alabama, leading advocates and lawmakers alike are concerned about what could lie ahead.
Sen. Tracy McCreery, D-Olivette, filed SB 1486 which would specify that Missouri's abortion ban does not have a definition that includes in vitro fertilization embryos that have not been implanted in a body. Rep. Bill Allen, R-Kansas City, filed House Bill 2845 which states that the IVF process is protected under law and no one can be prosecuted for undergoing or administrating IVF.
Here is what happened to other legislative topics that garnered attention during the session but did not pass:
Protections for pesticide maker: HB 2763, sponsored by Rep. Dane Diehl, R-Butler, would have protected pesticide manufacturers from claims that they failed to warn consumers of possible cancer risks in their products as long as the federal Environmental Protection Agency has approved those products.
Much of the debate before the House approved the bill focused on Bayer, the company with U.S. headquarters in St. Louis that purchased Monsanto, the original manufacturer of RoundUp pesticide. According to The Associated Press, the company is seeking to stem a tide of lawsuits claiming that Bayer’s products cause cancer.
Diehl, a farmer, said he drafted the legislation out of fear that Bayer would be forced to pull RoundUp off of the market, harming farmers ability to grow crops. The bill never made it to the Senate floor for consideration.
Presidential primaries: New voting laws passed in 2022 eliminated the presidential primary in Missouri. Following low voter turnout in this year’s Republican presidential caucus, SB 1120 and HB 2618, which would reinstate presidential primaries, passed out of their respective committees. The House bill passed with amendments that would create new residency restrictions for candidates vying for U.S. Congress. Ultimately, neither bill got floor consideration.
The Taylor Swift Act: Bills in both the House and Senate sought to address the impact of problematic images created by artificial intelligence but did not make it into law. While ten states provide some form of retribution for this type of crime, only Minnesota and New York statutes allow for both civil and criminal relief.
The Taylor Swift Act, House Bill 2573, offered by Rep. Adam Schwadron, R-St. Charles, targeted fake pornographic images. The bill was approved by the Special Committee on Innovation and Technology but never received a floor vote. The name of the bill referred to explicit AI-created images of the singer that went viral in January.
A similar bill, Senate Bill 1424, sponsored by Sen. Travis Fitzwater, R-Holts Summit, did not get a hearing.
Media Literacy: Companion bills, House Bill 1513 and Senate Bill 1311, aimed to teach students about media and digital literacy. Neither bill advanced.
Danny's Law: Legislation that sought to protect 911 callers from prosecution when calling to report a hazing incident stalled in the House. The bill was named after former University of Missouri student Danny Santulli, who suffered irreparable brain damage after drinking too much when pledging a fraternity at MU in the fall of 2021.
Danny’s Law was meant to offer exoneration to those involved in hazing incidents if they’re the first to call for emergency help.
“As the mother of three college-age men, I understand this is a major issue,” said Rep. Jo Doll, D-St. Louis, who spoke during a March 7 committee hearing. “It’s really important to give kids the ability to call 911 without being afraid of the consequences to them.”
Protecting major water users: House Bill 2669, which sought to limit information being released to the public about major water users, was approved by a House committee but failed to get a floor vote. The bill was meant to protect the information of Missouri’s family farmers and would keep information about individually identifiable water users from being disclosed to the public.
Highway Commission changes: A bill, House Bill 2568, that would have changed the makeup of the Missouri Highways & Transportation Commission was voted down in a committee in Apri. Two other bills that would have either changed the makeup of the commission or done away with it altogether failed to move forward after being the subject of public hearings in early February.
Nursing restrictions: Missouri is one of only a few states not to allow nurse practitioners to practice independently without the authority of a physician. A House committee passed an amended version of one bill, HB 1773, sponsored by Rep. Chad Perkins, R-Bowling Green, that would allow nurses to practice independently after 6,000 hours of work under a physician's supervision. The bill was never placed on the House calendar, a roadblock which some nurses point to opposition from House Floor Leader Rep. Jonathan Patterson, R-Lee’s Summit.
Dmitry Martirosov, Molly Miller, Aidan Pittman, Grant Green and Madeline Shannon contributed to this story.
Cover image: State Representative Chantelle Nickson-Clark(cq) throws her papers at the end of the legislative session on Friday, May 17, 2024 at the Statehouse in Jefferson City. Nickson-Clark was the first Black woman elected to represent District 67 in St. Louis County in Nov. 2022.