This mirror is all aboot Nick Bate's writings from over the years. Names of victims will be censored. Warning: This individual is truly disturbed and is every sick demented aspect of an LOLCow mixed into one person. Ask yourself, if you truly want to go down this rabbit hole.
Coffee Crew
Nick Bate's Web Comic the Coffee Crew
Showing posts with label work. Show all posts
Showing posts with label work. Show all posts
Saturday, August 31, 2013
Wednesday, June 12, 2013
Friday, May 24, 2013
Friday, May 10, 2013
COMPREHENSIVE PSYCHOLOGICAL EVALUATION
NICKALAUS STOUTZENBERGER
MAY 10, 2013
Identifying Information
Birth Date: 09/01/91
Gender: Male
Age: 21 years, 8 months
Race: Caucasian
Community Systems Involved:
TEAMCare Behavioral Health, LLC: Therapist - Tara Tumility; Psychiatrist - Dr. Biever
Community Services Group, Intensive Case Management - Chad Wickenheiser
Reason for Referral
Nick was referred for a comprehensive psychological evaluation by his outpatient therapist, Tara Tumility, to clarify diagnosis and to determine if Nick's demonstrated social weaknesses may be related to cognitive defects, personality factors, and/or a developmental disability.
Relevant Information
Background History
Strengths
Nick is a 21 year, 8 month-old Caucasian male, with self-reported strengths that include an interest in music, writing and drawing. Family strengths include a supportive maternal aunt who provides housing and money management for Nick. She has also arranged for a variety of services for him. These areas of individual and family strengths represent domains that can be further developed for use as a foundation for a strength-based plan.
Family
Nick is presently living alone in an apartment in Columbia, PA which is owned by his maternal aunt, Joyce. He has never married and he has no children. His parents are divorced; his mother is remarried and his father resides with his girlfriend. Both his parents live locally, but Nick reported that he does not see them often. He reported that his mother and step-father will not allow him to come to their house although Nick reported that he does not know what prompted that decision. When he inquired about this to his step-father, Nick indicated that his step-father said, "You know why." Nick reported that he does not like his mother or step-father because "they are very conservative and not very tolerant." He acknowledged that his aunt, Joyce, is his primary social support, but he reported that he does not have a good relationship with her. His main source of conflict with her is that she controls his money and will not allow him discretion with his purchases; specifically she will not allow him to purchase women's clothing for himself. Nick did report that he was in agreement with her being his representative payee because he feels that he would not be capable of managing his own money.
Nick does have a 10-year-old maternal step-sister and he reported that he has a good relationship with her, but he is not allowed to see her without a parent present. He denied any past violence or inappropriate behavior towards her.
Nick lived with his biological parents until they divorced when he was a young child. Nick reported that he does not recall much about his childhood, although his aunt reported that his father was alcoholic, abusive, and unpredictable. His aunt could not recall any specific incidents. Nick remained living with his mother when his parents divorced and after his mother's second marriage. Nick was homeschooled for a period of a couple years in high school. His aunt, Joyce, was his primary instructor. After Nick completed high school, his aunt assisted him in applying for social security disability, helped him to get connected with a mental health case manager, and allowed him to live in an apartment that she owns.
With regard to his living situation, Nick has concerns about his ability to live independently. At one point, his voice became loud and he appeared to be in distress and stated, "Why would these people even think I could live alone?" He reported that he is fearful to leave his house or to answer his door. He acknowledged that his decision-making skills are poor at this time. When asked what he would do if there were a fire on his stovetop, he responded, "I would have to text my aunt." When further prompted, he said maybe he could put something over the fire because he did not think you could throw water on a stove, but at no point did he mention calling 911 or using a fire extinguisher.
In terms of family psychiatric history, his aunt reported that his maternal grandmother was diagnosed with dementia recently and may have previously been diagnosed with bipolar disorder. Some extended cousins are reported to have been diagnosed with bipolar disorder. Family substance abuse is significant in that Nick's father was reportedly an alcoholic and according to Nick, his father also abused marijuana, allowing Nick to smoke with him.
Cultural Considerations
Nick's family composition is Caucasian. There is no report of any adverse impact as a result of cultural factors. There is no report of any negative impact due to environmental factors. Nick reported some concerns with his finances as he is currently receiving Social Security Income. Nick indicated that he does not have a religious affiliatio.
Developmental/Medical
Several attempts were made to reach his mother, Carol Osborne, to obtain developmental and collateral information. His mother could not be reached directly, but she did leave a message reporting that "he has always been a problem." His aunt, Joyce, did not recall any problems during his mother's pregnancy or his delivery. She did not recall that he had any developmental delays and commented that "he was always pretty smart." There is no indication that Nick ever received any early intervention services. By his own report, he was able to read prior to entering kindergarten.
Medically, Nick reported that he does not have a primary care physician. He denied any history of seizures, head trauma, unusual illness, or medical hospitalizations. He is not aware of any allergies to medications or environmental agents. He is not being treated for any medical problems. He did report concern about a chronic cough, but reported that he was told by a physician that it was likely due to allergies. He is presently prescribed Viibryd for anxiety and depression and he also has a PRN prescription for Ativan which he reportedly uses two times per month when he goes grocery shopping. He reported that he takes his medication as prescribed and follows with Dr. Biever, his psychiatrist, on a regular basis.
Trauma History
With regard to trauma, Nick denied any history of sexual, physical, or emotional abuse. He denied any history of neglect. Nick's aunt, Joyce, reported that when he was young and his parents were still married and living together, his father would frequently come home intoxicated and would be verbally abusive and destructive to property. His aunt also recalled an incident where Nick's father spanked him at school and "somebody checked into that." Nick's parents divorced sometime during his elementary school years, although he could not recall what age. He continued to live with his mother and visited with his father on a regular basis. Nick has not been involved in any human-made or natural disasters.
School/Vocational
Nick attended Penn Manor School District and paperwork from this district indicated that he was placed in full-time emotional support in 4th grade, although a copy of his psych-educational evaluation is not available for review. His present educational levels during the 2001-2002 school year noted the following: "Nick is usually very quiet in class and at times cooperative in class. He works well in 1:1 situations with staff and in small groups. He receives 48 to 52 points per day on his point sheet (52 possible points). Nick loses the most points in the area of respect and class rules. He continues to exhibit difficulty with peer relationships which is demonstrated by his inappropriate behaviors to peers. Until recently, Nick did not interact with others on the playground and often chose to remain in the classroom during recess. He is unable to accept consequences for his inappropriate actions, and repeatedly states, 'I didn't do anything.' Nick is extremely emotional and takes everything to heart."
His strengths were noted to be superior intelligence, creative talents, visual sequencing, wide vocabulary skills, verbal reasoning skills, abstract reasoning abilities, academic abilities. His needs were described as increase compliance with school rules/expectations, increase appropriate social interaction with peers, specifically to lessen physical aggression toward peers, increase ability to seek help when needed and to develop strategies to deal with anxiety and withdrawal.
There is no other school information available until he returned to Penn Manor High School as a junior. Nick was homeschooled during his 7th, 8th, 9th, and 10th grade years. When Nick returned to the public high school, he was enrolled in full-time emotional support. Information from his IEP that year noted, "since enrolling in Penn Manor School District as a junior, Nick has been doing very well academically and behaviorally." Observations indicated that "his teachers describe Nick as quiet, intelligent, and funny. In class, Nick will sit quietly and rarely offer answers or participate in class discussion without teaching prompting." It is also noted that, "Nick needs to improve his social skills. Nick avoids high social areas such as the cafeteria and hallways, even with peer prompting to join. Nick sometimes makes comments or acts in ways that has a tendency to draw negative attention to himself - such as sucking on his hair or moaning for no apparent reason."
Nick reported that when he was younger, he would frequently get into fights with his peers at school. He could not recall if he initiated the fights. When he returned to school as a junior, Nick reported that he spent most of his time sitting at a desk drawing and peers would approach him to talk and/or comment on his drawings. He described these peers as his friends but reported that he never had contact with them outside of school by his choice.
Transition planning indicated that Nick's future goal was "to be a househusband and Nick has given little thought to other options, even with prompting from the teachers and the job trainer."
Nick graduated high school, although he cannot recall the exact year. He thinks it was 2008 or 2009.
Vocationally, Nick has helped his mother at her flea market stand a couple times, but other than this he has no employment history. He is presently receiving social security disability based on his diagnosis of major depression.
Community/Peer Relationships
Nick does not have any peer relationships in the community. He has a strained relationship with his family members. He developed a relationship with some individuals online when he was a teenager. One individual is "Anna" and she has blocked all contact with him, although he continues to make attempts to contact her electronically. Nick firmly believes that he and Anna will eventually marry and he continues to ignore her request to not contact her, and the more recent request of the police, to stop all contact with her. He believes that she resides in California, but stated that he has no plans to go to California to find her "because I would need an escort because I wouldn't know how to go about getting there." He also reported that he will continue to try to contact her, although "I wouldn't commit a major crime to reach her, but probably a misdemeanor." He continues to have frequent contact with a young woman, "Jessa," and Jessa's fiancé, "William." Nick refers to Jessa as his mother, but reported that he does not really like William, but maintains contact with him because of Jessa. Reportedly Jessa is his age. He commented how he had gotten her some coupons for Mother's Day. There is another individual, "Thom" who Nick met online and Nick refers to his as his father.
With regard to intimate relationships, Nick reported that he has never had a girlfriend that he has met in person and he reported that the only girlfriend he has ever had is "Anna", although he has only had electronic communication with her and it is not clear if she ever reciprocated his feelings. Nick has never been sexually active with a female or male and he reported that he regards himself as heterosexual. He reported that he has crossdressed since he has been a teen, but he does not currently have access to women's clothes. He reported that he frequently masturbates and that he feels his sex drive is "more active than most people." He enjoys pornography that involves feces and he reported that he frequently fantasizes about having anal sex, consensually and forcibly with females. He also reported that his sexual fantasies include young girls who "can talk in full sentences and are house-trained, but not yet like real women." He denied that he has ever approached or had any sexual contact with a minor. He admitted that he tried to find female child pornography online in the past, but he was reportedly unsuccessful. When this evaluator told him that this type of activity is illegal, he indicated that he did not understand why that would be.
Nick is not involved in any community activites and reportedly only leaves his apartment to go to appointments and to grocery shop two times monthly. He spends the majority of his time at home alone, communicating with the above individuals electronically. Nick reported that he does not recaqll ever engaging in any community or school activites.
Drug & Alcohol/Legal
In terms of substance abuse history, Nick reported that he used alcohol one time several years ago while with his father. He consumed one "Jell-O shot". Nick reported that he used marijuana approximately 20-30 times with his father when he was a young teen. He reported that he has not used marijuana in at least 4 years. He denied any history of using any other type of substance. He denied any history of abusing prescription or over-the-counter medication and he does not take any herbal supplements.
In the legal sphere, Nick reported that he was arrested twice as a juvenile. His memory of the exact indicents is not clear, but he believes both incidentes may have been related to aggression and/or threats to his mother. He stated that he was on probation for these incidents. He denied any arrests as an adult. He was aware that the police had recently contacted his aunt related to his attempts to contact a female via the Internet, but he reported that "they did not approach me directly." He reported that he has continued to try to contact a female, "Anna", despite her direct request that he not contact her and she has blocked all communication from him.
Service History
Nick received inpatient psychiatric treatment at age 15 for 11 days at Brooke Glen Behavioral Hospital. He was involuntarily committed after he became physically aggressive with his mother. A discharge summary from this facility indicated the following diagnoses: major depression, social phobia, avoidant personality traits. It further stated that, "psychological testing was completed which supports the above diagnoses, it did not support psychosis." During his hospitalization, anti-depressant medication was recommended but "mother did not indicate that she would follow through with this option for aftercare."
Other than school interventions and his current treatment, it appears that Nick's hospitalization represents the extent of his previous formal psychiatric treatment. Nick reported that his mother does not believe in mental illness and, therefore, she did not initiate or support treatment.
Evaluation Procedures
Review of the following records:
Clinical interview with Nick Stoutzenberger
Consult with Tara Tumility and Chad Wickenheiser
Brief phone interview with his maternal aunt, Joyce
Behavioral observations
Wechsler Abbreviated Scale of Intelligence (WASI-II)
Wechsler Individual Achievement Test, Second Edition Abbreviated (WIAT-II)
Thematic Apperception Test (TAT)
Minnesota Multiphasic Personality Inventory-2 (MMPI-2)
Delis Kaplan Executive Function System (D-K EFS)
Interview/Test Results
Behavioral Observations
Nick was brought to the appointment by his case manager, who dropped him at the office. Nick is tall and he has a large build. He was dressed casually and appropriately, although he was malodorous. He had a beard and his hair was slightly unkempt. Nick reported that he generally only showers once a week. His eye contact was fleeting and he appeared to try to avoid eye contact, often looking down. His activity level was within normal limits. He was able to initiate and sustain attention for all tasks and his concentration was adequate. He did not require any repetition of directions. He demonstrated good manners, never interrupted and was able to engage in a reciprocal conversation. He answered all questions, at times offering relevant spontaneous information. He was able to complete the entire evaluation in one day, taking a 20 minute break for lunch. After he completed the evaluation, he thanked the evaluator.
Mental Status Exam
In terms of mental status, Nick was alert and was oriented to person, day of the week, month, year, and situation. His affect was constricted. He described his mood as "depressed, scared, and bored." Stream of thought appeared to be organized, relevant, and goal-directed with content of thought focused on providing information as requested and completing the tasks required. His responses were relevant to the questions. Nick did not exhibit any overt indications of an underlying thought disturbance, in the form of auditory or visual hallucinations, and he denied that presence of both, in the present or past. He denied present suicidal ideation. He reported that he has experienced suicidal thoughts in the past, "but I would never do it." Nick reported that he constantly has homicidal ideation toward his mother, step-father, and aunt; however, he stated adamantly that he has no intent to act on these thoughts because "I do not want to go to jail." He indicated that he frequently has "videos" playing in his mind that involve killing his family in multiple ways, indicating that sometimes he is portrayed as a superhero in these "videos." Nick reported that he has been violent with his mother in the past and has left bruises on her. When he was fifteen, he was psychiatrically hospitalized after he assaulted his mother because she would not allow him to use the computer. Nick denied any history of cruelty to animals, vandalism, or fireplay, adding that he is very close to his cat and wondered what life would be like if he could communicate with his cat by speaking "cat language." His insight was fair as he indicated that he has pursued therapy, psychiatric treatment, and psychologcal testing "because I want to know what's wrong with me." His judgment is extremely impaired as he reported that he does not understand why anyone would be concerned with his constant attempts to contact a female that does not want contact as well as his claims that he will certainly marry this female. Additionally, he showed this evaluator, as well as his therapist, conversations that he has had online with others that contain graphic sexual and violent comments and he does not understand why this is considered inappropriate or unusual.
Validity Considerations
The Minnesota Multiphasic Personality Inventory-2 (MMPI-2) yielded an invalid profile based on Nick's endorsement of far more symptoms than would be typical even for an individual being treated on an inpatient psychiatric unit. High scores on most scales as evidenced by Nick's profile suggests that an individual may be overly endorsing problems in order to appear pathological or, as likely in Nick's case, it is an indication that an individual is experiencing a myriad of symptoms in several domains, frequently and intensely, and that the symptoms are causing a significant amount of stress and impairment.
Intellectual Functioning
The Wechsler Abbreviated Scale of Intelligence, 2nd Edition (WASI-II) administered in order to assess Nick's cognitive functioning and to obtain and understanding of his level of intellectual functioning. The WASI-II is designed as a screening tool to quickly and accurately estimate an individual's intellectual functioning. Assessment of Nick's present level of cognitive abilities indicates overall intellectual functioning in the superior range (WASI-II IQ = 129). Nick's IQ places him in the 97th percentile, indicating that he did as well or better than 97% of similarly aged individuals. Nick's verbal skills are significantly more developed than his nonverbal skills, although his nonverbal abilties, as evidenced by his performance on the Perceptual Reasoning Index, are solidly within the average range.
WASI-II SUMMARY SCALES (Mean = 100, SD = 15)
Scale - Composite Score - Percentile - Confidence Interval (95%) - Description
Verbal - 143 - 99.8 - 135-147 - Very Superior
Perceptual Reasoning - 108 - 70 - 101-114 - Average
Full Scale (Four subtests) - 129 - 97 - 123-133 - Superior
WASI-II SUBTEST T-SCORES (Mean = 50, SD = 10)
Vocabulary: 77
Similarities: 75
Block Design: 58
Matrix Reasoning: 52
With regard to specific subtests, Nick demonstrated abilities above the norm on all subtests. His best performance was on the Vocabulary subtest, as his score fell well above the norm. This subtest assesses an individual's expressive vocabulary, verbal knowledge, and fund of information. His performance on the Similarities subtest was equally as strong as his performance on the Vocabulary subtest. The Similarities subtest measures abstract verbal reasoning and conceptualization. Nick's performance on the Block Design subtest was above the norm. This subtest measures spatial visualization, visual-motor coordination, and abstract conceptualization. Nick also performed in the average range on the Matrix Reasoning subtest, which measures nonverbal fluid reasoning.
Achievement
In order to assess Nick's level of academic achievement, the Wechsler Individual Achievement Test - Abbreviated, Second Edition (WIAT-II Abr.) was administered. Nick's performance on the Word Reading subtest was in the high average range of scores (SS = 112). He was able to read all the words on the list with the exception of "ethereal" which he slightly mispronounced. His performance on this subtest correlates to a 12.8 grade equivalent. His score on the Numerical Operations subtest was in the average range (SS = 103). This score corresponds to an 11.9 grade level. His performance on the Spelling subtest was in the high average range (SS = 114) and corresponds to a 12.8 grade level.
Neuropsychological Functioning
In order to further measure Nick's executive functioning abilities and his higher level cognitive skills, various tests were administered to obtain a clearer picture of his strengths and weaknesses in these areas. The Delis-Kaplan Exsecutive Functioning System (D-KEFS) is a measure of high order cognitive, executive functioning. The subtests were designed to assess complex multifactorial domains of cognition in a comprehensive manner. The D-KEFS subtests administered include Trail Making, Verbal Fluency, Sorting Test, Twenty Questions, and Proverb Test.
Trail Making Test - Scaled Score - Classification
Visual Scanning - 12 - At Expected Level
Number Sequencing - 13 - Above Expected Level
Letter Sequencing - 12 - At Expected Level
Number-Letter Switching - 11 - At Expected Level
Motor Speed - 13 - Above Expected Level
Nick's performance on Trail Making, which involved visual cancellation and connecting circles tasks, demonstrated average to above average abilities in cognitive flexibility, a classic executive function that is essential for higher-level skills such as mulititasking, simultaneous processing, and divided attention. His motor speed was faster than would be expected and his ability to visually scan information was at the expected level. His ability to sequence numbers was above the expected level and his ability to sequence letters was average. His ability to shift between numbers and letters, requiring cognitive flexibility and divided attention, is in the average range.
Verbal Fluency - Scaled Score - Classification
Letter Fluency - 7 - Borderline
Category Fluency - 7 - Borderline
Category Switch - 8 - At Expected Level
Category Switching Accuracy - 9 - At Expected Level
The Verbal Fluency Test requires word generation based on letter and category, with a switching task also presented. Nick's ability to generate words starting with a specific letter is slightly below what would be expected. He appeared to be anxious during this task and some of the words were associated with sexual activity such as "fornication" and "syphilis." His ability to generate words that fit into a specific category is slightly below the expected level; however, his ability to cognitive shift between categories is at the expected level with his accuracy on this task at the expected level as well.
Sorting Test - Scaled Score - Classification
Confirmed Correct Sorts - 14 - Above Expected Level
Free Sorting Description - 15 - Above Expected Level
Sort Recognition - 16 - Well Above Expected Level
On the Sorting Test which measures concept-formation and verbal and nonverbal problem solving abilities, Nick performed in the range above what would be expected for an individual his age. His performance on this measure suggests that his ability to think abstractly and solve problems is very well developed.
Twenty Questions - Scaled Score - Classification
Initial Abstraction Score - 9 - At Expected Level
Total Questions Asked - 13 - Above Expected Level
Total Weighted Achievement - 19 - Well Above Expected Level
The Twenty Questions Test measures abstract thinking and problem solving strategies. The executive functions assesed include the perception of various categories and subcategories represented; the ability to formulate dichtomous questions, and incorporate feedback to formulate more efficient questions. Nick was shown a page of various common items and objects and he has to ask yes/no questions to determine the target object. The goal was to ask as few questions as possible in order to identify the target object. Nick's performance on this measure is consistent with his performance on all other measures of abstract thinking and problem solving, suggesting that these higher level thinking skills are very well developed in this young man.
The Proverb Test evaluates the abstract interpretation, understanding of word meanings, as well as abstract principles and concepts. Nick's ability to verbally describe proverbs was in the expected range and when provided with a proverb and multiple choice answers, he correctly answered 100% of the questions.
Emotional and Behavioral Functioning
While Nick's cognitive, achievement, and higher level executive functioning abilities are impressive, his emotional and behavioral functioning is concerning. In the clinical interview, Nick reported that he has "videos" playing in his head where he is able to view himself killing his mother, step-father and aunt in various ways. He reported that at times it is him in his natural state killing them and other times, he becomes a superhero with superpowers and kills them. Nick casually described how he feels they deserve to die because they are very conservative and not tolerant of other races and homosexuals. He stated that they don't like him because he likes sex, violence, and cursing. Nick clearly stated that he has no intent to kill his family, "because I don't want to go to jail," but he further stated that if no laws prohibited murder, he is sure he would do it.
Nick also reported having sexual fantasies that involve him having anal sex with women and young girls. He reported that his fantasies include both rape and consensual sex. His sexual fantasies involve feces as he reported that he becomes sexually aroused by fantasizing about women defecating and that he has used feces when he masturbates. He does frequently view pornographic tapes that involve the above, although he reported he has not been able to access child pornography. He stated that he has never been sexually intimate with anyone. His only sexual encounter was around the age of thirteen when he and a female teen cousin touched each other and this was reported to be consensual. Nick shared his journals with this evaluator which included numerous writings about sex and violence. He had written about being angry with his aunt and described how he would like to anally rape her. He reported that he does not necessarily fantasize about his aunt and that he wrote that statement out of anger. At one point, he wrote how something was falling from the sky and he thought it was semen, but later realized that it was rain. On the MMPI-2, Nick's responses on the Schizophrenia scale were quite high (T = 112). Specifically, his high score on the social alienation subscale (T = 105) suggests that he perceives that he is mistreated and misunderstood. His emotional alienation score (T = 98) indicated that he has a significant amount of fears, depression, and apathy. Additionally, the high T scores on the Lack of Ego Mastery, Cognitive (T = 90) and Conative (T = 92) scales are consistent with someone who fears losing control, feels as though life is unreal and likely responds to stress by retreating into a fantasy world. His responses on the Thematic Apperception Test (TAT) suggested some problems with reality orientation. He described one picture as a house in a snowstorm with "eyes" in the background "that's like a ghost or something." On another card, he saw a figure in the background and stated, "that's like a dog wearing a hood" but later added that he did not know why a dog would be walking upright, wearing a hooded jacket.
With regard to his impulse control, Nick reported that he feels he can control his impulses but attributed part of that to his fear to leave his home. He did state that he has some concerns about decreasing his social anxiety because "If I'm cured and go out, I fear what I would do." While Nick's explosive anger score is elevated (T = 71) his score on the inhibition of aggression score is average (T = 48), which supports Nick's assertion that at the present time he is successfully controlling his angry impulses.
Nick described a significant level of social anxiety, which he has experienced for several years. He reported that he did not want to go to school and that is why he was homeschooled from 7th to 10th grade. When he did return to public school, he reported that his attendance was good, but he did not like to leave the classroom. He reported that he does not like to be in the community because he is worried about being harmed or shot. He does not feel safe in his home, "I'm afraid of everything, I feel like I can't defend myself and I don't know what I would do if someone broke in." He also reported that he does not like to take showers because he becomes increasingly fearful during this task. He reported that he has difficulty talking to others in the community and that he has signigicant problems making decisions, "I have trouble placing an order at McDonald's." Nick was able to describe appropriate social behavior and described being socially avoidant because he becomes so anxious around others that he cannot function or communicate. He indicated that he is aware that some of his anxiety resolves around his fear of what he may do to others if he cannot control his impulses. Nick's overall score on the paranoia scale on the MMPI-2 was extremely elevated (T = 101) with responses that corresponded to a signigicant amount of persecutory ideas (T = 112). His responses on the TAT also include some persecutory ideation. He described story about a picture with a young boy and broken violin as "it's broken at the neck; someone probably did it on purpose." Another card showed a little boy sitting alone and he described the boy as "upset" and that "maybe his parents punished him and he's in trouble." Another picture he described as "a bunch of dudes huddled together for safety or warmth" noting that one man is "probably the watch, they probably sleep in shifts."
With regard to his mood, Nick stated that he is generally depressed. He often feels hopeless, but indicated there are times when he is hopeful; mainly when he fantasizes about "Anna." He described feeling worthless, "I'm not really good at anything, I can't contribute to society." He indicated that he never cries, "but I feel like I need to, I just don't." His personal hygiene is very poor, he showers once per week with prompting and does not attend to his personal care consistently. He described his sleep as "random" but indicated that he is working on trying to establish better sleep habits by going to bed at 10 or 11 and then he typically sleeps until 9 AM. He reported that his appetite is good. He denied present suicidal ideation, but noted that he has had these thoughts in the past, but has never made a suicide attempt. Nick's score on the MMPI-2 depression scale is elevated (T = 91) with elevated scores on scales that assess subjection depression, psychomotor retardation, physical symptoms, mental dullness, and brooding. Nick has previously been diagnosed with major depression and he is currently being treated for anxiety and depression with therapy and medication.
Discussion
One of the purposes of this evaluation was to assess Nick's cognitive functioning as he demonstrates extremely poor judgment and decision making skills and his adaptive functioning is marginal. However, Nick's intellectual ability is in the superior range, with very superior verbal skills. His verbal skills are significantly more developed than his nonverbal skills; which is sometimes the case in individuals with Asperger's disorder; however, Nick does not demonstrate any deficiencies in academic achievement as if often co-morbid in inidividuals with Asperger's disorder, nor does he show any deficits in his higher level thinking skills. Quite the contrary, Nick demonstrated well developed abstract thinking, problem solving, cognitive flexibility, and the ability to sustain divided attention. Typically, individuals with Asperger's disorder demonstrate areas of relative weakness in some areas of higher level thinking.
Although limited past information was available for review, the information from his school and from his inpatient stay at age 15, does not mention any consideration of a diagnosis of Asperger's disorder and reported his problems with socialization to be primarily related to his social avoidance and social phobic behaviors. Presently, Nick demonstrates a marked fear of all social situations because he feels he does not know how to communicate and behave in these situations. When he is required to attend certain places, such as the grocery store, he reported that he needs to take Ativan to avoid a panic attack. Nick understands that his anxiety is well beyond what is typical and acknowledged that he is in no more danger than anyone else. His anxiety has significantly negatively impacted his ability to function in all domains including social, occupational, academic and interpersonal. Based on these symptoms that have been present for several years, a diagnosis of social phobia will be assigned.
Nick has demonstrated a pervasive pattern of social interpersonal deficits evidenced by his extreme discomfort with social interactions and his inability to develop close relationships. In addition, he also has cognitive distortions. He believes his family should be murdered because of his perception that they are "too conservative." He continues to be obsessed with a female, "Anna" that he met on the Internet and firmly believes she will be his wife despite her consistent refusal to have contact with him and police involvement. The relationships that he has developed on the Internet, based on his journal writings and the dialogue, appear to revolve around his expression of sexual and violent desires. These relationships seem to have a surreal quality to them as he described one female as his mother and another individual as his father and looks to them for parental advice. He demonstrates obsessive ruminations with explicit sexual and aggressive content and does not seem to understand that this is atypical, especially his focus on discussing his intense dislike for vaginas. His speech, although well developed, can be circumstantial and odd as when he described young girls as "being house-trained and able to speak in complete sentences." His affect is constricted and he demonstrates little to no emotion, he lacks close friends, and his social anxiety is pervasive and seems to be more associated with fears of being harmed rather than on negative judgments about himself. Based on records from the school and his previous hospitalization, as well as his report and his aunt's collateral information, these behaviors have been longstanding and likely represent a maladaptive personality disorganization. Based on these symptoms, Nick meets criteria for schizotypal personality disorder. While some of his behaviors are consistent with avoidant personality disorder, his social anxiety does not primarily seem to be the result of the fear of rejection. Additionally, his cognitive distortions and odd beliefs are more consistent with a schizotypal personality organization.
While Nick reported that his "friends" from the Internet have suggested to him that he has Asperger's disorder and he also feels this may be the case, there is limited historical information to support this diagnosis. Additionally, his performance on tests of higher level thinking skills indicated that his abstract reasoning, problem solving skills, and cognitive flexibility are very well developed, which is not typical. His problems with socialization appear to be more related to social anxiety and fears, rather than an inability to understand social cues or a lack of understanding about appropriate social behavior.
Nick has previously been diagnosed with major depression and he clearly meets criteria for this disorder at this time. He described that he has a pervasive depressed mood and finds little enjoyment in any activities. His functioning in all domains is impaired and he has great difficulty making simple decisions. His self-care is marginal, although he understands what activities of daily living should be completed, knows how to do them, and can functionally perform these tasks; he does not. He feels hopeless and worthless most of the time and has little motivation and energy. It appears that he has had several episodes of depression since at least his teen years, with few periods of remission. He reported that he feels little benefit from the medication.
With regard to his perported sexual arousal related to touching or viewing feces, he will be given a diagnosis of paraphilia, specifically coprophilia. While Nick describes wearing female clothes, it is not clear that this is related to sexual arousal as he described he specifically likes female clothes because they are "smooth and soft," and did not relate the activity to sexual arousal. While he has violent sexual fantasies and fantasizes about sexual activity with young girls, he denied that he has ever acted on these impulses.
Diagnosis
Axis I: 300.23 Social phobia
296.33 Major depression, recurrent, severe without psychotic features
302.9 Paraphilia not otherwise specified, coprophilia
Axis II: 301.22 schizotypal personality disorder
Axis III: none reported
Axis IV: Psychosocial stressors: problems with primary supports; occupational problems; other psychosocial and environmental problems
Axis V: Current GAF: 30
Highest GAF in the past year: 30
Recommendations
1. Nick is an individual who is suffering from several depressive symptoms that appear to be minimally responsive to medication and therapy at this time. In addition, Nick appears to have significant problems with cognitive distortions and his orientation to reality is tenuous. It is likely that his social isolation, which allows him to spend most of his day fantasizing, is contributing to his overall impairment. While Nick has not acted on any of his impulses, based on the level of specific violent details involved in his fantasies and his grossly impaired judgment, it is strongly recommended that Nick be referred to a partial hospitalization program where he can be supervised and treated on a daily basis. This type of environment will also be able to provide him with a safe environment with structure to work on decreasing his anxiety related to interpersonal contact. If Nick is unwilling to attend a partial hospitalization program, his status should be monitored frequently by his intensive case manager to determine if inpatient treatment may be necessary.
2. With regard to his violent sexual fantasies that involve both adults and minors, it is recommended that a comprehensive psycho-sexual evaluation be conducted as soon as possible. It is recommended that a residential treatment center be considered due to the violent nature of his thoughts.
3. With regard to his housing situation, Nick has questioned his ability to live independently. Presently, his judgment and decision making abilities are impaired and it is questionable whether he would be able to function appropriately if faced with an emergency in his home. Based on this, it is recommended that a residential program be considered.
NICKALAUS STOUTZENBERGER
MAY 10, 2013
Identifying Information
Birth Date: 09/01/91
Gender: Male
Age: 21 years, 8 months
Race: Caucasian
Community Systems Involved:
TEAMCare Behavioral Health, LLC: Therapist - Tara Tumility; Psychiatrist - Dr. Biever
Community Services Group, Intensive Case Management - Chad Wickenheiser
Reason for Referral
Nick was referred for a comprehensive psychological evaluation by his outpatient therapist, Tara Tumility, to clarify diagnosis and to determine if Nick's demonstrated social weaknesses may be related to cognitive defects, personality factors, and/or a developmental disability.
Relevant Information
Background History
Strengths
Nick is a 21 year, 8 month-old Caucasian male, with self-reported strengths that include an interest in music, writing and drawing. Family strengths include a supportive maternal aunt who provides housing and money management for Nick. She has also arranged for a variety of services for him. These areas of individual and family strengths represent domains that can be further developed for use as a foundation for a strength-based plan.
Family
Nick is presently living alone in an apartment in Columbia, PA which is owned by his maternal aunt, Joyce. He has never married and he has no children. His parents are divorced; his mother is remarried and his father resides with his girlfriend. Both his parents live locally, but Nick reported that he does not see them often. He reported that his mother and step-father will not allow him to come to their house although Nick reported that he does not know what prompted that decision. When he inquired about this to his step-father, Nick indicated that his step-father said, "You know why." Nick reported that he does not like his mother or step-father because "they are very conservative and not very tolerant." He acknowledged that his aunt, Joyce, is his primary social support, but he reported that he does not have a good relationship with her. His main source of conflict with her is that she controls his money and will not allow him discretion with his purchases; specifically she will not allow him to purchase women's clothing for himself. Nick did report that he was in agreement with her being his representative payee because he feels that he would not be capable of managing his own money.
Nick does have a 10-year-old maternal step-sister and he reported that he has a good relationship with her, but he is not allowed to see her without a parent present. He denied any past violence or inappropriate behavior towards her.
Nick lived with his biological parents until they divorced when he was a young child. Nick reported that he does not recall much about his childhood, although his aunt reported that his father was alcoholic, abusive, and unpredictable. His aunt could not recall any specific incidents. Nick remained living with his mother when his parents divorced and after his mother's second marriage. Nick was homeschooled for a period of a couple years in high school. His aunt, Joyce, was his primary instructor. After Nick completed high school, his aunt assisted him in applying for social security disability, helped him to get connected with a mental health case manager, and allowed him to live in an apartment that she owns.
With regard to his living situation, Nick has concerns about his ability to live independently. At one point, his voice became loud and he appeared to be in distress and stated, "Why would these people even think I could live alone?" He reported that he is fearful to leave his house or to answer his door. He acknowledged that his decision-making skills are poor at this time. When asked what he would do if there were a fire on his stovetop, he responded, "I would have to text my aunt." When further prompted, he said maybe he could put something over the fire because he did not think you could throw water on a stove, but at no point did he mention calling 911 or using a fire extinguisher.
In terms of family psychiatric history, his aunt reported that his maternal grandmother was diagnosed with dementia recently and may have previously been diagnosed with bipolar disorder. Some extended cousins are reported to have been diagnosed with bipolar disorder. Family substance abuse is significant in that Nick's father was reportedly an alcoholic and according to Nick, his father also abused marijuana, allowing Nick to smoke with him.
Cultural Considerations
Nick's family composition is Caucasian. There is no report of any adverse impact as a result of cultural factors. There is no report of any negative impact due to environmental factors. Nick reported some concerns with his finances as he is currently receiving Social Security Income. Nick indicated that he does not have a religious affiliatio.
Developmental/Medical
Several attempts were made to reach his mother, Carol Osborne, to obtain developmental and collateral information. His mother could not be reached directly, but she did leave a message reporting that "he has always been a problem." His aunt, Joyce, did not recall any problems during his mother's pregnancy or his delivery. She did not recall that he had any developmental delays and commented that "he was always pretty smart." There is no indication that Nick ever received any early intervention services. By his own report, he was able to read prior to entering kindergarten.
Medically, Nick reported that he does not have a primary care physician. He denied any history of seizures, head trauma, unusual illness, or medical hospitalizations. He is not aware of any allergies to medications or environmental agents. He is not being treated for any medical problems. He did report concern about a chronic cough, but reported that he was told by a physician that it was likely due to allergies. He is presently prescribed Viibryd for anxiety and depression and he also has a PRN prescription for Ativan which he reportedly uses two times per month when he goes grocery shopping. He reported that he takes his medication as prescribed and follows with Dr. Biever, his psychiatrist, on a regular basis.
Trauma History
With regard to trauma, Nick denied any history of sexual, physical, or emotional abuse. He denied any history of neglect. Nick's aunt, Joyce, reported that when he was young and his parents were still married and living together, his father would frequently come home intoxicated and would be verbally abusive and destructive to property. His aunt also recalled an incident where Nick's father spanked him at school and "somebody checked into that." Nick's parents divorced sometime during his elementary school years, although he could not recall what age. He continued to live with his mother and visited with his father on a regular basis. Nick has not been involved in any human-made or natural disasters.
School/Vocational
Nick attended Penn Manor School District and paperwork from this district indicated that he was placed in full-time emotional support in 4th grade, although a copy of his psych-educational evaluation is not available for review. His present educational levels during the 2001-2002 school year noted the following: "Nick is usually very quiet in class and at times cooperative in class. He works well in 1:1 situations with staff and in small groups. He receives 48 to 52 points per day on his point sheet (52 possible points). Nick loses the most points in the area of respect and class rules. He continues to exhibit difficulty with peer relationships which is demonstrated by his inappropriate behaviors to peers. Until recently, Nick did not interact with others on the playground and often chose to remain in the classroom during recess. He is unable to accept consequences for his inappropriate actions, and repeatedly states, 'I didn't do anything.' Nick is extremely emotional and takes everything to heart."
His strengths were noted to be superior intelligence, creative talents, visual sequencing, wide vocabulary skills, verbal reasoning skills, abstract reasoning abilities, academic abilities. His needs were described as increase compliance with school rules/expectations, increase appropriate social interaction with peers, specifically to lessen physical aggression toward peers, increase ability to seek help when needed and to develop strategies to deal with anxiety and withdrawal.
There is no other school information available until he returned to Penn Manor High School as a junior. Nick was homeschooled during his 7th, 8th, 9th, and 10th grade years. When Nick returned to the public high school, he was enrolled in full-time emotional support. Information from his IEP that year noted, "since enrolling in Penn Manor School District as a junior, Nick has been doing very well academically and behaviorally." Observations indicated that "his teachers describe Nick as quiet, intelligent, and funny. In class, Nick will sit quietly and rarely offer answers or participate in class discussion without teaching prompting." It is also noted that, "Nick needs to improve his social skills. Nick avoids high social areas such as the cafeteria and hallways, even with peer prompting to join. Nick sometimes makes comments or acts in ways that has a tendency to draw negative attention to himself - such as sucking on his hair or moaning for no apparent reason."
Nick reported that when he was younger, he would frequently get into fights with his peers at school. He could not recall if he initiated the fights. When he returned to school as a junior, Nick reported that he spent most of his time sitting at a desk drawing and peers would approach him to talk and/or comment on his drawings. He described these peers as his friends but reported that he never had contact with them outside of school by his choice.
Transition planning indicated that Nick's future goal was "to be a househusband and Nick has given little thought to other options, even with prompting from the teachers and the job trainer."
Nick graduated high school, although he cannot recall the exact year. He thinks it was 2008 or 2009.
Vocationally, Nick has helped his mother at her flea market stand a couple times, but other than this he has no employment history. He is presently receiving social security disability based on his diagnosis of major depression.
Community/Peer Relationships
Nick does not have any peer relationships in the community. He has a strained relationship with his family members. He developed a relationship with some individuals online when he was a teenager. One individual is "Anna" and she has blocked all contact with him, although he continues to make attempts to contact her electronically. Nick firmly believes that he and Anna will eventually marry and he continues to ignore her request to not contact her, and the more recent request of the police, to stop all contact with her. He believes that she resides in California, but stated that he has no plans to go to California to find her "because I would need an escort because I wouldn't know how to go about getting there." He also reported that he will continue to try to contact her, although "I wouldn't commit a major crime to reach her, but probably a misdemeanor." He continues to have frequent contact with a young woman, "Jessa," and Jessa's fiancé, "William." Nick refers to Jessa as his mother, but reported that he does not really like William, but maintains contact with him because of Jessa. Reportedly Jessa is his age. He commented how he had gotten her some coupons for Mother's Day. There is another individual, "Thom" who Nick met online and Nick refers to his as his father.
With regard to intimate relationships, Nick reported that he has never had a girlfriend that he has met in person and he reported that the only girlfriend he has ever had is "Anna", although he has only had electronic communication with her and it is not clear if she ever reciprocated his feelings. Nick has never been sexually active with a female or male and he reported that he regards himself as heterosexual. He reported that he has crossdressed since he has been a teen, but he does not currently have access to women's clothes. He reported that he frequently masturbates and that he feels his sex drive is "more active than most people." He enjoys pornography that involves feces and he reported that he frequently fantasizes about having anal sex, consensually and forcibly with females. He also reported that his sexual fantasies include young girls who "can talk in full sentences and are house-trained, but not yet like real women." He denied that he has ever approached or had any sexual contact with a minor. He admitted that he tried to find female child pornography online in the past, but he was reportedly unsuccessful. When this evaluator told him that this type of activity is illegal, he indicated that he did not understand why that would be.
Nick is not involved in any community activites and reportedly only leaves his apartment to go to appointments and to grocery shop two times monthly. He spends the majority of his time at home alone, communicating with the above individuals electronically. Nick reported that he does not recaqll ever engaging in any community or school activites.
Drug & Alcohol/Legal
In terms of substance abuse history, Nick reported that he used alcohol one time several years ago while with his father. He consumed one "Jell-O shot". Nick reported that he used marijuana approximately 20-30 times with his father when he was a young teen. He reported that he has not used marijuana in at least 4 years. He denied any history of using any other type of substance. He denied any history of abusing prescription or over-the-counter medication and he does not take any herbal supplements.
In the legal sphere, Nick reported that he was arrested twice as a juvenile. His memory of the exact indicents is not clear, but he believes both incidentes may have been related to aggression and/or threats to his mother. He stated that he was on probation for these incidents. He denied any arrests as an adult. He was aware that the police had recently contacted his aunt related to his attempts to contact a female via the Internet, but he reported that "they did not approach me directly." He reported that he has continued to try to contact a female, "Anna", despite her direct request that he not contact her and she has blocked all communication from him.
Service History
Nick received inpatient psychiatric treatment at age 15 for 11 days at Brooke Glen Behavioral Hospital. He was involuntarily committed after he became physically aggressive with his mother. A discharge summary from this facility indicated the following diagnoses: major depression, social phobia, avoidant personality traits. It further stated that, "psychological testing was completed which supports the above diagnoses, it did not support psychosis." During his hospitalization, anti-depressant medication was recommended but "mother did not indicate that she would follow through with this option for aftercare."
Other than school interventions and his current treatment, it appears that Nick's hospitalization represents the extent of his previous formal psychiatric treatment. Nick reported that his mother does not believe in mental illness and, therefore, she did not initiate or support treatment.
Evaluation Procedures
Review of the following records:
Clinical interview with Nick Stoutzenberger
Consult with Tara Tumility and Chad Wickenheiser
Brief phone interview with his maternal aunt, Joyce
Behavioral observations
Wechsler Abbreviated Scale of Intelligence (WASI-II)
Wechsler Individual Achievement Test, Second Edition Abbreviated (WIAT-II)
Thematic Apperception Test (TAT)
Minnesota Multiphasic Personality Inventory-2 (MMPI-2)
Delis Kaplan Executive Function System (D-K EFS)
Interview/Test Results
Behavioral Observations
Nick was brought to the appointment by his case manager, who dropped him at the office. Nick is tall and he has a large build. He was dressed casually and appropriately, although he was malodorous. He had a beard and his hair was slightly unkempt. Nick reported that he generally only showers once a week. His eye contact was fleeting and he appeared to try to avoid eye contact, often looking down. His activity level was within normal limits. He was able to initiate and sustain attention for all tasks and his concentration was adequate. He did not require any repetition of directions. He demonstrated good manners, never interrupted and was able to engage in a reciprocal conversation. He answered all questions, at times offering relevant spontaneous information. He was able to complete the entire evaluation in one day, taking a 20 minute break for lunch. After he completed the evaluation, he thanked the evaluator.
Mental Status Exam
In terms of mental status, Nick was alert and was oriented to person, day of the week, month, year, and situation. His affect was constricted. He described his mood as "depressed, scared, and bored." Stream of thought appeared to be organized, relevant, and goal-directed with content of thought focused on providing information as requested and completing the tasks required. His responses were relevant to the questions. Nick did not exhibit any overt indications of an underlying thought disturbance, in the form of auditory or visual hallucinations, and he denied that presence of both, in the present or past. He denied present suicidal ideation. He reported that he has experienced suicidal thoughts in the past, "but I would never do it." Nick reported that he constantly has homicidal ideation toward his mother, step-father, and aunt; however, he stated adamantly that he has no intent to act on these thoughts because "I do not want to go to jail." He indicated that he frequently has "videos" playing in his mind that involve killing his family in multiple ways, indicating that sometimes he is portrayed as a superhero in these "videos." Nick reported that he has been violent with his mother in the past and has left bruises on her. When he was fifteen, he was psychiatrically hospitalized after he assaulted his mother because she would not allow him to use the computer. Nick denied any history of cruelty to animals, vandalism, or fireplay, adding that he is very close to his cat and wondered what life would be like if he could communicate with his cat by speaking "cat language." His insight was fair as he indicated that he has pursued therapy, psychiatric treatment, and psychologcal testing "because I want to know what's wrong with me." His judgment is extremely impaired as he reported that he does not understand why anyone would be concerned with his constant attempts to contact a female that does not want contact as well as his claims that he will certainly marry this female. Additionally, he showed this evaluator, as well as his therapist, conversations that he has had online with others that contain graphic sexual and violent comments and he does not understand why this is considered inappropriate or unusual.
Validity Considerations
The Minnesota Multiphasic Personality Inventory-2 (MMPI-2) yielded an invalid profile based on Nick's endorsement of far more symptoms than would be typical even for an individual being treated on an inpatient psychiatric unit. High scores on most scales as evidenced by Nick's profile suggests that an individual may be overly endorsing problems in order to appear pathological or, as likely in Nick's case, it is an indication that an individual is experiencing a myriad of symptoms in several domains, frequently and intensely, and that the symptoms are causing a significant amount of stress and impairment.
Intellectual Functioning
The Wechsler Abbreviated Scale of Intelligence, 2nd Edition (WASI-II) administered in order to assess Nick's cognitive functioning and to obtain and understanding of his level of intellectual functioning. The WASI-II is designed as a screening tool to quickly and accurately estimate an individual's intellectual functioning. Assessment of Nick's present level of cognitive abilities indicates overall intellectual functioning in the superior range (WASI-II IQ = 129). Nick's IQ places him in the 97th percentile, indicating that he did as well or better than 97% of similarly aged individuals. Nick's verbal skills are significantly more developed than his nonverbal skills, although his nonverbal abilties, as evidenced by his performance on the Perceptual Reasoning Index, are solidly within the average range.
WASI-II SUMMARY SCALES (Mean = 100, SD = 15)
Scale - Composite Score - Percentile - Confidence Interval (95%) - Description
Verbal - 143 - 99.8 - 135-147 - Very Superior
Perceptual Reasoning - 108 - 70 - 101-114 - Average
Full Scale (Four subtests) - 129 - 97 - 123-133 - Superior
WASI-II SUBTEST T-SCORES (Mean = 50, SD = 10)
Vocabulary: 77
Similarities: 75
Block Design: 58
Matrix Reasoning: 52
With regard to specific subtests, Nick demonstrated abilities above the norm on all subtests. His best performance was on the Vocabulary subtest, as his score fell well above the norm. This subtest assesses an individual's expressive vocabulary, verbal knowledge, and fund of information. His performance on the Similarities subtest was equally as strong as his performance on the Vocabulary subtest. The Similarities subtest measures abstract verbal reasoning and conceptualization. Nick's performance on the Block Design subtest was above the norm. This subtest measures spatial visualization, visual-motor coordination, and abstract conceptualization. Nick also performed in the average range on the Matrix Reasoning subtest, which measures nonverbal fluid reasoning.
Achievement
In order to assess Nick's level of academic achievement, the Wechsler Individual Achievement Test - Abbreviated, Second Edition (WIAT-II Abr.) was administered. Nick's performance on the Word Reading subtest was in the high average range of scores (SS = 112). He was able to read all the words on the list with the exception of "ethereal" which he slightly mispronounced. His performance on this subtest correlates to a 12.8 grade equivalent. His score on the Numerical Operations subtest was in the average range (SS = 103). This score corresponds to an 11.9 grade level. His performance on the Spelling subtest was in the high average range (SS = 114) and corresponds to a 12.8 grade level.
Neuropsychological Functioning
In order to further measure Nick's executive functioning abilities and his higher level cognitive skills, various tests were administered to obtain a clearer picture of his strengths and weaknesses in these areas. The Delis-Kaplan Exsecutive Functioning System (D-KEFS) is a measure of high order cognitive, executive functioning. The subtests were designed to assess complex multifactorial domains of cognition in a comprehensive manner. The D-KEFS subtests administered include Trail Making, Verbal Fluency, Sorting Test, Twenty Questions, and Proverb Test.
Trail Making Test - Scaled Score - Classification
Visual Scanning - 12 - At Expected Level
Number Sequencing - 13 - Above Expected Level
Letter Sequencing - 12 - At Expected Level
Number-Letter Switching - 11 - At Expected Level
Motor Speed - 13 - Above Expected Level
Nick's performance on Trail Making, which involved visual cancellation and connecting circles tasks, demonstrated average to above average abilities in cognitive flexibility, a classic executive function that is essential for higher-level skills such as mulititasking, simultaneous processing, and divided attention. His motor speed was faster than would be expected and his ability to visually scan information was at the expected level. His ability to sequence numbers was above the expected level and his ability to sequence letters was average. His ability to shift between numbers and letters, requiring cognitive flexibility and divided attention, is in the average range.
Verbal Fluency - Scaled Score - Classification
Letter Fluency - 7 - Borderline
Category Fluency - 7 - Borderline
Category Switch - 8 - At Expected Level
Category Switching Accuracy - 9 - At Expected Level
The Verbal Fluency Test requires word generation based on letter and category, with a switching task also presented. Nick's ability to generate words starting with a specific letter is slightly below what would be expected. He appeared to be anxious during this task and some of the words were associated with sexual activity such as "fornication" and "syphilis." His ability to generate words that fit into a specific category is slightly below the expected level; however, his ability to cognitive shift between categories is at the expected level with his accuracy on this task at the expected level as well.
Sorting Test - Scaled Score - Classification
Confirmed Correct Sorts - 14 - Above Expected Level
Free Sorting Description - 15 - Above Expected Level
Sort Recognition - 16 - Well Above Expected Level
On the Sorting Test which measures concept-formation and verbal and nonverbal problem solving abilities, Nick performed in the range above what would be expected for an individual his age. His performance on this measure suggests that his ability to think abstractly and solve problems is very well developed.
Twenty Questions - Scaled Score - Classification
Initial Abstraction Score - 9 - At Expected Level
Total Questions Asked - 13 - Above Expected Level
Total Weighted Achievement - 19 - Well Above Expected Level
The Twenty Questions Test measures abstract thinking and problem solving strategies. The executive functions assesed include the perception of various categories and subcategories represented; the ability to formulate dichtomous questions, and incorporate feedback to formulate more efficient questions. Nick was shown a page of various common items and objects and he has to ask yes/no questions to determine the target object. The goal was to ask as few questions as possible in order to identify the target object. Nick's performance on this measure is consistent with his performance on all other measures of abstract thinking and problem solving, suggesting that these higher level thinking skills are very well developed in this young man.
The Proverb Test evaluates the abstract interpretation, understanding of word meanings, as well as abstract principles and concepts. Nick's ability to verbally describe proverbs was in the expected range and when provided with a proverb and multiple choice answers, he correctly answered 100% of the questions.
Emotional and Behavioral Functioning
While Nick's cognitive, achievement, and higher level executive functioning abilities are impressive, his emotional and behavioral functioning is concerning. In the clinical interview, Nick reported that he has "videos" playing in his head where he is able to view himself killing his mother, step-father and aunt in various ways. He reported that at times it is him in his natural state killing them and other times, he becomes a superhero with superpowers and kills them. Nick casually described how he feels they deserve to die because they are very conservative and not tolerant of other races and homosexuals. He stated that they don't like him because he likes sex, violence, and cursing. Nick clearly stated that he has no intent to kill his family, "because I don't want to go to jail," but he further stated that if no laws prohibited murder, he is sure he would do it.
Nick also reported having sexual fantasies that involve him having anal sex with women and young girls. He reported that his fantasies include both rape and consensual sex. His sexual fantasies involve feces as he reported that he becomes sexually aroused by fantasizing about women defecating and that he has used feces when he masturbates. He does frequently view pornographic tapes that involve the above, although he reported he has not been able to access child pornography. He stated that he has never been sexually intimate with anyone. His only sexual encounter was around the age of thirteen when he and a female teen cousin touched each other and this was reported to be consensual. Nick shared his journals with this evaluator which included numerous writings about sex and violence. He had written about being angry with his aunt and described how he would like to anally rape her. He reported that he does not necessarily fantasize about his aunt and that he wrote that statement out of anger. At one point, he wrote how something was falling from the sky and he thought it was semen, but later realized that it was rain. On the MMPI-2, Nick's responses on the Schizophrenia scale were quite high (T = 112). Specifically, his high score on the social alienation subscale (T = 105) suggests that he perceives that he is mistreated and misunderstood. His emotional alienation score (T = 98) indicated that he has a significant amount of fears, depression, and apathy. Additionally, the high T scores on the Lack of Ego Mastery, Cognitive (T = 90) and Conative (T = 92) scales are consistent with someone who fears losing control, feels as though life is unreal and likely responds to stress by retreating into a fantasy world. His responses on the Thematic Apperception Test (TAT) suggested some problems with reality orientation. He described one picture as a house in a snowstorm with "eyes" in the background "that's like a ghost or something." On another card, he saw a figure in the background and stated, "that's like a dog wearing a hood" but later added that he did not know why a dog would be walking upright, wearing a hooded jacket.
With regard to his impulse control, Nick reported that he feels he can control his impulses but attributed part of that to his fear to leave his home. He did state that he has some concerns about decreasing his social anxiety because "If I'm cured and go out, I fear what I would do." While Nick's explosive anger score is elevated (T = 71) his score on the inhibition of aggression score is average (T = 48), which supports Nick's assertion that at the present time he is successfully controlling his angry impulses.
Nick described a significant level of social anxiety, which he has experienced for several years. He reported that he did not want to go to school and that is why he was homeschooled from 7th to 10th grade. When he did return to public school, he reported that his attendance was good, but he did not like to leave the classroom. He reported that he does not like to be in the community because he is worried about being harmed or shot. He does not feel safe in his home, "I'm afraid of everything, I feel like I can't defend myself and I don't know what I would do if someone broke in." He also reported that he does not like to take showers because he becomes increasingly fearful during this task. He reported that he has difficulty talking to others in the community and that he has signigicant problems making decisions, "I have trouble placing an order at McDonald's." Nick was able to describe appropriate social behavior and described being socially avoidant because he becomes so anxious around others that he cannot function or communicate. He indicated that he is aware that some of his anxiety resolves around his fear of what he may do to others if he cannot control his impulses. Nick's overall score on the paranoia scale on the MMPI-2 was extremely elevated (T = 101) with responses that corresponded to a signigicant amount of persecutory ideas (T = 112). His responses on the TAT also include some persecutory ideation. He described story about a picture with a young boy and broken violin as "it's broken at the neck; someone probably did it on purpose." Another card showed a little boy sitting alone and he described the boy as "upset" and that "maybe his parents punished him and he's in trouble." Another picture he described as "a bunch of dudes huddled together for safety or warmth" noting that one man is "probably the watch, they probably sleep in shifts."
With regard to his mood, Nick stated that he is generally depressed. He often feels hopeless, but indicated there are times when he is hopeful; mainly when he fantasizes about "Anna." He described feeling worthless, "I'm not really good at anything, I can't contribute to society." He indicated that he never cries, "but I feel like I need to, I just don't." His personal hygiene is very poor, he showers once per week with prompting and does not attend to his personal care consistently. He described his sleep as "random" but indicated that he is working on trying to establish better sleep habits by going to bed at 10 or 11 and then he typically sleeps until 9 AM. He reported that his appetite is good. He denied present suicidal ideation, but noted that he has had these thoughts in the past, but has never made a suicide attempt. Nick's score on the MMPI-2 depression scale is elevated (T = 91) with elevated scores on scales that assess subjection depression, psychomotor retardation, physical symptoms, mental dullness, and brooding. Nick has previously been diagnosed with major depression and he is currently being treated for anxiety and depression with therapy and medication.
Discussion
One of the purposes of this evaluation was to assess Nick's cognitive functioning as he demonstrates extremely poor judgment and decision making skills and his adaptive functioning is marginal. However, Nick's intellectual ability is in the superior range, with very superior verbal skills. His verbal skills are significantly more developed than his nonverbal skills; which is sometimes the case in individuals with Asperger's disorder; however, Nick does not demonstrate any deficiencies in academic achievement as if often co-morbid in inidividuals with Asperger's disorder, nor does he show any deficits in his higher level thinking skills. Quite the contrary, Nick demonstrated well developed abstract thinking, problem solving, cognitive flexibility, and the ability to sustain divided attention. Typically, individuals with Asperger's disorder demonstrate areas of relative weakness in some areas of higher level thinking.
Although limited past information was available for review, the information from his school and from his inpatient stay at age 15, does not mention any consideration of a diagnosis of Asperger's disorder and reported his problems with socialization to be primarily related to his social avoidance and social phobic behaviors. Presently, Nick demonstrates a marked fear of all social situations because he feels he does not know how to communicate and behave in these situations. When he is required to attend certain places, such as the grocery store, he reported that he needs to take Ativan to avoid a panic attack. Nick understands that his anxiety is well beyond what is typical and acknowledged that he is in no more danger than anyone else. His anxiety has significantly negatively impacted his ability to function in all domains including social, occupational, academic and interpersonal. Based on these symptoms that have been present for several years, a diagnosis of social phobia will be assigned.
Nick has demonstrated a pervasive pattern of social interpersonal deficits evidenced by his extreme discomfort with social interactions and his inability to develop close relationships. In addition, he also has cognitive distortions. He believes his family should be murdered because of his perception that they are "too conservative." He continues to be obsessed with a female, "Anna" that he met on the Internet and firmly believes she will be his wife despite her consistent refusal to have contact with him and police involvement. The relationships that he has developed on the Internet, based on his journal writings and the dialogue, appear to revolve around his expression of sexual and violent desires. These relationships seem to have a surreal quality to them as he described one female as his mother and another individual as his father and looks to them for parental advice. He demonstrates obsessive ruminations with explicit sexual and aggressive content and does not seem to understand that this is atypical, especially his focus on discussing his intense dislike for vaginas. His speech, although well developed, can be circumstantial and odd as when he described young girls as "being house-trained and able to speak in complete sentences." His affect is constricted and he demonstrates little to no emotion, he lacks close friends, and his social anxiety is pervasive and seems to be more associated with fears of being harmed rather than on negative judgments about himself. Based on records from the school and his previous hospitalization, as well as his report and his aunt's collateral information, these behaviors have been longstanding and likely represent a maladaptive personality disorganization. Based on these symptoms, Nick meets criteria for schizotypal personality disorder. While some of his behaviors are consistent with avoidant personality disorder, his social anxiety does not primarily seem to be the result of the fear of rejection. Additionally, his cognitive distortions and odd beliefs are more consistent with a schizotypal personality organization.
While Nick reported that his "friends" from the Internet have suggested to him that he has Asperger's disorder and he also feels this may be the case, there is limited historical information to support this diagnosis. Additionally, his performance on tests of higher level thinking skills indicated that his abstract reasoning, problem solving skills, and cognitive flexibility are very well developed, which is not typical. His problems with socialization appear to be more related to social anxiety and fears, rather than an inability to understand social cues or a lack of understanding about appropriate social behavior.
Nick has previously been diagnosed with major depression and he clearly meets criteria for this disorder at this time. He described that he has a pervasive depressed mood and finds little enjoyment in any activities. His functioning in all domains is impaired and he has great difficulty making simple decisions. His self-care is marginal, although he understands what activities of daily living should be completed, knows how to do them, and can functionally perform these tasks; he does not. He feels hopeless and worthless most of the time and has little motivation and energy. It appears that he has had several episodes of depression since at least his teen years, with few periods of remission. He reported that he feels little benefit from the medication.
With regard to his perported sexual arousal related to touching or viewing feces, he will be given a diagnosis of paraphilia, specifically coprophilia. While Nick describes wearing female clothes, it is not clear that this is related to sexual arousal as he described he specifically likes female clothes because they are "smooth and soft," and did not relate the activity to sexual arousal. While he has violent sexual fantasies and fantasizes about sexual activity with young girls, he denied that he has ever acted on these impulses.
Diagnosis
Axis I: 300.23 Social phobia
296.33 Major depression, recurrent, severe without psychotic features
302.9 Paraphilia not otherwise specified, coprophilia
Axis II: 301.22 schizotypal personality disorder
Axis III: none reported
Axis IV: Psychosocial stressors: problems with primary supports; occupational problems; other psychosocial and environmental problems
Axis V: Current GAF: 30
Highest GAF in the past year: 30
Recommendations
1. Nick is an individual who is suffering from several depressive symptoms that appear to be minimally responsive to medication and therapy at this time. In addition, Nick appears to have significant problems with cognitive distortions and his orientation to reality is tenuous. It is likely that his social isolation, which allows him to spend most of his day fantasizing, is contributing to his overall impairment. While Nick has not acted on any of his impulses, based on the level of specific violent details involved in his fantasies and his grossly impaired judgment, it is strongly recommended that Nick be referred to a partial hospitalization program where he can be supervised and treated on a daily basis. This type of environment will also be able to provide him with a safe environment with structure to work on decreasing his anxiety related to interpersonal contact. If Nick is unwilling to attend a partial hospitalization program, his status should be monitored frequently by his intensive case manager to determine if inpatient treatment may be necessary.
2. With regard to his violent sexual fantasies that involve both adults and minors, it is recommended that a comprehensive psycho-sexual evaluation be conducted as soon as possible. It is recommended that a residential treatment center be considered due to the violent nature of his thoughts.
3. With regard to his housing situation, Nick has questioned his ability to live independently. Presently, his judgment and decision making abilities are impaired and it is questionable whether he would be able to function appropriately if faced with an emergency in his home. Based on this, it is recommended that a residential program be considered.
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Monday, September 27, 2010
WELL, SEE YA.
I don't know what's been up with Dad lately, but suddenly he's mad at me for a bunch of unknown reasons. Right now he's literally doing some kind of rant that I'm not really listening to but I'm p sure he's telling me I'm going to be homeless and that I'm making everyone miserable or something... I don't know. But it's been really annoying have to come up here all the time with everyone being a douche constantly...
I mean, it was bad enough they keep making me do chores and kicking me off the computer when I'm in the middle of something important, but then they tell me I have a two-hour limit (they never actually activated that thing, but still. the principle of the matter), they forbid me from talking to my girlfriend, apparently they were messing around in my Windows account because Dad found some picture from years ago and was really adamant that I delete it immediately... I used to be able to tolerate this crap because this is the only house I have Internet access at, but now I can't take it anymore.
And apparently I got my wish, because suddenly Dad decided to wake me up and tell me I can't come back until I get a job. I don't know what brought this up again, but yeah. I don't know how many times I have to tell everyone I can't work but nobody ever shuts up about it. It's really annoying. But now I have no way of doing all my Internet stuff, which... well that's basically all I do. So now I have nothing to do. Ever again. Unless of course I manage to get a laptop, but I'll never get enough money, so. Yeeeaah...
tl;dr i'm screwed
I mean, it was bad enough they keep making me do chores and kicking me off the computer when I'm in the middle of something important, but then they tell me I have a two-hour limit (they never actually activated that thing, but still. the principle of the matter), they forbid me from talking to my girlfriend, apparently they were messing around in my Windows account because Dad found some picture from years ago and was really adamant that I delete it immediately... I used to be able to tolerate this crap because this is the only house I have Internet access at, but now I can't take it anymore.
And apparently I got my wish, because suddenly Dad decided to wake me up and tell me I can't come back until I get a job. I don't know what brought this up again, but yeah. I don't know how many times I have to tell everyone I can't work but nobody ever shuts up about it. It's really annoying. But now I have no way of doing all my Internet stuff, which... well that's basically all I do. So now I have nothing to do. Ever again. Unless of course I manage to get a laptop, but I'll never get enough money, so. Yeeeaah...
tl;dr i'm screwed
Friday, September 17, 2010
AAAGH HURRY HURRY
Dad put a two-hour limit on my Internet so I'mma have to hurry this up.
Anyway, my birthday was okay. I got Pokémon Mystery Dungeon: Explorers of Darkness, Yellow Submarine, and Please Please Me. Also my girlfriend called and sang Happy Birthday, which was the best thing ever.
I also got a haircut. Now my hair's all short and curly and I look like a little girl.
Did some work at the apartment's. Made aboot 20 bucks but Joyce hasn't paid me yet.
Another of my cats died. It was French Fry this time. I'm pretty bummed aboot that.
Nanny threw away my Dixie cup and Mom threw away my larping stick. Also pretty pissed aboot these things.
I need to find a way to talk to my girlfriend because my phone is out of minutes and as I said, I have a two-hour limit now. So fffffff
These are out of chronological order. I seriously don't have time to be putting them in order. AAAGH BYE
Anyway, my birthday was okay. I got Pokémon Mystery Dungeon: Explorers of Darkness, Yellow Submarine, and Please Please Me. Also my girlfriend called and sang Happy Birthday, which was the best thing ever.
I also got a haircut. Now my hair's all short and curly and I look like a little girl.
Did some work at the apartment's. Made aboot 20 bucks but Joyce hasn't paid me yet.
Another of my cats died. It was French Fry this time. I'm pretty bummed aboot that.
Nanny threw away my Dixie cup and Mom threw away my larping stick. Also pretty pissed aboot these things.
I need to find a way to talk to my girlfriend because my phone is out of minutes and as I said, I have a two-hour limit now. So fffffff
These are out of chronological order. I seriously don't have time to be putting them in order. AAAGH BYE
Tuesday, May 25, 2010
OONTZ OONTZ OONTZ
So yeah. Just got back from two weeks at home. It was a fairly action-packed two weeks, even as soon as I got back from my last stay at Dad's. Like, literally, as soon as I got home, my damn half-sister informed me that one of my cats died. Nice way to greet me.
From there, though, things started to look up. Sort of. If you recall, I've been working on my aunt's apartments. Well, I worked on them even more. Joyce and Wendy decided to go on vacation, leaving me, Mom and Steve to finish up the last apartment and also take care of their sick dog. At one point Mom locked her keys in their hoose and I had to break into their window to retrieve them. It was actually pretty fun.
In return for my services, I made $353.13, but so far I was only actually paid $200. Also I was SUPPOSED to have made another hundred bucks, but Joyce Americaned me out of that by giving me a McDonald's gift card and a savings bond in lieu of payment. I was hoping to buy a laptop, but now I can't afford one. The gift card did get a lot of use, though. Mmm, frappés.
Once Joyce and Wendy got back, we started fixing their pool. And we completed it. So when I go home again I'll probably go swimming. Or, well, wading, since I can't swim. But yeah. That was my two weeks.
R.I.P. Meowth
From there, though, things started to look up. Sort of. If you recall, I've been working on my aunt's apartments. Well, I worked on them even more. Joyce and Wendy decided to go on vacation, leaving me, Mom and Steve to finish up the last apartment and also take care of their sick dog. At one point Mom locked her keys in their hoose and I had to break into their window to retrieve them. It was actually pretty fun.
In return for my services, I made $353.13, but so far I was only actually paid $200. Also I was SUPPOSED to have made another hundred bucks, but Joyce Americaned me out of that by giving me a McDonald's gift card and a savings bond in lieu of payment. I was hoping to buy a laptop, but now I can't afford one. The gift card did get a lot of use, though. Mmm, frappés.
Once Joyce and Wendy got back, we started fixing their pool. And we completed it. So when I go home again I'll probably go swimming. Or, well, wading, since I can't swim. But yeah. That was my two weeks.
R.I.P. Meowth
Wednesday, May 5, 2010
ANOTHER VACATION!
Yeah, I didn't really intend to be gone this long, but my aunt was paying me by the hour to help fix up one of her apartments, so I was trying to get in as many hours as possible. I got up to 46.5 hours. I hope to buy an external hard drive with my payment, which is somewhere between 300 and 400 USD. 'Cept I'm getting screwed out of $75 of it, because my aunt insists on giving me a gift card and savings bond in lieu of payment. Hopefully $200 is enough... but if not, there's still another apartment after this one's finished. :)
The apartment was really the main thing that happened, but there was a brief period of time where I had TWO Nintendo DSes. See, Amber loaned me hers because she wanted me to play her Pokémon HeartGold and get her some progress and stuff, but mainly I just used it to trade Pokémon from my Diamond to my SoulSilver. Also I finally lived out my dream of playing video games CONSTANTLY, by always keeping one DS on the charger and one in my hand. When my battery runs out, I just swap out for the other. Except then I had a constant headache for a couple weeks until Amber took her DS back. But still. Worth it.
Also, the weather has SUCKED. At one point I noticed it was 98 degrees Fahrenheit. My solution? Get nekkid, turn the AC on full blast, eat/drink frozen things, and use cryokinesis to lower the temperature in the surrounding area. But even with all this, I was sweating bullets. Terrible, terrible. One of the reasons I hate summer. Another reason is bees. They're EVERYWHERE.
The only good thing aboot summer is the sprouting of those weird, puffy white flowers that people blow and wish on. I like to grab a stick, pretend it's a katana, and run around chopping them in half. Horizontally, of course. But man, it's been years since I really did a full-assed LARP. I don't really have it in me anymore... I mean, I'm out of breath after only a handful of slashes. Might not help that I sometimes do aerial attacks too.
There was also a noteworthy event a couple days ago. I looked out the window and saw that Captain (one of my cats) was playing with a bird. I tried telling him to stop, but he didn't really listen. So then I got a stick and a bucket and long story short, pushed the bird into the bucket. I then brought the little dude/chick into the hoose, and Nanny told me to just kinda leave it there for a while. So I did. Then we checked on it again a little later, and Nanny told me to dump it out of the bucket onto the carpet and see what it does. We were kinda expecting it to die from its injuries, but apparently it wasn't too injured because as soon as I tipped the bucket over it started flying around the hoose.
Unable to catch the bird, we waited until the next day to call Steve in to get the job done. Meanwhile, I put out some bread and a saucer of water for it, which it seemed to enjoy. It also enjoyed crapping everywhere. But, after a long night of guarding my eyes from being pecked, Steve finally captured the bird and released it outside. The end.
Also, I made a lot of lattés and apparently a possum lives in our yard.
The apartment was really the main thing that happened, but there was a brief period of time where I had TWO Nintendo DSes. See, Amber loaned me hers because she wanted me to play her Pokémon HeartGold and get her some progress and stuff, but mainly I just used it to trade Pokémon from my Diamond to my SoulSilver. Also I finally lived out my dream of playing video games CONSTANTLY, by always keeping one DS on the charger and one in my hand. When my battery runs out, I just swap out for the other. Except then I had a constant headache for a couple weeks until Amber took her DS back. But still. Worth it.
Also, the weather has SUCKED. At one point I noticed it was 98 degrees Fahrenheit. My solution? Get nekkid, turn the AC on full blast, eat/drink frozen things, and use cryokinesis to lower the temperature in the surrounding area. But even with all this, I was sweating bullets. Terrible, terrible. One of the reasons I hate summer. Another reason is bees. They're EVERYWHERE.
The only good thing aboot summer is the sprouting of those weird, puffy white flowers that people blow and wish on. I like to grab a stick, pretend it's a katana, and run around chopping them in half. Horizontally, of course. But man, it's been years since I really did a full-assed LARP. I don't really have it in me anymore... I mean, I'm out of breath after only a handful of slashes. Might not help that I sometimes do aerial attacks too.
There was also a noteworthy event a couple days ago. I looked out the window and saw that Captain (one of my cats) was playing with a bird. I tried telling him to stop, but he didn't really listen. So then I got a stick and a bucket and long story short, pushed the bird into the bucket. I then brought the little dude/chick into the hoose, and Nanny told me to just kinda leave it there for a while. So I did. Then we checked on it again a little later, and Nanny told me to dump it out of the bucket onto the carpet and see what it does. We were kinda expecting it to die from its injuries, but apparently it wasn't too injured because as soon as I tipped the bucket over it started flying around the hoose.
Unable to catch the bird, we waited until the next day to call Steve in to get the job done. Meanwhile, I put out some bread and a saucer of water for it, which it seemed to enjoy. It also enjoyed crapping everywhere. But, after a long night of guarding my eyes from being pecked, Steve finally captured the bird and released it outside. The end.
Also, I made a lot of lattés and apparently a possum lives in our yard.
Monday, September 14, 2009
WRITER'S BLOCK: MY DREAM JOB
I feel as though I've abandoned this thing now that I've gotten a Twitter. I'ma go ahead and try to salvage my LJ by doing these Writer's Blocks.
I want to be a househusband/stay-at-home -dad who, like the title implies, stays at home and takes care of the house, kids, wife, etc. I used to want to have my own Flash series, too, but I pretty much gave up on that one. I have this whole universe all planned out in my head, but no way of getting it all out into the public's eye. Still working on the househusband part, though.
Fun fact: when I was in elementary and middle school, I wanted to be a thief. Like, seriously. I wanted to steal stuff and sell it for a living. I was such a screwed-up kid.
And I know it's not the same Monster, but Monsterenergy drinks are freakin' delicious. :)
What is your dream job ? Do you think you'll ever have it?
I want to be a househusband/stay-at-
Fun fact: when I was in elementary and middle school, I wanted to be a thief. Like, seriously. I wanted to steal stuff and sell it for a living. I was such a screwed-up kid.
And I know it's not the same Monster, but Monster
Tags: dream job, monster, monster jobs, writer's block
Wednesday, June 24, 2009
THE INSIDES OF MY EYELIDS - THE AUTOBIOGRAPHY OF NICK BATE
September 1st, 1991. Nickalaus Boyd Stoutzenberger was born. The first several years of my life are fuzzy, and I only remember random bits and pieces. They are all useless, though. But what I DO know is that my family was, and still is, terrible. The years before kindergarten were spent in a small apartment house, having no contact with anyone outside the family at all. I also had no video games at this point, so I have no idea what I did for fun.
Then shortly before school began, we moved to a house right up the street from my grandmother, and from then on I often ran away to there whenever my family did stupid crap. Now, the next sequence of events, I don't know exactly what order they came in, but here they are:
-I got a Sega Genesis, launching my love of video games (but not RPGs just yet)
-My parents got divorced, and Dad ended up moving in with his sister. I remained with my evil mom.
-I started going to school.
School was always hectic. For the first few years, I often tried to run away from school, only to be retrieved by cops or my parents. Plus I always had difficulty with the work, and thanks to being kicked out for a few weeks, I fell pretty far behind. When I returned, they started having me do muliplication when I hadn't learned subtraction yet. It took me years to get the piece I was missing, but I eventually did it. And until fourth grade, I was actually labeled a 'gifted child' and was even put in a special program for such children. Unfortunately, I couldn't understand ANY of what they talked aboot in there, leading me to believe I was actually somewhere between average and gifted.
But then fourth grade came, and I remained at a third grade level, unable to learn anything new. I'm STILL there, actually. So needless to say, now I'm considered retarded. Anyway, fourth grade is always when I was sent to my first Special Ed class. I stayed in the same class with the same teacher (whom I hated then but now realize wasn't bad at all) until the end of elementary school. I also made my first friends there, and they hung out with me at recess, playing this live-action roleplay I devised, called The Nick Team. It was basically a ripoff of DBZ and Final Fantasy 9.
Anyway, school still proved to be hard, seeing as how for some reason I can't learn new things. Plus I got into the occasional fight or threw the occasional tantrum. Then middle school came. I went to a new school for about a week of middle school before my mom decided I should be homeschooled instead, due to my inability to get along with other people.
The homeschool years were the good ones. I spent most of my time playing video games and working on writing Nick Team stories, having no contact with people, et cetera. My dad also found a girlfriend, and I went there on weekends. Her son introduced me to Homestar Runner, and a new Nick was born shortly after. I came across the Homestar Runner Wiki via search, and I started using the Internet for message boards, wikis, instant messaging, etc. for the first time.
I made tons of Internet friends, a few of which I'm STILL friends with. I also started my own message board, which was the greatest thing ever to be on the Internet. My friends posted there. ...That's actually all that happened, really, but I think it was the coolest thing ever anyway. There were a few incidents in which I thought I was in love with come chicks, but they turned out to really be just obsessions that caused them to hate me, but of course I only realized the difference once I actually fell in love for real.
From the HRWiki, I spread to other websites, eventually discovering Bonus Stage, the greatest cartoon ever made. My first obsession. From this point forward, I started cycling through random obsessions every few weeks, and for the duration of them, they became the center of my universe. Then of course I abruptly find a new obsession and the cycle repeats itself. For example, during my Bonus Stage phase, I wrote lists of characters, episodes, etc. for no real reason, then tossed them onto a pile and never looked at them again. I also watched the episodes repeatedly all day long. The same formula applies to all my obsessions. During my They Might Be Giants phase, I listened only to Their music, wrote down the tracklistings of albums for no reason, etc.
Anyway, back to Bonus Stage. I helped set up the Bonus Stage Wiki, and there, I met Anna. Actually, she was also a friend of my first girlfriend, but I probably didn't pay attention until BSWiki. Anna quickly became my best friend and she shaped me into what I am today. She introduced me to a large percentage of my obsessions, and I swear, she has the same thing going on. She'd cycle through obsessions like that, too, and we usually had the same ones at the same time, so we constantly talked aboot them.
It didn't take long for me to fall in love with Anna. For real this time. She was fine with this at first, and even said she might marry me. Unfortunately, I told her too late, as she got a boyfriend. But I continued talking to her any chance I got, waiting for her to reciprocate my love for her. It was tough to get in contact, though, because I only went to my Dad's house every weekend (and sometimes there'd be some circumstances preventing me from going at all for months!), and my mom won't let me use her computer because she's one of those overly paranoid moms, blinded by the media, that thinks everyone on the Internet wants to kill or rape you, despite all the irrepudable evidence that my friends are actually who they say they are.
Still, it was the highlight of my life. All my time was spent trying to win Anna over, and when not online, I kept myself (midly) sane by doing roleplaying with myself (although by this time I scrapped the Nick Team in favor of The Coffee Crew), playing video games, and of course doing my weird obsession cycles. Still no friends, though, unless you count Macen, who sometimes came over to my house to join the roleplaying. But yeah, he was the only offline friend. I was actually pretty content for someone with no friends, other than the Anna thing.
Meanwhile, my mom (who got remarried) would have me arrested every few months, for trying to defend myself from being abused. Turns out, no matter what parents do to their kids, the kids can't fight back or they'll get arrested. Nice law, America. Anyway, I put up with it, because I always had Anna to look forward to. Eventually, though, I moved in with my grandmother, so Mom's antics occurred slightly less often. They still do happen, though. Most recently, her husband came and crushed my hand in a door for talking to my friends on the phone. Seriously. I have a recording of it.
But I digress. Homeschooling only lasted for four years, and for 11th grade, I was sent back to public school. Seeing as how I didn't even learn how to do middle school, high school was tough to adjust to. There was all the new jargon (Credits, for example. To this day, I don't know what a credit is or how you get them. Back in elementary school, all you had to do was get D's or higher in your work, and you graduate. But now you need credits. I don't get it.), the concept of "classes" (For some reason, now you have to go to more than one room, and you don't even get a single teacher to tell you where you're supposed to go.), and much more. Luckily, I was still in Special Ed, though, so I only had two classes and two teachers, both being special ed.
The first year sucked pretty bad. The work was getting easier, since it was special ed work, but I don't know how to handle social things. Most classmates were alienated by the roleplaying wih myself and obsession-having, while others beat me up for it. SOME people were all right and talked to me, but even then I wasn't really comfortable around other people. Then the second year came. It was better. The people who beat me up were gone, and all the new kids were pretty nice. They liked to read the Coffee Crew comics I drew and stuff. But unfortunately, everyone once again got the delusion that I'm gifted, and so halfway through the year, they put me in regular ed classes. TERRIBLE. IDEA.
The first problem was that they put me in computer classes, and I don't even like computers. Apparently they think you know how to program just because you're online all the time, talking to people. Then of course was my social phobias. People would always try to talk to me, and I don't know what to say and also I can't do eye contact. It just creeps me out. Staring at people's eyes feels weird. Then of course there's my social faux-pas. Since I don't know how to do anything that you're expected to just learn by yourself without being taught (such as eating, breathing, sex, bathing, etc.), I often did things terribly wrong. It took extremely specific directions for me to understand what to do. Luckily, one of the aides from special ed came with me to my mainstream classes, but it was still really, really difficult.
That wasn't the only area of my life that caused me great stress. On top of school and child abuse, Anna started to gradually hate me more and more. I started out being like, her best friend, but over time she began to yell at me and block me for a few days every time I told her I loved her. Even after she broke up with her boyfriend, mind you. Then one day (August 23, 2008, to be exact), she finally had enough. I'm not sure what exactly triggered it, but she decided to block me forever. Then she began writing on her blog or Twitter or whatever aboot how I'm creepy and should kill myself, and her friends joined the Nick-hatin' by DIRECTLY telling me to kill myself.
That's where I am now - Anna's still doing this stuff. And she caused a few of my friends to hate me, too, as well as cool people who weren't necessarily my friends but probably would have become friends had this not happened. So now my time is being spent thinking of way to win her back. Most of the stuff I've tried only made things worse, probably because of my retardation. Like, I tried asking advice on 4chan's /b/. ...Seriously. Not my best idea.
So basically, I put up with everything else and didn't kill myself solely because I wanted to marry Anna, and then THAT happened. It's like fate wanted to take a dump on my face, except I'm a coprophiliac, so instead fate VOMITED on my face. And in my mouth. And then I vomited THAT vomit back up. And it burned my insides something awful. The following is literally a list of my goals in life:
-Marry Anna, have kids with her, and be literally the greatest husband ever. Never get into arguments with her (kinda failed that part), never lie to her or hide things from her (that part actually screwed me over. go figure.), protect her from any dangers that may arise, always be romantic and surprise her with gifts and thoughtful acts, do all the housework, take care of her and the kids, cheer her up when she's sad, cook her meals, and just make her happy in general and always put her before myself.
-Never graduate high school (failed. yes, i failed at failing school. that's how much i fail.)
-Never have a job (note that my definition of a job is having a boss, having to travel away from home, and having a contract or other paperwork. i'll probably make money via google ads or my cartoons or something. i dunno, i'll ask anna what she wants once she's talking to me again.)
That's it. Literally. How much is that to ask, really? Not much, I'd say. And yet, all this difficulty attaining it. I've been working with my remaining friends to try to get Anna to unblock me so I can at least talk to her, and then work on things from that point. No luck so far. Plus, I recently found out she got a new boyfriend, so now I ALSO have to worry aboot those two having premarital sex, because I don't want Anna to ruin her life and afterlife. Plus there's all the other stuff I'm afraid might happen to her, which I can't stop because she's avoiding me. Plus every time I see that she's sad, there's nothing I can do to cheer her up. So as you can imagine I'm now paranoid beyond the point of insanity, and she's always on my mind, even when I'm trying to focus on video games or obsessions or whatnot.
The end.
Then shortly before school began, we moved to a house right up the street from my grandmother, and from then on I often ran away to there whenever my family did stupid crap. Now, the next sequence of events, I don't know exactly what order they came in, but here they are:
-I got a Sega Genesis, launching my love of video games (but not RPGs just yet)
-My parents got divorced, and Dad ended up moving in with his sister. I remained with my evil mom.
-I started going to school.
School was always hectic. For the first few years, I often tried to run away from school, only to be retrieved by cops or my parents. Plus I always had difficulty with the work, and thanks to being kicked out for a few weeks, I fell pretty far behind. When I returned, they started having me do muliplication when I hadn't learned subtraction yet. It took me years to get the piece I was missing, but I eventually did it. And until fourth grade, I was actually labeled a 'gifted child' and was even put in a special program for such children. Unfortunately, I couldn't understand ANY of what they talked aboot in there, leading me to believe I was actually somewhere between average and gifted.
But then fourth grade came, and I remained at a third grade level, unable to learn anything new. I'm STILL there, actually. So needless to say, now I'm considered retarded. Anyway, fourth grade is always when I was sent to my first Special Ed class. I stayed in the same class with the same teacher (whom I hated then but now realize wasn't bad at all) until the end of elementary school. I also made my first friends there, and they hung out with me at recess, playing this live-action roleplay I devised, called The Nick Team. It was basically a ripoff of DBZ and Final Fantasy 9.
Anyway, school still proved to be hard, seeing as how for some reason I can't learn new things. Plus I got into the occasional fight or threw the occasional tantrum. Then middle school came. I went to a new school for about a week of middle school before my mom decided I should be homeschooled instead, due to my inability to get along with other people.
The homeschool years were the good ones. I spent most of my time playing video games and working on writing Nick Team stories, having no contact with people, et cetera. My dad also found a girlfriend, and I went there on weekends. Her son introduced me to Homestar Runner, and a new Nick was born shortly after. I came across the Homestar Runner Wiki via search, and I started using the Internet for message boards, wikis, instant messaging, etc. for the first time.
I made tons of Internet friends, a few of which I'm STILL friends with. I also started my own message board, which was the greatest thing ever to be on the Internet. My friends posted there. ...That's actually all that happened, really, but I think it was the coolest thing ever anyway. There were a few incidents in which I thought I was in love with come chicks, but they turned out to really be just obsessions that caused them to hate me, but of course I only realized the difference once I actually fell in love for real.
From the HRWiki, I spread to other websites, eventually discovering Bonus Stage, the greatest cartoon ever made. My first obsession. From this point forward, I started cycling through random obsessions every few weeks, and for the duration of them, they became the center of my universe. Then of course I abruptly find a new obsession and the cycle repeats itself. For example, during my Bonus Stage phase, I wrote lists of characters, episodes, etc. for no real reason, then tossed them onto a pile and never looked at them again. I also watched the episodes repeatedly all day long. The same formula applies to all my obsessions. During my They Might Be Giants phase, I listened only to Their music, wrote down the tracklistings of albums for no reason, etc.
Anyway, back to Bonus Stage. I helped set up the Bonus Stage Wiki, and there, I met Anna. Actually, she was also a friend of my first girlfriend, but I probably didn't pay attention until BSWiki. Anna quickly became my best friend and she shaped me into what I am today. She introduced me to a large percentage of my obsessions, and I swear, she has the same thing going on. She'd cycle through obsessions like that, too, and we usually had the same ones at the same time, so we constantly talked aboot them.
It didn't take long for me to fall in love with Anna. For real this time. She was fine with this at first, and even said she might marry me. Unfortunately, I told her too late, as she got a boyfriend. But I continued talking to her any chance I got, waiting for her to reciprocate my love for her. It was tough to get in contact, though, because I only went to my Dad's house every weekend (and sometimes there'd be some circumstances preventing me from going at all for months!), and my mom won't let me use her computer because she's one of those overly paranoid moms, blinded by the media, that thinks everyone on the Internet wants to kill or rape you, despite all the irrepudable evidence that my friends are actually who they say they are.
Still, it was the highlight of my life. All my time was spent trying to win Anna over, and when not online, I kept myself (midly) sane by doing roleplaying with myself (although by this time I scrapped the Nick Team in favor of The Coffee Crew), playing video games, and of course doing my weird obsession cycles. Still no friends, though, unless you count Macen, who sometimes came over to my house to join the roleplaying. But yeah, he was the only offline friend. I was actually pretty content for someone with no friends, other than the Anna thing.
Meanwhile, my mom (who got remarried) would have me arrested every few months, for trying to defend myself from being abused. Turns out, no matter what parents do to their kids, the kids can't fight back or they'll get arrested. Nice law, America. Anyway, I put up with it, because I always had Anna to look forward to. Eventually, though, I moved in with my grandmother, so Mom's antics occurred slightly less often. They still do happen, though. Most recently, her husband came and crushed my hand in a door for talking to my friends on the phone. Seriously. I have a recording of it.
But I digress. Homeschooling only lasted for four years, and for 11th grade, I was sent back to public school. Seeing as how I didn't even learn how to do middle school, high school was tough to adjust to. There was all the new jargon (Credits, for example. To this day, I don't know what a credit is or how you get them. Back in elementary school, all you had to do was get D's or higher in your work, and you graduate. But now you need credits. I don't get it.), the concept of "classes" (For some reason, now you have to go to more than one room, and you don't even get a single teacher to tell you where you're supposed to go.), and much more. Luckily, I was still in Special Ed, though, so I only had two classes and two teachers, both being special ed.
The first year sucked pretty bad. The work was getting easier, since it was special ed work, but I don't know how to handle social things. Most classmates were alienated by the roleplaying wih myself and obsession-having, while others beat me up for it. SOME people were all right and talked to me, but even then I wasn't really comfortable around other people. Then the second year came. It was better. The people who beat me up were gone, and all the new kids were pretty nice. They liked to read the Coffee Crew comics I drew and stuff. But unfortunately, everyone once again got the delusion that I'm gifted, and so halfway through the year, they put me in regular ed classes. TERRIBLE. IDEA.
The first problem was that they put me in computer classes, and I don't even like computers. Apparently they think you know how to program just because you're online all the time, talking to people. Then of course was my social phobias. People would always try to talk to me, and I don't know what to say and also I can't do eye contact. It just creeps me out. Staring at people's eyes feels weird. Then of course there's my social faux-pas. Since I don't know how to do anything that you're expected to just learn by yourself without being taught (such as eating, breathing, sex, bathing, etc.), I often did things terribly wrong. It took extremely specific directions for me to understand what to do. Luckily, one of the aides from special ed came with me to my mainstream classes, but it was still really, really difficult.
That wasn't the only area of my life that caused me great stress. On top of school and child abuse, Anna started to gradually hate me more and more. I started out being like, her best friend, but over time she began to yell at me and block me for a few days every time I told her I loved her. Even after she broke up with her boyfriend, mind you. Then one day (August 23, 2008, to be exact), she finally had enough. I'm not sure what exactly triggered it, but she decided to block me forever. Then she began writing on her blog or Twitter or whatever aboot how I'm creepy and should kill myself, and her friends joined the Nick-hatin' by DIRECTLY telling me to kill myself.
That's where I am now - Anna's still doing this stuff. And she caused a few of my friends to hate me, too, as well as cool people who weren't necessarily my friends but probably would have become friends had this not happened. So now my time is being spent thinking of way to win her back. Most of the stuff I've tried only made things worse, probably because of my retardation. Like, I tried asking advice on 4chan's /b/. ...Seriously. Not my best idea.
So basically, I put up with everything else and didn't kill myself solely because I wanted to marry Anna, and then THAT happened. It's like fate wanted to take a dump on my face, except I'm a coprophiliac, so instead fate VOMITED on my face. And in my mouth. And then I vomited THAT vomit back up. And it burned my insides something awful. The following is literally a list of my goals in life:
-Marry Anna, have kids with her, and be literally the greatest husband ever. Never get into arguments with her (kinda failed that part), never lie to her or hide things from her (that part actually screwed me over. go figure.), protect her from any dangers that may arise, always be romantic and surprise her with gifts and thoughtful acts, do all the housework, take care of her and the kids, cheer her up when she's sad, cook her meals, and just make her happy in general and always put her before myself.
-Never graduate high school (failed. yes, i failed at failing school. that's how much i fail.)
-Never have a job (note that my definition of a job is having a boss, having to travel away from home, and having a contract or other paperwork. i'll probably make money via google ads or my cartoons or something. i dunno, i'll ask anna what she wants once she's talking to me again.)
That's it. Literally. How much is that to ask, really? Not much, I'd say. And yet, all this difficulty attaining it. I've been working with my remaining friends to try to get Anna to unblock me so I can at least talk to her, and then work on things from that point. No luck so far. Plus, I recently found out she got a new boyfriend, so now I ALSO have to worry aboot those two having premarital sex, because I don't want Anna to ruin her life and afterlife. Plus there's all the other stuff I'm afraid might happen to her, which I can't stop because she's avoiding me. Plus every time I see that she's sad, there's nothing I can do to cheer her up. So as you can imagine I'm now paranoid beyond the point of insanity, and she's always on my mind, even when I'm trying to focus on video games or obsessions or whatnot.
The end.
Labels:
Anna,
aunt,
Bonus Stage,
Coffee Crew,
dad,
HRFWiki,
mom,
Nanny,
school,
work
Friday, March 27, 2009
ANOTHER WEEK DOWN.
Most of my week has been covered on Twitter, seeing as how I update it every like, hour. But here's a rundown anyway.
-Working on a Mudkip virtual pet game thing in Flash. It's going well so far. I basically taught myself Actionscript. But currently, I'm trying to figure out why it refuses to generate Mudkip's randomized nature. It gives "undefined" as the variable's value, even though I basically copy-pasta'd the same exact code for generating IVs and shininess and stuff, and THEY work correctly.
-Went to this grocery store with my half-sister, aunt and aunt's friend. My half-sister wanted to go because they had this fundraiser thing or whatever for the PTO/PTA, and 5% of shit you buy at the store goes to her school. So we went there and there were tons of stands giving out free stuff. Chicken fries, coffee ice cream, popcorn, pizza, hot dogs, chocolate milk, smoothies, etc. I enjoyed it. Especially the coffee ice cream.
-I haven't seen my one friend in school since I got mainstream classes. We WOULD have math together, but of course it was replaced with Computer Animation. And basically there's TWO special ed rooms, right next to eachother, and all us sped kids are divided up between the two during homeroom. I have room 242, she has 244. So normally we don't have homeroom together. But ALAS, my teacher had a meeting one day this week, and all her students got to go to the other room that day. Thus, I finally got to hang out with my friend! Then the following two days, I saw her again while I was hanging out, waiting for my aide to come to Computer Animation with me. My friend came over to visit me during this time before she had to go to class next door. Much hugging and good times occur whenever we hang out. Unfortunately, she's leaving for a week. :c Hopefully she continues to visit me between classes when she returns.
-My job trainer took me and three other kids to a job fair thing. Got me out of Video Game Design, too! ^_^ Also, after the fair, she took us to Wendy's. I got a frosty! It was good. I also witnessed two of my travel companions having an epic salt and pepper food fight.
-Been playing a buttload of Pokémon Emerald. I need to beat the League so I can trade with Fire Red, but alas, I STILL only have up to the sixth badge. My current team of Pokémon is Gardevoir, Marshtomp, Camerupt, Tropius, Tentacruel, and Marill. Marill is a really low level, so I'm not actually using him to progress in the story, but I need to max out his EVs so I can use him as the father to breed Mudkips. Also, I discovered that Tropius and Tentacruel can together learn all 8 HMs, so finally I can have GOOD attacks and still be able to cut those annoying trees down at the same time! Srsly, I hate HMs. They should not be required to progress in the game.
-Working on a Mudkip virtual pet game thing in Flash. It's going well so far. I basically taught myself Actionscript. But currently, I'm trying to figure out why it refuses to generate Mudkip's randomized nature. It gives "undefined" as the variable's value, even though I basically copy-pasta'd the same exact code for generating IVs and shininess and stuff, and THEY work correctly.
-Went to this grocery store with my half-sister, aunt and aunt's friend. My half-sister wanted to go because they had this fundraiser thing or whatever for the PTO/PTA, and 5% of shit you buy at the store goes to her school. So we went there and there were tons of stands giving out free stuff. Chicken fries, coffee ice cream, popcorn, pizza, hot dogs, chocolate milk, smoothies, etc. I enjoyed it. Especially the coffee ice cream.
-I haven't seen my one friend in school since I got mainstream classes. We WOULD have math together, but of course it was replaced with Computer Animation. And basically there's TWO special ed rooms, right next to eachother, and all us sped kids are divided up between the two during homeroom. I have room 242, she has 244. So normally we don't have homeroom together. But ALAS, my teacher had a meeting one day this week, and all her students got to go to the other room that day. Thus, I finally got to hang out with my friend! Then the following two days, I saw her again while I was hanging out, waiting for my aide to come to Computer Animation with me. My friend came over to visit me during this time before she had to go to class next door. Much hugging and good times occur whenever we hang out. Unfortunately, she's leaving for a week. :c Hopefully she continues to visit me between classes when she returns.
-My job trainer took me and three other kids to a job fair thing. Got me out of Video Game Design, too! ^_^ Also, after the fair, she took us to Wendy's. I got a frosty! It was good. I also witnessed two of my travel companions having an epic salt and pepper food fight.
-Been playing a buttload of Pokémon Emerald. I need to beat the League so I can trade with Fire Red, but alas, I STILL only have up to the sixth badge. My current team of Pokémon is Gardevoir, Marshtomp, Camerupt, Tropius, Tentacruel, and Marill. Marill is a really low level, so I'm not actually using him to progress in the story, but I need to max out his EVs so I can use him as the father to breed Mudkips. Also, I discovered that Tropius and Tentacruel can together learn all 8 HMs, so finally I can have GOOD attacks and still be able to cut those annoying trees down at the same time! Srsly, I hate HMs. They should not be required to progress in the game.
Wednesday, May 2, 2007
UGH...
The chick that came over was just trying to get me to go to school. She kept talking aboot classes that "interest" me. Like, she says that if I want a job in computers or something, they have classes for that.
Umm, excuse me? I never SAID I was "interested" in computers. AND I'M NOT. I don't do anything technical with computers. I just post on message boards, edit wikis, and IM friends and stuff. THAT'S ALL. As I said before, I DO NOT WANT A JOB. EVER. Why does nobody understand that? Gaaaah!
I'm really tired right now. It's 7:30 in the morning, and I fell asleep...probably sometime after 2... so that's only 5.2 hours of sleep. So sorry if I'm a bit cranky. I need some coffee. Get me some coffee.
~Akagi
Umm, excuse me? I never SAID I was "interested" in computers. AND I'M NOT. I don't do anything technical with computers. I just post on message boards, edit wikis, and IM friends and stuff. THAT'S ALL. As I said before, I DO NOT WANT A JOB. EVER. Why does nobody understand that? Gaaaah!
I'm really tired right now. It's 7:30 in the morning, and I fell asleep...probably sometime after 2... so that's only 5.2 hours of sleep. So sorry if I'm a bit cranky. I need some coffee. Get me some coffee.
~Akagi
Thursday, April 26, 2007
TODAY'S SECOND OR THIRD UPDATE! YAY!
mood: optimistic optimistic
music: Homonculus - They Might Be Giants
Some other places I can be found:
Runescape (rarely): Hagurumon
This Might Be A Wiki (almost constantly): Akagi
My two wikis: SECRET...FOR NOW
Today I tried playing the riff from Ana Ng on bass. I think I got the hang of it, but I don't think the tab was correct. Unless I just misread it or something. FEAR THE POWER OF NICK THE BASSIST.
Me and my online friends (of which I have...ummm...one) should start a band. And we can write risque songs. And I can sing in my weird falsetto voice. And then we'll smash our instruments over people's heads. Apparently WF plans to do that to his guitarist. Sounds painful to me, but eh, whatever floats his boat.
OH. MAN. I just got paid $31 for my services working at that apartment. Yeah, I was supposed to get another 25 cents (6.25 per hour x 5 hours) but I don't like change, so I just ignored it. And I'm working on a separate wiki from my Batia Studios one. This one I'm using for making, like, text adventures and stuff. Like on HRWiki, except they're not based around HR. And I wish BSWiki was still around. WHAT IF I WANNA LOOK UP SOMETHING BS-RELATED?! HUH?!
I think I have over $100 now. What should I spend it on? YOU BE THE JUDGE. Multiple choice time.
1. Buying gifts for all my friends (of which I only have one)
2. TMBG!
3. Chicks' clothing and other perverted objects
4. Save up for a laptop or iPod or something
5. a mail-order bride
VOTE NOW.
etaB kciN~
music: Homonculus - They Might Be Giants
Some other places I can be found:
Runescape (rarely): Hagurumon
This Might Be A Wiki (almost constantly): Akagi
My two wikis: SECRET...FOR NOW
Today I tried playing the riff from Ana Ng on bass. I think I got the hang of it, but I don't think the tab was correct. Unless I just misread it or something. FEAR THE POWER OF NICK THE BASSIST.
Me and my online friends (of which I have...ummm...one) should start a band. And we can write risque songs. And I can sing in my weird falsetto voice. And then we'll smash our instruments over people's heads. Apparently WF plans to do that to his guitarist. Sounds painful to me, but eh, whatever floats his boat.
OH. MAN. I just got paid $31 for my services working at that apartment. Yeah, I was supposed to get another 25 cents (6.25 per hour x 5 hours) but I don't like change, so I just ignored it. And I'm working on a separate wiki from my Batia Studios one. This one I'm using for making, like, text adventures and stuff. Like on HRWiki, except they're not based around HR. And I wish BSWiki was still around. WHAT IF I WANNA LOOK UP SOMETHING BS-RELATED?! HUH?!
I think I have over $100 now. What should I spend it on? YOU BE THE JUDGE. Multiple choice time.
1. Buying gifts for all my friends (of which I only have one)
2. TMBG!
3. Chicks' clothing and other perverted objects
4. Save up for a laptop or iPod or something
5. a mail-order bride
VOTE NOW.
etaB kciN~
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