Community Munchausen's by Internet (Malingerers, Munchies, Spoonies, etc) - Feigning Illnesses for Attention

You guys are on the right track about this Laura nutjob and amphetamine side effects, but you're missing the big and obvious:

Seeing that she is prescribed and regularly takes/abuses both oxycodone and diazepam (at least) made an instant connection for me. Laura honey, you've got THE sickness. You're not "sick sick" (though maybe in the head) but you are SICK. Dope-sick.

Cold sweats? Feverish? Bone aches? Restless legs and body? Insomnia? Fatigue? Can't eat? Classic opiate withdrawal. Benzo withdrawal will overlap with some of these symptoms and cause others that can be worse, like seizures. Polydrug "downer" abuse in particular tends to bring out a sort of amalgamated withdrawal syndrome where you can't really tell the difference anymore. Add in amphetamines and you won't be able to tell whether you're coming or going, and will be subject to psychosis as well.

Valium has a long half life and it's metabolites even longer so the swings won't be that severe in the short term, but oxy is short as fuck and you'll come up and come down within hours once you're addicted. Voila - sick all the time.
 
It is humiliating and really weird, so she probably should feel shame. Weirdly, Morgan does not seem to.

Wonder what the percentage is re: people watching her group for the lulz vs people who totally support and believe Morgan? Bet it's skewed towards the former. Laurie should feel shame, it's fucked up and she knows it. Morgan, however, is a narcissistic eternal child incapable of feeling anything akin to remorse or shame.

You'd think they would realize no1curr about Morgan's "illnesses" and drop the online BS, but fakers gonna grift and beg for those sweet sweet asspats.
 
Laura is the gift that keeps giving. I love her medication list doesn't even say frequency for some meds like percocet is just 5 mg prn. Her behavior is so horrible I wouldn't be suprised if OSU discharges her all together outside of life or limb emergency. The weirdest part about her is her whole life is wrapped up in being angry about a thyroid issue.

Morgan and Laurie never fail to fully ride the crazy train of narcotics and attention. Sad thing is if they keep it up Morgan will be lucky to see 35. Morgan thinks that every single dry skin and snot bubble is a medical emergency.
 
I have no idea what to call this other than “I am very sick and itchy and I’m a bitch/I want to die” so here we go

RAWR
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She’s posted angrily multiple times that people need to stop calling well checks on her. Wonder why? But Dad is putting up with this enough to buy her groceries.
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I really don’t know what to say.
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Being a Karen again
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She managed to turn a weed trip post into a thirst post with that last part
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It’s a fucking pandemic calm down with your Dad groceries
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Is anyone surprised that she’s a road rage driver too?
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??? You’re a fucking ginger Laura, you never had visible eyelashes or eyebrows anyways
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A mortal wound she had to document
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lol eat shit. I’d love for her to see what mace and tear gas and wooden bullets feel like but MUH VIRTUE SIGNAL
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Good ole Dad had a window unit in there in a half hour but still the AGONY. And what does no AC have to do with “medical trauma”?
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That comment is genuinely the first time I’ve seen someone remotely call out Laura. Good job Rayne! But of course Laura had to crazy it back up after that.
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Regarding masks: the funniest part is SHE’S calling out people for faking.
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Laurie and Morgan are doing damage control since the post on Reddit about how Laurie asked the mother of a recently deceased girl to send her the leftover pain medications because Morgan isn’t prescribed enough. Laurie hasn’t denied she did it, she’s just having a meltdown that people now know
Got a link or their handle? I’ve seen posts about Morgan but not her actual Reddit account.

You guys are on the right track about this Laura nutjob and amphetamine side effects, but you're missing the big and obvious:

Seeing that she is prescribed and regularly takes/abuses both oxycodone and diazepam (at least) made an instant connection for me. Laura honey, you've got THE sickness. You're not "sick sick" (though maybe in the head) but you are SICK. Dope-sick.

Cold sweats? Feverish? Bone aches? Restless legs and body? Insomnia? Fatigue? Can't eat? Classic opiate withdrawal. Benzo withdrawal will overlap with some of these symptoms and cause others that can be worse, like seizures. Polydrug "downer" abuse in particular tends to bring out a sort of amalgamated withdrawal syndrome where you can't really tell the difference anymore. Add in amphetamines and you won't be able to tell whether you're coming or going, and will be subject to psychosis as well.

Valium has a long half life and it's metabolites even longer so the swings won't be that severe in the short term, but oxy is short as fuck and you'll come up and come down within hours once you're addicted. Voila - sick all the time.
I did notice the 5 mg percs and I suppose she could manage to get withdrawals if she was taking the whole script quickly. She just didn’t have the typical junkie Rx list. Her doctors obviously can’t stand her crazy ass so aren’t going to hand out narcotics for her dumb thyroid delusions. But her symptoms and behavior do line up with a mad junkie not able to get her fix.

Actually the fact it is low dose percs might cause her to just be irritable, uncomfortable and pissed off instead of truly dope sick.

I just wonder if the Rx list was accurate or if she’s on other opiates that weren’t listed. Her aggressive behavior reads like a drug addict but a really stupid counter-productive one that is behaving in ways that ensure no doctor will prescribe any new narcotics or want to refill old scripts. She’s also latched onto stupid conditions that don’t have any need for pain control meds. Endocrinologist don’t normally write scripts for pain meds so she’s really barking up the wrong tree to get her fix with thyroid and andrenal nonsense.
 
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Got a link or their handle? I’ve seen posts about Morgan but not her actual Reddit account.


I did notice the 5 mg percs and I suppose she could manage to get withdrawals if she was taking the whole script quickly. She just didn’t have the typical junkie Rx list. Her doctors obviously can’t stand her crazy ass so aren’t going to hand out narcotics for her dumb thyroid delusions. But her symptoms and behavior do line up with a mad junkie not able to get her fix.

Actually the fact it is low dose percs might cause her to just be irritable, uncomfortable and pissed off instead of truly dope sick.

I just wonder if the Rx list was accurate or if she’s on other opiates that weren’t listed. Her aggressive behavior reads like a drug addict but a really stupid counter-productive one that is behaving in ways that ensure no doctor will prescribe any new narcotics or want to refill old scripts. She’s also latched onto stupid conditions that don’t have any need for pain control meds. Endocrinologist don’t normally write scripts for pain meds so she’s really barking up the wrong tree to get her fix with thyroid and andrenal nonsense.

Wellbutrin and Adderall is known to be a bad combination as a general rule. Interestingly Wellbutrin is given to amphetamine addicts/abusers trying to kick the habit but I highly doubt the same doc prescribed both. I think she's just a bitch on wheels but the stimulants combined with abuse of OTC meds and the ones for minor or real ailments along with being extremely deconditioned is most of the reason she feels like ass all the time and is always pissed off.

She could be dopesick if she's somehow sneaking extra narcs from somewhere but I don't really think Percocet can cause that in the quantities a doctor would prescribe. After seeing a shitload of allergy meds on her list, a cockroach in her bed and complaining of itch and skin issues it just sounds like she's infested with bedbugs.
 
Wellbutrin and Adderall is known to be a bad combination as a general rule. Interestingly Wellbutrin is given to amphetamine addicts/abusers trying to kick the habit but I highly doubt the same doc prescribed both. I think she's just a bitch on wheels but the stimulants combined with abuse of OTC meds and the ones for minor or real ailments along with being extremely deconditioned is most of the reason she feels like ass all the time and is always pissed off.

She could be dopesick if she's somehow sneaking extra narcs from somewhere but I don't really think Percocet can cause that in the quantities a doctor would prescribe. After seeing a shitload of allergy meds on her list, a cockroach in her bed and complaining of itch and skin issues it just sounds like she's infested with bedbugs.
Here's a novel thought. What if this dumb bitch has been doctor shopping?

It's a common practice when you wanna get the right "balance" of meds. And sometimes the proper addict will lie and not elude to them taking a certain med so they can get put on something else.

This explains a few things. How she constantly keeps running out of pills. Wants to get pills that would normally be for pets (she doesn't want it charted) and this big red tape they're putting up for her? Chances are she's trying to find another doctor to buy into her bullshit and give her another fix, just OSU is wise to it and they're putting her on a "cooldown" or probationary to see what she's gonna do.

I think this helps explain her stupid and honestly really short sighted rage fits.
 
Here's a novel thought. What if this dumb bitch has been doctor shopping?

It's a common practice when you wanna get the right "balance" of meds. And sometimes the proper addict will lie and not elude to them taking a certain med so they can get put on something else.

This explains a few things. How she constantly keeps running out of pills. Wants to get pills that would normally be for pets (she doesn't want it charted) and this big red tape they're putting up for her? Chances are she's trying to find another doctor to buy into her bullshit and give her another fix, just OSU is wise to it and they're putting her on a "cooldown" or probationary to see what she's gonna do.

I think this helps explain her stupid and honestly really short sighted rage fits.

She’s very obviously doctor shopping like most munchies. She even mentioned getting bitched out for having “two primary physicians” and has been trying to use her insurance all over the metro area. The fact she drove to Ann Arbor to have a crack at another state’s doctors tells you she’s inching towards Morgan McCastor levels of doctor shopping. Laura drove three hours into another state just to try her luck with another healthcare system. (Oh and to get cheaper edibles there too I guess)
 
Wellbutrin and Adderall is known to be a bad combination as a general rule. Interestingly Wellbutrin is given to amphetamine addicts/abusers trying to kick the habit but I highly doubt the same doc prescribed both. I think she's just a bitch on wheels but the stimulants combined with abuse of OTC meds and the ones for minor or real ailments along with being extremely deconditioned is most of the reason she feels like ass all the time and is always pissed off.

She could be dopesick if she's somehow sneaking extra narcs from somewhere but I don't really think Percocet can cause that in the quantities a doctor would prescribe. After seeing a shitload of allergy meds on her list, a cockroach in her bed and complaining of itch and skin issues it just sounds like she's infested with bedbugs.
I guess for me, it's the proof in the emails and letters from the doctors telling her the medication mismanagement is making her feel bad, and she continues to do it and screams at everyone instead. And not just the fun meds but like, synthroid and stuff. That's pretty typical munchie-first-addict-second behavior.
 
While 5mg Oxy is a low individual dose, I've seen extremely irresponsible prescribing in my day, especially for these types of over-medicated women. We don't really know how many Percs she's running through. It's not entirely out of the question that she has a weird 120# script or multiple scripts, and 20mg a day will get you withdrawals for sure, just not serious ones.

I've seen women prescribed ridiculous # multiple opiate scripts as well as nonsensical benzo ones... 4mg Clonazepam PLUS 1mg Alprazolam PER DAY?? In one case 30mg Temazepam was prescribed regularly for sleep, which is absolutely unheard of - Temazepam prescriptions virtually do not exist in the US and 30mg is also the absolute biggest size anywhere. These were usually on top of a host of other meds, from psych meds to thyroid pills and everywhere in between.

We also don't know what she's lying about, hiding, or exaggerating. Her approach may be counterproductive from a pure junkie perspective, but I wouldn't say it's out of line for someone who doesn't consider themselves a junkie (muh medicine) but has become dependent and is maybe in denial. She could also just be a moron. I just think having benzos and opiates prescribed is a bit too obvious for someone who's acting like this.

I wanted to add as regards to her elevated liver levels: Valium just by itself is known to cause this. It's pretty hard on the liver probably due to the nonsense elimination time. Add a bunch of other meds (which basically all stress the liver) and you can bet on weird test results. I actually used to abuse Valium, in heroic but infrequent dosages. When I checked myself in, the doctors assumed I was another Hep-C junkie due to my liver levels being so out of whack. They straight up told me I probably had Hepatitis prior to doing tests for the virus. Magically the test came back negative and everything went back to normal when I stopped hammering my liver with drugs that have 256 hour half-life metabolites.
 
Some details and a bit of a better timeline through an additional source.

Kileys pro-ana photographer friend asked her for medical evidence of her low weight. She replied to him. Then she made a post with some medical papers but quickly deleted it. I got some screen grabs. I'm way too invested in this now.

Here is some facebook medical device attention seeking with kileys service dogs, knee braces, and eye patches (she wore to a military function of all places). She says Stormy the dog got an award, but that's just a piece of paper if you zoom in. More proof of nazi dog per Dubya picture.

On medical records, Kiley's September weight is 61.2 pounds. Kiley says her landlord in Florida poisoned her.

Kiley has discussed this part in extraordinary detail in her former cult group. She says her doctor believes she is an attempted murder victim, and compared the situation to a Lifetime movie when discussing her condition to kiley and sandy. Kiley said she didn't understand at the time and asked her doctor not to talk about to police until kiley was able to speak for herself coherently. Before she came back to Nebraska in August, kiley had to talk to police in Florida for her poisoned dog and tampered meds. Kiley heavily implied that Matt made her talk to police and that and she didn't want to.

Matt was trying to pin the dog poisoning and tampered medications on their landlord, and kiley just wanted to get back to Nebraska because her dog had been poisoned and she was very sick. Police also make kiley nervous.

Kiley said her doctor agreed not to talk to police until she was ready. Kiley also says her doctor would have had no reason to suspect sandy was up to anything at that point, and even for weeks. There was no real precedent for it.

If both Sandy and Doctor believed Matt made kiley sick, why was Kiley telling Doctor it was the Florida landlord, especially if Kiley and landlord are still friends? Why was Matt trying to make kiley talk to Florida police to pin things on the landlord? Matt was definitely still in contact with kiley when she returned to Nebraska for at least a couple months, and seemingly making huge demands of her versus letting her recover. Their communication cut off sometime in October while sandy and matt continued to email, call, and text.

If Kiley consumed lithium in Florida as she says on the medical report, and kiley was tampering with tests in Nebraska, that wouldn't make sense because the lithium would be out of her system by the time the tests in Nebraska were taken and results released either way - whether she actually took the lithium or if she tampered with the test. There are very few pictures on kileys secret Florida facebook toward the end of her time there. Initially she posted a lot. It seems like the more weight she lost, the more kiley disappeared from facebook. Matt's surgery was in July when kiley started really thinning out, and then she went from 85 pounds to 60 pounds in weeks, would she have the mental capacity to think through all of these possibilities? Or even tamper with laboratory equipment? Kiley talks about her senses fading or blurring to almost nothing, and sandy mentions pushing kiley in a wheelchair.

If your daughter moved to Florida at 135lbs, came back from staying with a 47 year old man 7 months later, was at 80lbs and basically dying, would you blame Matt or the landlord, if you were a parent? Kiley was never allowed to speak with doctors privately without Sandy, so that leads me to think Sandy was also blaming the landlord, which again makes no sense to me. Everyone is trying to point the finger at someone else for poisoning kiley, but kileys doctor and the other players involved are not blaming Kiley for her own sickness.

I also noticed this: Kiley admits to not being able to eat, or "anorexia," as a main complaint to her doctor in September. But Doctor never adds an ED or anorexia to kileys chart. In the defunct cult, kiley talked about drinking 15,000+ calories daily during the worst times while still losing weight, and Doctor telling her to up the calories and get into nutrition asap.

I'm starting to catch a vibe that Kiley is terrified of Matt and kiley seems to be doing whatever he is telling her to do. I also get the vibe Kiley's verbal diarrhea extends to her doctor's appointments and that Sandy is present and guiding them.

I have an audio file of Matt saying he'd shoot the landlord before Kiley left Florida. Kiley might have been recording him because she was scared. That one was too good not to save they are all crazy fucks.

Sandy got a bunch of consumable items laboratory tested in October, with results (surprise) coming back as all the items being poisoned. Results in November.

In November, a toxicologist in Florida accepted kiley as a patient near where she had lived. Why was kiley trying to go back to Florida, presumably to Matt, if kiley believed matt poisoned her? Kiley has gone on and on about sandy denying her medical care. Did kiley think she had a better shot at getting treatment with matt, or that she could just go straight to treatment and bypass him? It seems like kiley wants to be away from *both* sandy and matt, and it seems like she actually wants treatment. I don't know why Sandy would let her daughter hang out at Eugenia Cooney weights and *not* get her treatment for months, even just to get kiley off her hands.

By December, Kiley is around 76 pounds and in the emergency room for an aspirin overdose she alleges Sandy administered.

Sandy was kicked out of the ER for admitting to administering the aspirin, and because kiley was treated with sodium bicarbonate and fluids, law enforcement was called. The actual test result for salicylates was just under the OD value, so shy of an official OD, but the hospital (University of Nebraska Medical Center) kept sheriffs outside of her door in case Sandy returned. Kiley said she felt bad for sandy being kicked out even though she understood, and was terrified being in a hospital that wasn't one of her mom's where she knew the staff. (That would refer to a Catholic Health Initiatives, CHI, hospital where Sandy had what would be considered an all-access pass at each hospital.) Kiley thinks Sandy is Mommy Dearest but was simultaneously terrified without her for the first time.

The ER notes are golden. But why wouldn't the hospital admit a 76 pound, obviously mentally ill patient either medically or psychiatrically? Kiley said there was a three hour fight between the ER physicians and admitting team on whether or not to admit her either psych or medically.

Kiley said she showed the ER physicians text messages from Sandy, and they determined the aspirin OD was accidental and let her leave mentally on those grounds. They cleared kiley as a suicide risk. Medically, they wanted to admit her for "failure to thrive," but because she was stable and just a hair under the official aspirin overdose factor, they released her. Kiley's Nebraska boyfriend Nick arrived and took her home that night.

TL: DR: in December, stable skelly Kiley came into an ER and despite being a corpse, and was treated with fluids and medication and released.


I remember Kiley saying she called the police from the ER and said she was being held agaimst her will, and I think this was all the same event, but I can't remember. Kiley actually complimented the police officers who came to the hospital, which is weird on a different level. Cops and sheriffs in the ER over one crazy skelly. She has also called the police on Sandy for keeping her service dog away from her, too. No idea what the story behind that one is.

Some of the audios I saved but have been unable to upload are voicemails of Matt to Sandy during this period of time where kiley is a skelly in Nebraska, Matt is in Florida, and Sandy is alleging Matt poisoned kiley while ongoingly laboratory testing kiley and receiving packages from Matt it seems Kiley is still consuming. I find it very bizarre that Sandy continues to talk to Matt the entire time Kiley is a skeleton in Nebraska if sandy thinks matt poisoned her daughter. It's just too weird. I think Matt was kiley's boyfriend for awhile, but only Sandy is talking to matt while simultaneously spending thousands of dollars testing care packages Matt was mailing them for kiley. When the results were in that whatever sandy tested was all poisoned, Sandy continued to talk to Matt.

Sandy started talking to law enforcement in January of 2019. I get the feeling it went nowhere.

Kiley recently got a Facebook ban for a long post where she alleges Sandy and friend Paula contacted multiple law enforcement officers and agencies in both states, against kileys will, and she was never even allowed to meet the cops. She named names of officers, including a homicide detective Sandy interacted with twice, and a few jurisdictions.

Kiley has said numerous times that Sandy and Paula were infatuated with making kileys poisoning into a high-profile crime case, and kiley still had received no medical treatment beyond ER fluids a few times.

Omaha, Nebraska homicide detectives interviewed Kiley's doctors, Matt several times, and eventually told Sandy there is not enough evidence a crime has been committed in Nebraska and she'd need to pursue charges in Florida. The case was closed.

Kiley filed a domestic abuse protection order against Matt in early January because he was flying into town after she cut contact with him and coming by the house she lives and Sandy's house. Kiley says sandy forced her to file one but refused to file one for herself despite Matt still contacting Sandy. Totally sus.

The protection order filing is what prompted the attempted murder investigation. Matt was unable to fly in for the protection order hearing, and it stood in place for two months then was mysteriously dropped. Tree Nichols and another parishioner from church went to the protection order hearing, as did Kiley's Nebraska boyfriend Nick, and kiley's sister.

Sandy did *not* attend the protection order hearing.

In February, Sandy told Kiley it is her "job" to collect evidence for the police against Matt. Kiley seems displeased by this assignment.
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So we all see that it refers to her heavy metal poisoning delusions right? Also that the only thing high was salicylates (aspirin or pepto bismo likely) and they used it to temporarily medically keep her to get a better idea of what kind of crazy was happening. Essentially, they wanted to hold her because she's underweight and delusional in her beliefs about heavy metal toxicity/ delusions of being poisoned and bizarre belief that aspirin would somehow help, but she would not self-admit and did not present a clear present danger to herself. I'm still going w/ cluster b, took drugs, hooked up w/ weirdo old guy who also hooked her up w/ drugs, and a mom that likely shares some of her personality dx traits. I can't tell if there's some folie a deux w/ her mom or not. It's possible she never wanted to involve police because the truth is that she is the one taking illicit drugs or abusing legit drugs combined w/ a disorder.

eta: Omg, Laura rage posting about doctors is the best thing I've seen in a long time. Keep it coming and thank you so very much for the entertainment.
 
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Why on earth is she losing her mind over Omeprazole? That stuff is over-the-counter to the point where even dollar stores stock it. Jesus, Laura, just get your butt to Walgreens.

That list of meds is staggering, though. No wonder she's nuts! And she's always complaining about running out of this or that, so she must be cycling on and off all the time. All aboard the pharmaceutical rollercoaster!
 
Her symptoms really sound like opiate withdrawal. Sweating, crying, anger, hot and cold flushes, even the goose pimples on her arms, mood swings, shivering. All symptoms of withdrawal. She says she’s on Percocet prn. Which means as required, I imagine she ‘requires’ them daily. Then her script runs out, she can’t get it refilled yet so she goes into withdrawal. Then she doctor shops and presents to hospital with these absolutely dire symptoms, messages her care providers desperate for some pain meds. When she says she wants relief and help she means opioids. I’d put money on it. If she was given a repeat script for Percs I think she’d stop with these symptoms and move onto something else. Like palpitations and dizziness from over medicating because she’s NEVER going to stick to the prescribed dose. She’s even admitted that herself.
 
I’m giving updates on Laura as I can but she will deactivate for months at a time sometimes (not sure why). Can’t say more because PL but I enjoy her antics as much as you do and there might be some new gold content ahead :)
And reading all the different input about her is interesting, especially as someone who first met her when she was “functioning”.
Personally I think she might have Munchied herself into being a hypochondriac at some point, but either way there’s a vicious mood/personality/both disorder in there too that makes her treat other people like shit and she refuses to address it so no sympathy. And the histrionics. Apologize if there are repeats but there’s so much and she’s so repetitive (with some fun variations)

Like this.
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Is she LARPing brain fog? Glad to see she can still remember to tell people to go die though.
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I guess this is going to be a Laura TMI post too.
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I’m so confused. She says she practically has a PHD, has gone to college (not sure what she actually completed), but the possible job of Fox in the Snow is a crushing defeat?
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I looked up Fox in the Snow, this incredible opportunity she HAD to turn down, and it’s a coffee shop with locations in only trendy/upscale areas. Wow.
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LOL I love how she shoved a virtue signal into her bitching. We all know you’re upper middle class and from the suburbs. Athens is the town where Ohio University is located.
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Itchy itchy
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I’m so sorry because this is bizarre and disgusting
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Is she admitting to trying to interfere with testing???
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Look at her waist/ass! SHE’S SO SICK
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Make no mistake though, she’s a very busy person. And still homicidal apparently.
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I think she goes dark when someone in her life actually puts their foot down. How dare someone imply her problems are psychiatric.
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Still not psychiatric :optimistic::optimistic:
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“I don’t trust doctors who shove pills down my throat” LOL god she’s such a nasty person but at least her heart is “dead and lifeless”.
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I can't even. I read her antics and 100% agree that all her physical "symptoms" are a result of the 69 different meds mixing and/or withdrawal from said meds. I'd be willing to bet a million dollars that the med list she posted has never been seen by any of her doctors. There really should be some sort of national database that every pharmacy has to enter every person's Rx to avoid shit like this. And her therapist is a fucking saint. I was in grad school for counseling but dropped out halfway through because I realized I didn't want to deal with people like this. I'd rather laugh at them on the internet.
 
This woman is a prime example of why psychiatric asylums being shut down is a huge problem. She needs to be put under temporary hold where they can modulate her off various drugs and figure out her real issues. It sounds, as others have noted, it's a nasty mix of amphetamine psychosis (up at 3 am posting angrily about the world and your body being out to get you?), opioid use and withdrawals, benzo use, and various allergy med interactions (and God knows what all those other pills do) combine together to turn this woman's life into a miserable mess. Throw in BPD and munchie behaviours, and you get a quivering mess of a human being. I doubt social isolation has been very kind to her either.
 
Psychiatric wards still exist, it's just pretty hard (and with damn good reason, too, because those places are hellholes) to hold people there against their will if they're not in immediate danger of hurting themself or other people. Some druggie getting mad isn't, in and of itself, a psych issue, and a stay in a psych ward wouldn't necessarily fix her even if it came with a detox.

The bigger issue is a lack of awareness, research, and standard protocol for dealing with munchies - especially these new internet munchies who are a different breed from years before. Aided and abbetted, of course, by an extremely fragmented care system that makes it easy to hide stuff you're doing with one doctor from another, and a for-pay system where you can functionally buy drugs from a doctor if you're rich enough and doctor-shop hard enough. For a lot of these munchies, you'd need joined-up addiction services, some (extremely complicated, probably, because "personality" disorders, which Munchausens seems to most closely resemble, are notoriously intractable) psychiatric care, and a waterproof medical system to catch them and also make sure they can't reoffend.
 
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