#psychiatric patient treatment | Explore Tumblr Posts and Blogs

Visit Blog

Explore Tumblr blogs with no restrictions, modern design and the best experience.

Fun Fact

130K people were victims of a chain letter scam that affected Tumblr in May 2011.

#psychiatric patient treatment

ivygorgon · 28 days

Text

AN OPEN LETTER to THE PRESIDENT & U.S. CONGRESS; STATE GOVERNORS & LEGISLATURES

Say NO to Loony-Bins: Immediate Action Required for Inpatient Psychiatric Care

2 so far! Help us get to 5 signers!

The current model of inpatient psychiatric care, which primarily focuses on safety and crisis stabilization, falls short in promoting sustained recovery. The prevalent emphasis on ultrashort lengths of stay often overlooks the need for comprehensive treatment plans.

A proposed model of care advocates for rapid diagnosis, goal-setting, and treatment modalities before initiating treatment, organized into three distinct phases: assessment, implementation, and resolution. This approach emphasizes individualized treatment and active patient involvement in treatment planning, addressing critical psychosocial aspects that are frequently neglected.

As we strive to reform the mental health care system, it's imperative to prioritize effective, recovery-oriented treatment strategies. This includes ensuring patient comfort and preferences are accommodated within reason. Considering patient preferences, like comfort items (such as safe stuffed animals; Share-Bears, if you will) and rescue medications (like melatonin,) is essential to upholding rigorous standards of care and safety.

Let's advocate for reforms that enhance patient-centered practices while adhering to established treatment guidelines and advancing recovery-oriented care.

Say no to “loony-bins;” those archaic relics that should be relegated to the distant past.

📱 Text SIGN PWORPV to 50409

🤯 Liked it? Text FOLLOW IVYPETITIONS to 50409

💘 Q'u lach' shughu deshni da. 🏹 "What I say is true" in Dena'ina Qenaga

1 note · View note

psychiatricmedical · 1 month

Text

Psychiatric Patient Treatment in Maryland

At Psychiatric and Medical Patient Care Service, we promote mental health wellness and recovery through patients’ assessments, diagnosis, medication management, psychotherapy and disease prevention, Our psychiatric consultations are tailored to provide empathetic, holistic, thorough, and competent treatments aimed at improving patients’ recovery and wellness.

Visit -

#Psychiatric Patient Treatment in Maryland

0 notes

yuwigqi · 2 months

Text

HC an actual real forensic psychologist interviews Joker, and realizes he does not meet the legal requirements for being mentally unfit to stand trial (TRUE), and the jury finds he does not meet the requirements for criminal insanity (TRUE) and he is sentenced to death and just like actually successfully executed by Belle Reve Penitentiary.

Batman's official statement "I do not kill. However, I do not give formal statements in political issues, such as the death penalty. If Joker escapes, I will send him back to Belle Reve, regardless of whatever sentencing he receives. I am a Vanguard. I am not a New Jersey Apex Court Justice. Sentencing is outside my jurisdiction or personal interests. Thank you."

Orphan's statement is "I believe wholeheartedly in the sanctity of life. However, I am not opposed to euthanasia."

Red Hood gets hired as a literal Seasonal Summer Worker for Belle Reve, and stands guard.

Barbara Gordon gets hired as Belle Reve Archivist.

Duke Thomas speaks publicly about the Justice System's constant ignorance of the realities of Mental Illness, and the pathologization of acts of violence as mental illness, as well as how white men are frequently given passes for violence by the justice system.

The Joker is executed on April 1st. He is cremated, and his ashes are used in compost alongside goat and pig manure.

Dr. Harleen Quinzel is tried as well, and actually found criminally insane, and after 1 year in psychiatric hospital, and triweekly therapy, she has shown proof of improvement and rehabilitation, 2 years after that, her licensure is reinstated. Instead of going into patient practice, she does psychiatric research, and publishes several papers on the interactions of PTSD and psychotic disorders, as well as developing counseling treatments for domestic abuse and cult survivors.

"Jokes on You Day" becomes a national holiday.

#The Joker #Harley Quinn #Duke Thomas #Signal #Jason Todd #Red Hood #Bruce Wayne #Batman #Batfam #Cassandra Cain #Orphan #Black Bat #Barbara Gordon #Oracle #Genuinely long considered writing a fic on this #But I really do not want to write that much Joker dialogue lol

6K notes · View notes

copperbadge · 3 months

Text

I'm getting depressingly good at identifying the formula for Pop Academic Books About ADHD.

Regardless of their philosophy it pretty much goes like this:

1. Emotionally sensitive essay about the struggle of ADHD and the author's personal experience with it as both a person with ADHD and a healthcare professional.

2. Either during or directly following this, a lightly explicated catalogue of symptoms, illustrated by anecdotes from patient case studies. Optional: frequent, heavy use of metaphor to explain ADHD-driven behavior.

3. Several chapters follow, each dedicated to a symptom; these have a mini-formula of their own. They open with a patient case study, discuss the highly relatable aspects of the specific symptom or behavior, then offer some lightweight examples of a treatment for the symptom, usually accompanied by follow up results from the earlier case studies.

4. Somewhere around halfway-to-two-thirds through the book, the author introduces the more in-depth explication of the treatment system (often their own homebrew) they are advocating. These are generally both personally-driven (as opposed to suggested cultural changes, which makes sense given these books' target audience, more on this later) and composed of an elaborate system of either behavior alteration or mental reframing. Whether this system is actually implementable by the average reader varies wildly.

5. A brief optional section on how to make use of ADHD as a tool (usually referring to ADHD or some of its symptoms as a superpower at least once). Sometimes this section restates the importance of using the systems from part 4 to harness that superpower. Frequently, if present, it feels like an afterthought.

6. Summation and list of further resources, often including other books which follow this formula.

I know I'm being a little sarcastic, but realistically there's nothing inherently wrong about the formula, like in itself it's not a red flag. It's just hilariously recognizable once you've noticed it.

It makes sense that these books advocate for the Reader With ADHD undertaking personal responsibility for their treatment, since these are in the tradition of self-help publishing. They're aimed at people who are already interested in doing their own research on their disability and possible ways to handle it. It's not really fair to ask them to be policy manuals, but I do find it interesting that even books which advocate stuff like volunteering (for whatever reason, usually to do with socialization issues and isolation, often DBT-adjacent) never suggest disability activism either generally or with an ADHD-specific bent.

None of these books suggest that perhaps life with ADHD could be made easier with increased accommodations or ease of medication access, and that it might be in a person's best interest to engage in political advocacy surrounding these and other disability-related issues. Or that activism related to ADHD might help to give someone with ADHD a stronger sense of ownership of their unique neurology. Or that if you have ADHD the idea of activism or even medical self-advocacy is crushingly stressful, and ways that stress might be dealt with.

It does make me want to write one of my own. "The Deviant Chaos Guide To Being A Miscreant With ADHD". Includes chapters on how to get an actual accurate assessment, tips for managing a prescription for a controlled substance, medical and psychiatric self-advocacy for people who are conditioned against confrontation, When To Lie About Being Neurodivergent, policy suggestions for ADHD-related legislation, tips for activism while executively dysfunked, and to close the book a biting satire of the pop media idea of self-care. ("Feeling sad? Make yourself a nice pot of chicken soup from scratch and you'll feel better in no time. Stay tuned after this rambling personal essay for the most mediocre chicken soup recipe you've ever seen!" "Have you considered planning and executing an overly elaborate criminal heist as a way to meet people and stay busy?")

Every case study or personal anecdote in the book will have a different name and demographics attached but will also make it obvious that they are all really just me, in the prose equivalent of a cheap wig, writing about my life. "Kelly, age seven, says she struggles to stay organized using the systems neurotypical children might find easy. I had to design my own accounting spreadsheet in order to make sure I always have enough in checking to cover the mortgage, she told me, fidgeting with the pop socket on her smartphone."

I feel a little bad making fun, because these books are often the best resource people can get (in itself concerning). It's like how despite my dislike of AA, I don't dunk on it in public because I don't want to offer people an excuse not to seek help. It feels like punching down to criticize these books, even though it's a swing at an industry that is mainly, it seems, here to profit from me. But one does get tired of skimming the hype for the real content only to find the real content isn't that useful either.

Les (not his real name) was diagnosed at the age of 236. Charming, well-read, and wealthy, he still spent much of his afterlife feeling deeply inadequate about his perceived shortcomings. "Vampire culture doesn't really acknowledge ADHD as a condition," he says. "My sire wouldn't understand, even though he probably has it as well. You should see the number of coffins containing the soil of his homeland that he's left lying forgotten all over Europe." A late diagnosis validated his feelings of difference, but on its own can't help when he hyperfocuses on seducing mortals who cross his path and forgets to get home before sunrise. "I have stock in sunburn gel companies," he jokes.

#sam has adhd #self help #satire

6K notes · View notes

reasonsforhope · 9 months

Text

Story from the Washington Post here, non-paywall version here.

Washington Post stop blocking linksharing and shit challenge.

"The young woman was catatonic, stuck at the nurses’ station — unmoving, unblinking and unknowing of where or who she was.

Her name was April Burrell.

Before she became a patient, April had been an outgoing, straight-A student majoring in accounting at the University of Maryland Eastern Shore. But after a traumatic event when she was 21, April suddenly developed psychosis and became lost in a constant state of visual and auditory hallucinations. The former high school valedictorian could no longer communicate, bathe or take care of herself.

April was diagnosed with a severe form of schizophrenia, an often devastating mental illness that affects approximately 1 percent of the global population and can drastically impair how patients behave and perceive reality.

“She was the first person I ever saw as a patient,” said Sander Markx, director of precision psychiatry at Columbia University, who was still a medical student in 2000 when he first encountered April. “She is, to this day, the sickest patient I’ve ever seen.” ...

It would be nearly two decades before their paths crossed again. But in 2018, another chance encounter led to several medical discoveries...

Markx and his colleagues discovered that although April’s illness was clinically indistinguishable from schizophrenia, she also had lupus, an underlying and treatable autoimmune condition that was attacking her brain.

After months of targeted treatments [for lupus] — and more than two decades trapped in her mind — April woke up.

The awakening of April — and the successful treatment of other people with similar conditions — now stand to transform care for some of psychiatry’s sickest patients, many of whom are languishing in mental institutions.

Researchers working with the New York state mental health-care system have identified about 200 patients with autoimmune diseases, some institutionalized for years, who may be helped by the discovery.

And scientists around the world, including Germany and Britain, are conducting similar research, finding that underlying autoimmune and inflammatory processes may be more common in patients with a variety of psychiatric syndromes than previously believed.

Although the current research probably will help only a small subset of patients, the impact of the work is already beginning to reshape the practice of psychiatry and the way many cases of mental illness are diagnosed and treated.

“These are the forgotten souls,” said Markx. “We’re not just improving the lives of these people, but we’re bringing them back from a place that I didn’t think they could come back from.” ...

Waking up after two decades

The medical team set to work counteracting April’s rampaging immune system and started April on an intensive immunotherapy treatment for neuropsychiatric lupus...

The regimen is grueling, requiring a month-long break between each of the six rounds to allow the immune system to recover. But April started showing signs of improvement almost immediately...

A joyful reunion

“I’ve always wanted my sister to get back to who she was,” Guy Burrell said.

In 2020, April was deemed mentally competent to discharge herself from the psychiatric hospital where she had lived for nearly two decades, and she moved to a rehabilitation center...

Because of visiting restrictions related to covid, the family’s face-to-face reunion with April was delayed until last year. April’s brother, sister-in-law and their kids were finally able to visit her at a rehabilitation center, and the occasion was tearful and joyous.

“When she came in there, you would’ve thought she was a brand-new person,” Guy Burrell said. “She knew all of us, remembered different stuff from back when she was a child.” ...

The family felt as if they’d witnessed a miracle.

“She was hugging me, she was holding my hand,” Guy Burrell said. “You might as well have thrown a parade because we were so happy, because we hadn’t seen her like that in, like, forever.”

“It was like she came home,” Markx said. “We never thought that was possible.”

...After April’s unexpected recovery, the medical team put out an alert to the hospital system to identify any patients with antibody markers for autoimmune disease. A few months later, Anca Askanase, a rheumatologist and director of the Columbia Lupus Center,who had been on April’s treatment team, approached Markx. “I think we found our girl,” she said.

Bringing back Devine

When Devine Cruz was 9, she began to hear voices. At first, the voices fought with one another. But as she grew older, the voices would talk about her, [and over the years, things got worse].

For more than a decade, the young woman moved in and out of hospitals for treatment. Her symptoms included visual and auditory hallucinations, as well as delusions that prevented her from living a normal life.

Devine was eventually diagnosed with schizoaffective disorder, which can result in symptoms of both schizophrenia and bipolar disorder. She also was diagnosed with intellectual disability.

She was on a laundry list of drugs — two antipsychotic medications, lithium, clonazepam, Ativan and benztropine — that came with a litany of side effects but didn’t resolve all her symptoms...

She also had lupus, which she had been diagnosed with when she was about 14, although doctors had never made a connection between the disease and her mental health...

Last August, the medical team prescribed monthly immunosuppressive infusions of corticosteroids and chemotherapy drugs, a regime similar to what April had been given a few years prior. By October, there were already dramatic signs of improvement.

“She was like ‘Yeah, I gotta go,’” Markx said. “‘Like, I’ve been missing out.’”

After several treatments, Devine began developing awareness that the voices in her head were different from real voices, a sign that she was reconnecting with reality. She finished her sixth and final round of infusions in January.

In March, she was well enough to meet with a reporter. “I feel like I’m already better,” Devine said during a conversation in Markx’s office at the New York State Psychiatric Institute, where she was treated. “I feel myself being a person that I was supposed to be my whole entire life.” ...

Her recovery is remarkable for several reasons, her doctors said. The voices and visions have stopped. And she no longer meets the diagnostic criteria for either schizoaffective disorder or intellectual disability, Markx said...

Today, Devine lives with her mother and is leading a more active and engaged life. She helps her mother cook, goes to the grocery store and navigates public transportation to keep her appointments. She is even babysitting her siblings’ young children — listening to music, taking them to the park or watching “Frozen 2” — responsibilities her family never would have entrusted her with before her recovery.

Expanding the search for more patients

While it is likely that only a subset of people diagnosed with schizophrenia and psychotic disorders have an underlying autoimmune condition, Markx and other doctors believe there are probably many more patients whose psychiatric conditions are caused or exacerbated by autoimmune issues...

The cases of April and Devine also helped inspire the development of the SNF Center for Precision Psychiatry and Mental Health at Columbia, which was named for the Stavros Niarchos Foundation, which awarded it a $75 million grant in April. The goal of the center is to develop new treatments based on specific genetic and autoimmune causes of psychiatric illness, said Joseph Gogos, co-director of the SNF Center.

Markx said he has begun care and treatment on about 40 patients since the SNF Center opened. The SNF Center is working with the New York State Office of Mental Health, which oversees one of the largest public mental health systems in America, to conduct whole genome sequencing and autoimmunity screening on inpatients at long-term facilities.

For “the most disabled, the sickest of the sick, even if we can help just a small fraction of them, by doing these detailed analyses, that’s worth something,” said Thomas Smith, chief medical officer for the New York State Office of Mental Health. “You’re helping save someone’s life, get them out of the hospital, have them live in the community, go home.”

Discussions are underway to extend the search to the 20,000 outpatients in the New York state system as well. Serious psychiatric disorders, like schizophrenia, are more likely to be undertreated in underprivileged groups. And autoimmune disorders like lupus disproportionately affect women and people of color with more severity.

Changing psychiatric care

How many people ultimately will be helped by the research remains a subject of debate in the scientific community. But the research has spurred excitement about the potential to better understand what is going on in the brain during serious mental illness...

Emerging research has implicated inflammation and immunological dysfunction as potential players in a variety of neuropsychiatric conditions, including schizophrenia, depression and autism.

“It opens new treatment possibilities to patients that used to be treated very differently,” said Ludger Tebartz van Elst, a professor of psychiatry and psychotherapy at University Medical Clinic Freiburg in Germany.

In one study, published last year in Molecular Psychiatry, Tebartz van Elst and his colleagues identified 91 psychiatric patients with suspected autoimmune diseases, and reported that immunotherapies benefited the majority of them.

Belinda Lennox, head of the psychiatry department at the University of Oxford, is enrolling patients in clinical trials to test the effectiveness of immunotherapy for autoimmune psychosis patients.

As a result of the research, screenings for immunological markers in psychotic patients are already routine in Germany, where psychiatrists regularly collect samples from cerebrospinal fluid.

Markx is also doing similar screening with his patients. He believes highly sensitive and inexpensive blood tests to detect different antibodies should become part of the standard screening protocol for psychosis.

Also on the horizon: more targeted immunotherapy rather than current “sledgehammer approaches” that suppress the immune system on a broad level, said George Yancopoulos, the co-founder and president of the pharmaceutical company Regeneron.

“I think we’re at the dawn of a new era. This is just the beginning,” said Yancopoulos."

-via The Washington Post, June 1, 2023

#mental illness #schizophrenia #schizoaffective #psychotic disorders #psychology #neurology #autoimmune #autoimmine disease #neuroscience #medical news #medical research #catatonia #immunotherapy #immune system #clinical trials #good news #hope

6K notes · View notes

aapsychelpaso · 1 year

Text

Patient Reviews Speak for Themselves: Why Our TMS Treatment Works

Reviews From Healthgrades.com As a TMS and psychiatric clinic, we understand that mental health treatment can be a daunting and often frustrating experience. But our commitment to providing exceptional care and utilizing cutting-edge treatments has led to countless success stories from our patients. Don’t just take our word for it, though. Take a look at what some of our patients have to say…

View On WordPress

0 notes

hussyknee · 1 year

Text

The young woman was catatonic, stuck at the nurses’ station — unmoving, unblinking and unknowing of where or who she was. Her name was April Burrell. Before she became a patient, April had been an outgoing, straight-A student majoring in accounting at the University of Maryland Eastern Shore. But after a traumatic event when she was 21, April suddenly developed psychosis and became lost in a constant state of visual and auditory hallucinations. The former high school valedictorian could no longer communicate, bathe or take care of herself. April was diagnosed with a severe form of schizophrenia, an often devastating mental illness that affects approximately 1 percent of the global population and can drastically impair how patients behave and perceive reality. “She was the first person I ever saw as a patient,” said Sander Markx, director of precision psychiatry at Columbia University, who was still a medical student in 2000 when he first encountered April. “She is, to this day, the sickest patient I’ve ever seen.” It would be nearly two decades before their paths crossed again. But in 2018, another chance encounter led to several medical discoveries reminiscent of a scene from “Awakenings,” the famous book and movie inspired by the awakening of catatonic patients treated by the late neurologist and writer Oliver Sacks. Markx and his colleagues discovered that although April’s illness was clinically indistinguishable from schizophrenia, she also had lupus, an underlying and treatable autoimmune condition that was attacking her brain. After months of targeted treatments — and more than two decades trapped in her mind — April woke up. The awakening of April — and the successful treatment of other peoplewith similar conditions — now stand to transform care for some of psychiatry’s sickest patients, many of whom are languishing in mental institutions. Researchers working with the New York state mental health-care system have identified about 200 patients with autoimmune diseases, some institutionalized for years, who may be helped by the discovery. And scientists around the world, including Germany and Britain, are conducting similar research, finding that underlying autoimmune and inflammatory processes may be more common in patients with a variety of psychiatric syndromes than previously believed. Although the current research probably will help only a small subset of patients,the impact of the work is already beginning to reshape the practice of psychiatry and the way many cases of mental illness are diagnosed and treated. “These are the forgotten souls,” said Markx. “We’re not just improving the lives of these people, but we’re bringing them back from a place that I didn’t think they could come back from.”

– A catatonic woman awakened after 20 years. Her story may change psychiatry.

#block JavaScript in site settings if article is paywalled #April burrel #disability #schizophrenia #lupus #mental illness #catatonia #chronic illness #institutionalization #psychiatry #medical science #healthcare #autoimmune disease #Washington post #knee of huss

3K notes · View notes

12percentspider · 2 months

Text

Info time: Diabetes and related issues [this is long but I highly suggest reading]

Do you ever see something and you go "that doesn't sound right, but I don't know enough about diabetes to dispute it"? Well, I can help you there. I can help you know enough about diabetes to dispute it if need be. Especially because well, there are seemingly a lot of scams going around where people claim to be diabetic [in my experience it's maybe 3 scammers that just remake] and the information is not very correct in most cases. Not to mention this type of scam pisses me off because I am in fact diabetic, and not only are people preying off of others' lack of information about the chronic condition, but it's also trivializing a serious lifelong condition that can be fatal. If you have now or have lost a loved one to diabetes complications, you are already aware of how dangerous it can be as well as how dangerous misinformation is as well.

What is diabetes? Diabetes is a chronic condition related to the endocrine system- the pancreas specifically. However, if complications get serious enough other parts of the body will be affected. In type 2 diabetes, the body's cells have become resistant to insulin, which is a hormone produced by the pancreas that allows cells to use glucose from the blood- your body's energy it needs to function. When someone is 'type 2', the food that person is eating is not able to fuel them, regardless of caloric content. Glucose is commonly called "blood sugar". It's a type of sugar that is processed and then transported via the circulatory system to your cells where it's needed. With type 1 diabetes (which used to be called "juvenile diabetes"), the pancreas does not produce any/enough insulin for some reason or another, generally because of autoimmune or other damage. [For me personally, I was diagnosed as an adult and had to have it confirmed as type 1 due to the presence of autoimmune antibodies, also apparently my pancreas hadn't quite given up at that point.] As we've seen before, insulin allows your body to use the food you are putting into it. As a double whammy, you can have type 1 with resistance, so not only is your body not producing any/enough insulin, what's there can't be used properly. [RIP Spider who has this] So to explain the effects, think about what happens when you're literally starving. Now imagine that's happening no matter how much you eat. Your body may go into starvation mode and store fat. This can be misleading, which when combined with fatphobia has people concluding that "well, you have diabetes because you're fat, duh". Heck, I have/had diabetic relatives who believed that eating too many carbs will automatically cause the condition because that's what everyone is told/assumes. Eventually, you'd starve and your body would start deteriorating as so. HOWEVER because you would have so much glucose that just sits there because it can't be used, your kidneys are going to work overtime to try and correct this- and they can't do it alone. Your liver can also suffer severe damage. That's not to mention a whole host of other complications that can occur.

So what about it? Well, obviously there are treatments. Insulin injections have existed since the 1920s. There are also medications that can help your body actually use the insulin it's being provided, be it naturally or artificially. So yes, people with diabetes are dependent on prescriptions to survive. My grandma lost a sister in childhood due to insulin treatments apparently not being available in the extremely rural area they were living in at the time. More recently, the israeli occupation has banned insulin from being distributed to Palestinians. [Insulin has also been used historically in psychiatric hospitals to force low blood sugar in psychiatric patients, but that's a whole other rabbithole about psychiatric abuse.] There are resources for the US and beyond if you or someone you know and/or love are in dire straits financially and need help with insulin or other diabetes medications/ related medical help. That's only one aspect of treatment, though. Because pain, stress, hormone changes, other medical issues, and plenty of other factors can raise your blood sugar to dangerous levels, other kinds of treatment to manage other factors may be necessary.

Now that that's out of the way, let's get to specifics. So the most common problem you're going to see mentioned is high blood sugar. We've already covered what the effects are, but what is considered high? For the most part, "high" is 200 milligrams per deciliter. My CGM (continuous glucose monitor) lists "high" as anything 181 or higher but stops giving an exact number after 350. This is why I had a good laugh that time I saw a scammer using an image of a meter reading glucose in the 120s- that's good blood sugar. If you're going to get even more specific you want your pre-breakfast blood sugar to be 80-130. So when you see an accompanying image reading in the 500s, that's extremely dangerous. That's "you're in danger of going into a coma" dangerous.

Insulin pricing? How come I'm seeing people saying they need $300? In the US, pricing cap was set to $35 somewhat recently. What this means is that per insulin pen (as far as I've experienced, the above-linked resource post should have links with better clarification) it's $35. Can't be more than that for one pen. How many doses that provides is very up in the air. It absolutely varies from person to person. I have relatives with type 2 that have to inject a dose of very long-acting insulin weekly, one has gone back and forth with daily doses on top of that. I'm type 1 and have to take one dose of long-acting nightly with injections of a short-acting insulin before every meal, with the exact dosage amounts varying per meal. Insulin is measured in units (there's probably an actual mL amount, both of mine are 100 units per mL with a 3mL pen). How many units someone needs is determined with their medical provider (or care team? When I went to 'diabetes education' after diagnosis I was set up with a "care team").

But at any rate, if someone is in an emergency situation in the US should be able to get an insulin pen for $35 pretty much when they get to a pharmacy. Yes, I get that this can be difficult in some situations, but that's outside the concept of insulin prices.

If someone's blood sugar is over 500 though, they almost certainly need a hospital more than they need an insulin pen. Yes, alright, the actual real single mother on twitter who was the source of the profile images/meter images that whatever the current url for vero-og has stolen and been using for months... that was actually months ago and I'm sure she doesn't need to be told to go to the hospital right now. [That said, if you get an ask from someone and the url is a variation off of 'vero-og' that is a confirmed scammer.] And then on top of that, yes, why would you block people that can get you free or discounted insulin? If someone was offering to save your life for free or find you what you need for far less than what you were expecting to spend, why wouldn't you take it? Unless what you're actually after is money.

SO TO RECAP: Insulin does not cost $300, $350, $370, whatever someone is sending you an ask about. In the US, it is federally capped at $35 per pen, with further resources available, as well as further resources being available internationally. If you need help, please be honest about it. I promise there are people who care, you don't have to try and explain yourself- but it absolutely does not cost that much and if it did, there are ways to lower the cost by quite a bit if there aren't resources to make it free. Diabetes is a lifelong chronic condition that is not caused by "being fat" or "eating too much", it is caused by your body not functioning right and your body can starve no matter how much food you eat. Unfortunately, people have been lying on this site for months if not years claiming to have type 1 with an insulin emergency. These people cannot possibly have diabetes, or they would be well aware that they do not need hundreds of dollars to get their insulin. They are counting on you not knowing this so you will donate to them. The 'vero-og' scammer had been harassing someone who donated and threatening them with the intention of bullying more money out of the donor.

#refdesk

372 notes · View notes

hcrinstitute · 2 years

Link

HCR institute is a best psychiatrist in delhi and providing best de-addiction treatment for psychiatric patients and residential facility for psychiatric patients in delhi; find more information about doctor for mental illness in delhi.

#doctor for mental illness in delhi #best psychiatrist in delhi #best psychiatrist in west delhi #residential facility for psychiatric patients #best de-addiction treatment for psychiatric patients #residential facility for psychiatric patients in delhi #residential facility for psychiatric patients in ncr

0 notes

saintsenara · 28 days

Note

Riddle’s extremely fearful and aggressive reaction to Dumbledore when he thinks he’s a doctor (and the fact that he assumes this at all and believes he is being lied to) has some pretty dark implications (which of course no one follows up on). Do you have thoughts?

thank you very much for the ask, anon!

and yes - this has occurred to me too... which means that my thoughts come with a trigger warning for the sexual abuse of a child, and are under the cut.

the relevant scene in canon is, of course, this:

“I am Professor Dumbledore.” “Professor?” repeated Riddle. He looked wary. “Is that like doctor? What are you here for? Did she get you in to have a look at me?” He was pointing at the door through which Mrs. Cole had just left. “No, no,” said Dumbledore, smiling. “I don’t believe you,” said Riddle. “She wants me looked at, doesn’t she? Tell the truth!” He spoke the last three words with a ringing force that was almost shocking. It was a command, and it sounded as though he had given it many times before. His eyes had widened and he was glaring at Dumbledore, who made no response except to continue smiling pleasantly. After a few seconds Riddle stopped glaring, though he looked, if anything, warier still. “Who are you?” “I have told you. My name is Professor Dumbledore and I work at a school called Hogwarts. I have come to offer you a place at my school - your new school, if you would like to come.” Riddle’s reaction to this was most surprising. He leapt from the bed and backed away from Dumbledore, looking furious. “You can’t kid me! The asylum, that’s where you’re from, isn’t it? ‘Professor,’ yes, of course - well, I’m not going, see? That old cat’s the one who should be in the asylum. I never did anything to little Amy Benson or Dennis Bishop, and you can ask them, they’ll tell you!”

the surface-level reading of this scene - which is clearly what the text wants us to go for - is that riddle thinks he's about to be institutionalised for being "mad" - and, specifically, that he thinks that what dumbledore has been told is his "madness" is actually his magic.

[he is also clearly meant to be read as panicking a little bit that he's fucked around torturing his fellow children and is now about to find out...]

that riddle accepts he's a wizard so easily - and that he is so reassured by dumbledore agreeing that he's not mad - is something the text wants us to read as sinister. him immediately describing himself as "special" is set up as a precursor to the adult voldemort's delusions of grandeur - which the entire arc of the series, ending in his death as an ordinary man, is designed to undermine.

but i've always disliked this reading. the eleven-year-old riddle - a magical child raised around non-magical people - is objectively correct to describe his powers as "special" [in that they make him identifiably different from the crowd] within the context in which he lives. the word choice is nowhere near as deep as dumbledore decides - he's clearly known since he was very young that he's a wizard, but he didn't have the precise language to describe this fundamental part of himself until dumbledore offered it; prior to that, "special" is a perfectly reasonable alternative term.

and, in always knowing that he's a wizard, he also knows that he doesn't have a mental illness - but he must also know that this is something it's near impossible for him to prove.

in the real world, if i spoke to a patient who told me:

“I can make things move without touching them. I can make animals do what I want them to do, without training them. I can make bad things happen to people who annoy me. I can make them hurt if I want to.”

then i would be correct to describe them as experiencing psychosis. and i might - depending on their other symptoms - have reasonable cause to admit them [voluntarily or not] for psychiatric treatment.

riddle is - of course - demonstrably not psychotic. but it's not unreasonable that mrs cole would assume he is - the world she lives in, as a muggle [even if she's a religious one], is one in which people do not possess the ability to move objects or control animals with their minds, and if one of her charges is convinced that he can, then she's justified in seeking medical intervention.

[that psychiatric treatment in the 1930s can be described without exaggeration as inhumane is another matter...]

which is to say, i think we can easily suppose that mrs cole has - prior to dumbledore's arrival - succeeded in having riddle "looked at", and that the idea that he's mentally ill and should be committed to an asylum has been mentioned before. i think most of us would be instinctively [and angrily] wary of doctors if this happened to us, regardless of how nice the doctors in question were.

and maybe that's all there is to it.

and maybe it isn't...

in the doylist text, the eleven-year-old riddle's personality is the way it is because he's the villain of the series. where harry is preternaturally capable, even as a child, of all the things the series defines as admirable - above all, enduring difficulty without complaint - riddle is preternaturally incapable of them. he's meant to come across as unambiguously sinister - and the fact that the text repeatedly emphasises that he has control over his unpleasant traits invites us to view him as someone who is acting with full agency. that he lives in an orphanage is a trope which the text uses, like a campy horror film might, predominately to underscore how creepy he is - and the text, in keeping with its general lack of interest in states and their institutions, never really prompts us to interrogate the impact of his childhood upon the course his life takes.

[this is despite the fact that voldemort's reliving of the night he killed the potters in deathly hallows is an incredibly accurate depiction of ptsd...]

but it's also the case that the eleven-year-old riddle's behaviour and personality fits a pattern we might expect to see in a child who is being abused, sexually or otherwise:

he's aggressive, he has a hair-trigger temper, and he becomes distressed even by behaviour - such as dumbledore speaking mildly and calmly - which would not ordinarily be expected to provoke such a reaction.

his broader emotional state is fractious. his mood changes sharply, he seems to feel emotions very profoundly, he struggles to control his emotional response to things, he's extremely easily irritated, he's attention-seeking - and he particularly seeks negative attention, and he's very highly-strung. his admission in deathly hallows that he feels calm before he kills - or before he otherwise eradicates a threat or a problem - comes with the flip-side that he's someone who appears, when things aren't going well or he finds himself in a situation which he can't control, to become quite anxious. which is a trauma response.

he's extremely isolated. the text presents the fact that he has no friends as a deliberate choice - "lord voldemort has never had a friend, nor do i believe that he has ever wanted one" - and his relationship with everyone else he ever meets, including his fellow orphans, is defined by the text as exclusively involving him controlling, manipulating, and punishing them. or: he is always the more powerful person in the pairing. but this need for control can be read as self-protective just as easily as it can be read as sinister. there are hints in canon that riddle is not just some malevolent force in the orphanage preying on mild-mannered innocents. for example, billy stubbs, the owner of the rabbit he kills, is targeted by riddle as revenge: “Billy Stubbs’s rabbit... well, Tom said he didn’t do it and I don’t see how he could have done, but even so, it didn’t hang itself from the rafters, did it? [...] But I’m jiggered if I know how he got up there to do it. All I know is he and Billy had argued the day before." on the rare occasions billy turns up in fics, he's usually - i find - written very like neville - sweet and guileless and a bit pathetic. but the alternative reading - especially when we take into account that riddle attacks the rabbit rather than billy himself - is that billy is someone he would be afraid to physically confront. indeed, it's striking that voldemort - at all stages of his life - is described as being quite physically fragile. not only is he very thin, but he's always cold and his heartbeat is described several times in canon as irregular. i think this is supposed to be a comment on the physical changes he undergoes the more horcruxes he makes - although the idea that the soul would affect the heart doesn't actually align with how the series understands the soul to relate to the body - but it can also be interpreted perfectly legitimately as something he was experiencing prior to splitting his soul. i am committed to the headcanon that riddle was quite a sickly child - and that this is one of the things which drives his fear of death - and i'm also committed to the idea that his obsession with magic is because the enormity of his magical power makes up for his physical lack. he can defeat - and humiliate and frighten and remove the threat of - billy or dennis [or even an adult man?] with magic. without it, if they were to physically overpower him, then he wouldn't be able to throw them off.

he is extremely nervous about being alone in a room with dumbledore - someone he doesn't know, and who he assumes is connected to a profession [and, maybe, who knows any other doctors he's been previously made to see...] of which he is frightened.

he doesn't trust or confide in anyone - which, as a child, means particularly that he doesn't trust or confide in adults in positions of responsibility. he's clearly uneasy with the idea of finding himself in the subordinate position in an adult-child relationship when dumbledore offers to take him shopping for school supplies - potentially because he's worried that dumbledore will try and dictate or restrict what he's allowed to buy unless he behaves in a certain way... and i am always very struck that dumbledore says in half-blood prince: "He was very guarded with me; he felt, I am sure, that in the thrill of discovering his true identity he had told me a little too much. He was careful never to reveal as much again." this is presented in the text as evidence that dumbledore is the only person of whom voldemort is afraid - by which the text means that voldemort acknowledges that dumbledore knows that an ordinary man, mortal and unimpressive, lurks behind the mask of unassailable power he has created for himself; and which the text thinks is a good thing. but we can also read it as a self-protective act on riddle's part. in his excitement, he offers dumbledore information [that he is known to be a liar, that he is in trouble a lot, that mrs cole dislikes him and is disinclined to believe anything he says] which would give dumbledore - or anyone in a similar position of power and presumed respectability - cover to abuse him, safe in the knowledge that he would be unlikely to be believed if he reported it.

he doesn't appear to feel safe in the orphanage and he's frequently absent from it - by his own admission, he spends a huge amount of time wandering around london on his own, which may even involve him staying away for several days at a time. nobody appears to notice or care about this.

he's very independent - which the text again presents as evidence of his deliberate self-isolation and rejection of the bonds of love and friendship - and his independence is unusual for a child his age [i.e. that he is capable of doing all his own shopping for school].

his knowledge of violence - i.e. how he designs the trip to the cave to be maximally psychologically devastating for dennis and amy and devoid of repercussions for himself - is also more advanced and methodical than would be expected in a child of his age. again, the text uses this to emphasise how inextricable the child-voldemort is from his adult self - and also, to some extent, to underscore the intellectual brilliance [his magic is also more advanced than is normal for a child] which his narrative archetype [the exceptional villain who is defeated by the everyman hero] requires. but we can also read it as evidence of his own victimisation. a common sign that a child is being sexually abused is that they display a knowledge of sexual behaviour which is more advanced than is reasonable for a child of their age - for example, knowing in detail how a sex act is performed, or fluently using sexual slang which they have no chance of knowing either from age-appropriate settings like school-based sex education or conversations with a parent or trusted adult, or from the sort of enthusiastic hoarding of rude words and phrases all children enjoy as they grow up. riddle's precise, clinical knowledge of how to manipulate, frighten, torture, and control can be seen as something similar. if he can - at eleven or younger - methodically break down another child until they're "never quite right" again, then this is because he's learned how to from someone.

he keeps secrets. and he also goes out of his way to extract them. his grooming of ginny in chamber of secrets - he manipulates her into confiding things she wants to keep to herself, promises he won't tell anyone, and then uses the threat that he will to get her to do his bidding - is an absolutely textbook example of how abusers use the idea of secrecy to control their victims. it doesn't make his abuse of ginny any less inexcusable if we assume he learns this from being on the other side of things.

dumbledore understands his little cache of objects as trophies he's taken from victims - and the text takes the view that dumbledore is correct in this assessment. that hoarding trophies is something widely associated with serial killers means that this is yet another thing which underlines how creepy - and how like his adult self - the child-voldemort is. but it's also the case that the adult - and teenage - voldemort places a lot of emphasis on gift-giving as part of his control over other people. the two most obvious examples in canon are wormtail being given his shiny hand as a reward for helping voldemort get his body back, and slughorn being buttered up with crystallised pineapple before voldemort asks him about horcruxes. the text thinks this is sinister - and one of the reasons it does this is because gift-giving is a grooming tactic. the text also clearly thinks this isn't behaviour voldemort has learned from the other side. and yet a common sign that a child is being abused is if they have possessions it doesn't make sense for them to own [i.e. a child from a low-income background who is suddenly decked in designer clothes] and which they can't or won't explain how they came by. riddle's cache isn't luxurious - although he's so poor that a yoyo or a mouth organ probably is a luxury to him - but there's also nothing in canon which precludes the objects being presents, rather than stolen goods. if the spell dumbledore uses to make the box rattle is caused by a statement which is both relatively ambiguous and dependent on dumbledore's subjective personal morality - is there anything in this room he's acquired through nefarious means? - then the spell would still work as it does in canon if riddle was an abuse victim given the objects as "rewards". dumbledore's tendency to locate right and wrong in the individual and dumbledore's belief that good people should steadfastly endure misery means he can be written entirely canon-coherently as someone who would think a victim who appeared to collude in their own abuse - such as a victim who "offered" a sexual act because their abuser promised them something if they did - was behaving consensually, manipulatively, and nefariously. and it's worth noting that when riddle doesn't know what dumbledore has done to make the box rattle, he is "unnerved". when he realises dumbledore thinks he's stolen the objects - and that he has no interest in forcing him to admit this aloud - he is "unabashed". perhaps because he's just received proof that an experience he doesn't want to talk about is still secret...

on the other hand, the objects could indeed be stolen - because petty criminality and anti-social behaviour, especially in pre-teen children, is also a sign of abuse.

he can be extremely obsequious - when dumbledore tells him to watch how he speaks he becomes "unrecognisably polite", he ruthlessly flatters slughorn, and he is cringingly deferential to hepzibah smith. the text understands this as evidence that his apparent charm is only superficial - another trait associated in the popular imagination with serial killers [and it's striking that so much about the young voldemort - handsome, charming, seemingly quiet and polite, true evil lurking underneath the mask - is exactly like the pop-culture persona which has been created for ted bundy...]. voldemort himself agrees that his charm is performative in chamber of secrets: “If I say it myself, Harry, I’ve always been able to charm the people I needed. So Ginny poured out her soul to me, and her soul happened to be exactly what I wanted." but his obsequiousness is also a fawn response - a way of minimising a threat by attempting to please the person issuing it. he becomes "unrecognisably polite" - after all - in response to this: Dumbledore raised his eyebrows. “If, as I take it, you are accepting your place at Hogwarts - ” “Of course I am!” “Then you will address me as ‘Professor’ or ‘sir.’ ” Riddle’s expression hardened for the most fleeting moment before he said, in an unrecognisably polite voice, “I’m sorry, sir. I meant - please, Professor, could you show me - ?” riddle could reasonably interpret what dumbledore says here as a threat to prevent him attending hogwarts - even though dumbledore evidently doesn't mean it in this way - and he switches to being fawning because this is something he really doesn't want to happen...

do i think that any of this is what the text was actually going for? no. and nor do i think that reading riddle as a victim of abuse excuses the violence which the adult voldemort goes on to perpetuate.

but i think it is a reading of his characterisation which is both canon-plausible and interesting - a strange, sickly child with a reputation for cruelty and dishonesty being abused by the respectable doctor who is constantly called in to treat his coughs and wheezes, who buys him little presents and charms him into telling him secrets, who then [to paraphrase the teenage voldemort] feeds him a few secrets of his own, safe in the knowledge that nobody will ever believe him if he tries to get help.

and i also think this a reading which is sincerely important.

a significant contributor to the prevalence of child abuse - no matter what exact form this abuse takes - is that we are culturally conditioned to imagine that both the abuser and the victim will look and behave in a certain way if the abuse is "real".

and this means, all too often, that we take child abuse more seriously when the victim is "sympathetic" - when they're from a stable home, and their family are respectable, and they do well in school, and they're polite and sweet, and they look innocent, and they behave perfectly appropriately for their age, and nobody would ever dare to say that they come across as older than they are, and they're white, and they don't have a history of lying, and they don't have a history of attention-seeking, and they don't have a criminal record, and they're not abusive themselves, and there's absolutely no way of suggesting that they colluded in their abuse, and the perpetrator was someone who looks like a child abuser.

someone who is creepy, low-status, ugly, unpopular. someone who everyone can tell is socially abnormal, someone who nobody would ever intentionally permit to be around their children. not someone who is charming, well-respected, attractive, rich, popular, trustworthy. not someone who has a loving family and a happy home. not someone we might be friends with.

but many perpetrators of child abuse are these second group of people. and many victims of child abuse are "unsympathetic", when their social positions and reputations are compared to their abusers' own.

they lie. they steal. they're attention-seeking. they're vindictive. they have trouble distinguishing between imagination and reality. they're violent. they're bullies. they hurt animals. they abuse other children. they take drugs. they're mentally-ill. they come from broken homes. they're in the care of the state. they're dirty. they're poor. they're odd. they're behind at school and badly-behaved in the classroom. they do things which allow their abuse to be dismissed as something they brought upon themselves - they speak or dress in certain ways, they pose provocatively in pictures and post them on the internet, they are known to be sexually active outside of the context of their abuse, they lie about being over the age of consent, they engage in sexual behaviour with an adult abuser in a way which appears [even though it isn't, and there's never a circumstance in which it will be] to be consensual or for their own personal gain, they are flattered by the attention they receive from someone who is important or attractive grooming them, they have complicated - and not always wholly negative - feelings towards their abusers.

and they are still - unequivocally - victims, and what happens to them is still - unequivocally - abuse.

tom riddle is an unsympathetic victim - not only of any potential abuse, but also of the horrors of his life which are explicit on the canon page: that he is raised in an orphanage; that he is grieving; that he knows nothing about his family; that he is thought to be mad.

the absence of any institutional response to his childhood experiences - dumbledore, by his own admission, discloses nothing about riddle to his fellow teachers - is a flaw repeated again and again in the worldbuilding of the harry potter series.

hogwarts - and the wizarding [and muggle] state more broadly - doesn't intervene in any case of neglect or abuse, from harry to snape to voldemort's own parents. the series' individualistic morality means that we aren't supposed to interrogate these collective failings. and the series' black-and-white view of good and evil - and its general belief that violence is fine if the person it happens to "deserves" it - means that it has no interest in examining the ways that poverty, isolation, and neglect are risk factors; that straightforwardly unpleasant people can still be victims; that victims can go on to become perpetrators without their victimhood ceasing to matter; and that the abuse of children usually takes place not in silence and secrecy, concealed in ways which make it fine for adults not to notice it and not to intervene, but in plain sight.

this is knowledge it never hurts to refresh. thinking about lord voldemort's childhood might be an usual way of doing so... but it is an effective one nonetheless...

#asks answered #asenora meta #tom riddle #lord voldemort #if wizards had the concept of safeguarding it would be a game changer...

298 notes · View notes

starblaster · 2 years

Photo

October 9th is Psychiatric Survivor Pride Day

“The problems of the ex-patient are more subtle but no less pressing. Many ex-patients try to cope with what has happened to them by pretending that the experience never occurred. However, because the experience of having once been a mental patient teaches you to think of yourself as less than human, this is not a satisfactory solution. People feel emotions. They are justifiably happy or sad, angry, calm, elated, and so forth. As patients, however, we were taught to think of ourselves as permanently crippled, and we tend to react to the normal ups and downs of life as affirmations of our secret deformity. In addition, society imposes penalties upon ex-patients which affect you whether or not you acknowledge your identity. For the rest of your life, you will lie on applications for jobs, schools, and driver's licenses, and worry about being found out. Your friends and acquaintances will be divided into two groups, those who know and those who don't, and it will always be necessary to watch what you say to the latter. Ex-patients are full of anger at what has been done to them, but alone and unorganized this anger is not expressed and is often turned inward against oneself. Our anger is the fuel of our movement, and when we come together, acknowledging our identity to ourselves and to each other, we will have made the first and largest step in striking back at our oppressors.”

— "Mental Patients' Liberation: Why? How?", originally distributed in the early 1970s by Mental Patients' Resistance of Brooklyn, New York

[image ID] Seven photographs from antipsychiatry demonstrations. They are described below, in order of appearance: 1. a picture taken at the National Association for Rights Protection & Advocacy (NARPA) Conference on November 10, 2000 in Sacramento, California. Fifty to sixty people stand around a red sign with white text that reads: NO FORCED TREATMENT EVER. 2. a picture taken on October 9th, 1999 in Toronto, Ontario during a march for Psychiatric Survivor Pride Day. Several people march in a line, including one man at the start of the march playing bagpipes. Behind him is a hand-painted sign being held up that reads: Psychiatric Survivor Pride Day. 3. pictures taken at a demonstration outside the California State Capitol building in Sacramento on February 28th, 2000. The signs in each of these pictures say: Psychiatric drugs can kill! 4. a picture taken at a demonstration outside the American Psychiatric Association's 156th annual meeting in San Fransisco, California. The activist's sign says: PSYCHIATRY IS NOT A MEDICAL PROFESSION: IT IS A TOOL OF OPPRESSION. 5. a picture taken at a demonstration outside the Jacob Javits Center, hosting the American Psychiatric Association's 167th annual meeting in New York City on May 4th, 2014. The picture features an activist wearing a printed t-shirt and is cropped so as not to feature the face of the wearer. The t-shirt says: TO HELL WITH THEIR PROFITS, STOP FORCED DRUGGING OF PSYCHIATRIC INMATES! 6 and 7. pictures taken at a demonstration outside the California State Capitol building in Sacramento on February 28th, 2000. The signs in each of these pictures say: Psychiatric drugs can kill!, STOP expansion of forced treatment, Mental illness is NOT a CRIME, and FORCED MENTAL HEALTH TREATMENT IS INHUMANE. 8. a picture taken at an antipsychiatry demonstration on May 2nd, 1998 in Freedom Plaza, Washington D.C. Two people hold a hand-painted banner-sign that says: BET YOUR ASS WE'RE PARANOID. 9. taken at an antipsychiatry demonstration hosted by the Mental Patients Liberation Alliance during Mad Pride Week in 2000, between July 13th and 16th on the lawn in front of the New York State Capitol Building in Albany. [end of ID]

#antipsychiatry #psychiatric abuse #psychiatric survival #psychiatric survivor pride day #psych abolition

5K notes · View notes

wheeboo · 7 months

Text

psycho | wen junhui

SYNOPSIS. in which a new patient is assigned for treatment under your care, and you begin to put the puzzles and pieces together to a past case that you thought to have ceased away from your mind. PAIRING. wen junhui x psychologist!reader (ft. nurse!seokmin) GENRE. dark au, mystery, angst, a tiny tiny subtle pinch of fluff, my very first attempt at a psychological thriller :> WARNINGS. LOTS of descriptions and talks about fire, cursing, mentions of death, a mention of cigarettes, descriptions of scars + burns, descriptions of injuries from glass, mention of blood, reader has a small habit of scratching at their arms, jun makes a suggestive comment if you take it that way WORD COUNT. 12.8k

notes: this is for the caratsland event and probably the most complex plot i've tried to execute so far jsdlkfdfsdf. thank you to @slytherinshua for reading this over for me and being my lil confidence boost 💕 feedback would be much appreciated!! pls remember this is all fictional and not at all an accurate depiction of a psychiatric facility!!

another note: also this turned out to be rlly dialogue heavy and jun asks too many damn questions in this istg lmao

PRESENT DAY: 2023

"Dr. L/N, you have a new patient assigned to you in room 610."

You don't glance up from your desk. Instead, you finish reviewing the case notes of your previous patient and nod in acknowledgment to the nurse standing in your doorway, a friendly young man named Lee Seokmin who was a recent hire, as you were told. As you hear the drop of a patient file in front of you, you lean back in your chair and finally get yourself to look up.

"Thank you, Seokmin," You tell him with a soft smile.

Seokmin grins, teeth all-flashy and cheerful. "You're welcome, doctor," before dismissing himself back out of your office.

You turn your attention to the patient file now resting on your desk. As you start to read through the notes, you see it only contains some basic information about the patient: name, age, and a brief overview of their medical and psychiatric history. It's a starting point, but you know that the real work begins when you meet the person behind the paperwork.

"Name, Moon Jun... male, age 27..." You quietly study the file to yourself. The file mentions a history of severe emotional trauma and burn scars due to a fire, which immediately catches your attention in more ways than one. It also mentions extensive facial scarring and a history of therapy that completely lacked significant progress. A part of it is a familiar story in your field𑁋it isn't uncommon for individuals to experience setbacks in their recovery.

But there's something about this patient's history that tugs oddly at your heartstrings.

As you rummage deeper into the file, you come across a brief note from a colleague who had previously assessed Moon Jun, mentioning he had been withdrawn and non-communicative during his stay, displaying anti-social behaviour, sometimes even having random bursts of aggression when approached. You take a mental note of all this in your head.

Closing the patient file, you rise from your chair and adjust the white coat draped around you, before leaving your office. You make your way through the sterile, fluorescent-lit hallways of the psychiatric facility. The environment here is all-too familiar to you; you've spent years navigating these halls. With every door you pass, there hides a different story; a different struggle; a different battle.

Upon finally reaching the room, you hesitate outside the door for a moment. The anticipation and curiosity surrounding you mixes with a touch of uncertainty, almost like fear, as they often do when meeting a new patient. You've been doing this for nearly ten years, and the feeling isn't new.

Then as you come back to your senses, you lift a hand, give a gentle knock to the door, before entering the room. It's dimly lit inside, the curtains ominously drawn on the windows to conceal the sunlight peeking through. A figure sits at the edge of the bed, back turned to you, and the hood of his hoodie pulled low over his head worn over his patient gown.

"Moon... Jun?" You call out softly, trying not to startle him.

He doesn't respond immediately, shoulders tensing at the sound of your voice. After a moment of silence, he slowly turns his head to acknowledge your presence. Half of his face is obscured by a mask, leaving only his dark eyes visible.

"Doctor," he replies gravelly.

His gaze lingers on you as you take a seat in a chair that sat against the wall next to the bed, keeping a respectful distance from him. You've encountered many patients who have initially shown distrust or apprehension, but there's an intensity in the way he looks at you that sends something chilling on the surface of your skin, especially when it's the only part of his face that you can see.

You try to break the ice with a polite smile. "It's nice to meet you, Mr. Moon. My name is Dr. Y/N, and I'll be conducting our therapy sessions during your stay here. Please, make yourself as comfortable as you can."

He slowly nods, but his eyes never leave yours. The mask covering his face makes it difficult to read his expressions.

"Before we begin," You continue, clearing your throat. "I want you to know that this is a safe and confidential space. Our conversations are private, and I'm here to help you in any way I can𑁋to help you heal. You can share as much or as little as you're comfortable with."

You see the way his gloved hands clench together in his lap.

"I can't be healed," he mutters quietly, voice trembling as you sense the hopelessness in his tone. You've heard this phrase many times before during your career.

"I understand that you may feel that way right now," You reply, as soothingly as possible. "but I believe that with time and the right support, healing is possible for anyone. It's a journey, and I'm here to walk it with you. It's a process, and you don't have to go through it alone."

His gaze remains fixed on you, and the unsettling tension in the room lingers, almost palpable that you feel like there's an imaginary barrier between you and him that was enough for you to see this small part of him, while he can see all of you.

"Would you like to tell me a little bit about yourself? How do you feel coming here today?" You ask, hoping to begin the process of establishing some sort of connection.

He uncomfortably shifts a bit on the bed.

"I never wanted to come here," he says flatly. "They say this is a place of healing, but I've seen enough doctors like you. They prod and poke, dig into your past, and in the end, nothing changes. They don't know what I've been through, what I've seen. The scars, everything, they don't heal."

The words that leave his mouth are bitter and sour, yet you could only get yourself to nod sympathetically.

"It's not uncommon for people to feel that way, especially if they haven't found the right support. I want you to know that my approach is different. I'm here to listen, not to prod or poke." You glance down at the file in your hand and flip it over so that you couldn't see any information about him. "You're in control of our sessions, Mr. Moon. We can go at whatever pace you'd like."

He finally seems intrigued by this, leaning in ever so slightly, eyes devoid of colour that seemed to bore straight into yours.

"Control?" he repeats, voice still carrying a hint of skepticism.

You nod once more. "Yes, control. You get to decide what you want to talk about, what you're comfortable sharing, and at what pace. If there are topics you'd like to avoid or take your time with, that's completely okay. We can work together to create a safe space for you."

He seems to be taking in your words. "And... what if I choose not to talk at all?"

You offer a reassuring smile. "Then that's the option we can settle with."

The minutes that tick by seem dreadingly slow, and there's a light that dances in his eyes from the singular light fixture hanging above that almost resembles that of a flame. It doesn't go away even if he blinks, and it draws you in. Just a tiny bit.

"However, is there anything specific you'd like to share with me today, Mr. Moon?" You ask, trying to keep the conversation flowing. "Any thoughts or concerns you'd like to discuss?"

For a moment, it seems like he's about to speak, but then he shakes his head ever so slightly, his hooded gaze still locked onto yours.

"Very well then." You let out a very subtle, shaky breath. It felt almost relieving. Silence it is.

That's what most of the session has come to𑁋sitting in this peculiar silence, feeling his eyes burn a hole right through you. It isn't until the end of the hour that he calls out toward you just as you were about to his exit his room, and you turn back to face him.

"Can you heal me, doctor?" he asks quietly, almost begging in a way. It's unnerving.

All you do is give him a faint smile.

"I'll try my best, Mr. Moon."

FLASHBACK: 2013

"...All I could see were orange and red flames, and the smoke was hurting my eyes. I couldn't breathe𑁋just barely, but it hurt. It was painful. They were getting larger and larger and the screams louder and louder. Everything was gone."

"And what did you do while the fire kept growing?"

"I watched it all happen. I watched it all burn in front of me." The words had sent an eerie shiver up your spine, forcing the pen in your hands to stop mid-sentence. There was a singular pause that had come to follow, a harrowing silence that seemed to stretch into eternity, a subtle quiver in his voice that you barely caught. "There was nothing I could do."

You clicked your pen, its sound echoing in the tense silence. The room seemed to grow colder with each moment that passed.

"But it's all my fault, right?" he had asked, tone so innocent that it itches a part of your heart uncomfortably, but tugged in a way you felt determined to take root of the grief in his chest and rip it apart. And for a moment as you looked in his dark eyes, over his youthful features and guilt-ridden face, you felt that inkling feeling again. "I killed them. It's all my fault."

"None of this is your fault. Blaming yourself for something you couldn't control is a heavy burden to carry," You reassured him calmly, as gently as you could, knowing the power that your own words could cause for someone seemingly lost, troubled, and young. "You saved yourself. You're alive; you did what you could to survive, and you're here to heal. I'm here to help you heal, okay?"

Your reassurance was met with a fleeting smile, but it hadn't quite reach his eyes, yet his gaze peered directly into you as if searching for something in you𑁋you could only think it was hope. Hope that he wanted to heal just as much as you wanted to help him heal. It's your job. This was why you took this job in the first place.

You needed to save people, either from the demons in their minds or the traumas that haunted them. This boy had lost his entire family in a housefire, for God's sake. This was your duty.

"It's not my fault," he had said, and met your eyes, as if searching for approval. "It's not my fault."

"That's right, Hui." You offered him a faint, assuring smile. "It's not your fault."

PRESENT DAY: 2023

"Excuse me, Dr. L/N? Is it okay if I sit here?"

You glance up to see Seokmin holding up a tray of lunch food, returning you from your zoning thoughts. You shoot him a kind smile and a nod, motioning to the empty space across from you for him to have a seat. Usually, you frequently have lunch alone in the comfort of your office where you can tend to yourself in solitude, but today, you might as well welcome the company.

Seokmin sets his tray down and takes a seat, and for some minutes, there's a comfortable silence as you both begin to eat. He seems to notice the tired lines to your face, but he doesn't press on about it.

"Have you been settling in well?" You ask him suddenly, breaking the silence.

"Huh, me? Oh." He's a bit taken aback, cheeks flushed, and you give a soft chuckle. "You could say that. I wanted to try something new after working bedside for the longest time. I didn't think that psych would be a field I was interested in𑁋look where I am now, though."

"That's the thing about this field." You let out a sigh, giving a knowing smile. "It has a way of drawing you in, even if you didn't plan on it."

"It was definitely an experience when I was in nursing school," Seokmin comments eagerly. You felt as if you were talking to a close friend rather than another colleague, and it feels rather refreshing. "and doing ICU was already draining of itself."

You take a sip of your drink, nodding your head. "I can only imagine. It can be quite rigorous."

Seokmin lets his gaze wander over you curiously. "How long have you worked here, doctor?"

"Please, you can just call me Y/N. Unless we're working."

Seokmin smiles. "How long have you worked here then, Y/N?"

You pause for a moment. Thinking about the amount of years you've worked in this field hasn't been a particular thought to come up𑁋time just seems to fly by when it's the only job you've been dedicated to for most of your life.

"Hm, ten years now? I believe this month will mark my ten years here."

Seokmin's eyes visibly widen in awe before responding, "Wow, that's... You must have really seen a lot of things. I really envy you, doctor."

Your smile fades just a bit; it's barely noticeable, though you still hope that Seokmin doesn't see it. You can feel that feeling gnaw at your skin again, something inexplicable, like a sense of foreboding that seemed to be creaking open a door you believed to have firmly shut for good.

But you choose to push it aside, just like you always do, dismissing it perfectly with a mutter of a thank you. It's ironic, considering this is what you do𑁋normally you would tell patients to confront their past and face their fears, but when it comes to your own, you tend to bury them.

There's an itch that crawls up your arms, and you knead at it through your sleeves with your fingers.

Maybe you can get used to this company, though.

"Do you have any kids, doctor?"

The question comes after a click of your pen, and you glance up from the vitals sheet in your hand to see Moon Jun sitting criss-crossed on the bed, gloved hands sitting on his lap and pupils peering curiously over you.

"No, Mr. Moon," You reply, keeping your tone soft, somewhat nonchalant. "I don't have any children."

He tilts his head slightly, almost as if he's studying you like a specimen under a microscope. The mask on his face makes him appear even more enigmatic, his dark, even charming eyes the only feature you can discern.

"No family at all?" he asks. "No husband, wife, or children to go home to?"

"I live alone. My work keeps me quite occupied."

Some silence passes.

"Alone," he repeats, almost to himself, as if savouring the word in his mouth. "Don't you ever feel... lonely though?"

His question hangs in the air like a dark cloud. It's an oddly personal inquiry, but you decide to address it professionally. "Loneliness is a feeling that many people experience at different points in their lives. It's a normal human emotion, and it's something we can work through."

His gaze narrows, and his gloved fingers twitch in his lap. His mask conceals most of his facial expressions, but you can sense an intensity in his gaze.

"I've felt lonely my entire life, you know," he points out as you sit yourself down in the chair in front of him just like all your previous sessions. Despite the considerable space between you two, sometimes you swear you can feel him breathing right down your neck. "Even being in here too, it.... feels like a different kind of loneliness. A place where they put people who are broken. Like me."

"I can assure you that you are not broken, Mr. Moon," You tell him reassuringly. "How are you with meeting the other patients here? Are there any you have been interacting with since our last session?"

He leans back slightly, his gloved hands still resting on his lap, and his gaze seems to drift momentarily as if he's recalling something.

"I think... they are scared of me, to be honest," he answers, eyes crinkling just slightly as if there was a smile playing on his lips right below his mask. "But... perhaps they're all just lost, confused, and weak. They pretend to get better, but they're just putting on a show. It's a bit pathetic, don't you think?"

"It's not uncommon for people in this environment to have their guard up," You tell him. "Sometimes, it's just a reaction to the unfamiliar. Everyone here is dealing with their own battles, just as you are, Mr. Moon."

He chuckles lowly at that. It's the first time you've heard such a sound like that leave his mouth, like a dissonant note echoing in an otherwise quiet room. His masked face gives nothing away.

"Maybe it's because of this stupid mask on my face," he says, touching the mask with the tips of his fingers. "It makes me look like a criminal or a monster."

"The mask might be intimidating to some," You acknowledge, crossing your arms together. "but it doesn't define who you are."

His eyes narrow slightly, though there's that twinge of amusement as he crosses his arms together, mirroring your body language.

"You're not scared of me, right, doctor?"

You meet his steady gaze, his own searching yours from behind the mask. There's a moment of silence, something unspoken lingering in the air.

"No, Mr. Moon, I'm not scared of you," You respond, keeping yourself composed. "I'm here to understand you."

He leans back, that hint of amusement still present on his face.

"I think you would make a great parent, doctor."

The unexpected compliment catches you off-guard for a moment, making you briefly at a loss for words. There's a slight blush that crawls up your cheeks, and you clear your throat, trying to regain your composure.

"Thank you." You give an appreciative smile. "That's very kind of you to say."

You see that flickering flame in his pupils again. It's a fire that seems to burn brighter with each passing minute, and it leaves you both intrigued and uneasy.

FLASHBACK: 2013

"I told you not to call me that!" Hui exclaimed angrily in frustration, his face turning a shade of red as he glared at you. The sudden outburst had caught you off-guard, and for a moment, found yourself at a loss for words. His face contorted with volatile frustration, and his hands clenched into fists.

"I apologise," You said calmly, doing your best to defuse the situation. "I didn't mean to upset you. What would you like me to call you then?"

He took a deep breath, visibly trying to calm himself down. His shoulders slumped, and his expression softened slightly.

"Just call me by my nickname, okay?" he urged, voice a tad less sharp now, but it's still enough to pierce. "Hui is fine. I hate my name! It's ugly. I want to forget about it𑁋I want everyone to forget about it! That name doesn't exist anymore, got it?"

"Of course, I understand." You leaned back forward in your chair, slow and cautiously. "But I want you to tell me why you stole crayons from Chaewon earlier in the rec room."

Hui only scoffed in response. "It's not that big of a deal. I only took a few from her. She'll forget about it."

"You took something from someone else without permission, Hui," You explained matter-of-factly. "That's a violation of their personal space and boundaries."

Hui's focus darted around the room for a moment, lips pursed and fingers messing around with the frays of his hospital gown. Then his gaze hardened once more as he landed back on you. His silence was almost unsettling as it stretched between you, but you remained patient, waiting for him to offer an explanation.

"Fine, whatever," he muttered, finally relenting. "I wanted them for a project I'm working on, that's all."

"A project? What kind of project?"

"Back in group therapy... They wanted us to create something meaningful or something𑁋something that means a lot to us, and I needed the crayons for it. So I took them from her."

It took a couple of moments before you nodded, acknowledging his explanation. "I see, Hui. It's important to express yourself through art or projects, but it's also important to respect others' belongings. Try asking for what you need instead of taking it without permission, okay?"

Hui's response was a simple, noncommittal nod, eyes holding onto yours a moment too long.

"Now, the next time you're back in the rec room, please say sorry to Chaewon whenever you see her, okay?"

Again, all he did was nod begrudgingly, his expression showing a hint of reluctance.

"Good." You gave him a proud smile. "That's all for today. Tell me about your project next session, alright?"

You felt his eyes on you as you grabbed your case notes and stood up, before leaving him in his room. And even though you were out of his room, you swore you could still feel the weight of his gaze on you.

PRESENT DAY: 2023

You find Moon Jun sitting on the edge of the bed once entering inside of his room, gloved hands folded neatly in his lap. The mask obscures his face as usual, but his dark eyes lock onto yours the moment you walk inside. The dim lighting in the room casts long shadows on the walls, and you find yourself drawn into those shadows as you take a seat across from him.

"Good afternoon, Mr. Moon," You greet warmly, taking your usual seat across from him. "How has your day been so far?"

He doesn't immediately respond. There's a hint of curiosity in his hooded eyes, but it's devoid of warmth. It's subtle, almost imperceptible, but you've learned to pay attention to the smallest details when dealing with patients over the years. It still sends a shiver down your spine.

"Just been like any other day in this place," he finally replies coolly.

You offer a polite smile and proceed with the session. "Is there anything specific you'd like to discuss for today's session, Mr. Moon?"

He thinks for a moment, tapping his gloved fingers lightly against his knee. The rhythmic sound seems to echo in the room.

"Are you interested in mythology, doctor?" he asks, and the question was certainly something you didn't expect him to ask. He continues, "I've always had an interest in it growing up, so I was wondering if you did too."

You chuckle quietly. "I wish I could say the same, but... I guess I found it intriguing at times."

"Surely you must have heard some stories though." He giggles at this, unclasping his hands together and propping himself right at the edge of the bed so that he's leaning forward, his masked face closer to yours. The dim light makes it hard to see his features clearly, and the shadows in the room seem to grow darker, more pronounced. "Are you familiar with the creature, the phoenix?"

You pause for a moment to think, before giving a slow, careful nod. "I've... definitely heard of it."

"The phoenix," he murmurs, voice a soft, hypnotic cadence. "It's a beautiful creature of rebirth and fire, isn't it?"

The mention of fire makes you shift slightly in your seat.

"Mr. Moon, I'm not entirely sure where you're𑁋"

You're interrupted as he leans even closer, his masked face now mere inches from yours, his dark eyes locking onto yours with an intense and unsettling focus. The shadows play tricks on your vision, making it feel like the walls are closing in on you.

"I just find it fascinating," he continues. "The idea of burning away the old and rising from the ashes anew. It's like a fresh start, a chance to be reborn. Do you believe in second chances, doctor?"

You swallow the lump in your throat. His intense gaze, shrouded by the mask, seems to hold you almost captive and confined to the chair you sat on, and his words seem to echo in the confined space.

"I... I believe that everyone deserves a chance to heal and grow, Mr. Moon," You respond carefully, trying to regain your composure. "But it's also important to work through the past before embracing the future."

He tilts his head slightly, as if considering your words. The room remains eerily quiet, the shadows deepening around you.

"Do you believe people can truly change?" he asks, voice softer now, almost pleading.

You take a deep breath, feeling the weight of his question sitting right on your chest.

"I believe that change is possible, Mr. Moon," You reply gently, choosing your words with care. "People have the capacity to grow and evolve, and to make choices that lead to a more positive outlook. But this varies from person to person𑁋if they are willing to put in the effort to do so."

For a moment, the tension in the room seems to dissipate slightly. The shadows on the walls appear to retreat, and the dim light feels less suffocating.

"Doctor," he finally speaks, voice low despite only being the two of you in the room, like he's telling you a secret. "what if... those flames of the past have burned too brightly, leaving nothing but ashes behind?"

You furrow your brows. "I-I would say𑁋"

"It's what happened to me, doctor, don't you understand?" he snaps suddenly, standing up from the bed to step closer to you. "You can't possibly understand what it's like to fucking lose everything, to watch it all burn in front of your fucking eyes! This is why I did this𑁋I put my life into the phoenix. I burned what was left of me, and now I'm here, in this absolute hellhole."

"Mr. Moon, I need you to calm down, please𑁋"

There's a flash of anger that shoots through his eyes, the flame burning in his pupils brighter than before. The atmosphere grows tense in the snap of a finger, and you instinctively stand up to bring yourself in the direction of the door to the room, maintaining a safe distance, acutely aware of the limited space and the fact that you're alone with him. There's an emergency button within reach where you can call for help whenever needed.

You can't get yourself to respond, feeling frozen from the way you can feel your heart pounding anxiously in your chest from his close proximity. He takes a step back, his hands trembling slightly as he clenches and unclenches them. The room seems to regain a semblance of normalcy, but the tension still lingers in the air, and you still can't move.

You watch as he cowers back towards the bed, leaving you standing next to the door. You felt as if you've been holding your breath, like you were submerged underwater and your fight or flight instincts were kicking in.

"You won't give up on me, right, doctor?" he asks, and the way he says it so weakly, naively, makes your head spin. "You can trust me, right?"

You smooth out your white coat, placing yourself back down in the seat across from him anticipatingly.

"I... I trust you," You mutter meekly. "I won't give up on you."

The corner of his eyes crinkle again. He's smiling. You can see it through the mask.

"How lovely," he states sweetly. "We're on the right track, then."

"Y/N𑁋I mean Dr. L/N, are you okay?" Seokmin's voice comes up from behind as you walk yourself towards your office, feeling completely and utterly scatterbrained from the events of the past hour.

As Seokmin's voice reaches your ears, you take a deep breath to steady yourself. You turn to Seokmin and offer him a reassuring smile, though it doesn't quite reach your eyes, but seeing him in front of you already makes you feel a tad bit better.

"I'm fine, Seokmin, thank you." Your voice carries a hint of exhaustion and residual unease. "Just a challenging session, but I'm okay."

Seokmin just nods, but as you were about to turn around, he says, "If you... uh, ever need someone to talk to or anything, just know I'm here for you, okay? It can be tough, I've heard."

You smile gratefully at him, this time genuinely reaching your eyes. It feels like a breath of fresh air talking to him.

"Thank you," You tell him. "I might just have to take you up on that someday."

Seokmin scratches the back of his neck shyly and returns your smile with a warm one of his own. "Well, you know where to find me."

You stand still for a moment as Seokmin begins to dismiss himself away to resume his rounds, but just then, you feel a sudden idea pop up in your head.

"Seokmin, wait!" You exclaim after the man, who immediately turns around to the sound of your voice, peering at you worriedly. "Actually, there's something... Could you do me a favour?"

His eyes light up curiously. "Sure, what do you want me to do?"

You step up closer to him, looking around to ensure no one else was listening in.

"Can you help find me more information about the patient in 610?" You lean in, lowering your voice to a hushed tone. "I'd like to know more about his background, more than what's in his file right now, or just anything that might help me understand him better."

Seokmin raises a brow briefly but nods either way. "I'll see what I can do, Dr. L/N."

FLASHBACK: 2013

The rec room was buzzing with activity as you entered, giving a chance for patients to interact with others and engage in activities outside of their rooms. Laughter, conversation, and the occasional burst of youthful energy filled the air; it’s a striking comparison to the somber atmosphere of the individual therapy sessions you usually conducted.

As you glanced around to find Hui, you finally caught sight of the boy sitting alone at a table in the very corner of the room. He appeared seemingly engrossed on the piece of paper in front of him, an array of crayons sat on the table. His focus was so intense that he seemed completely oblivious to the world around him.

You approached Hui's table with a gentle smile. "Hui, how are you doing today?"

Hui looked up from his drawing, eyes meeting yours briefly. "I'm fine," he replied coldly. "Just drawing."

You glanced down at his artwork, which depicted a scene of fire and destruction. The flames consumed a house, while stick-figure people screamed in the windows, their tiny, distorted faces twisted in agony. The only colours there would be that of the orange and red gigantic flame that enveloped the jagged, blackened lines of the house.

"That's... quite a powerful drawing, Hui," You commented as you took a seat right next to him. "What made you choose this subject?"

He shrugged nonchalantly, eyes not leaving his paper. "It's just what I felt like drawing."

"Is this supposed to represent what happened to your family?"

Hui only continued to mindlessly colour his drawing, his crayon moving across the paper with deliberate strokes.

"Maybe," he replied stoically. "I saw it all happen, but I couldn't do anything."

You studied Hui's face for a moment, but his expression remained blank, his focus entirely on the drawing. His mien was calm, almost eerily so, in comparison to the disturbing scene of destruction right below his fingertips.

"Can you tell me more about what you saw, Hui?" You asked him.

He glanced at you briefly, and for a moment, you thought you saw a flicker of something in his eyes. But it was gone so quickly that you couldn't be sure if you had imagined it.

"I already told you," he pressed. "I saw the fire, and I watched everything burn. It wasn't my fault that it happened."

You nodded, acknowledging his words, and continued to watch him work on the drawing.

"Did you ever feel sad about what happened, Hui?" You questioned.

Hui's face only remained impassive as he answered, "It won't change anything."

You could only think about all the trauma he must have endured𑁋from losing his family and being the sole survivor of such a ruinous event, to having to deal with all the emotions at once that it must feel almost numbing inside of him.

"Did anyone help you during or after the fire, Hui?" You prodded calmly.

He still didn't look up from his drawing. "Some firefighters came, and they put out the fire. But they couldn't save my family."

You felt that pang of sympathy for Hui as he mentioned the firefighters' futile attempts to save his family all while he was waiting right outside the house. It was clear that the traumatic experience had locked his emotions away behind a stoic, desensitized façade.

"I'm sorry to hear about your family, Hui," You said softly. "It's completely okay to feel sad or angry about what happened."

Hui's hand paused briefly in its colouring, but he didn't look up. You glanced down to the paper, noticing that he was drawing something in the corner, almost appearing like some sort of bird, like some sort of crow or cardinal.

"I don't feel much about it anymore. It's just the way things are."

Your eyes drift from his drawing, concern deepening, but you understood that emotional numbing was a common coping mechanism for trauma survivors. In a way, it's like a protective shell around oneself to prevent further pain. The emotional scars ran deep, and sometimes, it was easier for them to keep their feelings at bay rather than confront the overwhelming grief and sorrow that lurked beneath the surface.

That is what you attributed with Hui𑁋what you always had when he first came here. And you promised him patience and that it took time to fully heal.

"I'll leave you be now, okay?" You stood up from the seat, giving the young boy a reassuring squeeze to the shoulder.

Hui doesn't respond, still engrossed in his drawing. You took a step back, leaving him to his artwork, and decided to check on some of the other children in the room for the time being.

You swore you could feel his eyes on you as you walked away.

PRESENT DAY: 2023

Your eyes are practically lasering holes right through the manila folder of Moon Jun's file.

The file only houses the basics𑁋his medical history, therapy notes, and observations from the staff. But there's something missing, something you can't quite put your finger on. His background information is limited, and there are no records of any family members or relatives listed. It's as if he appeared out of nowhere.

A knock on your office door makes you jump, and you quickly open your eyes to see Seokmin standing there with a stack of papers in his hands, concern etched on his face.

"Sorry, did I startle you?" he asks, stepping inside your office.

You offer a tired smile. "A bit, but it's okay. Come in."

Seokmin walks further into your office, closing the door lightly behind him. He takes a moment to study your expression, clearly noticing the exhaustion and frustration on your face. You let out a sigh and lean back in your chair, rubbing your temples with your fingertips as Seokmin sits down right across from you.

"So, I tried to do some digging, as you asked." Seokmin places the stack of papers on the desk. "It wasn't easy to look into his medical history, but I think this might be important."

You straighten up in your chair, your exhaustion momentarily forgotten as you lean in to examine the stack of papers Seokmin has brought. However, what you expected is to see information regarding him, but instead, you see news reports.

"I... I don't know if any of these can be related, but I found a few unsolved cases of arson over the years. It might be the cause of his facial scarring," Seokmin explains. "I think one of them happened at an orphanage, another at an abandoned warehouse nearby, and another at a small church a few miles from here."

You carefully pick up one of the articles and start to read the details. The article mentions a fire at an orphanage several years ago that resulted in the tragic loss of lives. The incident remained unsolved, with no clear cause identified. Then you come across another article about the fire at the warehouse, and it, too, was a case that had perplexed investigators, leaving it unsolved.

"...and I also think there was one about a family from around... nine? Ten years ago? I didn't read all the details of it, but I believe only one survived𑁋"

That's when you feel your heart drop all the way down to the ground, into the ground at that point, eyes widening as the gasp that leaves your mouth cuts Seokmin off. You're already standing up, fingers trembling, as you frantically shuffle through the articles he had provided for you.

"Where can I find that one? Is it here?"

Your adamancy surprises Seokmin as he scrambles through the papers before taking one out and offering it to you. You take the article from his hands. The paper is slightly crumpled, and the ink is faded, but the headline is still clear: "Family Tragedy Claims Lives, Sole Survivor Emerges."

The only survivor was a teenage boy, whose name was redacted from the article for privacy.

But you know exactly who it is.

The article describes how he had been found by the firefighters, huddled on the lawn outside the burning house, his eyes blank with shock. Authorities had attempted to investigate, but the case quickly went cold due to lack of evidence. It also mentions that the boy had lost his entire family that night and was assumed to be too traumatised to provide any coherent information about the fire's cause, which later caused him to be sent to a psychiatric facility due to the trauma.

"Doctor, what is this?" Seokmin interrupts your thoughts as he brings up another paper from view.

You glance up from the article to meet Seokmin's gaze, the urgency in his eyes mirroring your own. He unfolds it carefully, and as your eyes scan the headline, your heart sinks further: "Tragic Fire Engulfs Local Psychiatric Facility."

As you read through it, you swear you feel the same flames dancing up the skin of your arms. This article reports a fire that occurred exactly ten years ago at the very psychiatric facility where both you and Seokmin currently work. You were there that night. It was only your first year as a psychologist at the facility, still learning the ropes of your profession. The memories you've long tried to suppress come flooding back.

The sound of alarms blaring, the acrid smell of smoke, the frantic efforts to evacuate patients, and the feeling of utter helplessness as the flames consumed parts of the facility. It had left scars on your soul, scars you thought you had buried deep over the years.

That boy was one of your first ever patients.

Your arms are itching again, and you can almost feel the searing heat from that night a decade ago.

"Y/N, are you... are you okay?" Seokmin asks. You can see the worry in his eyes, but you're not sure if you can answer his question.

You swallow hard, your throat dry as you try to find your voice. "Yeah, I just... Sorry, reading this article, and..."

That's when Seokmin gets it. "Were you..." His eyes lower down to where one of your hands is clawing anxiously at the sleeves of your arm, and he immediately takes away the article from view. "I-I'm sorry, I shouldn't have brought it up. I didn't know you were..."

You manage a weak smile as you bring your arms back down to your side, hugging yourself instead. "It's alright. You didn't know."

Seokmin doesn't seem entirely convinced, for a moment feeling stuck on what to say. "Are you sure that you're up for this? We can always𑁋"

"Yes," You say boldly. "It'll be okay."

You take a deep breath.

"I'll be okay."

"You seem troubled today, doctor."

In the dimly lit room, Moon Jun's observation is shrewd as always, whose calculating eyes seem to analyse every twitch of your expression as you both sit in the room together, right across from each other, with him hovering over you while you felt feeling like a cowering mouse trapped in a cage.

You flash him a faint, grateful smile. "I appreciate your concern, but let's focus back on you now, shall we?"

"Uh-uh, doctor," he taunts, crossing his arms together and shaking his head dismissively. Even in the darkness of the room, you swear you see his lips curl into a smirk under that damn mask of his. "If I'm not mistaken, you said at the very beginning that I have control over what I want to talk about in our sessions. I realise I hardly know anything about you! Isn't that funny? I consider you a dear friend, you know. You're the only person in this place who even makes the effort to talk with me."

The weight of his words suspend like a dense fog. You can hear the faint hum of the ventilation system, see the way the lone light fixture in the room seems to flicker intermittently. It plays tricks on your perception, making his features appear to morph and shift, all while his eyes are practically dissecting you.

"Friendship... is built on trust," You reply cautiously. "But our sessions are designed for your benefit. My role here is to help you, not the other way around, and my personal life is not relevant for this."

He leans in closer, his eyes never leaving yours, and you can feel his intense focus like a physical weight. You're caught in the gravitational pull of his eyes, his relentless gaze that seems to strip away your defenses. "But, doctor, how can you truly help me if you don't open up a little?"

He tilts his head, the mask inches away from your face, his eyes boring into yours.

"We could be more than what we are right now, couldn't we, doctor?" he whispers, feeling his cold breath against your skin even through the mask, and you close your eyes. "I could make you feel things you've never felt before𑁋"

"Stop! Please!" You yell out unexpectedly, hearing nothing but the unsteadiness of your breaths and the echo of your own voice in the dim room. Your eyes snap back open; he's not hovering over you, and the disturbing scenario you had just experienced was nothing more than a figment of your imagination.

Instead, Moon Jun is calmly seated away from you, watching you intently from the bed. There's a curious glint in his eyes, one that suggests he's found your reaction to be rather... entertaining.

"Doctor, you do seem to be quite troubled today," he remarks almost playfully, voice dripping with amusement that shoots goosebumps up your skin. "Seeing things, aren't we?"

You can't quite find the words to respond, and the sensation of his cold breath against your skin still lingers in your memory.

"You must think about me a lot, day and night possibly, if you imagine such things," he teases, and you feel the way his words crawl under your skin. "You probably wonder what lies behind this mask of mine, don't you? You're a special friend𑁋perhaps you deserve to see it."

You watch the way his gloved fingers toy with the edges of his mask, and for a moment, it seems like he's contemplating something. The room is so silent that you can hear your own heart pounding in your chest.

Then without warning, he reaches up and slowly starts to peel off the mask, revealing the face hidden beneath. Your breath catches in your throat as his visage is unveiled.

His face is tainted by a network of scars, the skin tissue looking raw and discoloured. The scars extend from his jawline up to his cheeks and forehead, giving his face an almost grotesque and nightmarish appearance. Some scars look like they were caused by something sharp, while others appear more like burns. There were also some that seemed almost... fresher than others. His lips, once hidden by the mask, are twisted into a smirk that sends shivers down your spine.

"You wanted to see, didn't you, doctor?" he asks, voice low and taunting. "You wanted to know what's behind this mask."

You can't tear your gaze away from his disfigured face, and you're overwhelmed by a mix of curiosity, horror, and a strange fascination.

"Are you surprised, doctor?" he continues, voice now tinged with mockery. "Do I look like a monster to you?"

You can't seem to respond just yet, eyes still peering over him as if trying to discern the features of his face. There's this wave of familiarity that seems to hit you, as if you've seen those certain details before. A nagging feeling tugs at the corners of your memory like a half-forgotten dream.

You squint, trying to connect the dots between the disfigured face before you and the dim recollection buried deep within your mind. The way the scars twist and curl, the faint traces of burn marks𑁋it's all so eerily and hauntingly familiar. You swear you've seen those eyes before. He watches your expression closely, as if he can read your thoughts, and those eyes that seem to follow your every move, your every thought𑁋

And then it hits you. It hits you like a freight train on the tracks that was beyond avoidable. It hits you like a tidal wave crashing against the shore of your conscience, leaving wreckage to be abandoned and forgotten forever in its wake. It hits you like a thunderstorm tearing apart a peaceful, sunny day.

"Hui...?" is all you manage to choke out.

Images from the past flash before your eyes𑁋Hui, the young boy you once knew, whose face was marked with troubled innocence and a haunting vulnerability that had drawn you to him in the first place. You had watched him grow, had nurtured the fragile trust he had placed in you. You recall your early sessions together, hearing all the painful details of the fire that had torn his life apart.

His smirk deepens, and his eyes gleam with an uncanny satisfaction.

"Hui died ten years ago, doctor," he says with a cold, haunting certainty. "He died in that same fire that set this place ablaze. I'm sure you remember that very well, don't you?"

The room seems to close in on you, and the memories of that fateful night come rushing back like a torrential downpour. The fire, the chaos, the screams. It had been a nightmarish scene, etched into your memory like the faint scars that plague your arms from that very night.

But before you could respond, you felt something vibrate in your pocket. It's the end of your session.

FLASHBACK: 2013

The fire alarm rang.

It was blaringly loud, completely jolting you out of your chair in the silence that carried through your office. Your heart raced as the panic had begun to sink in, the blood-red light of the alarm painted the muted colours of your office walls with a surreal, macabre-like glow, and the acrid scent of smoke was beginning to fill your lungs.

You reached for the door handle, but your trembling hands fumbled, and it wouldn't budge. You tried again and again, the cold sweat on your palms making it even more difficult to grip.

"Wh-What the hell?" You shakily muttered to yourself, before bringing your fists up to pound on the door. "Hello? Someone help me! I'm in here! Someone!"

The panic intensified as the fire alarm continued its relentless wail as you continued to pound on the door. Smoke started to seep in from the edges of your office door, and you could feel the heat of the flames approaching. You coughed, choking on the sharp fumes that stung your throat. It felt like the walls were closing in on you. Fuck, fuck, what do you do? How the hell was the fire spreading so fast?

You were trapped. You were going to die.

The windows! You remembered the windows. Desperation drove you to the large window on the wall. Instinctively, you grabbed a chair and used it to break it, the sound of shattering glass ringing in your ears, the shards grazing against your skin and the palm of your hands, making you let out a sharp gasp. Blood trickled from the cuts on your hands, and as you peered down to the ground below, you realised that you were too high above the ground for a safe jump.

The fire was only getting closer and closer.

As you hesitated by the shattered window, a muffled voice from the hallway reached your ears. "Is anyone in there? We're trying to get you out!"

Your eyes widened as you stumbled back to the door. "I'm in here! Please help!"

"Step back! We're breaking down the door!"

You stepped back from the window as much as you could and away from the smoke, feeling the flames inching closer. Your vision blurred as you fought to breathe, eyes stinging with tears from the dry air.

Moments later, a loud crash resounded through the room as the door burst open. A group of firefighters rushed in, their protective gear making them look like otherworldly figures emerging from the haze. They quickly located you, wrapped you in a fire-resistant blanket, and led you to safety.

Once you were outside, an emergency medical team checked you over for any injuries, plastered up your arms, and administered oxygen. You were shaken, bruised, and suffering from smoke inhalation, but you were alive. Somehow. In some way.

Then, you found your mind drifting back to Hui. Did he manage to get out safely? Where was he? Questions swirled in your mind as you watched the firefighters work tirelessly to contain the blaze. God, he must not be in the right state of mind after witnessing yet another fire himself.

"Excuse me..." You weakly called out to a paramedic, voice barely a whisper.

The paramedic turned to you, concern etched on their face beneath their protective gear. "Yes, are you okay?"

You swallowed hard, barely getting your words together. "I was in there... in the building. I have some patients... uh... Do you know if they made it out? I need to know if they're safe."

The paramedic exchanged a glance with another passing colleague, eyes hidden behind their mask, before returning back to you and shaking their head.

"We're still searching for survivors and dealing with the fire," they explained. "We can't give you any information right now. I'm truly sorry. I'll let them know to keep a lookout. Can you describe them for me?"

You described what your other patients and what Hui looked like as much as you could, and the emergency worker took down all the information before walking away to tend to others.

The silence that followed was suffocating, perhaps even more than what you endured inside the building, and you found it difficult to hold back tears of frustration from flowing down your face.

As the smoke gradually dissipated and the flames were brought under control, the once-deafening alarm was reduced to sporadic chirps and the occasional distant rumble of falling debris. The scene around you was one of destruction, merely charred remains of a place that was filled with hope and healing.

You glanced down at your trembling, injured hands and arms and see the cuts from the shattered window, yet the physical pain was nothing compared to the anguish in your heart, and the fear and guilt that gnawed at you. You lost patients whom you had sworn to protect, had sworn𑁋no, promised to heal.

It was only when the search and rescue teams began to wind down their efforts that you realised the search for Hui had come with no results. All of your other patients were safe, but him. There was no sign of him anywhere, as if he slipped off the face of the earth.

A firefighter approached you some time later, his face covered in soot appearing both exhausted and empathetic.

"I'm sorry," he spoke, voice heavy with regret and defeat. "We've searched every area we could access, but we haven't found anyone else. The fire was intense, and... I'm truly sorry."

His words hit you like a hammer blow, and you felt your heart sink even further. You had dedicated your life to saving others, and yet it seemed that you might have failed to save one.

"Thank... Thank you for trying," You mumbled to the firefighter, nodding in acknowledgement. "And thank you for risking your lives to save us."

PRESENT DAY: 2023

The clouds outside obscure any hints of sunlight, and the overcast sky casts a sad, grey hue over the world outside. The room feels dim and lonely despite the overhead lights. You try to ignore that particular gnawing feeling to your skin as you sit at your desk, waiting for your next session with Moon Jun to start. It'll happen anytime now𑁋perhaps the more you anticipate will make time go by slower.

However your thoughts are interrupted by the soft knock at your door, and you look up to see Seokmin standing there. He offers you a warm smile as you motion for him to come inside, and you swear you see small ray of sunshine break through the clouds outside at the corner of your eye.

"Hey, how're you holding up?" he asks. "I wanted to check up on you."

You tilt your head a bit giddily at the sight of him. "We just had lunch break together, Seokmin."

He rolls his eyes at this, scratching the back of his neck bashfully. "I know, I know, but I... Well, is there a rule here that says I can't see you twice in one day when we're not working?"

Your lips purse together thoughtfully. "I guess not."

"Good." He grins, but it's quick to fade once he takes another look at you. "so... how have you been?"

The soft concern in Seokmin's voice is almost like a comforting hug for your ragged nerves. Normally it's your duty to ask your patients those kinds of questions, not the other way around. You offer him a tired but appreciative smile as he settles into the chair across from your desk. It's a rare moment when the roles are reversed, even if it's just for one short minute.

"You look tired," Seokmin points out, and it makes you let out a chuckle, even though it's tinged with weariness.

"You have a good eye, Seokmin," You reply playfully, and he blushes at this. "Do you want to know what I've been dreaming about the past few weeks?

Seokmin thinks about it for a second, then his eyes widen slightly.

"Is it... the fire?" he queries, hoping there's that small chance he might be wrong.

Your steady gaze meets his.

"Yes," You admit casually. "It's always the fire."

Or specifically, it's the fire and the guilt that you weren't able to save anyone, and it had been eating away at you ever since that fateful day.

His face softens at this, then he feels himself hesitate for a brief moment, before slowly reaching out to place his hand over yours on the desk. His touch is warm and reassuring, and you can feel the genuine concern in his eyes.

"I-I'm sorry you have to go through that, I wish there was a way I could... you know, stop you from reliving those kinds of things." His words make your lips twitch upwards, and he knows he's done something right. He finishes your smile with one of his own. "But... you're not alone in this. Just know I'm here."

"You've been helping me this entire time, Seokmin," You assure him. "If anything, I should be the one thanking you."

The weight of all the memories and unhealed scars left behind still cling to you like shadows. But in the presence of Seokmin, the burdens seem a little lighter, the darkness a bit less suffocating. The room seems a bit less lonely as you both sit there, just like all the days you eat lunch together where you seem to look forward to seeing him sit with you, and the sound of the clock ticking on the wall serves as a reminder that time keeps moving forward.

Before you know it, it's as if you've been struck by a gong that you could only hear, and you knew it was time to move forward with your session. You take your hand away from Seokmin as you stand up, and he follows suit.

"Y/N, wait, um..." Seokmin stops you before you could leave, and you turn back to him. "If something bad happens, or if you need anything, don't hesitate to reach out to me, even outside of work. I... want to make sure you're okay."

His words warm your heart, and you shoot him a thankful look.

"I know I can," You say, while opening the door to the outside of your office. "Thank you, Seokmin."

When you enter inside room 610, you spot Moon Jun sitting on the chair that you were supposed to sit in, his posture relaxed and arms crossed almost impatiently. He didn't wear the mask on his face, and he appeared confident, somewhat smug. It was the only other chair in the room. The other place for you to sit would be... the bed. This isn't how a typical therapy session begins.

"Doctor, I was just thinking about you!" he exclaims excitedly. "Please, go ahead and sit down on the bed. I thought it would be great to change things up a little. You wouldn't mind, would you?"

You hesitate for a moment, glancing between him and the bed. Maintaining your professionalism, you make your way to the bed and sit down, folding your hands in your lap. Something brushes against your leg for a moment, you look down to see a sheet of paper sitting next to you, and a plethora of crayons resting on top.

"Please bare with me for the mess, I was busy drawing before you came in," he tells you, voice almost cheery and... delighted?

As you sit on the bed, his demeanour only raises more questions than answers. He appears unusually relaxed, and his eagerness is disturbing. It's unlike him.

"Of course, that's fine with me," You tell him casually.

There's a grin that spreads across his scarred face, and it brings an uncomfortable twist to your stomach, but you don't let it show, though at this point you feel that he can sense your nervousness, your unease, knowing there's history between you two you thought to have burned away in the back of your mind.

Yet it had all come back just like his reemergence back into your life𑁋into something more sinister.

"He talks to me sometimes, even though he's perished in the flames," Jun begins, grabbing the paper right next to you. "You remember his drawings, right? Back in that big, bright room... where beneath all those smiles of the other patients was just... hopelessness."

Then he flips the paper over, and you find yourself peering at a drawing of flames, and the uncanny similarity to Hui's artwork all those years ago cannot be ignored. You see the same vivid depiction of flames, the swirling reds and oranges dancing on the page, and the black lines of its remains. But more than that, it's the emotions that these drawings evoke, the overwhelming sense of dread, and the traumatic memories that it unsheathes. He's the personification of the fire that scarred you all those years ago.

You feel a lump form in your throat. "Hui..."

"I-I am not Hui!" he wails out unexpectedly, voice shaking with anger. His hand grips the crayon so tightly that it snaps in his grasp, the colour streaking across the paper. "Hui is dead, remember? Burned by the flames?"

"If you're not Hui, then who are you?" You ask almost pleadingly.

His fingers toy with the broken crayon as he leans in closer, his disfigured face mere inches from yours. His gaze pierces through you like a knife, and in the dimly lit room, the shadows play tricks on his scarred face, making his disfigurement seem even more malformed.

"The phoenix, don't you remember, doctor?" He chuckles lowly. "It's a creature reborn from the ashes of its own destruction, risen from the flames just like me. Rebirth and fire, doctor! You haven't been paying attention, have you?"

You sense the panic seeping inside you, causing your heart to race. His words send shivers down your spine, and you realise that he's explaining with a belief that goes beyond mere delusion, beyond repair. The scars on his face are only a fraction of the damage done. He claims to have risen from the ashes, taking on a new identity, giving him this motive of... cleaning the world with fire.

Cleaning the world...

...with fire.

Ashes of its own destruction....

"You..." You slowly rise up from the bed, the room suddenly feeling too confining. The door seemed like it was miles away, and you find your breathing shaky and unsteady. "You were... you caused those fires, didn't you?"

His eyes fixate and narrow down on you as you stand up from the bed, and a sly smile spreads across his scarred face. His gaze is intense, and you feel like you're trapped. You recall the sessions you had with him years ago that you thought were leading him toward healing. But now, you face a man who has fully embraced a twisted ideology.

"I didn't cause those fires," he responds with eerie calmness. "I simply set things in motion."

"You𑁋You killed innocent people, you were the one... from ten years ago... You𑁋"

"They were all lost, meaningless, and I brought meaning to their lives. What's so hard to understand?" he deadpans.

"You killed your family," You state. "How can... how can you justify that?"

"Hui killed his family, I didn't," he claims, crumpling up the piece of paper in his hands. "Hui started all of this, I'm merely just a follower. He was misunderstood his entire life, and you promised him healing, which you didn't fulfill."

The room feels like it's boiling you alive, and you're stuck in an endless maze of his twisted delusions. There's a sense of helplessness as you try to reach through to the man behind the scars, the one who once sought your help, but you fear that he's too far gone.

"Jun, this isn't the answer. The… the phoenix is not real,” You plead, your voice trembling. "Hui was troubled, yes, but violence is not the path to understanding or redemption. It only leads to more pain and destruction."

His expression only hardens as he throws the crumpled up piece of paper on the floor, gloved hands forming fists at his side.

"You think you can help people by sitting in your comfy chair, listening to their problems, and scribbling notes on a fucking notepad." He scoffs annoyedly, leaning back in his chair. "You're just like all the others, doctor, so dumb and worthless. You never understood... You say that you do, but you don't."

And just as you were about to speak, you watch him pull something out of the pocket of his patient gown. You squint your eyes, and a gasp shudders out of you when you notice what's in his hands.

A lighter.

"You people are just so gullible, all while you're thinking you're helping," he mutters, flicking the lighter on. The tiny flame dances at the tip, casting bizarre shadows across his scarred face. "When in reality, you're laughing behind our backs with your stupid cigarettes and your fancy degrees. You wouldn't believe the things you can find in a place like this. It's amazing what people leave lying around."

There's an arrow that penetrates through your heart, an arrow of betrayal, helplessness. How can he think of you this way when you dedicated your entire time to helping him heal all those years ago? How can he, of all people, not see that your intentions were always to provide support and understanding?

You can feel the room heating up, not just from the small flame but from the growing tension. Jun's eyes are locked onto the flickering fire of the lighter, and his words are plagued with bitter resentment. You attempt to scurry to the door, but he blocks your way, nearly shoving the flame of the lighter in your face.

"Don't you see how beautiful this is, doctor?" he utters in a trance-like state, as if the flame was hypnotising him. The orange and yellow hues reflect onto his soulless eyes. He moves the lighter dangerously close to your face, and you can feel the searing heat radiating from the tiny inferno at the tip of your nose.

Your heart pounds like a beating drum, beads of sweat form on your forehead, and your breathing quickens as panic threatens to engulf you. But his gaze only remains possessed on the fire, as if he's being consumed by the very flames he holds in his hands.

"It's so beautiful how something so small can hold so much power," he murmurs, voice barely more than a whisper.

"This... This isn't the way to find meaning or healing," You respond, slowly backing away from him, trying to create some distance between the flame and yourself. "Fire and destruction only lead to more suffering, more pain. It's not the answer, Jun."

For a split second, something flickers in Jun's eyes, as if a fragment of his former self tries to break free from the shackles of his obsession. But it's a fleeting moment, quickly devoured by his fixation on the fire.

"There are... There are people who want to help you. Don't you remember all of our sessions together? All the... all the breakthroughs we had? You were making progress, Jun. You were on your way to healing." You bring your hand up as if in defense, watching him closely as he steps the tiniest inch closer to you. "I... I want to help you, I always have. I..."

He stares at you, and for a moment, it seems like your words might be getting through to him.

"Let me help you, Hui."

But just when you think your words may have struck a chord, his face contorts into a menacing grin and you can see the flame reflect onto his eyes. The last fragile thread of sanity that seemed to linger has snapped.

"You failed Hui that night, just like you failed me." He chuckles darkly. "You couldn't save us. Do you really think you can save everyone, doctor? Do you really think all the patients you've helped all these years are any better off now?"

Now, you found yourself speechless, a tight grip around your throat from his words.

He laughs coldly, waving the flame in front of your face once more. "You're so blind, doctor. You want to heal and save everyone, but you can't save me, and you can't save yourself. I can see it in your eyes."

He’s getting in your head, you know he is. He's trying to loosen your grip on whatever reality is𑁋attempting to unravel in your mind that you were, in some way, responsible for the events that had occurred over the years, forcing you to succumb to the guilt placed on your shoulders. You've never dealt with someone so deeply rooted to their own twisted reality. You can't reason with him.

It's impossible.

But you refuse to be the victim of your own past just like you had made yourself to be.

"Junhui," You call out urgently, and the use of his real name brings a harsh, foreign taste to your tongue. You notice the way he flinches slightly to it. "That person still exists inside you𑁋I-I know it does. Please, let that part of you come back. I'm here to listen, to understand, and to help. No matter what you believe."

The flame continues to sway at the end of the lighter, yet his face remains deformed into that unsettling grin, but your words seem to have given him a momentary pause.

"You think you can bring him back?" he hisses, bringing the flame away from your face, stretching his arm out toward the side. "He's dead, doctor. It's too late."

And with that, he tosses the lighter in the direction of the bed, and a cascade of flames quickly engulf the sheets, the crayons, the drawing, everything. Horror sets in as you watch the fire rapidly spreading, consuming the room, and overhead the fire alarm screams into action.

"Isn't it beautiful, doctor?" he guffaws as the flames devour the room, eyes wide with awe. "It's so perfect... So beautiful..."

Nothing but Jun's laughter fills the air as he watches the flames lick up the once-white walls with a maniacal fascination. The flames flicker and crackle loudly, casting shifting shadows on the walls of the room. You dart towards the door, but the intense heat and smoke make it nearly impossible to breathe or see, and you cover your mouth and nose with your hand. Coughing and vision disoriented, you stumble and hit the floor with a thud, weakly pounding your fists against the door.

"Someone help!" You shout desperately, the words barely escaping your mouth. "Someone help! I-I'm in here! Anyone, please!"

The room is suffocating you whole. You can hardly even see where Jun is amidst all the smoke, yet his laughter still rings in your ears, fogging away all your thoughts. You keep pounding on the door, voice hoarse from shouting, skin tingling with heat, but there's no response from the other side.

So this is how you're going to die, You think to yourself, leaning back against the wall like you were accepting your fate, and the thought makes you chuckle at the irony.

Time seems to stretch into eternity. But just when it feels like all hope is lost, the door bursts open, and a strong hand reaches in, grabbing your arm and pulling you out of the room and into the chaotic corridor. In the corridor, the fresh air is quick to fill up your lungs. You gasp for breath, your heart racing, while the fire alarm continues to blare.

It's Seokmin who pulled you from the room, and you can hardly make out his face from your stinging, watery eyes. He wraps a protective arm around you as you both stumble away from the dangerous room, mixing with the rushing crowd of staff and patients all being guided outside to their safety.

"Y/N, are you okay?! Stay with me!" Seokmin continues to pull you through the corridor, shielding you from anything that you might run into.

You only manage a weak nod, still coughing from all the smoke. Your mind is racing, and you can hardly tell where you were going, but you trust Seokmin's guidance as he leads you further away from the scene of the fire. The sounds of sirens and shouting surround you, and the sight of the smoke floating out from the room you just escaped haunts your thoughts.

When the brightness of the outside hits your eyes, you catch your breath and fall out of Seokmin's grasp and down to the ground. Firefighters and police officers quickly brush past you and into the building as Seokmin pulls you up once more to lead you in the direction of the paramedics and ambulances.

"Here, sit down." Seokmin places you on the stair of the ambulance and helps you out of your white coat before wrapping a blanket around you. "Can we get some help over here?"

A paramedic approaches, checking you over and providing oxygen to help clear your lungs of all the smoke you inhaled. Your heart is still pounding in your chest as you sit there, trying to process what just happened.

Seokmin places himself right next to you, scanning over your features closely. You look over at him, and he gives you a reassuring smile, pushing away some disheveled strands of hair so he could properly see your face.

"You're going to be okay," he assures you, rubbing some comforting circles on your back. "Just take deep breaths and try to relax. They'll take you to the hospital to make sure you're alright."

You give him a nod, feeling a bit more security from him than the blanket draped over your shoulders right now. The two of you sit there for a few minutes, calmly watching the chaos begin to subside. It didn't look like the fire damaged much in terms of the outside of the building.

"I'm going to see if I could help around," Seokmin says, standing up. "Just stay here, okay? I'll be back before they take you to the hospital."

Just as he begins to walk away, you hesitate for a second, before calling out his name, "Hey, Seokmin?"

He turns back to you, a look of concern in his eyes. "Yes? Do you need something?"

You reach out your hand toward Seokmin, silently gesturing for him to come closer. He approaches, and without a word, you pull him into a tight hug. You feel him freeze in your grasp, before his arms fully encircle you in return, tightening the hug, and for a moment, the world around fades away as you hold onto each other. You can feel his heart beat a bit faster than normal against your chest, but you don't acknowledge it, and neither does he.

Eventually, you reluctantly pull away from the hug, but you don't let go of Seokmin's hand just yet.

"Thank you," You whisper. "for everything."

His gaze softens as he looks at you, before glancing away shyly. It makes you chuckle.

"No need to," he tells you. "I'm... I'm just happy you're safe."

The two of you stay like that for a moment, with you closing your eyes to steady your breathing while Seokmin continues to hold your hand, and you can feel the tension in your body slowly easing.

Seokmin's smile is warm, and he squeezes your hand gently. "I'll be back soon, okay? Just hang in there."

With that, he leaves your side to assist the emergency responders, leaving you seated on the ambulance's stairs, wrapped in a blanket. Your brows furrow together, trying to make sense of the situation and all the events that just transpired. The fear, the confusion, the mania that gripped the lost man back in that room𑁋it all swirls within your mind. The lingering scent of smoke fills your nose, and you swear and you can still feel the heat on your skin even though the air was cool outside.

As you sit there, lost in thought, suddenly feeling disconnected from the world around you, you find yourself questioning the nature of your profession and everything you ever believed about it. Could you have done something differently? Were there signs you missed that might have prevented this particular descent in delusion? Was he right, and you were blind this entire time? Not just for him, but for everyone you've helped?

Were you really this dumb and worthless?

Or perhaps was it impossible to save him this entire time...

...and he was too far gone?

That hefty burden of guilt, both for your inability to help him in the past and in the present, weighs heavily on your shoulders. What's for sure is that this will forever be an image tainted in your mind, scarred just like the man who brought destruction and chaos to your life today, and that particular day ten years ago.

You don't know how long you sat there until Seokmin returns, yet when he comes up to you, his face appears disturbed and... paranoid?

"They've got the fire under control. It didn't spread much farther than the room," he informs you, catching his breath. "It seems like nobody else was hurt."

"That's good to hear." Your eyes roam over his features, taking in the tense expression to his face. "Is... is everything okay? How about..."

He sits down beside you, expression still apprehensive. You can see the flicker of concern in his eyes, and the remnants of the chaos from moments ago are still evident in the way he holds himself. His gaze meets yours, and you notice a small shift in his demeanour, as if there's something he's struggling to express.

Seokmin darts his attention around, as if making sure no one was listening in, before taking a deep breath and leaning in.

"They... They said they didn't find his body in the room," he mutters, and it's so quiet you hardly make out what he says. "It's... It's like he escaped."

Your heart drops. A sinking feeling settles in your chest. Dread washes over you at his words.

"W-What?"

another another note: sorry if u expected some sort of romance w jun (which would kinda be weird for the story tbh), but feel free to imagine whatever u want w our dear seokmin. cgrats on making it to the end of the longest oneshot i’ve made so far on this blog 😍🫶

taglist (open) ʚɞ @enhazen @haowrld @ylliris-hanniehae @icyminghao @slytherinshua @jeonride @lockburn-castle @vrnism @weird-bookworm @mhlsymlysn @ryuwonieebae @yeonjuns-redhair @wonwooz1 @rubywonu @etherealyoungk

448 notes · View notes

kokoch4n3l · 3 months

Text

DEAD GIRL'S BEACH࿐ྂ "just givin' the same care you gave me, bunny. so whatcha' crying 'bout?"

(KUROKAWA IZANA x f!oc x SANO MANJIRO)

summary: she is a newly graduated psychiatrist and unfortunately, very broke. she gets a job at Sunshine Grove Psychiatric Hospital and catches the attention of a very dangerous patient who likes to hold grudges, even against those who are oblivious of their actions...

pairings: izana x f!oc, chifuyu x f!oc(one-sided), mikey x f!oc

warnings: DARK CONTENT, violence, toxic behaviour, possessiveness, gang violence, criminal activities, drug and alcohol use, mentions of prostitution, non-con elements, non-con drugging, drugged sex, drug addiction, overdose, drug withdrawals, withdrawal symptoms, near-death experiences, extreme violence, past child neglect/abuse, betrayal, misogyny, murder, strangulation, inaccurate depictions of psychiatric hospitals and medical treatment/conditions, stockholm syndrome, emotional incest, polyamory, torture, age gap(9, 6, 5 years), masochism, sadism, voyeurism, hard kinks, piv, smut, psychological horror, power imbalance, torture, waterboarding, fear play, major and minor character deaths, UNHAPPY ENDING,(MORE TO BE ADDED)

total series word count:

moodboard | headcanons & character info

ONE — mr kurokawa

chapter summary: enter Kaneko Maya, a newly graduated psychiatrist with a shit load of student debt racked up and her scary but hot patient from 4th floor, Kurokawa Izana.

cw: unrequited love, inaccurate depictions of psychiatric hospitals, usage of drugs, mentions of gang violence, mentions of pedophiles, mentions of suicide, mentions of addiction, mentions of alcohol, f!oc with absolutely zero self-preservation skill

—

TWO — beachy dreams

chapter summary: Maya finds herself at Chifuyu's place with his rowdy friends before hitting the club and she's drawn into flirtatious exchanges with a mysterious club owner. Tensions arise when a revelation links Maya's work to her social circle. Izana gives her an intriguing invitation.

cw: mentions of body image, clubbing, alcohol use, intoxication, mentions/implications of forced prostitution, mentions of gang violence, inaccurate depictions of psychiatric hospitals, f!oc with zero self-preservation skills

—

THREE — iv bags and daffodils

chapter summary: Maya faces a moral dilemma, trying to pick between her livelihood and ethics all while under the watchful eye of the hospital director and her patient, Kurokawa Izana.

cw: inaccurate depictions of psychiatric hospitals, mentions of alcohol, mentions of depression, drug use, allusions to sex, abuse of authority, power imbalance, unethical use of drugs, mentions of alcohol, mentions of rape, mentions of murder

—

FOUR — drunk walk home

chapter summary: Amidst the emotional turmoil of guilt due to her job and Izana's treatment, Maya is left to grapple with the harsh reality of unreciprocated love after spending the night at Kazutora and Chifuyu's place.

cw: alcohol use, intoxication, insensitive comments, (badly written)sexual content, (kinda consensual)drunk sex, penis-in-vagina sex, implied multiple rounds, loss of virginity

—

FIVE — little bunny

chapter summary: with the apparent lack of staff at the hospital, Maya has no choice but to clock in despite her begging for a day off and goes through an unforgettable night. good thing she's wearing running shoes.

cw: minor character death, suicide ideation, self-loathing, mentions of vomiting, corruption, exploitation, death threats, murder, torture, blood, gore, non-con drugging, unethical use of drugs, use of weapons, noncon/rape(not mc), noncon touching, mentions/implications of forced prostitution, inaccurate depictions of psychiatric hospitals, f!oc with zero self preservation skills

—

SIX — the beach house

chapter summary: willing or unwillingly, Maya takes up Izana's invitation and he shows her just what he was feeling the past two months he was admitted into sunshine grove.

cw: DARK CONTENT 18+, abduction, murder, chase scene, noncon drugging, blood and gore, vomiting, physical abuse, slapping, death threats, waterboarding, torture, drowning, near-death experience, dehumanization, objectification, noncon touching, enabler!shion, psycho!izana, PTSD(post traumatic stress disorder), panic attacks, making out

—

SEVEN — the sano family

chapter summary: Maya learns the shocking truth and the tragic life of the Sano Family, all while Chifuyu and Naoto search for answers.

cw: MANGA/ANIME SPOILERS, bribery, noncon drugging, mentions of different torture methods, past waterboarding, vomiting, murder, mommy issues, implied child abuse/neglect, cheating, dehumanization, dubcon, noncon, coercion, choking, thigh riding, humiliation, making out

—

EIGHT — open water

chapter summary: After a phone call with Chifuyu, Mikey and Maya begin to drift closer like two boats caught in a storm and Izana watches with great interest, getting ready to crash down on both of them when the time is right.

cw: dark content 18+, corruption, bribery, implied/referenced prostitution, wet dreams, masturbation(m), jerking off, narcissist!manjiro, mention of past waterboarding, torture, noncon drugging, dehumanization, (slight)humiliation, hand kink, finger sucking, murder, dom/sub undertones, making out, soft dom!manjiro, praise kink, fingering(f receiving), overstimulation, biting, hickeys, multiple orgasms, cunnilingus, slightly unrealistic sex, smut, p in v sex, vaginal penetration, dacryphilia, creampie, unprotected sex, aftercare, brief mention of Korean + Japanese history, gang activity, mention of suicide

—

NINE — spider

chapter summary: with a drug deal gone awry, and multiple drug rings raided, Izana decides that he and Mikey need to blow off steam.

cw: dark content 18+, unreliable narrator!maya, stockholm syndrome mentions of suicide, depiction of corpses, blood and gore, character death, funerals, murder, mentions of drugs, police raid, use of weapons, corruption, bribery, mentions of suicide, implied memory loss, implied dissociation, torture, forced drugging, withdrawal symptoms, addiction, vomiting, power imbalance, dehumanization, humiliation, drugged sex, MAJOR dubcon, noncon(tagging this just in case), no prep, unprotected sex, p in v sex, extortion, hickeys, bondage, ruined orgasm, voyeurism, drug use/misuse, fingering, threesome(kinda), making out, unsafe sex, temperature play, waxplay, dacryphilia, sadomasochism, creampie, aftercare, first-degree burns

—

TEN — i don’t smoke

chapter summary: Kakucho forces Maya to face the reality of her situation and Izana reveals some not so nice things to her

cw: DARK CONTENT 18+, unreliable narrator!Maya, vomiting, drug use/misuse, withdrawal symptoms, possibly inaccurate depiction of at-home withdrawal care/survival, first-degree burns, depictions of injuries and burns, blood and gore, hickeys, bite marks, kissing, thoughts of self-harm, emotional manipulation, slight infantilization, betrayal, dehumanization, depiction of corpses, mention of suicide, MAJOR noncon(not detailed), noncon to dubcon, allusions to sex, unprotected sex, forced orgasm, coercion, implied creampie, memory loss, dissociation, past torture, past waterboarding

—

ELEVEN — what was i made for?

chapter summary: Izana gets carried away and Kakucho and Maya do damage control, bringing them right back to the start.

cw: dark content 18+, character death, depiction of corpses, corruption, slight religious themes, suicide mention, suicide attempt, suicide ideation, self-loathing, slight hanagaki takemichi slander, scarring, bite marks, implied relapse, drug use/misuse, mentioned drug addiction, withdrawal symptoms for unnamed drug, possibly unrealistic/inaccurate withdrawal care, possessive!izana, betrayal, mentions of past torture methods(noncon drugging, waterboarding, noncon, noncon waxplay, first degree burns), emotional manipulation, mental health issues, MAJOR dubcon, unprotected sex, no prep, piv, making out, nipple play, hair pulling(m), multiple orgasms, tummy bulge, creampie, implied cockwarming, implied dissociation, aftercare, possessive!manjiro, noncon, mirror sex, coercion, forced orgasms, hair pulling(f)

—

TWELVE — his dead girl’s beach

chapter summary: Mikey thinks about the past while Maya tries to remember what she missed. Izana helps Kisaki choose an engagement ring.

cw: dark content 18+, self-loathing, mental health issues, mentions of scars, mentions of burns, drug addictions, drug use/misuse, withdrawal mentions, mental breakdowns, emotional manipulation, stockholm syndrome, past noncon, infantilization, possessiveness, emotional incest, mommy issues, dehumanization, oral sex(f receiving), cunnilingus, fingering, implied multiple orgasms, slight hair pulling(m receiving), praise kink, dacryphilia, dom/sub undertones, overstimulation, aftercare, slight ooc!Kisaki, draken & og toman slander, mental health issues, depression, vomiting, toxic and unhealthy relationships, implied emotional abuse, past character death, past picture taking, implied voyeurism, scars, memory loss, kissing, smut, handjob, piv, no prep, dissociation, creampie, use of guns, blood and gore, depiction of corpses, major character death

—

THIRTEEN — can’t catch me now

chapter summary: Mikey goes to the Philippines, leaving a trail of bodies behind him. Takemichi returns to the future. Maya keeps her promise to Izana.

cw: dark content 18+, manga and anime spoilers, multiple character deaths, murder, guns, use of weapons, stabbing, mentions of suicide, blood and gore, depiction of corpses, scars, torture, depiction of wounds, unhealthy attachments, toxic and unhealthy relationships, vomiting, suggestive themes, mental health issues, depression, dark impulses, emotional manipulation, blackmail, corruption, bribery, torture, allusions to sex, suggestive themes, dehumanization, toman + draken slander, slight grandpa sano slander, non-linear narrative in one part, slight emotion incest, funerals, grieving

—

BONUS — sugar bunny

chapter summary: how Maya's first day on the job would have gone if she had been nosy or, Izana and his sugar baby bunny

cw:

—

BONUS — we can't be friends(wait for your love)

chapter summary: in another life, another timeline, Mikey and Maya's first meeting goes a little differently

cw:

notes: cross-posted on my wattpad and it will be updated there before on here. I DO NOT condone any of these behaviours or any crimes committed in this fic. This is purely for my own entertainment. Please read all the warnings before each chapter.

All medical terminology is inaccurate and inconsistent as I know nothing about psychiatric hospitals. However, this is a fanfiction so I will write the way that fits the plot the best.

Takes place during the Manila Future Timeline with bad Toman. This fic is simply my take on what happened during that timeline and it will include many canon aspects from the Tokyo Revengers manga/anime.

I CAN NOT write [y/n] fics to save my life so the oc has a name. If you do not like that, then do not read, simple as that.

Enjoy! Asks, reblogs and comments are highly appreciated. It gives me the motivation to continue writing.

this work belongs to me. do not copy or steal my work and do not use my work in any AI or chatgpt program. I also do not want any republishing or binding of my work

banners all done by myself

all dividers by @benkeibear

205 notes · View notes

bioethicists · 1 year

Text

my genuine response to anyone who crawls into my inbox demanding that i adjust my own beliefs about psychiatry by saying "well my providers give me tons of autonomy + respect + care about me" is

1) i am, from the bottom of my heart + without sarcasm, incredibly glad. i will never wish psychiatric abuse on someone.

2) being honest with yourself- is there something you could you do that would make them take that away from you? being suicidal? taking certain drugs? seeing things they don't see? declining medications? believing things they don't believe? declining their medical advice? would they still treat you like this if you were a Bad Patient? if they did, would you think you deserved it/'needed' it?

no answer to this question necessarily requires you to invalidate your own experiences or abandon your support systems/providers. it's inviting you to consider that some of us live in the contextual realm of 'Bad Patient' + existing in that realm (or receiving that label, or one like 'noncompliant', 'difficult' 'treatment resistant') targets us for mistreatment from even the kindest/most 'progressive' providers.

#anti psychiatry

2K notes · View notes

Last Seen Blogs

maethrilliansgallery

Maethrillian's Gallery

profesionalhaji

Untitled

doubtstars

— &. 𝚌𝚞𝚛𝚒𝚘𝚞𝚜𝚎𝚛 !

pharmaroot

Untitled

dijonspices-blog

dijon