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Submitted on
August 19, 2011
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17.5 MB


17 (who?)
Asylum Registration Form by misz-kaulitz Asylum Registration Form by misz-kaulitz
After my stalker course i am now a patient in :iconmadmen-asylum:


yaay i got a new straight jacket!:dummy: :iconinsaneplz:

what have i been doing with my life?! O_O


anyway... i tried to make this as realistic as it can get...

soooo now! i'mma go on teacher mode and discuss something about psychology :iconsmartyplz:

•DSM-IV-TR- code stands for Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision.
•Occupational Theraphy-promotes health by enabling people to perform meaningful and purposeful activities; ADL (activities of daily living), art work, interaction with other patients.
•Akathesia/Acathesia-Restlessness; inability to stay still or remain motionless.
•Disturbances in Perception--pertains to disturbances in senses.
•Illusion- Misrepresentation of Stimulus
•Stimuli-causes physical response. (e.g brightly coloured curtains, sudden noises).
•Concrete Association- a.k.a philosophical answering.
•Catatonic/catatonia- ZEro/ no movement. i.e motor immobility.
•Catatonic schizophrenia- Flat affect (zero or no response/reactivity)
•Neuroleptic- Sedative. i.e Major Tranquilizer.(coffee and alcohol are contra indicated)
•Manic- a psychiatric disorder characterized by excessive physical activity, rapidly changing ideas, and impulsive behavior
•ECT (ElectroConvulsive Theraphy)- Seizures are electrically induced for therapeutic effects. Major depression, suicidal patients and manic patients are recommended for ECT.
•Maoi(Monoamine oxidase inhibitors)- Antidepressant.(when giving Maoi. observe zero intake of tyramine containing foods. patient may fall into a Hypertensive Crisis. increase fluid intake.)
•SSRI (Selective Serotonin Reuptake Inhibitor)-Antidepressant. also used in treating depression and anxiety and some personality disorders (e.g Prozac, Zoloft). *it may cause bleeding disorder*
•Four Point Restrain/ restraining protocol-it the the points that must be followed when restraining a patient:
◘ Explain to the patient why he/she must be restrained.
◘ Positioning- when restraining the patient should be in anatomical position.
◘ Duration- a patient should only be restrained for 4 hours.
◘ Circulation- Blood circulation must be checked every 15 minutes.
◘ Secure the restrains on the bed frame
◘Removal- upper extremities first followed by the lower extremities (opposite)

**This is just an overview (mostly things that are in my form)..I will not go through the subtypes, indications,contraindications and all other in depth things.. it'll take me a day to type it all.. anyway..i am sharing this for some information about Psychology.**


Anyway i used:

Blood ink-:iconhitokiri147:
paper texture- :iconbab-jane:
Madmed asylum stamp- :iconattlantic:
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Moonyflower Featured By Owner Sep 17, 2011  Hobbyist Digital Artist
Hello~! i have no name discovered yet but i like drawing on my walls with crayons...I'm mostly walking in the halls of talking and playing with my pet rabbit plushie.He tells me things and i talk to the others or sleep or draw.I sometimes cry because I'm not liked to remind myself of memories at home were i wasn't cared off and turned inasane.i dont like my new straightjacket..i like my regular clothes ;__; say hi to Shizu * holds the pet rabbit and is 11 close to her 12th birthday *
Moonyflower Featured By Owner Sep 17, 2011  Hobbyist Digital Artist
im oding my fourm not sure how to name my OC...
izsleepy Featured By Owner Aug 24, 2011   General Artist
Ello there dear. Iz be da one whom that they all call Sleepy. I would like to welcome you to da nut house that we have here that's fuilled with nuthing but crazies whom have lost their minds quite a while ago and I do hope that you will enjoy your stay while you are here. I know that I do. And I'm not only saying that because they're watching over me behind my back like I don't notice. Trust me when I say that has nuthing to do wit it...
misz-kaulitz Featured By Owner Aug 29, 2011  Hobbyist Artist
hallo ^^

ncie to meet you sleepy.. and thanks for the welcome ^^

sorry for the late reply.... ^^;

ohh.. i'll watch my back from now on.... thanks for the heads up ^^
Evey-V Featured By Owner Aug 22, 2011  Hobbyist General Artist
Welcome to this... Uh... Lovely place? Okay, I'm not gonna lie. It isn't lovely. By the way, my name's Evangeline. You can call me Eve if you want, or Evey. Anyways, I recommend you to stay away from me. I may be evil. A lot.

Enjoy your stay here and believe me if I tell you your future. I'm always right.
misz-kaulitz Featured By Owner Aug 29, 2011  Hobbyist Artist
hello ^^

thank you.. sorry for the late.. hmm reply..

nice to meet you eve ^^

Ohhh... evil... like me.. ^^

ohh! like a fortune teller?
Evey-V Featured By Owner Aug 29, 2011  Hobbyist General Artist
Fortune tellers are liars and they don't really see future. I do, even if the doctors don't believe me.
Android3000 Featured By Owner Aug 20, 2011  Hobbyist
I'm still need to fill out my form
misz-kaulitz Featured By Owner Aug 21, 2011  Hobbyist Artist
ohh ^^ do it.. it's really fun ^^
thenarutotwilightfan Featured By Owner Aug 20, 2011  Student Writer
Hi there. The name's Tema, and my Roommate is Biyo. I'm a Schizophrenic and possibly ADHD. I love dogs and my friend Sleepy teaches me all kinds of things about the MMA. Our forms are in my gallery, but they will be updated soon. I've been in Asylums 3 times before the MMA.

Hope you enjoy your time in our lovely home.
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