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I had a client who became largely nonverbal, violent, and seemingly experiencing a persistent psychotic episode, characterized by bizarre behavior such as pooping in a water glass on his nightstand, throwing used depends in one roommate's clothing hamper while using the other roommate's closet as a urinal, and of course smearing feces on the walls.
I took him to multiple neurology appointments before his guardian moved him to a skilled nursing facility due to his behavioral issues, but the neurologist was unable to find any answers while the client was still on my caseload. But.. this client passed the test trump brags about...
It really baffled me that the client passed with flying colors, but he did. So every time trump brags about passing this test, I just think to myself: "Congratulations! You've proved you're at least on the same level as someone who smears their shit on the walls!"