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Personally, speaking as someone who has suffered from mental illness and definitely been stigmatized because of its effects on my behavior at times, everytime someone uses 'psychotic', 'mentally ill', or 'manic' in pajoritive ways for things/people they hate, I find myself further alienated from them and their POV.
(note:I'm not psychotic nor bipolar, but I have the capacity to empathize with their struggles and not lampoon them for it, like a normal human should be able to.)

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