I notice a lot of people use terms like "psychotic" or "psychopath" as insults and negative descriptions on here. These are clinical terms that are used to describe real people with difficulties, not boogeymen! I don't disagree with the sentiment that these people are doing wrong, but if you wouldn't use the r-slur or "autistic" as an insult (which you shouldn't) then you shouldn't use these words either. And I get the idea of calling someone delusional, but take care that you don't just mean "I disagree with them." Though by posting on neurodiverse I imagine I'm preaching to the choir.
Sincerely, a casual schizoaffective disorder haver.
we've tried a few times but it's basically impossible to find drop-in 1:1 replacements that are concise and evocative. Scatalogical is usually safest but even something like shithead is ableism if we're strict about it.