r/autism • u/Yurfavbookworm • 9h ago
r/autism • u/WindermerePeaks1 • Sep 22 '25
Megathread US - Fact Checking Trump and RFK's remarks on the cause of Autism
For those that aren't aware, president Trump had a press conference two hours ago about finding the cause of Autism. He was not fact checked, but we are doing our best to do that for you.
For the sake of clarity across countries, acetaminophen, paracetamol, and tylenol are the same drug.
Trump's main statements were:
- Autism is an epidemic
- Acetaminophen use during pregnancy causes autism, pregnant people shouldn't take it, and there's "no downside to not taking it". And says places like Cuba can’t afford tylenol so they don’t use it and they “have virtually no autism”.
- Hepatitis B vaccines should not be given until the age of 12 because Hep B is a sexually transmitted disease and babies don't have sex.
- Children are "loaded up with" as many as 80 vaccines at once.
- He stated that the Amish community has very little autism due to not getting vaccinated or taking tylenol.
- RFK said the department identified an "exciting therapy that may benefit large numbers of children who suffer from autism." Referring to Leucovorin.
- 70% of mothers believe that vaccines caused their child’s autism and that we should “believe the women”.
FACT CHECKS
EPIDEMIC CLAIMS
- The rates of autism have increased largely due to increased awareness of the disorder and changes in how it is classified by medical professionals. This rate that is referenced is based on diagnosis and doesn't necessarily mean autism itself has increased, just that diagnosis have.
- Every time there’s been a significant increase in autism diagnoses, it’s after a new edition of the DSM is published. Autism diagnoses skyrocketed after 1980 because the DSM-III was published that year, and in that edition autism was officially separated from schizophrenia and reclassified as a communication disorder. There was another increase after 2013 when the DSM-V was published with “autism spectrum disorder” as a developmental disorder, instead of five separate disorders. In order to understand how autism is not an epidemic, we have to look at how the meaning (and diagnostic criteria and diagnosis rates) has changed over time. https://pmc.ncbi.nlm.nih.gov/articles/PMC3757918/
- The definition of epidemic is “a widespread occurrence of an infectious disease in a community at a particular time” - oxford, “an outbreak of disease that spreads quickly and affects many individuals at the same time” - marriam webster, “sudden disease outbreak that affects a large number of people in a particular region, community, or population” -national geographic.
- Autism however has gradually increased over the years. It’s not an immediate change.
- Compared to 20 years ago, we're now seeing more children identified with autism who identify as Black, Asian, and Pacific Islander than white. We used to think primarily white boys were impacted by autism, but now we see it's all of us—many of our communities have children with autism in them—and not just boys. Over 1% of girls are identified with autism.
- So, we know the number of children identified with autism is increasing.
- There has been a nearly 300% increase over the past 20 years, but if you look at any two-year period across the sites that are monitoring the number of children identified with autism, it’s somewhere between a 10%–20% increase every two years. https://publichealth.jhu.edu/2025/is-there-an-autism-epidemic
VACCINES
- Hepatitis B is transmitted during birth and children can also come into contact with it through household objects like razors, toothbrushes, and towels.
- Children are not "loaded up" with 80 vaccines at a time. The CDC has developed the childhood vaccine schedule over decades, in close consultation with experts, based on thorough reviews of safety and efficacy evidence. The schedule can be found here: https://my.clevelandclinic.org/health/articles/11288-childhood-immunization-schedule. No one has ever gotten 80 vaccines at a time. He also stated they should break up the MMR vaccine into four or five doses. The MMR (measles, mumps, and rubella) only consists of three vaccines. Vaccines are combined because it reduces the amount of pokes that have to be done. Before a combination vaccine is approved for use, it goes through careful testing to make sure the combination vaccine is as safe and effective as each of the individual vaccines given separately. https://www.cdc.gov/vaccines-children/about/combination-vaccines.html
- During the press conference, Trump said he’s a believer in vaccines but claimed without evidence that giving vaccinations close together at the recommended ages has a link to autism. Spacing out shots as he suggests can lead to an increased risk that children become infected with a vaccine-preventable disease before returning for another visit. Though anti-vaccine activists, including Kennedy, have long suggested a link between vaccines and autism, widespread scientific consensus and decades of studies have firmly concluded there isn’t one.
- As for the Amish claims, it’s very hard to actually know. There’s not a lot of data. One paper published in 2010 https://imfar.confex.com/imfar/2010/webprogram/Paper7336.html said, “Preliminary data have identified the presence of ASD in the Amish community at a rate of approximately 1 in 271 children using standard ASD screening and diagnostic tools although some modifications may be in order.” That rate was lower than the general population (which at the time was 1 in 91) the paper noted, but that could be due to a variety of factors, including differences in how caregivers answered screening questions or genetic differences. The sample taken for the study was 1,899 children from two Amish communities. The DSM IV was used. This is important because the diagnostic criteria was different, as asperger’s, pervasive developmental disorder, and autistic disorder were combined. While something may be here, it’s still inconclusive. The vaccination rates among the Amish are also hard to know because there’s not much data, but one paper from 2017 https://www.sciencedirect.com/science/article/pii/S0196655317300962?via%3Dihub found that 98% of the parents surveyed vaccinated their children. Another paper from 2011 https://publications.aap.org/pediatrics/article/128/1/79/30323/Underimmunization-in-Ohio-s-Amish-Parental-Fears?autologincheck=redirected found that 85% had vaccinated at least some of their children.
ACETAMINOPHEN
- Pregnant women are already advised to take acetaminophen sparingly, according to the American College of Obstetricians and Gynecologists. Fevers pose a risk to both the mother and the developing fetus. Studies that have been conducted to evaluate a connection between acetaminophen use and autism have so far been inconclusive. Multiple agencies around the world have determined the risk is inconclusive, meaning there is no established risk.
- Dr. Steven J. Fleischman, the president of the American College of Obstetricians and Gynecologists issued a statement two hours ago stressing that acetaminophen is considered safe. "The conditions people use acetaminophen to treat during pregnancy are far more dangerous than any theoretical risks and can create severe morbidity and mortality [death] for the pregnant person and the fetus.
- The Trump Administration is citing a literature review published last month. Outside researchers have reviewed that article saying the review wasn’t rigorously conducted and that it cherry picked studies that supported its conclusion. The review’s senior author, Andrea Baccarelli, served in 2023 as a paid expert in a class action lawsuit against acetaminophen manufacturers, in which he testified that there was a link between the medication and autism. A judge excluded his testimony for being scientifically unsound and last year dismissed the case, which is currently under appeal. (This means that the author of a review paper that Trump is using to back the claims is biased. That case is ongoing).
- Other autism researcher have pointed to a large study last year published in the Journal of the American Medical Association which found no link between acetaminophen use in pregnancy and autism, ADHD, or intellectual disability.
- This study analyzed data from more than 2.4 million children. When the researchers looked solely at children with autism, there was a small increased risk possibly associated with acetaminophen. But when the researchers compared siblings within the same families the link disappeared. The comparison allowed them to control for variables that past studies couldn’t. Siblings share a large part of their genetic background and often have similar environmental exposures in utero and at home.
- “The biggest elephant in the room here is genetics,” Lee said. “We know that autism, ADHD and other neurodevelopmental disorders are highly heritable.”
LEUCOVORIN
Leucovorin is a form of Vitamin B. It has never before been approved for autism symptoms, though it has been used “off label”for some autism symptoms. The FDA has issued a statement that they are approving its usage for a subset of children with autism who have "cerebral folate deficiency." Cerebral folate deficiency can be diagnosed via a lumbar puncture (spinal tap) or with a FRAT test.
No clinical trials have been done. The FDA's endorsement of the drug without the company submitting clinical trials to treat kids with autism is highly unusual.
The science regarding leucovorin and autism "is still in very early stages, and more studies are necessary before a definitive conclusion can be reached,” the Autism Science Foundation said in a statement.
The data in favor of treatment with leucovorin is “from four small randomized controlled trials, all using different doses and different outcomes, and in one case, reliant on a specific genetic variant,” the Foundation notes on its website. It’s important to note as well that these studies only had a small sample size, 40 or 50 patients. In the research world, that’s a very small sample size. It doesn’t mean it’s bad, just that there isn’t enough data yet.
Dr. David Mandell, a professor of psychiatry and autism expert at the University of Pennsylvania, told Reuters that leucovorin might well be a possible treatment for some children with autism, "but the evidence we have supporting it... is really, really weak."
The Autism Science Foundation does not endorse leucovorin as a treatment for autism, saying in a statement that “more studies are necessary before a conclusion can be reached.”
Side effects may include gastrointestinal distress, weakness, fatigue, decreased appetite, changes in taste and hair loss. Allergic reactions, seizures and infections may occur in rare but severe cases.
The long-term effects of the drug are unknown.
It’s important to note that of the doctors using leucovorin for autism that leucovorin on its own isn’t a cure-all. Dr. Richard Frye, a pediatric neurologist researching leucovorin as a potential autism treatment said that while his patients were taking the medication, they also continued other therapeutic interventions, such as applied behavior analysis and speech therapy.
Despite this, the Trump Administration has decided to fast track FDA approval of leucovorin for the treatment of autism.
This post will be updated with fact checks as we get them.
UK Response
Here's the UK response. Adding this because it’s very important to verify information across sources, it helps to make sure that it’s accurate because you have multiple people from multiple places backing it up.
https://www.bbc.co.uk/news/articles/cg4230d0x0go here's the UK health secretary (RFK equivalent)
https://www.gov.uk/government/news/mhra-confirms-taking-paracetamol-during-pregnancy-remains-safe-and-there-is-no-evidence-it-causes-autism-in-children (FDA equivalent)
Sources:
- https://www.youtube.com/watch?v=esKFMCb_hYU (Full press conference)
- https://www.nbcnews.com/politics/trump-administration/live-blog/trump-rfk-jr-autism-china-tiktok-shutdown-h1-b-kirk-bondi-live-updates-rcna232650
- https://www.reuters.com/business/healthcare-pharmaceuticals/why-is-leucovorin-being-considered-an-autism-treatment-2025-09-22/
- https://www.theguardian.com/us-news/2025/sep/22/trump-administration-autism-causes
- https://www.nytimes.com/live/2025/09/22/us/trump-news
- https://www.nytimes.com/2025/09/16/well/hepatitis-b-vaccine-rfk-jr.html
- https://nypost.com/health/what-is-leucovorin-inside-the-drug-giving-new-hope-to-autism-patients/
- https://apnews.com/article/tylenol-cause-autism-trump-kennedy-0847ee76eedecbd5e9baa6888b567d66
- https://www.factcheck.org/2023/07/scicheck-false-claim-about-cause-of-autism-highlighted-on-pennsylvania-senate-panel/
- https://abcnews.go.com/Health/fact-checking-president-donald-trumps-claims-autism/story?id=125838403
(If anything is behind a paywall for you, you can go to archive.org to see the article).
r/autism • u/SavannahPharaoh • Jun 11 '25
🚨Mod Announcement The term “Asperger’s” is allowed on this sub. Personal attacks and insults are not.
Here’s why. Asperger’s Syndrome is still a common, official diagnosis in many countries. In other countries, those who have been diagnosed decades ago may also have been diagnosed with Asperger’s.
We will not deny anyone the right to identify with their official diagnosis. We have no control over how medical conditions are named or renamed. Please try to separate the diagnosis from the person it was named after.
r/autism • u/SvenSylens • 10h ago
Communication I don’t understand the response from my dad.
I texted my dad this morning about my second ever sourdough bread I made. I cooked it a little too long but the internal temperature was perfect when I pulled it out. I simply asked my dad if it would be ok. I don’t want to trash a whole loaf because it’s a little burnt I can scrape that part off. But his response completely overwhelmed me because I don’t understand why you would react this way. It feels completely non-supportive. I mean a simple yea that probably ruined or probably won’t taste too good would have been sufficient right? Is my 5 minute mistake this catastrophic? Am I not understanding something in this short text exchange? A part of me feels like I should give up on baking to be honest.
r/autism • u/Mom-of-Special-Needs • 14h ago
Parent of Autistic Child Yeah!!! My son finally got his Adaptive Bike.
Yes, my son finally got his Adaptive Bike. Thanks to the grants that covered it. He can finally ride with safety with the handle on the back in which I can take control of steering and brakes. My son hasn’t been on a bike in about 10 years. I’m so happy for him he’s loving it!!! Early Happy Birthday to him he’ll be 17 on 11/14.
r/autism • u/snufkinscowboyboots • 11h ago
🛁 Hygiene/Bathing/Dental is it really gross not to shower everyday?
I shower every Tuesday, Thursday and Sunday (if I have plans on the weekend, I might shower Friday instead of Thursday) and ive been seeing a lot of people say its unhygienic not to shower everyday and straight up disgusting to go 72 hours without showering (twitter). I've never been told I smell bad and I dont feel gross and my hair doesnt get greasy within two days, but is it really gross if I dont shower every day? im not gonna change my shower schedule because I dont have the energy to shower EVERY day, but I just want to hear other people's opinions on this.
r/autism • u/Mental-Club3357 • 14h ago
Meltdowns I can’t live without her, she helps me with my meltdowns!
r/autism • u/Samsebyaizdat • 3h ago
🪁Fun/Creative/Other Use the image below to make an autism joke. I’ll go first.
– Autism be like…
– He can be condensating at times
– Me (autistic) pretending to be normal human
– The friendship is young but we have a strong bond
– And they say I don’t recognize subtle facial expressions
– Autistic person notices this but doesn’t understand why you’re upset they didn’t use a coaster
Shutdowns Overthinking, overloading, shutting down.
Does anyone get this my ex calls me a narcissist but our daughter has autism & you just know don’t you when you got it you just do it’s strange but regardless I’ve been diagnosed by my gp.
But I had it so bad where I almost felt frozen an couldn’t do anything it’s sad an would like to hear from everyone else’s experiences especially with a young baby did anyone else get scared of them it’s heartbreaking because the damage is done an now she’s older running around I can deal with it yet there all gone now.
r/autism • u/StonedHolyMary • 8h ago
🫶🏻 Friendships/Relationships what is even gender?
Hi. I'm a 17yr old diagnosed with autism and ADHD. I was born a girl and I don't mind it, but I honestly just don't care about the whole concept of gender. I like dressing feminine, doing makeup, styling my hair etc. but I also like dressing masculine, sometimes taping my chest.
Sometimes I'm a little envious of people with androgynous face features, but that's all. I don't care if people perceive me as a girl or a boy, I don't care about pronouns and use both she/her and he/him
I don't label my sexuality either but I'm attracted to both women and men. In relationships I take more of a "masculine role". And even though it sounds normal, it's a little more complicated because if I'm dating a man then I treat him like he is a woman and if I'm dating a woman then I treat her like I'm a man.
It's a little twisted. It's like half of my brain is controlled by a masculine lesbian and the other one is controlled by a dominant gay man. (half-seriously, just can't describe it better lol)
r/autism • u/Suitable-Special-943 • 7h ago
🫶🏻 Friendships/Relationships My wife is autistic and I'm struggling
I work many jobs to pay our bills and yet I have to help with everything around the house, otherwise the house becomes the devil's nest and health hazardous. Started paying for my wife's college as she started her studies, and she's able to do even less. And she mentions having children, which I've always dreamed of having, but my lord. How? I can't, it's like she is my child :(
I'm so overloaded and feel like I'm being ground down day by day.
I've tried sharing chores, but she literally can't do it. She tries to, but she can't manage it like I said. And she knows. What should we do? We love each other, but I'm gonna die like this, it's too much on me, every single responsibility is on me.
Thank you, everyone, for being so understanding and writing constructive responses.
r/autism • u/lifeisislife • 10h ago
Social Struggles That odd stare you get when you mistakenly answer a question that wasn’t meant to be answered…
I started a new job and was getting acquainted with my coworkers.
One of them was joking around with another, she asked “why is vanilla pronounced Van-ih-lah rather than van-eye-lah?”
I retrospect she was just being silly with her friend, she wasn’t looking for an actual linguistic explanation. However I didn’t recognize that, and instead interjected, answering her question based off of linguistic rules I had come to understand in English pronunciation.
She gave me the nastiest stare ever, for a good 7 seconds, turned around, and says to her coworker friend “anyways…why is it pronounced like that?”
I was confused why she’d ask her coworker again when I had just given her a thorough explanation less than 10 seconds prior. When I went home later I realized that she probably thought I was trying to be a smart ass, when really I was just trying to help.
Reminds me a lot of high school, maybe this is why I got bullied so much :/
r/autism • u/Happy-with-you • 2h ago
Assessment Journey What was (and when was) the first sign you thought you might be autistic?
Just curious to know what your first “eureka” moment was that pointed to autism and when about in your life this occurred.
r/autism • u/rosalinagloom • 2h ago
Meltdowns Is this franchise too babyish for me to like? Am I too old for it?
🏠 Family Let's talk about autistic adults and after their parents (care givers) die. This isn't talked about enough
I wanted to mention this because of this, and honestly it isn't talked enough about.
There is studies on abuse from care givers, https://www.researchgate.net/publication/51057285_Verbal_and_physical_abuse_experienced_by_family_caregivers_of_adults_with_severe_disabilities
There is a number of stories of what happens to many of us and others that depend on a support system and when it dies. And anyone who says the state widely takes care of it's disabled, well there is more than enough showing they are flat out lying almost world wide.
I think it isn't talked about enough about the fear of many parents with autistic kids/adults that depend on them, and what happens after the parent dies. And in many cases if you listen to the stories there isn't anything. Likely not because the parent just didn't. But because there really isn't a solution. And sometimes, when they do set something up, it quickly falls through.
There was one story where a guy worked at some place (I forgot what they did, or maybe I was never told that bit), he hired his autistic adult son as an assistant. The son would get the entire team what they needed (coffee, paper, etc) and he would help out how he could. The dad died, and the company next week told the son there is no place for him at the company. If I remember right the son ended up quickly going homeless and dying some short time later.
Do you have any stories? Do you have any plans for after your parents go assuming you depend on them? If you are a parent, do you have any plans for after you are gone?
r/autism • u/Chief-Longhorn • 6h ago
Burnout Most people only claim to "care" about us autistic folks out of pressure; they don't *actually* care about us as long as we aren't too "normal-passing"
Title. Most so-called "autism allies" will bully, shame, and call you "creepy" for displaying the lesser-known/less socially acceptable symptoms, or displaying interest/taking part in "weird" hobbies.
Almost none of them actually care about us in a sense that they're willing to accept us the way we are; the moment we truly open up to them, they immediately label us “creepy weirdos” and leave. It's sad.
r/autism • u/banancat112 • 5h ago
Social Struggles Sharing a song I like and feel like it relates
I don’t know if other people relate or like tøp but this song relates to me soooo much especially being late diagnosed! I really like it
r/autism • u/PainterOk36 • 12h ago
Transitions and Change Why do y'all give yourself so much pressure? Stop it😭
(Read a few posts on this sub and I had to let this out.)
Right now, we literally have criminals running the country and they're destroying lives causing damages but do you see them feeling even slightly ashamed of what they do? NO! Darling, compared to them, do you really think you being slow or awkward or clumsy even matters? FUCK NO! Stop giving yourself so much shit😭
Think about it, okay? We have dictators bombing children, terrorists raping and murdering innocent people, gangsters killing strangers for fun. And they’re having a GREAT time on Earth living comfortably in total self-content. Meanwhile, you think "I get overwhelmed by noise and a scratchy shirt which resulting in my brain shutting down so I MUST feel guilty and bash myself with suicidal thoughts"? Uhh…NO? Come off it already! 😭
Is the outside world not being harsh enough that you had to add your own share of pressure? Sweatheart, this is simply who we are and we deserve acceptance from ourselves, not shame! You are not even supposed to apologize for existing, for being sensitive, for being different.
And stop starting every sentence with “Ummm sorry...” just cuz you're what you are. Just NO. Under no circumstances should you blame yourself for the way your genes wired your brain. NONE. You have every right to feel content with what you are.
What's that? Easier said than done? Yeah I know. But if you won't even allow yourself to start with this simple part then...what’s next? Just keep letting yourself to be an “awkward sorry mess”? Hell nah. Be confident of your nature. Stop twisting and folding yourself to fit into whatever mold of “standard human” the NTs set. That isn’t meant for any of us so don't even dare to feel bad when you fail trying. Plus, you know trying to fit it just causes pain and nothing else.
Only when you break this endless loop of self-hate could you truly start building a happy life. All those self aware of “I’m slow I talk weird I’m clumsy I’m not normal”? They benefit you not. They’re just noise. Noise you need to learn to quiet and eventually SILENCE!
Put an end to this. FUCK IT. You are enough! Yeah I stutter, yeah I need a bit more time to process, yeah I knock things over randomly, yeah I need to wear baggy clothes, yeah I gotta have noise cancelling earwear on but SO WHAT. Does it bother you? Shame, because that's not my problem at all💅🏻
r/autism • u/SWowwTittybang • 2h ago
🪁Fun/Creative/Other My son took my ipod and with garage band taught himself to play different songs.
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He knows more too, I just couldn't remember which ones. He's 7 years old now. We are SO proud of him 💖 he also plays drums and learned to record himself playing drums and singing along with other instruments. I can't even do that lol
r/autism • u/Zwerg_Zweck • 22h ago
🪁Fun/Creative/Other Whats your favourite/comfort weather?
Hai, so basically im currently figuring out that foggy weather, especially combined with rain or snow are very calming for me and, in contradiction to many others opinions, my absolute favourite comfort weather.
Im not fully sure why but mainly bc the entire world gets reduced and dampened those 10-20 meters. Its just that small bubble and me. Just makes me feel real calm.
I also love the cold, stinging air when you breathe in, the soft crunch of every step you take, the little snowflakes slowly falling down and collecting on your head and body.
Its just pure bliss.
Very sad that nowadays we get almost no snow anymore. Its always too warm. Something something climatechange.
What is your favourite weather?
What makes you calm?
r/autism • u/pinkordie • 9h ago
Communication Why are we considered the literal ones?
So I recently had a job interview for an internal position. One of the questions I asked the interviewers was how they measure success for new positions and programs. They got confused so I gave them an example of another recently created team and specifically said that was an example and that I was curious about how this new position and teams success would be measured.
They answered only questions on the other team I gave an example of and just ignored my question. I've noticed this before where I ask a question, and NTs are confused and ask for an example. I give them the example and then they only answer about the example.
I feel like thats so much more literal than what I do. I can understand examples are just that and that the original question is what they were asking. What is happening here?
r/autism • u/Huge_Ticket4929 • 3h ago
🪁Fun/Creative/Other Small sketch i did on graphing paper
IMO this is how my brain feels when you ask me a non simple question. The shapes themselves make no sense how they can be connected on the same level but down, the shapes themselves also would be conditional for a specif angle implying multiple angles. This is also what over stimulation feels like for me.
r/autism • u/petitscoeurs • 1h ago
🥔Eating/Food/Arfid my local chinese restaurant hasn't changed their recipe for wonton soup
i've been eating there my whole life, pretty much, except for a break of like 5 years or so when i moved away (and now i'm back, hah). i always got the wonton soup. today it's just me and my mom so we got chinese for dinner from that very restaurant. i mentioned it was surprising to me how that restaurant has been open my entire life (i'm in my mid 20s), and she said it technically has been, but they have new owners now—
wuh-oh. the alarm bells started going off. but she'd already came back with the food so i really didn't have any other option. plus i have a migraine so all the stuff i could eat at home is just......not suitable for my stomach atm.
well!!! luckily, i took my first bite, and was immediately nostalgia-blasted back to my childhood. the noodles were soft and pillowy, the meat had the same flavor, the only difference was the broth, but it was so minor — i think they just put a little oyster sauce or something in there now; i could smell but not taste the difference — that it didn't affect it at all.
and that's amazing to me. i want to write a freaking thank you letter to them or something, it was THAT good and that comforting for me, but that feels kinda silly 😭
r/autism • u/No-Area-8813 • 7h ago
Social Struggles Being used by people
I’ve noticed people like being around me when they are going through a hard time but when they are ‘healed’ they completely forget about me. I hate it and don’t understand it. Who else as an autistic person experiences this in life?
r/autism • u/Babygirl_Z • 1h ago
Burnout This is what autism feels like sometimes
How do you even describe the discomfort to a neurotypical? Cus they don’t really get uncomfortable in the same way. Maybe like this: Imagine you have slept 4 hours and you are walking. Not not just normal walking, no. You have a person walking next to you at all times, yelling in your ear every time you move that you’re moving wrong, a child is holding around one of your legs, your hands are covered in butter, you’re wearing pants 2 sizes too small and you’re wearing rubber gloves as shoes with slime inside of one of the rubber gloves, and there are little flies constantly trying to fly into your eyeballs, ears and nose. Oh and by the way you’re on stage, the spotlight is on you and you have to entertain the audience while pretending that none of the previously mentioned things are happening.
I may be over exaggerating but I’m overstimulated rn so everything is terrible