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Psychotic, crazy, insane, disturbed, demented, mentally deranged, in other words... off their fucking rocker. May also refer to any psychiatric ward, mental institution, or "looney bin". Named after the 5th floor of Portsmouth Naval Hospital, (Portsmouth, Virginia) which houses the psychiatric ward and outpatient counselling programs, such as OCIP (Outpatient Crisis Intervention Program, later renamed Outpatient Cognitive Intervention Program). Often run by useless, never-set-sail REMFs (HM2s!).
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