I'm sure some of you have noticed there is an odd rank beneath your title. This isn't something a person is assigned, rather earned. Based on your post count, your rank will change. It is greatly discouraged to spam for the sake of post count. The titles and required post amounts are as follows;

Fleshling: 0
New Resident: 10
Medicated: 50
Repeat Patient: 100
Heavily Dosed: 200
Drugged Up: 500
Lifetime Resident: 1000
Slipping Sanity: 1500
Hallucinating: 2000
Line of Insanity: 3000
Insane: 4000
Absolute Insanity: 5000
The Cure: 7000

They're liable to change in both name and required post count as time continues.