p head
A p head is someone so high on meth they can’t tell if they’re in a match or a nightmare. They’re like a person who thinks pizza is a real life choice.
My brother is a p head. He once fought a chicken at a gas station.
She’s a p head. She thinks she’s in a video game and keeps shouting 'level up!' at people.
He’s a p head. He thinks his dog is a wizard and talks to it every day.