(US, humorous) Used as an indirect way to state that someone is mentally deficient.
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(humorous) Used as an indirect way to state that someone is mentally ill.
Add your own interpretation of "one's elevator doesn't go all the way to the top".
Regional slang from around the English-speaking world — British, Australian, Irish, Caribbean, Nigerian, Filipino, AAVE, and the hyphenated-English dialects that make the internet sound local.
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