I also don't have the "Custom User Title" box at the described location. I vaguely recall reading that a user had to have 2000 posts before this option would be available to them and I am just shy of that. i'll let you know if it appears.
Meanwhile you could pm an admin person and ask about your case. Maybe it is just a wrong setting or something like that.
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BP 1 with psychotic features
50 mg Lyrica
50 mcg Synthroid
2.5 mg olanzapine
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