Thanks for playing my game! I'm immensely flattered to be featured on your youtube video. I'm sorry you experienced issues with the options menu. i've had reports of similar issues from other people and will be fixing it in the next update.
Spoons are a metaphor used by people with chronic illness for energy. Doing even the most basic tasks uses up spoons and when you are out of them, you can't do anything else until you have rested and recovered them. The game is meant to symbolise the struggles and complexities of simple tasks faced by those with chronic illness.
(also, small note but you said he in the video and i'm a girl)