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They may or may not understand the details, but they are well aware that something is wrong with their own psychology and they are fighting it to the best of their ability, possibly with the help of medication. Success will vary; perhaps they do manage to present a normal façade, but they are fighting a constant inner battle to maintain it. Or maybe they have found an outlet to channel their issues productively, or, in the most tragic cases, they are constantly fighting a losing battle and may only realise they have given in again once it is too late. Whatever the details, they both know that they are mentally unwell, and desire to cancel or curtail the effects of their illness.

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Physical Appearance of Reluctant Psycho
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