My shame gland is inactive. Stigma? Pffft, except for employers, I don't give a flying f**k what people think. Honestly now, why would I let other people affect me like that, what purpose would it serve? I will however with hold my dx for 2 reasons, and 2 reasons ONLY. 1) It doesn't affect you. 2) A new employer may prejudge my ability to do my job. Would probly tell them later on, tho admittedly I've never done it yet as my dx was common knowledge at my previous job, as my colleagues/friends encouraged me to seek help prior to dx. People I hurt, piss off or offend? They know me, so they know when I'm being 'more than'. Even if they only realize in hindsight. I apologize for every 'infraction'. I don't apologize to random bear-pokers tho. THAT being said... Usually its just me being a super*****, sometimes with a sprinkle of violence. So I can't relate to actually wrecking someone's life or anything heavy like that. I'm way too much of a control freak anyway, thats why I isolate during episodes, hope my anti-wrecking strategy continues to work thru out my journey. Oh yes, I vote 'illness'