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It isn't up to me or anyone else with a mental illness to "raise the bar" on appearance and grooming. People who are capable of it do, and those who don't often have a lot of negative thoughts going on.
Personally? I'll slack off when I'm depressed (or hypomanic but that's due to forgetting or being "too busy" to bother!) but I'm always presentable enough and do the basic things.
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"The time has come, the Walrus said, to talk of many things. Of shoes, of ships, of sealing wax, of cabbages, of kings! Of why the sea is boiling hot, of whether pigs have wings..."
"I have a problem with low self-esteem. Which is really ridiculous when you consider how amazing I am.
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