Possibly? I don't know. I choose to believe someone if they say they have a mental illness unless they give me a really strong reason not to, and then yeah they have a whole other problem.
It's like in school, when there were kids who would cut 'because they were sick' and others who would cut 'for attention' it's like.... okay but cutting open your flesh for attention is still pretty disturbing behavior lol I was in the 'would cut and would hide it' camp and would judge those that had it on open display, but now I understand it's just a different kind of problem. Doesn't make them any less sick.
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