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Well, for me, it's always caused negative self image. It's really slow, and sometimes I go back and forth so much I can't tell if I've made any progress...but over the years it adds up and I can say I now have much healthier relationships with other people then I used too. This basically means that I have actual friendships, don't feel completely emotionally isolated from my parents, and yes, I can actually stand other human beings that I do not have a blood relationship too.
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