The hallmark of clinical depression is diminished capacity, so a patient often has no qualms about making self-destructive or life- altering decisions in hopes of relief.
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Something was terribly wrong with me when I allowed him to practice unsafe sex with me, later finding out I had caught an STD. When I questioned him about it, he announced that “everyone has that! Don’t make a big deal about it. I got it from the ocean”. He’d get angry when I questioned further about how he really got it.