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I think a lot of it is laziness. They know they can get away with a lot because of the disorder, so they take advantage of it. Kind of like DJ Qualls from Road Trip. He had cancer when he was young and used it to get out of school all the time. It's not really fair, but most people will believe them when there lying simply because they don't have the affliction themselves and feel sorry for them. If you think they are abusing their disorder, talk to them about it and tell them it's wrong.
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"This visage, no mere veneer of vanity, is it vestige of the vox populi, now vacant, vanished, as the once vital voice of the verisimilitude now venerates what they once vilified. However, this valorous visitation of a by-gone vexation, stands vivified, and has vowed to vanquish these venal and virulent vermin vanguarding vice and vouchsafing the violently vicious and voracious violation of volition. The only verdict is vengeance; a vendetta, held as a votive, not in vain, for the value and veracity of such shall one day vindicate the vigilant and the virtuous. Verily, this vichyssoise of verbiage veers most verbose vis-à-vis an introduction, and so it is my very good honor to meet you and you may call me V." - V
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