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There are lots of comments here and I don't have anything new to say--I just want to repeat BODY DIMORPHIC DISORDER and DEPRESSION as MEDICAL PROBLEMS. Skipping class to avoid attention is an extreme behavior and a huge red flag--she might be in real danger of developing other etreme behaviors in reaction to her terrible feelings such as self-destructive tendencies and even thoughts of suicide. Yeah I know, freaky to talk about but if you care for someone who is feeling this way, you CANNOT ignore this kind of cry for help. Be glad she's telling you about her pain and not just hiding it.
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There's no justice. There's just us.
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