I definitely see what you're saying. Like, it's okay to be sexually adventurous, but if it gets to the point where it's overly risky or self-destructive, it could be linked to a mental health issue.
I mean, I already know what I have because of my diagnoses, but shockingly few mental health professionals actually explain what those disorders mean. It has always been super hard for me (especially in the moment) to understand if something is related to my mental health issues or if it's just, like, how I am. I don't know if that makes any sense.
Your example of humility vs self-loathing paints a clearer picture though.
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