JPINFV
Gadfly
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Not always, there are different levels of illness and different loss of functioning within them.
You can have hypomanic/depressed bipolar that is not treated.
Minor or even moderate depression
narcissistic or histrionic personality disorders...
I could go on, but I won't.
... umm... meaning might have been missed here.
http://en.wikipedia.org/wiki/Exclamation_mark#Computers