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Standing up for your values might be decided to be a pathology - If you're autistic
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I've noticed this among people with autism or ADHD. A lot of them don't like to say no, but it's an important skill to develop. It can feel rude or uncompassionate, but you aren't obligated to help anyone. Obviously if someone you know is in need and you don't have another obligation, it's good to go help them, but you shouldn't feel obligated to go spend your afternoon at the mall if you don't want to go because someone wants a ride.
That's where it becomes pathological. Telling someone like me to "just say no" is like the same as saying "just don't be depressed" or "just don't be autistic." I literally cannot. That's why it's a problem I seek medical help with.