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How do you tell when your turning insane ?

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Other people will let you know.

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Sugar, some of your answers do lead me to tell you are insane. ;)
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I KNEW I was losing it.
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fritzmerde

You can't, that's the problem

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When you ask yourself or wonder if you're going crazy, then you're not going crazy. If you're going crazy and you don't see a difference in yourself, yeah you're crazy

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Do listen to those who have your best interest at heart.Unfortunately many who are considered "insane" do not have many (if any) friends and may have family members who are in need of mental services themselves.
There are many variants in how one defines "insanity". For example, you could look at the word from both a legal or medical point of view.
Generally when one speaks of "insanity" one is talking about someone who is psychotic and has a break from reality.Once you question what is real and what isn't, it is time to seek medical advice. One could have other serious mental issues (such as being a danger to self or others) and yet still not be considered "insane".

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When you're start to question yourself and twitch?

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When you start asking questions like, "how do you know when you're going insane?"

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