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Down syndrome has several stages, and each of them, of course, allows its “carrier” to think more or less intelligently. People who have this disease in the initial stage, when its symptoms can be somehow hidden, naturally understand that something is wrong with them. In advanced variations of the disease, consciously understand that they are not like everyone else, sick people can not, therefore, they have nothing to be shy about. From my own experience, I can say that their world is not much different from ours, except that, as it seems to me, they are more sensitive to the emotions of people around them, especially those close to them, and they themselves are more vulnerable.