I would feel so guilty about lying that I would try to stress myself out and work up a headache so I wouldn't have the guilt of not having a bit of the symptom.
我对说谎感到非常内疚,我会试图让自己紧张起来,让自己头疼起来,这样我就不会因为没有一点症状而感到内疚。
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Guilty