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Mary thinks that one of his myriad issues is that his mother wasn't well. After her third child was born, she was advised to not have anymore children due to her health. But she had 2 more children, Donald and his younger brother (who he bullied) and so when Donald was at his youngest, his mother was hospitalized, at one point the family was advised she might die. So he had no mother figure in his youngest years and Mary thinks that's one of his issues. 
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