One of the worst and most memorable aspects of SA for me was the pain at work of forever being the outsider, of never really fitting in no matter what I did. To work in a large company for years and never really feel comfortable has unavoidable effects on your mood, emotions and long term mental health. In short the SA actually defines your character and personality. You become what the SA allows you to become and this is the way you then appear to the outside world; grumpy, unfriendly, unapproachable....