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Does Mental Illness always excuse us from sin, or only certain ones?

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For example, if a person is mentally ill, are they not guilty of murder in the eyes of God, or is the person guilty no matter what? What about different kinds of mental illness. Is someone who is say, retarded( sorry if the term offends anyone, btw), less able to know what a sin is compared to someone with depression or aspergers or bipolar disorder?

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