I think Dylan did have self awareness, not to use his term, which I think he used in a grandiose way, but he knew something was wrong with him from the age of 15/early 16 and tried a myriad of ways to fix it himself. That "me do it!" attitude Sue talks about.
No one ever talks about the 2 ladies watches they found... I assume it was to be used for the batteries or something, I always find that amusing though.
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"And you know, you know, you know, this can be beautiful, you say you're numb inside, but I can't agree. So the world's unfair, keep it locked out there. In here it's beautiful."