Mental Health
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There is nothing wrong with cash or gift cards. Gift cards just force people to use it at a specific place. Grab an package of Xmas cards to stuff it in and say fuck it.
I didn't buy anybody gifts for many years because I couldn't afford it. Nobody held it against me. I don't expect anybody to buy me shit. If anybody is going to hold it against me then they can go fuck themselves.
Edit : I guess what I'm saying is don't feel guilty. I think people understand that as adults we need to have our priorities and sometimes that means not buying gifts. People are generally understanding and there is more to life than gifts. I'd be fucking thrilled with 20$ in cash in a card and I would be thankful that they even sent that because that person spent that time to earn that cash and to put that together. You're a kind person for worrying about it, but the people who care for you would rather not see you worry and to take care of yourself.