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When she left him in his first year at the Starfleet Academy, Paris felt deeply depressed. After breaking out in hives, he couldn't get out of bed for a week. He almost failed Stellar Cartography because of his condition; he eventually got over her, but "walked around in a daze" for the rest of that year. Even years later, Paris could be reminded of the day she left him by a certain smell or a few notes of a song, (VOY: "Lifesigns")