@Hopscotch: Thanks for adding more insight, great points. As an elder I saw this many times. The more desperate you get knowing that something is wrong, the more you think it has to do with you. The more uncomfortable you get (or spiritually sick), the more you try to do for Jehovah by serving as a pioneer, elder, MS, etc... Then you go to the Kingdom hall and you see all the happy faces, and you wonder:"what is wrong with me?". Of course, you don't think it's fake, you think everybody else is truly happy; unless you're an elder, then you know what happens behind the curtains, it's only a f açade, or a front for everybody, but you know how miserable and hypocritical they are.
I thought your comments also go a long way to explain the number of cases of depression, nervous breakdowns, alcoholism, paranoia disorders etc that seem to be rampant within the congregations of JWs. I have personally witnessed many cases of mental health breakdowns in the congregations I was in for the last 10/15 years or so as a JW - including some in my own JW family.
And what I feel adds even more to these mental health problems is constantly being told that JWs are the 'happiest people on earth' and that they are in a 'spiritual paradise'. So when someone does start to feel depressed their cult training leads them to believe that it is they who have a problem and that maybe they are not doing enough. So this guilt and the stress caused by trying to do more only adds to this downward spiral into fullblown depression/breakdown/alcoholism.
The people that are trapped will develop double personality disorders, the cult identity and the real identity, but will have trouble reconciling the two identities. They may start having a secret life as a way to cope with the anxiety, basically not being true to themselves, but this affects their self-steem and sense of integrity about themselves.
The people that manage to get out of the Jehovah's Witnesses or get DF'ed reached the breaking point of sanity, whether they realize it or not. They could no longer continue with the lie, or got fed up with it, and could no longer cope with something that felt unnatural and unhealthy. It may get to the point, where active members will subconsciously sin to get kicked out on purpose, as way of self-survival mechanism because of the constant suffering and misery experienced.
Many still trapped inside could develop obsessive compulsive disorders as a way to cope with the constant stress.
That's why I say, the sooner you get out, the better you are. You cut your losses short and move on, rather than keep losing with no hope in store.