Neptune in the first house produces difficulty to form the appropriate identity for the person. The first house is the ego, the personality and Neptune inside there loosen the boundaries of the ego making the person to be connected with the whole world. That's why the person tends to be a chameleon, a mirror, a victim, the savior, the martyr, the artist, the sensitive, the spiritual. It is extremely difficult for someone to understand in depth someone with Neptune in the first. Even the person itself doesn't know him/her self entirely. He/she lives inside of a dream until the Saturn's tempo increases reality and decreases idealization.
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