Being a Ghoul and possible solution.
I really wanted to become a ghoul, because of the look. What I did Not want was to have to wear the same disguise as every other new ghoul in Appalachia just to be able to interact with all the people I have been around for the past six years(the Factions.) So here's my idea for a solution: why not make the disguise a "temporary" fix until the character has rebuilt the trust with the Raiders, Settlers etc. In the same way we had to build our reputation the first time around? In this way, after say a month, the factions would trust the new ghouls and their interactions would be no different than with the normal characters.