A few other thoughts intended, sincerely, to be helpful to anyone who reads this forum.....
1- Most people have a "bottom" to their pain, upon which they get galvanized to do what they need to do. Some do not ..and some just die miserable. Sad, harsh and true. I firmly believe for most human situations, where there is a WILL, there is a WAY. It may not be easy, cheap or fun, but there is a WAY out. Change it, adapt to it, or both.
2- Some people are called in the psych professions "help-seeking/help-rejecting": they seek help, only to avoid implementing all rational and sane approaches. Hmm. At some point, everyone just gives up, including most psychiatrists, therapists, nurses, friends, family members, doctors etc. One can only complain so long, before one gets tuned out. Also sad, harsh and true.
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