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Personally, I would recommended that the person read some self-help books on the topic which distressed them, if they couldn't ask for help otherwise.
Or, work slowly with yourself, journaling things and building up the courage.
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“In depression . . . faith in deliverance, in ultimate restoration, is absent. The pain is unrelenting, and what makes the condition intolerable is the...feeling felt as truth...that no remedy will come -- not in a day, an hour, a month, or a minute. . . . It is hopelessness even more than pain that crushes the soul.”-William Styron
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