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I think out-patient should always be the first choice. The hospital's role is to keep you and others safe and to stabilize you enough to treat you in the community. Ideally it will provide therapy as well, but if you are depressed going into the hospital you will probably still be a little depressed coming out. The hospitals are getting better at providing partial hospitalization and intensive out-patient programs though, and I would definitely consider doing one again if I relapsed.
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It is said an Eastern monarch once charged his wise men to invent him a sentence, to be ever in view, and which should be true and appropriate in all times and situations. They presented him the words: "And this, too, shall pass away." How much it expresses! How chastening in the hour of pride! How consoling in the depths of affliction!
---"Address before the Wisconsin State Agricultural Society". Abraham Lincoln Online. Milwaukee, Wisconsin. September 30, 1859.
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