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The self-awareness you are showing is awesome! Definitely call and let your pdoc know that you can tell it's getting to the point of unmanageable.
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"The time has come, the Walrus said, to talk of many things. Of shoes, of ships, of sealing wax, of cabbages, of kings! Of why the sea is boiling hot, of whether pigs have wings..."
"I have a problem with low self-esteem. Which is really ridiculous when you consider how amazing I am.
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