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I know lack of sleep messes with me a lot. Makes me really irritable. So it could be causing some of your distress. Personally I wouldn't go to the hospital unless you feel like you're going to hurt yourself, but that's only because they NEVER let me go lol. I would however seek your doctor's help. If you're not suicidal I wouldn't worry about being hospitalized against your will.
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Of course it is happening inside your head. But why on earth should that mean that it is not real?
-Albus Dumbledore
That’s life. If nothing else, that is life. It’s real. Sometimes it
f—-ing hurts. But it’s sort of all we have.
-Garden State
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