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Being honest with your psychiatrist is the best strategy. He can't help you if he doesn't know the whole truth. I know it can be scary, but it really is the way to go. Since you're a poly substance abuser, he may recommend rehab. Don't dismiss it out of hand. Rehab has really helped me.
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"I danced in the morning when the world was begun. I danced in the moon and the stars and the sun". From my favourite hymn.
"If you see the wonder in a fairy tale, you can take the future even if you fail." Abba
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