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Has anyone gotten to a point in therapy where you were like, "Okay, SOMETHING needs to change, (its either that or I choose the ultimate way out)," but you don't know what, or if you want to, or if you can?
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Yes. I pretty much followed una's blueprint to change it. And things are much better now, even if that may only be relative.
velcro--you often seem to reject any suggestions from your therapist immediately. Why not try some? Even if you end up not liking them or not continuing, at least you'll get in the habit of trying new things.