the short answer: no.

the long answer: though it helps sometimes, (those sometimes being extremely rare), I often think I'm beyond any sort of help

the reality is that their are too many issues in my life, and that as soon as something's resolved their's 50 more things to deal with.

could I live without it?

on one hand I never got what I wanted out of it, on the other I don't have a very big support network. it's difficult