I received my first formal mental health diagnosis about 23-24 years ago, and so that would mark the beginning of treatment. During that span, I've had two formal courses of CBT-based therapy with a smattering of informal talk therapy, some of which was provided by a psychiatrist (!).
In my case, neither talk therapy nor medications have been...of significant help.
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My dog  mastered the "fetch" command. He would communicate he wanted something, and I would fetch it.
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