Edit: so please also help me understand this- if a person doesn’t have family and friends to support, sounds like therapy won’t really help this person unless they change their living conditions, or they relapse?
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I am a licensed therapist, and I’ve been to therapy myself. In my opinion, the best therapy comes from learning new skills/tools: new ways to think, do, or feel. In this regard, you can begin to employ these skills/tools outside of sessions. Best of all, if you get stuck, your clinician can help you “troubleshoot” why the said skill might not be working, correct misconceptions, and ultimately make it work for you.
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