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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A good therapist is a neutral third party who can let you say all the stuff you can’t stay otherwise. They will give you feedback on your situation and help with coping strategies for certain situations you might find yourself in. And they will help you identify information about yourself and others in your life.
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