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Inability to cope with stress healthily
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Unfulfilling relationships
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Low self-worth
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Decreased productivity at work
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Health challenges
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Decreased ability to concentrate
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Avoidance of personal interests
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Using antidepressants with no improvement
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Experience a similar negative pattern in relationships
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Hopelessness
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Previous unsuccessful therapy experiences
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Marital distress
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ACEs (Adverse Childhood Experiences)