My 13 year old daughter has POTS (postural orthastatic tachycardia syndrome) and EDS (Ehlers-Danlos syndrome). The EDS causes joint displacement and severe pain we also think she may have chronic fatigue syndrome. Right now I’m giving her Plus CBDoil spray that I put in a vegan capsule because she doesn’t like the taste. Two sprays is 8mg of hemp oil and 1mg of cannabinol (CBD). I can tell it’s working because when I give it to her she doesn’t complain as much from pain. But trying to get her to take it on a daily bases is hard. My question is how long does CBD usually last in the system before I would need to give her another dose? She weighs 89 pounds. Also when she dislocates a joint will this help with the inflammation that occurs?

Despite being the subject of countless controversies, use of marijuana for medical purposes seems to be gathering nationwide acceptance. The study and advancement of medical marijuana have come a long way since its ban in the early 1930s. Now, researchers have proof showing marijuana and its chemically related compounds having numerous health benefits.
The founder of Elixinol got his start in the hemp industry back in 1991, when he launched a “9bar,” a healthy snack bar packed with heart-healthy hemp which remains one of the world’s most popular hemp products. Elixinol sells an array of CBD products, including Tinctures, Capsules, Liposomes, Vape Liquids, and Topical Balms, all of which contain the purest-possibly hemp. The company sources hits hemp from farms in Europe, Australia, and America, uses a chemical- and heat-free, broad-spectrum CO2 extraction process, and employs a team of medical professionals to research and develop their product formulations. Most impressive, however, is the company’s standards of testing, which is conducted both in house and third-party, and which covers potency, microbiological contamination, heavy metals, pesticides, and terpene profile. The European-based labs employ equipment and personnel from the pharmaceutical industry, and all test results are posted online alongside product listings. There are a few contenders for best CBD oil for anxiety in their product selection. Their original and cinnamint-flavored CBD tinctures are most popular, and come in strengths of in dosages of 300 or 600 mg per 15 ml bottle, or 3,600 mg per 120 ml (or, available for order from Brazil only, a heavy-duty 5,000 mg). The blend contains CBD suspended in hemp oil, plus Amino acids, Natural Sugars, Aldehydes, Alcohols, Ketones, Flavanoids, Glycosides, and Vitamins. Those In search of a portable CBD for anxiety can try their 15 mg CBD capsules, 300 mg or 600 mg oral spray, or Elixinol’s proprietary “X-Pen”, which is pre-loaded with 1,000 mg CBD and delivers precise dosages on-the-go.

A research done by Dr. Julia D. Buckner at Louisiana State University, Dr. Carlo’s Blancos team at New York state psychiatric institute, Dr. Richard G. Heimberg at temple University and Dr. Franklin Scheiner at Columbia University have found out that nearly 10% of the cases who suffered from Cannabis Use disorder (CUD) also suffered from Social anxiety Disorder (SAD). In spite of the fact that marijuana consumption can lead to cognitive impairment, the number of teens who are consuming pots is on an increase in the country.
Clinical depression is a serious mood disorder characterized by persistent sadness and loss of interest, sometimes leading to decreased appetite and energy and suicidal thoughts. Commonly used pharmaceuticals for depression often target serotonin, a chemical messenger that is believed to act as a mood stabilizer. The neural network of the endocannabinoid system works similarly to the way that serotonin, dopamine, and other systems do, and, according to some research, cannabinoids have an effect on serotonin levels. Whereas a low dose of THC increases serotonin, high doses cause a decrease that could worsen the condition.[312] In 2009 researchers concluded that there was substantial evidence pointing to endocannabinoid signaling as a target for the pharmacotherapy of depression.[313] Authors of a 2016 study wrote that “CBD could represent a novel fast antidepressant drug, via enhancing both serotonergic and glutamate cortical signaling through a 5-HT1A receptor-dependent mechanism.”[314]
I have been totally off the effexor and all anti-depressants for 2 weeks now. The dizziness is getting much better however my emotions/agitation are horrible. I cry at everything and am extremely crabby/agitated. I realize most of this has to do with the withdrawal. I really want to see this through to find out if I can live without anti-depressants but at the same time I know it's very hard on my family. I have another doctor appt beginning of April and she says that if I don't feel better by then I most likely will need to go back on an anti-depressant. For the most part I agree with her. My hopes of proving her wrong as getting slim however. I'd like to know how long it took some of you who have withdrawn from anti-depressants to feel somewhat 'normal' or you knew you had to go back on them? I guess I'm asking if another month is a good amount of time for me to determine what I should do. In some ways I feel like I should start on them again now but I'm not going there yet? BTW, I am in no way feeling suicidal. Mornings seem to be my worst time and by early evenings I feel somewhat better – is this strange too? I haven't tried the CBD living water yet but did find a place near me to get it. Just havent had the time to get there. I also have the Ativan which I take one night to help with sleep. I'm trying not to take it unless really necessary. Tomorrow I have a huge even that my husband and I are in charge of so I'm planning to take an Ativan in the morning to get me through the day without falling apart (crying scene) in front of everyone (or yelling at them) :)! Thanks for all your input!!
CBD hemp oil has a number of uses and comes in many forms including capsules, tinctures, sublingual supplements, liquid oil, oil as a paste, sprays, salves, creams and in edible forms, such as candies or sweets. You can also inhale CBD oil from vapor-releasing pens, similar to the technology for e-cigarettes. This variety also provides a lot of controlled flexibility in terms of concentration, making CBD hemp oil useful and desirable for people of all ages, economic means, and personal needs.
Dispensaries: In states where marijuana is legal for recreational use, dispensaries are a common sight. They are much rarer in states with more restrictions. In states that permit the use of medical marijuana, hemp-based CBD oils do not normally require a prescription but marijuana-based oils do. Like brick-and-mortar locations, dispensaries offer more customer service. However, as noted, this may not be an option depending on the buyer’s state of residence. Also, CBD oil prices tend to be significantly higher at dispensaries.
Liquid CBD Oil/Tinctures/Extracts: Drops or tinctures should have a “suggested serving size” and the total milligrams of CBD listed on their packaging. From there, you can determine the amount of CBD you would like to ingest. Simply place the correct quantity of drops under your tongue using the dropper and hold the CBD oil in place for a minimum of 60 seconds. The 60 second hold allows for absorption via the blood vessels underneath your tongue – efficiently bypassing first-pass metabolism. Once 60 seconds has passed, swallow the CBD oil.

There’s no definite amount that’s appropriate for everyone, but the ratio of CBD to THC will indicate how psychoactive the product is and if it’s legal in your state. The more CBD compared with THC, the less of a high, and vice versa. “Managing psychoactivity is key to successful cannabis therapy,” says Lee. “Amounts should be made clear on the label and lab-certified so people know what’s helping them and what’s not.”


The 2014 Farm Bill[73], legalized the sale of "non-viable hemp material" grown within states participating in the Hemp Pilot Program[74]. This legislation defined hemp as cannabis containing less than 0.3% of THC delta-9, grown within the regulatory framework of the Hemp Pilot Program. This has led many to insist that CBD manufactured from hemp, is legal in all 50 states and exempts its oversight by the DEA as a controlled substance[75]. The 2018 Farm Bill is anticipated to provide further clarity regarding hemp regulations[76].
Guidelines For CBD Oil Buyers:  Thousands of orders get purchased online every day. Odds are, you will never get approached for buying a few CBD Oil tinctures.  Make sure they are from Hemp and make sure you are taking it as a dietary supplement.  We recommend going a step further and simply protect yourself!  Be under the care of a physician and get a medical marijuana card.
CBD Oil, derived from agricultural hemp, has been widely recognized for its many benefits on human health. It has grown in popularity amongst the medical community as a key supplement for maintaining homeostasis. Because CBD oil has the ability to talk to nearly every organ system in the body via the Endocannabinoid System (ECS) this plant-based nutrient plays a key role in optimizing balance and enhancing quality of life.
In terms of recent scientific investigations on the topic, in 2011 a group of researchers conducted a study that revolutionized the thoughts about CBD and anxiety. They took 10 people with social anxiety who had never had any treatment for this disorder and divided them into two groups. One group was given 400mg of CBD and the other a placebo. The results showed that those who had received the CBD oil had successfully improved their anxiety symptoms compared to the placebo.

The cannabis plant contains a unique group of carbon compounds often referred to a phytocannabinoids. The most common ingredient is THC, which creates the euphoric high effect. Due to the THC element in the plant, marijuana is often associated with a stoner stigma of people only wanting to get high. But that is far from the truth. Cannabis also contains other medicinal compounds including cannabinol, cannabigerol, cannabidiol, and cannabichromene.

It’s thought that CBD might affect your health by attaching to receptors in the body’s endocannabinoid system—a complex biological system involved in maintaining certain aspects of your health. Emerging research shows that endocannabinoids may play a role in regulating such functions as memory, sleep, and mood, as well as metabolic processes like energy balance.


Overall, preclinical evidence supports systemic CBD as an acute treatment of GAD, SAD, PD, OCD, and PTSD, and suggests that CBD has the advantage of not producing anxiogenic effects at higher dose, as distinct from other agents that enhance CB1R activation. In particular, results show potential for the treatment of multiple PTSD symptom domains, including reducing arousal and avoidance, preventing the long-term adverse effects of stress, as well as enhancing the extinction and blocking the reconsolidation of persistent fear memories.
Buying online is less reliable still because there’s no regulation or standardization. What you see on the label may not be what you are getting. A 2017 study in JAMA found that of the 84 CBD products researchers bought online, 43% had more CBD than indicated, while 26% had less, and some had unexpected THC. “There’s a 75% chance of getting a product where the CBD is mislabeled,” says Marcu, one of the study’s coauthors.
The first and most important step when deciding how to take CBD oil should be to learn your product options and educate yourself on what experts recommend for your specific need. The producer of the CBD oil also provides recommendations on how to take their specific product. Nevertheless, there are general steps that should be followed when taking CBD oil. They are as follows:
Clinical depression is a serious mood disorder characterized by persistent sadness and loss of interest, sometimes leading to decreased appetite and energy and suicidal thoughts. Commonly used pharmaceuticals for depression often target serotonin, a chemical messenger that is believed to act as a mood stabilizer. The neural network of the endocannabinoid system works similarly to the way that serotonin, dopamine, and other systems do, and, according to some research, cannabinoids have an effect on serotonin levels. Whereas a low dose of THC increases serotonin, high doses cause a decrease that could worsen the condition.[312] In 2009 researchers concluded that there was substantial evidence pointing to endocannabinoid signaling as a target for the pharmacotherapy of depression.[313] Authors of a 2016 study wrote that “CBD could represent a novel fast antidepressant drug, via enhancing both serotonergic and glutamate cortical signaling through a 5-HT1A receptor-dependent mechanism.”[314]
CBD inhibited escape responses in the ETM and increased DPAG escape electrical threshold [68], both proposed models of panic attacks [95]. These effects partially depended on 5-HT1AR activation but were not affected by CB1R blockade. CBD was also panicolytic in the predator–prey model, which assesses explosive escape and defensive immobility in response to a boa constrictor snake, also partially via 5-HT1AR activation; however, more consistent with an anxiogenic effect, CBD was also noted to decrease time spent outside the burrow and increase defensive attention (not shown in Table ​Table1)1) [75, 86] . Finally, CBD, partially via CB1Rs, decreased defensive immobility and explosive escape caused by bicuculline-induced neuronal activation in the superior colliculus [89]. Anticompulsive effects of CBD were investigated in marble-burying behavior, conceptualized to model OCD [96]. Acute systemic CBD reduced marble-burying behavior for up to 7 days, with no attenuation in effect up to high (120 mg/kg) doses, and effect shown to depend on CB1Rs but not 5-HT1ARs [71, 74, 88].

While normally I'd be slightly tripped up by little things like an overly crowded subway car or a full inbox at work, the CBD oil seems to have taken the edge off of my anxiety a bit. Rather than overthinking a sternly worded email or analyzing a social interaction, I've found it easier to recognize the irrationality of these thoughts and actually let them go (instead of ruminating on the situation). In some ways, I feel more like myself. With that said, I've still experienced some social anxiety when meeting new groups of people—I'd be interested to see what taking the full recommended dose would do.
CBD oil and cannabis oil are both known to reduce the symptoms and side effects of cancer. The presence of both THC and CBD helps in treating the pain associated with cancer. According to research done by Hansen M., Medical University of Vienna, Vienna, Austria, it also treats the side effects of chemotherapy including nausea, vomiting, and anxiety.
If you have a nervous or misbehaving pet, you may be at a loss when it comes to how to help them. Anxiety in dogs can be extremely hard to treat — after all, it’s not like you can have a conversation with your dog to find out what is wrong or how you might be able to help. However, you may have seen CBD making headlines as of late. What is CBD used for when it comes to pets? The answer may surprise you!
Medical research can and is being done with schedule 1 substances, including CBD and other active ingredients in marijuana, but there are strict regulations and administrative hurdles associated with this status. According to the Federation of American Societies for Experimental Biology, the DEA is currently conducting a scientific review of CBD to elucidate its pharmacology and abuse liability and to identify gaps in the published literature. (22)
Cannabidiol did not reduce responses to negative emotional stimuli or reduce anxiety in healthy participants, according to a study published in Cannabis and Cannabinoid Research in 2017. Researchers tested participants' responses to negative images or words and threatening emotional faces and sensitivity to social rejection after taking oral cannabidiol.
Yes, CBD oil can be used in anxiety. It has been found that CBD can even be a very effective remedy for it. At least that’s what a lot of users report about CBD. But there are already some scientific studies which can confirm this statement, which we will look at in more detail on this page below. Also, there are countless reports from people who use CBD for anxiety with sometimes amazing results. Which can also be found on our site Reviews & Testimonials.

And without high-quality trials, experts don’t know how much is best for a given purpose. The staff at Roth’s dispensary told her, “Try some once or twice a day and see what happens.” (Half a dropper’s worth was a good amount for her.) One thing scientists feel confident about is that CBD is not dangerous. It won’t damage vital organs even at doses as high as 5,000 mg a day, Marcu says, and nobody has died from simply overdosing on a cannabis product.
At the federal level, CBD is classified as a Schedule 1 drug in the U.S. because it is one of the many cannabinoids present in marijuana. To be labeled a schedule 1 drug means that it has a high potential for abuse and the potential to create severe psychological or physical dependence; therefore these drugs are not allowed to be used for medical use.
Social media is blasting this one out lately, showing that different parents have been treating their children illegally (in states that are not classed as medical states) to help prevent their children from having seizures or deal with epilepsy. While there has been limited scientific evidence on the topic, 2016 was a major turning point for the plant as a major study was conducted by Orrin Devinsky, a neurologist at New York University Langone Medical Center, showing profound results.
The 5-HT1A receptor (5-HT1AR) is an established anxiolytic target. Buspirone and other 5-HT1AR agonists are approved for the treatment of GAD, with fair response rates [50]. In preclinical studies, 5-HT1AR agonists are anxiolytic in animal models of general anxiety [51], prevent the adverse effects of stress [52], and enhance fear extinction [53]. Both pre- and postsynaptic 5-HT1ARs are coupled to various members of the Gi/o protein family. They are expressed on serotonergic neurons in the raphe, where they exert autoinhibitory function, and various other brain areas involved in fear and anxiety [54, 55]. Mechanisms underlying the anxiolytic effects of 5-HT1AR activation are complex, varying between both brain region, and pre- versus postsynaptic locus, and are not fully established [56]. While in vitro studies suggest CBD acts as a direct 5-HT1AR agonist [57], in vivo studies are more consistent with CBD acting as an allosteric modulator, or facilitator of 5-HT1A signaling [58].
Now that the names have been verified, it’s important that you are aware of the hundreds of medical studies that have shown cannabinoids and CBD oil to potentially offer a wide variety of health benefits. We bold the word “potentially” because Cannabidiol is NOT to be considered a potentially relievement, NOR a cure for any severe condition, illness, or condition listed in this review.
I put two drops in my coffee (yes, I realize mixing hemp oil with caffeine is a bananas thing to do, but I need coffee and it is recommended on the website). The oil is much less unpleasant to take this way, although it does hugely change the taste of your coffee, so perhaps save it for your instant coffee, rather than your $5 slow-roasted French drip latte.
More human studies are needed to fully understand the range of risks and side effects that CBD oil may cause. Studies of CBD oil aren’t common. This is partially because Schedule 1 substances like cannabis are highly regulated, causing some obstacles for researchers. With the legalization of marijuana products, more research is possible, and more answers will come.
CBD also blocked reconsolidation of aversive memories in rat [76]. Briefly, fear memories, when reactivated by re-exposure (retrieval), enter into a labile state in which the memory trace may either be reconsolidated or extinguished [97], and this process may be pharmacologically modulated to achieve reconsolidation blockade or extinction. When administered immediately following retrieval, CBD prevented freezing to the conditioned context upon further re-exposure, and no reinstatement or spontaneous recovery was observed over 3 weeks, consistent with reconsolidation blockade rather than extinction [76]. This effect depended on CB1R activation but not 5-HT1AR activation [76].

There has been some fear around subject of nanoparticles that has been spread by few scientists that are not educated on distinct differences between types of nanoparticles, and who are talking about a few specific nano-sized metals that may have a possibilities to bind to DNA (e.g. cisplatin nanomolecules used in chemotherapy, or carbon nanoparticles from tattoos). But in the case of all natural polyphenols or other biodegradable nanomolecules such as those found in NatureCBD, there is no chance of binding to any place in the body for a harmful period of time. This is because these natural molecules get metabolized into other forms in your body and are then easily secreted after getting their delivery job done.
Relevant studies are summarized in Table ​Table3.3. In a SPECT study of resting cerebral blood flow (rCBF) in normal subjects, CBD reduced rCBF in left medial temporal areas, including the amygdala and hippocampus, as well as the hypothalamus and left posterior cingulate gyrus, but increased rCBF in the left parahippocampal gyrus. These rCBF changes were not correlated with anxiolytic effects [102]. In a SPECT study, by the same authors, in patients with SAD, CBD reduced rCBF in overlapping, but distinct, limbic and paralimbic areas; again, with no correlations to anxiolytic effects [104].

Figuring out how much CBD oil to take can feel like trying to navigate through a complicated maze. The sheer volume of CBD brands on the market can create confusion for consumers, and when you take a closer look, it’s not difficult to understand why. Not only do vendors use different source materials (CBD-rich cannabis vs. industrial hemp, different strains, etc.), but they also implement different extraction techniques .
Prescription medicine (Schedule 4) for therapeutic use containing 2 per cent (2.0%) or less of other cannabinoids commonly found in cannabis (such as ∆9-THC). A schedule 4 drug under the SUSMP is Prescription Only Medicine, or Prescription Animal Remedy – Substances, the use or supply of which should be by or on the order of persons permitted by State or Territory legislation to prescribe and should be available from a pharmacist on prescription.[77]
The body of research on cannabidiol, CBD oil benefits, THC, and other cannabinoids has grown exponentially in the past decade. The following brings together the latest scientific studies and stories from patients and doctors with advice on treating specific symptoms. It also includes dosage suggestions and information on recommended types of cannabinoid-based medicines for the particular condition.

What about the correct CBD oil dosage for anxiety? The actual dosage amount will depend on the size of your dog and the product potency. Most manufacturers will give you guidelines of one or two tiny doses a day. The recommended doses are small drops, as in .05 mg/pound. Which means if you have a dog under 25 pounds, a 600 mg bottle can last you nearly two months because you’re only giving them little more than a mg a dose. The best way to determine exact dosage is by following the manufacturers directions.


Finding the correct amount of CBD for you may take a bit of trial and error, especially if you try to do it on your own. Dosage recommendation should be given to you by your Doctor as that is what they are trained to do. Doctor’s base Cannabidiol dosages on the severity of the associated health problems and issues that they are looking to alleviate. That means, it strictly depends on your condition!  There is no specific amount of CBD oil that everybody should take.

Eventually, Bekkii built up the confidence to leave the psychiatric unit, but still found it "close to impossible to lead a normal life" due to her anxiety. With treatment options narrowing, Bekkii began to research other ways she might be able to counter her anxiety, and stumbled upon a blog written by a woman who was using CBD oil for her mental health problems. Her mum had seen that a local pharmacy stocked CBD oil made by Celtic Wind Crops, and she decided to give it a try.
...with due respect, your experience Locsta is almost precisely what happened with my....chihuahua. Degenerative disc disease, excruciating pain, prednisone worked, but couldn't keep her on it..pain killers and muscle relaxants didn't help, really thought I would have to put her down. Chi bloggers suggested CBD; gave PetReleaf a shot--like you, literally within minutes I could see the difference, in days she was pain free and now is back in charge of our world. The real key here is that with my dog, there is zero, nada, chance that there was any placebo effect...
@lalyfa In 2010 I went off a cocktail of psychotropics including antidepressants, antianxiety and antipsychotics cold turkey. The meds were wrong for me and the withdrawal was severe and I rarely slept, had RLS, neuropathy and cranky beyond words. Some of these meds took 9+ months to clear my system. Be sure to follow doctor's advice. I did not have a doctor at the time and would not go to the ER knowing it would have resulted in more abuse. Not an intelligent thing to do and not sorry I made the choice even though the experience was horrific and would not reccomend anyone go this route. As to how long the withdrawal lasts the best thing is to discuss this with a pharmacist as this is where their training is and they understand much better and be of help. Wishing you the best.
^ Hayakawa K, Mishima K, Hazekawa M, Sano K, Irie K, Orito K, Egawa T, Kitamura Y, Uchida N, Nishimura R, Egashira N, Iwasaki K, Fujiwara M (January 2008). "Cannabidiol potentiates pharmacological effects of Delta(9)-tetrahydrocannabinol via CB(1) receptor-dependent mechanism". Brain Research. 1188: 157–64. doi:10.1016/j.brainres.2007.09.090. PMID 18021759.
CBD oil has a wide range of effects on health and has been connected to a diverse number of health problems, ranging from migraines and stress to lack of appetite and sex drive. CBD oil has even been connected to reducing the risk of certain cancers, as well as reducing pain, improving the conditions of the heart, and helping people get a good night’s sleep. There are a number of ways to use CBD oil, depending on what you want relief from.

Naturally, scientists wanted to see if CBD had any anticancer properties. As a result, they performed several animal studies using it. However, it should be noted that the findings don’t fully apply to humans. In fact, they merely suggest what possible effects CBD might have when it comes to dealing with cancer. With that in mind, additional human studies would help conclude if CBD has an effect on cancer cells in humans.
As the brain ages, the creation of new neurons slows down significantly. In order to maintain brain health and prevent degenerative diseases, new cells need to be continuously created. A 2008 study showed that low doses of CBD- and THC-like cannabinoids encouraged the creation of new nerve cells in animal models, even in aging brains.[192] CBD also benefits the brain by helping to prevent other nerve-related diseases like neuropathy and Alzheimer’s disease.
Green Roads is all about purity and performance. The company has the highest standards in purity, extraction methods, and sourcing, and has earned a number of endorsements from pro athlete associations (such as the NFL Alumni Association) and mentions by major news networks (such as Forbes and ESPN). Their source hemp is grown around the world from European certified organic farms, then subjected to a high-pressure, low-temperature CO2 extraction. All raw materials are tested for purity by independent labs at multiple points, and an experienced pharmacist compounds their salves, creams, tinctures and edibles using pharmaceutical-grade, 99% pure cannabidiol, and cannabidiol oil. Of their products, the best CBD for anxiety will be their CBD tinctures and
The cannabis plant contains a unique group of carbon compounds often referred to a phytocannabinoids. The most common ingredient is THC, which creates the euphoric high effect. Due to the THC element in the plant, marijuana is often associated with a stoner stigma of people only wanting to get high. But that is far from the truth. Cannabis also contains other medicinal compounds including cannabinol, cannabigerol, cannabidiol, and cannabichromene.

“THC”—the more-famous, high-inducing compound in cannabis—“works directly on the cannabinoid system, meaning it attaches to receptors and mimics some of our own internal endocannabinoids,” says Igor Grant, a professor and chair of psychiatry at the University of California, San Diego School of Medicine. But CBD’s interaction with the endocannabinoid system is subtler. “Normally, these endocannabinoid-signaling molecules are broken down by enzymes, and one thing CBD does is interfere with the actions of those enzymes.”
One study comparing the effects of THC and CBD even found that, while THC increased anxiety by activating the neurotransmitters involved in the "fight or flight" response, CBD actually repressed autonomic arousal—or the nervous system response associated with sudden increases in heart rate or respiration. In other words, CBD is ideal for people looking to relax and unwind—not get out of their minds.
Anxiety Disorder Association of America (ADAA) conducts research every year to find out the statistics increase or decrease. The studies conducted over a period of 10 years have revealed that 54 percent of the women while 46 percent of the men suffer from the anxiety disorders. But some studies also believe that the numbers of men who suffer from the anxiety issues are much higher than that of the women. It is just that they do not report their problem to the doctors or do not seek out for help until something significant problem occurs.
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