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Please understand that I will not be able to personally respond to all messages, and that it may take me several weeks to read many of them. If you are in crisis or are in need of immediate help, please go to the closest emergency room or contact a mental health professional or health care provider in your area.  Please also note that these messages may not be secure, and I can not guarantee the confidentiality of what goes over the internet.  Lastly, please be aware that any responses that I may provide via email and anything on this site and/or its related blog do NOT constitute medical treatment, advice, or a patient-doctor (fiduciary) relationship.  May you be well.