Since most people must deal occasionally with psychological distress, many seek counselling; however, it is unlikely that most of these individuals are actually mentally ill rather, they are dealing with existential hardship. And here it may be useful to understand the limits of psychotherapy: I do not believe that bipolar depression or psychosis can be substantially alleviated by words or behavioral advice, however wise and true these may be. Quite obviously, grief can lead to depression, unrelenting stress to anxiety, and rape to a range of post traumatic disorders, but this occurs as part of a pathological process in which there is clearly a before and after even if we cannot pinpoint the moment at which this occurs..
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