June 20, 2010
Doubly Difficult Days for DID Survivors
This weekend is often a difficult weekend for trauma survivors with dissociative identity disorder. First, there is Father’s Day (for those of us living in the USA), and secondly, it’s the Summer Solstice. Anytime the difficult days get stacked on top of each other, it’s going to make for a complicated time.
On days when the issues seem to surface in layers, what do you do to cope?
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(**This blog article is about difficult topics so it could be triggering – please pace yourself carefully and keep yourself safe.)
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Father’s Day has many of the same emotional complications as was written about on Mother’s Day. The days proceeding are often full of painful memories, heartbreaking loss, fear, conflict, and upset. The vast majority of DID survivors have had abusive fathers, so the idea of celebrating fathers typically stirs up great turmoil.
The first day of summer, like all season changes, has relevance to those who have experienced difference forms of Ritual Abuse (RA). Many of the dark church organizations celebrate the seasonal changes and these so-called “celebrations” are full of trauma, abuse, gross activities, icky messes, scary events, etc. Survivors of these ordeals are often flooded with flashbacks, emotional distress and internal conflict during the times of season changes.
When you put the two of these highly emotional events together, dissociative survivors experience a lot of overwhelm. Some of the difficulties can include PTSD symptoms (nightmares, flashbacks, depersonalization, body memories, difficulties sleeping, irritability, feeling distant from others, etc.) and anxiety symptoms (panic attacks, excessive fears, heightened startle reflex, nausea, trembling, heart palpitations, headaches, obsessions, chest pain, etc), self-destructive thoughts, self-injury behaviors, suicidal ideation (pervasive thoughts about wanting to die), depression, tearfulness, or detached numbing. It’s probably been a miserable weekend for a lot of DID survivors.
Fathers that participate in dark church rituals are often not the kind of fathers that you find written about in Hallmark Cards. These are the kinds of fathers that prefer abusive activities, or that like sadistic pain, or have freaky and perverse sexual interests. They are difficult men who have caused a lot of hurt and pain for a lot of people, especially for their children.
And yet, even so, there are nearly always those parts within the DID system that feel loyalty and a deep bonding with the father figure. These parts are typically parts that have adopted some level of acceptance of the traumatic activities, and have long ago learned to tolerate the abuse or to even define it as anything but abuse.
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Father Introjects
DID survivors often manage abuse by their fathers by creating a father introject within the internal dissociative system. Father introjects are internal system parts that remember the father so well that they look-feel-sound-act-appear to the others inside as the same as the actual father. An internal introject may do the same kinds of abusive behaviors to the other parts of the system, recreating the same abusive patterns and feelings that the external father did. Since the internal world is so real to DID survivors, it can feel like the father is still there, still controlling things, still making all the decisions, still threatening harm, still causing harm.
And in many ways this can be true.
It can be difficult to separate who the external father is from the internal father introject. They can very much feel like mirror-images of each other, shadow replicas, and the child parts of the system will not be able to tell the difference between them.
But father introjects are NOT the actual father, no matter how much they may claim to be so. Father introjects actually belong to you. They split from you, they came from your mind, and they originated with you. They are actually part of you, and not part of the father. They may have been taught by the father, but they are actually yours.
However, they will be powerful parts of the internal system though so their power and influence is not to be ignored or minimized. It is more important to work with these parts, and reconnect their loyalty to the survivor person instead of to the father figure. This is an absolutely crucial part of the DID therapy process, and if you haven’t yet gained a safe working relationship with your father introject, you will need to do so.
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Father Transference Issues
In the therapy process, male therapists will have many of the same kinds of transference issues regarding father issuesj as female therapists have with mother issues. In fact, it is often difficult for some female dissociative survivors to work with male therapists because of the kinds of trauma, abuse, and controls associated with their father. Male therapists often have to address transference issues of being seen as the abuser, controlling male, dominant owner, sexual pervert, etc. So many trauma survivors have issues with men — and even more have issues with their fathers — that it makes being a male therapist for female trauma survivors particularly difficult.
Other female trauma survivors are so used to be led by men or connected to men, especially their father, that they feel more at ease with men and less comfortable with “neglectful, abandoning mothers”. (Female therapists tend to get more of the abandonment transference issues, while male therapists tend to get more of the abuser-male dominance transference issues.) The relationship between survivors and their parents will very often dictate which gender of therapist is a better fit for them.
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Typical Father Issues
Father issues are not easy to work through. They often take years of time to sort out, and they are very painful. Many survivors truly feel bonded to their fathers, even if some of their relationship involved sexual activities. Sometimes feeling sexually connected to the father felt better than being emotionally abandoned by the mother. When this is the case, there are numerous emotional complications to process during your healing.
Do you understand the role your father has played in your life?
Do you experience system switching, feelings of fear, or flashbacks when you are in the same room with your father?
What would your father do if you said no to him?
What would your father do if you chose a lifestyle very different from the one he chose for his life?
Are you allowed to live separately from him? Have you been allowed to move away from his neighborhood?
How much control or influence does your father have over you life in the current day?
Are you safe when you are in the same room as your father?
Does your father still abuse you or any of your younger parts? Does he still exert a level of sexual dominance over anyone in your system?
Would you be betraying your father if you refused to let him touch you in sexual ways?
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Remember This
If your father is an abuser, you can get distance and separation from him.
You don’t have to stay bonded to abusers.
You don’t have to stay connected to violent relationships.
You don’t have to be abused to be accepted.
You do not have to be sexual to be accepted.
All men are not abusers.
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By:
Kathy Broady LCSW
Copyright © 2008-2010 Kathy Broady LCSW and Discussing Dissociation
March 23, 2010
United States of Tara is Integrated Now? Really?
So here we go again.
The second season of the Showtime series “United States of Tara” starring the Emmy Award winner Toni Collette has begun.
The first season was full of controversial episodes, and most of the survivor population with dissociative identity disorder was disappointed and angered by the series. Even though some of the best-known trauma psychiatrists were allegedly acting as advisors for the show, there were still far too many inaccuracies and misrepresentations for the comfort level of real DID survivors. (Maybe next time, Showtime, executive producer Steven Speilberg, or writer Diablo Cody should speak more with clinical therapists that treat dissociative clients on a long-term basis. If you ask me, therapists know more about the clinical realities of DID than psychiatrists anyway, but that’s a whole different rant.)
The first episode starts with Tara tossing out the clothing and personal items that belonged to her formerly recognized four or five insiders. Tara had ended the first season in the hospital, and had apparently done so well in her brief hospital stay, that it had been three whole months since her insiders had surfaced. She was sure they were all gone. She was already saying goodbye to them – more like good riddance to them – and her family gathered around the charitable donations dumpster to make crass comments toward the inside parts.
Oh dear. What a way to start the season. Fifty-one seconds into the show and my eyes are popping out with enough material for a blog post. (Dare I even watch the rest of the episode?!) Yeeesh!
So this very first minute of the show brought up some of my very biggest complaints about the way some mental health professionals and hospital programs treat DID / MPD.
One of the most devastating techniques that treatment providers can use with dissociative survivors is to push the whole integration idea. To push the idea that insiders need to not be allowed out, or need to be silenced, or need to be pushed to the back, is damaging to the person as a whole. Integration is not anywhere near the cure-all or ideal goal it is professed to be, and frankly, expecting dissociative clients to having these “alleged integrations” too fast is absolutely harmful.
I have seen too this happen far too many times. This is not good treatment for dissociative identity disorder!!
You cannot go into a hospital program and walk back out, a few weeks later, as an integrated multiple. This is NOT possible. I don’t care how much this is advertised as possible, it is not. It is complete farce, and it will not work.
Sure, you can temporarily push your insiders back into hiding. Or, your insiders can push you out to the front and rebuild the dissociative wall behind you so that you are completely separated from your system. You might think you are alone. You might think you are “integrated”. But you are just separated from your insiders. In fact, you are more dissociated than ever because now you have a complete dissociative block between you and the rest of your selves.
This is not helpful.
Unfortunately, there are hospital programs or therapists that encourage this kind of treatment.
It doesn’t work. It won’t stick. Those inside parts are not gone. They might be hidden, but they absolutely are not gone. And this new or encouraged separation will just cause problems down the road. I’d bet money on that.
I realize that many of you may want to push your insiders back in, or make them shut up, or make them go away, because you believe that your life would be easier and more manageable if they were gone. I can understand the concept that having one personality is easier than having a dozen or two (or three) personalities. I get that.
But it’s still not a good idea.
The various parts of you were created for a reason, and they hold valuable pieces of your life, your history, your emotions, your skills, your abilities, your memories, your talents, your energy, etc. They represent years of your life, and it takes all of you together to make the whole picture – and as appealing as it might be to think that three weeks in the hospital can solve everything with a quick integration, this is an illusion and a lie. Genuine integration, if it is actually desired and if it is actually going to be successful, requires years of work. The various selves to work through all the things that caused them to be separated in the first place – and that just takes time.
It is a cruel trick for hospitals to sell this approach as something they can achieve for the client – because the hospital won’t be there six months or a year down the road, when the apparent “integration” falls apart and the devastated client is left feeling at fault. And it is compounding the wrong for Showtime to present this approach as something that actually happens.
The other problem in this first minute of United States of Tara is the negative way that Tara and her family are speaking about her insiders. Where is their kindness and compassion? Why such blatant disrespect? Where is the appreciation for what those insiders did for her?
EVEN IF I believed in sudden or quick integration as a general theory (which I most definitely do not), I would still say to Tara and her family members that their “good riddance, you big pains in the butt” attitude was an obvious indication of why this particular attempt at integration was not going to work.
Clearly, there were still plenty of issues left unresolved. Clearly, Tara and her family harbored resentment, irritation, and bitterness toward her insiders. The insiders did not integrate because there was acceptance, understanding, and blending of their roles. These insiders were clearly not wanted, not liked, not understood, not appreciated. They were hated. And if Tara is still hating on her insiders, then she is still hating herself. This is not the kind of foundation from which any kind of healthy progress is made.
You cannot integrate your insiders if you hate them.
You cannot make them go away, just because you hate them.
I suppose you can pretend they do not exist because you don’t like what they did. But that will not help you to get better.
I suppose you can act like they are not real because you don’t want them. But that will not help you to get better.
Hating on your insiders, in any way, shape, or form, is not conducive to good treatment.
Hating your yourself, in any way, shape, or form, is not conducive to good treatment.
Your insiders are still parts of you, now and for always.
As far as I am concerned, neglecting your insiders is a form of self-abuse. Neglect is neglect, and if you are not working hard to appropriately meet the needs of your insiders, you are carrying out of form of neglect.
It is so very important to develop positive acceptance and understanding with your insiders. It is imperative to the success of your healing, and one of foundations of your treatment, to be kind, gentle, and compassionate to your inside parts. Build positive teamwork. Build good cooperation. Build good internal communication skills. Become friends with each other. You and your insiders really have to be able to get along and work things out together in order for your healing to progress.
Somehow Tara forgot to do this, and somehow her hospital program forgot it as well.
She can pretend that shoving her insiders away, or pretending they don’t exist, is a wonderful option for her.
But it really will not work.
Later in the previews, it becomes clear that Tara starts realizing she is switching again. (She calls in transitioning. What a bulky word, but ok – it’s a transition from one self to another.) So yes, she clearly switches from one part to another. That’s no surprise.
Someone on her treatment team should have told her months ago that that her “they are gone” approach wasn’t going to work.
Because it didn’t.
Obviously.
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By:
Kathy Broady LCSW
Copyright © 2008-2010 Kathy Broady LCSW and Discussing Dissociation
March 28, 2009
United States of Tara – Going too Far
Ok. So I was all kinds of optimistic and hopeful that the Showtime series, United States of Tara, would be a positive statement for dissociative identity disorder. After all, Showtime interviewed Dr. Richard Kluft, an informed psychiatrist, one of the founding fathers of the treatment of DID/MPD. That was a good sign, wasn’t it?
Well.
As a trauma therapist with 20+ years of clinical experience working with multiples, I have to say I’m quite frustrated that Showtime has presented multiplicity in this way.
First of all, the word is dissociation. Pronounced di-soh-see-ay-shun. The word is not disassociation. There is no additional “a” sound in the word. Saying dis-a-soh-see-ay-shun is the wrong pronunciation and a different word altogether.
Secondly, there is not a medication that can remove or prevent or end dissociative identity disorder. Medications can address various symptoms, and can even slow the thinking down, but medication cannot remove multiplicity. The idea of drugging away the parts is particularly offensive to me, and as far as I am concerned, it is totally opposite to genuine treatment. Insiders are there for a reason, and promoting the idea that the inside can be drugged into silence seems abusive to me. This idea is absolutely absurd and smacks of perpetrative behavior.
Moving on…
I understand the idea of “creating additional drama” for the sake of entertainment and to get a viewing audience. Fine.
And I can understand that the visual presentation of the various alters is metaphorical for how switching feels from within. It is true — or can be true — that when insiders surface on the outside, they “feel” like they look on the inside. Insiders are often confused and upset about looking externally very different than they feel internally. They are convinced they are shorter, or wearing different clothes, or have different hair, or are even a different gender, etc. And yes, internal parts are very often adamant about being a very different person from the host personality.
For the Tara show, the insiders get to look as extremely different on the outside as they feel on the inside. However, it’s not typical for DID’ers to actually present so drastically even if they wish they could.
The different presentations of Tara are excessive, but it makes the point, and it helps the viewing audience to catch on to a switch to one part from another. I would have hoped the viewing audience did not have to have that much help in recognizing switching, but maybe they do.
Now to my biggest beef about United States of Tara: the criminal behavior.
I suppose that somewhere out there in the world, there are multiples that beat up teenagers on school property, break in to and vandalize homes of others, urinate on others while sleeping, froth and drool in public, and sexually assault their child’s underage boyfriend. I suppose I cannot say that no multiple in the world would ever do that.
But really?!!! Is this the kind of message that we want the viewing audience to have about DID? Do multiples really present as the criminally insane?
Not to me!
The multiples I have met in the past 20+ years are not out-of-control monsters like this. Their inside parts know that there is a legal body age, and while they typically feel younger than the body age, the insiders have an understanding that they are not actually the same as outside people of that age.
DIDer’s might have flashbacks or a hard time functioning or emotional outbursts, but typically, trauma survivors will have enough self-control to manage their behavior without committing a crime in public.
Showtime crossed the line by making Tara a sex offender.
It is true that many multiples have been tangled up in sexual crimes, but typically, multiples that are in treatment have not chosen the life of a sex offender. All too many trauma survivors were forced to perpetrate as part of their victimization by organized perpetrator groups, or even by violent single abusers, but being forced to hurt others is not anything near the same as purposefully deciding to sexually offend in the day world.
Most multiples are not sexually inappropriate of their own volition.
For the writers of United States of Tara to present multiplicity in this light is cruel and inaccurate.
I’m disappointed, to say the least.
What a slam.
A great big huge insulting ridiculous slam.
I am not impressed.
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- What do you think?
- What are your thoughts about the show United States of Tara?
- Are you criminally insane?
- Would you do the behaviors that Tara is doing on this show?
- If you are multiple, what are your feelings about being portrayed in this way?
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By:
Kathy Broady LCSW
February 28, 2009
What if you don’t like being Multiple?
This week, the readers here have posted a wide variety of reactions to the idea that being multiple could have benefits. If you haven’t yet read all the comments on that blog, please do so. They are very interesting.
When people have DID/MPD, they have experienced life as a multiple since their childhood. It is their norm – basically the only way of life they know. Multiples typically have not experienced life any other way other than being multiple, even if they didn’t realize they were as split as they are. Sure, one or two of the host personalities may not have a strong personal connection to what it’s like to be multiple, and many of them can deny the existence of the internal others to some degree, but the internal system as a whole would have been there for nearly your whole life.
And frankly, many DID’ers that are newly diagnosed just haven’t realized how much they have been switching their whole lives long. But just because they haven’t recognized their dissociative abilities doesn’t mean that they haven’t been living their life as a very active multiple, switching, possibly losing time, and putting amnesiac walls around anything that is too uncomfortable for them.
So what if you are dissociative and you really really detest being a multiple personality? What if you can’t stand being DID/MPD, and you hate it, and you despise it, and you make sure that everyone in your system knows it, and that everyone in your treatment support team knows it too?
Then what?
- How does that affect how your internal system views you?
- Will they feel loved and accepted?
- Will you feel good about yourself?
For sake of argument here, let’s be sure to separate the fact of being dissociative as being very different from being traumatized and abused. I will clearly and adamantly acknowledge that no young child likes the trauma and abuse that happens as the first step in the process of creating various alter personalities. I am not proposing that the road to becoming DID is a pleasant one. It clearly is not. The very idea of being forced to become a multiple is horrifically tragic in itself. Any trauma, abuse, neglect, violence, horror, pain, that you’ve gone through is too high a price for anyone to pay.
Often the fact of being multiple becomes inextricably entangled with the fact of having been abused. The multiplicity comes to represent all the pain and fear and wrongness of the abuse, and rejection of the multiplicity is part and parcel of rejecting the reality of the painful past that caused it.
But how do those feelings of adamant rejection affect your healing?
One of the ways to treat and understand multiplicity is to join in, to some degree, with the idea that the alter personalities are their own individual people. Of course they are all connected to the same one person, but you can balance that out with also seeing each of the insiders as their own unique person. How would an outside person feel if they were treated the same way your insiders are being treated?
If your internal parts know that you hate the fact that you are multiple, might they begin to internalize that feeling as if you hate them? I would think so.
How would you feel if you were repeatedly told that you were disliked and unwanted and despised? Remember, your insiders don’t have to be told these things in actual words. They are connected to you, and they will know how you genuinely feel about them, whether or not you make a point of telling them. They will be able to feel how much you don’t like them. You will not be able to hide this fact from them.
How would you feel, if day after day after day, the people that you lived with refused to speak to you? Or to acknowledge you? Or to care about you? Would you feel cooperative? Would you want to be friendly and helpful? At what point would you lose your patience and tolerance? How might you act when that happened?
In this context, if you have Dissociative Identity Disorder, and you also firmly believe that multiplicity in itself is a horrible way of life, that strong pervasive belief will negatively affect your treatment progress and your healing. How could it not? Your insiders are aching for acceptance and kindness and comfort no less than you are – and constant rejection can and will make them continue to act out in resentment and anger and desperation. Nobody else’s acceptance will ever mean as much to them as the acceptance of their own group – their own self – and if that is perpetually withheld from them, then both they and you will be at a self-created stalemate in your healing.
Because the flip side of treating your insiders like individual people is remembering that they are the same person as you.
If you are repeatedly telling yourself that you hate the way you are, what does that do for your self-image and self worth?
If you believe that the way you are is not ok, not good enough, not right, not acceptable, not normal, then you are reinforcing a lot of negative beliefs of yourself – and it is a short road from having a low self-esteem to have a ton of self-hatred.
- What if hating your multiplicity is a version of hating yourself?
- What if accepting your multiplicity is a version of accepting yourself?
Multiplicity is simply what it is – the fact of having more than one personality / “person” in your head. In my opinion, it does not have to be a bad thing. The trauma and the abuse were devastatingly bad – absolutely. The dissociative walls can really cause problems in the current day, even if they were initially helpful. The PTSD, anxiety, depression, and other emotional fallout can be debilitating at times.
But the multiplicity – just the multiplicity… does it have to be bad to share your life with others?
Again I ask….
Is accepting your multiplicity “as is” a version of accepting yourself?
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By:
Kathy Broady LCSW
February 15, 2009
DID Trauma Survivors and Getting Support from Other People – or not
As the show, “United States of Tara” is gradually starting to demonstrate, survivors with Dissociative Identity Disorder have friends and family members that offer varying levels of support:
- Those that find dissociative trauma survivors to be really good, kind, decent, and wonderful people, and will stand by them faithfully.
- Those that genuinely love and support and accept them even though the DID survivors can be all kinds of weird and “nutty” and difficult.
- Those that get angry and upset with them because DID survivors can be all kinds of weird and “nutty” and difficult.
- Those that believe and support the trauma and abuse history of the DID survivor.
- Those that do not believe that the DID survivor was abused at all.
- Those that believe the multiplicity, are comfortable with a variety of alter parts presenting, acknowledge the switching as a very real thing and a natural part of DIDer’s life.
- Those that don’t believe the multiplicity is real, accuse the DIDers of just play-acting, and don’t recognize the other parts even when they are there.
- Those that initially say they will be a friend, only to totally reject, leave, or abandon the dissociative person when things get complicated or difficult.
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So far, the Showtime Series has not adequately addressed the issues involving trauma and abuse. It also has not shown any young child parts (teenage parts are very different than child parts). Have you met a multiple that didn’t have child parts? I most certainly have not. I don’t know if the series will get into those serious elements of dissociation or not, but it is a critical element in normal life with DID. How the friends and family members treat the DIDer’s child parts is often an extremely accurate barometer of how supportive and accepting that person will be for the DIDer over all.
It is, of course, the most helpful if the friends and family members of the dissociative survivors are gentle, accepting, kind, and understanding. And sometimes, that is the case. There are some wonderfully supportive spouses, parents, and children out there. They make the healing process so much easier by contributing with their comfort, faithful assistance, gentle patience, and reassurance.
Unfortunately, all too often dissociative survivors continue to be alone and isolated, even abused and neglected within their own families.
Spouses often feel angry, ripped off, frustrated with all the added relationship complications. They might feel like they are left picking up the pieces, and overloaded with more than their fair share of the household work and parenting. It’s often hard for spouses to have patience for all the complications caused by the dissociative disorder and the survivor’s trauma history because of the heavy load it creates for them.
Extended family members are all too often filled with the perpetrators and original abusers. Most perpetrators that engaged in violence so extreme as to split a child are not ever going to become a positive support for the DIDer.
Children of dissociative people can certainly be loving and accepting of the different sides of the DIDer, but the external children cannot be the main source of emotional support or the emotional care-taker for the trauma survivor. If dissociative parents put too much emphasis on their own needs, hurts, and wants, and keep their own struggles as the bigger focus in front of the external children, those external children will be left emotionally neglected and will most likely become angry, resentful, spiteful, and hateful towards their dissociative parent.
And as much as dissociative survivors may not want to admit that they can be more difficult than average to live with, it is generally true.
What can a DID person do to facilitate their getting more support from others?
- Be genuinely appreciative – recognize even the smallest of kindness from someone and thank them. Thank them each time they give something of value to you. Nobody likes to be taken for granted, and if you have the attitude that these favors are “owed” to you, you will soon find yourself alone.
- Communicate what is going on for you. Often, others will be more willing to give if they understand why it is necessary or important. Don’t assume that they will automatically understand why you need certain things. Tell them, and explain it in a way that they can understand.
- Be determined to do as much as possible for yourself on your own. Yes, your trauma history has left big gaping wounds, but the more you meet your own needs and find ways to resolve those issues without “taking from” or “pulling on” others, the more genuine your friendships can be.
- Reciprocate kindness. When someone takes the time and effort to be supportive of you, be sure to return the favor by doing supportive things for them as well. If you are taking, taking, taking more than you are giving, the relationship will either die or explode in your face.
- Get professional support when your emotional needs become too heavy for your friends and family members. For example, friends and family members may very well pull away from you if you lean on them too heavily during intense times – ie: during extended or repeated times of suicidal feelings, episodes involving self-injury, or flashbacks. These heavy, intense issues belong in the therapeutic context and not between you and your support people.
- Build your support options so you are not putting too much pressure on one or two people to support you through the hard times. The more support options you have, the less likely any one individual support person will feel burnt out or overloaded by how much you lean on them.
- Remember that is it more important for you to learn how to emotionally support yourself and your internal system than it is to teach (force) someone else to support you.
- Take time to enjoy everyday “normal” experiences with your support people. Put your trauma issues aside, and do something that is pleasant and enjoyable to everyone.
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Remember the old adage: To have a friend, be a friend.
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By:
Kathy Broady LCSW




