Anatomy of a Nervous Breakdown
Ranked #4 in Healthy Living, #99 overall
What is a "Nervous Breakdown"?
Whatever label you use, a breakdown is not something to take lightly. And, it does not mean that someone just needs a little break to rest. It is a serious situation. Here are some of my own insights into recognizing when you or someone you know is heading down that road, along with suggestions for how to get back on the healthy one. Its a long, uncomfortable trip down and one you will definitely want to avoid. But if you do find yourself there, take heart, you can come back. Read on!
The drawing you see here is one I created as I thought about what those who read this may most need to hear.
For those of you who are reading this and can identify, know you are not alone.
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WOW!
...glad to be able to help so many people...

I never expected this information to be so popular. It seems to show just how many people have been affected by depression, anxiety and a "breakdown." Could it be the economic situation in the US? Could it be our culture's way of pushing ourselves so hard and expecting so much? Is it a hypersensitive "worry gene" or our upbringing? Is it human nature? Or, is it a little of everything? These are things to think about.
And, thank you for the Purple Star that was given to this lens. Yes, I'm honored.
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Table of Contents
Click on any of the titles below to go directly to it.
- This Page Has Been Given a Purple Star
- WOW!
- Defining Nervous Breakdown
- Another's Definition of a Nervous Breakdown
- My Wish For You
- What to Watch for in Terms of Symptoms
- Do You Really Want This?
- Or, How About This!?
- What Can Cause a Breakdown?
- Feeling Out of Balance?
- How to Know if You Are Heading for a Breakdown
- Pause
- The Dangers of Chronic Stress
- Rock like a Heart
- You May be Under More Stress Than Your Boss
- Sometimes It's the Little Things...
- Recognizing & Coping With Stress at Work
- One of Many Notes My Wonderful Husband Wrote For Me
- How to Help Yourself
- Take Care of Yourself
- Some Self-Help Tips
- Willpower
- The Rule of Three
- You Are Never Locked Down Without Options
- Cognitive Behavior Therapy
- You May Feel All Alone
- 10 Bad (Ineffective) Thinking Habits
- What is your personal experience with burnout or nervous breakdown?
- Are You Feeling Suidical?
- Nature as Healer
- Books to Help You Deal With Stress
- The Highly Sensitive Person
- A Few More Helpful Books For You
- Look for Beauty in the Shadows
- Helping Others
- Being Nice: the pros & cons
- Love This Lens?
- One More Way to be Helpful
- Disability Insurance
- Creating Calm
- Reducing Stress: Get a Pet
- A Feel-good Memory: The Northern Lights
- The Northern Lights in Motion
- Well-Known People Who Have Had a "Nervous Breakdown"
- Just for Fun
- Quotes
- A light at the end of the tunnel
- There is hope
- Be Well
- Your Job Now
- Avoiding a Nervous Breakdown: a supplement to Anatomy of a Nervous Breakdown
- A Little About Me
- What I'm Reading Right Now
- Reader Feedback
Defining Nervous Breakdown
...in my own words...

After having been through it myself, here is how--in my own words--I would define a "nervous breakdown":
A seemingly sudden loss of ability to cope with everyday life. A sense of complete collapse of inner strength and drive. This is usually preceded by months of unrelenting, unmonitored stress in more than one area of one's life and results in the inability to regain strength and composure with the normal few hours or days of rest. Recovery usually requires removal from the stressful event or situation, long-term rest, counseling in coping abilities and, possibly, medication.
Another's Definition of a Nervous Breakdown
A Good Summary From a Non-profit Agency Called "Helpguide"
"Burnout is a state of emotional, mental, and physical exhaustion caused by excessive and prolonged stress. It occurs when you feel overwhelmed and unable to meet constant demands. As the stress continues, you begin to lose the interest or motivation that led you to take on a certain role in the first place. Burnout reduces your productivity and saps your energy, leaving you feeling increasingly helpless, hopeless, cynical, and resentful. Eventually, you may feel like you have nothing more to give."
About Helpguide:
"Helpguide was launched in 1999, following the suicide of Robert and Jeanne Segal's daughter, Morgan. We believe that Morgan's tragedy could have been avoided if she had access to well-written professional information that gave her a sense of hope and direction."
- Helpguide: Click Here to Visit the Website
- "A guide to recognizing, preventing, and recovering from burnout. Covers common warning signs, symptoms, causes, and coping tips."
This is an excellent and comprehensive article on burnout from Helpguide, including links to several other informative articles, as well. It will help you understand the signs, symptoms, stages, and prevention of stress and burnout and is written by experts in the field.
My Wish For You

What to Watch for in Terms of Symptoms
From My Personal Experience
Remember, when you are in the middle of it, you don't necessarily recognize it for what it is. If people start asking you what is wrong or saying you just don't seem like your usual self, pay attention.
- Difficulty focusing on things.
- When shifting from one thing to another, getting disoriented and forgetting what you are doing.
- Feeling angry and irritable much of the time.
- No longer wanting to go out for those get-togethers with co-workers. Spending more time by yourself.
- Being frequently late for work. Finding yourself behind and stressing yourself out further by hurrying.
- You may stop finding joy in anything. Oh, you may still laugh at times, but, somehow nothing at all really interests you.
- Trouble with sleep: getting to sleep, staying asleep and difficulty getting up in the morning.
- Being frequently sick and having headaches.
- Finally, a version of what happened to me may happen to you: One day you may go to work and feel extremely depressed. You may not be able to pull yourself out of it. You might feel panicky and and become almost non-functional and try to find a "safe" place. You may not be able to stop crying. At this point you could be placed on an 2 to 8-week medical leave. You may crash so suddenly that it takes you by surprise. Don't you want to avoid this?
Do You Really Want This?

Or, How About This!?

What Can Cause a Breakdown?
My Personal Experience
No one thing on its own would have been too much for me, but the glass can get too full too quickly and stay that way for too long. What is stressful for me might not necessarily be so for you. Think about how things are accumulating for you and change the things that can be changed.
- MAJOR MOVE: I moved from the Northwest to the Northeast--a pretty big change in culture. I went from a very laid-back environment to an intense and fast-paced one and, yet, I had not anticipated a problem with it. Investigate these sorts of changes before you make them and be realistic about your expectations and have a plan.
- LOSS OF JOB: I think this is one of the more difficult things for us all to deal with. It is such a major part of our perceived identity. So many of us go through it and, yet, we feel lost and alone. Its best to get back up on your feet as quickly as you can. Stay active.
- CHANGE IN LIVING SITUATION: After living alone for many years out west, when I moved east I married and moved into a home with extended family. I did not realize how hard it would be and did not prepare myself for the change. Know your limits.
- STRESSFUL WORK ENVIRONMENT: Not only was my career itself inherently stressful, but the specific situation was, as well. I did not have the autonomy I was used to in previous jobs. In addition, I had a long drive. I tried, perhaps too hard, to be good, to please. The lesson here is to take care of yourself first and don't put up with a situation that is not working well for you.
- NO OPPORTUNITY FOR A BREAK: I spent long hours during holidays at work and was not able to take breaks when I needed them. It would have been a good idea to get myself out of such a stressful work environment or, at least, insist on much-needed breaks.
- DEATH OF A CLOSE RELATIVE: I spent 5 days and nights with my father by his bedside while he lay in a coma. I tried to do too much on my own. I felt honored to be there for him and thought I would have a very spiritual response to his death, but I was a mess. The lesson here was: don't try to do it all alone. Accept help.
- NO LET-UP: Of course, there were other stressors in there as well, some big, some small, but it was really the constant presence of stress that did me in, as well as the feeling of lack of control at work. My body was constantly pushing out stress hormones and did not have time to fully recover. Finally, my system just shut down.
Feeling Out of Balance?
Warning: this might make you feel dizzy...

...but isn't it how you feel sometimes? The message here is to keep yourself balanced for smooth sailing. When you start to feel the scales tip, stop and even things out again. You will be glad you did.
How to Know if You Are Heading for a Breakdown
Checklists & Questionnaires from Experts
- Burnout Quiz
- From the UK, here is a short questionnaire to help you determine your vulnerability to a breakdown. Unrelieved work stress can lead to burnout. Take this quiz and see if you're in danger of burning out.
- Interactive stress quiz for instant health risk results!
- Fun & easy interactive stress quiz for instant health risk results! You may have seen this before. It is an easy, interactive stress quiz. This popular test will give you an estimate of the level of stress you are under and relate that to the chances of a resulting illness, accident or burn-out.
Pause
Breath

Take time to pause periodically, settle in, calm your mind and body. Tell yourself, "Everything is going to be OK."
The Dangers of Chronic Stress
& The Connection to Breakdown
- Chronic stress may increase anxiety - WebMD
- A new study shows that chronic stress may increase anxiety. This article, on WebMD, about a new study on the effects of chronic stress, offers proof that long-term, chronic stress creates more anxiety and does more damage than short-term stress. Hmmmmm...watch out for on-going stress that does not let up.
- Discovery Health ... "Chronic Stress Can Significantly Damage Health"
- Wow, reading this made me really think twice about allowing stressful situations to affect me. Learn how chronic stress can significantly damage health at Discovery Health, where endocrinologist Dr. Stafford Lightman talks about how chronic stress can significantly damage your health.
Rock like a Heart
Found on the shore of a lovely, quiet lake in New Hampshire.

You May be Under More Stress Than Your Boss
Aired on the BBC July of 2011
"Bosses at work may be under pressure - but does the stress drive them to an early grave? The Whitehall Study has followed UK Civil Servants for more than four decades, showing that other workers are more at risk. Professor Sir Michael Marmot from University College London found that those in lower-status jobs - who have less control over any pressures, were dying younger."
- BBC - BBC World Service Programmes - Health Check, 13/07/2011
- "Stress: why are some people better at coping with life's ups and downs than others?"
Sometimes It's the Little Things...
...That bring us the most Joy

Pay attention to the little things. Keep your eyes and mind open to what's around you and find wonder in the smallest of things. Let it become a habit by noticing something new every day. You must balance out all the little negative things with lots of little positive things. It can really help your state of mind and increase your creativity, too.
Recognizing & Coping With Stress at Work
One of The Main Sources of Stress in Our Lives
- Dysfunctional Organizations: Dysfunctional Leadership = Dysfunctional Management | Dysfunctional Workplace Politics, White Paper by Med Jones
- This article can help you determine if your work environment is dysfunctional and a source of some or all of your stress."The Politics of Failure: Symptoms of Dysfunctional Organizations and Dysfunctional Leadership. Watch out for the warning signs of bad leadership and workplace politics" - White Paper by Med Jones, IIM
- Discovery Health "Stress In the Workplace"
- "Stress in the workplace can impact health and happiness. Learn how to manage stress in the workplace at Discovery Health."
This is a good article from Discovery Health about what makes a job too stressful. My favorite line is "...too much responsibility and too little authority...", because I think that is a huge source of stress for many people on the job. This interesting article also offers suggestions for how to change the situation--from taking part in adjusting your written job description to taking it to the courts. - Job burnout: Spotting it and taking action - MayoClinic.com
- Job burnout can have dire consequences. Read this article from the Mayo Clinic to help you understand the signs and know when to take action.
- Stress on the Job
- A great article from the Cleveland Clinic.
One of Many Notes My Wonderful Husband Wrote For Me

How to Help Yourself
My Personal Experience
- Know yourself: your limits, your particular stressors, what you can handle and can't. Don't fool yourself. (Sometimes, though, we learn the hard way, don't we?)
- Find a healthy outlet for stress. Exercise is a very good one. Get yourself out there in the world. See friends. Go for a walk. Even if you don't want to. Force yourself.
- Take time every day to create some calm in your life. Meditate. Try Yoga.
- Be familiar with your childhood fears. When irrational fears come to your head, talk to them as an adult with a rational response. Write it down.
- If you can keep a short diary every day, it will help you to see, on paper, what is causing you the most stress and how long it has been going on - shedding a little light of reality on the situation.
- When you find that a certain situation is causing you constant, unrelenting stress, find a way to get out of the situation or to minimize it somehow.
- If you need help, get it. Its not worth holding out and thinking you can do it all by yourself. If the kind of help you are getting or the person who is helping you is not right for you, find someone else. Don't give up. Don't let money be an obstacle. Try local medical clinics, social service organizations, support groups, churches.....
- If friends and family offer you help, take it. That is what we are here for - to help each other through this life.
- It takes time to recover, but you WILL recover. You may need to sleep A LOT. Get yourself out in the world as much as you can. Be patient and gentle with yourself.
- Consider helping other people. Studies show that this increases your own sense of well-being. Even if it is as simple as holding the door for someone and smiling, its a good start.
Take Care of Yourself
Just like this butterfly drawing nectar from the flower...
...feed yourself, nuture yourself.
Some Self-Help Tips
- Strengthen Self Control: 6 Simple Strategies | Prevention.com
- The information presented has been adapted from the book Willpower: Rediscovering the Greatest Human Strength by the psychologist Dr. Roy F. Baumeister and the New York Times journalist John Tierney.
You will find a link to the book below.
Willpower
The Rule of Three
From the Marines: Functioning Effectively Under Stress
- Article in Inc. Magazine
- This article in Inc. magazine, titled "Corp Values", talks about using ideas from the Marine Corp to improve businesses. One of the principles discussed is the Rule of Three. "The functional version of the rule dictates that a person should limit his or her attention to three tasks or goals. When applied to strategizing, the rule prescribes boiling a world of infinite possibilities down to three alternative courses of action. Anything more, and a marine can become overextended and confused. The marines experimented with a rule of four and found that effectiveness plummeted."
Interesting, huh?
You Are Never Locked Down Without Options
There is always someone or something that can help you to make a change. You can find the key.

Cognitive Behavior Therapy
It's all about how you look at things.
Here is some more information on it.
- Academy of Cognitive Therapy
- This is a a link to the website of the Academy of Cognitive Therapy, a group which provides support and information to professionals and educates the public. From this site, you can learn about cognitive therapy, find out how to become certified as a cognitive therapist, receive additional training, or find a therapist who specializes in Cognitive Behavior Therapy.
- Anxiety Disorder Clinic
- This page from the University of Houston offers a very good explanation of Cognitive Behavior Therapy and how it can help you.
You May Feel All Alone
Just Like This Mussel Shell Washed Up Onto a Big Rock

You may FEEL alone, but you aren't and you don't have to feel that way. Notice others who are having a similar problem. Pay attention to those who want to help. Acknowledge your connection to everyone and everything.
10 Bad (Ineffective) Thinking Habits
a Squidoo lens by Jaktraks
- It Matters How You Think
- This Squidoo lens by Jaktraks, who is a licensed counselor, about 10 Bad (Ineffective) Thinking Habits is great. Check it out for help in understanding how you might want to change your thought process to help you avoid stress.
What is your personal experience with burnout or nervous breakdown?
Are You Feeling Suidical?
Stop & get immediate help!
- National Suicide Prevention Lifeline 1-800-273-TALK
- National suicide prevention lifeline: Suicide hotline, 24/7 free and confidential, 132 crisis centers nationwide 1-800-273-TALK.
- Suicide Prevention, Suicide Awareness, Suicide Support
- A message from Suicide.org: "If you or someone you know is in immediate danger because of thoughts of suicide, please call 911 now. If you are not in the US, please call your local emergency number. There is help for you. Stay on the phone with the operator and wait for help to arrive. Do not hesitate to call. Your life is extremely valuable, and people care about you. Please reach out for help. Never act on your thoughts of suicide. Never."
Click on this link for help and for numbers you can call.
Nature as Healer

Nature can be very calming and healing. Try finding places or images of nature that give you a sense of peace. It's a healthy way to help yourself relax and recover. These lovely and colorful little flowers are called Gomphrena. They were grown by my best friend from high school and her husband. Long-time friends are a wonderful gift, too!
Books to Help You Deal With Stress
The Highly Sensitive Person
One of My Favorite Books (see above)
- The Highly Sensitive Person--click here to visit the website
- Elaine Aron, author of The Highly Sensitive Person, created this website to help you understand more about her studies. She includes a self test list where you can see if you fit in to this group which makes up 15 to 20% of the population. Her reference to being highly sensitive is about being very aware, intuitive and highly reactive to stimulation of any kind: light, sound, crowds, etc. . . . .
I have included her first book in the section above.
A Few More Helpful Books For You
Look for Beauty in the Shadows

Even in the darkest of times there is beauty. Seek it out. I took this photo on a cold and rainy winter night in the parking lot of a large mall. Standing under the trees along the edge of the lot and looking up at their branches to see them bathed in light from the security lamps against the black sky was surprisingly beautiful.
Helping Others
The Power of Kindness
- The Power of Kindness
- Visit this lens on the power of kindness for some inspiration on helping others.
Being Nice: the pros & cons
Is being too nice causing stress for you?
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One More Way to be Helpful
Make a donation to a non-proift organization
Disability Insurance
Just in Case...
- Disability Insurance
- A good summary and recommendations from Met Life on what to look for in disabilty insurance.
Creating Calm
Reducing Stress: Get a Pet
Research shows that animals help us to reduce stress.
- Discovery Health
- Stress reduction through pets---Click the link above and learn how furry friends like dogs and cats can add to your well-being.
A Feel-good Memory: The Northern Lights
Have you ever seen them? Aren't they amazing?
I have seen the Northern Lights, or Aurora-borealis, several times, all in upper Michigan. Years ago, I saw a night sky full of white airy lights flowing and dancing above Mackinac Island, not just at the horizon like they usually are, but filling the night sky. I was with a friend on the boardwalk along the lake. We were mesmerized. That is my go-to, feel-good memory when I need to think of something pleasant. Find your own memory or image to take you on a sort of mini-break in your mind.
Here are some beautiful aurora borealis photos from Greenland by Nick Russill on Flickr. Thanks, Nick!
Well-Known People Who Have Had a "Nervous Breakdown"
- Charlie Chaplin
- Walt Disney
- William James
- Annie Lennox
- Abraham Lincoln
- Sir Isaac Newton
- Sylvia Plath
- David Selznik
- Peter Illyich Tchaikovsky
- Brian Wilson
- Virginia Woolf
Just for Fun
Can't you just hear it in your head right now?
- 19th Nervous Breakdown
- Lyrics for the Rolling Stones song and comments on it from the band.
Quotes
~ Bertrand Russell
"It's unthinkable not to love - you'd have a severe nervous breakdown."
~ Lawrence Durrell
"A baseball game is simply a nervous breakdown divided into nine innings."
~ Earl Wilson
"Failed in business at age 31. Defeated for the legislature at 32. Again failed in business at 34. Sweetheart died at 35. Had a nervous breakdown at 36. Defeated in election at 38. Defeated for Congress at 43. Defeated for Congress at 46. Defeated for Congress at 48. Defeated for Senate at 55. Defeated for Vice President at 56. Defeated for Senate at 58. Elected President at age 60. This man was Abraham Lincoln."
~ Unknown
A light at the end of the tunnel
Whoops!!
Someone made a very good point in the comments section at the end. I took this photo on the Conway scenic railway in New Hampshire while sitting at the back of the train. Rather than the light at the end of the tunnel, you might have an encounter with, of course, a train. I hadn't even thought about the slip I made. We already feel like we have been hit by a train, don't we?! I'm leaving this photo here, however, to make fun of myself and the whole idea......
There is hope
Don't Give Up!
Take care of yourself, get help, see the beauty in little things.
I believe we are all pieces of a larger puzzle; that we are each a part of the whole brilliant pattern. I look at the sky at night and see the stars spread out. It doesn't make me feel small. I feel large. I am in awe at my ability to see these stars, to sense my body in its place and I feel a part of everything. This has helped me. Perhaps that thought can help you too.
Be Well
You are not alone.
After the storm of it all is over, you will know yourself at a deeper level. This is good. You will know your limits. You will know when to let go of something that is not in your best interest. Decide to use this experience to strengthen yourself, not to live in fear of what "may happen" in the future, but rejoicing in yourself, your strengths and your newfound knowledge of who you are in the world of choice.
Your Job Now
Reality Check

If you are heading for a breakdown or already there, your only "job" now should be taking care of yourself. And, I mean taking care of yourself in a healthy way. No indulging in sugars, alcohol or whatever else you think might make you feel better. Your job is to get yourself functional and healthy again. No fibbing to yourself, no justifying. Get help, if you need it, but take GOOD care of yourself. It's up to you!
A Little About Me
My education is in the fine arts and I have a Master of Arts degree. Due to a very high IQ I am a member of Mensa, the international high IQ group. Some of my various jobs throughout life have included: university instructor, community education teacher, floral designer and fundraiser for a university, a visual arts center and a large performing arts center. I grew up in a small, tight-knit town and am the eldest of 3 siblings. Marriage happened later in life for me and I have 2 step children and grandchildren, but I was not able to have my own.
I am happy with my life and thankful every day for everything.
What I'm Reading Right Now
The Happiness Project
Reader Feedback
I hope this has been helpful to you. Please feel free to add your comments here.
I am currently working on another page as a supplement to this one. It will be titled "Avoiding a Nervous Breakdown". Please come back again to check it out.
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ekogde
Feb 11, 2012 @ 11:02 am | delete
- Nice lens..give me some idea for my anxiety lens,thanks
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Nimsrules Feb 8, 2012 @ 4:05 pm | delete
- Superb lens. A nervous breakdown has become quite common these days owing to the pressure they build in academics and profession alike. You might find this useful to prevent it rather than to fight it: http://bit.ly/zkzycO
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Zut_Moon
Feb 5, 2012 @ 6:59 am | delete
- Hey You are famous ... This was such a Great Lens I featured you in my lens The Dangers of Non-Communication, Problem Avoidance and Suppressed Emotions
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tw006e6375
Feb 2, 2012 @ 4:11 am | delete
- A terrific lens and one that needed to be written. I have had no experience of this condition but I have had relatives that have mental illness and, have experienced their condition whilest being with them.I have also worked in a hospital treating mentally ill patients, although not clinically, so I have some idea what people go through. its tough as your world is turned inside out.Tom
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tw006e6375
Feb 2, 2012 @ 4:10 am | delete
- A terrific lens and one that needed to be written. I have had no experience of this condition but I have had relatives that have mental illness and, have experienced their condition whilest being with them.I have also worked in a hospital treating mentally ill patients, although not clinically, so I have some idea what people go through. its tough as your world is turned inside out.Tom
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Rebeljohn
Jan 29, 2012 @ 10:51 pm | delete
- Thank you for the info nice job
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lollyj
Jan 27, 2012 @ 6:59 am | delete
- Wonderful lens loaded with helpful info. You deserve the purple star, LOTD, and all the best life has to offer.
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candidaabrahamson
Jan 25, 2012 @ 2:20 pm | delete
- Thank you for bringing an understanding of 'the nervous breakdown' back to the world. I've seen client after client suffer them--and the term really is the best way to describe what they've undergone. I've not published on Squidoo yet, but am doing a series on my blog right now on depression and bipolar disorder, in case that helps anyone, at http://candidaabrahamson.wordpress.com. Keep the good stuff coming.
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sheezie77
Jan 21, 2012 @ 5:35 pm | delete
- Interesting reading! thumbs up
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nelsonkana
Jan 19, 2012 @ 1:54 am | delete
- Nice lens. Today am exploring top lens. Your lens is interesting and informative.
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webkangaroo
Jan 18, 2012 @ 10:33 pm | delete
- Wise and thoughtful lens. People need this.
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JesPiddlin
Jan 16, 2012 @ 2:20 am | delete
- Very well written! I can see why you have received awards and great acknowledgement over this lens!
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girlfriendfactory
Jan 11, 2012 @ 1:33 pm | delete
- Very well written! CBT or some form of cognitive therapy is essential for anyone wanting to really change their thinking! Therapy helped me tremendously! I wish you a wonderful life! ~Ren
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webhosting vergelijken
Feb 16, 2012 @ 4:14 am | delete
- webhosting vergelijken
Thanks for taking this opportunity to talk about this, I feel strongly about it and I benefit from learning about this subject. If possible, as you gain data, please update this blog
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358424
Jan 9, 2012 @ 11:11 am | delete
- Wow and congrats on your purple star ,its unfortunate that we live in a more stressfull society nowadays
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Proud To Be Selected for a Lens of the Day!
Yeah!! Thank you to the Squidoo team for selecting this as the lens of the day for March 28, 2007! Thanks for recognizing this important issue. by nanswa
Although I have many other Squidoo pages where I write using my real name, I have chosen to post this one anonymously. I'm concerned that if an employ... more »
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