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Some. It works better while high, and I also do a lot of self-therapy through writing things down. It's not the most effective thing, but I'd rate it above a mediocre therapist, and you can make up for a lot of quality with quantity.
I do expect I'm going to hit a wall at some point where it would be useful to see a real therapist, but so far my experiences of self-directed work have been more sustainedly useful than my experiences of therapy. Would probably change with a great therapist if I found one though
I think it can be helpful or unhelpful depending on what you're doing with it. I don't use it much but some of the times when I have gotten really high and done a bunch of introspection work the dissociative aspect of it has been kinda useful for having a conversation with myself
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