The most hopeful aspect of some of the deeper zen texts is their insistence on giving up on all hope. Life is hopeless. Giving up and giving in is actually the opposite of despair.
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The US military has the MFLC program. Registered counselors meet with people anonymously. The program is free to the community, no medical prescriptions involved and there is no real tracking. The end result of it can be the "get off it" in a caring way due to the structure.
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This struck a cord.
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Psychiatrists increasingly use meds, not talk. After a time. dependency / addiction sets in, often very troublesome to overcome, often under same psychiatrist.
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