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I'm not able to turn away the folks with the poor personal hygiene.
In fact, just this evening, I advised the incoming shift to "break out the Air King."
And we do find people not in need of treatment. Yes, It really does happen. In the real world, therapists with weekly clients do even sometimes reach a point where they are able to end treatment, and not just because the insurance company won't pony up the bucks for treatment. I'm not saying that anyone actually gets "cured" but they do get "better able to handle things on their own."
These, however, are not the folks I typically end up dealing with.
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