That could be its own interesting question too; I imagine pragmatic case-use will differ with a significant portion of the userbase treating them as likes/dislikes.
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Never been to therapy myself but just saying good luck to you. Curious to see the responses here myself. Been in a seriously depressed state for the past six years, but in the last two months taken huge steps to get out of it.
Still dunno if I'll give therapy a shot, but there's been improvement on my own front which ain't nothin'.