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That is one of the hardest, and yet the first step towards recovery, if the person cannot recognize there is a hole to be dug out of, they can't ask for the shovel, to coin a metaphor. Its a spiraling chain that needs an outside impetus, similiar to a someone facing an addiction. That is why you have an intervention, because just asking, "are you alright?" is insufficient.
It still remains the person's job to use the shovel after that, but the intervention is needed for serious problems like these.
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