“Then here’s my help. One, your anxiety is a genuine and very painful problem, not one you’re making up. Two, you’re not morally responsible for causing it. It’s nothing you did or failed to do that makes it happen. Three, medication will help treat it, so that four, you and I can talk about ways to help make life bearable, even livable.” “Will I have to be on it forever?” “Not if you don’t want to. The decisions are entirely yours.” “. . . I hate myself, Dr. Luther.” “But not so much that you didn’t come asking for help.”