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However, you should really WANT to resolve a problem permanently that will put forth your time and effort it takes to extinguish subconscious tendencies. The psychotherapy of choice for trich is a form of Cognitive Behavioral Therapy (CBT) referred to as Habit Reversal Training (HRT). Symptoms of depression include sad or anxious mood, appetite changes, sleeping too much or to little, a loss of revenue of desire for activities or hobbies one previously enjoyed, feelings of hopelessness and helplessness, fatigue, a lack of ability to concentrate, difficulty making decisions, thinking of suicide or attempting suicide, irritability, and feelings of guilt and worthlessness. Prozac has got the most potent appetite suppressing effects and might cause modest but nonsignificant weight decrease. 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