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titled Diagnoses of Substance Addiction/Abuse in US Adults Treated for ADHD with Stimulants , published in Drugs Real World Outcomes (2018), emphasizes the importance of detox as the first step in comprehensive treatment

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You just add more stones to that pile of things that can give you freedom, but you can never get there cause its impossible cause once you sort of resign yourself to saying thats the goal, but its an unreachable goal, then it becomes sort of almost a religion without a god where the god becomes, in a way a righteous goal