Mental health needs soar

Dom Chipp • January 23, 2021
IMAGE/DREAMSTIME: Calls to the Nevada National Alliance for Mental Illness help line increased 600% during the lockdown in the spring and total calls went up more than 200% from the prior year during the first 11 months of 2020. Most callers cited the pandemic as a cause of mental stress.

Mariah, 47, thought the substance abuse crisis she faced a quarter century ago was ancient history.

“(As a young adult) I was a party girl,” said the Reno mother of three who didn’t want her real name used. In the 1990s, she drank excessively and abused any recreational drugs on offer. Getting high was a lifestyle, “but before I really hit bottom I got help,” she said. Friends and relatives staged an intervention. Mariah successfully completed a rehabilitation program and went to 12-step meetings for years afterward. She got married in her early 30s, had kids and was a “responsible adult,” she said.

The pandemic and its attending series of disasters pummeled her. In March she lost her casino job. By July she was worried about getting evicted from her duplex. She feared the virus and worried that she would slide into long-term poverty. Her ex-husband, who was waiting for delayed unemployment benefits, was late with child care payments. Her kids, one of whom is a special-needs child, were struggling with remote learning. The stresses piled up. The isolation of staying at home made them worse.

Mariah discovered she is still a recovering addict.

A demon returns

In August she remembered she had kept some leftover narcotic pills from a surgical procedure from years ago. She waited until the children were asleep and took a few, washing them down with glasses of wine. “It was like a vacation” she said of the euphoria she experienced. The next day she felt two things: “I was so guilty and ashamed, but I couldn’t wait for the kids to go to bed so I could take more.”

The pills were consumed in a few days. She confessed her secret to her mom, who agreed to pay for therapy. Mariah found a local therapist in October who communicated through video chats, emails and text messages. “I’m OK,” she said on Jan. 20. “It was scary though. I didn’t consider (the pills) a relapse, because when they were gone they were gone, but it was a relapse.” She said had been able to get more pills she would have kept taking them.

“(The substance abuse) wasn’t behind me. I guess it will always be there in the back of my brain waiting to pop up when things turn to shit… The divorce didn’t (make addictive behavior surface); I wasn’t even tempted then, never thought about getting high.” It took a pandemic, she said, for the monkey hiding in her brain to hop on her back for another ride.

A deluge of assistance calls

Mariah is not the only Nevadan who has relapsed or faced mental challenges in the pandemic. The  Nevada chapter of the National Alliance for MentalIllness (NAMI) logged a 600% increase in calls to its phone assistance lineduring the lockdown last spring. The service helps residents navigate local mental health resources. From 2019 to last year, the overall volume of help-line calls increased 217%.In 2019, NAMI fielded about 3,300 calls from citizens looking for guidance; in the first 11 months of 2020, the organization received 10,468 calls.

PHOTO/NAMI: Robin Reedy

The calls peaked during the weeks of the hard quarantine, with about six times the average number of calls. Fifty percentof callers mentioned COVID-19 as a stressor on their lives. Reports of symptoms of depression, anxiety and worries about social isolation — issues also referenced in about half of help line calls during “normal” years — were mentioned in 80% of last year’s conversations.

“We didn’t know what to expect in the pandemic,” said Robin Reedy, executive director of NAMI Nevada. “… (But) the spike of 600% during the actual shutdown was absolutely more than we could have anticipated.” She said NAMI’s telephone “warm line” is staffed by “peers,” people who have lived with mental illness themselves and understand what callers are going through. The non-profit group scrambled to distribute cell phones to those staff members so they could work from home and deal with the increased demand for help. “It was overwhelming,” Reedy said.

Nevada lacks resources

NAMI’s purpose is to advocate, educate and support mental health issues. The warm line is a referral service that points callers to local resources, agencies, non-profit groups and health-care providers. It’s not a long list, she said, although some of the area’s non-profit organizations fill gaps in the area’s limited network of mental health caregivers.

“We’re number 51 on lists of states for adequate mental health services. We’re dead last, and I mean that quite literally. People die because we don’t have enough services.”

– Robin Reedy, executive director of NAMI Nevada.

NAMI’s warm line is for non-emergency use. It takes a lot of the burden off crisis call lines and local 911 systems, Reedy said. “This way (callers) are not tying up those higher-cost (emergency) systems,” she said. “We’re able to help keep people stable on the warm line just by talking to them, by people sharing their lived experiences with the callers and understanding what they are going through.”

Reedy said the number of people asking for help is soaring because “of the inescapable circumstances we find ourselves in… On one hand, it’s alarming to see such a steep rise in call volume, but on the other hand, we are encouraged that when these individuals feel they need help they are beginning to reach out.”

Fear, worry, stress

IMAGE/THRIVE WELLNESS: Kat Geiger

Worry, anxiety and fear are normal responses to stress, but in the context of the COVID-19 pandemic those reactions are multiplied, magnified and constant.

Kat Geiger, the founder and CEO of  Thrive Wellness Reno , said her clinic now has 1,700 clients.

Everyone lives in the shadow of the contagion. People are weathering the crisis under unequal circumstances, but all feel some level of stress. The new realities of unemployment, working from home, home-schooling children and lack of physical contact with family members and friends increases the pressure of life in the pandemic.

“So I’d say that 217% increase in calls that NAMI reports is pretty similar to what we’ve seen and the amount of active clients that we serve,” she said. “If anybody had a previous struggle, they are really struggling now. There’s nothing like isolation and financial hardship to trigger a relapse in any mental health or substance abuse struggle you may have had.”

Mental health care workers, like front-line hospital staff members, are “having to work longer, harder, and attend to far more emergencies than usual,” Geiger said. “It’s hard to come up for air when so many people are in crisis; it’s hard on everyone.”

Eating disorders, depression

Relapses aren’t limited to substance abuse. Geiger noted that February is  Eating Disorder Awareness Month,  and Thrive Wellness therapists and counselors are seeing an increase in the number of people who report those conditions. The pandemic, she said, is out of peoples’ control, so individuals may react to that sense of helplessness by controlling things that they can control.

“Someone may think, ‘oh my gosh, I’m so fat,’ and focus on that. That feels more manageable than coping with unemployment, being unable to pay rent, losing health insurance or a family member or a friend dying of COVID. We are definitely seeing a lot of that.”

— Kat Geiger, CEO of Thrive Wellness Reno.

Her patients also report changes in sleep patterns, both in insomnia-related conditions or people sleeping long hours to escape day-to-day worries. “Getting a proper amount of sleep is really key in preventing the onset of any mental health struggle,” she said.

Depression and anxiety are byproducts of the crisis. People who already have coped with depression may experience a flare up of the symptoms. “Most people have some sort of mental health struggle, whether it’s diagnosable or not,” Geiger said. Eating disorders, obsessive-compulsive behavior and other conditions can bloom during periods of unrelenting stress. “People can cope in ways that aren’t adaptive,” she said. “They may drink lots of wine in the evening or diet or eat more than usual; they may fall back on old behaviors to numb the pain.”

Reaching for help

Geiger said finding support is critical. “Having another person there to support you, to help you process through those stressors, is incredibly helpful,” she said, even when a person isn’t on the verge of a diagnosable mental condition. “Talking to people about what’s bothering you is a preventative from falling into maladaptive behaviors,” she said. “Getting help is not just something you wait for until you are sick, it’s also for keeping you from getting sick.”

She said the goal is for people to “thrive, not just survive,” and urged residents who are isolated and idle to “find a hobby, get out, walk, take a lunch break, and develop a daily routine in your life. We have to exercise a lot of self-discipline… We can get into self-destructive behaviors if our brains are just dormant. We’re not made for that. Find something you love, that you have an interest in, and do that.”

One positive effect of the pandemic’s toll on mental health is that people seem more open to seeking assistance. Another upside is the willingness of some people to help others. “Helping others who are also struggling is a positive way to cope,” Geiger said. “That sense of strong community is a very protective factor against any sort of mental health struggle.”

NAMI needs support

As the Nevada NAMI chapter helps others, it also needs community support. The chapter’s annual fundraising period continues into February. NAMI’s free digital broadcast,  “Drive to Thrive 2021 ,” took place Jan.22, but the educational and awareness program is available  on YouTube.

The video features testimonials from those who have dealt with mental challenges; resources and tips viewers can use to better integrate wellness into their daily routine; and stories that highlight how mental illness affects individuals in ways that may not be readily apparent.

Other presenters include: Clint Malarchuk, former Canadian professional ice hockey goalie who survived a life-threatening incident on ice and best-selling author of “ A Matter of Inches” and “The Crazy Game;” Grant Denton, founder of the Karma Box Project in Reno; Reno resident Emma White, who recently published “ It’s Not OK, but It Will Be: How I Survived Suicidal Depression and You Can ,Too;” and Joyce Bosen, founder of Trauma Recovery Yoga (TRY) , who provided free lessons to first responders of the Route 91 music festival shooting in Las Vegas.

Legislative wish list

The advocacy group also will be presenting its priorities at the Nevada Legislature on Feb. 16. Reedy said the pandemic has underlined why better health and human services are essential needs in the Silver State.

“The lack of health and human services support is at the root of mental health problems,” she said. “Housing (is a main factor), because you can’t have good mental health if you don’t have a roof over your head or know where your family’s next meal is coming from. And parity in health insurance coverage is a big issue, because mental health conditions need to be treated the same way physical health conditions are treated, the way we treat diabetes or a heart condition.”

Reedy said NAMI fights the stigma surrounding mental health problems. “We need to talk about (those conditions) the way we talk about having a cold,” she said. “The stigma, the bias, the discrimination needs to go away. She also noted that “insurance parity (coverage for mental as well as physical illnesses) is a federal law, but it’s not happening in Nevada.” Medication concerns also are on the group’s legislative agenda, she said. “Medication needs to be a discussion between the doctor and the patient. No one else should deny it or channel the patient to another medication.”

A day at a time

Mariah, who nearly fell back into addiction, said she is still in regular communication with her therapist and is actively looking for work. She felt as though her problems were crushing her, she said, but counseling, practicing meditation and reaching out to others who need help has taken the pressure away.

“(The pandemic) isn’t going to last forever,” Mariah said. “I don’t feel alone now… I’m not happy-go-lucky by any means, but I’m content and I’m taking everything one day at

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By Brianna Villalpando, LMSW, LCSW March 19, 2025
Teen eating disorders are serious. As a parent or caregiver, one of the most difficult situations you can face is noticing that your teen may be struggling with a basic human need like eating. Adolescence is already a rough period for many teens filled with fluctuating emotions, changing bodies, and social pressures. However, sometimes coping with these challenges can manifest in unhealthy ways, like developing complicated relationships with food, body image, control, or exercise. Many teens face body image issues as their bodies mature, excessive pressure to meet unrealistic expectations fueled by social media and peers, and emotional instability and anxiety during their adolescent years, all of which can combine to create the perfect storm for an eating disorder. These challenges can often make your teen more vulnerable to unhealthy coping mechanisms , such as restricting food intake, excessive exercise, or engaging in disordered eating behaviors . If you’ve started noticing signs that something may not be right, it’s essential to take action to help your teen get the support they need. Recognizing the Signs of an Eating Disorder Eating disorders can vary in appearance, but there are some common signs and symptoms to watch for. If you notice any of the following behaviors or changes in your teen, it may indicate a problem that requires further attention: Preoccupation with body image : Teens with eating disorders often show increased focus on their weight or appearance, frequently expressing dissatisfaction with their body. Excessive discussions about dieting : If your teen frequently talks about dieting, food restriction, “getting skinny,” or often makes weight-related comments, this could be a red flag. Obsession with calorie counts : Teens who are obsessed with tracking every calorie, comparing the caloric content of foods, or controlling their calorie-intake may be struggling with an eating disorder. Skipping meals : Frequently skipping meals or not eating regularly is a common sign that something is wrong. Eating in isolation : Eating alone or avoiding family meals may signal discomfort with eating or shame around food. Excessive exercising : Over-exercising or using exercise as a way to purge calories can also point to an eating disorder. Spending long amounts of time in the bathroom : This could be a sign of emerging or purging behaviors, such as vomiting after meals. Hoarding foods : Hiding food or being secretive about eating may indicate issues with food control and secrecy around eating habits. Irregular periods or thinning hair : In females, a disruption in menstrual cycles or thinning hair can be physical signs of the effects of an eating disorder on the body. How Can I Talk to My Teen About Eating Disorders in a Supportive Way? Approaching a conversation about eating disorders with your child requires sensitivity and care. It's important to emphasize empathy and understanding, conveying that your primary concern is your teen's health and well-being. Initiating this conversation compassionately can create an environment of trust and openness to explore the problem. Selecting a calm, comfortable, and private setting is vital so your teen feels safe discussing a sensitive topic that may cause them to feel anxiety or shame. Effective communication hinges on using open-ended questions and active listening. Encourage your teen to share their thoughts and feelings without fear of judgment. By actively listening, you validate their experience, making them feel heard and understood. Before diving into the conversation, educating yourself about eating disorders can provide a solid foundation for discussing the issue knowledgeably. Some quick preparation with research allows you to dispel myths and provide accurate information when you talk to your teen. Why It's Crucial to Seek Medical Help When you notice warning signs, it’s important not to wait to get help. Eating disorders can be life-threatening, both physically and emotionally. They take a serious toll on a teen’s health, affecting their metabolism, hormonal function, and overall well-being. Beyond the physical impact, eating disorders can often involve deeply ingrained psychological and emotional challenges, such as low self-esteem, anxiety, depression, and trauma. After an initial conversation, the first step is to schedule an appointment with a medical provider. Your teen’s primary care doctor or a pediatrician can help evaluate their physical health and provide guidance for next steps. Be prepared to discuss the specific behaviors or signs you’ve observed, as this will help your provider better understand the situation. The doctor may conduct a physical examination, lab tests, and discuss your teen's emotional and psychological state. Building a Support Team Once you’ve taken the first step to ensure your teen’s immediate medical needs are addressed, it’s time to build a multidisciplinary treatment team . This may include: Therapists : A licensed, specially trained therapist who specializes in eating disorders or adolescent mental health can help your teen address the emotional and psychological root causes of their disorder. Medical doctors : Your teen’s doctor can monitor their physical health during the recovery process, ensuring they are safe while navigating the challenges of nourishing their body. Nutritionists or dietitians : A professional who specializes in eating disorders can create a nutrition plan tailored to your teen’s specific needs and help them rebuild a healthy relationship with food. Psychiatrists : In some cases, medication may be prescribed to address underlying mental health issues contributing to their behavior. Act Quickly and Seek Professional Guidance It’s crucial to act as soon as you recognize signs of an eating disorder in your teen. The longer eating disorders go untreated, the harder they can be to overcome. Recovery from an eating disorder is a complex journey, involving both physical and mental obstacles to tackle. It can be incredibly difficult for both the teen and the family to manage this process at home without professional support. A well coordinated team of medical providers, therapists, and eating disorder specialists is essential in guiding your teen through their recovery. This team can help monitor your teen’s progress, provide emotional support, and ensure that your teen is getting the care they need for both short and long-term recovery. Supporting Your Teen on Their Recovery Journey Eating disorders are serious, but with the right care and support, recovery is possible. If you suspect that your teen may have an eating disorder, don’t hesitate to reach out for help. Seek medical advice first, and build a support team of professionals who can work together to provide comprehensive care. Eating disorders are complex, and it’s not something you or your teen should have to face alone. Taking swift action and offering compassionate support will help your teen regain control of their health and their life so that they can thrive through their adolescence and beyond. At Thrive, we offer specialized treatment for anorexia, bulimia, binge-eating disorder, and avoidant/restrictive food intake disorder (ARFID). Our adolescent intensive outpatient and partial hospitalization programs have not only changed lives, but saved them. If you believe your teen is struggling, don't hesitate to reach out for help, we are ready to conduct a complimentary intake assessment today. To learn more about eating disorders, download our free guide "Recovery is Real" filled with practical insights and strategies to help a loved one navigate the journey toward recovery.
By Brianna Villalpando March 12, 2025
It can be difficult to know when it's time to reach out for help. We often try to manage stress, anxiety, sadness, or relationship issues on our own, thinking it’s just a phase or something we can work through to “get over.” But sometimes, these feelings or behaviors persist and can start affecting our overall mental and emotional well-being. The truth is, seeking therapy shouldn't be a last resort. Therapy is a valuable tool for anyone looking to better understand themselves, improve their emotional health, and work through life’s challenges. If you’ve been wondering whether it’s time to seek therapy, there are a few key factors to consider when performing a self-evaluation. Here are five signs that it might be time to reach out for additional support: 1. Is My Mood Affecting My Life or Relationships? One of the most telling signs that you may need support is noticing that your mood is negatively impacting your daily life or interpersonal relationships. Have you noticed an increase in conflict with friends, family, or colleagues? Are you feeling stuck in patterns of negativity that seem hard to shake? If your mood is affecting how you function at work, school, or in your personal life, it may be time to talk to a therapist. Pay attention to your behaviors; are you withdrawing from activities you usually enjoy? Are you reacting more intensely to situations than usual? If your emotional state is beginning to impact your relationships, interactions, or your ability to move through everyday life, a therapist can help you explore underlying causes and develop tools to improve your social wellness. 2. Am I Isolating Myself to Avoid Conflict? There’s a big difference between being introverted and isolating yourself as a way to avoid conflict. If you find yourself consistently pulling away from social situations, not because you need time to recharge, but because you’re avoiding uncomfortable conversations or emotional confrontations, this could be a sign of a deeper issue. It’s natural to want to avoid tension or discomfort, but consistent isolation can worsen feelings of loneliness and make it even harder to work through conflicts. Therapy can help you learn healthy coping mechanisms, problem-solving and communication skills, so you can feel more comfortable facing conflict in a productive way rather than shutting down or avoiding it at the cost of self-isolation. 3. Are My Emotions Out of Control? Do you ever feel like your emotions are so overwhelming that you can't regain control? If you're finding it difficult to calm yourself down, quiet your thoughts, or manage your feelings, this might be a sign that therapy could be helpful. Emotions like anger, disgust, fear, anxiety, or sadness are natural, but if they start taking over your thoughts and actions, it can be exhausting and difficult to complete daily tasks. A therapist can help you understand why your emotions are so intense and teach you strategies to regulate them and regain a sense of balance. 4. Have I Experienced Trauma That’s Affecting My Daily Life? Trauma comes in many forms, it could be from a single incident or from ongoing experiences that have affected your sense of safety, connection, or well-being. Sometimes, trauma is tied to experiences in childhood, but it can also be linked to recent events, like accidents, loss, or abuse. If you've experienced trauma and are struggling to perform basic daily tasks or meet your needs, therapy can be incredibly beneficial. Unresolved trauma can lead to feelings of anxiety, depression, or being stuck in past experiences. A trauma-informed therapist can help you process these experiences, understand their impact on your life, and work toward healing and recovery. 5. Am I Hurting Myself or Others? If your mood or behaviors are causing you to hurt yourself or others, it’s crucial to seek help immediately. Whether it’s through emotional or physical self-harm , or unintentionally inflicting harm on the people around you, this is a serious sign to find support from mental health professionals. A therapist can provide a safe, nonjudgmental space to talk about what you’re going through and help you work toward healthier ways of coping. If you’re in immediate danger or experiencing thoughts of self harm, it’s essential to reach out for help as soon as possible. There’s no shame in seeking support when you're struggling with harmful thoughts or actions. Why is Professional Mental Health Support Necessary? Although there may be barriers to seeking therapy, reaching out for professional mental health support is worth it to address the emotional and psychological issues that you shouldn’t have to deal with alone. Therapists have the knowledge and tools needed to guide you through your struggles, offering insights and solutions that aren’t available outside of the therapeutic setting. Their expertise promises not only a deeper understanding of your challenges, but the application of practical methods and skills to resolve them in your everyday life. Additionally, trained mental health professionals offer personalized strategies and coping mechanisms tailored to your unique situation and needs. These strategies are informed by evidence-based practices and a therapist’s experience working with and healing emotional and mental struggles. Personalized therapy helps clients receive the most relevant and effective guidance for their personal challenges. Embracing the Journey Toward Mental Wellness Recognizing that you might need support is the first step toward feeling better and getting the most out of life. Therapy isn’t just for when things are at their worst; it’s a proactive way to improve your emotional health, work through challenges, and build skills for resilience. If you relate to any of these situations, it might be time to reach out and explore therapy as an option. It’s okay to need help, and you don’t have to navigate this journey alone. If you’re unsure whether therapy is right for you, consider talking to a mental health professional to discuss your concerns and explore specialized support options available to you. You deserve to feel your best, and therapy can be a stepping stone to help you reach your goals. Are you in need of support? At Thrive Wellness, we offer personalized therapy and treatment to support you in whatever you're going through, don't be afraid to reach out for help . We also offer a FREE comprehensive guide to wellness in our “How to Thrive” guide . This guide offers practical, easy-to-follow habits that promote physical, mental, and emotional well-being. Start your journey towards a balanced and fulfilling life today with these simple yet transformative steps.
By Sage Tippie February 14, 2025
This Eating Disorders Awareness Month, we’re focusing on fighting the misinformation and stereotypes surrounding eating disorders that so often create barriers to diagnosis and treatment. Myths about eating disorders can perpetuate harmful stereotypes and keep people from receiving effective and timely treatment when they need it. It’s no secret that the field of eating disorders is riddled with misinformation, leading to confusion, stigma, and shame for those struggling. In this blog post, we'll explore the common myths about eating disorders and fight them with concrete facts in the hopes of building a more informed and educated community when it comes to these serious mental health conditions. Eating Disorder Myths Versus Facts Myth: Only those who are medically underweight have an eating disorder. Fact: Someone can have an eating disorder at any weight. In fact, less than 6% of those diagnosed with an eating disorder are medically underweight. There is even a specific diagnosis for those who are not underweight showing the symptoms of anorexia called atypical anorexia. People of all sizes are at risk for serious complications from an eating disorder, not just those that are underweight. Myth: Only women have eating disorders Fact: Although often associated with teen girls, eating disorders can affect those of any gender and age. While stereotypes and stigma surrounding eating disorders may tell us that men are not commonly affected by them, research has found that nearly 25% of those who present for eating disorder treatment are male. Keeping an open mind around who can be affected by eating disorders allows for more accurate and timely diagnosis and treatment for those who need it. Myth: Eating disorders are just about food. Facts: While eating disorders always involve an unhealthy relationship with food or body image, they also are rooted in biological, psychological and sociocultural aspects. Eating disorders cannot be treated just by changing eating behaviors, but by addressing the mental aspect of the illness as well. This is why integrated treatment involving a team of social workers, primary care specialists, therapists, and in some cases occupational therapists or psychiatrists is so crucial: a holistic approach is needed to treat all aspects of an eating disorder. Myth: Eating disorders aren’t that serious. Fact: Eating disorders are extremely serious and life-threatening mental disorders that require dedicated treatment. In fact, anorexia nervosa has the second highest mortality rate of any psychiatric disorder. By taking eating disorders and their diagnosis and treatment seriously, we can save lives. Myth: Eating disorders are a choice. Fact: Just like any other illness, eating disorders are not a choice or a phase, nor is recovery from an eating disorder just a simple decision to start eating more or less. Recovery is not dependent on willpower, but on ongoing professional treatment and long-term support. The recovery process can be lengthy and challenging, requiring patience and a supportive environment and team on your side. It is a gradual, step-by-step journey, rather than an instantaneous decision made on one person’s part. Myth: Eating disorders always involve negative body image. Fact: Avoidant/restrictive food intake disorder (ARFID) does not have to do with body image. Those with ARFID may avoid many foods because of texture, taste, color, or smell, or feared outcomes of eating like choking or vomiting. Like any other eating disorder, ARFID is serious and requires specialized treatment like exposure-response prevention therapy. Myth: Eating disorders only affect White people. Fact: Although Black, Latina/o/x/e, Indigenous/Native, and Asian people are historically underrepresented in studies of eating disorders, large-scale studies have found that rates of eating disorders are the same or higher in all racial and ethnic groups as compared to white individuals (NEDA). Removing racial stereotypes around eating disorders can help to remove barriers that BIPOC individuals commonly face when seeking treatment. Dispelling the Myths: A Path Towards Understanding By addressing and dispelling these myths, we can create a safe space that promotes understanding and empathy. Eating disorders are not choices or phases, but debilitating mental health issues that can affect anyone. Recognizing the seriousness of these disorders is so important in reducing stigma and ensuring that those who are struggling receive the care and support they require. This month and every month, we encourage you to fight misinformation and stick up for those experiencing eating disorders, because knowledge and education can be one of the greatest assets to recovery for those who need it. If you or someone you know is in need of eating disorder support, don’t be afraid to reach out , our team of healthcare professionals are here for you. To learn more about eating disorders and the journey to recovery, download our free eating disorders guide .
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