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do you have severe pain? this can make it hard to learn
are you not sleeping properly? this can make it difficult to learn.
what medications are you taking?
do you have severe anxiety symptoms?
why do you have severe pain?
do you have fibromyalgia?
how old are you?
what psychiatric diagnosis do you have? you are taking several psychiatric medications like citalopram and duolxetine and seroquel.
do you have severe depression or bipolar mental illness?