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The genius of Tulku Urgyen was that he could point out the nature of mind with precision and matter-of-factness of teaching a person how to thread a needle and could get an ordinary meditator like me to recognize that consciousness is intrinsically free of self ... I came to Tulku Urgyen yearning for the experience of self-transcendence, and in a few minutes he showed me I had no self to transcend ... Tulku Urgyen simply handed me the ability to cut through the illusion of the self directly, even in ordinary states of consciousness.  This instruction was, without question, the most important thing I have ever been explicitly taught by another human being.  It has given me a way to escape the usual tides of psychological suffering - fear, anger, shame - in an instant.

- Sam Harris

As a general rule it is usually better to use combined treatments (e.g. psychotherapy plus medication) for symptoms that are more severe and/or more long lasting. With relatively recent moderate levels of symptoms it may well be that psychotherapy and medication are pretty much equally effective at relieving the symptoms. It may still, of course, be important to try to understand why the problem developed and what can be done to reduce the chance of similar difficulties recurring in the future.

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