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No doubt there are physical components, and anxieties of different kinds and degrees, but we shouldn't rob humans of our greatest gift/curse: Agency. We have quite a bit of Free Will.

I have experienced trauma and have not ever quite overcome it. That said, in every instance where things went sideways for me, the one common thread, the theme, the leit motif in every single instance... was ME.

Do I drink because my body craves denial or because I choose to deny?

*nods vigorously* Yup.

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Precisely this.

Go too far down the mindset of "our environment has made us sick" and it's virtually indistinguishable from "COVID gave everyone brain damage". Both extremes strip people of agency and create unnecessary alarmism.

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