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IN REAL TIME



















































        In Real Time – VII

        There is no real Ending.



        It is a pause.




        By Rajam Ramamurthy, MD




                   seems like the hundredth time I am attempting to  working, not driving, not having computer access and many more
          It       write this last chapter so I don’t leave you reader in  restrictions began to weigh on him and he would sit quietly for long

                   limbo. I am on a flight to England, the first travel
                                                               periods. One of the interventions that helped was a referral to a
                   across time zones since N’s illness that started in Jan-  psychotherapist who was a specialist in helping with depression
        uary 2016. I want to share with you an incredible phase of recovery  under these circumstances. I was at the first meeting with the ther-
        of which I had a fleeting glimpse in June 2016, that progressed rap-  apist. She again invited me to sit in after few sessions she had just
        idly like a fog was lifting off a valley. N was beginning to sleep better  with N. She suggested that N needs more independence, he should
        for long hours. I could also get him to sleep in the afternoons. As  drive, have computer access. There is a simulation driving test that
        the fog lifted and his thinking became normal the realization of not  was suggested which N took and passed with flying colors. The first



         30  San Antonio Medicine   •  March 2018
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