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there is a quote from Karen Kangas that says she doesn't ask people with Bipolar Disorder if they have used substances, she asks which ones

there is a quote from Karen Kangas that says she doesn't ask people with Bipolar Disorder if they have used substances, she asks which ones they have used. What do you think of this approach? Would the assumption that there is substance use upset you? Or would you find it easier to discuss substance use if she introduces the subject?

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