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Dear Joe:
Regarding your anxiety and your nose: first came the anxiety, then it attached itself to your nose. It is very common, people’s anxiety gets fixated on a facial or body feature and stays there. It seems like if only the particular physical feature got fixed or disappeared, then the anxiety will be gone. But not so, because first came the anxiety, then came the focus on the physical feature.
Regarding your relationships with your parents: you wrote that you left your home country six years ago, at about 12, that means you lived for a while away from your parents, with other family members?
You now live with your step father, your mother and two siblings. To the best of your knowledge, what does your step father think about you? Will you let your fingers type without much thinking, answering this question?
anita