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April 26, 2007
"I'm grateful for the number 22," Stephen says.

Most of my patients explain their "gratitude" in some way, even though it's not a requirement of the exercise. Most explanations offered are obvious. ("I'm so grateful for my umbrella!" Zzzzzzz.) Of course, leave it to Stephen not to offer one. My silence, thankfully, prompts him to tell me without my having to ask. I don't like indulging his need to be "mysterious".

"See, if it wasn't for 22, how would we count from 21 from 23?" he says. "We'd be stuck at 21."

"Forever 21!" I want to yell. But don't.