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Their encounter is played as something of a balcony scene, with Janice standing on one of the higher steps of a very tall ladder.
Effectiveness studies such as STAR-D [ 2] and Randomized Trial Investigating SSRI Treatment (ARTIST) [ 26] demonstrate that most patients' MDD does not remit with initial SSRI treatment, and that the need for second-stage or higher steps of care represent the norm rather than the exception.
When you get into the higher steps of exposure therapy, it isn't uncommon for there to be significant anxiety that hinders your ability to want to stay in the situation.
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Appointments are contingent upon budgetary decisions and the results of advance class enrollment, as well as on the approval of any pending requests for exceptions (including, but not limited to, appointments exceeding 50percenttimeme and early advancement to a higher step of the GSI series).
Those were high steps of respect.
As an Etonian, Cameron represented a higher step on the ladder of the English private school system.
With both, the silhouette was lean and elegant, emphasised by the haughty high-step of the catwalk thoroughbreds and the sculptural Philip Treacy hats that accompanied many outfits.
Better yet, it was gold, and better still, they actually played her national anthem when she stood on the highest step of the podium.
"I still can't get used to this," Button said of standing on the highest step of the podium for the 14th time in his Formula One career.
He still appears rambunctious when spraying champagne from the highest step of the podium on Sunday afternoons, even though his dominance is in danger of becoming the stuff of quotidian tedium.
As he stood on the highest step of the victory podium after the German Grand Prix today, Rubens Barrichello had several good reasons to break out in tears and make gestures of thanks to a man in the heavens.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com