Princess Kate and Sister Pippa Attended Therapy as a Family

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Princess Kate and Sister Pippa Attended Therapy as a Family
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James Middleton says his sisters went to therapy with him after the death of his dog.

. "It's not a feeling but an absence of feelings. You exist without purpose or direction. I couldn't feel joy, excitement, or anticipation–only heart-thudding anxiety propelled me out of bed in the morning. I didn't actually contemplate suicide—but I didn't want to live in the state of mind I was in either."

Ella, James said in this new essay, saved his life. "Everybody knew how much she meant to me and there was a day they feared the most: the day Ella was no longer in my life. She meant something to all of them too," James wrote.His sisters, Pippa and Kate, both have dogs that were Ella's puppies. "All the family came to say their goodbyes. I can't speak for them but I believe she influenced their lives too," he wrote. ", was one of Ella's puppies.

After Ella's passing, James went to therapy to get through the challenging time—and his sisters supported him there, too. "My sisters came to some of my therapy sessions. They've always been there during difficult times and they were at my side during the hardest of times as well. For that, I am forever grateful," he wrote.

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