Do I in any way profit from this misery?” Nietzsche finally responded. “I have reflected on that very question for many years. Perhaps I do profit. In two ways. You suggest that the attacks are caused by stress, but sometimes the opposite is true—that the attacks dissipate stress. My work is stressful. It requires me to face the dark side of existence, and the migraine attack, awful as it is, may be a cleansing convulsion that permits me to continue.

-Irvin D. Yalom

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