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I would like to know if the severity of your urge to pull changes for you or is always the same. Does it ebb and flow from mild to moderate to severe - like is it sometimes so severe and miserable that you can't stand it (we all know what that feels like), and you pull because you have no other choice. At other times is it a moderate or a somewhat controllable urge, and at other times is it a minor urge; but you may do it out of sheer addiction to the behavior but no because you were urging? Thanks for help answering this question - I have noticed the difference in me and I wanted to see if we are the same.