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Typically, during those outings, he would take MDMA (Ecstasy) and smoke marijuana. He did have a group of people with whom he would go to clubs to dance a few times a month. Because of his intense focus on work, Toby had not taken the time to cultivate deep friendships. His last relationship ended during his final year of graduate school, after 2 years, and he had not had another partner in almost 10 years. A successful and ambitious architect, he worked exceptionally long hours to make partner in his firm. Toby is a white, 35-year-old, HIV-negative gay man who came to see me because of depression and loneliness. Octave, The Rules of the Game, Jean Renoir, 1939 Toby, a Passive Barebacker 'The terrible thing in this world is that everyone has his reasons.'

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