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But the functions those stimuli take on for the client still depend entirely on the interaction between the client's learning history and the current context (not on ontological claim--just a pragmatic one). When I'm interacting with a client in therapy, whatever I do functions in specific ways for the client solely because of the learning history of the client. More interestingly, several cases of manic-like effects, such as confusion, agitation, irritation, nervousness, anxiety, and bizarre behavior, without history of psychiatric disorder, were reported following ginseng use [77,78,81,85,87,88,90,228]. Psychiatric and neurological side effects are rare, and causality is difficult to ascertain [77,79,80,82,83,84,85,86,87,89,90,91,92,93,94]. Re increases extracellular dopamine and acetylcholine in rat brains, while Rb1 increases choline reuptake at the synapses. 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