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Janet made a conscious decision not to take her anti-depressants. When one fails to take one's medicine, bad things can happen. If high blood pressure medicine is stopped, and the high blood pressure is not controlled, one can have a premature stroke or heart attack. Just stopping depression medicine can result in suicide, or other unwanted behavior (i.e., cheating). I think Janet needs to revisit her shrink for more treatment.
Finally, karate needs to be practiced. Dave's moves against Randy are typical movie drama fantasies; in real life, most men can't pull that off without going to the Dojo on a regular basis. But it gives the reader a boost, that at least David has some balls, instead of his just being passive and helpless. Thanks for writing.