anxiety – Page 2 – LIBERTY PSYCHOLOGICAL ASSOCIATION

Discernment Counseling, explained:

Discernment Counseling is a short-term, specialized form of couples counseling designed for partners who are uncertain about the future of their relationship — especially when one partner is leaning toward divorce and the other is leaning toward saving the marriage.

Here’s a clear breakdown:

Purpose

The goal isn’t to solve all marital problems or immediately repair the relationship. Instead, it helps couples gain clarity and confidence about whether to:

Stay together and work on the relationship,

Separate or divorce, or

Take a break before making a long-term decision.

Typical Context

It’s often used when couples are in what therapists call “mixed-agenda” situations:

One partner wants to preserve the relationship (“leaning in”).

The other is considering ending it (“leaning out”).

Traditional couples therapy doesn’t work well in this scenario because both partners have different goals. Discernment Counseling addresses that imbalance first.

Structure

Usually 1 to 5 sessions.

The counselor meets with both partners together, and also each partner individually during the session.

Focuses on understanding — not blaming or fixing.

Main Goals

Clarify what’s happened in the relationship to get to this point.

Understand each partner’s contributions to the problems.

Decide on a path forward with mutual respect and insight.

Outcome Options

At the end, couples typically choose one of three paths:

Path 1: Keep the status quo (no immediate changes).

Path 2: Move toward separation or divorce.

Path 3: Commit to a period (usually 6 months) of reconciliation-oriented couples therapy, with full effort from both sides.

I would like to explain how discernment counseling differs from traditional couples therapy or what a sample session looks like?

How discernment counseling differs from traditional couples therapy or what a sample session looks like?

How Discernment Counseling Differs from Traditional Couples Therapy

Aspect Discernment Counseling Traditional Couples Therapy Purpose To help couples decide whether to stay together or separate. To help couples improve and repair their relationship. When Used When partners are ambivalent or have mixed agendas (one leaning in, one leaning out).When both partners want to work on the relationship. DurationShort-term — usually 1 to 5 sessions. Ongoing — weekly sessions for months or longer.Focus Understanding what happened and clarifying future direction. Building skills (communication, trust, conflict resolution, intimacy). Therapist’s Role Neutral guide helping each partner reflect, not persuade. Active coach helping both partners collaborate on change. Outcome A decision — stay, separate, or try reconciliation therapy. Improved relationship through behavioral and emotional change. Client Readiness Designed for uncertainty and ambivalence. Requires mutual commitment to work on the relationship.

So, discernment counseling is about decision-making, not problem-solving it’s a structured pause before committing to either therapy or separation.

What a Sample Session Looks Like

Session Length: ~90 minutes

Step 1: Joint Conversation (15–20 min)

The counselor meets with both partners together.

Purpose: set the tone of respect and clarify goals (“We’re here to understand, not to make quick decisions”).

Each partner shares what brings them in and how they see the current situation.

Step 2: Individual Conversations (30–40 min total)

Each partner meets privately with the counselor.

The “leaning out” partner explores their ambivalence, reasons for leaving, and what they might need to consider staying.

The “leaning in” partner explores how they’ve contributed to the current state and what changes they’d make if given the chance.

Step 3: Rejoin and Reflect (20–30 min)

The counselor brings the couple back together.

Each partner summarizes insights they’ve gained (not negotiations).

The counselor helps them reflect on next steps — maintaining clarity and empathy.

If Further Sessions Occur:

Each session deepens understanding and moves toward one of three decisions:

Maintain the status quo for now.

Begin the process of separation/divorce.

Commit to couples therapy for six months of active repair work.

A brief example dialogue:

Here’s a brief, realistic example dialogue illustrating how a discernment counseling session might unfold when one partner is unsure (leaning out) and the other wants to save the marriage (leaning in).

Scene: First Session

Couple: Female Client (leaning out) and Male Client (leaning in)
and Counselor/Therapist:

Counselor/Therapist: Thank you both for being here. My role today isn’t to push you toward staying or separating, but to help you both understand what’s happened and what each of you wants moving forward. Sound okay?

Female Client: Yes. I’m not sure what I want right now I’ve thought about leaving, but I also feel guilty and confused.

Male Client: I just want us to work on things. I know it’s been bad, but I believe we can fix it.

Counselor/Therapist: That’s very common. In discernment counseling, we call this a mixed-agenda couple — one partner is leaning out, the other leaning in. My job is to help each of you get clearer about your own feelings and choices, not to pressure either way.

Individual Conversations

( Counselor/Therapist: with Female Client)
Counselor/Therapist: Female Client, what’s leading you to think about ending the marriage?

Female Client: I just feel done. We’ve had the same arguments for years, and I don’t feel heard anymore. I’m tired of hoping things will change.

Counselor/Therapist: That sounds painful. What part of you still feels uncertain?

Female Client: Well, we have two kids. And when Mark tries, he really tries. I just don’t know if it’s too late.

Counselor/Therapist: That uncertainty that small opening is something we can explore. Today, we’re not deciding; we’re understanding.

(Counselor/Therapist: with Male Client)
Counselor/Therapist: Male Client, what’s your hope for today?

Male Client: I want to show her I’m serious about changing. I know I’ve shut down emotionally, but I’m willing to do therapy or whatever it takes.

Counselor/Therapist: It’s good that you’re motivated. But remember, today isn’t about persuading Female Client it’s about understanding your part in how things got here. What do you think has been your contribution?

Male Client: I’ve avoided hard conversations. I think I made her feel alone.

Counselor/Therapist: That’s an honest reflection a good step toward clarity.

Joint Wrap-Up

Counselor/Therapist: You’ve both shared important insights today. Female Client:, you’re recognizing how exhaustion and hope are both present. , Male Client you’re seeing where withdrawal played a role.

My suggestion is that you both take a few days to reflect. When we meet next time, we can look at three possible paths:

Keep things as they are for now.

Move toward separation.

Commit to a period of structured couples therapy to rebuild.

The goal is clarity, not a rush to a decision.

Shervan K Shahhian

Understanding Principle of Reflection:

How this principle applies psychologically:

In psychology, the Principle of Reflection takes on a metaphorical meaning rather than a physical one — but it’s rooted in the same idea: what is sent out is reflected back.

Psychological Interpretation:

Just as a mirror reflects light, people reflect the attitudes, emotions, and behaviors they perceive from others.
In essence:

The world (or others) often mirrors back to us what we project outward.

1. Interpersonal Reflection (Social Mirror Effect)

When you show kindness, empathy, or respect, people tend to respond similarly.
Conversely, hostility or contempt often invites defensiveness or withdrawal.

Example:
If a therapist listens attentively and nonjudgmentally, the client feels understood and begins to open up — mirroring that same acceptance inwardly.

2. Self-Reflection (Internal Mirror)

In self-awareness, reflection means looking inward — examining one’s own thoughts, motives, and actions.
This is the psychological “mirror” where growth happens.

Example:
After a conflict, asking “Why did I react that way?” is an act of self-reflection — helping transform reactive patterns into conscious choices.

3. Projection and Reflection

Psychodynamic theory suggests that what we criticize or admire in others can be a reflection of parts of ourselves — conscious or unconscious.

Example:
If someone irritates you for being arrogant, it may reflect your own unacknowledged pride or insecurity.

4. Therapeutic Reflection (Active Listening)

In counseling, reflection means mirroring the client’s emotions or thoughts to help them feel heard and gain insight.

Example (Therapist–Client dialogue):

Client: “I feel like no one values what I do.”
Therapist: “It sounds like you’re feeling unappreciated and unseen.”

This reflective statement helps the client recognize and process their inner experience.

Summary

Domain What is Reflected Purpose Physics Light Image formation Psychology Thoughts, feelings, behaviors Understanding and growth Interpersonal Attitudes & emotions Building empathy and harmony Therapy Client’s experience Insight and healing

I would you like to show how this Principle of Reflection is used specifically in psychotherapy or counseling practice (e.g., reflective listening, mirroring techniques)?

This Principle of Reflection is used specifically in psychotherapy or counseling practice

The Principle of Reflection is deeply embedded in psychotherapy and counseling practice.
Here, it shifts from being a law of physics to a core communication and insight tool that helps clients see themselves more clearly.

The Principle of Reflection in Psychotherapy and Counseling

1. Reflective Listening (Core Technique)

At the heart of counseling, reflection means accurately mirroring a client’s feelings, meanings, or experiences so they can recognize and process them.

How it works:

The therapist listens attentively, then reflects back what they’ve heard — not by parroting, but by capturing the emotional essence of the client’s message.

Example:

Client: “I’m tired of trying to please everyone and still feeling invisible.”
Therapist: “You feel exhausted from giving so much and still not being seen.”

Purpose:

Builds empathy and trust
Encourages deeper self-awareness
Helps clients hear their own inner truth spoken aloud

2. Emotional Reflection

Therapists often reflect underlying emotions that the client may not have clearly identified.

Example:

Client: “I guess I don’t care anymore.”
Therapist: “It sounds like beneath that, there’s some hurt and disappointment.”

Purpose:
This helps bring implicit feelings into conscious awareness, a crucial step for emotional healing.

3. Behavioral Reflection

Therapists also reflect behavioral patterns — like avoidance, defensiveness, or control — to help clients notice how they act or react.

Example:

Therapist: “I notice that when we talk about your father, you change the subject quickly. Maybe that topic feels uncomfortable?”

Purpose:
Increases insight into habitual responses and opens space for change.

4. Mirroring (Nonverbal Reflection)

Therapists sometimes subtly mirror the client’s tone, posture, or pace to build rapport and convey understanding.

Purpose:
Creates a sense of safety and connection through nonverbal empathy — what Carl Rogers called “accurate empathic attunement.”

5. Reflective Practice (For the Therapist)

The principle also applies to the therapist’s own growth — engaging in self-reflection after sessions to examine reactions, biases, or blind spots.

Purpose:
Maintains professional integrity and emotional balance.

Summary Table

Type of Reflection What is Reflected Therapeutic Purpose Verbal Reflection Client’s words and meaning Shows understanding Emotional Reflection Feelings and tone Promotes awareness & catharsis Behavioral Reflection Patterns of action Builds insight into habits Nonverbal Mirroring Body language, tone Enhances connection Therapist Self-Reflection Therapist’s inner process Supports ethical, empathic work.

In essence:

The Principle of Reflection in psychotherapy means that:

The therapist acts as a mirror of understanding, helping clients see themselves clearly — not by telling them what they are, but by reflecting what is already within them.

Shervan K Shahhian

Understanding Discernment Counseling:

Here’s a clear breakdown:

Purpose:
The goal isn’t to solve all marital problems or immediately repair the relationship. Instead, it helps couples gain clarity and confidence about whether to:

Stay together and work on the relationship,

Separate or divorce, or

Take a break before making a long-term decision.

Typical Context:
It’s often used when couples are in what therapists call “mixed-agenda” situations:

One partner wants to preserve the relationship (“leaning in”).

The other is considering ending it (“leaning out”).

Traditional couples therapy doesn’t work well in this scenario because both partners have different goals. Discernment Counseling addresses that imbalance first.

Structure:
Usually 1 to 5 sessions.

The counselor meets with both partners together, and also each partner individually during the session.

Focuses on understanding — not blaming or fixing.

Main Goals:
Clarify what’s happened in the relationship to get to this point.

Understand each partner’s contributions to the problems.

Decide on a path forward with mutual respect and insight.

Outcome Options:
At the end, couples typically choose one of three paths:

Path 1: Keep the status quo (no immediate changes).

Path 2: Move toward separation or divorce.

Path 3: Commit to a period (usually 6 months) of reconciliation-oriented couples therapy, with full effort from both sides.

I would you like to explain how discernment counseling differs from traditional couples therapy or what a sample session looks like?

How discernment counseling differs from traditional couples therapy or what a sample session looks like?

Let’s look at both:

How Discernment Counseling Differs from Traditional Couples Therapy
Aspect Discernment Counseling Traditional Couples Therapy
Purpose To help couples decide whether to stay together or separate. To help couples improve and repair their relationship.
When Used When partners are ambivalent or have mixed agendas (one leaning in, one leaning out). When both partners want to work on the relationship.

Duration Short-term — usually 1 to 5 sessions. Ongoing — weekly sessions for months or longer.

Focus Understanding what happened and clarifying future direction. Building skills (communication, trust, conflict resolution, intimacy).
Therapist’s Role Neutral guide helping each partner reflect, not persuade. Active coach helping both partners collaborate on change.

Outcome A decision — stay, separate, or try reconciliation therapy. Improved relationship through behavioral and emotional change.
Client Readiness Designed for uncertainty and ambivalence. Requires mutual commitment to work on the relationship.
So, discernment counseling is about decision-making, not problem-solving — it’s a structured pause before committing to either therapy or separation.

What a Sample Session Looks Like:
Session Length: ~90 minutes

Step 1: Joint Conversation (15–20 min)

The counselor meets with both partners together.

Purpose: set the tone of respect and clarify goals (“We’re here to understand, not to make quick decisions”).

Each partner shares what brings them in and how they see the current situation.

Step 2: Individual Conversations (30–40 min total)

Each partner meets privately with the counselor.

The “leaning out” partner explores their ambivalence, reasons for leaving, and what they might need to consider staying.

The “leaning in” partner explores how they’ve contributed to the current state and what changes they’d make if given the chance.

Step 3: Rejoin and Reflect (20–30 min)

The counselor brings the couple back together.

Each partner summarizes insights they’ve gained (not negotiations).

The counselor helps them reflect on next steps — maintaining clarity and empathy.

If Further Sessions Occur:

Each session deepens understanding and moves toward one of three decisions:

Maintain the status quo for now.

Begin the process of separation/divorce.

Commit to couples therapy for six months of active repair work.

Would you like me to show you a brief example dialogue from a discernment counseling session — one “leaning out” partner and one “leaning in”?

A brief example dialogue:
Here’s a brief, realistic example dialogue illustrating how a discernment counseling session might unfold when one partner is unsure (leaning out) and the other wants to save the marriage (leaning in).

Scene: First Session:
Couple: Female Client (leaning out) and Male Client (leaning in)
Counselor

Counselor: Thank you both for being here. My role today isn’t to push you toward staying or separating, but to help you both understand what’s happened and what each of you wants moving forward. Sound okay?

Female Client: Yes. I’m not sure what I want right now — I’ve thought about leaving, but I also feel guilty and confused.

Male Client: I just want us to work on things. I know it’s been bad, but I believe we can fix it.

Counselor: That’s very common. In discernment counseling, we call this a mixed-agenda couple — one partner is leaning out, the other leaning in. My job is to help each of you get clearer about your own feelings and choices, not to pressure either way.

Individual Conversations:
(Counselor: with Female Client)
Counselor: Female Client, what’s leading you to think about ending the marriage?

Female Client: I just feel done. We’ve had the same arguments for years, and I don’t feel heard anymore. I’m tired of hoping things will change.

Counselor: That sounds painful. What part of you still feels uncertain?

Female client: Well, we have two kids. And when Male Client tries, he really tries. I just don’t know if it’s too late.

Counselor: That uncertainty — that small opening — is something we can explore. Today, we’re not deciding; we’re understanding.

(Counselor with Male Client):
Counselor: Client, what’s your hope for today?

Male Client: I want to show her I’m serious about changing. I know I’ve shut down emotionally, but I’m willing to do therapy or whatever it takes.

Counselor: It’s good that you’re motivated. But remember, today isn’t about persuading Female Client it’s about understanding your part in how things got here. What do you think has been your contribution?

Male Client: I’ve avoided hard conversations. I think I made her feel alone.

Counselor: That’s an honest reflection — a good step toward clarity.

Joint Wrap-Up:
Counselor: You’ve both shared important insights today. Female Client, you’re recognizing how exhaustion and hope are both present. Male Client, you’re seeing where withdrawal played a role.

My suggestion is that you both take a few days to reflect. When we meet next time, we can look at three possible paths:

Keep things as they are for now.

Move toward separation.

Commit to a period of structured couples therapy to rebuild.

The goal is clarity, not a rush to a decision.

Shervan K Shahhian

Short-term Counseling, why:

Short-term counseling (also called brief therapy) is used because it helps clients address specific issues efficiently, often within a limited time frame. It focuses on creating meaningful change without the need for long-term treatment.

Here are the main reasons why short-term counseling is valuable:

Goal-Focused

It targets a specific problem — such as stress, grief, or a relationship conflict — rather than exploring the entire life history.
The counselor and client identify clear, realistic goals early on.
Time-Efficient

Usually lasts from 6 to 12 sessions, making it practical for clients with limited time or resources.
Useful in settings like schools, community clinics, or workplaces.
Empowers Clients Quickly

Encourages clients to develop coping strategies and practical tools they can apply right away.
Builds self-efficacy by showing that progress is possible within a short period.
Cost-Effective

Requires fewer sessions, reducing the financial burden of therapy.
Evidence-Based Success

Research shows brief interventions (like CBT-based short-term models) can be just as effective as long-term therapy for specific issues such as anxiety, depression, and adjustment problems.
Prevents Problem Escalation

Early, focused counseling can stop small issues from becoming major psychological or behavioral disorders — making it preventive as well as therapeutic.
There are several models of short-term counseling, each with its own focus and method, but all share the goal of producing meaningful change in a limited time. Here are the main models:

Solution-Focused Brief Therapy (SFBT)
Key idea: Focus on solutions, not problems.
Goal: Help clients identify what’s already working and build on their strengths.
Techniques:
“Miracle question” (“If the problem disappeared overnight, what would be different?”)
Scaling questions (rating progress or motivation from 0–10)
Highlighting exceptions (times when the problem was less severe)
Typical length: 4–8 sessions.
Best for: Goal-setting, motivation, and problem-solving.
Cognitive-Behavioral Therapy (Brief CBT)
Key idea: Thoughts affect feelings and behavior — change the thought, change the outcome.
Goal: Identify distorted thinking and replace it with balanced, realistic thoughts.
Techniques:
Thought records
Behavioral experiments
Cognitive restructuring
Typical length: 6–12 sessions.
Best for: Anxiety, depression, stress, and coping skills.
Brief Psychodynamic Therapy
Key idea: Explore unconscious patterns, early experiences, and emotional conflicts — but in a focused, time-limited way.
Goal: Gain insight into recurring emotional themes that shape current behavior.
Techniques:
Focus on a single “core conflictual theme”
Exploring defense mechanisms and relational patterns
Typical length: 12–20 sessions.
Best for: Interpersonal issues and emotional insight.
Interpersonal Psychotherapy (IPT — Brief Model)
Key idea: Emotional distress is often linked to current relationship problems.
Goal: Improve communication and resolve interpersonal conflicts or role transitions.
Techniques:
Clarifying emotional needs in relationships
Improving social support and communication
Typical length: 12–16 sessions.
Best for: Depression, grief, and life transitions.
Motivational Interviewing (MI)
Key idea: People are more likely to change when they find their own motivation.
Goal: Strengthen a person’s internal motivation and commitment to change.
Techniques:
Open-ended questions
Reflective listening
Exploring ambivalence
Typical length: 1–6 sessions.
Best for: Substance use, health behavior change, and ambivalence about goals.
Crisis Intervention Model
Key idea: Provide immediate support and stabilization during an acute crisis.
Goal: Restore equilibrium and prevent lasting psychological harm.
Techniques:
Rapid assessment of risk and needs
Emotional support and problem-solving
Safety planning and connection to ongoing help
Typical length: 1–3 sessions.
Best for: Trauma, loss, or sudden life events.
Shervan K Shahhian

Catatonic, explained:

A catatonic episode is a medical emergency because of risks like dehydration, malnutrition, or self-harm.

See a Psychiatrist and or a Neurologist for more information.

Catatonia (or being catatonic) is a psychomotor syndrome — meaning it involves a disruption of movement and behavior that arises from a psychiatric, neurological, or medical condition. It’s not a disorder by itself but a state that can occur in various conditions such as schizophrenia, mood disorders (especially bipolar disorder and major depression), or medical/neurological illnesses.

Here’s a breakdown to help you understand it clearly:

What Catatonia Is
Catatonia is a state of psychomotor disturbance characterized by abnormal movements, behaviors, or postures. A person in a catatonic state may appear frozen, unresponsive, or oddly repetitive in their actions.

⚙️ Common Symptoms (You Only Need 3 for Diagnosis)
According to the DSM-5, catatonia is diagnosed when three or more of the following symptoms are present:

Stupor — No psychomotor activity; not actively relating to the environment.

Catalepsy — Passive holding of a posture against gravity (e.g., arm remains raised when lifted).

Waxy flexibility — The person’s limbs stay in whatever position someone else places them.

Mutism — Little or no verbal response.

Negativism — Resistance to instructions or attempts to be moved.

Posturing — Voluntary assumption of bizarre or inappropriate postures.

Mannerisms — Odd, exaggerated actions of normal behavior.

Stereotypy — Repetitive, non-goal-directed movements (e.g., rocking, hand flapping).

Agitation — Excessive movement not influenced by external stimuli.

Grimacing — Strange facial expressions.

Echolalia — Mimicking another’s speech.

Echopraxia — Mimicking another’s movements.

🩺 Causes and Associated Conditions
Catatonia can occur with:

Schizophrenia (especially catatonic type)

Bipolar disorder (especially manic or mixed episodes)

Major depressive disorder

Neurological or medical conditions (e.g., encephalitis, metabolic disorders)

Substance use or withdrawal

Treatment
Catatonia is a medical emergency if severe (especially if the person stops eating or drinking).

Common treatments include:

A catatonic episode is a medical emergency because of risks like dehydration, malnutrition, or self-harm.

See a Psychiatrist and or a Neurologist for more information.

Treating the underlying condition (psychiatric or medical cause).

Example
A person with bipolar disorder may suddenly stop speaking, stay in one position for hours, and resist movement. Despite appearing “frozen,” they may still be aware of their surroundings — this is a catatonic episode.

Shervan K Shahhian

Catatonic, explained:

Catatonia is a medical emergency if severe (especially if the person stops eating or drinking).

Catatonia (or being catatonic) is a psychomotor syndrome — meaning it involves a disruption of movement and behavior that arises from a psychiatric, neurological, or medical condition. It’s not a disorder by itself but a state that can occur in various conditions such as schizophrenia, mood disorders (especially bipolar disorder and major depression), or medical/neurological illnesses.

Here’s a breakdown to help you understand it clearly:

What Catatonia Is

See a Psychiatrist and or a Neurologist for more information.

Catatonia is a state of psychomotor disturbance characterized by abnormal movements, behaviors, or postures. A person in a catatonic state may appear frozen, unresponsive, or oddly repetitive in their actions.

Common Symptoms (You Only Need 3 for Diagnosis)

According to the DSM-5, catatonia is diagnosed when three or more of the following symptoms are present:

Stupor — No psychomotor activity; not actively relating to the environment.

Catalepsy — Passive holding of a posture against gravity (e.g., arm remains raised when lifted).

Waxy flexibility — The person’s limbs stay in whatever position someone else places them.

Mutism — Little or no verbal response.

Negativism — Resistance to instructions or attempts to be moved.

Posturing — Voluntary assumption of bizarre or inappropriate postures.

Mannerisms — Odd, exaggerated actions of normal behavior.

Stereotypy — Repetitive, non-goal-directed movements (e.g., rocking, hand flapping).

Agitation — Excessive movement not influenced by external stimuli.

Grimacing — Strange facial expressions.

Echolalia — Mimicking another’s speech.

Echopraxia — Mimicking another’s movements.

Causes and Associated Conditions

See a Psychiatrist and or a Neurologist for more information.

Catatonia can occur with:

Schizophrenia (especially catatonic type)
Bipolar disorder (especially manic or mixed episodes)
Major depressive disorder
Neurological or medical conditions (e.g., encephalitis, metabolic disorders)
Substance use or withdrawal

Treatment

Catatonia is a medical emergency if severe (especially if the person stops eating or drinking).

Common treatments include:

See a Psychiatrist and or a Neurologist for more information.

Treating the underlying condition (psychiatric or medical cause).

Example

A person with bipolar disorder may suddenly stop speaking, stay in one position for hours, and resist movement. Despite appearing “frozen,” they may still be aware of their surroundings, this is a catatonic episode.

Shervan K Shahhian

Catatonia, explained:

See a Psychiatrist and or a Neurologist for more information.

Catatonia is a neuropsychiatric syndrome that affects a person’s movement, behavior, and responsiveness. It can occur in various mental and medical conditions — most commonly in mood disorders (like bipolar disorder or major depression) and schizophrenia, but also due to neurological or medical causes (such as infections, metabolic problems, or drug reactions).

Core Features

Catatonia is characterized by a cluster of psychomotor signs — meaning abnormal or absent movement and speech patterns. According to the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders), catatonia is diagnosed when three or more of the following symptoms are present:

Stupor: No psychomotor activity; not actively relating to the environment.
Catalepsy: Passive induction of a posture held against gravity (e.g., holding an unusual position for long periods).
Waxy flexibility: Slight, even resistance to positioning by the examiner, as if the body were made of wax.
Mutism: Little or no verbal response.
Negativism: Opposition or no response to instructions or external stimuli.
Posturing: Spontaneous maintenance of posture against gravity.
Mannerisms: Odd, exaggerated actions that seem purposeful.
Stereotypy: Repetitive, non-goal-directed movements (e.g., rocking, hand-flapping).
Agitation: Not influenced by external stimuli.
Grimacing: Fixed or inappropriate facial expressions.
Echolalia: Mimicking another’s speech.
Echopraxia: Mimicking another’s movements.

Types of Catatonia

Retarded (Stuporous) Catatonia:
The person is immobile, mute, and unresponsive, often appearing frozen or statue-like.
Excited Catatonia:
Marked by excessive, purposeless movement, agitation, and sometimes aggression.
Malignant Catatonia:
A severe, life-threatening form with autonomic instability (fever, high blood pressure, rapid heart rate) that requires emergency medical care.

Causes and Associated Conditions

Catatonia isn’t a diagnosis by itself—it’s a syndrome that can appear in:

Mood disorders (especially bipolar disorder)
Schizophrenia
Autism spectrum disorder
Medical or neurological illnesses (e.g., encephalitis, epilepsy, lupus)See a Psychiatrist and or a Neurologist for more information.
Substance withdrawal or intoxication

Treatment

See a Psychiatrist and or a Neurologist for more information.

Catatonia could be treatable, maybe when it is recognized early?

Clinical Importance

Catatonia may appear puzzling or dramatic, but it’s a reversible condition when identified early. Left untreated, it can lead to dehydration, malnutrition, or even death (especially in malignant catatonia).

Shervan K Shahhian

Pinpointing Problematic Behavior: a Practical Guide:

“Pinpointing Problematic Behavior: A Practical Guide”:

This guide is designed to help professionals, educators, leaders, and therapists recognize and understand behaviors that interfere with growth, relationships, or productivity. Problematic behaviors often show up subtly at first - through avoidance, resistance, aggression, or withdrawal - but if left unaddressed, they can escalate and create greater challenges.

Why it matters:

Identifying problematic behaviors early allows for timely intervention.
Understanding the underlying causes (stress, trauma, unmet needs, or environmental triggers) prevents mislabeling or overreacting.
Precise identification guides effective solutions, whether in therapy, education, or workplace leadership.

What the guide offers:
Observation Strategies - Practical steps for noticing patterns without bias.
Behavioral Context - Tools for distinguishing between situational reactions and persistent problems.
Checklists & Frameworks - Therapist- and leader-friendly methods to quickly assess behavior.
Root Cause Exploration - How to look beyond the surface to the psychological, emotional, or environmental drivers.
Intervention Pathways - Evidence-based approaches for responding in ways that de-escalate conflict and promote change.

Practical Use:
For therapists: A structured way to map out behaviors interfering with treatment progress.
For educators: Quick recognition of learning-related or disruptive behaviors in classrooms.
For workplace leaders: Identifying conduct that undermines collaboration and performance.

Here’s a general-purpose explanation of Pinpointing Problematic Behavior: A Practical Guide that works for everyday readers:

Pinpointing Problematic Behavior: A Practical Guide

Problematic behavior can show up in many areas of life - at home, school, work, or in personal relationships. It might look like constant arguing, avoidance of responsibilities, withdrawal, excessive criticism, or patterns of conflict that keep repeating. Left unchecked, these behaviors can damage trust, lower performance, or create unnecessary stress.

What this guide is about:
This practical guide is designed to help people clearly recognize behaviors that are getting in the way of positive growth, healthy communication, and smooth daily life. The goal is not to label or blame but to understand what’s really happening and how to respond constructively.

Key elements of the guide:
Spotting Patterns - Learning how to notice recurring behaviors rather than isolated mistakes.
Understanding Context - Asking why the behavior shows up: is it stress, miscommunication, unmet needs, or something deeper?
Separating the Person from the Behavior - Recognizing that behavior can be changed without attacking someone’s character.
Practical Tools - Simple checklists and questions to help pinpoint the behavior quickly and accurately.
Steps Toward Solutions - Offering strategies for addressing the behavior in ways that encourage cooperation, growth, and mutual respect.

Why it matters:
When we can pinpoint problematic behavior early and clearly, we can:
Prevent small issues from becoming bigger conflicts.
Improve communication and relationships.
Create healthier environments at home, school, and work.
Support personal growth and self-awareness.

Shervan K Shahhian

Legal Psychology, explained:

Understanding the field of Legal psychology more generally recognized as “psychology and law”:

Legal psychology, also known as psychology and law, is an interdisciplinary field that combines principles of psychology and the legal system. It encompasses the application of psychological research, theories, and methods to various aspects of the legal process, including the study of human behavior, cognition, and decision-making in legal contexts.

Legal psychology encompasses a wide range of topics and areas of study, including:

Eyewitness Testimony: Research in this area examines the accuracy and reliability of eyewitness testimony, factors that influence memory, and techniques for improving eyewitness identification procedures.

Interrogations and Confessions: Legal psychologists study the psychological processes underlying interrogations and confessions, including the impact of interrogation techniques, false confessions, and the role of suggestibility.

Jury Decision-Making: This area explores how jurors process and evaluate evidence, the influence of pretrial publicity and bias on jury decision-making, and the effectiveness of different trial strategies.

Police Psychology: Legal psychologists may work with law enforcement agencies to evaluate officer selection and training methods, assess the psychological impact of police work, and provide expertise in areas such as hostage negotiation and crisis intervention.

Legal Competence and Mental Health: Legal psychologists assess the mental competence of individuals involved in legal proceedings, such as defendants’ competency to stand trial or witnesses’ competency to testify. They also examine the relationship between mental health and legal outcomes.

Juvenile Justice: This area focuses on understanding the psychological development of children and adolescents involved in the legal system, including issues related to juvenile offenders, child custody evaluations, and interventions for at-risk youth.

Risk Assessment and Forensic Evaluation: Legal psychologists may conduct risk assessments and forensic evaluations to assess the likelihood of future dangerous behavior, evaluate offenders’ mental health, or provide expert testimony on psychological issues in legal cases.

Legal Decision-Making: Legal psychology examines the decision-making processes of judges, attorneys, and other legal professionals, exploring factors that may influence judgments, biases, and the impact of legal reforms.

Legal psychologists can work in a variety of settings, including academic institutions, research organizations, government agencies, law enforcement, forensic facilities, and private practice. Their work often involves conducting research, providing expert testimony, consulting with legal professionals, and developing policies and interventions to improve the legal system.

Overall, legal psychology aims to bridge the gap between psychology and the law by applying psychological principles to enhance our understanding of legal phenomena and contribute to the development of more effective and fair legal practices.

Shervan K Shahhian

Severe Depression, explained:

Crisis support: Please Get Immediate help if suicidal (911 in the US, or 988 Suicide & Crisis Lifeline).

Severe depression — often called major depressive disorder (MDD), severe type — is the most intense form of depression. It goes far beyond feeling sad or “down.” It’s a serious mental health condition that can significantly impair daily functioning, relationships, work, and even physical health.

Here’s a clear breakdown:

Core Features

Persistent, overwhelming sadness or emptiness nearly every day.
Loss of interest/pleasure in activities once enjoyed (anhedonia).
Marked changes in sleep (insomnia or hypersomnia).
Major changes in appetite/weight (loss or gain).
Severe fatigue or loss of energy.
Difficulty thinking, concentrating, or making decisions.
Feelings of worthlessness, guilt, or hopelessness.
Psychomotor agitation or retardation (moving or speaking slower, or appearing restless).
Thoughts of death or suicide (this is a medical emergency).Crisis support: Please Get Immediate help if suicidal (911 in the US, or 988 Suicide & Crisis Lifeline).

To meet the diagnosis of severe depression, the symptoms are usually:

Intense (stronger than in mild or moderate depression),
Persistent (lasting most of the day, nearly every day for at least 2 weeks),
Impairing (significantly interfering with work, school, social or personal functioning).

Specifiers & Variants

With psychotic features: delusions or hallucinations (e.g., believing you’re worthless beyond reality).
Melancholic features: profound lack of pleasure, worse in the morning, early awakening.
Catatonic features: severe motor slowing or unusual movements.

Why It Matters

Severe depression carries the highest risk for suicide and physical complications. It’s not simply a mood issue; it’s a medical condition requiring prompt and effective treatment.

Treatment Options

Typically involves a combination approach:

Medication: See a Psychiatrist.
Psychotherapy: Cognitive Behavioral Therapy (CBT), Interpersonal Therapy (IPT), or others.
Advanced interventions: See a Psychiatrist.

Crisis support: Please Get Immediate help if suicidal (911 in the US, or 988 Suicide & Crisis Lifeline).

Shervan K Shahhian