Tag Archives: anxiety

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

  1. Retarded (Stuporous) Catatonia:
    The person is immobile, mute, and unresponsive, often appearing frozen or statue-like.
  2. Excited Catatonia:
    Marked by excessive, purposeless movement, agitation, and sometimes aggression.
  3. 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

Mental Health First Aid, explained:

Mental Health First Aid (MHFA), explained simply:

It’s like traditional first aid — but for mental health. Instead of learning how to help someone with a cut, burn, or broken bone, you learn how to help someone who may be experiencing a mental health challenge, crisis, or developing problem.

What it is:

  • An educational program that teaches people how to identify, understand, and respond to signs of mental illnesses and substance use challenges.
  • Not therapy or treatment — it’s about offering initial support until appropriate professional help is available (or until the crisis resolves).

Key Goals:

Recognize warning signs of mental health or substance use issues.

Provide reassurance and support in a nonjudgmental way.

Encourage appropriate professional help (therapist, doctor, counselor).

Promote self-help strategies (coping skills, community resources).

What you learn:

IF YOU ARE FEELING SUCIDAL PLEASE GO TO THE NEAREST HOSPITAL, E.R., OR CALL YOUR LOCAL EMERGENCY NUMBER and ASK FOR HELP, ASAP.

What will the Hospital Emergency Room do for a mental health crisis?

Assessment: A complete assessment will be done to understand the person’s mental health status, medical history, and any immediate risks. This process may involve interviews, medical physical exams, and maybe laboratory tests. Intervention: The Treatment might include crisis intervention techniques, medication, and observation.

MHFA courses usually cover:

  • Common mental health conditions (depression, anxiety, psychosis, substance use, trauma).
  • Crisis situations (panic attacks, suicidal thoughts, self-harm, overdose).
  • A structured action plan, often summarized as ALGEE:
  • Assess for risk of suicide or harm
  • Listen nonjudgmentally
  • Give reassurance and information
  • Encourage professional help
  • Encourage self-help and other supports

Who it’s for:

  • Anyone — not just healthcare workers. It’s designed for teachers, parents, coworkers, first responders, and community members.

Why it matters:

  • Mental health challenges are common, but stigma often stops people from reaching out.
  • MHFA helps reduce stigma, increases understanding, and empowers people to step in confidently when someone needs support.

Think of it as “CPR for the mind” — a way for ordinary people to be the first line of support in a mental health emergency.

Shervan K Shahhian

Magical Thinking OCD Recovery, is it possible:

Magical Thinking OCD recovery is absolutely possible, but it requires understanding the nature of the condition and applying the right treatment strategies.

Here’s a clear breakdown for you:

What is Magical Thinking OCD?

  • A subtype of Obsessive-Compulsive Disorder (OCD) where a person believes their thoughts, numbers, words, or rituals can cause or prevent events in reality.
  • Example: “If I don’t tap the light switch 7 times, something bad will happen to my family.”

This creates obsessions (distressing, intrusive thoughts) and compulsions (rituals to neutralize the anxiety).

Why it Feels So Real

  • The brain misinterprets thoughts as threats (“thought-action fusion” = believing that thinking something makes it more likely to happen).
  • Anxiety spikes when resisting rituals, reinforcing the OCD cycle.

Recovery Pathways

1. Evidence-Based Therapy

  • ERP (Exposure & Response Prevention):
  • Gradually face triggers (like having a “bad thought”) without performing the ritual.
  • Over time, the brain learns that the feared consequence doesn’t happen.
  • CBT for OCD:
  • Helps challenge distorted beliefs about responsibility, danger, and control.

2. Medication (if needed)

CONSULT A PSYCHIATRIST

3. Self-Help & Coping Tools

  • Mindfulness: Noticing intrusive thoughts without engaging with them (“That’s just an OCD thought, not reality”).
  • Defusion techniques (from ACT): Treat thoughts like passing clouds rather than commands.
  • Uncertainty tolerance practice: Actively practice not knowing and living with uncertainty.

4. Lifestyle Supports

  • Regular sleep, exercise, and stress management reduce vulnerability to obsessions.
  • Limit reassurance-seeking (asking others if things will be “okay”), since it feeds OCD.

Key Recovery Insight

The goal isn’t to stop intrusive thoughts (everyone has them). The goal is to change your relationship to them so they lose power. Recovery means being able to say:

“That’s just my OCD talking. I don’t need to do anything about it.”

A daily structure really helps break the OCD cycle and retrain your brain. Below is a practical step-by-step recovery routine tailored for Magical Thinking OCD. You can adjust it to your pace and needs.

Morning Routine (Set the Tone)

Grounding (5 minutes)

  • Sit quietly, breathe deeply.
  • Label thoughts: “OCD thought… not reality.”
  • Repeat: “Thoughts are not actions.”

Daily Intention

  • Write a sentence: “Today I will let intrusive thoughts exist without rituals.”

Midday ERP Practice (15–30 minutes)

This is the heart of recovery: Exposure & Response Prevention.

Choose a Trigger

  • Example: Think “If I don’t knock 3 times, my loved one might get hurt.”

Expose Yourself

  • Intentionally bring up the thought.
  • Resist the urge to perform the ritual.

Ride the Wave

  • Anxiety will spike, then slowly fall.
  • Use mindfulness: “I notice the fear, but I don’t need to act.”

Track Progress

  • Journal: Trigger, ritual resisted, distress level (0–10).

Thought Work (5–10 minutes)

  • Write down one magical thought (e.g., “If I think of the number 13, bad luck will come”).
  • Challenge it:
  • Evidence for? Evidence against?
  • Realistic alternative?
  • Repeat: “This is OCD, not reality.”

Evening Routine

Mindfulness Exercise (10 minutes)

  • Body scan or guided meditation.
  • Practice letting thoughts drift by.

Gratitude / Reality Check

  • Write 3 things that went well despite OCD thoughts.
  • Notice how feared outcomes did not come true.

Wind Down Ritual (not OCD ritual)

  • Something calming but not compulsive: reading, stretching, soft music.

Extra Daily Rules

  • Delay compulsions: If the urge comes, wait 5 minutes before acting. Often, the urge fades.
  • Limit reassurance seeking: Instead of asking, remind yourself: “I can’t be 100% certain — and that’s okay.”
  • Celebrate wins: Even resisting once counts as recovery.

Example Day Snapshot

  • Morning: 5-min grounding + intention
  • Midday: ERP practice (one trigger, resist ritual)
  • Afternoon: Quick thought challenge
  • Evening: 10-min mindfulness + journal

Shervan K Shahhian

Does Numeracy affects people’s Mental Health:

Numeracy affects people’s Mental Health

Yes, numeracy - our ability to understand and work with numbers - can have a significant impact on mental health, though it’s often overlooked. Here’s a detailed breakdown:

  1. Stress and Anxiety

People with low numeracy may struggle with tasks like budgeting, paying bills, understanding medical dosages, or interpreting statistics.
This can lead to financial stress, health anxiety, or feeling overwhelmed, which can contribute to anxiety disorders or depressive symptoms.

  1. Decision-Making and Self-Efficacy

Numeracy affects confidence in decision-making.
Low numeracy can cause doubt, indecision, or avoidance of important choices, leading to feelings of helplessness and lower self-esteem.
This impacts mental well-being, as a sense of competence is strongly tied to emotional health.

  1. Health Behaviors

Understanding medical risk statistics, nutrition labels, or treatment probabilities requires numeracy.
Poor numeracy is linked to:
Mismanagement of chronic illness
Nonadherence to medications
Higher likelihood of unhealthy lifestyle choices
These outcomes can worsen mental health due to the stress of illness or guilt associated with poor self-care.

  1. Social and Cognitive Implications

Difficulty with numbers can cause embarrassment, social anxiety, or avoidance of tasks involving math (like paying taxes or interpreting data).
Persistent struggles can reinforce a negative self-image, contributing to long-term psychological distress.

  1. Economic and Occupational Stress

Numeracy is crucial for financial literacy, job performance, and career progression.
Low numeracy may limit job opportunities or financial stability, leading to chronic stress, anxiety, and depression.

  1. Interventions

Teaching numeracy skills or providing accessible explanations of numbers (e.g., visual aids for risks or finances) can reduce stress and improve decision-making confidence.
Combining numeracy support with psychological interventions can improve both mental health and practical outcomes.

Summary:
 Numeracy isn’t just about math - it influences confidence, decision-making, stress levels, health management, and social functioning. Poor numeracy can therefore contribute indirectly to anxiety, depression, and reduced overall mental well-being.
Framework: Numeracy Cognitive-Emotional Pathways Mental Health Disorders

  1. Cognitive Pathways

Information Processing Overload
People with low numeracy struggle to interpret data, statistics, or financial information.
This leads to cognitive overload, which increases stress and avoidance behaviors.
Example: Avoiding medical instructions or bills worsens health/financial stress depression risk.
Negative Attributional Style
Repeated math-related failures may reinforce thoughts like “I’m stupid” or “I can’t handle life.”
This contributes to low self-esteem and hopelessness, key risk factors for depression.

  1. Emotional Pathways

Math Anxiety & Generalized Anxiety
Struggles with numbers often trigger anticipatory anxiety (e.g., fear before budgeting or reading test results).
Over time, this can generalize into chronic anxiety symptoms, not just math-specific.
Shame and Social Comparison
People may feel embarrassed in work, school, or social settings when numbers are involved.
Repeated shame social withdrawal depression.

  1. Behavioral Pathways

Avoidance Behaviors
Avoiding numerical tasks (taxes, health decisions, money management) may provide temporary relief but reinforces anxiety in the long term (negative reinforcement cycle).
Avoidance reduces exposure and learning opportunities, sustaining both anxiety and depressive cycles.
Reduced Problem-Solving Ability
Poor numeracy limits effective problem-solving in daily life (financial, health, occupational decisions).
Constant unresolved problems → feelings of helplessness and loss of control, feeding depression.

  1. Social & Environmental Pathways

Economic Stress
Limited numeracy reduces job prospects and financial security → chronic stress, a major depression risk.
Health Inequalities
Difficulty understanding risk and treatment information worsens health outcomes, which negatively affects mental health.

Direct Links to Disorders

Generalized Anxiety Disorder (GAD)
Excessive worry triggered by inability to manage numbers in finances, work, or health.
Social Anxiety Disorder
Fear of embarrassment in situations requiring math (meetings, group decision-making).
Major Depressive Disorder (MDD)
Persistent low self-worth + chronic stress + avoidance → depressive symptoms.
Specific Phobia (Math Anxiety subtype)
Strong fear response specifically tied to numerical tasks.

Protective & Intervention Factors

Numeracy Training boosts self-efficacy, reduces avoidance.
Cognitive-Behavioral Therapy (CBT) challenges catastrophic beliefs (“I’ll never understand this”).
Compassion-Focused Approaches reduce shame and self-criticism around numeracy struggles.
Environmental Supports using visual aids, simplified instructions, or financial coaching to reduce cognitive load.

In short: Numeracy difficulties cognitive overload, anxiety, shame, avoidance, low self-efficacy chronic stress anxiety and depression.
Shervan K Shahhian

Identifying the Problematic Behavior:

1. Look for patterns of distress or dysfunction

  • Does the behavior consistently lead to emotional pain (e.g., anxiety, guilt, shame)?
  • Does it interfere with daily functioning (work, school, relationships, self-care)?

Examples:

  • Avoiding responsibilities due to procrastination or fear
  • Compulsive behaviors like overeating, gambling, or excessive checking

2. Check for harm or risk

  • Is the behavior physically, emotionally, or socially harmful to the person or others?
  • Does it put the person in unsafe situations?

Examples:

  • Self-harm, substance abuse, or aggression toward others
  • Lying or stealing that creates significant consequences

3. Examine rigidity and lack of control

  • Does the person feel unable to stop or control the behavior despite negative consequences?
  • Is the behavior inflexible across situations or contexts?

Examples:

  • Compulsive hand-washing, chronic avoidance of social situations, or persistent anger outbursts

4. Identify interference with goals or values

  • Does the behavior conflict with the person’s long-term goals or moral/ethical values?
  • Does it prevent meaningful relationships or personal growth?

Examples:

  • Repeatedly prioritizing short-term relief over long-term health
  • Engaging in destructive coping mechanisms instead of seeking support

5. Consider cognitive and emotional patterns

  • Are there distorted thoughts, irrational beliefs, or emotional triggers tied to the behavior?
  • Is there excessive anxiety, guilt, shame, or anger around the behavior?

Examples:

  • “If I fail, I’m worthless,” leading to avoidance or perfectionism
  • Magical thinking, superstition, or intrusive thoughts that drive behavior

Practical Approach in Therapy:

  • Observation & self-report: Ask the client to track behavior, triggers, and consequences.
  • Functional analysis: Identify antecedents (triggers), behaviors, and consequences (ABC model).
  • Pattern recognition: Look for repetitive cycles and their emotional or social impact.
  • Collaborative discussion: Help the client see connections between behavior and negative outcomes without judgment.

A quick checklist for therapists to identify problematic behaviors.

Here’s a practical, concise checklist one can use to identify problematic behaviors in self:

Checklist for Identifying Problematic Behaviors

1. Distress

  • Does the behavior cause emotional pain (anxiety, guilt, shame, sadness)?
  • Does the person report frustration or dissatisfaction with this behavior?

2. Dysfunction

  • Does it interfere with daily life (work, school, home, relationships)?
  • Does it limit a person’s ability to pursue goals or self-care?

3. Harm

  • Could the behavior cause physical, emotional, or social harm?
  • Does it put the person or others at risk (e.g., aggression, self-harm, substance abuse)?

4. Loss of Control

  • Does the person feel unable to stop or regulate the behavior?
  • Is the behavior repetitive or compulsive despite negative consequences?

5. Rigidity / Inflexibility

  • Does the behavior persist across different situations or contexts?
  • Does the person have difficulty adapting or finding alternatives?

6. Conflict with Values or Goals

  • Does the behavior contradict the person’s personal, moral, or ethical values?
  • Does it prevent long-term progress or meaningful relationships?

7. Cognitive & Emotional Patterns

  • Are distorted thoughts, irrational beliefs, or excessive worry linked to the behavior?
  • Are there strong emotional triggers that predict or maintain the behavior?

8. Frequency & Intensity

  • How often does the behavior occur?
  • How severe is the impact when it occurs?

9. A person’s Awareness

  • Is the client aware of the behavior and its consequences?
  • Are they motivated to change or explore alternatives?

This checklist can be used in session by observing behavior, discussing patterns, and asking the person to self-report, giving a clear starting point for intervention.

Shervan K Shahhian