Tag Archives: mental-health

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

Gottman Method, explained:

The Gottman Method is a structured, evidence-based approach to couples therapy developed by Drs. John and Julie Gottman. It’s built on decades of research into what makes relationships succeed or fail. The method focuses on strengthening relationships by deepening friendship, managing conflict constructively, and creating shared meaning.

Here are the core elements:

Assessment: Couples complete questionnaires and share their relationship history. This helps identify strengths and challenges.

Sound Relationship House Theory: The framework at the heart of the method. It includes building trust, commitment, intimacy, and effective conflict management.

The “Four Horsemen”: Criticism, defensiveness, contempt, and stonewalling — communication styles that predict relationship breakdown. Therapy teaches healthier alternatives.

Interventions: Practical, skill-based exercises to improve communication, increase empathy, and strengthen emotional connection.

Focus Areas:

Building love maps (knowing each other deeply)

Expressing fondness and admiration

Turning toward instead of away from each other

Managing conflict through compromise and self-soothing

Supporting each other’s life goals

It’s widely used in couples counseling, marriage enrichment workshops, and even adapted for individual and family therapy.

 An overview of the Gottman Method for couples:

The Gottman Method: Building Stronger Relationships

The Gottman Method is a research-based approach to helping couples create healthier, more fulfilling relationships. Developed by Drs. John and Julie Gottman, it’s designed to strengthen your connection, improve communication, and help you work through conflicts in a respectful and supportive way.

What it focuses on:

Friendship & Connection: Building a strong foundation of love, respect, and understanding.

Managing Conflict: Learning how to handle disagreements without letting them harm your bond.

Shared Goals & Dreams: Supporting each other’s life paths and creating meaning together.

Key Tools You’ll Learn:

Love Maps — Deepening your knowledge of each other’s inner world (likes, worries, dreams).

Fondness & Admiration — Expressing appreciation and noticing the good in each other.

Turning Toward — Choosing connection in small everyday moments (like responding to a smile or a question).

Healthy Conflict Skills — Replacing harmful patterns (criticism, defensiveness, contempt, stonewalling) with calm, constructive communication.

Shared Meaning — Building rituals, traditions, and goals that make your relationship feel purposeful.

What to Expect in Sessions:

You’ll talk about your relationship history and current struggles.

You’ll practice new communication and problem-solving skills with guidance.

You’ll receive practical exercises to strengthen closeness and teamwork.

The Goal:
Not to create a “perfect” relationship, but one where both partners feel safe, respected, and understood — able to grow together through life’s ups and downs.

Shervan K Shahhian

The Art of Decoding Problematic Behavior in the Workplace:

A Practical Guide for Leaders, HR, and Therapists

Why it matters
Problematic behaviors — like chronic lateness, passive-aggression, resistance to feedback, or conflict-seeking — often mask deeper issues such as stress, unmet needs, miscommunication, or even mental health struggles.

 Core Elements

Spot the Patterns

  • Attendance and punctuality issues
  • Communication breakdowns
  • Emotional volatility
  • Withdrawal or disengagement

Decode the Signals

  • Is the behavior stress-related?
  • Is it a clash of values or personalities?
  • Is it a sign of burnout, boredom, or lack of recognition?

Contextualize

  • Consider organizational culture and leadership style
  • Understand whether this is an individual or systemic issue

Respond Effectively

  • Use active listening before corrective action
  • Provide constructive feedback (focus on behavior, not character)
  • Offer coaching, mediation, or professional support if needed

Prevention & Growth

  • Foster psychological safety
  • Encourage open communication
  • Recognize and reinforce positive behavior

 Workplace leadership training outline:

The Art of Decoding Problematic Behavior in the Workplace

Leadership Training Outline

1. Introduction

  • Define “problematic behavior” in the workplace
  • Why leaders need decoding skills (impact on productivity, morale, retention)
  • Common misconceptions (behavior ≠ personality flaw)

2. Recognizing Problematic Behavior

  • Observable patterns:
  • Chronic lateness or absenteeism
  • Disengagement or withdrawal
  • Resistance to feedback or change
  • Conflict-seeking, gossip, or passive-aggression
  • Interactive activity: Case scenarios for spotting red flags

3. Decoding the Signals

  • Root causes to consider:
  • Stress, burnout, or personal struggles
  • Misaligned expectations or unclear roles
  • Value clashes or team culture mismatch
  • Lack of recognition or growth opportunities
  • Exercise: Leaders practice “reading between the lines” in sample situations

4. Contextualizing Behavior

  • Individual vs. systemic problems
  • The influence of leadership style & organizational culture
  • When it’s a performance issue vs. a well-being issue

5. Effective Leadership Responses

  • Tools for leaders:
  • Active listening and empathy before judgment
  • Giving behavior-focused feedback (SBI model: Situation–Behavior–Impact)
  • Mediation and conflict resolution basics
  • Knowing when to escalate to HR or external support
  • Role-play: Practicing feedback conversations

6. Prevention & Positive Culture Building

  • Establishing psychological safety
  • Recognizing and rewarding positive behavior
  • Setting clear expectations and accountability
  • Building resilience into teams

7. Action Planning & Wrap-Up

  • Leaders create a personal “Behavior Decoding Action Plan”
  • Group discussion: biggest takeaways
  • Resources for continued learning (books, coaching, HR policies)

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

Practice brief intervention techniques that motivate real change without judgment or confrontation:

Yes — you can practice Brief Intervention (BI) techniques in a way that encourages change through empathy, curiosity, and collaboration rather than judgment or confrontation. These techniques are often rooted in Motivational Interviewing (MI), which focuses on helping people resolve ambivalence and strengthen their own motivation for change.

Here’s a practical breakdown you can use:

Core Principles

Express Empathy — Listen actively and validate the person’s feelings without labeling or lecturing.

Develop Discrepancy — Help the person see the gap between their current behavior and their goals or values.

Roll with Resistance — Avoid arguments. Resistance is a signal to change your approach, not to push harder.

Support Self-Efficacy — Emphasize the person’s strengths and their ability to make change.

Practical Techniques (BI in Action)

1. Use Open-Ended Questions
Encourage reflection rather than yes/no answers.

  • “What do you enjoy about drinking? What worries you about it?”
  • “How does your current habit fit with the goals you have for yourself?”

2. Reflective Listening
Mirror back what you hear, showing you’re listening and helping them clarify their own thoughts.

  • “It sounds like you feel drinking helps with stress, but you also notice it’s causing problems at work.”

3. Affirmations
Highlight strengths, efforts, or positive intentions.

  • “It took courage to talk about this today.”
  • “You’ve already started thinking about changes — that shows commitment.”

4. Summarizing
Wrap up key points to reinforce their motivations and concerns.

  • “So on one hand, alcohol helps you relax, but on the other, it’s straining your relationships. You’re wondering if cutting back could help.”

5. Elicit Change Talk
Gently guide them to voice reasons for change.

  • “What would be the good things about making this change?”
  • “If you decided to cut back, how might your life improve?”

A Simple BI Flow (the “FRAMES” model)

  • Feedback: Offer personalized, nonjudgmental observations.
  • Responsibility: Emphasize their autonomy.
  • Advice: Provide options, not directives.
  • Menu of choices: Offer strategies to try.
  • Empathy: Maintain an accepting tone.
  • Self-efficacy: Reinforce their ability to succeed.

 Practice tip: Role-play these techniques with a colleague or even by journaling different “client responses” to practice reflective listening and eliciting change talk.

Shervan K Shahhian

Practice Brief Intervention Techniques:

Practice brief intervention techniques that motivate real change without judgment or confrontation?

Yes — you can practice Brief Intervention (BI) techniques in a way that encourages change through empathy, curiosity, and collaboration rather than judgment or confrontation. These techniques are often rooted in Motivational Interviewing (MI), which focuses on helping people resolve ambivalence and strengthen their own motivation for change.

Here’s a practical breakdown you can use:

Core Principles

Express Empathy — Listen actively and validate the person’s feelings without labeling or lecturing.

Develop Discrepancy — Help the person see the gap between their current behavior and their goals or values.

Roll with Resistance — Avoid arguments. Resistance is a signal to change your approach, not to push harder.

Support Self-Efficacy — Emphasize the person’s strengths and their ability to make change.

Practical Techniques (BI in Action)

1. Use Open-Ended Questions
Encourage reflection rather than yes/no answers.

  • “What do you enjoy about drinking? What worries you about it?”
  • “How does your current habit fit with the goals you have for yourself?”

2. Reflective Listening
Mirror back what you hear, showing you’re listening and helping them clarify their own thoughts.

  • “It sounds like you feel drinking helps with stress, but you also notice it’s causing problems at work.”

3. Affirmations
Highlight strengths, efforts, or positive intentions.

  • “It took courage to talk about this today.”
  • “You’ve already started thinking about changes — that shows commitment.”

4. Summarizing
Wrap up key points to reinforce their motivations and concerns.

  • “So on one hand, alcohol helps you relax, but on the other, it’s straining your relationships. You’re wondering if cutting back could help.”

5. Elicit Change Talk
Gently guide them to voice reasons for change.

  • “What would be the good things about making this change?”
  • “If you decided to cut back, how might your life improve?”

A Simple BI Flow (the “FRAMES” model)

  • Feedback: Offer personalized, nonjudgmental observations.
  • Responsibility: Emphasize their autonomy.
  • Advice: Provide options, not directives.
  • Menu of choices: Offer strategies to try.
  • Empathy: Maintain an accepting tone.
  • Self-efficacy: Reinforce their ability to succeed.

Practice tip: Role-play these techniques with a colleague or even by journaling different “client responses” to practice reflective listening and eliciting change talk.

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