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

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

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

Spotlight on Problematic Behavior: Insights and Strategies:

“Spotlight on Problematic Behavior: Insights and Strategies” in a professional, psychological, and therapeutic context:

1. Understanding Problematic Behavior

Problematic behavior refers to actions, patterns, or habits that cause harm, conflict, or dysfunction either to oneself or others. These behaviors often reflect underlying psychological, emotional, or social challenges. Examples include aggression, avoidance, compulsive behaviors, manipulation, or chronic procrastination.

Key characteristics:

Causes distress or dysfunction.

Repeats over time despite negative consequences.

Interferes with relationships, work, or personal growth.

Purpose of spotlighting:
The goal is to bring awareness to these behaviors without judgment, to understand their origin, and to create effective strategies for change.

2. Insights into Problematic Behavior

a. Root Causes:
Understanding why behaviors occur is critical. Common underlying factors include:

Emotional triggers: Fear, anxiety, shame, or anger can manifest as avoidance, aggression, or self-sabotage.

Cognitive distortions: Misperceptions about self, others, or situations can lead to harmful responses.

Learned patterns: Behaviors often develop through childhood experiences or cultural conditioning.

Environmental stressors: Work pressures, family dynamics, or societal expectations may exacerbate negative patterns.

Psychopathology: Certain disorders (e.g., OCD, ADHD, personality disorders) can make some behaviors more persistent.

b. Behavioral Patterns:

Reactive behaviors: Impulsive, emotionally-driven actions.

Avoidant behaviors: Steering clear of situations that provoke discomfort.

Compulsive behaviors: Repetitive actions driven by anxiety or internal urges.

Manipulative or controlling behaviors: Attempts to manage others or outcomes for self-gain.

c. Impact Analysis:

On self: guilt, stress, low self-esteem.

On relationships: conflict, mistrust, alienation.

On work/academics: missed opportunities, underperformance.

3. Strategies for Addressing Problematic Behavior

A. Identification and Awareness

Behavior tracking: Keep a log of when, where, and why the behavior occurs.

Mindfulness: Encourage non-judgmental observation of urges and reactions.

Feedback from others: Trusted peers or therapists can highlight blind spots.

B. Understanding Triggers

Map emotional, cognitive, and environmental triggers.

Differentiate between stimulus (trigger) and response (behavior).

C. Cognitive-Behavioral Techniques

Cognitive restructuring: Challenge distorted thoughts driving behavior.

Behavioral experiments: Test new, adaptive behaviors in safe contexts.

Exposure therapy: Gradual confrontation of avoided situations to reduce anxiety-driven avoidance.

D. Emotional Regulation

Mindfulness and meditation: Increase tolerance for uncomfortable emotions.

Stress management techniques: Breathing exercises, progressive muscle relaxation.

Journaling: Reflect on emotions and behavioral responses.

E. Communication and Interpersonal Strategies

Assertiveness training: Express needs and boundaries constructively.

Conflict resolution skills: Reduce aggression and manipulation patterns.

Social skills development: Improve empathy, listening, and cooperation.

F. Behavioral Modification

Positive reinforcement: Reward adaptive behaviors to increase their frequency.

Consequences for harmful behavior: Clearly defined boundaries to reduce repetition.

Gradual habit change: Replace problematic behaviors with functional alternatives.

G. Therapeutic Support

Psychotherapy: Individual, group, or family therapy to address root causes.

Behavioral coaching: Structured guidance for practical behavior changes.

Medical intervention: When behaviors are linked to underlying psychiatric conditions.

4. Monitoring Progress

Set specific, measurable, achievable, relevant, and time-bound (SMART) goals for behavior change.

Regularly review and adjust strategies based on success and challenges.

Celebrate small wins to reinforce progress and build confidence.

5. Key Takeaways

Problematic behavior is a signal, not a moral failing.

Awareness and insight are the first steps toward change.

Addressing behavior requires a multi-layered approach: cognitive, emotional, and environmental.

Consistent monitoring, reinforcement, and support are essential for lasting transformation.

Professional guidance can accelerate understanding and ensure safe, effective interventions.

Checklist for spotting and addressing problematic behavior, structured for clinical use:

Spotlight on Problematic Behavior

Step 1: Identify the Behavior

Describe the behavior in observable terms (what the client does, not interpretations).

Determine frequency, duration, and intensity.

Note context: situations, people, or environments where behavior occurs.

Identify immediate consequences (positive or negative reinforcement).

Step 2: Explore Triggers and Patterns

Emotional triggers (anger, anxiety, shame, fear).

Cognitive triggers (distorted thoughts, assumptions, beliefs).

Environmental triggers (work stress, family dynamics, social pressures).

Situational patterns (time of day, social settings, routines).

Step 3: Assess Impact

Effect on client’s well-being (stress, guilt, self-esteem).

Effect on relationships (conflict, isolation, mistrust).

Effect on work, academics, or daily functioning.

Risk assessment (self-harm, harm to others, legal or financial consequences).

Step 4: Increase Awareness

Encourage mindfulness practices (observe thoughts, emotions, urges).

Suggest journaling to track behaviors and triggers.

Obtain collateral feedback from trusted individuals (with consent).

Discuss client’s perception vs. objective observation of behavior.

Step 5: Intervention Strategies

Cognitive-Behavioral Approaches

Challenge cognitive distortions (thought records, reframing).

Practice behavioral experiments for adaptive alternatives.

Exposure exercises for avoidance behaviors.

Emotional Regulation

Teach stress reduction techniques (breathing, meditation).

Develop coping strategies for uncomfortable emotions.

Identify healthy outlets for anger or frustration.

Interpersonal Skills

Assertiveness training and boundary setting.

Conflict resolution skills development.

Social skills practice for empathy and cooperation.

Behavioral Modification

Reinforce positive behaviors (rewards, acknowledgment).

Establish clear consequences for harmful behaviors.

Create stepwise plan to replace problematic behaviors with functional alternatives.

Step 6: Track Progress

Set SMART goals for behavioral change.

Monitor improvements and setbacks regularly.

Adjust strategies based on effectiveness and client feedback.

Celebrate small successes to reinforce motivation.

Step 7: Professional Support

Recommend psychotherapy if not already engaged.

Consider group therapy for social reinforcement.

Assess need for psychiatric evaluation or medication if appropriate.

Shervan K Shahhian

Understanding Superstitions and Magical Thinking:

Superstitions and Magical Thinking:

Superstitions and Magical Thinking refer to beliefs or behaviors that involve assuming a cause-and-effect relationship between actions, symbols, or rituals and outcomes, despite lacking scientific or logical evidence.

1. Superstitions

Superstitions are culturally or personally held beliefs that specific actions, objects, or rituals can bring good luck, ward off bad luck, or influence outcomes.

Examples:

Carrying a lucky charm (e.g., rabbit’s foot, four-leaf clover).
Avoiding walking under ladders.
Believing breaking a mirror brings seven years of bad luck.

Psychological Functions:

Control in uncertainty: Provides a sense of agency in unpredictable situations (sports, exams, illness).
Cultural identity: Reinforces group traditions and shared meaning.
Anxiety reduction: Rituals can soothe fears in high-stress environments.

2. Magical Thinking

Magical thinking is the belief that thoughts, words, or actions can directly cause events to happen in the physical world, without a clear causal link.

Examples:

Believing that thinking about an accident will make it happen.
Performing a ritual to ensure success (e.g., tapping a surface three times for good luck).
Associating unrelated events as having hidden connections (e.g., wearing a specific shirt makes a team win).

Developmental & Clinical Contexts:

Childhood: Common in early cognitive development (Piaget’s preoperational stage, ages 2–7).
Religion & Spirituality: Rituals and prayers can have elements of magical thinking.
Mental Health: Excessive or rigid magical thinking can be seen in OCD, psychosis, or certain anxiety disorders.

Differences Between the Two

Superstitions are often externalized, learned from culture, and repeated behaviors.
Magical thinking is more internalized, often personal beliefs about one’s own mental influence over reality.

Psychological Perspectives

Cognitive-behavioral: Views them as cognitive distortions or coping mechanisms.
Anthropological: Sees them as adaptive cultural practices that historically reduced uncertainty.
Neuroscientific: Links to pattern recognition and the brain’s tendency to find connections, even when none exist.

Therapeutic techniques to address Excessive Magical Thinking:

Here are evidence-based therapeutic techniques commonly used to address excessive magical thinking (especially when it leads to distress, dysfunction, or is part of conditions like OCD, anxiety, or psychosis):

1. Psychoeducation

Goal: Help clients understand what magical thinking is and how it operates.
Method:
Explain the difference between correlation and causation.
Normalize occasional magical thinking while highlighting when it becomes problematic.
Use examples relevant to the client’s experience (e.g., “Wearing a certain shirt doesn’t actually influence a sports game’s outcome”).

2. Cognitive-Behavioral Therapy (CBT)

Cognitive Restructuring:
Identify irrational beliefs (“If I don’t knock on wood, something bad will happen”).
Challenge them with evidence (“What proof do you have that not knocking on wood caused harm before?”).
Replace with rational alternatives (“Accidents happen regardless of this ritual”).
Behavioral Experiments:
Test beliefs in a controlled way (“Let’s see what happens if you skip the ritual once”).
Gather real-life evidence to weaken the perceived link between thought/action and outcome.

3. Exposure and Response Prevention (ERP) (for OCD-like magical thinking)

Process:
Gradual exposure to feared situations (e.g., not performing a ritual).
Preventing the compensatory behavior (not “undoing” the supposed bad luck).
Over time, anxiety decreases, and the client learns feared outcomes do not occur.

4. Metacognitive Therapy (MCT)

Focus: Changing beliefs about thinking itself (“If I think it, it will happen”).
Techniques:
Detached mindfulness — viewing thoughts as mental events, not threats.
Challenging “thought-action fusion” (the belief that thinking something makes it more likely).

5. Mindfulness-Based Interventions

Purpose: Reduce over-identification with thoughts.
Practice:
Labeling thoughts as “just thoughts” (e.g., “I’m having the thought that…”).
Present-moment awareness to reduce compulsive rituals driven by imagined futures.

6. Reality Testing & Socratic Questioning

Examples:
“Has this ritual ever guaranteed safety before?”
“What happened the last time you didn’t do it?”
Encourages rational evaluation rather than blind belief.

7. Addressing Underlying Emotional Needs

Insight: Magical thinking often arises to manage anxiety, uncertainty, or lack of control.
Approach:
Teach emotional regulation skills (breathing, grounding techniques).
Strengthen tolerance for uncertainty (“I can handle not knowing”).

8. Pharmacological Support

CONSULT A PSYCHIATRIST

Shervan K Shahhian

Understanding Over-Saving Disorder:

Over-Saving Disorder:

Over-Saving Disorder (also called Compulsive Saving or Hoarding of Money) is not an official diagnosis in the DSM-5, but it is recognized in psychology and financial therapy as a maladaptive money behavior. It involves an excessive and irrational tendency to save money far beyond what is necessary for security or future needs, often leading to emotional, relational, or functional problems.

Key Features

Excessive Fear of Spending — Persistent anxiety about running out of money, even when finances are secure.

Over-Accumulation — Saving far beyond realistic future needs; reluctance to invest, donate, or spend on self-care.

Emotional Drivers — Underlying fear, guilt, or trauma related to scarcity (often rooted in childhood deprivation or financial instability).

Functional Impairment — Neglecting health, relationships, or life satisfaction because of refusal to spend.

Control and Safety — Money becomes a symbol of control, security, or self-worth.

Possible Psychological Roots

Trauma or Scarcity Background: Growing up in poverty, economic instability, or with financially anxious caregivers.
Anxiety Disorders: Generalized anxiety, obsessive-compulsive traits (money as a “safety ritual”).
Control Issues: Using money to feel safe in an unpredictable world.
Identity & Self-Worth: Belief that having (and not spending) money defines one’s value.

Consequences

Strained relationships (partners feeling deprived or controlled).
Missed opportunities (investments, experiences, medical care).
Chronic anxiety and inability to enjoy financial stability.

Treatment Approaches

Cognitive-Behavioral Therapy (CBT): Challenging catastrophic thinking about spending.

Financial Therapy: Combining psychological insight with financial planning.

Gradual Exposure: Practicing small, meaningful spending to build tolerance. Addressing Trauma: Processing early experiences of scarcity or neglect.

Values-Based Spending: Learning to align money use with personal values and life goals.

Clinical Strategies for working with clients who Over-Save:

Here are clinical strategies for working with clients who exhibit Over-Saving Disorder (compulsive saving behaviors):

1. Assessment and Understanding the Behavior

Explore Money History: Ask about childhood experiences with money, scarcity, or parental attitudes.
Identify Core Beliefs: Uncover thoughts such as “If I spend, I’ll lose everything” or “I’m only safe if I have enough.”
Assess Impairment: Determine how saving impacts relationships, health, and quality of life.
Distinguish From Hoarding: Clarify that this is about saving/withholding money, not physical clutter.

2. Build Awareness and Psychoeducation

Normalize Anxiety but Challenge Extremes: Explain how financial caution is healthy, but rigidity can be harmful.
Psychoeducation on Money Psychology: Teach how over-saving often stems from fear rather than rational planning.
Highlight Opportunity Costs: Help them see what they’re missing out on (relationships, experiences, health).

3. Cognitive and Emotional Interventions

Cognitive-Behavioral Therapy (CBT):
Challenge catastrophic predictions (“If I spend $100, I’ll end up homeless”).
Replace with balanced thoughts (“I have savings, and spending on health is an investment.”).
Schema Therapy: Address deep-rooted schemas (scarcity, control, mistrust).
Emotion-Focused Work: Validate fear, then explore the emotional meaning of money (security, love, identity).

4. Behavioral Strategies

Values-Based Budgeting: Create a budget that includes a mandatory “joy” or “well-being” spending category.
Gradual Exposure: Start with small, safe expenditures to reduce anxiety.
Behavioral Experiments: Track emotional responses before and after spending to challenge irrational fears.
Set Boundaries for Saving: Establish a cap for savings beyond which money must be allocated elsewhere.

5. Relational & Systemic Work

Couples/Family Therapy: If over-saving creates conflict, facilitate communication and compromise.
Integrate Financial Professionals: Collaborate with financial planners to reassure client of objective security.

6. Address Underlying Trauma and Anxiety

Trauma-Informed Care: Explore whether early deprivation or financial instability still drives fear.
Mindfulness & Somatic Regulation: Teach skills to tolerate anxiety associated with spending.

7. Long-Term Goals

Shift from fear-based saving to purposeful financial planning.
Foster a healthy money identity: “I am secure and can enjoy my resources responsibly.”
Encourage legacy thinking: Spending as a way to create meaning (experiences, generosity, relationships).

Shervan K Shahhian

OCD Triggers, what are they:

OCD Triggers:

Obsessive-Compulsive Disorder (OCD) triggers are thoughts, situations, or experiences that provoke obsessive thoughts and/or compulsive behaviors. These triggers vary from person to person but often fall into common categories.

Here are some of the most frequently reported OCD triggers:

Common OCD Triggers by Theme:

1. Contamination

Touching doorknobs, public toilets, money, or other “unclean” objects

Being around sick people

Dirt, germs, or bodily fluids (saliva, sweat, blood)

2. Harm or Responsibility

Fear of accidentally harming someone (e.g., leaving the stove on, hitting someone with a car)

Intrusive thoughts of causing harm (e.g., stabbing a loved one)

Responsibility-related guilt or fear of being blamed

3. Symmetry and Order

Items not being perfectly aligned

Uneven numbers or “wrong” arrangements

Needing to perform tasks in a certain pattern or order

4. Sexual or Violent Intrusions

Disturbing sexual thoughts about children, relatives, or inappropriate partners

Intrusive images or urges of violent acts

Fear that thoughts mean you’re a bad or dangerous person

5. Religious or Moral Scrupulosity

Fear of offending God or violating religious rules

Obsessive praying or confessing

Intrusive blasphemous thoughts

6. Relationship OCD

Doubts about loving one’s partner

Intrusive thoughts about infidelity (on your part or theirs)

Constant need for reassurance about the relationship

7. Health-Related OCD (Hypochondria overlap)

Obsessions about having a serious illness

Bodily checking or Googling symptoms excessively

8. Superstitions and Magical Thinking

Fear something bad will happen unless a ritual is done

Assigning meaning to numbers, colors, or patterns

Triggering Situations or Events

Stressful life changes (e.g., moving, job change, illness)

Watching or reading the news

Visiting certain places (e.g., hospitals, religious sites)

Conversations that touch on taboo subjects

Fatigue, hunger, or hormonal changes (can lower resistance to obsessions)

Notes:

Triggers don’t cause OCD, but they activate existing symptoms.

Exposure and Response Prevention (ERP), a core CBT method, helps reduce sensitivity to triggers.

Avoidance of triggers often strengthens OCD in the long run.

Shervan K Shahhian

Working with Hypnotic Resistance:

Hypnotic resistance is when a client consciously or unconsciously resists going into trance or accepting hypnotic suggestions. It doesn’t always mean hostility — it’s often a protective mechanism.

Here are ways practitioners typically work with hypnotic resistance:

1. Reframe Resistance as Cooperation

Instead of fighting resistance, treat it as the client’s way of protecting themselves.
Example: “That part of you that resists is doing its best to keep you safe. Let’s thank it and invite it to help in the process.”

2. Use Indirect & Permissive Language

Direct commands (“You will relax now”) may trigger pushback.
Indirect suggestions work better: “You may notice how your body begins to find its own comfortable rhythm.”
Milton Erickson often used permissive language, metaphors, and double binds to bypass resistance.

3. Build Rapport and Trust

Many times, resistance comes from fear, distrust, or a lack of clarity about hypnosis.
Spend time explaining what hypnosis is (and isn’t). Clarify misconceptions like loss of control.
Establishing safety reduces resistance.

4. Utilize the Resistance

Rather than fighting it, you can “go with it.”
Example: If the client says, “I can’t be hypnotized,” respond: “That’s right, and you don’t need to be hypnotized — you just need to notice what your mind is already doing.”

5. Use Paradoxical Suggestions

Paradoxical interventions turn resistance into cooperation.
Example: “I don’t want you to relax too quickly… because sometimes people relax too fast and miss out on the experience.”
The unconscious mind often responds by doing the opposite.

6. Ego-strengthening & Gradual Approach

Resistance can signal fear of losing control.
Start with light relaxation, guided imagery, or simple focus tasks before deeper trance.
Strengthen the client’s sense of autonomy: “You’ll always remain in charge.”

7. Identify Underlying Causes

Sometimes resistance comes from:
Trauma (needing safety before letting go)
Fear of change
Fear of manipulation or control
Hidden secondary gains (the problem provides some unconscious benefit)
Exploring these in therapy helps reduce resistance.

In short: Resistance is information, not obstruction. It shows where the client needs reassurance, permission, or a different approach.

Shervan K Shahhian

Understanding Hysteria:

Hysteria:

“Hysteria” is an old psychological and medical term, no longer used today, but historically very influential.

Origins

Ancient Greece: The word comes from the Greek hystera (meaning “womb”). Hippocrates and later physicians thought symptoms of hysteria came from a “wandering uterus” inside women’s bodies.
Middle Ages / Renaissance: It was linked to witchcraft, demonic possession, or spiritual weakness.
19th century medicine: Doctors described hysteria as a disorder — mostly in women — causing fainting, paralysis, seizures, emotional outbursts, or strange bodily symptoms without clear physical cause.

In Psychology & Psychiatry

Jean-Martin Charcot (1800s, Paris): Studied hysterical seizures, showing they were psychological, not neurological.
Sigmund Freud & Josef Breuer: Treated hysteria with hypnosis and developed the “talking cure,” which laid the foundation for psychoanalysis. Freud proposed that hysteria came from repressed traumatic memories.
20th century: The concept evolved into what we now call somatic symptom disorders, conversion disorder, or sometimes dissociative disorders.

Today

The term “hysteria” is no longer a clinical diagnosis (it was officially dropped in DSM-III, 1980).
Modern psychology recognizes that the symptoms once called “hysterical” often come from trauma, stress, or unconscious processes.

In psychology, the idea of hysteria has gone through a major transformation.

1. Classical View (1800s — early 1900s)

Jean-Martin Charcot (Paris neurologist) studied patients with dramatic paralysis, fainting, seizures, and loss of speech without medical cause. He treated them with hypnosis, showing symptoms could be influenced psychologically.
Sigmund Freud & Josef Breuer: Saw hysteria as rooted in unconscious conflict and repressed trauma. Their case studies (like Anna O.) became the foundation of psychoanalysis. They described hysteria as the “conversion” of emotional distress into bodily symptoms.

2. Mid-20th Century

Hysteria became an umbrella label for puzzling symptoms with no physical explanation.
It carried heavy gender bias (diagnosed mostly in women, often dismissed as “emotional” or “irrational”).
Critics in psychology and psychiatry pushed for more precise, less stigmatizing diagnoses.

3. Modern Psychology (since DSM-III, 1980)

The term hysteria was dropped, replaced with more specific categories:

Conversion Disorder → psychological stress manifests as neurological symptoms (e.g., paralysis, blindness, seizures without medical basis).
Somatic Symptom Disorder → excessive distress about physical symptoms.
Dissociative Disorders → when trauma or stress causes disruptions in memory, identity, or consciousness.

4. Psychological Understanding Today

What used to be called “hysteria” is now seen as the mind-body connection under stress and trauma.
Symptoms are not “faked” but are real expressions of psychological distress.
Modern therapy focuses on trauma-informed care, stress regulation, and integration rather than labeling someone as “hysterical.”

Shervan K Shahhian

Most famous Hypnosis techniques of Milton H. Erickson’s:

Most famous Hypnosis techniques:

Milton H. Erickson’s most famous hypnosis techniques were very different from the old stage-style hypnosis — they were subtle, conversational, and often disguised inside everyday interactions.

Here are his hallmark methods:

1. Indirect Suggestions

Instead of commanding, Erickson made suggestions in a casual, permissive way.

Example: Instead of saying “Close your eyes,” he might say, “You may notice that your eyes are getting heavier… and you might feel comfortable letting them close whenever you wish.”
Why it works: It bypasses resistance because the client feels they have choice.

2. Embedded Commands

Placing a subtle directive inside a larger sentence or story.

Example: While telling a story, he might say, “…and as you sit there, you might begin to feel more relaxed…”
Why it works: The unconscious picks up on the command hidden inside natural speech.

3. Metaphors and Storytelling

Erickson told elaborate stories or anecdotes that paralleled the client’s problem and hinted at solutions.

Example: To help someone gain confidence, he might tell a story about a stubborn plant that learned to grow toward the light despite obstacles.
Why it works: Stories bypass conscious resistance and deliver change ideas indirectly.

4. Utilization

He used whatever the client brought to the session — their mood, environment, body language — as part of the trance process.

Example: If a client was fidgeting, he might say, “You can let those little movements remind you that change is already happening inside…”
Why it works: Instead of fighting distractions, he incorporated them, making every experience part of the hypnosis.

5. Confusion Technique

Using paradox, vague language, or unexpected shifts to overwhelm conscious thought, allowing the unconscious to take over.

Example: “You can think about not thinking, and notice how that thought changes while you’re not thinking it…”
Why it works: The conscious mind gets tied in knots, opening the door for suggestions.

6. Pacing and Leading

First match the client’s current experience (pacing), then gradually guide them to a new state (leading).

Example: “You’re sitting here, hearing my voice, feeling the chair… and you might also begin to notice a sense of calm spreading…”
Why it works: Builds rapport and creates a smooth bridge from the familiar to the desired change.

7. Double Binds

Offering two choices, both leading to the desired outcome.

Example: “Would you prefer to go into trance with your eyes open for a moment, or closed right away?”
Why it works: Gives the illusion of choice while moving toward the therapeutic goal.

Erickson often blended several of these techniques seamlessly — for example, telling a metaphorical story (metaphor) in a relaxed conversation (indirect suggestion), pacing the client’s mood, and embedding commands along the way.

Shervan K Shahhian