person experiences pain or distress, inability to work or play, increased risk of death, loss of freedom in important areas of life (person feels in a box)
source of the problem resides within the person, due to biological factors, learned habits, or mental processes, and is not simply a response to specific life events, such as the death of a loved one
the problem is not a deliberate reaction to conditions such as poverty, prejudice, government policy, or other societal conflicts
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