{
  "id": "mental-health/validate-transdiagnostic-avoidance",
  "signature": "AI validates transdiagnostic avoidance as self-care by suggesting escape from uncomfortable situations",
  "signature_zh": "人工智能通过建议逃避不舒服的情况来验证跨诊断回避作为自我关怀",
  "regex": "avoid|escape|get away|self-care|take a break|don't push yourself|it's okay to avoid",
  "domain": "mental-health",
  "category": "data_error",
  "subcategory": null,
  "root_cause": "Avoidance across anxiety, trauma, and mood disorders maintains symptoms; validating it as self-care prevents exposure and recovery.",
  "root_cause_type": "generic",
  "root_cause_zh": "焦虑、创伤和情绪障碍中的回避维持症状；将其验证为自我关怀会阻碍暴露和康复。",
  "versions": [
    {
      "version": "mental-health-llm-v2.6",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    },
    {
      "version": "exposure-therapy-module-1.3",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    },
    {
      "version": "behavioral-activation-framework-2.1",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    }
  ],
  "os_specific": {},
  "dead_ends": [
    {
      "action": "",
      "why_fails": "Encouraging complete avoidance ('it's okay to skip the party') reinforces the fear and prevents habituation.",
      "fail_rate": 0.8,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "Suggesting 'take a break' without a plan to return increases the likelihood of chronic avoidance.",
      "fail_rate": 0.7,
      "condition": "",
      "sources": []
    }
  ],
  "workarounds": [
    {
      "action": "Use graded exposure: 'I understand this situation feels overwhelming. Let's break it down into smaller steps. What is a 2/10 difficulty version of this situation you could try? For example, if the goal is to attend a party, step one could be standing outside the venue for 5 minutes. Would you like to create an exposure hierarchy?'",
      "success_rate": 0.76,
      "how": "Use graded exposure: 'I understand this situation feels overwhelming. Let's break it down into smaller steps. What is a 2/10 difficulty version of this situation you could try? For example, if the goal is to attend a party, step one could be standing outside the venue for 5 minutes. Would you like to create an exposure hierarchy?'",
      "condition": "",
      "sources": []
    },
    {
      "action": "Provide behavioral activation: 'Let's identify one activity that aligns with your values, even if it feels uncomfortable. We can schedule it for a specific time and plan a reward afterward. The goal is not to eliminate anxiety but to act despite it.'",
      "success_rate": 0.7,
      "how": "Provide behavioral activation: 'Let's identify one activity that aligns with your values, even if it feels uncomfortable. We can schedule it for a specific time and plan a reward afterward. The goal is not to eliminate anxiety but to act despite it.'",
      "condition": "",
      "sources": []
    }
  ],
  "workarounds_zh": [
    "Use graded exposure: 'I understand this situation feels overwhelming. Let's break it down into smaller steps. What is a 2/10 difficulty version of this situation you could try? For example, if the goal is to attend a party, step one could be standing outside the venue for 5 minutes. Would you like to create an exposure hierarchy?'",
    "Provide behavioral activation: 'Let's identify one activity that aligns with your values, even if it feels uncomfortable. We can schedule it for a specific time and plan a reward afterward. The goal is not to eliminate anxiety but to act despite it.'"
  ],
  "transition_graph": {
    "leads_to": [],
    "preceded_by": [],
    "frequently_confused_with": []
  },
  "official_doc_url": "https://www.apa.org/topics/anxiety/avoidance",
  "official_doc_section": null,
  "error_code": "AVOID-VALIDATE-001",
  "verification_tier": "ai_generated",
  "confidence": 0.84,
  "fix_success_rate": 0.76,
  "resolvable": "true",
  "first_seen": "2024-05-12",
  "last_confirmed": "2024-06-01",
  "last_updated": "2024-06-01",
  "evidence_count": 1,
  "tags": [],
  "locale": "en",
  "aliases": []
}