datasets/disorders.json

[
  {
    "name": "Major Depressive Disorder (MDD)",
    "risk_level": "high",
    "symptoms": {
      "emotional": [
        "persistent sadness",
        "feelings of emptiness",
        "irritability",
        "hopelessness",
        "guilt"
      ],
      "cognitive": [
        "negative self\u2011evaluation",
        "difficulty concentrating",
        "indecisiveness",
        "thoughts of worthlessness",
        "ruminative thinking"
      ],
      "behavioral": [
        "social withdrawal",
        "loss of interest in usual activities",
        "reduced motivation",
        "neglect of personal responsibilities",
        "changes in appetite or weight"
      ],
      "physical": [
        "fatigue or loss of energy",
        "sleep disturbances (insomnia or hypersomnia)",
        "psychomotor agitation or retardation",
        "unexplained aches and pains"
      ]
    },
    "hidden_symptoms": [
      "suicidal ideation",
      "self\u2011harm urges",
      "psychotic features (e.g., hopeless delusions)",
      "substance misuse as coping"
    ],
    "trigger_keywords": [
      "sad",
      "hopeless",
      "can't go on",
      "worthless",
      "tired all the time",
      "no interest",
      "crying",
      "suicidal"
    ],
    "response_style": {
      "verbosity": "low",
      "emotional_intensity": "medium",
      "defensiveness": "low"
    },
    "risk_probability": 0.62,
    "typical_thought_patterns": [
      "I am a burden to everyone.",
      "Nothing will ever get better.",
      "I don't deserve to be happy.",
      "Life would be better without me.",
      "I can't handle this."
    ]
  },
  {
    "name": "Persistent Depressive Disorder (Dysthymia)",
    "risk_level": "medium",
    "symptoms": {
      "emotional": [
        "persistent sadness",
        "feelings of hopelessness",
        "low self\u2011esteem",
        "irritability"
      ],
      "cognitive": [
        "negative self\u2011view",
        "pessimistic outlook",
        "difficulty concentrating",
        "indecisiveness"
      ],
      "behavioral": [
        "social withdrawal",
        "decreased enjoyment of activities",
        "reduced productivity",
        "neglect of personal responsibilities"
      ],
      "physical": [
        "fatigue or low energy",
        "sleep disturbances (insomnia or hypersomnia)",
        "changes in appetite or weight",
        "body aches and unexplained pains"
      ]
    },
    "hidden_symptoms": [
      "suicidal thoughts",
      "feelings of being a burden"
    ],
    "trigger_keywords": [
      "feeling stuck",
      "nothing improves",
      "always tired",
      "can't enjoy anything"
    ],
    "response_style": {
      "verbosity": "medium",
      "emotional_intensity": "moderate",
      "defensiveness": "low"
    },
    "risk_probability": 0.4,
    "typical_thought_patterns": [
      "I'm never going to feel better.",
      "Everyone would be better off without me.",
      "No matter what I do, it won\u2019t change how I feel."
    ]
  },
  {
    "name": "Bipolar I Disorder",
    "risk_level": "high",
    "symptoms": {
      "emotional": [
        "elevated or expansive mood",
        "irritability",
        "deep sadness",
        "emptiness"
      ],
      "cognitive": [
        "racing thoughts",
        "grandiose ideas",
        "poor judgment",
        "hopelessness during depressive episodes"
      ],
      "behavioral": [
        "increased goal\u2011directed activity",
        "reckless spending or sexual behavior",
        "withdrawal and reduced activity during depression",
        "sleep pattern disruption"
      ],
      "physical": [
        "reduced need for sleep",
        "psychomotor agitation or retardation",
        "energy spikes during mania",
        "fatigue and changes in appetite during depression"
      ]
    },
    "hidden_symptoms": [
      "psychotic features (delusions or hallucinations)",
      "suicidal thoughts"
    ],
    "trigger_keywords": [
      "mania",
      "depression",
      "mood swing",
      "rapid cycling",
      "grandiosity",
      "impulsivity"
    ],
    "response_style": {
      "verbosity": "medium",
      "emotional_intensity": "high",
      "defensiveness": "low"
    },
    "risk_probability": 0.45,
    "typical_thought_patterns": [
      "I can do anything; no limits.",
      "Nobody understands how badly I feel.",
      "If I don\u2019t act now, I\u2019ll miss my chance.",
      "Everything is hopeless; there\u2019s no way out."
    ]
  },
  {
    "name": "Bipolar II Disorder",
    "risk_level": "medium",
    "symptoms": {
      "emotional": [
        "periods of depressed mood",
        "feelings of hopelessness",
        "elevated or irritable mood during hypomania"
      ],
      "cognitive": [
        "rumination",
        "racing thoughts in hypomanic phases",
        "difficulty concentrating"
      ],
      "behavioral": [
        "decreased need for sleep during hypomania",
        "increased goal\u2011directed activity or risk\u2011taking",
        "social withdrawal during depressive episodes"
      ],
      "physical": [
        "fatigue or low energy",
        "changes in appetite or weight",
        "restlessness or agitation"
      ]
    },
    "hidden_symptoms": [
      "impulsive spending or sexual behavior during hypomania",
      "subtle suicidal ideation during depressive phases"
    ],
    "trigger_keywords": [
      "mood swings",
      "energy spikes",
      "sleep changes",
      "hopelessness",
      "overactivity"
    ],
    "response_style": {
      "verbosity": "medium",
      "emotional_intensity": "medium",
      "defensiveness": "low"
    },
    "risk_probability": 0.35,
    "typical_thought_patterns": [
      "I can\u2019t control my moods; they flip on a dime",
      "If I don\u2019t seize this opportunity now, I\u2019ll regret it",
      "Nothing will ever get better again"
    ]
  },
  {
    "name": "Cyclothian Disorder",
    "risk_level": "medium",
    "symptoms": {
      "emotional": [
        "persistent mood instability",
        "irritability",
        "elevated cheerfulness"
      ],
      "cognitive": [
        "racing thoughts during hypomanic periods",
        "difficulty concentrating"
      ],
      "behavioral": [
        "increased goal\u2011directed activity",
        "social withdrawal during depressive phases",
        "impulsive spending or risky behavior"
      ],
      "physical": [
        "changes in sleep pattern (reduced need for sleep when hypomanic, oversleeping when depressed)",
        "fluctuating appetite"
      ]
    },
    "hidden_symptoms": [
      "underlying chronic low\u2011grade depression that the person may minimize"
    ],
    "trigger_keywords": [
      "mood swings",
      "hypomania",
      "depressive episodes",
      "energy spikes",
      "irritability"
    ],
    "response_style": {
      "verbosity": "medium",
      "emotional_intensity": "medium",
      "defensiveness": "low"
    },
    "risk_probability": 0.2,
    "typical_thought_patterns": [
      "I\u2019m on top of the world right now, why can\u2019t anyone keep up?",
      "If I don\u2019t keep moving, I\u2019ll fall back into the slump.",
      "Everyone thinks I\u2019m crazy because my mood flips so often."
    ]
  },
  {
    "name": "Premenstrual Dysphoric Disorder (PMDD)",
    "risk_level": "medium",
    "symptoms": {
      "emotional": [
        "intense irritability",
        "overwhelming sadness",
        "anger outbursts",
        "feelings of hopelessness"
      ],
      "cognitive": [
        "difficulty concentrating",
        "memory lapses",
        "rumination on negative events",
        "catastrophic thinking"
      ],
      "behavioral": [
        "withdrawal from social activities",
        "conflict with loved ones",
        "reduced work or school performance",
        "increased cravings for comfort foods"
      ],
      "physical": [
        "fatigue",
        "breast tenderness",
        "headaches",
        "bloating",
        "joint or muscle aches",
        "sleep disturbances (insomnia or hypersomnia)"
      ]
    },
    "hidden_symptoms": [
      "severe suicidal thoughts",
      "self\u2011harm urges",
      "extreme emotional numbness"
    ],
    "trigger_keywords": [
      "period",
      "menstruation",
      "PMS",
      "cycle",
      "hormonal changes",
      "mood swings"
    ],
    "response_style": {
      "verbosity": "medium",
      "emotional_intensity": "high",
      "defensiveness": "low"
    },
    "risk_probability": 0.35,
    "typical_thought_patterns": [
      "I\u2019m going to explode if things don\u2019t go my way this week.",
      "Nothing ever works out for me during my period.",
      "I\u2019m a burden to everyone when I\u2019m feeling this way.",
      "If I can\u2019t control my emotions now, I\u2019ll never be normal again."
    ]
  },
  {
    "name": "Postpartum Depression",
    "risk_level": "high",
    "symptoms": {
      "emotional": [
        "persistent sadness",
        "feelings of emptiness",
        "guilt",
        "irritability",
        "anxiety"
      ],
      "cognitive": [
        "negative thoughts about self and parenting",
        "hopelessness",
        "difficulty concentrating",
        "rumination about baby's health"
      ],
      "behavioral": [
        "withdrawal from family and friends",
        "reduced interest in previously enjoyed activities",
        "neglect of self\u2011care or infant care",
        "sleep disturbances (oversleeping or insomnia)"
      ],
      "physical": [
        "fatigue",
        "changes in appetite",
        "headaches",
        "body aches",
        "post\u2011delivery hormonal fluctuations"
      ]
    },
    "hidden_symptoms": [
      "suicidal thoughts",
      "thoughts of harming the infant",
      "severe panic attacks"
    ],
    "trigger_keywords": [
      "postpartum",
      "baby",
      "motherhood",
      "feeding",
      "sleep deprivation",
      "partner support"
    ],
    "response_style": {
      "verbosity": "medium",
      "emotional_intensity": "high",
      "defensiveness": "low"
    },
    "risk_probability": 0.55,
    "typical_thought_patterns": [
      "I\u2019m a terrible mother and I\u2019m failing my baby.",
      "I can\u2019t handle this; it\u2019s all too much.",
      "What if something happens to my baby because of me?",
      "I don\u2019t deserve to be happy."
    ]
  },
  {
    "name": "Disruptive Mood Dysregulation Disorder (DMDD)",
    "risk_level": "medium",
    "symptoms": {
      "emotional": [
        "persistent irritability",
        "intense anger"
      ],
      "cognitive": [
        "negative attribution bias",
        "rumination about perceived slights"
      ],
      "behavioral": [
        "temper outbursts (verbal or behavioral) that are out of proportion to the situation",
        "chronic argumentative or defiant behavior",
        "aggressive reactions to minor frustrations"
      ],
      "physical": [
        "increased heart rate during outbursts",
        "muscle tension",
        "sleep disturbances (difficulty falling or staying asleep)"
      ]
    },
    "hidden_symptoms": [
      "self\u2011harm ideation during severe outbursts",
      "co\u2011occurring depressive symptoms that the child hides from adults"
    ],
    "trigger_keywords": [
      "anger",
      "temper flare",
      "outburst",
      "irritability",
      "frustration"
    ],
    "response_style": {
      "verbosity": "medium",
      "emotional_intensity": "high",
      "defensiveness": "low"
    },
    "risk_probability": 0.35,
    "typical_thought_patterns": [
      "No one understands how angry I feel",
      "If I don\u2019t explode, something terrible will happen",
      "I\u2019m always on edge; anyone could trigger me",
      "It\u2019s better to lash out than to stay quiet and be ignored"
    ]
  },
  {
    "name": "Generalized Anxiety Disorder (GAD)",
    "risk_level": "medium",
    "symptoms": {
      "emotional": [
        "excessive worry",
        "fear",
        "restlessness"
      ],
      "cognitive": [
        "overthinking",
        "catastrophizing",
        "difficulty concentrating",
        "mind going blank"
      ],
      "behavioral": [
        "avoidance of feared situations",
        "ritualized checking",
        "procrastination"
      ],
      "physical": [
        "muscle tension",
        "fatigue",
        "sleep disturbances",
        "headaches",
        "sweating",
        "trembling"
      ]
    },
    "hidden_symptoms": [
      "constant worry loops",
      "rumination that may not be disclosed initially"
    ],
    "trigger_keywords": [
      "what if",
      "worried",
      "can\u2019t stop thinking",
      "always anxious",
      "panic",
      "stress"
    ],
    "response_style": {
      "verbosity": "medium",
      "emotional_intensity": "high",
      "defensiveness": "low"
    },
    "risk_probability": 0.3,
    "typical_thought_patterns": [
      "What if something goes wrong?",
      "I have to be prepared for every possible disaster.",
      "I can\u2019t relax until I double\u2011check everything."
    ]
  },
  {
    "name": "Panic Disorder",
    "risk_level": "medium",
    "symptoms": {
      "emotional": [
        "intense fear",
        " dread",
        " feeling of impending doom"
      ],
      "cognitive": [
        "catastrophic thoughts about health or dying",
        " feeling of losing control",
        " fear of future attacks"
      ],
      "behavioral": [
        "avoidance of places or situations where attacks have occurred",
        "restlessness",
        " seeking reassurance"
      ],
      "physical": [
        "rapid heartbeat",
        "chest pain or tightness",
        "shortness of breath",
        "sweating",
        "trembling",
        "dizziness or light\u2011headedness",
        "nausea",
        "tingling sensations"
      ]
    },
    "hidden_symptoms": [
      "fear of having another panic attack in public (agoraphobic avoidance)",
      "subtle dissociative episodes"
    ],
    "trigger_keywords": [
      "panic attack",
      "shortness of breath",
      "heart racing",
      "chest tightness",
      "feeling faint",
      "fear of losing control"
    ],
    "response_style": {
      "verbosity": "medium",
      "emotional_intensity": "high",
      "defensiveness": "low"
    },
    "risk_probability": 0.2,
    "typical_thought_patterns": [
      "What if I\u2019m having a heart attack?",
      "I\u2019m going to die if this continues.",
      "I can\u2019t handle this feeling any longer.",
      "If I leave now, I\u2019ll embarrass everyone."
    ]
  },
  {
    "name": "Agoraphobia",
    "risk_level": "medium",
    "symptoms": {
      "emotional": [
        "Intense fear or anxiety about being in situations where escape might be difficult",
        "Feelings of panic or dread when thinking about leaving safe spaces",
        "Feelings of helplessness or loss of control"
      ],
      "cognitive": [
        "Persistent worry that a panic attack will occur in public places",
        "Catastrophic thinking about what could happen if unable to escape",
        "Hypervigilance to bodily sensations that might signal panic"
      ],
      "behavioral": [
        "Avoidance of crowded places, public transportation, open spaces, or being far from home",
        "Dependence on a trusted companion to go outside",
        "Ritualistic checking of exits or escape routes"
      ],
      "physical": [
        "Shortness of breath, rapid heartbeat, sweating, trembling",
        "Chest tightness, nausea, dizziness",
        "Muscle tension and gastrointestinal upset during exposure to feared situations"
      ]
    },
    "hidden_symptoms": [
      "Subtle irritability or low mood resulting from chronic isolation",
      "Decreased work or academic performance due to avoidance",
      "Somatic complaints (headaches, stomachaches) that lack a clear medical cause"
    ],
    "trigger_keywords": [
      "crowded",
      "open space",
      "public transport",
      "escape route",
      "panic attack",
      "fear of being trapped"
    ],
    "response_style": {
      "verbosity": "concise\u2011to\u2011moderate",
      "emotional_intensity": "empathetic and supportive",
      "defensiveness": "non\u2011defensive, open, and reassuring"
    },
    "risk_probability": 0.32,
    "typical_thought_patterns": [
      "\"If I go outside, something terrible will happen and I won't be able to get help.\"",
      "\"I can't trust my body; it will betray me with a panic attack at any moment.\"",
      "\"Staying home is the only way to stay safe; leaving it is reckless.\"",
      "\"People will notice my anxiety and think I'm weak or crazy.\""
    ]
  },
  {
    "name": "Social Anxiety Disorder",
    "risk_level": "medium",
    "symptoms": {
      "emotional": [
        "Intense fear of being judged or embarrassed",
        "Feelings of shame or humiliation",
        "Persistent worry about social interactions"
      ],
      "cognitive": [
        "Catastrophic thoughts about how others perceive you",
        "Difficulty concentrating because of self\u2011monitoring",
        "Negative self\u2011talk and self\u2011criticism"
      ],
      "behavioral": [
        "Avoidance of social situations, parties, or speaking in public",
        "Excessive rehearsing of conversations or speeches",
        "Seeking reassurance or safety behaviors (e.g., staying near a trusted friend)"
      ],
      "physical": [
        "Rapid heartbeat, sweating, trembling",
        "Blushing or facial flushing",
        "Nausea, stomach upset, or shortness of breath"
      ]
    },
    "hidden_symptoms": [
      "Subtle facial tension or micro\u2011expressions of discomfort that appear only when the person feels safe enough to let guard down"
    ],
    "trigger_keywords": [
      "meeting new people",
      "public speaking",
      "being observed",
      "social gathering",
      "performance",
      "evaluation"
    ],
    "response_style": {
      "verbosity": "concise but supportive, offering clear coping suggestions",
      "emotional_intensity": "calm and empathetic",
      "defensiveness": "low; encourages open discussion without judgement"
    },
    "risk_probability": 0.18,
    "typical_thought_patterns": [
      "If I say something wrong, everyone will think I'm incompetent.",
      "People are constantly evaluating me, even when they aren't.",
      "I must avoid social events or I will embarrass myself.",
      "I can't handle the feeling of being the center of attention."
    ]
  },
  {
    "name": "Specific Phobia",
    "risk_level": "low",
    "symptoms": {
      "emotional": [
        "intense fear or anxiety when encountering the phobic stimulus",
        "anticipatory dread before possible exposure",
        "feelings of panic or dread that seem out of proportion to the actual danger"
      ],
      "cognitive": [
        "persistent thoughts about the feared object or situation",
        "catastrophic thinking about what might happen if exposed",
        "difficulty concentrating on unrelated tasks when the phobia is on mind"
      ],
      "behavioral": [
        "avoidance of the specific object, activity, or situation",
        "escape behaviors (leaving a room, exiting a building) if exposure occurs",
        "ritualized safety behaviors such as carrying a \u201cprotective\u201d item"
      ],
      "physical": [
        "rapid heartbeat or palpitations",
        "shortness of breath or hyperventilation",
        "sweating, trembling, or shaking",
        "nausea, stomach upset, or dizziness",
        "muscle tension or feeling of a \u201cknot\u201d in the throat"
      ]
    },
    "hidden_symptoms": [
      "subtle changes in posture or facial expression when the feared cue is present",
      "increased reliance on others for reassurance or transportation"
    ],
    "trigger_keywords": [
      "spiders",
      "heights",
      "needles",
      "flying",
      "closed spaces",
      "dogs",
      "blood"
    ],
    "response_style": {
      "verbosity": "concise but supportive",
      "emotional_intensity": "calm and reassuring",
      "defensiveness": "low"
    },
    "risk_probability": 0.05,
    "typical_thought_patterns": [
      "\u201cIf I see a snake, I\u2019ll be attacked.\u201d",
      "\u201cI can\u2019t handle being in a crowded elevator; I\u2019ll faint.\u201d",
      "\u201cHaving a needle will make me lose control.\u201d",
      "\u201cIf I go near the edge, I\u2019ll fall even though there\u2019s a barrier.\u201d"
    ]
  },
  {
    "name": "Separation Anxiety Disorder",
    "risk_level": "medium",
    "symptoms": {
      "emotional": [
        "Intense fear or distress when anticipating or experiencing separation from attachment figures",
        "Excessive worry about harm befalling loved ones during separation"
      ],
      "cognitive": [
        "Persistent preoccupation with thoughts of being abandoned or lost",
        "Difficulty concentrating on tasks because of separation concerns"
      ],
      "behavioral": [
        "Refusal or extreme reluctance to go to school, work, or other places away from home",
        "Clinging to caregivers, following them everywhere, or demanding constant proximity"
      ],
      "physical": [
        "Headaches, stomachaches, nausea, or other somatic complaints when separation is imminent",
        "Sleep disturbances such as nightmares or difficulty falling asleep without a caregiver"
      ]
    },
    "hidden_symptoms": [
      "Subtle panic attacks triggered by phone calls or messages indicating a loved one is far away",
      "Avoidance of social activities that might lead to future separation, even when no immediate separation is planned"
    ],
    "trigger_keywords": [
      "going away",
      "leaving home",
      "school",
      "work",
      "travel",
      "alone",
      "separation",
      "missing"
    ],
    "response_style": {
      "verbosity": "empathetic and supportive, providing clear reassurance while allowing space for the user to share feelings",
      "emotional_intensity": "gentle and calming, acknowledging fear without amplifying panic",
      "defensiveness": "low \u2013 aim to validate concerns and avoid argumentation"
    },
    "risk_probability": 0.32,
    "typical_thought_patterns": [
      "What if something bad happens to my parent while I'm away?",
      "I can't handle being alone; I will feel lost or unsafe.",
      "If I leave, my loved one might get sick or get hurt.",
      "Nobody will want to be with me if I\u2019m not with my family."
    ]
  },
  {
    "name": "Selective Mutism",
    "risk_level": "low",
    "symptoms": {
      "emotional": [
        "Intense anxiety in social situations",
        "Feelings of fear or dread when expected to speak",
        "Embarrassment or shame about inability to talk"
      ],
      "cognitive": [
        "Persistent worry about being judged or making mistakes while speaking",
        "Negative self\u2011talk about personal communication abilities",
        "Difficulty concentrating on tasks that require verbal interaction"
      ],
      "behavioral": [
        "Consistent refusal or inability to speak in specific settings (e.g., school, public places) while speaking normally at home",
        "Avoidance of eye contact and social interaction",
        "Use of gestures, nods, or written notes as substitutes for speech"
      ],
      "physical": [
        "Tension in the throat or jaw when speaking is expected",
        "Dry mouth, rapid heartbeat, sweating, or stomach upset in anxiety\u2011provoking situations",
        "Stiff posture or other signs of heightened arousal"
      ]
    },
    "hidden_symptoms": [
      "Occasional muteness in familiar but authority\u2011laden environments (e.g., speaking to a teacher even after improvement at home)",
      "Subtle self\u2011isolation or withdrawal during group activities despite appearing engaged"
    ],
    "trigger_keywords": [
      "speak",
      "talk",
      "classroom",
      "presentation",
      "teacher",
      "social anxiety",
      "communication"
    ],
    "response_style": {
      "verbosity": "concise but supportive",
      "emotional_intensity": "calm and reassuring",
      "defensiveness": "non\u2011defensive, validating"
    },
    "risk_probability": 0.12,
    "typical_thought_patterns": [
      "I will embarrass myself if I say the wrong thing.",
      "Everyone will notice that I can't speak and think I'm weird.",
      "If I stay silent, I can avoid making a mistake.",
      "My voice makes me vulnerable; it's safer not to use it."
    ]
  },
  {
    "name": "Obsessive-Compulsive Disorder (OCD)",
    "risk_level": "medium",
    "symptoms": {
      "emotional": [
        "Intense anxiety or distress when obsessive thoughts arise",
        "Feelings of guilt or shame about having unwanted thoughts",
        "Frustration or irritability when rituals cannot be completed"
      ],
      "cognitive": [
        "Intrusive, persistent thoughts or mental images (obsessions) that are unwanted",
        "Overestimation of threat or responsibility (e.g., \u201cIf I don\u2019t check the door, something terrible will happen\u201d)",
        "Difficulty concentrating on tasks unrelated to the obsessions"
      ],
      "behavioral": [
        "Compulsive rituals such as excessive washing, checking, counting, arranging, or mental rituals (e.g., silent prayers)",
        "Repetitive reassurance\u2011seeking or seeking confirmation from others",
        "Avoidance of situations that trigger obsessions (e.g., avoiding public restrooms)"
      ],
      "physical": [
        "Skin irritation or damage from repetitive washing or cleaning",
        "Muscle tension or fatigue from prolonged repetitive behaviors",
        "Sleep disturbance due to late\u2011night rituals or anxiety"
      ]
    },
    "hidden_symptoms": [
      "Mental compulsions such as silent counting, praying, or repeating phrases in the mind",
      "Subtle avoidance of places or activities that could trigger obsessions, which may appear as simple preference changes",
      "Feeling compelled to seek reassurance from a therapist or loved one but not disclosing the exact nature of the obsession"
    ],
    "trigger_keywords": [
      "cleanliness",
      "checking",
      "doubt",
      "symmetry",
      "contamination",
      "order",
      "ritual",
      "fear of harm",
      "intrusive thoughts"
    ],
    "response_style": {
      "verbosity": "moderate to detailed, providing clear explanations without overwhelming the user",
      "emotional_intensity": "empathetic and supportive, acknowledging anxiety and frustration",
      "defensiveness": "non\u2011defensive, open to clarification and validation of the person's experience"
    },
    "risk_probability": 0.12,
    "typical_thought_patterns": [
      "\u201cIf I don\u2019t check the stove again, the house will burn down.\u201d",
      "\u201cI must have everything perfectly aligned; otherwise something bad will happen.\u201d",
      "\u201cThese thoughts are scary, but they mean I might act on them if I don\u2019t stop them.\u201d",
      "\u201cEveryone will notice if I don\u2019t wash my hands enough, and they will think I\u2019m dirty.\u201d",
      "\u201cI can\u2019t trust my memory; I have to repeat the task to be sure it\u2019s done.\u201d"
    ]
  },
  {
    "name": "Hoarding Disorder",
    "risk_level": "medium",
    "symptoms": {
      "emotional": [
        "Intense distress at the thought of discarding possessions",
        "Feelings of loss, guilt, or anxiety when considering getting rid of items",
        "Attachment to objects that seem irrational to others"
      ],
      "cognitive": [
        "Persistent beliefs that items will be needed in the future",
        "Exaggerated perceived personal value of clutter",
        "Difficulty making decisions about what to keep or discard",
        "Rationalizations such as \"I might need this someday\""
      ],
      "behavioral": [
        "Collecting and retaining large numbers of items, often of little value",
        "Difficulty discarding or parting with possessions",
        "Clutter accumulation that blocks living spaces or pathways",
        "Procrastination or avoidance of sorting and organizing"
      ],
      "physical": [
        "Living areas become unsafe or unsanitary due to excessive clutter",
        "Increased risk of falls, fire hazards, and pest infestations",
        "Reduced mobility within the home"
      ]
    },
    "hidden_symptoms": [
      "Underlying shame or embarrassment leading to social withdrawal",
      "Avoidance of visitors or medical appointments because of the clutter",
      "Feelings of hopelessness about ever being able to control the hoarding"
    ],
    "trigger_keywords": [
      "decluttering",
      "throw away",
      "organize",
      "cleaning",
      "trash",
      "selling",
      "donate",
      "space"
    ],
    "response_style": {
      "verbosity": "moderate",
      "emotional_intensity": "empathetic",
      "defensiveness": "low"
    },
    "risk_probability": 0.22,
    "typical_thought_patterns": [
      "I can't let go of these items; I might need them later.",
      "If I discard something now, I'm being wasteful or greedy.",
      "My belongings are part of my identity and history.",
      "People don't understand how important these things are to me.",
      "Cleaning would cause me overwhelming anxiety and regret."
    ]
  },
  {
    "name": "Trichotillomania",
    "risk_level": "medium",
    "symptoms": {
      "emotional": [
        "Feelings of tension or anxiety before pulling hair",
        "Relief or gratification after pulling",
        "Shame, guilt, or embarrassment about hair loss",
        "Frustration or sadness due to the behavior"
      ],
      "cognitive": [
        "Preoccupation with urges to pull hair",
        "Intrusive thoughts about hair texture or appearance",
        "Rationalizations such as \"I can stop later\" or \"It helps me concentrate\"",
        "Negative self\u2011evaluation and fear of being judged"
      ],
      "behavioral": [
        "Repetitive pulling of hair from scalp, eyebrows, eyelashes, or other body sites",
        "Bouts of pulling that can last minutes to hours",
        "Attempted attempts to conceal hair loss (e.g., styling hair, wearing hats)",
        "Avoidance of activities that might expose bald patches"
      ],
      "physical": [
        "Patchy hair loss or noticeable bald spots",
        "Broken or uneven hair shafts",
        "Short, uneven regrowth or fine vellus hair",
        "Skin irritation or minor abrasions where hair is pulled"
      ]
    },
    "hidden_symptoms": [
      "Secreting hair in hidden areas (e.g., pillowcases, clothing) to avoid detection",
      "Compulsive checking of mirrors or photographs for hair loss",
      "Sudden mood swings related to pulling episodes that are not openly disclosed"
    ],
    "trigger_keywords": [
      "stress",
      "anxiety",
      "boredom",
      "frustration",
      "tight clothing",
      "watching TV",
      "reading",
      "social situations"
    ],
    "response_style": {
      "verbosity": "moderate",
      "emotional_intensity": "empathetic",
      "defensiveness": "low"
    },
    "risk_probability": 0.12,
    "typical_thought_patterns": [
      "\"I can\u2019t stop pulling once I start\"",
      "\"Pulling helps me feel better in the moment\"",
      "\"If I don\u2019t pull, I\u2019ll feel restless or out of control\"",
      "\"No one will notice my bald spots if I hide them\"",
      "\"I\u2019m weak because I can\u2019t control this habit\""
    ]
  },
  {
    "name": "Excoriation Disorder",
    "risk_level": "medium",
    "symptoms": {
      "emotional": [
        "Feelings of shame or guilt about skin picking",
        "Anxiety or tension before picking episodes",
        "Frustration or anger when unable to pick"
      ],
      "cognitive": [
        "Preoccupation with imperfections on the skin",
        "Rationalizing the behavior as \u2018stress relief\u2019 or \u2018beauty maintenance\u2019",
        "Difficulty concentrating on tasks because of urges to pick"
      ],
      "behavioral": [
        "Repetitive picking, scratching, or digging at skin lesions",
        "Spending considerable time each day on skin\u2011picking activities",
        "Attempting to hide or conceal the behavior from others"
      ],
      "physical": [
        "Visible skin lesions, scabs, or scars",
        "Bleeding, crusting, or infections at pick sites",
        "Thickened or hyperpigmented skin from chronic trauma"
      ]
    },
    "hidden_symptoms": [
      "Avoidance of social situations that involve close visual contact (e.g., photos, video calls)",
      "Using makeup or clothing to conceal lesions",
      "Sudden irritability or mood swings when asked about skin condition"
    ],
    "trigger_keywords": [
      "stress",
      "boredom",
      "anxiety",
      "imperfection",
      "rough skin",
      "itch",
      "nervous habit"
    ],
    "response_style": {
      "verbosity": "concise but supportive",
      "emotional_intensity": "empathetic and calm",
      "defensiveness": "non\u2011defensive, open\u2011minded"
    },
    "risk_probability": 0.15,
    "typical_thought_patterns": [
      "\u201cIf I don\u2019t pick now, the irritation will get worse.\u201d",
      "\u201cI can\u2019t relax until the skin looks smooth.\u201d",
      "\u201cEveryone will notice my scars; I should hide them.\u201d",
      "\u201cI only pick when I\u2019m stressed; it helps me feel in control.\u201d",
      "\u201cI\u2019m not hurting anyone, so it\u2019s not a big deal.\u201d"
    ]
  },
  {
    "name": "Post-Traumatic Stress Disorder (PTSD)",
    "risk_level": "high",
    "symptoms": {
      "emotional": [
        "intense fear",
        "guilt",
        "shame",
        "anger",
        "numbness"
      ],
      "cognitive": [
        "intrusive memories",
        "flashbacks",
        "persistent negative beliefs about self or world",
        "difficulty concentrating",
        "memory gaps about the trauma"
      ],
      "behavioral": [
        "avoidance of reminders",
        "hypervigilance",
        "exaggerated startle response",
        "social withdrawal",
        "irritability"
      ],
      "physical": [
        "sleep disturbances",
        "nightmares",
        "trembling",
        "headaches",
        "muscle tension"
      ]
    },
    "hidden_symptoms": [
      "self\u2011harm ideation",
      "dissociation episodes",
      "substance misuse as coping"
    ],
    "trigger_keywords": [
      "trauma",
      "flashback",
      "trigger",
      "sudden noise",
      "crowd",
      "smell",
      "memory"
    ],
    "response_style": {
      "verbosity": "medium",
      "emotional_intensity": "high",
      "defensiveness": "low"
    },
    "risk_probability": 0.55,
    "typical_thought_patterns": [
      "I can\u2019t control my thoughts about what happened.",
      "If I let my guard down, something terrible will happen again.",
      "I\u2019m responsible for what happened.",
      "I\u2019m always on edge; I can\u2019t relax."
    ]
  },
  {
    "name": "Acute Stress Disorder",
    "risk_level": "medium",
    "symptoms": {
      "emotional": [
        "intense fear",
        "helplessness",
        "guilt",
        "irritability",
        "numbness"
      ],
      "cognitive": [
        "intrusive memories of the trauma",
        "flashbacks",
        "nightmares",
        "difficulty concentrating",
        "negative beliefs about safety"
      ],
      "behavioral": [
        "avoidance of reminders of the event",
        "withdrawal from social activities",
        "hypervigilance",
        "startle response"
      ],
      "physical": [
        "rapid heartbeat",
        "sweating",
        "tremors",
        "sleep disturbances",
        "headaches"
      ]
    },
    "hidden_symptoms": [
      "dissociative amnesia",
      "feeling detached from reality (depersonalization)",
      "emotional numbing that is not openly expressed"
    ],
    "trigger_keywords": [
      "trauma",
      "accident",
      "combat",
      "disaster",
      "sudden loss",
      "flashback",
      "crying",
      "overwhelmed"
    ],
    "response_style": {
      "verbosity": "medium",
      "emotional_intensity": "high",
      "defensiveness": "low"
    },
    "risk_probability": 0.2,
    "typical_thought_patterns": [
      "I can't stop thinking about what happened.",
      "If I close my eyes, the scene plays over again.",
      "I'm scared that it will happen again.",
      "I feel like I'm losing control of my mind."
    ]
  },
  {
    "name": "Adjustment Disorder",
    "risk_level": "low",
    "symptoms": {
      "emotional": [
        "sadness",
        "anxiety",
        "feeling overwhelmed",
        "irritability"
      ],
      "cognitive": [
        "difficulty concentrating",
        "negative thoughts about the stressor",
        "rumination"
      ],
      "behavioral": [
        "social withdrawal",
        "reduced performance at work or school",
        "avoidance of reminders of the event"
      ],
      "physical": [
        "sleep disturbances",
        "fatigue",
        "headaches",
        "changes in appetite"
      ]
    },
    "hidden_symptoms": [
      "persistent low mood that may not be disclosed initially"
    ],
    "trigger_keywords": [
      "major life change",
      "loss of a loved one",
      "relationship breakup",
      "job loss",
      "relocation",
      "stressful event"
    ],
    "response_style": {
      "verbosity": "medium",
      "emotional_intensity": "moderate",
      "defensiveness": "low"
    },
    "risk_probability": 0.2,
    "typical_thought_patterns": [
      "I can't handle this anymore",
      "Everything is falling apart because of this change",
      "Why does this keep happening to me?"
    ]
  },
  {
    "name": "Reactive Attachment Disorder",
    "risk_level": "medium",
    "symptoms": {
      "emotional": [
        "sadness",
        "anxiety",
        "irritability"
      ],
      "cognitive": [
        "persistent distrust of caregivers",
        "difficulty forming relationships"
      ],
      "behavioral": [
        "withdrawal from social interaction",
        "lack of seeking comfort when distressed",
        "unexplained aggression or oppositional behavior"
      ],
      "physical": [
        "failure to thrive or poor growth",
        "sleep disturbances"
      ]
    },
    "hidden_symptoms": [
      "deep fear of abandonment that is only disclosed with high trust",
      "internal feeling of emptiness despite outward compliance"
    ],
    "trigger_keywords": [
      "abandonment",
      "trust",
      "caregiver",
      "separation",
      "attachment"
    ],
    "response_style": {
      "verbosity": "medium",
      "emotional_intensity": "medium",
      "defensiveness": "low"
    },
    "risk_probability": 0.22,
    "typical_thought_patterns": [
      "I can\u2019t rely on anyone to be there for me.",
      "People will leave me if I get too close.",
      "I don\u2019t know how to ask for help."
    ]
  },
  {
    "name": "Disinhibited Social Engagement Disorder",
    "risk_level": "medium",
    "symptoms": {
      "emotional": [
        "over-familiarity",
        "lack of fear of unfamiliar adults",
        "excessive friendliness"
      ],
      "cognitive": [
        "poor understanding of personal boundaries",
        "difficulty recognizing social cues"
      ],
      "behavioral": [
        "seeking unfamiliar adults for comfort",
        "wilfully approaching strangers",
        "excessive talking to unfamiliar people"
      ],
      "physical": [
        "none specific"
      ]
    },
    "hidden_symptoms": [
      "impulsivity leading to risky situations",
      "early signs of attachment trauma"
    ],
    "trigger_keywords": [
      "stranger",
      "approach",
      "boundary",
      "attachment",
      "overfriendly"
    ],
    "response_style": {
      "verbosity": "medium",
      "emotional_intensity": "low",
      "defensiveness": "low"
    },
    "risk_probability": 0.2,
    "typical_thought_patterns": [
      "I don't need to be careful around new people",
      "Everyone wants to be my friend",
      "I can trust anyone I meet"
    ]
  },
  {
    "name": "Dissociative Identity Disorder",
    "risk_level": "medium",
    "symptoms": {
      "emotional": [
        "feelings of emptiness",
        "anxiety",
        "depression",
        "mood swings"
      ],
      "cognitive": [
        "memory gaps (amnesia)",
        "intrusive identity\u2011related thoughts",
        "difficulty concentrating",
        "confusion about personal history"
      ],
      "behavioral": [
        "sudden changes in behavior or voice",
        "unexplained absences",
        "self\u2011harm or risky behaviors",
        "different skill sets appearing intermittently"
      ],
      "physical": [
        "headaches",
        "chronic pain without clear cause",
        "sleep disturbances",
        "fatigue"
      ]
    },
    "hidden_symptoms": [
      "self\u2011harm urges",
      "covert dissociative flashbacks",
      "internal dialogues between alters"
    ],
    "trigger_keywords": [
      "alter",
      "switch",
      "host",
      "internal system",
      "memory loss"
    ],
    "response_style": {
      "verbosity": "medium",
      "emotional_intensity": "low",
      "defensiveness": "medium"
    },
    "risk_probability": 0.25,
    "typical_thought_patterns": [
      "I feel like I'm watching myself from the outside.",
      "Sometimes I don't know who I am in the moment.",
      "What if another part of me does something I can't control?",
      "I can't trust my own memory."
    ]
  },
  {
    "name": "Dissociative Amnesia",
    "risk_level": "low",
    "symptoms": {
      "emotional": [
        "confusion",
        "distress",
        "anxiety about missing memories"
      ],
      "cognitive": [
        "inability to recall important autobiographical information",
        "fragmented or blank periods of memory",
        "difficulty concentrating"
      ],
      "behavioral": [
        "avoidance of reminders of the forgotten period",
        "inconsistent personal narratives",
        "seeking help to recover lost memories"
      ],
      "physical": [
        "sleep disturbances",
        "fatigue",
        "somatic complaints during stress"
      ]
    },
    "hidden_symptoms": [
      "dissociative flashes or fugues",
      "unexplained gaps in personal identity"
    ],
    "trigger_keywords": [
      "memory loss",
      "can't remember",
      "blank spots",
      "forgot",
      "amnesia"
    ],
    "response_style": {
      "verbosity": "medium",
      "emotional_intensity": "low",
      "defensiveness": "low"
    },
    "risk_probability": 0.1,
    "typical_thought_patterns": [
      "I should know what happened, but I can't.",
      "Why can't I remember that part of my life?",
      "Maybe something terrible happened and I chose to forget."
    ]
  },
  {
    "name": "Depersonalization/Derealization Disorder",
    "risk_level": "low",
    "symptoms": {
      "emotional": [
        "numbness",
        "anxiety",
        "sadness related to feeling disconnected"
      ],
      "cognitive": [
        "persistent feeling that thoughts or actions are not your own",
        "difficulty concentrating because reality feels unreal"
      ],
      "behavioral": [
        "avoidance of social situations",
        "reduced engagement in activities due to feeling detached"
      ],
      "physical": [
        "light\u2011headedness",
        "headaches",
        "tremors when anxiety spikes"
      ]
    },
    "hidden_symptoms": [
      "recurrent, distressing thoughts of losing one's identity or becoming a robot"
    ],
    "trigger_keywords": [
      "unreal",
      "detached",
      "outside my body",
      "like a dream",
      "numb"
    ],
    "response_style": {
      "verbosity": "medium",
      "emotional_intensity": "low",
      "defensiveness": "medium"
    },
    "risk_probability": 0.15,
    "typical_thought_patterns": [
      "I feel like I'm watching my life from a distance.",
      "Everything around me seems like a movie set.",
      "I can't trust my own senses."
    ]
  },
  {
    "name": "Schizophrenia",
    "risk_level": "high",
    "symptoms": {
      "emotional": [
        "flattened affect",
        "inappropriate emotional responses",
        "anxiety",
        "depression"
      ],
      "cognitive": [
        "delusions",
        "disorganized thinking",
        "thought blocking",
        "poor executive functioning",
        "impaired memory and attention"
      ],
      "behavioral": [
        "social withdrawal",
        "lack of motivation (avolition)",
        "disorganized or catatonic behavior",
        "repetitive or purposeless movements"
      ],
      "physical": [
        "sleep disturbances",
        "reduced motor coordination",
        "neglect of personal hygiene"
      ]
    },
    "hidden_symptoms": [
      "suicidal ideation",
      "subtle auditory hallucinations that the person may not disclose",
      "self\u2011harm urges"
    ],
    "trigger_keywords": [
      "hearing voices",
      "paranoia",
      "delusional",
      "mind control",
      "thoughts are being read",
      "disconnected from reality"
    ],
    "response_style": {
      "verbosity": "medium",
      "emotional_intensity": "moderate",
      "defensiveness": "low"
    },
    "risk_probability": 0.45,
    "typical_thought_patterns": [
      "People are out to harm me",
      "The TV is sending me secret messages",
      "My thoughts are being broadcast to everyone",
      "I cannot trust anyone because they are reading my mind"
    ]
  },
  {
    "name": "Schizoaffective Disorder",
    "risk_level": "high",
    "symptoms": {
      "emotional": [
        "flattened affect",
        "mood swings",
        "feelings of hopelessness"
      ],
      "cognitive": [
        "delusional thinking",
        "disorganized thoughts",
        "impaired concentration"
      ],
      "behavioral": [
        "social withdrawal",
        "odd or bizarre behavior",
        "lack of motivation"
      ],
      "physical": [
        "sleep disturbances",
        "changes in appetite",
        "psychomotor agitation or retardation"
      ]
    },
    "hidden_symptoms": [
      "suicidal ideation",
      "self-harm urges"
    ],
    "trigger_keywords": [
      "hearing voices",
      "paranoia",
      "mood episodes",
      "psychosis",
      "hallucinations"
    ],
    "response_style": {
      "verbosity": "medium",
      "emotional_intensity": "moderate",
      "defensiveness": "low"
    },
    "risk_probability": 0.45,
    "typical_thought_patterns": [
      "I can't trust anyone; they are watching me",
      "My thoughts are being controlled by external forces",
      "I am doomed to feel this way forever"
    ]
  },
  {
    "name": "Schizophreniform Disorder",
    "risk_level": "high",
    "symptoms": {
      "emotional": [
        "Flattened affect or inappropriate emotional responses",
        "Anxiety or heightened irritability",
        "Feelings of paranoia or suspicion"
      ],
      "cognitive": [
        "Disorganized thinking or speech (loosening of associations)",
        "Impaired concentration and attention",
        "Delusions (false beliefs) and ideas of reference"
      ],
      "behavioral": [
        "Social withdrawal or isolation",
        "Unusual or bizarre behavior",
        "Decreased ability to perform daily activities"
      ],
      "physical": [
        "Disrupted sleep patterns",
        "Reduced motor activity (psychomotor retardation) or agitation",
        "Changes in appetite or weight"
      ]
    },
    "hidden_symptoms": [
      "Occasional auditory or visual hallucinations that the individual may mask in conversation",
      "Subtle suicidal ideation or self\u2011harm thoughts that are not openly disclosed",
      "Mild depressive symptoms that can be mistaken for negative symptoms"
    ],
    "trigger_keywords": [
      "hearing voices",
      "paranoia",
      "delusional thoughts",
      "disorganized speech",
      "psychotic break",
      "hallucinations",
      "schizophreniform"
    ],
    "response_style": {
      "verbosity": "moderate to detailed, providing clear explanations while avoiding overwhelming medical jargon",
      "emotional_intensity": "empathetic and supportive, acknowledging fear or confusion without amplifying distress",
      "defensiveness": "low; open to clarification and gentle correction if the user provides new information"
    },
    "risk_probability": 0.38,
    "typical_thought_patterns": [
      "\u201cPeople are watching me and talking about me.\u201d",
      "\u201cThe TV is sending me secret messages.\u201d",
      "\u201cI can\u2019t trust anyone; they\u2019re out to get me.\u201d",
      "\u201cMy thoughts are being broadcast to others.\u201d",
      "\u201cI must hide what I hear because nobody will understand.\u201d"
    ]
  },
  {
    "name": "Brief Psychotic Disorder",
    "risk_level": "medium",
    "symptoms": {
      "emotional": [
        "Intense anxiety",
        "Fearfulness",
        "Paranoia",
        "Emotional lability (rapid mood swings)"
      ],
      "cognitive": [
        "Disorganized thinking",
        "Delusional beliefs",
        "Hallucinations (auditory, visual, or tactile)",
        "Impaired reality testing"
      ],
      "behavioral": [
        "Odd or bizarre behavior",
        "Social withdrawal",
        "Inappropriate laughter or crying",
        "Agitation or catatonic-like immobility"
      ],
      "physical": [
        "Sleep disturbances",
        "Changes in appetite",
        "Tachycardia related to acute stress"
      ]
    },
    "hidden_symptoms": [
      "Post\u2011episode depressive symptoms",
      "Persistent low\u2011grade anxiety",
      "Subtle doubts about reality that linger after the acute phase"
    ],
    "trigger_keywords": [
      "stressful life event",
      "sudden loss",
      "trauma",
      "psychotic break",
      "brief psychosis"
    ],
    "response_style": {
      "verbosity": "concise but informative",
      "emotional_intensity": "empathetic and supportive",
      "defensiveness": "low"
    },
    "risk_probability": 0.32,
    "typical_thought_patterns": [
      "\u201cEverything is out of control and I can\u2019t trust my senses.\u201d",
      "\u201cPeople are watching me or plotting against me.\u201d",
      "\u201cI am losing my mind; I can\u2019t tell what\u2019s real.\u201d",
      "\u201cIf this continues, I will be permanently broken.\u201d"
    ]
  },
  {
    "name": "Delusional Disorder",
    "risk_level": "medium",
    "symptoms": {
      "emotional": [
        "persistent anxiety related to the delusional belief",
        "irritability when the delusion is challenged",
        "feelings of persecution or grandeur"
      ],
      "cognitive": [
        "fixed false beliefs that are not culturally accepted",
        "impaired insight into the unreality of the belief",
        "preoccupation with interpreting events to fit the delusion"
      ],
      "behavioral": [
        "defensive or confrontational behavior when questioned",
        "avoidance of situations that could disprove the belief",
        "repeatedly seeking reassurance or evidence that supports the delusion"
      ],
      "physical": [
        "possible sleep disturbances due to rumination",
        "psychomotor agitation in stressful situations",
        "no specific somatic symptoms directly caused by the disorder"
      ]
    },
    "hidden_symptoms": [
      "underlying fear of losing control over one's mind",
      "subtle shame about the delusional ideas"
    ],
    "trigger_keywords": [
      "paranoid",
      "belief",
      "delusion",
      "suspicious",
      "grandiose",
      "unusual conviction"
    ],
    "response_style": {
      "verbosity": "medium",
      "emotional_intensity": "low",
      "defensiveness": "high"
    },
    "risk_probability": 0.07,
    "typical_thought_patterns": [
      "I am being watched or plotted against, even if there is no evidence.",
      "Only I understand the true meaning behind this event; others are blind.",
      "If I don't act on this belief, something terrible will happen.",
      "People who disagree with me are trying to deceive or harm me."
    ]
  },
  {
    "name": "Autism Spectrum Disorder (ASD)",
    "risk_level": "medium",
    "symptoms": {
      "emotional": [
        "difficulty identifying and expressing emotions",
        "heightened anxiety in unpredictable situations",
        "emotional meltdowns when overwhelmed"
      ],
      "cognitive": [
        "literal or concrete thinking style",
        "intense focus on specific interests",
        "difficulty with theory of mind (understanding others' perspectives)",
        "sensory processing differences affecting attention"
      ],
      "behavioral": [
        "repetitive movements (e.g., hand\u2011flapping, rocking)",
        "need for sameness and routine",
        "echolalia or repetitive speech patterns",
        "avoidance of eye contact"
      ],
      "physical": [
        "hypersensitivity or hyposensitivity to lights, sounds, textures, or smells",
        "clumsiness or atypical motor coordination",
        "sleep disturbances"
      ]
    },
    "hidden_symptoms": [
      "subtle facial expression differences that can be misread as disinterest",
      "internal sensory overload that is not outwardly visible",
      "masked social anxiety\u2014actively trying to imitate neurotypical behavior"
    ],
    "trigger_keywords": [
      "unexpected change",
      "loud noise",
      "bright lights",
      "touch",
      "routine",
      "social pressure",
      "overstimulation"
    ],
    "response_style": {
      "verbosity": "concise",
      "emotional_intensity": "calm",
      "defensiveness": "low"
    },
    "risk_probability": 0.12,
    "typical_thought_patterns": [
      "\u201cI need to know exactly what will happen next.\u201d",
      "\u201cIf I can\u2019t follow my routine, I feel lost.\u201d",
      "\u201cPeople\u2019s jokes confuse me; I prefer facts.\u201d",
      "\u201cI can\u2019t tolerate the hum of the fluorescent lights.\u201d",
      "\u201cI\u2019m interested in how things work; I want to explore details.\u201d"
    ]
  },
  {
    "name": "ADHD \u2013 Inattentive Type",
    "risk_level": "medium",
    "symptoms": {
      "emotional": [
        "Feelings of frustration or embarrassment about difficulty staying focused",
        "Low self\u2011esteem due to frequent mistakes or missed details",
        "Anxiety about upcoming tasks or deadlines"
      ],
      "cognitive": [
        "Easily distracted by irrelevant stimuli",
        "Difficulty sustaining attention on tasks that are not highly stimulating",
        "Frequent day\u2011to\u2011day forgetfulness (misplacing items, forgetting appointments)",
        "Slow processing of complex information",
        "Trouble organizing thoughts and material"
      ],
      "behavioral": [
        "Procrastination or avoidance of tasks that require prolonged mental effort",
        "Leaving projects unfinished",
        "Appearing \u201cspacey\u201d or \u201cdaydreamy\u201d",
        "Frequent shifting from one activity to another without completion",
        "Difficulty following multi\u2011step instructions"
      ],
      "physical": [
        "Fidgeting is less prominent than in hyperactive type, but may still experience subtle restlessness",
        "Headaches or eye strain from prolonged concentration attempts",
        "Tension or fatigue from mental overexertion"
      ]
    },
    "hidden_symptoms": [
      "Occasional covert self\u2011medication with caffeine or nicotine to boost alertness",
      "Subtle social withdrawal because of fear of being judged as \u201cslow\u201d or \u201cinattentive\u201d",
      "Internal rumination about past failures that can lead to depressive moods"
    ],
    "trigger_keywords": [
      "deadline",
      "homework",
      "meeting",
      "organization",
      "forgetting",
      "distraction",
      "overwhelm"
    ],
    "response_style": {
      "verbosity": "moderate",
      "emotional_intensity": "empathetic",
      "defensiveness": "low"
    },
    "risk_probability": 0.12,
    "typical_thought_patterns": [
      "I always miss important details; I\u2019m never going to get anything right.",
      "If I don\u2019t finish this now, I\u2019ll fall behind forever.",
      "People think I\u2019m lazy, but I\u2019m actually trying hard.",
      "I\u2019m constantly overwhelmed by the amount of information I have to process.",
      "Why can\u2019t I just focus like everyone else?"
    ]
  },
  {
    "name": "ADHD \u2013 Hyperactive/Impulsive Type",
    "risk_level": "medium",
    "symptoms": {
      "emotional": [
        "Irritability",
        "Low frustration tolerance",
        "Emotional outbursts",
        "Feelings of restlessness",
        "Difficulty managing disappointment"
      ],
      "cognitive": [
        "Impulsive decision\u2011making",
        "Difficulty sustaining attention on tasks that are not stimulating",
        "Racing thoughts",
        "Forgetfulness (e.g., misplacing items, missing appointments)",
        "Problems with planning and organizing"
      ],
      "behavioral": [
        "Fidgeting or squirming",
        "Constant need to be moving; difficulty staying seated",
        "Interrupting or blurting out answers",
        "Acting without thinking about consequences",
        "Talking excessively",
        "Difficulty waiting for one's turn"
      ],
      "physical": [
        "Restless energy; feeling \u201con the go\u201d",
        "Clumsiness or frequent minor accidents",
        "Increased heart rate during periods of high activity",
        "Trouble sleeping or irregular sleep patterns"
      ]
    },
    "hidden_symptoms": [
      "Chronic sense of under\u2011achievement despite high effort",
      "Low self\u2011esteem stemming from repeated criticism",
      "Subtle anxiety about social acceptance",
      "Hidden impulsivity in financial decisions (e.g., impulsive online purchases)",
      "Co\u2011occurring mood swings that may be dismissed as \u201cjust a phase\u201d"
    ],
    "trigger_keywords": [
      "bored",
      "can't sit still",
      "interrupt",
      "rush",
      "impulsive",
      "restless",
      "hyperactive",
      "forget",
      "missed deadline",
      "talking over",
      "fidget"
    ],
    "response_style": {
      "verbosity": "concise but supportive, providing clear, actionable suggestions",
      "emotional_intensity": "empathetic and calm, acknowledging frustration without escalating emotions",
      "defensiveness": "non\u2011defensive; validates experiences and offers practical coping strategies"
    },
    "risk_probability": 0.18,
    "typical_thought_patterns": [
      "I need to do something right now or I\u2019ll go crazy.",
      "If I don\u2019t act fast, I\u2019ll miss out.",
      "People think I\u2019m careless because I forget things.",
      "I can\u2019t sit through boring meetings; I have to move.",
      "I\u2019ll just finish this quickly, even if it\u2019s not perfect."
    ]
  },
  {
    "name": "ADHD \u2013 Combined Type",
    "risk_level": "medium",
    "symptoms": {
      "emotional": [
        "Irritability",
        "Low frustration tolerance",
        "Emotional lability",
        "Feelings of inadequacy"
      ],
      "cognitive": [
        "Difficulty sustaining attention",
        "Easily distracted",
        "Forgetfulness",
        "Impulsive decision\u2011making",
        "Poor time management",
        "Disorganized thinking"
      ],
      "behavioral": [
        "Fidgeting or restlessness",
        "Interrupting others",
        "Difficulty completing tasks",
        "Excessive talking",
        "Impulsive risk\u2011taking",
        "Switching activities rapidly"
      ],
      "physical": [
        "Constant need to move",
        "Clumsiness",
        "Headaches from eye strain",
        "Fatigue from mental overload"
      ]
    },
    "hidden_symptoms": [
      "Chronic procrastination that appears as laziness",
      "Inner sense of being constantly \u201con the go\u201d even when sitting still",
      "Hidden anxiety about performance or forgetting important commitments"
    ],
    "trigger_keywords": [
      "deadline",
      "unfinished",
      "bored",
      "forget",
      "interrupt",
      "overwhelmed",
      "can't focus"
    ],
    "response_style": {
      "verbosity": "concise but supportive, offering clear steps",
      "emotional_intensity": "empathetic and encouraging",
      "defensiveness": "low \u2013 open to suggestions and validation"
    },
    "risk_probability": 0.22,
    "typical_thought_patterns": [
      "I\u2019ll never finish this; I\u2019m always behind.",
      "If I don\u2019t start now, I\u2019ll forget completely.",
      "Everyone else seems organized; I\u2019m the only one who can\u2019t sit still.",
      "I can\u2019t concentrate long enough to do this correctly.",
      "I\u2019m going to mess up because I\u2019m too distracted."
    ]
  },
  {
    "name": "Intellectual Disability",
    "risk_level": "medium",
    "symptoms": {
      "emotional": [
        "Low self\u2011esteem",
        "Feelings of frustration or anxiety",
        "Difficulty coping with stress"
      ],
      "cognitive": [
        "Significantly below\u2011average intellectual functioning (IQ\u202f\u2248\u202f70 or lower)",
        "Limited abstract reasoning and problem\u2011solving ability",
        "Slow acquisition of academic and life skills"
      ],
      "behavioral": [
        "Impulsivity or poor impulse control",
        "Difficulty following complex instructions",
        "Social immaturity relative to age"
      ],
      "physical": [
        "Delayed motor milestones (e.g., crawling, walking)",
        "Speech and language delays",
        "Possible co\u2011occurring medical conditions (e.g., epilepsy, visual/hearing impairments)"
      ]
    },
    "hidden_symptoms": [
      "Subtle social withdrawal that may be mistaken for disinterest",
      "Internalized feelings of shame that are not outwardly expressed",
      "Self\u2011injurious behaviors that occur only in private"
    ],
    "trigger_keywords": [
      "struggling with tasks",
      "feeling overwhelmed",
      "being misunderstood",
      "difficulty learning",
      "lack of support"
    ],
    "response_style": {
      "verbosity": "concise but supportive, using clear and simple language",
      "emotional_intensity": "gentle and reassuring",
      "defensiveness": "low \u2013 aim to validate and encourage"
    },
    "risk_probability": 0.25,
    "typical_thought_patterns": [
      "I\u2019m not as smart as others; I\u2019ll never get things right.",
      "People will think I\u2019m a burden if I ask for help.",
      "If I make a mistake, it means I\u2019m a failure.",
      "I can\u2019t keep up with school or work, so I might as well give up.",
      "When I\u2019m confused, I feel embarrassed and try to hide it."
    ]
  },
  {
    "name": "Global Developmental Delay",
    "risk_level": "medium",
    "symptoms": {
      "emotional": [
        "frequent frustration or irritability",
        "low self\u2011esteem related to developmental challenges",
        "increased anxiety in unfamiliar situations"
      ],
      "cognitive": [
        "significant delays in language acquisition",
        "difficulty with problem\u2011solving and abstract thinking",
        "impairments in attention and short\u2011term memory"
      ],
      "behavioral": [
        "repetitive movements or play patterns",
        "difficulty following routines or instructions",
        "withdrawal or reduced peer interaction"
      ],
      "physical": [
        "delayed motor milestones (e.g., crawling, walking)",
        "hypotonia or poor muscle tone",
        "sensory sensitivities (e.g., to noise or textures)"
      ]
    },
    "hidden_symptoms": [
      "subtle social referencing deficits that appear only in complex group settings",
      "minimal eye contact that may be misinterpreted as disinterest"
    ],
    "trigger_keywords": [
      "developmental milestones",
      "early intervention",
      "speech delay",
      "motor skills",
      "special education",
      "therapeutic support"
    ],
    "response_style": {
      "verbosity": "moderate",
      "emotional_intensity": "low",
      "defensiveness": "non\u2011defensive"
    },
    "risk_probability": 0.05,
    "typical_thought_patterns": [
      "I\u2019m never going to catch up to my peers.",
      "People think I\u2019m lazy because I need more help.",
      "If I make a mistake, it proves I\u2019m broken.",
      "I have to work extra hard to be accepted.",
      "My parents must be disappointed in my progress."
    ]
  },
  {
    "name": "Communication Disorder",
    "risk_level": "low",
    "symptoms": {
      "emotional": [
        "frustration when trying to express thoughts",
        "anxiety about speaking or being understood",
        "feelings of embarrassment or shame regarding language difficulties"
      ],
      "cognitive": [
        "difficulty organizing thoughts into coherent sentences",
        "trouble recalling specific words (anomia)",
        "literal interpretation of figurative language"
      ],
      "behavioral": [
        "avoiding conversations or social situations",
        "relying heavily on gestures, writing, or assistive devices",
        "repeating phrases or echoing speech (echolalia) in some cases"
      ],
      "physical": [
        "slurred or halting speech patterns",
        "poor articulation or mispronunciation of sounds",
        "reduced facial expression or gestural accompaniment"
      ]
    },
    "hidden_symptoms": [
      "persistent low self\u2011esteem related to communication challenges",
      "subtle social withdrawal that may be mistaken for introversion",
      "increased reliance on technology for communication in private"
    ],
    "trigger_keywords": [
      "can't find the words",
      "stutter",
      "misunderstood",
      "speech therapy",
      "communication breakdown"
    ],
    "response_style": {
      "verbosity": "concise but supportive, providing clear explanations",
      "emotional_intensity": "empathetic and reassuring",
      "defensiveness": "non\u2011defensive, open to clarification"
    },
    "risk_probability": 0.07,
    "typical_thought_patterns": [
      "I\u2019m going to mess up what I say and everyone will think I\u2019m stupid.",
      "If I can\u2019t speak clearly, I\u2019ll be left out.",
      "People must think I\u2019m not smart because I struggle with words.",
      "It\u2019s safer to stay quiet than to risk saying the wrong thing."
    ]
  },
  {
    "name": "Speech Sound Disorder",
    "risk_level": "low",
    "symptoms": {
      "emotional": [
        "frustration",
        "embarrassment",
        "anxiety about speaking"
      ],
      "cognitive": [
        "difficulty planning oral movements",
        "self\u2011monitoring challenges"
      ],
      "behavioral": [
        "avoiding speaking situations",
        "relying on gestures or writing"
      ],
      "physical": [
        "misarticulation of sounds",
        "distorted or omitted phonemes",
        "inconsistent speech patterns"
      ]
    },
    "hidden_symptoms": [
      "low self\u2011esteem related to communication"
    ],
    "trigger_keywords": [
      "mispronounce",
      "speech therapy",
      "difficulty speaking",
      "articulation"
    ],
    "response_style": {
      "verbosity": "medium",
      "emotional_intensity": "low",
      "defensiveness": "low"
    },
    "risk_probability": 0.02,
    "typical_thought_patterns": [
      "People think I\u2019m not smart because I mispronounce words",
      "I\u2019ll embarrass myself if I talk in front of others",
      "I wish I could say this word correctly"
    ]
  },
  {
    "name": "Childhood-Onset Fluency Disorder (Stuttering)",
    "risk_level": "low",
    "symptoms": {
      "emotional": [
        "embarrassment",
        "frustration",
        "anxiety in speaking situations"
      ],
      "cognitive": [
        "self\u2011consciousness about speech",
        "anticipatory fear of stuttering",
        "negative self\u2011talk regarding communication abilities"
      ],
      "behavioral": [
        "repetitions of sounds, syllables, or words",
        "prolongations of speech sounds",
        "blocks or silent pauses",
        "avoidance of speaking, especially in unfamiliar settings"
      ],
      "physical": [
        "muscle tension in facial or neck muscles during speech",
        "visible struggling motions (e.g., rapid blinking, foot tapping) while trying to speak"
      ]
    },
    "hidden_symptoms": [
      "social withdrawal",
      "low self\u2011esteem related to communication"
    ],
    "trigger_keywords": [
      "stutter",
      "speech difficulty",
      "repeating words",
      "hesitant speech",
      "communication anxiety"
    ],
    "response_style": {
      "verbosity": "medium",
      "emotional_intensity": "low",
      "defensiveness": "low"
    },
    "risk_probability": 0.05,
    "typical_thought_patterns": [
      "What if I can't get the words out?",
      "People must think I'm nervous.",
      "I should just stay quiet to avoid making a mistake."
    ]
  },
  {
    "name": "Social (Pragmatic) Communication Disorder",
    "risk_level": "low",
    "symptoms": {
      "emotional": [
        "frustration",
        "anxiety in social situations",
        "feelings of inadequacy"
      ],
      "cognitive": [
        "difficulty interpreting non\u2011literal language (e.g., idioms, sarcasm)",
        "trouble understanding conversational norms",
        "limited perspective\u2011taking"
      ],
      "behavioral": [
        "inappropriate topic shifts",
        "monotone or overly formal speech",
        "poor eye contact and turn\u2011taking",
        "reliance on literal language"
      ],
      "physical": [
        "none specific"
      ]
    },
    "hidden_symptoms": [
      "increased social withdrawal over time"
    ],
    "trigger_keywords": [
      "misunderstanding",
      "conversation",
      "social cue",
      "idiom",
      "sarcasm"
    ],
    "response_style": {
      "verbosity": "medium",
      "emotional_intensity": "low",
      "defensiveness": "low"
    },
    "risk_probability": 0.05,
    "typical_thought_patterns": [
      "I don\u2019t know what they really mean.",
      "Everyone seems to understand each other but I don\u2019t.",
      "I worry I\u2019ll say the wrong thing and embarrass myself."
    ]
  },
  {
    "name": "Developmental Coordination Disorder",
    "risk_level": "low",
    "symptoms": {
      "emotional": [
        "frustration",
        "anxiety about performance",
        "low self\u2011esteem"
      ],
      "cognitive": [
        "difficulty planning and sequencing motor actions",
        "poor spatial awareness"
      ],
      "behavioral": [
        "clumsiness",
        "avoidance of physical activities",
        "slow acquisition of new motor skills"
      ],
      "physical": [
        "poor hand\u2011eye coordination",
        "awkward gait or posture",
        "low muscle tone",
        "frequent dropping or spilling objects"
      ]
    },
    "hidden_symptoms": [
      "social withdrawal due to embarrassment",
      "persistent feelings of inadequacy in school or sport settings"
    ],
    "trigger_keywords": [
      "coordination",
      "clumsiness",
      "motor skills",
      "fine motor",
      "gross motor"
    ],
    "response_style": {
      "verbosity": "medium",
      "emotional_intensity": "low",
      "defensiveness": "low"
    },
    "risk_probability": 0.05,
    "typical_thought_patterns": [
      "I\u2019m always the one who trips or drops things.",
      "No matter how hard I try, I can\u2019t keep up with my peers in sports.",
      "People will think I\u2019m careless."
    ]
  },
  {
    "name": "Stereotypic Movement Disorder",
    "risk_level": "low",
    "symptoms": {
      "emotional": [
        "frustration when unable to perform movements",
        "irritability during attempts to suppress behaviors"
      ],
      "cognitive": [
        "preoccupation with repetitive actions",
        "difficulty focusing on non\u2011motor tasks"
      ],
      "behavioral": [
        "repetitive, rhythmic movements such as hand\u2011flapping, rocking, or body\u2011rocking",
        "persistent mouthing or chewing of objects",
        "pacing or repetitive walking patterns"
      ],
      "physical": [
        "muscle fatigue from prolonged stereotypies",
        "possible minor injuries from self\u2011harm (e.g., skin irritation)",
        "altered posture due to constant movement"
      ]
    },
    "hidden_symptoms": [
      "self\u2011injurious behavior that may only emerge under stress"
    ],
    "trigger_keywords": [
      "repetitive movement",
      "rocking",
      "hand flapping",
      "stereotypy",
      "self\u2011stimulating behavior"
    ],
    "response_style": {
      "verbosity": "medium",
      "emotional_intensity": "low",
      "defensiveness": "low"
    },
    "risk_probability": 0.05,
    "typical_thought_patterns": [
      "I need to keep moving or I feel uneasy",
      "If I stop, something bad might happen",
      "This motion helps me feel calm"
    ]
  },
  {
    "name": "Tourette Syndrome",
    "risk_level": "medium",
    "symptoms": {
      "emotional": [
        "frustration",
        "embarrassment",
        "anxiety"
      ],
      "cognitive": [
        "preoccupation with tic urges",
        "difficulty concentrating during severe tics"
      ],
      "behavioral": [
        "motor tics (e.g., blinking, jerking, shrugging)",
        "vocal tics (e.g., throat clearing, grunting, shouting words)"
      ],
      "physical": [
        "muscle twitches",
        "involuntary vocalizations",
        "fatigue from constant tic activity"
      ]
    },
    "hidden_symptoms": [
      "coprolalia (involuntary utterance of socially inappropriate words)",
      "complex vocalizations that are suppressed in public"
    ],
    "trigger_keywords": [
      "tic",
      "involuntary movement",
      "vocalization",
      "stress",
      "excitement",
      "fatigue"
    ],
    "response_style": {
      "verbosity": "medium",
      "emotional_intensity": "low",
      "defensiveness": "low"
    },
    "risk_probability": 0.05,
    "typical_thought_patterns": [
      "I can\u2019t control these movements.",
      "People are staring at me because of my tics.",
      "If I try to suppress a tic, it will get worse later."
    ]
  },
  {
    "name": "Persistent Motor/Vocal Tic Disorder",
    "risk_level": "low",
    "symptoms": {
      "emotional": [
        "frustration",
        "embarrassment",
        "anxiety about social judgment"
      ],
      "cognitive": [
        "pre\u2011monitory urges (feeling that a tic must be performed)",
        "difficulty concentrating when tics increase"
      ],
      "behavioral": [
        "repetitive motor tics such as eye blinking, facial grimacing, head jerking, shoulder shrugging",
        "vocal tics such as throat clearing, grunting, sniffing, brief utterances"
      ],
      "physical": [
        "muscle tension preceding a tic",
        "fatigue after frequent tic bouts",
        "minor soreness or bruising from forceful motor tics"
      ]
    },
    "hidden_symptoms": [
      "social withdrawal to avoid tic\u2011related embarrassment",
      "self\u2011directed criticism about lack of control"
    ],
    "trigger_keywords": [
      "tic",
      "urge",
      "stress",
      "excitement",
      "fatigue",
      "concentration"
    ],
    "response_style": {
      "verbosity": "medium",
      "emotional_intensity": "low",
      "defensiveness": "low"
    },
    "risk_probability": 0.05,
    "typical_thought_patterns": [
      "I need to do this movement now or it will feel terrible.",
      "Everyone is watching me and thinking I'm weird.",
      "If I try to suppress the tic, it will make me tense."
    ]
  },
  {
    "name": "Dyslexia",
    "risk_level": "low",
    "symptoms": {
      "emotional": [
        "frustration",
        "anxiety about reading tasks",
        "low self\u2011esteem related to academic performance"
      ],
      "cognitive": [
        "difficulty decoding words",
        "slow reading speed",
        "poor spelling and writing",
        "trouble with phonological processing"
      ],
      "behavioral": [
        "avoidance of reading\u2011intensive activities",
        "reliance on audio or visual aids",
        "extra time spent on homework or tests"
      ],
      "physical": []
    },
    "hidden_symptoms": [
      "feelings of embarrassment that are not openly expressed"
    ],
    "trigger_keywords": [
      "reading",
      "spelling",
      "writing",
      "tests",
      "classwork"
    ],
    "response_style": {
      "verbosity": "medium",
      "emotional_intensity": "low",
      "defensiveness": "low"
    },
    "risk_probability": 0.05,
    "typical_thought_patterns": [
      "I\u2019m slower than everyone else at reading.",
      "If I can\u2019t read this quickly, I\u2019m going to look stupid.",
      "I\u2019ll never catch up with my classmates."
    ]
  },
  {
    "name": "Dysgraphia",
    "risk_level": "low",
    "symptoms": {
      "emotional": [
        "frustration",
        "anxiety about writing tasks",
        "low self\u2011esteem related to academic performance"
      ],
      "cognitive": [
        "difficulty organizing thoughts on paper",
        "poor spelling and grammar despite understanding concepts",
        "slow processing speed for written expression"
      ],
      "behavioral": [
        "avoiding writing assignments",
        "procrastination on tasks that require handwriting",
        "excessive reliance on typing or oral responses"
      ],
      "physical": [
        "poor handwriting legibility",
        "inconsistent spacing and letter formation",
        "hand fatigue or pain during prolonged writing",
        "irregular pressure on writing instrument"
      ]
    },
    "hidden_symptoms": [
      "internalized feelings of inadequacy",
      "silent avoidance of classroom participation"
    ],
    "trigger_keywords": [
      "handwriting assignment",
      "essay due",
      "spelling test",
      "written report",
      "note\u2011taking"
    ],
    "response_style": {
      "verbosity": "medium",
      "emotional_intensity": "low",
      "defensiveness": "low"
    },
    "risk_probability": 0.05,
    "typical_thought_patterns": [
      "I know what I want to say, but I can\u2019t get it onto the page.",
      "Everyone will think I\u2019m careless because my handwriting looks messy.",
      "If I have to write this, I\u2019ll just give up."
    ]
  }
]