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A subset of people with severe mental health conditions feels they are on the verge of losing control, even in the absence of external threats or triggers. Some go to extreme ends to avoid affective arousal and associated expectations of a possible, impending catastrophe. We have learned about such phenomenological, emotional challenges in a group of individuals with severe, composite mental health problems and psychosocial disabilities. These individuals have had long treatment histories indoi:10.3389/fpsyg.2022.766149 pmid:35360621 pmcid:PMC8960201 fatcat:jzg2kmpknralfmarf74rzw7zfu