1 A Bio-Psycho Approach to Procrastination Jessica da Cunha MACP Program, Faculty of Behavioural Sciences, Yorkville University PSYC 6104 – A Biopsychosocial Approach to Counselling Instructor: Dr. Rob Wolfe Submission Date: Sunday, June 4th, 2023 2 A Bio-Psycho Approach to Procrastination Recently, I made the decision to enrol in a graduate level education program while working full-time. This transition back to full-time education brought some concerns with procrastination, leading me to connect with a Registered Psychotherapist to better understand why I was procrastinating. Despite some initial hesitation, I now look back on this decision fondly. In my initial session, the therapist provided an overview of counselling, and offered psychoeducation on the Biopsychosocial model. My therapist described that there are different factors that have produced, amplified, and maintained my procrastination (Collins, 2020). We considered areas of my current routine, biology, and mental heath, which could influence my current concern. They encouraged me to reflect on early instances of procrastination, as they can influence a child’s development and understanding (Pinel & Barnes, 2021). I mentioned to my therapist that I would frequently avoid completing household tasks in my childhood home. On multiple occasions, I would be chastised by my mother for not completing the task to her standard, following which, she would redo the task. Towards the end of my first session, my therapist and I reviewed what my understanding of procrastination was. Together, we concluded that my procrastination was defined as myself delaying my completion of various assignments in school. Over the subsequent sessions, we discussed my physical activity, current anxiety, and my sleep patterns. We made connections between my own beliefs about failure, perfectionism and self-efficacy and my habit to procrastinate. 3 Biological Factors In our second session, my therapist and I reacquainted by reviewing what we previously spoke about before discussing the biological factors of procrastination. First, my therapist evaluated the level of physical activity in my current routine. Since restarting school, I reduced how frequently I was going to the gym to better accommodate time to complete readings. My therapist noted that research suggests that increasing physical activity can lead to reductions in procrastination and overall anxiety levels (Yang et al., 2023). We examined the influence anxiety has on the brain, as it has been found that an anxiety-specific brain pattern can hinder selfcontrol within procrastination (Zhang et al., 2021). Finally, since starting school, I would frequently stay awake later in the evening compared to when I had been working full-time only. They informed me that there is a relationship between sleep and procrastination, and this could be operating in my current concern (Przepiórka et al., 2019). Within this session, I felt reinforced to continue attending therapy due to my therapist’s therapeutic skills. My therapist honoured my own autonomy and ability to make my own decisions, when it came to engaging in physical activity once again (Shebib, 2020). Additionally, my therapist offered psychoeducation on neuroplasticity (Pinel & Barnes, 2021), which I found helpful, as I was struggling with feeling hopeless about my current habits. This information provided me with hope that I could change this habit, through the utilization of other skills. Finally, my therapist’s presence within the session was helpful. During the session, it did not feel that my therapist was trying to rescue me, or provide advice, they were simply someone to be alongside me while I make changes to these areas (MACP Labs, n.d.). 4 Psychological Factors In our third session, my therapist and I revisited the impact psychological factors could have on my presenting concern. Following the early experiences with my mother, I developed a fear of failure, as it was treated as if fatal in my household. I would frequently struggle with beliefs that if I completed a task poorly, my loved ones would feel disappointed, and less likely to engage with me. This was normalized by my therapist, who informed me that Parlade and Karaigit found a positive correlation between procrastination and a fear of failure (2022). My mother’s high standards were also playing a role in my procrastination, as I adopted these standards for myself. However, I was also not fully meeting them, leading to some reluctance to complete assignments (Coutinho et al., 2022). Finally, we conversed about how my self-efficacy was impacted by my early experiences. My experience of someone redoing my tasks created beliefs that I was unable to complete anything adequately, fostering a greater delay to start (Hall et al., 2019). I would also further prove these beliefs when I would receive low marks on assignments that I would hand-in late or that I procrastinated on. The respect I felt within this therapeutic alliance was imperative to my ability to reflect on my experience with procrastination. As I was experiencing a lot of shame regarding my procrastination, I felt hesitant at first, but the respect my therapist offered me through eyecontact, acceptance, and openness, allowed me to share and process my concerns (SlayWestbrook, 2017). My therapist provided both verbal and non-verbal encouragement, and never told me how I should feel in these situations, thus creating additional safety to disclose (Shebib, 2020). Finally, they validated my experience, and provided me a setting to dismantle the shame I associated with my procrastination (Slay-Westbrook, 2017). 5 References Collins, S. (2020.) The Bio-Psycho-Social-Cultural-Systemic-Framework. YouTube. Retrieved June 3rd, from https://youtu.be/0d7VC2ALsvU. Coutinho, M. V. C., Menon, A., Ahmed, R. H., & Fredricks-Lowman, I. (2022). The association of perfectionism and active procrastination in college students. Social Behavior and Personality: An international journal, 50(3), doi:10.2224/sbp.10611 Hall, N. C., Lee, S. Y., & Rahimi, S. (2019). Self-efficacy, procrastination, and burnout in postsecondary faculty: An international longitudinal analysis. PLoS ONE 14(12). doi:0.1371/journal.pone.0226716 MACP Skills Learning Lab. (n.d.). Module 2: Safe and Effective Use of Self: Countertransference. [Video]. Yorkville University. https://courses.yorkvilleu.ca/iSpring/MACP/Skills-Learning-Lab/Modules/Safe-andEffective-Use-of-Self/story.html Parlade, J., & Karaigit, C. (2022). Examining procrastination and fear of failure among college students. Cognition, Brain, Behaviour. An Interdisciplinary Journal, 26, 119-213. doi:10.24193/cbb.2022.26.11 Pinel, J. P. J., & Barnes, S. J. (2021). Biopsychology (11th ed.). Pearson. Przepiórka, A., BÅ‚achnio, A., & Siu, N.Y-F. (2019). The relationships between self-efficacy, self-control, chronotype, procrastination and sleep problems in young adults. Chronobiology International. 36(8), 1025–1035. doi:10.1080/07420528.2019.1607370. Shebib, B. (2020). Choices: Interviewing and counselling skills for Canadians (7th ed.). Pearson Canada. 6 Slay – Westbrook, S. (2017). Respect-focused therapy: Honoring clients through the therapeutic relationships and process. Routledge. ISBN:9781138906907 Yang, L., Liu, Z., Shi, S., Dong, Y., Cheng, H., & Li, T. (2023). The mediating role of perceived stress and academic procrastination between physical activity and depressive symptoms among Chinese college students during the COVID-19 pandemic. International Journal of Environmental Research and Public Health, 20(1), 773. doi:10.3390/ijerph20010773 Zhang, R., Chen, Z., Hu, B., Zou, F., & Feng, T. (2021). The anxiety-specific hippocampus– prefrontal cortex pathways links to procrastination through self-control. Human Brain Mapping, 43(5), 1738-1748. doi:10.1002/hbm.25754