The Biological Model
Most, if not all, maladaptive lifestyles can be caused by biological factors. Hypoglycemia, a metabolic condition of low blood sugar, can produce symptoms virtually indistinguishable from an anxiety attack, allergies can cause depression, drugs certainly can cause patterns of behavior parallel to psychosis. It is difficult to demonstrate social skills when one is in pain from an ulcer just as it is difficult to develop intimacy with someone who is in intense pain. In most cases the therapist sees, there is not a strong biological component. We chose to place the biological model first, however, to reflect our belief that it should be the first model considered in the clinical assessment process. If the behavioral problem were caused by biological factors and this were missed, therapy would needlessly prolong discomfort.