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Last updated: May 17, 2025

Diagnosis of Mental Health Issues Through the Lens of Construal Level Theory

Mental health diagnoses can sometimes feel overwhelming, both for patients and professionals. But what if we could simplify the process? Enter Construal Level Theory (CLT), a psychological framework that helps us understand how people perceive and evaluate their experiences. This blog explores how CLT can be applied to diagnose mental health conditions effectively.

What is Construal Level Theory?

Construal Level Theory suggests that the way we think about events or issues can vary depending on the psychological distance we feel from them. This distance can be:

  • Temporal: How far in the future or past something is.
  • Spatial: How physically close or far something is to us.
  • Social: How similar or different someone is to us.
  • Hypothetical: How likely or unlikely something is to happen.

In simpler terms, the closer something feels, the more detailed and concrete our thoughts about it become. The further away it feels, the more abstract and generalized our thoughts are.

Applying CLT in Mental Health Diagnosis

Using CLT as a framework can help clinicians and patients gain clarity around mental health conditions. Here’s how:

Step 1: Assessing Psychological Distance

When diagnosing a mental health issue, consider the psychological distance:

  • For the Patient: Ask them how close they feel to their symptoms. Are they immediate and pressing, or more abstract and distant?
  • For the Clinician: Reflect on how familiar you are with the patient’s experiences. Are they presenting symptoms that seem relatable or foreign?

Step 2: Categorizing Symptoms

Using CLT, symptoms can be categorized based on their psychological distance:

  • Concrete Symptoms: Those that the patient feels strongly and directly, like panic attacks or persistent sadness.
  • Abstract Symptoms: Feelings that are harder to pinpoint, such as existential dread or generalized anxiety.

Step 3: Tailoring the Approach

Different symptoms require different diagnostic approaches:

  • Concrete Symptoms: Engage in direct conversations about these experiences. Use specific language and examples that resonate with the patient’s immediate feelings.
  • Abstract Symptoms: Encourage broader discussions. Ask about life events or thoughts that could be contributing to these feelings.

Real-Life Examples

  1. Example of Anxiety: A patient might feel immediate anxiety before a public speaking event (concrete), but may also express general anxiety about the future (abstract). A CLT approach helps differentiate between these and targets the immediate worry first.

  2. Example of Depression: A person may describe feeling sad all the time (concrete) but may struggle to articulate what led to those feelings (abstract). By addressing both levels, the clinician can better understand the patient's overall mental health.

The Importance of Perspective

Using CLT helps both patients and clinicians see the bigger picture. It allows for:

  • A deeper understanding of how symptoms manifest.
  • Tailored treatment plans that address both immediate and long-term concerns.
  • A more empathetic approach where the clinician can relate to the patient’s experience based on their psychological distance.

Conclusion

While this blog does not conclude with a formal ending, it is essential to recognize that applying Construal Level Theory to mental health diagnosis opens up new avenues for understanding and addressing mental health issues more effectively. By focusing on psychological distance, both patients and clinicians can arrive at more meaningful insights.

Dr. Neeshu Rathore

Dr. Neeshu Rathore

Clinical Psychologist, Associate Professor, and PhD Guide. Mental Health Advocate and Founder of PsyWellPath.