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When humans are faced with a threat, they deal with it in various mental ways. They either face the threat head on to defeat it, or they try to run away from it. This is known as "active coping."

Since Cannon first described the "fight or flight," response, a third option has been added to the list: freeze. This is known as "passive coping," and it happens when a threat is perceived as inescapable. It's a way for the organism to conserve energy until the threat passes.

But sometimes the threat — or the perception of it — doesn't pass. In that case, a person can lose hope of escape and, "the prefrontal cortex deliberately inhibits the production of dopamine in the basal ganglia to well below its functional level," says Leach. "That's associated with the feeling of hopelessness." If this continues for too long, it can become impossible to restart dopamine production.


https://www.salon.com/2021/12/31/psychogenic
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