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==Severe and negative impact== For some people, procrastination can be persistent and tremendously disruptive to everyday life. For these individuals, procrastination may reveal psychiatric disorders. Procrastination has been linked to a number of negative associations, such as [[Major depressive disorder|depression]], irrational behavior, low [[self-esteem]], [[anxiety]] and neurological disorders such as [[Attention deficit hyperactivity disorder|ADHD]] or perfectionism [[Obsessive–compulsive disorder|OCD]]. Others have found relationships with [[Guilt (emotion)|guilt]]<ref name="Pychyl2000">{{cite journal |last1=Pychyl |first1=TA |last2=Lee |first2=JM |last3=Thibodeau |first3=R |last4=Blunt |first4=A |year=2000 |title=Five Days of Emotion: An Experience Sampling Study of Undergraduate Student Procrastination (special issue) |url=http://psycnet.apa.org/index.cfm?fa=search.displayRecord&uid=2002-10572-019 |journal=Journal of Social Behavior and Personality |volume=15 |pages=239–254 |access-date=2013-12-05 |archive-date=2023-02-13 |archive-url=https://web.archive.org/web/20230213163552/https://psycnet.apa.org/index.cfm?fa=search.displayRecord&uid=2002-10572-019 |url-status=live }}</ref> and stress.<ref name="Tice1997" /> Therefore, it is important for people whose procrastination has become chronic and is perceived to be debilitating to seek out a trained [[psychotherapy|therapist]] or [[psychiatry|psychiatrist]] to investigate whether an underlying mental health issue may be present.<ref>{{Cite journal|last1=Lay|first1=CH|last2=Schouwenburg|first2=HC|year=1993|title=Trait procrastination, time management, and academic behavior|url=https://www.scopus.com/record/display.uri?eid=2-s2.0-21344492853&origin=inward&txGid=8922AD549640D5B2BACA406E901F44B5.wsnAw8kcdt7IPYLO0V48gA%3a1|journal=Trait Procrastination, Time Management, and Academic Behavior|volume=8|issue=4|pages=647–62|access-date=2018-09-29|archive-date=2024-02-24|archive-url=https://web.archive.org/web/20240224052114/https://www.scopus.com/home.uri|url-status=dead}}</ref> With a distant deadline, procrastinators report significantly less stress and physical illness than do non-procrastinators. However, as the deadline approaches, this relationship is reversed. Procrastinators report more stress, more symptoms of physical illness, and more medical visits,<ref name="Tice1997" /> to the extent that, overall, procrastinators experience more stress and health problems. This can cause quality of life to decrease significantly along with overall happiness. Procrastination also has the ability to increase perfectionism and neuroticism, while decreasing conscientiousness and optimism.<ref name=":04" /> Procrastination can also lead to insomnia, Alisa Hrustic said in ''Men's Health'' that "The procrastinators—people who scored above the median on the survey—were 1.5 to 3 times more likely to have symptoms of insomnia, like severe difficulty falling asleep, than those who scored lower on the test."<ref>{{Cite web|last=Hrustic|first=Alisa|date=2016-07-13|title=How Procrastination Literally Keeps You Up At Night|url=https://www.menshealth.com/health/a19524790/how-procrastination-keeps-you-up-at-night/|access-date=2020-06-04|website=Men's Health|language=en-US|archive-date=2020-06-04|archive-url=https://web.archive.org/web/20200604050538/https://www.menshealth.com/health/a19524790/how-procrastination-keeps-you-up-at-night/|url-status=live}}</ref> Insomnia can even add more problems as a severe and negative impact.
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