“…A multisystemic perspective may be appropriate to deal with such complex syndromes (e.g., Bell et al, 2021; Kira, 2002). Some suggested augmenting the cognitive and exposure approaches by adding precognitive metamotivational factors such as stimulating the “will-to exist-live and survive” (WTELS; Kira, Arıcı Özcan, et al, 2020; Kira, Özcan, et al, 2021; Kira, Shuweikh, Kucharska, Al-Huwailah, & Moustafa, 2020; Kira, Ayna, et al, 2021; Kira, Shuwiekh, Kurchaska, Bujold-Bugeaud, 2021; Kira, Shuwiekh, Ashby, et al, 2021; Kira, Shuwiekh, Rice, et al, 2021; Kira et al, 2022). Others recommended addressing identity factors (e.g., Kira & Tummala-Narra, 2014; Kira & Wroble, 2016; Kira, Ashby, et al, 2015; Kira, Omidy, et al, 2015; Kira, Shuwiekh, & Bujold-Bugeaud, 2015).…”