Procrastination” seems to be a trendy topic nowadays. From time to time, some patients or their families talk about this topic, suggesting that some patients suffer from “procrastination” in addition to their mental illness. Although I do not subscribe to the term “procrastination,” I do feel that procrastination is a very common phenomenon among psychiatric patients. After answering a question from a patient’s family about the patient’s “procrastination,” I was able to sort out my perceptions of these patients’ procrastination behaviors. I believe that there are several main scenarios. 1. The common procrastination behavior is determined by the way of upbringing. Many adolescent patients’ procrastination behaviors began to develop in early childhood and childhood and did not occur only after the onset of mental illness. In this regard, parents or other adult family members often adopt a pampered and overbearing parenting style for these children, so that these children lack the ability and habit of taking care of themselves from an early age. Most such parents are reluctant to really give their children the ability to practice self-care while they are growing up. On the one hand, they seem to think that their children are still young, and they are afraid that they will not want to ask them to take care of themselves because they are afraid that they will be overworked, or they think that it is enough for them to finish their schooling, and they think that “the boat will go straight under the bridge” and that their children will naturally take care of themselves when they grow up. On the other hand, these parents may be accustomed to evaluating their children’s self-care skills by unrealistically high standards, believing that their children have difficulty taking care of their personal and other affairs, and that anything they do is far from being up to their approved standards. They often believe that it is more efficient for parents to do the work for their children rather than to “rework” it if the children do not do it well. Children who grow up with this kind of upbringing, whether they are mentally ill or not, will become “lazy” and “lazy”. Once faced with a task that requires efficient completion, they may feel overwhelmed and procrastination is the natural choice: “I’ll do it, don’t rush, don’t rush me.” 2. Common procrastination behaviors are caused by depression’s daunting and avoidance behavior style. Whether major or minor depression, patients often feel overwhelmed by tasks they used to be able to do or handle well, always overestimating the difficulty of the task, underestimating their ability, and shying away from challenges that are not difficult. Once they are faced with a task that needs to be done, they are afraid of being stigmatized for refusing, but they also respond with inefficient work because they feel that it is difficult to complete the task successfully. 3. Common procrastination behaviors are also associated with depression, except that the main cause of procrastination is due to a lack of motivation and energy. These patients may be in a “normal state” or even a “hyper state” such as a manic episode when they previously started the task they are currently procrastinating, or they may be in a state where they are less depressed and their motivation or energy remains relatively near normal when they start the task. With the depression caused by the lack of motivation and energy day by day, it is difficult to restart the delayed task, or difficult to effectively enter the state of completing the task. 4. The main cause of procrastination is related to social fear. Because patients are afraid of social contact and interaction with others, they always avoid starting or completing tasks that should be completed in a limited amount of time. Procrastination is most pronounced for tasks that require bonding and collaboration with others. For example, when a girl who is less likely to engage in contact with male classmates is required to work closely with boys on an activity or task, it is a logical behavioral response for her to use procrastination to cover up her deficit in avoiding social contact. 5, procrastination behavior is then a manifestation of OCD. The procrastination behaviors of OCD patients, both in terms of external manifestations and internal psychological experiences of pathology, are diverse and varied. However, its most common manifestation is various combinations of both obsessive suspicion and compulsive verification behaviors. For example, there are patients who are unable to initiate the immediately following behavior or activity because they are unsure of the precise degree of completion of the previous behavior or even whether it is completed. There are also patients who have very complex compulsive verification behaviors, so that the patient can only perform the necessary activities at a very low level of efficiency. There are also patients with extremely complex sequencing or posing behaviors as a core symptom, with extreme concern for trivial or minuscule changes in order or position that consume so much time that they cause neglect of normal life and time perceptions. Occasionally, children and adolescents with OCD have “procrastination” caused by peculiar notions of overpricing. For example, they believe that sleep is similar to death and that if they can fight early sleep, they can fight early death, so they resist going to sleep every night under various names. Although they cannot go to bed early under this pathological psychology, the activities they engage in before going to bed are still inefficient, which is also a basic characteristic of “procrastination. In summary, “procrastination” is a fairly common manifestation in psychiatric patients and deserves attention and treatment.