John's thoughts of death are causing him to lose sleep, eat poorly, and constantly worry.He expresses much concern over his current mental state, so much so that he has made an appointment to see a counselor.We would refer to his thoughts as abnormal since they

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John's thoughts are causing him great personal distress, which is a key criterion for defining abnormal behavior. While options A, B, and D may also be true in certain cases, they do not directly address the issue of John's thoughts causing distress, which is the main concern here.

John's Thoughts of Death Are Causing Him to Lose Sleep