A depressed patient says there is no reason to get out of bed. Which response encourages engagement?
- AStaying in bed will make you feel worse, so you need to get up.
- BWhy do you feel there's no reason to get up?
- CRest today, and we can try again when you feel more motivated.
- DLet's choose one small task to try together this morning.
Show answer and explanations
Answer
D
A
This lectures the patient and can increase guilt rather than build engagement.
B
'Why' questions can feel judgmental and ask for an explanation the patient may not be able to give.
C
Waiting for motivation reinforces withdrawal; in depression, activity usually comes before motivation.
D
A small, achievable shared goal supports behavioral activation without overwhelming the patient.