You are working with a 50-year-old woman admitted for major depressive episode. The client has remained isolated and withdrawn since her admission and is reluctant to speak
Which of the following therapeutic communication skills is most likely to encourage the client to vent her feelings?
A) Direct confrontation
B) Reality orientation
C) Projective identification
D) Silence and active listening
Ans: D
Silence and active listening are powerful tools for use with a client who is depressed and withdrawn. Direct confrontation can lead to feelings of shame or embarrassment. The client who is not psychotic does not need reality orientation, and projective identification is a primitive subconscious ego defense mechanism.
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