A staff nurse is counseling a depressed client. The nurse determines that the client is using the cognitive distortion of "automatic thoughts." Which client statement is evidence of the "automatic thought" of discounting positives?
1. "It's all my fault for trusting him."
2. "I don't play games. I never win."
3. "She never visits because she thinks I don't care."
4. "I don't have a green thumb. Any old fool can grow a rose."
4
Rationale: Examples of automatic thoughts in depression include: Personalizing: "I'm the only one who failed." All or nothing: "I'm a complete failure." Mind reading: "He thinks I'm foolish." Discounting positives: "The other questions were so easy. Any dummy could have gotten them right."
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