A 25-Year-Old Woman Comes to the Office for an Initial

A 25-year-old woman comes to the office for an initial evaluation of low mood.  Since moving to a new apartment 3 weeks ago, the patient has felt sad and has not been sleeping well.  She says, "My landlord won't allow pets in the building.  I miss my dog so much.  I know my mood would improve if I could get a letter from you saying my dog can live with me."  The patient's dog is currently staying with her parents, who live a few miles away from her.  Which of the following statements by the physician is the most appropriate?

A) "Fortunately, your dog is able to live nearby with your parents; what do you think about spending more time at their house?"
B) "Having your dog may help you feel better temporarily; let's discuss options that would allow you to develop long-term coping skills."
C) "I can see you miss your dog very much; let's start by talking about the mood symptoms you've been experiencing."
D) "It must be difficult not having your dog around; what made you decide to move into an apartment that does not allow pets?"
E) "Not having your dog live with you seems to be causing a lot of distress; I can write a letter for your dog."

Correct Answer:

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