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A 25-Year-Old Lady Arrives at the Office for an Initial

Question 172

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A 25-year-old lady arrives at the office for an initial assessment of her poor mood. The patient has been depressed and unable to sleep since relocating to a new apartment three weeks ago. She states, "My landlord does not let dogs in the building. I really miss my dog. I know my attitude would improve if I received a letter from you stating that my dog is welcome to live with me." The patient's dog is presently being cared for by her parents, who reside a few miles away. Which of the following physician remarks 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."

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