A mentally ill patient expresses feelings of worthlessness and a belief that there is no point in seeking employment. Which therapeutic approach is most appropriate to address these thoughts?

• A. Challenge negative beliefs, promote self-acceptance
• B. Encourage avoidance of activities
• C. Tell the patient to stop thinking about it
• D. Tell the patient they are worthless

Answer: (A)

The question tests a cognitive-behavioral approach that targets distorted self-beliefs. When someone feels worthless and questions the point of seeking work, the most effective step is to actively examine and challenge those negative beliefs while cultivating self-acceptance. This mirrors cognitive restructuring: identify automatic thoughts, assess their accuracy in light of evidence, consider more balanced interpretations, and practice self-kindness. By reframing these thoughts, the patient can reduce overwhelming hopelessness and become more capable of re-engaging in meaningful activities, including employment.

Encouraging avoidance would reinforce withdrawal and worsen mood. Simply telling the person to stop thinking about it is not a real solution and fails to address the underlying distortions. Telling the patient they are worthless validates the faulty belief and can deepen depression and disengagement.