A 46-year-old patient has been engaged in interpersonal therapy with the nurse practitioner for the past 6 months
A 46-year-old patient has been engaged in interpersonal therapy with the nurse practitioner for the past 6 months. The patient initially presented with anhedonia, irritability, difficulty with interpersonal relationships, poor sleep and appetite, guilt, and hopelessness. The patient was on a performance improvement plan at work due to irritability in interactions with their supervisor and was arguing with family. The patient has been taking medication and has now attended 15 sessions of therapy. The patient has been consistent with treatment and is off their performance improvement plan at work. They have improved relationships with family and are hopeful for the future. At the appointment, the patient tells the nurse practitioner they were annoyed with their supervisor after being given additional work today. They say, “But I thought about what you would tell me and played that out in my head before I said anything. I realized it was just a task, not a personal attack, and I accepted the work.” What is the nurse practitioner’s best response after praising the patient for the positive interaction?
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