A 12-year-old child has withdrawn from soccer, a sport previously enjoyed, and is expressing hopelessness about the future.

Which of the following conditions is consistent with this behavior?

Choice A rationale
A therapeutic area refers to a specific location or setting where therapeutic activities or treatments occur. However, it doesn’t necessarily imply a comprehensive environment designed to assist patients in replacing inappropriate behaviors with more effective personal and psychosocial skills.
Choice B rationale
A therapeutic environment, also known as a therapeutic milieu, is a broad term that describes settings designed to help patients replace inappropriate behaviors with more effective personal and psychosocial skills.
Choice C rationale
A therapeutic unit could refer to a specific department or team within a healthcare facility that provides therapeutic services. However, it doesn’t necessarily denote an environment designed for behavioral and psychosocial skill development.
Choice D rationale
A therapeutic setting could refer to any location where therapeutic services are provided. It’s a more general term and doesn’t specifically denote an environment designed to help patients replace inappropriate behaviors with more effective personal and psychosocial skills.

Choice A rationale
Flight of ideas is a symptom often seen in conditions like bipolar disorder, particularly during manic episodes. It involves a rapid shift in thoughts and ideas, often with loose or no associations between them. The statement “her car is gray, and her dog died last week” could be an example of this, as the two ideas are unrelated.
Choice B rationale
Verbigeration refers to the constant repetition of certain words or phrases. This is not demonstrated in the client’s statement.
Choice C rationale
Loose associations involve a disorganized thinking pattern where the person jumps from one topic to another that is seemingly unrelated. While the client’s statement might seem to have loose associations, it is more indicative of flight of ideas.
Choice D rationale
Circumstantiality involves excessive, unnecessary detail that delays getting to the point. The client’s statement is not an example of this, as it is brief and does not contain unnecessary details.