If a client shows sudden improvement after a depressive episode and makes drastic life changes, what should the therapist do?

In the context of a client showing sudden improvement after a depressive episode, it is crucial to approach their situation with caution, especially if their improvement is accompanied by drastic life changes. The option of changing the diagnosis and referring for a medication evaluation addresses the possibility of underlying mood disorders that could contribute to this behavior, such as bipolar disorder. In such cases, individuals may experience a phase of elevated mood or increased energy, which can lead to impulsive decision-making or risk-taking actions that may be detrimental in the long run.

This response is important because drastic changes following depression may indicate a shift in the client's mental state that requires further evaluation. The therapist's acknowledgment of the need for a medication review can help ensure the client receives appropriate care tailored to their current emotional state and any potential underlying conditions that might not have been adequately addressed. Monitoring these transitions is vital in maintaining the client's safety and well-being, ensuring that the progress the client is experiencing is stable and not merely an indication of an underlying issue that needs attention.