Your patient appears withdrawn and depressed. Which of the following would not be an effective intervention?

Choice A reason: This statement is not entirely true because not all bipolar disorders include periods of major depression. For example, in cyclothymic disorder, individuals experience hypomanic episodes with milder episodes of depression.

Choice B reason: This statement is incorrect because bipolar disorders can manifest in various patterns and behaviors, and there is no single pattern that applies to all individuals with the condition.

Choice C reason: This statement is false. Manic depression, now known as bipolar disorder, is characterized by episodes of mania, which are more severe than the hypomanic episodes seen in hypomanic disorder.

Choice D reason: This is the most accurate statement. Patients with bipolar II disorder experience major depressive episodes along with hypomanic episodes, which are less severe than the manic episodes seen in bipolar I disorder.

Choice A reason: Affirming the patient's statement without addressing the potential for grandiosity may not be therapeutic.

Choice B reason: Telling a manic patient that no one can be great at everything may be confrontational and could escalate the situation.

Choice C reason: Encouraging the patient to "keep it up" may reinforce potentially harmful manic behavior.

Choice D reason: Asking the patient to recall a time when things didn't go as planned can help ground their thoughts and is a therapeutic communication technique used to address potential grandiosity in mania.