Neuro/Cognitive: Speech slightly garbled and incoherent. Responsive to painful stimuli

The advanced practice psychiatric nurse notices in working with a patient with a dissociative disorder that the person appears to be doing worse after significant gains are made. The advanced practice psychiatric nurse explains the reason for this is likely which of the following? A. This indicates the change(s) really did not take B. The patient is unconsciously sabotaging the therapy. C. This indicates process is trying to force a change too fast. D. As positive changes occur they may be followed by a temporary increase in sadness, anger, or anxiety because even positive change may be experienced as a loss.

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