A client with a personality disorder recognizes certain maladaptive behaviors are no longer acceptable, then experiences depression, loss of appetite, and sleep trouble. How would a social worker interpret these symptoms?

• A. An indication of progress.
• B. Worsening condition.
• C. A relapse.
• D. A side effect of therapy.

Answer: (A)

The main idea is that progress in treatment often comes with temporary emotional and physical discomfort as new patterns are learned. When a client recognizes that maladaptive behaviors are no longer acceptable, this shows insight and motivation to change, which is a positive sign in therapy. The subsequent depression, reduced appetite, and sleep trouble can occur during this transition as the client processes letting go of old coping strategies and adjusts to new ways of coping. These symptoms don’t automatically mean the condition is worsening or that therapy is failing; they can reflect the normal emotional work that accompanies change. The social worker would, therefore, view these symptoms as a potential, temporary consequence of progress and would continue supportive intervention, monitor mood and safety, and address sleep and appetite as part of ongoing treatment.