In Susie's profile, which factor most directly signals a challenge to treatment?

• A. Strong resistance to treatment
• B. Distractibility
• C. Negative self-view
• D. Family resentments

Answer: (A)

Strong resistance to treatment directly signals a challenge to treatment because it shows the client is not ready to engage with the plan, questions its usefulness, or actively opposes the process. When a client resists, the therapeutic alliance weakens, participation drops, and adherence to sessions and homework declines, making meaningful progress unlikely.

Distractibility can complicate sessions or follow-through and might reflect an attention issue or current stress, but it doesn’t inherently indicate a deliberate pushback against the treatment itself. A negative self-view can affect motivation and self-efficacy, yet it doesn’t necessarily mean the client is resisting the treatment. Family resentments can create barriers, but they are about the broader context; the most direct predictor of a treatment challenge is the client’s resistance to engaging in the process.