A patient with major depressive disorder has low self-esteem. What is the most appropriate cognitive intervention?

Focusing on identifying strengths and accomplishments is a pivotal cognitive intervention for a patient with major depressive disorder experiencing low self-esteem. This approach works by helping the individual become aware of their positive attributes and achievements, which can often be overshadowed by negative self-perceptions.

By recognizing their strengths, patients can begin to shift their cognitive patterns from negative to more balanced thoughts, thus improving self-esteem. This cognitive restructuring is essential in the treatment of depression, as it fosters a sense of agency and self-worth. Helping patients articulate their accomplishments allows them to challenge the cognitive distortions that contribute to their depressive state.

Building on personal strengths not only enhances self-esteem but also empowers patients to engage more fully in life and improves overall mental health outcomes. This method creates a foundation for further therapeutic interventions, reinforcing the belief that they can make positive changes in their lives.