Identifying Passive Aggression

Patient in mental health care may be at increased risk for demonstrating unhealthy coping mechanisms or inappropriate responses to distress. When your patient is angry with you for not making a medication change she requested, which of the following would be characterized as a passive-aggressive response? 

A. Glaring at you for the rest of the visit and responding to every question with, “you don’t listen to me so why do you ask?” 

B. Loudly complaining to you and other people in the waiting room that you don’t know what you are doing. 

C. Purposefully missing her next appointment without calling to change or cancel 

D. Telling you that she refuses to take any medication if you will not consider her input. 

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