What should a COTA® advise the spouse of a client with macular degeneration who is showing signs of depression and withdrawal?

Advising the spouse of a client with macular degeneration to encourage the client to consult a mental health provider is a proactive and supportive approach. Individuals experiencing depression and withdrawal, particularly in the context of a progressive visual impairment, can benefit significantly from professional mental health support. Such professionals can provide tailored interventions that address the unique psychological challenges associated with macular degeneration, which may include feelings of loss, isolation, and changes in self-identity.

Consulting a mental health provider can also ensure that the client receives appropriate therapeutic strategies, such as cognitive-behavioral therapy, which can help them develop coping mechanisms to manage their emotions and assist in reconnecting with their social environment at a comfortable pace. This intervention is particularly important because mental health and physical health are closely intertwined, and addressing mental health concerns is essential for overall well-being.

In contrast, while exploring assisted living alternatives may be appropriate for some, suggesting this option without assessing the client's preferences and readiness could be premature and may contribute to further feelings of loss or anxiety. Insisting on resuming social activities might feel overwhelming and could lead to resistance rather than re-engagement. Seeking professional counseling for adjustment to changes in the marriage may be beneficial, but the primary focus should be on the client's immediate mental