The therapist notices in working with a patient with a dissociative disorder that the person appears to be doing worse after significant gains are made. The therapist understands the reason for this phenomenon is likely which of the following:
a. This indicates the changes) really did not take
b. This indicates process is trying to force a change too fast.
c. As positive changes occur they may be followed by a temporary increase in sadness, anger, or anxiety because even positive change may be experienced as a loss.
d. The patient is consciously sabotaging the therapy.