hardbehavioral activationCBTdepression severitytreatment matchingcognitive restructuring
A PMHNP is evaluating psychotherapy options for two adult patients with major depressive disorder. Patient A is a 52-year-old man with severe depression (PHQ-9 score of 22), significant psychomotor retardation, and profound anhedonia who struggles to engage in any structured cognitive exercises. Patient B is a 35-year-old woman with moderate depression (PHQ-9 score of 14) who reports persistent ruminative thinking patterns and catastrophic misinterpretations of neutral events that maintain her depressive symptoms. Based on current evidence, which of the following most accurately reflects appropriate treatment matching?