A nurse is caring for a client who has avoidant personality disorder. Which of the following therapeutic interventions should the nurse include in the client's plan of care?

Choice A reason: Thought stopping is more commonly used for obsessive-compulsive or anxiety disorders where intrusive thoughts are present. It is not the primary intervention for avoidant personality disorder, which centers on social inhibition and feelings of inadequacy. Choice B reason: Assertiveness training is highly appropriate for clients with avoidant personality disorder. These individuals often struggle with low self-esteem and fear of rejection, leading to social withdrawal. Assertiveness training helps them express needs and boundaries confidently, improving interpersonal functioning. Choice C reason: Systematic desensitization is used primarily for phobias and specific anxiety disorders. While avoidant personality disorder may involve social anxiety, desensitization is not the most effective or targeted intervention. Choice D reason: Dialectical behavior therapy is most effective for borderline personality disorder, focusing on emotional regulation and distress tolerance. It is not the first-line approach for avoidant personality disorder.