A nurse is caring for a client who has major depressive disorder. Which of the following findings should indicate to the nurse that the client's condition is improving?

A. Self-doubt remains a symptom of depression and does not indicate improvement in mood or self-esteem. B. Expressing angry feelings is a positive sign of progress in clients with major depressive disorder. It indicates improved emotional expression, engagement, and movement toward resolving internalized anger that contributes to depression. C. Flat affect reflects ongoing emotional withdrawal and lack of affective responsiveness, suggesting persistent depressive symptoms. D. Looking down when speaking signifies low self-esteem or social withdrawal, which are typical of an ongoing depressive episode.