A nurse is discussing complementary therapies with a group of clients. The nurse should identify that massage therapy is indicated for the treatment of which of the following mental health disorders?

A. Depression: Massage therapy has been shown to reduce cortisol levels and increase serotonin and dopamine activity, which are neurotransmitters involved in mood regulation. Through tactile stimulation and relaxation, massage can decrease stress, anxiety, and depressive symptoms. It is commonly used as a complementary therapy alongside standard treatments such as psychotherapy and pharmacologic management. B. Bipolar disorder: Bipolar disorder involves alternating episodes of mania and depression that require careful pharmacologic stabilization. Massage therapy does not address the underlying neurochemical dysregulation associated with mood cycling. During manic phases, increased stimulation may even exacerbate agitation or restlessness. C. Schizophrenia: Schizophrenia is a chronic psychotic disorder characterized by hallucinations, delusions, and impaired thought processes. Treatment centers on antipsychotic medications and psychosocial interventions. Massage therapy does not target the core psychotic symptoms and may increase discomfort or paranoia in some clients. D. Obsessive compulsive disorder: Obsessive compulsive disorder is driven by intrusive thoughts and repetitive behaviors related to anxiety. Treatments include cognitive behavioral therapy with exposure and response prevention and pharmacologic therapy. Massage therapy may provide relaxation but does not directly address compulsive or obsessive symptom patterns.