Which other treatment(s) might be helpful for this client? Select all that apply.

A. Cognitive behavioral therapy: Cognitive behavioral therapy (CBT) is highly effective for clients experiencing post-traumatic stress symptoms, insomnia, and depressive mood following a traumatic event. CBT helps the client identify and reframe negative thought patterns, develop coping strategies, and reduce anxiety and intrusive memories related to the house collapse. B. Consciousness raising: Consciousness raising is an educational approach often used in health promotion or social awareness interventions. While it can increase insight into behaviors or risk factors, it is not a direct therapeutic intervention for acute trauma, PTSD symptoms, or sleep disturbances in this hospitalized client. C. Phototherapy: Phototherapy is primarily used for seasonal affective disorder or certain depressive disorders related to circadian rhythm disturbances. There is no indication from the client’s presentation that her mood symptoms are related to light exposure or seasonal factors, making phototherapy less relevant. D. Electroconvulsive therapy: Electroconvulsive therapy (ECT) is reserved for severe, treatment-resistant depression or psychotic depression, particularly when rapid symptom resolution is required. The client’s symptoms are acute stress-related and mild-to-moderate depressive mood, so ECT is not indicated at this stage. E. Administration of lithium: Lithium is a mood stabilizer used primarily for bipolar disorder or treatment-resistant depression. There is no indication that the client has a bipolar disorder diagnosis, and lithium is not appropriate for acute stress or post-traumatic mood disturbances. F. Animal therapy: Animal-assisted therapy can reduce anxiety, promote relaxation, and improve emotional well-being in clients experiencing trauma or stress. Interaction with therapy animals may enhance coping, reduce feelings of isolation, and complement pharmacologic and psychotherapeutic interventions.