How do therapists help depressed clients who struggle to engage because everything is bad and nothing is ever enough?
The client showed up for therapy. That is huge. They keep coming. That is more huge. I’d say the client has engaged, plenty.
Still, they keep saying everything is bad and nothing will ever be enough?
OK. Then that’s where we start, supporting the client as they find ways of expressing it fully and in different ways, all the feelings and the thoughts.