For a client with depressive symptoms but no suicidal ideation, what is the most appropriate next step?

• A. Dismiss the client
• B. Refer to a psychiatrist
• C. Schedule group therapy
• D. Ask the client to monitor symptoms

Answer: (B)

Depression with symptoms but no suicidal thoughts often requires a medical/psychiatric evaluation to determine if medication or specialized assessment is appropriate. Since LPCCs don’t prescribe, the best next step is to refer the client for a psychiatric evaluation to consider pharmacotherapy and rule out medical contributors to the mood symptoms. This ensures a comprehensive plan that may combine psychotherapy with medication management, which is often necessary in depressive disorders. You would still conduct a full intake, including suicide risk screening, medical history, and safety planning, but referrals for psychiatric care address potential needs beyond counseling alone. Dismissing the client is unethical; group therapy can be helpful but isn’t sufficient as the immediate next step when medication evaluation may be indicated; asking the client to monitor symptoms without an accompanying treatment plan could delay needed care.