If a patient answers yes to IPV, which therapeutic message is appropriate to communicate?

• A. The abuse is your fault
• B. You are not alone, help is available
• C. There is nothing we can do
• D. You should forgive them now

Answer: (B)

When someone discloses intimate partner violence, the most helpful response is to validate their experience and connect them with support and options. Saying “You are not alone, help is available” does exactly that. It acknowledges the abuse, counters isolation, and signals that resources exist—whether that’s safety planning, confidential support lines, shelters, or healthcare services. This message also respects the person’s autonomy and prioritizes safety, avoiding pressure to stay in the relationship or to forgive.

The other options miss the mark for several reasons. Blaming the survivor by saying the abuse is their fault is harmful, reinforces stigma, and can deter seeking help. Claiming that nothing can be done empties the person of state-supported options and hope. Advising forgiveness or reconciliation puts the person at ongoing risk and ignores the violence they may be experiencing.