After a major medical procedure, a patient shows despondence and low motivation for therapy. This may indicate:

The presence of despondence and low motivation for therapy after a major medical procedure often suggests situational depression. This form of depression can occur in response to significant life events or changes, such as undergoing major surgery or experiencing serious health issues. The emotional and psychological impact of these events can lead to feelings of sadness, hopelessness, and a lack of interest in activities, including rehabilitation efforts essential for recovery. Understanding that situational depression is typically temporary and closely linked to life circumstances can aid healthcare providers in tailoring their approach to the patient's emotional and psychological needs during recovery.

In this context, other options may not accurately reflect the patient's emotional state following the procedure. Cushing syndrome, characterized by excess cortisol, may produce physical symptoms and psychological changes, but the immediate reaction to a major medical procedure is more likely rooted in situational factors. Similarly, Addison's disease involves adrenal insufficiency and may lead to fatigue and weakness, but it doesn't typically manifest with despondence as an initial response to surgery. Untreated anxiety can cause distress, but the dominant symptom of low motivation and despondence after a significant procedure particularly aligns with situational depression. Recognizing this allows for appropriate interventions and support strategies tailored to the patient’s recovery journey.