A client age 23 develops melasma during pregnancy and expresses fear of rejection due to this change. What problem is the client experiencing?

The client experiencing melasma during pregnancy is primarily dealing with concern about her appearance. Melasma, which presents as dark, blotchy patches on the skin, can significantly impact a person's self-image, especially during a time of great change like pregnancy. The fear of rejection underscores how highly she values societal standards of beauty and personal acceptance, likely leading to anxiety about how others perceive her.

Understanding the psychological impact of physical changes is essential in maternal care. The shifts in appearance during pregnancy can lead to concerns about attractiveness and acceptance, both from a partner and within social circles. In this context, the client's emotions are tied closely to her perceived physical changes, reinforcing the idea that her primary concern revolves around how these changes might affect her interactions and relationships.