What statement made by a pregnant client suggests a need for psychological referral?

The statement indicating a need for psychological referral is one where the client expresses negative feelings about herself and her circumstances. In this case, the statement reflects deep dissatisfaction with her body image and an overall negative sentiment about the pregnancy itself. The client’s comments about wishing she were not pregnant and feeling that the baby has adversely affected her self-image highlight significant distress and potentially lead to complications such as depression or anxiety.

In the context of pregnancy, experiencing mixed emotions is common, and statements reflecting nervousness or challenges while maintaining an overall positive outlook do not typically indicate a need for psychological intervention. Feeling excited, coping well, or having a positive body image are all signs of adjustment during this significant life transition. However, an expression of hatred toward one's body, coupled with a desire for the pregnancy to end, suggests a level of distress that warrants professional support. Addressing these feelings early is vital for both the mother's and baby's well-being.