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Expressing doubt in a therapeutic manner requires sensitivity and the goal of maintaining a trusting relationship with the patient. The choice that says, "That's hard to believe," allows for a respectful acknowledgment of the patient's experience while simultaneously introducing a degree of skepticism. This phrasing encourages further discussion without outright dismissing the patient’s feelings or beliefs, which is crucial for maintaining rapport.

By validating that the statement may be difficult to accept, it opens the door for the patient to explore their thought process. It allows the healthcare provider to express concern and curiosity without alienating the patient. This approach aligns with therapeutic communication techniques that emphasize understanding and support, particularly for individuals experiencing delusions.

In contrast, dismissing the statement outright or using humor, as suggested in some of the other choices, could create defensiveness or distrust in the therapeutic relationship, which undermines effective communication and potentially harms the patient.