G, age 20, has had nightmares and flashbacks since returning from a tour of duty in Afghanistan. ...

G, age 20, has had nightmares and flashbacks since returning from a tour of duty in
  Afghanistan. G's fianc has been urging G to get help at the Veteran's Administration
  close to their home.
 
  G has been distraught and upset that he can't sleep, and has
  been unable to find a job. He's starting to think about calling off the wedding and
  signing up for another tour because active duty is the only place he can function.
  Which combination of motivational factors is G experiencing?
  a. Distress and need
  b. Distress and desire
  c. Need and reason to change
  d. Distress and reason to change