Final answer:
All of the issues mentioned - Depression, Sense of Rejection, Guilt - are commonly encountered in counseling HIV patients, except Libido changes. The correct answer is option O Lib.
Step-by-step explanation:
All of the issues mentioned - Depression, Sense of Rejection, Guilt, and Libido changes - are commonly encountered in counseling HIV patients, as living with a chronic illness like HIV can have a significant impact on a person's mental health and well-being.
However, the exception mentioned in the question is Libido changes. While sexual issues can occur in some HIV patients, such as erectile dysfunction or loss of interest in sex, it is not an issue that everyone is likely to meet in counseling HIV patients.