Answer:
C. she realized that she will lose her importance as an "official of the court"
Explanation:
I think the correct answer is C. keen.
Keen, meaning something that would be done with eagerness. The counselor wants to help the patient with their struggles, meaning the patient is in a time of difficulty. An activity that would require the patient to develop enthusiasm would be beneficial.
He describes how people are behaving and what they are doing, including Hamlet and how his actions are perceived in the eyes of others. Direct would be if he directly told us things about Hamlet and his insanity, but this way he doesn't tell us but we understand the implications from the descriptions of what is going on.
The best choice is C. In the past
Hope this helps!