She refuses to consider it.
Typically, women want to be listened to and men want to fix things.
If she wants to talk about life's pressures and her internal struggle, he can lovingly listen. But she shouldn't be deaf to HIS perspective of seeing perhaps why she's experiencing these feelings--the nail--and maybe if she did something about it, she'd be freer of those pressures. Not denying what you said, Secret. Good point that communication is difficult sometimes when we hear the other person through our own filters instead of theirs.
In a dialogue, both parties are responsible to speak their perspective, but each is equally responsible to hear out the other person, if it is to be a dialogue. If a person needs to monologue, it's fair to tell the other person that all that is sought is being heard and maybe understood and accepted.