Licensed Clinical Social Worker (LCSW) Therapist Development Center Practice Exam

A 13-year-old girl is pregnant and does not want her parents to know. What is the best approach for the therapist?

1. Inform her parents about her pregnancy

2. Make a report of possible abuse immediately

3. Maintain client confidentiality and explore her feelings about the pregnancy

4. Encourage her to tell the father about the pregnancy

The correct answer is: Maintain client confidentiality and explore her feelings about the pregnancy

Maintaining client confidentiality while exploring the adolescent's feelings about her pregnancy is essential in this scenario. It's crucial for the therapist to create a safe and trusting environment where the young girl feels comfortable expressing her thoughts and emotions without fear of judgment or breach of confidentiality. At this age, many adolescents struggle with identity formation and independence, and a pregnancy can amplify these challenges. By allowing her to discuss her feelings, the therapist can support her in navigating the emotional complexities surrounding the pregnancy, help her explore her options, and empower her to make informed decisions. This approach respects her autonomy and recognizes that she may have insights into her situation that are critical for her emotional well-being. While parental involvement can sometimes be necessary, particularly in situations where the minor's safety is at risk, the therapist's primary duty is to the client. Encouragement to share the pregnancy with others, including the father or parents, should ideally come from a place of readiness and desire on the girl's part, rather than being imposed by the therapist. This ensures that her voice is prioritized in the therapeutic process.