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

A client shows signs of withdrawal in therapy when discussing their spouse. What does this suggest?

1. High levels of trust

2. Low self-esteem

3. Emotional distress in familial relationships

4. Positive coping strategies

The correct answer is: Emotional distress in familial relationships

The indication that a client shows withdrawal when discussing their spouse is a strong signal of emotional distress within familial relationships. Withdrawal can be a protective mechanism in response to discomfort or pain associated with that relationship. It often reflects the client's struggle with feelings related to their spouse, including anxiety, fear, or sadness. This response may suggest that conversations about the spouse touch on sensitive or unresolved issues that lead to emotional distress, making the client retreat from further engagement. High levels of trust would typically result in open communication and a willingness to explore feelings about a spouse, rather than withdrawing. Low self-esteem might influence a client’s behavior, but it does not inherently manifest as withdrawal specifically related to discussions about a spouse. Positive coping strategies would normally encourage engagement and exploration rather than avoidance. Therefore, the client's withdrawal suggests they are experiencing significant emotional distress related to their familial relationships, explaining their hesitance to discuss their spouse further.