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

A client with a history of trauma begins to dissociate during sessions. What is the primary focus for the therapist?

1. Explore the client's trauma in depth

2. Help the client develop coping strategies for grounding

3. Encourage the client to share more details of the trauma

4. Redirect the conversation to daily stressors

The correct answer is: Help the client develop coping strategies for grounding

When a client with a history of trauma begins to dissociate during therapy sessions, the primary focus for the therapist should be to help the client develop coping strategies for grounding. Dissociation is often a protective response to overwhelming stress or trauma, and it can disrupt the therapeutic process. Grounding techniques are essential as they help the client reconnect with the present moment and their physical surroundings, which can reduce feelings of anxiety and distress associated with dissociation. By focusing on grounding strategies, the therapist empowers the client to explore their experiences in a safe manner, equipping them with tools to manage dissociative symptoms. This approach prioritizes the client’s safety and stabilization, ensuring that they can engage more effectively in therapy without being overwhelmed by past trauma. Grounding techniques might include mindfulness exercises, breathing techniques, or sensory-awareness practices, which are crucial for building resilience. In contrast, exploring trauma in depth or encouraging the client to share more details during a dissociative episode could exacerbate feelings of distress, possibly leading to further dissociation or re-traumatization. Redirecting the conversation to daily stressors may provide some distraction but does not address the underlying dissociative symptoms or the need for coping strategies. The emphasis on grounding is essential for maintaining a safe therapeutic