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

During an initial assessment, a mother reveals her child displays aggressive behavior. What is the therapist's FIRST step?

1. Discuss the mother's parenting techniques

2. Assess the child's environment for triggers

3. Establish trust and open communication with both mother and child

4. Recommend family therapy

The correct answer is: Establish trust and open communication with both mother and child

Establishing trust and open communication with both the mother and child is a critical first step during an initial assessment. This foundation is vital for effective therapy as it encourages the family to share their concerns openly and honestly. By fostering a safe and supportive environment, the therapist can better understand the nuances of the situation, including the nature of the aggressive behavior exhibited by the child. Building rapport not only helps the therapist gather more accurate information, but it also empowers the family, making them feel more comfortable engaging in the therapeutic process. Once trust is established, the therapist can then explore the child's environment for potential triggers or discuss parenting techniques, leading to a more effective intervention strategy tailored to the family's needs. This step is essential in creating a collaborative therapeutic relationship, which can enhance the effectiveness of subsequent sessions.