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

During the initial assessment, what is the primary goal of the therapist?

1. Establish rapport with the client

2. Determine the best services for the client

3. Evaluate the client's background and history

4. Understand the problem and how the client can resolve it

The correct answer is: Understand the problem and how the client can resolve it

The primary goal of the therapist during the initial assessment is to understand the problem and how the client can resolve it. This foundational step is essential because it sets the stage for the therapeutic relationship and establishes a framework for understanding the client’s concerns. By comprehensively grasping the issue at hand, the therapist can tailor interventions, provide support, and collaboratively work with the client to identify potential strategies for resolution. Understanding the problem involves not only identifying the presenting concerns but also exploring the client’s perceptions, feelings, and experiences related to those issues. This process ensures that the treatment approach is aligned with the client’s needs and goals, facilitating more effective and personalized therapeutic outcomes. While establishing rapport, determining appropriate services, and evaluating background and history are important aspects of the assessment, these components serve to support the overarching aim of understanding the problem and developing resolutions. The relationship built with the client and the background information gathered all contribute to this deeper understanding, but the primary focus remains on the client's issues and the pathways to address them.