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

How should a social worker initially address a child's excessive tantrums in therapy?

1. Introduce behavior modification strategies

2. Engage parents in discipline discussions

3. Assess the child's context and family dynamics

4. Provide psychoeducation on developmental behavior

The correct answer is: Assess the child's context and family dynamics

Addressing a child's excessive tantrums effectively requires understanding the underlying factors contributing to this behavior. By assessing the child's context and family dynamics, the social worker can gather crucial information about the child's environment, relationships, and any stressors that may be influencing their behavior. This assessment allows the therapist to formulate a comprehensive understanding of the child’s needs, triggers, and emotional state. Understanding family dynamics is particularly important because a child's behavior often reflects their interactions with caregivers and siblings. If tantrums are a response to family stress, parental styles, or specific circumstances within the home, addressing these factors early can lead to more effective interventions. The insights gained from this assessment will guide the social worker in tailoring their approach, whether that might involve behavior modification strategies, engaging parents in discussions about discipline, or providing psychoeducation. In this context, the initial focus on understanding the child’s situation helps create a foundation for intervention, ensuring that any strategies or discussions introduced later are relevant and appropriate for the child’s specific circumstances. This holistic approach can greatly enhance the therapeutic process and promote positive change in the child's behavior.