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

How should a social worker respond to a report of physical aggression within a couple's therapy session?

1. Refer each partner to individual therapy immediately

2. Encourage the couple to continue therapy together

3. Develop a safety plan during the shared session

4. Explore the causes of aggression with both partners present

The correct answer is: Refer each partner to individual therapy immediately

In a situation where there is a report of physical aggression within a couple's therapy session, developing a safety plan during the shared session is the most appropriate response. This approach prioritizes the safety of both partners and creates a systematic way to address the immediate risks associated with the aggression. Creating a safety plan involves discussing ways to mitigate the risk of further physical aggression, establishing clear communication strategies, and identifying safe spaces or support systems for both individuals. This not only acknowledges the seriousness of the situation but also empowers the couple to take proactive steps toward ensuring their safety while allowing the therapist to maintain a supportive role. Choosing to refer each partner to individual therapy immediately does not address the dynamics present within the couple's sessions nor does it establish safety in the moment. It can also undermine the therapeutic relationship and potentially escalate the situation. Encouraging the couple to continue therapy together without addressing the aggression would be negligent, as this could lead to further incidents and does not prioritize safety. Exploring the causes of aggression with both partners present might be beneficial in the long term, but in an immediate crisis scenario, the focus should be on ensuring the safety of both individuals rather than delving into the underlying issues while the threat of aggression exists.