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

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In the case of a mandated client presenting with a possessive and dangerous partner, how should a therapist respond?

  1. Report the boyfriend to the authorities

  2. Encourage the client to file a restraining order

  3. Discuss the situation while maintaining confidentiality

  4. Confront the boyfriend about his behavior

The correct answer is: Discuss the situation while maintaining confidentiality

A therapist's response in this scenario should prioritize the safety and well-being of the client while also adhering to legal and ethical guidelines regarding confidentiality and mandated reporting. Discussing the situation while maintaining confidentiality allows the therapist to create a safe space for the client to explore their experiences and feelings. This approach helps the client feel supported and understood and encourages open communication about the dynamics of their relationship with their partner. Confidentiality is crucial in therapy; it empowers clients to share sensitive information without fear of reprisal or further escalation of the situation. By facilitating a trusting therapeutic alliance, the therapist can help the client assess their situation, explore options, and decide on appropriate actions concerning their safety. This choice maintains the client's autonomy and allows the therapist to assess and intervene appropriately if the situation escalates or if there are specific safety concerns that require mandated reporting or involvement from authorities. It sets a foundation for potential safety planning and support, rather than immediately involving others before the client feels supported in their choice. Taking action such as reporting the boyfriend, encouraging a restraining order, or confronting him could put the client at greater risk or violate the therapeutic relationship established based on trust and confidentiality. Each of these actions might lead to unintended consequences for the client and their safety.

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