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

In the middle stages of therapy, which approach is most appropriate for a client with anxiety and sleep issues?

1. Introducing relaxation techniques into the client's routine

2. Identifying cognitive distortions they've been experiencing

3. Implementing structured cognitive behavioral therapy exercises

4. Creating a detailed history of the client's anxiety symptoms

The correct answer is: Introducing relaxation techniques into the client's routine

Introducing relaxation techniques into the client's routine is particularly appropriate during the middle stages of therapy, especially for individuals dealing with anxiety and sleep issues. This stage typically involves building upon the initial rapport established in earlier sessions and focusing on actionable strategies that the client can implement to manage their symptoms more effectively. Relaxation techniques, such as deep breathing exercises, progressive muscle relaxation, or guided imagery, can empower clients to gain immediate relief from anxiety and promote better sleep hygiene. These practices are not only effective tools for managing acute anxiety symptoms but also help clients develop coping strategies that they can utilize outside the therapy setting, ultimately fostering greater independence and self-regulation. In the context of therapy for anxiety and sleep disturbances, these techniques are often beneficial as they can be easily integrated into a client’s daily life and can provide near-term relief that supports longer-term therapeutic goals. While other approaches, such as identifying cognitive distortions or implementing structured cognitive behavioral therapy exercises, are critical components of treatment, they may require more cognitive engagement and processing which might not be as immediately relieving as relaxation techniques. Similarly, creating a detailed history of the client's anxiety symptoms, while important for understanding the context and origin of the anxiety, does not provide the immediate tools necessary for managing symptoms in the moment.