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

What is a common reason for a client to avoid discussing a spouse during therapy?

1. Desire for individual independence

2. Fear of judgment

3. Concern for confidentiality

4. Potential domestic violence

The correct answer is: Potential domestic violence

While concerns about potential domestic violence can certainly influence a client's willingness to discuss a spouse during therapy, a more comprehensive understanding reveals the intricate dynamics in therapeutic relationships. Fear of judgment is a common reason clients may hesitate to bring up a spouse. Many individuals worry about how their feelings, experiences, or thoughts regarding their partner might be perceived by their therapist. This apprehension can lead to selective disclosure, where clients hold back information they deem vulnerable or that they anticipate could be met with disapproval. This fear can stem from past experiences where they felt judged or misunderstood, making them reluctant to broach sensitive topics, including their relationship dynamics. Understanding these motivations is critical in therapy, as addressing these fears early in the therapeutic relationship can create a safe space for clients to express the complexities of their relationships without the fear of judgment impacting their openness.