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

What is an appropriate response when a client reveals recent self-harming behavior?

1. Advising immediate hospitalization

2. Assessing the risk of suicidality while providing support

3. Minimizing the behavior as a phase

4. Suggesting they move on from the incident

The correct answer is: Assessing the risk of suicidality while providing support

When a client reveals recent self-harming behavior, assessing the risk of suicidality while providing support is the most appropriate response. This approach prioritizes the client's immediate safety by evaluating their current mental state and determining the level of risk for further self-harm or suicidal thoughts. It's essential to create a supportive environment where the client feels safe to discuss their feelings and behaviors. This response encourages open dialogue, allowing the therapist to explore the reasons behind the self-harming behavior and any underlying issues. Additionally, it helps in establishing trust, which can be crucial for effective therapeutic intervention. In contrast, advising immediate hospitalization may not always be necessary or appropriate, especially if the client does not present a high risk of harm to themselves. Minimizing the behavior as a phase undermines the seriousness of their experience and can discourage clients from being open about their struggles. Similarly, suggesting they move on from the incident may invalidate their feelings and hinder their ability to process what they are going through. Overall, responding with a combination of assessment and support fosters a more constructive therapeutic relationship.