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

What is the first priority for a therapist working with a client diagnosed with schizoaffective disorder?

1. Identify the client's ability to follow through with a treatment plan

2. Develop a clear understanding of treatment goals

3. Assess the client's levels of disorganized thinking

4. Discuss the roles of multidisciplinary team members

The correct answer is: Develop a clear understanding of treatment goals

Prioritizing the development of a clear understanding of treatment goals is essential when working with a client diagnosed with schizoaffective disorder. Establishing treatment goals provides a framework for the therapeutic process, ensuring that both the therapist and the client are aligned in their expectations and objectives. This is particularly important in cases of schizoaffective disorder, where the interplay of mood symptoms and psychotic features can complicate the therapeutic relationship and the client's engagement with treatment. Having defined treatment goals allows the therapist to tailor interventions to meet the specific needs of the client. It enhances motivation and accountability, helping the client to gain insight into their condition and promoting a sense of agency in their recovery process. Moreover, clear treatment goals can help in monitoring progress and making necessary adjustments in therapy as the client's needs evolve. While assessing disorganized thinking, identifying the client’s ability to follow a treatment plan, and discussing the roles of a multidisciplinary team are all important components of the therapeutic process, they are generally informed or optimized by having a clear set of treatment goals established first.