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

What is the first step a social worker should take when facing resistance from a long-term client?

1. Shift focus to different therapeutic goals

2. Address the client's resistance directly

3. Continue to gather information as the client is ready

4. Explore different therapeutic techniques for engagement

The correct answer is: Address the client's resistance directly

Addressing the client's resistance directly is a crucial step in the therapeutic process, particularly when working with a long-term client. Resistance often signifies that the client is feeling uncomfortable, uncertain, or ambivalent about the therapeutic work or the changes being discussed. By addressing this resistance directly, the social worker opens a dialogue about the client’s feelings and thoughts, allowing the client to express what might be holding them back. This approach not only validates the client's experience but also creates a space for exploration of underlying issues, fears, or motivations. It shows the client that their thoughts and feelings are important and that the therapist is willing to engage with them at a deeper level. This can lead to enhanced trust and rapport in the therapeutic relationship, ultimately helping the client to move past the resistance and engage more fully in the therapeutic process. While shifting focus to different therapeutic goals could seem beneficial, it may temporarily sidestep the underlying issues causing the resistance. Continuing to gather information is also valuable, but if resistance is strong, this may not be effective without first addressing the concerns directly. Exploring different therapeutic techniques could be useful in the long run, but it requires first understanding the client's current motivations and barriers through direct conversation about their resistance.