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

What is the first step for a therapist when a client presents with physical symptoms like moodiness and headaches?

1. Assess for possible suicidality

2. Refer to a psychiatrist immediately

3. Refer the client to a medical doctor

4. Conduct a mental status exam

The correct answer is: Refer the client to a medical doctor

When a client presents with physical symptoms such as moodiness and headaches, the initial step involves a critical assessment of the underlying factors contributing to these symptoms. Referring the client to a medical doctor is essential because physical symptoms can often be indicative of medical conditions that may require treatment outside the scope of therapy. By making this referral, the therapist ensures that any potential medical issues are addressed, as these can be key to understanding the client's overall mental health and well-being. Physical health and mental health are closely intertwined, and unresolved medical issues can significantly affect psychological conditions. This referral also conveys to the client that their symptoms are taken seriously and that a comprehensive approach to their health—encompassing both physical and psychological aspects—is necessary. Following this initial step, once any medical issues are ruled out or managed, the therapist can then pursue appropriate therapeutic interventions tailored to the client's mental health needs.