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

What should a social worker do first with a new client expressing multiple losses and symptoms of agitation?

1. Refer the client to a medical doctor

2. Assess for suicidal thoughts or self-harm

3. Recommend group therapy for support

4. Teach stress relief techniques

The correct answer is: Assess for suicidal thoughts or self-harm

In situations where a new client is expressing multiple losses and symptoms of agitation, the priority is to ensure the client's safety. Assessing for suicidal thoughts or self-harm is a crucial initial step, as individuals experiencing significant emotional distress or agitation may be at an increased risk for self-harm or suicidal ideation. By conducting this assessment, the social worker can determine the level of risk and decide on the appropriate interventions. This process not only prioritizes the client's safety but also helps build a trusting therapeutic relationship, allowing the social worker to understand the client's emotional state and the impact of their losses. Once the assessment is completed, further interventions such as referrals, therapy options, or coping strategies can be explored based on the client's needs. Addressing safety concerns first is foundational in effective practice, particularly when dealing with clients in distress.