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

What should a therapist focus on when a client expresses discontent about ending therapy?

1. A. Gently explain the benefits of completing therapy

2. B. Discuss the client's previous treatment experiences

3. C. Support and validate the client's fears regarding termination

4. D. Encourage the client to prepare for independent coping

The correct answer is: C. Support and validate the client's fears regarding termination

Supporting and validating the client's fears regarding termination is crucial because ending therapy can bring up a range of emotions, including anxiety and uncertainty. Clients may feel apprehensive about losing the support they've received, and their concerns should be acknowledged with empathy. This process fosters a sense of safety and understanding, enabling clients to express their feelings openly. When therapists validate these fears, they create an environment that encourages exploration of the client's thoughts and emotions surrounding termination. This can lead to valuable discussions about the progress made during therapy and the client’s readiness to transition to independent coping strategies, making the process less daunting. In contrast, while discussing previous treatment experiences and explaining the benefits of completing therapy can have their place, these approaches may not adequately address the immediate emotional needs of the client. Encouraging preparation for independent coping can also be beneficial, but it might be premature without first addressing the client's feelings about ending the therapeutic relationship. By prioritizing support and validation, the therapist can empower the client to move forward with greater confidence and resilience.