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

What should a therapist prioritize when working with a client who has a history of depression and communication struggles with their partner?

1. Offering advice related to medication

2. Encouraging communication skills without assessing medication

3. Referring the client back to their psychiatrist for medication issues

4. Discussing the implications of medication on their mood

The correct answer is: Referring the client back to their psychiatrist for medication issues

In situations where a client has a history of depression and struggles with communication in their relationship, it is crucial for the therapist to prioritize a holistic approach that balances emotional support and clinical considerations. When considering the option that involves referring the client back to their psychiatrist for medication issues, this is a sound approach as it recognizes the importance of medical management in conjunction with therapeutic support. A therapist's role often involves ensuring clients receive comprehensive care, particularly with conditions like depression that may necessitate medication for optimal management. By facilitating this referral, the therapist acknowledges the psychiatrist's expertise in pharmacological interventions, which can be essential for the client’s mental health stability. Thus, linking the client back to their psychiatrist ensures that any concerns about medication efficacy, side effects, or adjustments can be addressed appropriately. It's also important to recognize that while discussing communication skills is important, it should not occur in isolation from other aspects of the client’s mental health treatment. Each component—therapy, communication enhancement, and medication—works best when integrated within a comprehensive treatment plan. Focusing solely on communication without evaluating the client's medication needs could lead to overlooking critical aspects of their mental health that might affect their ability to communicate effectively.